HomeMy WebLinkAboutApplication108 8th Street, Suite 401, Glenwood Springs, CO 81601
Ph:970-945-8212 Kr:970-384-3440 Inspection Line.:888-868-5306
WWW. garfield-county.cam
BUILDING PERMIT APPLICATION
1
Parcel No: (this n formation is available at the assessors office 970-945-9134)
217711100359
Lot No: Block No: Subd./ Exemption:
N/A
2
Job Address: (if an address has nal heen assigned, please provide CR, HWYor Sheet Name & City) or and legal description
28730 Highway 6 & 24 Rifle, CO 81650 Section: 11 Township: 6 Range: 93 A TR IN THE SENE SEC 11
3
Owner: (properly owner)
Bayou Well Services LLC
Mailing Address:
same as above
Ph:
970-625-0552
Alt Ph:
4
Contractor:
PNCI Construction
Mailing Address:
553 25 1/2 Road, Grand Junction C0970-242-3548
Ph:
All Ph:
5
Manufactured home installer:
Mailing Address:
Ph:
Lic #:
6
Architect:
Johnson Carter Architects, PC
Mailing Address:
136 E 3rd. St. Rifle, CO 81650
Ph:
970-625-0580
Alt Ph:
ISRT 10111 t15/31)
7
Engineer:
Oddo Engineering
Mailing Address:
713 Cooper Avenue GWS, CO
Ph:
970-945-1006
Alt Ph:
8
Sq. Ft. of Building:
208 SF addition
Sq. Ft. or Acres of Lot:
13.26 Acres
Height:
12'-3"
No. of Floors:
one
9
Use of Building:
❑Residential IX/Commercial ❑Other
Class of Work:
['New ['Alteration ®Addition ❑Repair ['Demo ❑Move
10
Describe Work:
Utility shed housing compressor attached to existing building (unheated space)
11
Garage:
❑Attached ❑Detached
Septic: N/A
❑ISDS ['Community
Type of Heat: N/A
❑Nat. Gas ['Propane ❑Electric ❑Other
12
Driveway Permit:
N/A
Owners valuation of Work:
$3,800.00
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 Department.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS Pennit, (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 Pemtit 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
hereby certify that i 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, stale or local law regulating the work and the Garfield County Building
Code,1SDS 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 faeility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
1 hereby grant permission to the Building Department 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 stntciure(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 discrepancies. As the Owner, 1 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.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE:
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Can 1
STAFF USE ONLY
-
Special Conditions:
Adjusted Valuation:
9/ 237. 30
Plan Check Fee:
4'7 gy
Permit Fee:
/812,5""
Mann home Fee:
Mise Fees: Azet }r e-
/B/' zS
Total Fees: /�
Fees Paid:
Balance Due: / f�
13P Norf&^/ issue Date:
ISDS No & Issued Date:
Setbacks:OCC
ic'So; /z74 57.0
GI oup:
F l
Coast Type:
..v73��
Zoning:
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/zi Xr
APPROVAL DATE
A PROVAL DATE
Building Plan Review
Description of Work: Utility shed housing compressor attached to existing building (unhea
Bin #:
Location Address: 28730 6 & 24
RIFLE, CO 81650
General Information
Contacts
Case Manager: David Bartholomew
Plan Case Number: BLDG -12-11-7102
Parcel: 217711100359
Application Date: 12/22/2011
Owner: Bayou Well Services, LLC
Applicant: Bayou Well Services, LLC
Applicant Phone: 713-935-8902 Email:
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
GradelTopography 30%
Attach Residential Plan Review List
Minimum Application Questlonnare
Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
Red Line Plans/Stamps/Sticker
Attach. Conditions
—77 Application Signed
Plan Reviewer To Sign Application
N/4
N/A
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
Zoning Sign -off
/1A Road Impact Fees
Nj"
HOA/DRC Approval
GradelTopography 40%
Planning Issues
Subdivision Plat
General Comments:
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PPS ,/ 'e /B/ - di
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/9344//96/ _ 5- l/
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COX perm' Ae)
Wednesday, December 28, 2011
CONDITIONS OF PERMIT
BLCO-12-11-2323
Bayou Well Services, Shed Addition
28730 Hwy 6 & 24
Rifle, Colorado
1) ALL WORK MUST COMPLY WITH THE 2009 IBC, IMC, IPC, IFGC, IECC, IFC AND
MANUFACTURER'S SPECIFICATIONS.
2) BUILDING PERMIT IS FOR EXISTING SHED ADDITION TO BUILDING.
3) LIGHT AND VENTILATION PER 2009 IBC, CHAPTER 12.
4) LOCKS, LATCHES AND LANDING PER 2009 IBC, SECTION 1008.
5) CONTACT LOCAL FIRE DISTRICT FOR PERTINENT IFC REQUIREMENTS. FIRE DISTRICT
APPROVAL I5 REQUIRED FOR FINAL/COMPLETION INSPECTION.
6) ELECTRICAL FINAL APPROVAL IS REQUIRED FOR FINAL/COMPLETION INSPECTION.
7) GARFIELD COUNTY FINAL INSPECTION REQUIRED FOR COMPLETION APPROVAL.
INSPECTORS DISCRETION TO REQUIRE DAYLIGHTING OR ENGINEER APPROVAL FOR
ENCLOSED BUILDING ELEMENTS.
, ��� cO,7y
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.
Date
2-2.2--11
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.qarfield-countv.com