HomeMy WebLinkAboutApplicationGørfuld County
BUILDING PERMIT
APPLICATION
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1o8 8th Street, Sulte ¿lol
Glenwood Sprlngs, CO 81601
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WPE OF CT'NSIRUCTION
CommerciaTMulti-Famlly
Manufactured Home (Single or Multi-Level)
Residentia! (5F, Duplex or Townhome)
PARNES
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phone: (970 ì 245-9039
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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
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Soils Report race/'¡a/ r/-2oZg
TPËþ¡.HOLË SOILS REPORT
IS REQUIRËD AT FOOTING
tr'lsPEcTt0hr t600 PsF
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