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HomeMy WebLinkAboutApplicationGarfield Counl¡r Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 leTols4s-8212 www.ga rfield-countv.com BUILDING PERMIT APPLICATION WPE OFCONSTRUCT¡ON I Commercial/Multi-Family Demolition Manufactured Home (Single or Multi-Level) Residential (SF, Duplex or Townhome)Reroof Dwelli Unit - MAXIMUM SIZE OF SQUARE FEET INVOTVED PARTIES property Owner: TEP Rocky Mountain LLG (Jeffery D. Kirtland) phone: ( 970 ) 1058 County Road 215, PO Box 370, Parachute, CO 81635 263-2725 Mailing Address Email Address:jki rtland@terraep. com Phone: I ) Mailing Address Email Address: contractor: TBD Email Address: IPhone:(NAArchitect: Mailing Address 3050 Post Oak Blvd, Suite 1500, Houston, TX 77056 Sixto Mendez Phone: EmailAd dr.ss, sffi êfl dez@terraep.com t832 ì 776-8583 Mailing Address: Engineer: NA Phone: I ìManufactured Home lnstaller: Mailing Address: Email Address: PROJECT DETAITS lnstallation of a steelframed building to house an electric pump associated with a produced water pipeline system cal address. Lat: 39.4888631 N Long: -108.1209956 W owner's valuation of Work: S 131 '500 217133200019 1 233 acres Height: Describe Work: Job Address:No physi NA l-ot NA stock NA Property Size (Sq. Ft. or Acres): 12', 8 5/16"Sq. Ft. of Building:1,000 Assessor's Parcel Number: Sub. # of Floors: 1 {Remodel/Alteration AdditionNewClass of Work: Garage:ched Detached PROJECT DETAITS CONTINUED I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided required information is correct and accurate to the best of my knowledge. 8/t4/2023 Dates Septic;OWTS Community Type of Heat:Natural Gas Propane Electric Other Driveway Permit: Permit # NOTICE Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent, lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be rssued wrthout proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permlts may be required: (1) State Electrical Permit, (2) County OWTS Perm¡t, (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. I 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. ln 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)). All County developrrrerrt requirirrg a pennit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. 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 issuänce of the Building Permit does not prevent the Building Offlclal from: (1.) requlrlng 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. OFFICIAT USE ONtY Special Conditions: Ad¡usted Valuationii.qeÒ Plan Check Fee:-'?87. r{ -'Permit Fee: 44t"15 Manu. Home Fee:Misc. Fees: Total Fees:?¿8,9î bq Fees Paidt{ß]o Balance Due:z1z.?Ò BP No: WTn -RAK + Setbacks:OCC Group:con..' r{/Ti t""ff¡ _ OWTS No: 1.'7.3,3BUTTDTNG / PTANNtNG DtVtStON : Date