The URL can be used to link to this page

Home My WebLink AboutApplication.pdfGarfield County ·1 I; , om un i ty Development Depa rtmen t SEP 3 O 20l4 108 8th Street, Su ite 401 Glenwood Spr i ngs, CO 8 1601 GA RF/ELD COUN ry (970) 945-8212 JMMUN/TY OEVELOP~~)N1w.garfield-countv.com TYPE OF CONSTRUCTION D Commer cia l/Mult i-Family ID Demolit ion • Man ufactu r ed Home (S F or Dup lex} D Resi den t i al (SF, Duplex, or Town ho me} ID Re roof INVOLVED PARTIES Property Owner : UJ •I (1 A-M I. t N tW-TI+A E. f'104{;{It£ Phone : ( Cf }o ) '61-(p ·-zz_g? M ai ling Address: 7. 0 . 'f5 <>I-85 Ne w Otsri£; Co . 8 1<,,~'7- Contractor: ~L E W. N cnu . .:.ro t-f Phone : (j ·p } 8%-t 5'5 .5 Mailing Address: 'P 0 · B cy.._ l { 7-, $', L.l l ((2 ~t tc5 Z Arch itect: fl/A , Pho ne: ( } Mailing Address : En gineer: ~l V'C o CN §.1J..J£;6 /l./Nt'd, I -::{:i.rC . Phone : ( } Mailing Address : 'f'o Bf!f=, l 1-5 8 V oo..; 1t-t-, U·fA.tl 8401~ Manufactured Home Installer: C f-.M Pho ne: ( 210 ) ;J.-0 9· J~3 L Mailing Address: {p ~'f 20 {Sp.J I k 1 ~ ~A l) HolSl[.bSE..1 (o 8_ t'-10 I PROJECT NAME AND LOCATION De scribe Work: /1../-€,,,w s r ["1() du LA-a.-,lf ~ t -Y'l C !1tuJJ L ~n-u.- Job Addres s: 3j-2 7-0 rR..o MIA-<3 £ 'RoA-.n NEW Cr+-g l/ F t (). g I t,,'-/'1- Assesso r's Parcel Number:J.I 8 10 C,, lfO 00 G,Lfsub. Lot Block -- Owner's Valuati on of Work: $ l S,J !Jo .~ Property Si ze (Sq .Ft or Acres): I Y. 1 14 ± I I~ 'fl:! Sq .Ft of Building: LbJ-o ' Height: #of Floors: .1 Clas s of Work: • New I D Alteration ID Add ition D Re pair I D Move/Re lo cation Ga r age : D Attached D Detac hed Septic : •ow Ts D Co mm unity Type of Heat: D Na tural Gas I •Propane I D Electr ic I D Ot her Dr iveway Pe r mit: D Exempt D Pe rmit #: NOTICE Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or an authorized agen t. If the signature below is not that of the Owner, a se p arate 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 th e property for purposes of in spections by the Building Divi sion. Other Permits. Multiple se parate 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. Vo id Permit. A Building Permit become s 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 Divi sion accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (su bmittals), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permissi on to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division . In consideration of the issua nce of the Building Permit, I agree that I and my agents will comply with provisio ns 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), desc rib ed above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permissi on to the Building Division to enter the property, de scribed 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 u se 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 Divi si on 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 des igner, engineer and/ or build er. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the requirJWJir:lf~rmation which is correct and accurate to the best of my knowledge. (!j-tQ_,, uJ. ;Cf ~ , / C, u W. M ou Lro tJ qy--urr ~.,, ]o-I 'f Property Owner Print and Sign Date :Ofl=ICIA~ USE ONLY . ', i ---·--"-------- Special Conditions: Adjusted Valuation : Plan Check Fee : Permit Fee: Manu home Fee : Misc Fees: /Bl 2.4b.~ 1qq.-i1 307,2~ 400 .~ Total Fees: Fees Paid: Balance Due: BP No: OWTSNo: qe;6,C/h I qq, 7/ 70'7~ -z.S' Bl~f ... ,~t>tp ~~'~!°" Setbacks: ' ' OCCGroup: Const Type: Zoning: t'?-I IJZG J:IZc F25 fZ:t5i 510 BUILDING/ PLANNING DIVISION : ~,~ /~_>ftf. 7 I Signed Approval Date Building Plan Review Description of Work: new sing le family modular home on crawl space with breezeway to a Bin #: Location Address: Sec06, T06S, R9 IW NEW CASTLE, CO 81647 • • Case Man ager: David Bartholomew Plan Case Num be r : BLDG-9-14-8095 Parcel: 218106400064 Application Date: 09/30/2014 Building / Engineered Foundation / Driveway Permit 7 Surveyed Site Plan / Septic Permit and Setbacks / Grade/Topography 30% / Attach Residential Plan Review List / Minimum Application Questionnare f'J/A Subdivision Plat Notes JV/A Fire Department Review / Valuation Determination/Fees / Red Line Plans/Stamps/Sticker I Attach Conditions I Application Signed / Plan Reviewer To Sign Application / Parcel/Schedule No. / 40# Snowload Letter -Manu. Homes /J/!l Soils Report Wednesday, October 15, 2014 Contact s Own er : Wi lliam & Marth a Moulton Applicant: William & Martha Moulton Applicant Phone: (970)876-2288 Email: Planning/Zoning I Property Line Setbacks / 30ft Stream Setbacks / Flood Plain / Building height / Zoning Sign -off IY(A Road Impact Fees )J/A HOA/DRC Approval / Grade/Topography 40% / I Planning Issues Subdivision Plat General Comments: VA/tt;fJm /6 7-o tP x 9. oo; 14/ SBO .- zoo I! x 12.00 "' ?/ 4oo · - '?Oq X ;B,oo ; /, 'Z-6°, NOTE: If any required information is missing, delays in issuing the permit are to be expected. If determined by the Building Official that additional information is necessary to review the application and/or plans for compliance, the application may be placed on hold until the 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 Septic or Road Impact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.)