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HomeMy WebLinkAboutApplication.pdfHRES Divide Road Water Facility - PDC 200 Building *** CDOH *** Pre -Fab Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.Rarfield-county.com BUILDING PERMIT APPLICATION TYPE OF CONSTRUCTION Property Owner: Hunter Ridge Energy Services, LLC l�oet) Phone: ( 970 ) 285-2656 Mailing Address: 143 Diamond Avenue, Parachute, CO. 81635 a Commercial/Multi-Family • Demolition • Manufactured Home (SF or Duplex) ( ) Mailing Address: • Residential (SF, Duplex, or Townhome) • Reroof Mailing Address: 8450 East Crescent Parkway, Suite 200, Greenwood CO. 80111 Manufactured Home Installer: Mailing Address: INVOLVED PARTIES OWYI-CV: EV\C(J'\j ' A..5 Jason Eckman Property Owner: Hunter Ridge Energy Services, LLC l�oet) Phone: ( 970 ) 285-2656 Mailing Address: 143 Diamond Avenue, Parachute, CO. 81635 Contractor: ESS Metron (bldg construction for shop fabricated bldg) Phone: ( 303 ) 592.1903 Mailing Address: 1505 W. Third Ave. / Denver, CO 80223 Architect: Same as above Phone: ( ) Mailing Address: Engineer: Samuel Engineering, Inc. Phone: Village, ( 303 ) 714-4840 Mailing Address: 8450 East Crescent Parkway, Suite 200, Greenwood CO. 80111 Manufactured Home Installer: Mailing Address: N/A Phone: ( ) PROJECT NAME AND LOCATION Reference: Divide Road Water Facility (Resolution 2013-14) Describe Work: Installation of a PDC (Power Distribution Center) Building at Divide Road Water Facility (PDC 200) Job Address: 0004 CR 401 Assessor's Parcel Number: Owner's Valuation Sq.Ft of Building: 10'-6" 191727400012 Sub. Lot Block of Work: $.7 x 75' 00 Property Size (Sq.Ft or Acres): 18'-3" # of Floors: 1 Height: from grade: Class of Work: 0 New • Alteration • Addition • Repair • Move/Relocation Garage: ■ Attached ■ Detached Septic: ■ ISDS • Community Type of Heat: • Natural Gas • Propane 0 Electric • Other Driveway Permit: • Exempt • 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 for property 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. Void Permit. A Building Permit becomes null and void if 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. I 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 I and 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. hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I 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. Julia Carter c44,4, --K August 13, 2014 Property Owner Print and Sigk Date OFFICIAL USE ONLY Special Conditions: Adjusted Valuation: A7,00°° -- Plan Check Fee: 11.6 l Permit Fee: T r3 .'Z,S Manu hone Fee: 1100.V° Misc Fees: n I Total Fees: ��52.g� Fees Paid: 19.61 Balance Due: Js .2- BP No: ISDS No: tA btCt - 333 I Setbacks: i i OCC Group: Const Type: Zoning: BUILDING / PLANNING DIVISION : Ale e '``\ 00 /1 Signed Approval Date pci .��-(i?I,\f\S�4, s- -�L' 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 I have read, understand, and will abide with the requirements of this checklist. Julia Carter a„,,,/„. 6,44, August 13, 2014 Property Owner Prinnd Sign Date Building Plan Review Description of Work: Installation of PDC (Power Distribution Center) building at Divide Rot 1 Bin #: Location Address: Sec26, TO4S, 96W PARACHUTE, CO 81635 • General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -8-14-8038 Parcel: 191727400012 Application Date: 08/14/2014 Owner: EnCana Oil and Gas Applicant: EnCana Oil and Gas Applicant Phone: (970)285-2656 Email: jasorteckman©enca Building Engineered Foundation N/ 4 Driveway Permit Surveyed Site Plan / Flood Plain Septic Permit and Setbacks Building height Grade/Topography 30% Zoning Sign -off Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes Fire Department Review Planning Issues Valuation Determination/Fees Subdivision Plat N/A Planning/Zoning 7 Property Line Setbacks 30ft Stream Setbacks NIA Road Impact Fees N(R HOA/DRC Approval Grade/Topography 40% Nj A Red Line Plans/Stamps/Sticker General Comments: Attach Conditions Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Wednesday, August 20, 2014