Permit Application and Document Submittal (Applicant)
Permit Type
| What type of permit are you applying for? |
Underground Storage Tank
|
Applicant Information
| Applicant's Business Name |
---
|
| email |
[email protected]
|
| phone |
801-673-3435
|
| address |
3075 Haun Dr. West Jordan, UT. 84088
|
| Applicant's Contact Person Name |
---
|
| Applicant's Contact Person Title |
---
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| Applicant's Contact Person Phone Number |
---
|
| Applicant's Contact Person Email |
---
|
Project Information
| Project or Occupant Name |
Maverik #700
|
| Project or Occupant Address |
5803 Broadway, Denver CO 80216-1024
|
| Is the permit for which you are applying for a new or existing building occupant? |
---
|
| Provide a brief description of the scope of the project: |
---
|
| Valuation |
---
|
Gate Specifics and Documents
New Construction Specifics and Documents (Commercial)
New Construction Specifics and Documents (Residential - Multifamily/Apartment Buildings)
| How many units are within the scope of this permit? |
0
|
| Actual Square Feet |
0
|
Alteration Specifics and Documents
| Actual Square Feet Impacted by the Alteration |
0
|
Fire Sprinkler Specifics and Documents (New System)
| Square Feet of System Coverage |
0
|
Fire Sprinkler Specifics and Documents (Modification)
| Number of Heads Modified or Added |
0
|
Fire Alarm Specifics and Documents (New System)
| Square Feet of System Coverage |
0
|
Fire Alarm Specifics and Documents (Modification)
| Number of Devices Modified or Added |
0
|
Hood Suppression System Specifics and Documents
Flammable Spray Booth and Mixing Room Suppression System Specifics and Documents
Chemical Suppression System Specifics and Documents
Addition Specifics and Documents
| Actual Square Footage of Existing Building |
0
|
| Actual Square Footage of Addition |
0
|
Temporary Structure Specifics and Documents
Tank Permit Specifics and Documents
| Installation or Removal? |
Installation
|
| Number of Tanks |
03
|
| AST or UST |
UST
|
| Is dispensing equipment part of this permit submittal? |
Yes
|
| Is there a canopy that will be added or replaced as part of this project? |
No
|
| Tank Plans |
---
|
| Material Specification Sheets |
---
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| State Permit |
---
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Fuel Dispensing Equipment Specifics and Documents
| Equipment Plans |
---
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| Material Specification Sheets |
---
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| State Permit |
---
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Permit File Creation and Impact Fee Assessment (Admin)
Impact Fee Requirement
| Is an impact fee applicable to this project? |
No
|
| Impact Fee Amount |
$0.00
|
Reviewer Information
| Will these plans be reviewed by ACFR staff or our third party? |
Third Party
|
Plan Review - Revisions Requirement (Reviewer)
Revisions Requirement
| Are revised documents required at this time? |
No
|
Plan Review - Document Upload, Fee Assessment, and Inspection Review (Reviewer)
Reviewed Document Upload
Permit Fee Review
| Is there a permit fee due? |
---
|
| Permit fee amount: |
$400.00
|
Required Inspections
| Choose all required inspections for this permit: |
Fuel Dispensing Equipment
|
| Is there another type of inspection required that is not listed above? |
No
|
| Other inspection: |
Underground Storage Tank
|
Deferred Submittals Required
| Are deferred submittals required? |
No
|
| Choose all required deferred submittals required: |
|
Payment Method (Applicant)
Payment Method
| Which payment method will you be utilizing to pay the permit fee? |
---
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Fee Payment Verification (Admin)
Permit Fee Payment Check
| Was the permit fee collected and documented using the fee collection process? |
---
|
| What is the associated fee collection process number? (Example: FC-YY-###) |
Invoice 1218
|
Final Document Review and Inspection Assignment (Admin)
Final Document Upload
Permit Expiration Date
| Date of Expiration |
2023-05-17
|
Required Inspections
| Required Inspections (Final Review) |
Fuel Dispensing Equipment
|
