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Home My WebLink AboutApplicationP -meld IC1OunID" � 108 Ser Street, Suite 401, Glenwood Springs, CO 81601 Ph:970-995-8212 Fx:970-384-3440 Inspection Line:888-868-5306 proje �� : �it-1 l ►ill 5 Ra op, Skt op www.aarfield-countv.com G on role "14": s f't4 teal 1,4)4 (Igt P (f70) ay3-ii‘ ij,t BUILDING PERMIT APPLICATION 1 Parcel No: (this information is available at the assessors office 970-943.9134) a17.S-;/1-00 - oaa Lot No: Block No: Subd.l Exemption: 2 Job Address: (ifan address has not been assigned! please provide CR HWY or Street Name & City) or and legal description 0) ' 0 CouO 7LoV Rd 074/6' 3 Owner. (property owner) Cl'ugli Sheep Ca.) 44C Mailing Address: p0 8vg 6 8'69 Rifle, CO '/6so Ph: (970) r6/R -7631 Alt Ph: 4 Contra or. TPrZndu5tri.al Mailing Address: -Y7I R;vet- si'olePikwy#A Ph: 071-13-'16q; Alt Ph: 5 Manufactured home installer: Mailing Address: .(970) NI. Lic #: 6 Architect: Mailing Address: Ph: Alt Ph: 7 Engineer. Mou,itaiti 1/170 -t.p/, Mailing Address: P r+' ha tr't G, -/y/ car 311C North MA,., 5f,� $u/+E / Ph: (y35) 73V- 5'700 Alt Ph: 8 Sq. Ft. of Building: 660 s Sq. Ft. or Acres of Lot: See s/fr /as- 4ctrfe Height: / lb No. of Floors: 1 _ 9 Use of Building: /� ❑Residential QCommercial ❑Other Class of Work: Q�lew ❑Alteration ❑Addition ❑Repair ❑Demo ❑Move 10 Describe Work: A Pour -Fou 101.1 -'un ayrJere f.+ Fol e*c / bwain' _ P 11 Garage: NA ❑Attached ❑Detached Septic: NA ❑ISDS ❑Community Type of Heat NA ❑Nat. Gas ❑Propane ❑Electric ❑Other 12 Driveway Permit: NA Owners valuation of Work: j6c 62g/ jr...."` 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. Leval Access. A Building Permit cannot be issued without proof of legal and adequate access to the propeny for purposes of inspections by the Building Department. 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, c.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 comnenced 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 1 have read this Application and that the information contained above is true and correct. 1 understand that the Building Department 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 Department 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)). 1 acknowledge that the Building Permit may be suspended or revoked. upon notice from the County, if the location, construction or use of the structures) and facility(ies), described above, ars not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Department to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit docs not prevent the Building Official from: (I) requiring the correction of errors in the submittals. if any, discovered after issuance; or (I) stopping construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(:) or any other applicable law. Review of this Application. including submittals, and inspections of the work by the Building Deparnent do not constitute an acceptance of responsibility or liability by the County orators, 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, mincer and/ or builder. I HEREBY [KNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE ' y 11 Plan R c�tt;e & 4lq ct - R?pre Scot -al me a/6/xoZ 4}4.464.1t NERS S NATURE DATE ak elle R3 11L 9/-24 .2 7 , STAFF USE ONLY ITiecial Conditions: Adjusted Valuation: 36 oyg, Plan Check Fee: 333.09 Permit Fee: ,5/z. /$ Manu home Fee: Misc Fees: Total'Fees: { U yt.V y es Paid:] f/r t 4- Balance Due: /� �7 35r./C/ BP No & Issue,Date: J ISDS No & Issued Date: ,/4,, Setbacks:OCC I:: /D° ie/00'5.76e) Group: P —) Const Type: 6 Zoning: R L. APPROVAL DATE APPROVAL DAT COMMERCIAL CONSTRUCTION 2471 Riverside Parkway #A Grand Junction, Colorado 81505 TPI INDUSTRIAL, INC. GARFIELD COUNTY BUILDING & PLANNING Telephone (970) 243-4642 Fax (970) 242-5330 February 6, 2012 Garfield County Building Department 108 81h Street, Suite 40I Glenwood Springs, CO 81601 Dear Inspector; TPI Industrial, as An Authorized representative of WPX Energy Rock Mountain, LLC, is submitting the enclosed application, drawings and documents for a building permit to erect a 800 sf shop building at the Williams Rulison water management facility: • Garfield County Building Permit Application, • Letter of Authorization from WPX Energy, • Lease agreement with Clough, • WPX Energy Rulison Water Management Facility Map, • Two B&C pre -fabricated metal building drawings, • Two foundation plans and • Two site plans. Please contact me with at (970) 243-4642 with questions. Sincerely,'' ll e�/�- - Shawn Wallace TP1 Industrial N/A N/A TPI Industrial, Shawn Wallace Fl Applicant Address Date VALUATION FEE DETERMINATION Clough Sheep/Williams-Rulison WMF 22539 Hwy 6 & 24 Rifle 2/15/2012 Subdivision Lot/Block Contractor Finished (Livable Area): Main sq.ft Upper soft Lower sq.ft Other sq.ft X 574.68 Total Square Feet 0 sq.ft Total Valuation Basement: Unfinished Conversion of Unfinished to Finished Other Total Valuation Garage/Storage (wood framed) Conversion of garage to finished living Carport Other Total Valuation Crawl Space Total Valuation Decks/ Patios/Porches Covered Open Other Total Valuation Type of Construction: V 13 Occupancy: Total Valuation sq.ft X $41.00 sq.ft X $33.68 sq.ft X sq.ft X S18.00 sq.ft X $56.68 sq.ft X 512.00 sq.ft X soil X $9.00 sq.ft X $24.00 sq.ft X $12.00 sq.il X Commercial 800 sf X sf X sf X sf X sf X sf X $45.06 0.00 0.00 0.00 0.00 0.00 36,048.00 Total Valuation 36,048.00 Building Plan Review Description of Work: Pour foundation & erect metal building shop Bin #: Location Address: 22539 Hwy 6 & 24 RIFLE, CO 44. (f:rneral Inforrniltion Case Manager: David Bartholomew Plan Case Number. BLDG -2-12-7136 Parcel: 217521100022 Application Date: 02/09/2012 Owner: Clough Sheep Company, LLC Applicant: Clough Sheep Company, LLC Applicant Phone: 970-618-7631 Email: Building Engineered Foundation Driveway Permit 30ft Stream Setbacks Surveyed Site Plan Flood Plain Septic Permit and Setbacks r/ GradelTopography 30% N of Attach Residential Plan Review List PlanninglZoninq Property Line Setbacks r/ Building height Toning Sign -off N' Road Impact Fees Minimum Application Questionnare HDA/DRC Approval Grade/Topography 40% Planning Issues -Subdivision Plat Red Line Plans/Stamps/Sticker General Comments: Subdivision Plat Notes / Fire Department Review Valuation Determination/Fees Attach Conditions Application Signed _Plan Reviewer To Sign Application / ParcellSchedule No. Ni'/ 40# Snowload Letter- Manu. Homes Soils Report Wednesday, February 15, 2012 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 department 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. 1.64 S ' na re of Owner Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-county.com