Red Dirt Solutions New Project Intake

Red Dirt Solutions New Project Intake

Please fill out all information to the best of your ability. Some of this information will be used directly on your submittal paperwork, so clarity and exactness is essential. Many jurisdictions require personal information from business owners and/or their representatives. This information will be utilized to satisfy those requirements and will not be used for marketing purposes.
Project Information
What is the legal business name?*
Are you currently changing the business name or do you operate under a DBA?*

YesNo
Please describe what the business name was, the need for the change (new owners, similar to another name, etc.), and what the business name has changed to. Please also tell us if your business operates under with a DBA.*
Has this business been permitted with any agency under a different name?*

YesNo
If the business was previously named something different, please let us know the prior name as well as any details that may assist. If none, please write none.*
Do you currently have a building permit issued for any building in this project?*

YesNo
Please list any building permit numbers you have already been issued for this project. (Please note - we will need you to furnish copies of any building permits for any project that may need them. They are required by multiple jurisdictions.)*
What is the project's physical address? (Please note - if you have multiple locations, please fill out a new intake form for each physical address to help avoid confusion.) *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the phone number directly to the business? If no number exists, please list the best number to reach someone about the business.*
Please enter a valid phone number.Format: (000) 000-0000.
Which county is the project located? (example Oklahoma County, Adair County, Osage County)*
What type of business is this? (example: gas station, manufacturing facility, pharmacy, restaurant, extraction, etc.)*
Has this business ever had a Certificate of Occupancy on this building(s) even for a different business?*

YesNoI am unsure.
If the building has had a Certificate of Occupancy, please explain the circumstances. For example, changed from a mechanic shop to a spray foam business. *
When we prepare the proposal, we usually do so for the entire structure. If there are circumstances that we need to be aware of to help us understand your needs better, please describe them here. We may follow up with a quick phone call if needed. These issues may include things like: remodeling, filing an addendum on an existing structure that already has a Certificate of Occupancy, a complaint report from the fire marshal, etc. If this doesn't apply to your project, please write N/A.*

Primary Contact Information
Who is the primary contact for this project? This person will be the point of contact for all communication and financial correspondence. Please note that sometimes plan reviewers will ask questions during the plan review process, and we will have a limited time frame in which to respond. Please ensure the primary contact is aware of this as it can significantly delay a project.*

First NameLast Name
What is the primary contact's position within the business? (example: owner, manager, project manager, contractor, etc.)*
Primary Contact's Email*
example@example.com
Primary Contact's Personal Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact's HOME Mailing Address (This information is required for submittal. If you are a contractor, please use your company's information here. Owner information will be added next.)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Backup point of contact name. Please note - if a contractor is submitting this form on behalf of the business, we do need the business owner's information in this section.*

First NameLast Name
Backup point of contact email*
example@example.com
What is the backup contact's position within the business? (example: owner, manager, project manager, contractor, etc.)*
Backup point of contact personal phone*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Contact's HOME Address (required for submittal)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Water Supply
How is water supplied to the project's address?*

WellWater Department
Is the project located within the jurisdiction of a water department? Do you or a landlord pay a water bill at this address?*

YesNo
If a bill must be paid for water access (like through a water department), please tell us which water department services the project's location. Please be precise with the name as we will need to initiate contact with the water department to ensure life safety code compliance.*
Is there a fire hydrant or water tank located on the property where the business is located?*

YesNo

Number of Buildings to Be Permitted

On the next page, please fill out the information for one building only. At the end of the page, you will be asked if you have additional buildings to permit. Please choose "Yes" if there are more buildings and a new page will become available to you each time to fill out for the next building. Once you have given the information on all buildings, please choose "No" to move to the next section. There will be space to input information for 5 buildings. If you need more than that, please complete the entire form, and we will reach out for the remaining information. There will be a separate section for conex boxes.
How many buildings (conex boxes will be added at the end of this form - please do not include here) in total do you need to permit on this project?*

Additional Building

Please choose "No" on the previous page if there are no additional buildings to permit.
What do you call this building? (Building A, Building 1, Shop, Storage Building, etc)*
What is the approximate square footage of this building? (Please note that if measurements indicate a discrepancy of greater than 300 sf on the building, we will need to adjust the contract to reflect the overage.)*
What year was this building constructed?*
Has this building been used as a residential or commercial building prior to this business?*

YesNo
If this building has been used as a residential or commercial building prior to this business, please describe what it was used for.*
Is this building located in a shopping center, strip mall, or facility that houses more than one business?*
Is this building a pre-engineered metal building?*
Are you utilizing any of the following in this building?*

CO2LP GasEthanolNo gases are being used in this building
Are you performing any type of extraction in this building?*

Yes, water extractionYes, extraction with butane, propane, and/or CO2No extraction is being performed
For CO2 only, how big of a tank are you using in this building? (ex. 5 gal tank, 100 gal, etc.) If you are using multiple tanks in this building please add the total and list here. If you are not using CO2, please type "none".*

Conex Box/Shipping Containers
Are you using any conex boxes/shipping containers that need to be permitted? Please note - if one is located on the property and is being used for the business, it must be permitted as any other structure.*

YesNo
If yes, how many conex boxes/shipping containers will need to be permitted?
Are any of your conex boxes/shipping containers situated on wheels?
If yes, how many conex boxes/shipping containers do you have that are on wheels?

Terms and Conditions
I, First Name* Last Name* , understand that the information provided here will be used to draft a Proposal for Services with Red Dirt Solutions. I understand that this proposal is based upon estimated square footage for each building, and if any building measures 300sf or greater than my estimated square footage, the signed contract will be subject to revision to accurately reflect the square footage fees.
I,First Name* Last Name* understand that in order for any work to begin, the contract must be signed and the full deposit must be received. I also understand that this process requires time-sensitive communications and will respond to inquiries regarding this project promptly to meet any deadlines imposed by the authority having jurisdiction.
Thank you for filling out our new client intake form! Once received, we will prepare a proposal for services and email it to the information supplied in this form. We may reach out to clarify aspects of your project before sending. If you have any questions regarding the proposal or the process, we are happy to help!
To best use this intake form, please pick one of the following.
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Red Dirt Solutions New Project Intake

Project Information

Primary Contact Information

Water Supply

Number of Buildings to Be Permitted

Individual Building Information

Additional Building

Additional Building

Additional Building

Additional Building

Conex Box/Shipping Containers

Terms and Conditions