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HomeMy WebLinkAboutApplicationGørfuld County BUILDING PERMIT APPLICATION t"?Dcvclopmcnt Depertmmt 1o8 8th Street, Sulte ¿lol Glenwood Sprlngs, CO 81601 ii,4i¡! ti: i...t.¡ (ti ì s ri,f?7,01 94s'8212 t; i,.¡ iiÌ i ;1 ì J ii å'i ï r I r, i¡ ¡wwufigqqfi e ld-co untv.com WPE OF CT'NSIRUCTION CommerciaTMulti-Famlly Manufactured Home (Single or Multi-Level) Residentia! (5F, Duplex or Townhome) PARNES lfl_-o"rot¡tion l-l Reroof phone: (970 ì 245-9039 E E- E] Property Owner: Mailing Address: CMH Homes lnc 67123 Road Grand Junction, CO 81505 Emall Address:staci.douolas@clavtonhomes.com / Contrâctor:Clayton Homes P¡s¡gs 1970 t 245-9039 MalllngAddress:67123 Road Grand Junction. CO 81505 Emall Address:staci.douolas@clavton homes.com / Architect:Phone:l I MaillngAddress: Emall Address: Englneer:CIVCO Engineering phone:¡ 435 ¡ 789-5448 Malllng Address: Emall Address: PO Box 1758 Vernal, UT 84078 vanceking@civcoengineering.com Manufactured Home lnsta ller:Pat Murpy Phone:( 970 ) 250_2385 Malllng Address: Emall Addrcss¡ 3035 F ll2Road Clifton, CO 81504 PROJECT DETAIIS Describe Work:Placement of HUD Code Home Sub.tot Block Owne/s Valuat¡on of Wo*: S 104,839 Property Slre fSq. Ft. or Acres): 2.4 Helght:16' tob Address: TBD County Rd 237 Silt, CO 81625 Assesso/e ,.rnrn ^O" Sq. Ft. of Bulldlng:1475 Ciass of Work: fl of Floon:-l-- f]Repair i ¡ vr*lnelocàt¡on f] oetactreu6arage: I rrrew Iattached !aheration ,ER¿d¡t¡on PRorEcrımEcoñTNùÈD Septlcr OWTS I communiW I I e'oc"n" I n i f]ottrerElectric f]Þerrnit#: l}pe of Heat: Driveway Permlt: I Nàtural eas I exempt TiTft Thts apptication for a Buildins Permit must be signed by the owner of the property, described above, or an authorized agent. lf the signature below ¡s not that of the Owner, a separete letter of authority, signed by the Owner, must be provided with this Application' Le¡al Access. A Bullding Permit cannot be issued w¡thout proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits, Multiple separate permits may be requiredr (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 Perm¡t. Void permit. A Buílding Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and lf work is suspended or abandoned for a period of 180 days after commencement. cERnRCÂTlOl{ I hereby certify that I have read th¡s Application and that the information contained above is true and correct, l 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 grantíng permission to me, as Owner, to construct the structure(s) and fac¡l¡ties detailed on the submittals reviewed by the Build¡ng Division. ln consideration of the issuance of the Building Permit, I agree that I and my âgents will comply with provisions of any federal, state or local law regulating the work and the Garf¡eld County Building Code, OWTS regulations and applicable land use regulatlons {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), 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 issuance of the Building Permit does not prevent the Building Officlal 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 Appl¡cation, including submittals, and inspections of the work by the Building Divísion do not constitute an acceptance of responsibility or liabilíty by the County of errors, omissÍons or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest w¡th me and my authorized agents, including without limitation my architect designer, engineer and/ or I hereby acknowledge read and understand the Notice and Certification above, as well as, have is correct and accurate to the best of my knowledge.provlded the required 10t27t2023 Property Owner Date J!:?o'13 OFFICIAI USE ONLY I s e€ futhêh d Ø/1//> / To/\FSpecial Condltlons: T1',ä5:öo Mlsc Fees:Rr uøpfl,aâPlan Check Fee:.2/,7 q4 Permlt Feei ^z¿///, fþAdiusted Valuation: ^2A L40 Bãlance Due: l>79,8?BP No:MnF-?ils OWTS No:wr:84tü"Fees Pald:ooQoo.'"i),'åig,n zoninþ BU|LDTNG / PLANNI¡|G DIVISION : Elgned Approval D¡t¡ GarfuId CoærctY BUILDING DEPARTMENT 708 E¡ghth Street, Su¡te 407, Glenwood Springs, CO 81607 Tel: (970) 945-8272 PLAN REVIE WCH ECKLIS T Permit No: êLmfrt/z?7-9//é Building lssues Pla n ni ng I Zoning lssues Engi n Driveway Permít Surveyed Site Plan Grade/Topography 30% Attach Residential Plan Review List _1-Subdivision Plat aNb Fire Department 7/a* tî/atþe -- Valuation Determination/ Fees Red Line Plans/ Stamps/ St¡cker UN Þ Attach conditions ParceV Schedule No. hb2 Property Line Setbacks A/4 35 ft. stream setbacks Flood Plain Building Height Zoning Sign-Off Road lmpact FeesY4 A/,8,Þ Grade/ Topography 40% Planning lssues Subdivision Plat 764/4t 78/o7s Descri n&Sum t/75aw¿/ x {"ra55a -/ 40rsnowload Letter-Manuf. Homes YEg hL/Þnlazaî úore Soils Report race/'¡a/ r/-2oZg TPËþ¡.HOLË SOILS REPORT IS REQUIRËD AT FOOTING tr'lsPEcTt0hr t600 PsF RIr NBÞ =à #g,od