HomeMy WebLinkAboutApplicationGurfield Coanty
Communlty Ðevelopment Department
108 8th Sûeet, Suite 401
Glenwood Springs, CO 81601
(9701 94s-8212
@
BUILDING PERMIT
APPLICATION
Com
Manufactured Home or
RerooforResidential
Dwel Unit - MAXIMUM SIZE OF FEET
PO Box 560 New Castle CO 81647Mailing Address:
Phone:r970 r440-1383Property Owner:Nutrient Holdings LLC
Email Address:com / andy@nutrientfarm.com
Emall Address: -
721 N. Burleson Blvd., Burleson, TX 76028
Phone:ß17 þ47-121sContractor:lndicom Buildings, lnc.
Maillng Address:
Maillng Address:
Email Address: , . , -,
ìPhone:IN/AArchítect:
5301 W. Madison Ave., Phoenix, AZ. 85043
Emall Address:
Sunbelt Modular, lnc Phone;$o2 ß47-6460Englneer:
Maillng Address:
721 N, Burleson Blvd., Burleson, TX. 76028
Emall Address: -
i Double Wide 64' x 24' OÍfrce Trailer for up to10 Engineer / Office staff for -3 to 5 years
1 sink served from internal40 gal. tank.; Sewerto
363 Nutrient Farm Rd, New Castle, CO 8164 I êw7
Sub. [ot-- 9lock-
Describe Work:
218306100057
14',-2"
255.38
Height:
1970 #47-1213Manufâctured Home lnstaller:
Owne/s Valuation of Work:
2 toilets,
Job Address:
1
lndicom Buildings, lnc. phone:
s 202,000
Malllng Address:
Sq. Ft. of Bulldlng:1405
Assesso/s Parcel Number:
PropertySize (Sq. Ft. or Acres):
fof
RemodeVAlterationr'NewClass of Work:
DetachedAttachedGarage:
PRO"IECT DETAIIS CONTINUED
Septic;Community
Type of Heat:atural Gas Propane Electric Other
Drlveway
Permit:
NOItCE
Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above,
or an authorized agent. lf the signature below is not that of the Owner, a separate letter of authority, signed by
the Owner, must be provided with this Application.
Lesal Access, A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permlts, Multiple separãte perm¡ts may be requíred: (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 Stete Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work
ofthe date of issuance and ifwork is suspended or abandoned for
; CERTIFICATION
{
Permit #: _
authorized is not commenced within f80 days i
aærroa 1]!!aavlatter¡o:r"n._:1"1 l
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 w¡th the plans and specifications and other r
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assumíng
completeness of the submíttals 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 Bu¡lding 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)). I acknowledge that the
Building Permit may be suspended or revoked, upon notice from the County, if the locat¡on, 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 propefi, described 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 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
discrepancíes. 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
a or builder
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
the requi information which ls correct and accurate to the best of my knowledge.
'1+ ¡ '2o77
Owner Print and Slgn Date
OFFICIAT USE ONLY t l-l
Special Conditions:
Adjusted Valuatlon:Plan Check Fee;Permit Fee:*fiþFi"&ö Misc, Fees:
Total Fees:Fees Paid: ¿.ùHcn9"
Balance Due:BP No:
WLo - 805\
OWTS No:Ém-lqbb
Setbacks:OCCGroun:
6
Const. Tvpe:Hç.C;- VD '"SLß
5-e-öBUtTDtNG / PIANNTNG DIVISION :
Approval Date
Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
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 Road lmpact 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 buílding without a
CO wilfbe 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.)
I hereby acknowledge I have read, understand, and will abide by the requirements of this
checkl
3 -1 ) -2a23
Owner Sign Date
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