HomeMy WebLinkAboutApplicationGarfield County
CornrryA ity Development Department
16'8 8t Street, Suite 401
RFIELD II:AMNON Springs, CO 81601
MUNITY DEVELOPM070) 945-8212
www.garfield-county.com
BUILDING PERMIT
APPLICATION
' YPE OF C TRUCTfON .. ---- - — .
❑ Demolition
❑ Commercial/Multi-Family
O Manufactured Home (Single or Multi -Level)
j Residential (SF, Duplex or Townhome)
r NVOLVE
Property Owner: Pipe Manifold Specialists, LLC
Mailing Address: 302 W. 33rd Street, Rifle, CO 81650
Email Address:
ri Reroof
Ya 9 a..s'yr
Phone: ( 970 )'+-98.1-7
Contractor: Tally Ho Construction, Inc. Phone: ( 970) 625-0208
Mailing Address: 0145 County Road 225, Rifle, CO 81650
Email Address: tallyhoconst@sopris.net
Architect: Sentinel Building Systems Phone: ( 402 ) 395-5076
Mailing Address: Post Office Box 348, Albion, NE 68620
Email Address: jasons@sentinelbuildings.com
Engineer: Engineering & Technical Services, Inc. Phone: ( 605 ) 498-1290
Mailing Address: 27121 469th Avenue, Tea, SD 57064-8100
Email Address: asmith@engtecsrv.com
Manufactured Home Installer: Phone: (
Mailing Address:
Email Address:
PROJECT DETAILS
Describe Work: A 60' x 100' Sentinel steel building for storage
Job Address: 3131 Highway 13, Rifle, CO 81650
Assessor's Parcel Number:
212936100009
Sub. Lot Block
Owner's Valuation of Work: $ 220,147.24 Property Size (Sq. Ft. or Acres): 4.07141-
Sq. Ft. of Building:
Class of Work:
Garage:
6,000 s.f.Height: 18' # of Floors:
E New ❑ Alteration (❑ Addition El Repair
Attached 77 Detached
One
flMove/Relocation
PROJECT DETAIL5 CONTINUED
Septic: u OWTS
j Type of Heat: �■ Natural Gas
Driveway Permit: ❑■ Exempt
ElPropane
❑ Community
Electric I Other
irl Permit It:
1
NOTICE Ilk lor I _1M
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 OWTS 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, OWTS 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.
Property Owner Print and Sign
031z.(,) f 2bI e)
Date
OFFICIAL USE ONLY V d 10 tall U [� v It -.5-•`' to ! 1 i °
i
Special Conditions:
,..._-,, ))-071-1,4, 2-,.- an
S'_ „ / _ n O
yyC;ji. l�y�'y4JJ P7-18- S637
Adjusted Valuation:
2 3% ZAO
Plan Check Fee:
)J 3.70
Pe mit Fe •
i? ,�6
Manu home Fee:
� - )Pt
Misc Fees: a
Rj,.2-27.:
Total Fees:
2 g 17. ?,$
Fees Paid: r),
41/S6, -T'
Balance Due:
4 1 tL11 . I
BP No:
OWTS No.
$M- 1
1.. It
Setbacks:
16-)P
OC ro p:
3
Const ype
Zoning:
1L
BUILDING / PLANNING
DIVISION : iLJrig3
Signed Approval Date
Garfield Couti y* 1
Building/ Znnin Pian l eviewChee%list
Permit Number:
Building
Engineered Foundation
pLcrD 10- IS- 2(1
Driveway Permit L
{w))
�-� Surveyed Site Plan
Septic Permit and Setback Qty
Grade/ Topography 30%
Attach Residential Plan Review List
A,44 Subdivision Plat Notes
<,/Fire Department Review L -p(j�,�,
n
_'u
faluation Determination/ Fees
y.
yRd Line Plans/ Stamps/ Sticker
tach
Conditions
�" lication Signed
Pian Reviewer to Sign Application
Parcel/ Schedule No.
_ALL 40# Snowload Letter — Manu. Homes
Soils Report
Planning/ Zoning
iL Property Line Setbacks
D, (4 31ft. Stream Setbacks
SA_ Flood Plain
Building Height
Zoning Sign -Off -601074-- 54,c?
'- oad Impact Fees
i.�
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
4o o )k 38-gt
(-4 2 33, ;z.
37 Z774)