HomeMy WebLinkAboutApplicationVA'
Gw -field 1GP7-4 y
108 8r'4 Street, Suite 401, Glenwood Springs, CO 81601 2012
Ph:910-9.15-8211 Fx-970-38.1-3440 Inspection Line:888-868-5306 SEP 0 GARNEip r
COl1tV l Y
www.garftcld-countv.com
BI;ILDINCPERMIT APPLICATION 31iIt�ii�G p NTNG
STAFF USF, ONLY
Special Conditions:
Parcel No: (this h jrrmutian rs available at the assessors ufce 970.)45.9134)
2(1-( 332- o00l1
Lot No: Block No: Subd.I Exemption:
2
Job dress: (Ilan uddracc hos zatecn usstl,ned, please provide ('R HW}' r Street Name rf (i0) or and legal description
3 3 / 1)--1-‘y 4, 2n Com,
3
Owner: (pruper1vuumer)
1A) in
Mailing Address:
Ph:
Alt Ph:
4
Contractor:
Mailing Address:
Ph:
Alt Ph:
5
Manufactured home installer:
/411.44 s- 6.444._ A/ c
Mailin Address:
z l.. w 6y
Ph:
ria s- I(y
Lic #:
6
Architect:
Mailing Address: ps.,i.rttr- La
2502'-1
Ph:
Alt Ph:
7
Engineer.
Mailing Address:
Ph:
Alt Ph:
H
Sq. Ft yf Buil ng: Z
,ec
Sq. Ft. or Acres of Lot:
Height:
No. of Floors:
9
Use of uilding:
Residential ommerciai Other
Class of Work:
New Alteration Addition Repair Demo Move
10
Describe Work: 1tt e- C'ef (2) ,A.1 ( n ti Ch -.C.a.) x �as/�'-.- rL
11
Garage:
Attached Detached
Septi
ISDS Community
Type of 1 -teat:
Nat. Gas Propane Electric Other
1?
Driveway Permit:
Owners valuation of Work:
NOTICE
,authority. This application for a Building Permit must be signed by the Owner ofde property, described above, or an authorized agent. lithe signature below is not that of the Owner, a separate
letter ofauthority, signed by the Owner, must be provided with this Application.
I.eeal Access A Building Permit cannot be issued without pmof of legal and adequate access to the property for purposes of inspections by the Building M. -Nutmeat.
Other Permits, Multiple soparale permits may be required: (1) Stale Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or
County I lighway=r Road Access or a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and Maid lithe work authorized is not commenced within 186 days of the date of issuance and ifwork is suspended or abandoned for a period 01 180
days after commencement,
CERTIFICATION
I hereby certify that I have rod 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 cenilication as to accuracy.
Assuming complelencss of the submittals and approval of dos Application. a Building Permit will be issued granting permission to enc, 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 taw 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, ifthe location.
construction or use oldie snnclure(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 Department 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. (I) requiring the correction °fervors in the submittals, ifany, 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 Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
or
limitat-
I
discrep,
my arch
H -EBY A
1 • s , nowlcdge that responsibility for compliance with federal.
designer, engine= r andi or builder
OWLEDGE Til ' 1 HAVE READ AND UNDERSTAND THE NOTICE
state and local laws and County Regulations rest with me and my authorized agents, including without
& CERTIFICATION ABOVE:
)%'NERfV..,,
NATURE DATE
STAFF USF, ONLY
Special Conditions:
Adjusted lraluation:
Oy3,.
Plan Check Fee:
Permit Fee:
0 3.. c
Manu home Fec: C90y
40c=
Mise Fees:
`---__`r°
TotalFees:
e
4 Z_iy
Fees Paid:
�00. r
��''
BallVance Due:
2 2 /. O
BP No///��I& Issue Date:
ISDS No & Issued Date:
,��'!)9
' ,A0`� 1
Settl..cks:
/oo, ,etod, .500
OCC Group
s r
Const Type:
6
Zoning:
B E
Z
P+ D /�i 7 4T�
4...,..,4„,_9/z7/
'APPROVAL DATE
AP OVAL DATE
Building Plan Review
Description of Work: Meter building (Pre -fab) on foundation
Bin #:
Location Address: "" ""
PARACHUTE, CO 81635
General Information
Contacts
rCase Manager David Bartholomew
Plan Case Number: BLDG -9-12-7377
Parcel: 217133200019
Application Date: 09/10/2012
Owner. WPX Energy Rocky Mountain, LLC
Applicant: WPX Energy Rocky Mountain, LLC
Applicant Phone: (970)285-9377 Email:
•
Building
'
1 Engineered Foundation
P/A Driveway Permit
#___Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
l°)I Attach Residential Plan Review List
Minimum Application Questionnare
Iii Subdivision Plat Notes
N`r A Fire Department Review
Valuation Determination/Fees
}
° Red Line Plans/Stamps/Sticker
X . Attach Conditions
-Application Signed
/ plan Reviewer To Sign Application
if_p No.
40# Snowload Letter - Manu. Homes
Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
woad Impact Fees
NI HOA/DRC Approval
GradelTopography 40%
i
Planning Issues
Subdivision Plat
General Comments:
>
Thursday, September 27, 2012