HomeMy WebLinkAboutApplication.pdftI
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Community Development Department
{ ARFIELD COUN (Y 108 8th Street, Suite 401
MUNI I Y DEVELOPMc1''Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
Garfield County
TYPE OF CONSTRUCTION
El Commercial/Multi-Family
❑ Manufactured Home (SF or Duplex)
❑ Residential (SF, Duplex, or Townhome)
O Demolition
❑ Reroof
INVOLVED PARTIES
Property Owner: Burning Mountain Land & Cattle Company, LLC Phone:
Mailing Address: 105 1/2 East Alkalai Creek Rd., New Castle, CO 81647
Contractor: TBD Phone: ( )
Mailing Address:
Architect: Charles Steckly Phone: ( 303 ) 832-9974
Mailing Address: 5935 S. Zang St., Suite 280, Littleton, CO 80127
Engineer: GPD Group Phone: ( 330 ) 572-2100
Mailing Address: 520 S. Main St., Suite 2531, Akron, Ohio, 44311
Manufactured Home Installer: N/A Phone: (
Mailing Address:
PROJECT NAME AND LOCATION
Describe Work: AT&T proposed collocation on existing wireless facility. Up to 12 panel antennas &
12'x16' equipment shelter within existing SBA compound
Job Address: 105 1/2 East Alkalai Creek Rd., New Castle, CO 81647
Assessor's Parcel Number: 2123-3314-00-016 Sub. Lot Block
Owner's Valuation of Work: $' P 1, 656• V--
Sq.Ft of Building: 12'x16' C.D O!-/
Class of Work:
Garage:
Septic:
Type of Heat:
Driveway Permit:
El New
Height:
0 Alteration
0 Attached
Property Size (Sq.Ft or Acres):
# of Floors: 1
8 Addition 0 Repair
0 ISDS
0 Natural Gas
0 Move/Relocation
O Detached
O Community
0 Propane
0 Electric
0 Other
O Exempt 0 Permit #:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS Permit, (3)
another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a
State Wastewater Discharge Permit.
vola vermis. A tsuuaing Hermit pecomes nun ana void it the work authorized is not commenced within 180 days of
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct.
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
Building Division. In consideration of the issuance of the Building Permit, I agree that land my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, ISDS
regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s)
and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. 1
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations
rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the required information which is correct and accurate to the best of my knowledge.
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Property Owner Print and Sig
9
(7// /f
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
16; 6. C19
Plan Check Fee:
.9.01
Permit Fee:
661a9-0Cl,
Manu home Fee:
Misc Fees:
N) 1 A
Total Fees:
499.17
Fees Paid:
s3/.0.-
Balance Due:
460. to
BP No:
ISDS No:
Bl,C0-32
NIA
Setbacks:
F'25,925, 5/0,
OCC Group:
S'2
Const Type:
Tfg
Zoning:
R
BUILDING / PLANNING
DIVISION : e
r04
`
Signed Approval Date
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NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The Permit Fee, as
well as any Septic or Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by a person having written authority from the
owner to act as their representative.
I hereby acknowledge 1 have read, understand, and will abide with the requirements of this
checklist.
6M/Pi
Property Owner Print an Sig Date
A00,,<- ATI T
Pl eo15c, se/e, a LJA 1-1ti, 1- o yrilbreS47
Building Plan Review
Description of Work: equipment shelter for cell communication tower
Bin #:
Location Address: Sec31, T05, R90
NEW CASTLE, CO 81647
General Information
Contacts
Case Manager: David Bartholomew
Owner: Burning Mountain Land & Cattle, LLC
Plan Case Number: BLDG -6-14-7983
Parcel: 212331400016
Application Date: 06/27/2014
Applicant: Buming Mountain Land & Cattle, LLC
Applicant Phone: Email:
Building
Nj4
Nl 4
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List
Minimum Application Questionnare
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach Conditions
7
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
i`///1 40# Snowload Letter - Manu. Homes
A)74 Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
7oning Sign -off
/\/// Road Impact Fees
"11'4 HOA/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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Wednesday, July 9, 2014