HomeMy WebLinkAboutApplication.pdfRE: HRES Divide Road Water Facility - PDC 300 Building *** CDOH ***
Pre - Fab
Garfield County
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-countv.com
BUILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
011\k
LLC
U Jason Eckman
0 Phone: ( 970 ) 285-2656
o
Commercial/Multi-Family
•
Demolition
•
Manufactured Home (SF or Duplex)
Architect: Same as above
Phone:
( )
•
Residential (SF, Duplex, or Townhome)
•
Reroof
INVOLVED PARTIES Ivo': v,("it,(,
011\k
LLC
U Jason Eckman
0 Phone: ( 970 ) 285-2656
Property Owner: Hunter Ridge Energy Services,
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
Job Address: 0004 CR 401
Assessor's Parcel Number:
Owner's Valuation
Sq.Ft of Building: 10'-6"
191727400012 Sub. Lot Block
of Work: $
x 60'
1 5V1-0 I DD Property
Size (Sq.Ft or Acres):
17'-1" # 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
n Electric
• Other
Driveway Permit:
• Exempt
■
Permit #:
NOTICE
Special Conditions:
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.
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.
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.
I 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 ;i4
Property Owner Print and Sin
August 13, 2014
Date
OFFICIAL USE ONLY
Special Conditions:
Adjusted Valuation:
Y'670..€1-6-'
Plan Check Fee:
g / . 41
Permit Fee:
,S -2.-S- . Zi.--
Manu home Fee:
40-00
Misc Fees:
Total Fees:
6ob. 66
Fees Paid:
g1 iil
Balance Due:
,12S: N
BP No:
ISDS No:
C�a-3.3L4n
�Gk
Setbacks:
051 /2,Z S/0
OCC Group:
5 - 2-
Const Type:
,E g
Zoning:
1.L,
BUILDING / PLANNING
DIVISION : �C" -
d9/Tie, l¢
Signed Approval Date
pay/ \tisk( %-1 -/ /
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
August 13, 2014
Property Owner Print grid Sign Date
Building Plan Review
Description of Work: installation of PDC (Power Distribution Center) building at Divide ROE r
Bin #:
Location Address: Sec26, TO4S, R96W
PARACHUTE, CO 81635
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -8-14-8039
Parcel: 191727400012
Application Date: 08/14/2014
Owner: EnCana Oil and Gas
Applicant: EnCana Oil and Gas
Applicant Phone: (970)285-2656
Email: jasoneckman@enca
Building
IVA
N/A
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
1
/ Attach Conditions
pplication Signed
/ Plan Reviewer To Sign Application
Parcel/Schedule No.
/-fl A 40# Snowload Letter - Manu. Homes
Soils Report
Pianninq/Zoninq
Property Line Setbacks
30ft Stream Setbacks
/ Flood Plain
Building height
Toning Sign -off
N(� Road Impact Fees
N,41 HOA/DRC Approval
GradelTopography 40%
Planning Issues
Subdivision Plat
General Comments:
Wednesday, August 20, 2014
X670