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HomeMy WebLinkAboutApplicationGarfield Conrtty Community Development Depertment 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 94s-8212 www.garf ield-countv.com . TYPE OF CONSTRUCTION Commercial/Multi-Family Demolition Manufactu red Home_ (Single or,Multi-Level) Residential (SF, Duplex or,Townhgme),in Reroof Accessory Dwelling U¡lt (nDU) :-lv,lAX!MU-M _ lzE OF 1,000 SQUARE IFET INVOTVED PARÏIE5 Property Owner:Chevron, USA lnc.Phone:970 683-4073 Mailing Address:760 Horizon Drive Grand Junction, CO 81506 Email Address;rickcross@chevron. com I Contractor:Chevron, USA lnc.Phone:1970 ¡ 257-6004 Mailing Address:760 Horizon Drive Grand Junction, CO 81506 Email Address:andrewolson@chevron.com Arch¡tect:Phone: Mailing Address: Engineer:Granite Peak Fabrication Phone:307 337-3383 Mailing Address:2291 Renauna Ave Casper, WY 82601 Emait Addressr meman uelson@thegranitepeakgroup.com Manufactured Home lnstaller:Phone: ( I Mailing Address: Email Address: PROIECÍ DETAILS Well Connect /Production Manifold Building 1 (Job Describe *orn. lnstallation of pre-manufactured identical production manifold / well connect buildings (Quantity 2)to be located on 36BVW Well Pad. Buildings will be CDOH certified tob Address: 36BVW Well Pad: W 1/2 SW 114, SECTION 36, T5S, R98W, 6th P.M Assessor's pa¡cet Number. R290520 (21 37321 00008) Sub.Lot Block Owner's Valuation of Work: $$500k property s¡ze (sq. Ft. or Acres¡1 3'968 Acres sq. Ft. of Building: 520 sq ft per unit t*tr¡r,10.5'# of Floors: 1 Addition Email Address: i I I I Ì Class of Work¡ 6arage: BUILDING PERMIT APPL]CATION Attached :f,netoo eUAlteration Detached CommunltyS€pt¡c!)WTS ral Gãs Propane Permlt #: Other n ElectricType of Heat: Drlveway ' iill.lr)lt:{i.]'rilrl'/,jlir:,,r1{)lilrÌllilfllrl:j0l ìi'k))tll:r,r irjatrlt,lJ r tai,\,itl (r)li'' Authorlw. This applicatiôn for a Building Permit must be signed by the Owner of the property, described above, or an authorized agent. lf the s¡gnature below is not that of the Owner, a separate letter of authority, slgned by the Owner, must be provided wlth this Appllcation. Le¡al Access. A Building Permlt cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building DivisÍon. Other Permitr. Multiple separate perm¡ts mãy be required: (1) State Electrical Permit, (2) County OWTS Permlt, (3) another permlt requlred for use on the property identified above, e.g. State or CounW Hlghway/ Road Access or a State Wastewater Discharge Permit. Voíd Permlt. A Buílding Permit becomes null and void if the work authorlzed is not commenced wlthln 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement, I hereby certify that I read this Applicatfon ãnd thãt the lnformatlon contained above is true ðnd correct, I understand that the Building Dlvlsion accepts the Applicatlon, along wlth the plans and speciflcatlons änd other data submitted by me or on my behalf {submittals), based uþon my cert¡flcation as to accuracy. Assumlng completeness of the submlttals and approval of thls Apptlcatlon, a Buildlng Permit wlll be lssued grantlng perm¡ssion to me, as Owner, to con.struct the structure{s) and facllltles detalled on the submlttals revlewed by the Bulldlng Divlsion. ln conslderatlon of the lssuânce of the Bullding Permlt, I agr€e that I and my agents w¡ll comply with provislons of any federal, state or local law regulating the work and the Garfleld County Buildlng 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, conttruction or use of the structure(s) and faclllty(les), descrlbed above. are not Ín compllânce with County Regulatlon(s) or any other appllcable law. I hereby grant permission to the Bu¡lding Division to enter the property, described above, to inspect the work. I further acknowledge that the lssuance of the Buildlng Permlt does not prevent the Buílding Official from: (1) requiring the correction of errors ¡n the submittals, if any, discovered after issuance; or {2} stoppin8 construction or use of the structure(sl or facíllty(les) if such ls ¡n vlolation of County Regulation(s) or any other applicable law. Review of this Application, including submittãls, and inspections of the work by the Bulldlng Divlsion do not constitute an acceptance of responslbllity or liability by the County of errors, omlssions or discrepancies. As the Owner, I acknowledge that responsibilfty for compliance with federal, state and local laws and Countv Reguletlons rest with me and my ãuthorl¿ed agents, lncludlng wlthout llmltatlon my erchltect or bu I hereby acknowladge thet I have read and understand the Notlce and Ccrtlflc¡tlon above, as w€ll r9' hrvs provlded the requlred informatlon whlch correct ãnd eccurate to the best of my knowledge. Property Ownér Prlnt Dãte Specíal Condltlons: Mlsc, Fees:Plan Check Fee:2U,ll Perm¡t Fee:vcs,25 Menu. Home têe:Adiusted Valuation: 22, .ìcg.{o Faes Pald:a^.bl Dueiô5Balance 'z-t. ffin AnL glElllslTotal Fees: 511.3q Const. Type:uts ton'nrl l _Setbacks:OCC Group:u BUTTDTNC / PtANNING DIVISION DateApproval NOTE: lf any required information is missing, delays in issuing the permlt arê to bê expected. lf determined by the Building Official that additional information is necessary to review the application and/or plans ior complianðe, the application may be placed on hold untilthe 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 Road lmpact 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 wlll abide with the requlrementa of thls checkllst. Property Owner and Date I ,furnj,ltQa¡o#r'