HomeMy WebLinkAboutApplicationGarfuld, CountyREC
JUt. 1
GARFIK.L
C0[ir]:Ut{1iY
tlc Dcvclopmcnt Departmcnt
r:rr,iFl )P hii::i''i6g 8th Street, Sulte 401
Glenwood SprlnBs, CO 8151)1
(9701 945-8212
www.ea rfie ld-countv.com
TVPE OF
Com mercia/M u lti-Fa mily
Manufactured Home or Multl-Level|
fl Residentlal lle p9p1e1 or rqqlp,qtel
INVOIVED PARTIES
lE oemolition
itl Reroof
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Phone:970 309-3394
MallingAddress:
Property Owner: Georoina Diaz
Mailing Address: 127 Pear Ct New Castle, CO 81647
Emall Address:
Contractor: Clayton Homes Phone:970 245-9039
Malllng Address: 67123 Road Grand Junction, CO 81505
Emall Address: staci.douolas@clavtonhomes.com /
Architec:Phone: I I
Emall Address:
Englneer:CIVCO Engineering Phone:1 435 1 789-5448
MalllryAddress:PO Box 1758 Vernal, UT 84078
Emall Address: vanceking@civcoengineering.com
Manufaetured Home lnstaller: Burch's Precise Contractors Phone: ( 970 )
Malllry Address:3027 Patterson Rd, CO 81504
Emall Address:
PROJECTDEIAITS
I Describe 1tr16rp Placement of HUD Code Home
tob Addrcss: 127 Pear Ct New Castle, CO 81647
Assecsor,s Parcel Number: 2125 364 02 023
I sub. Mountain Shadows lot 31 Block 5
188,840 Property Slze {Sq, Ft. or Acresf;.21acOwne/s Valuation
Sq. Ft. of Bulldlng:
of Work:
1152 Helght:15'fl of Floors: - 1
BUILDING PERMIT
APPLICATION
otjsotwort: ifiruew jlnheratlon jflnoaition 1 flRepair i E Mov;/Relocation
Garage: fllttached , f] o"t".tt"o
Fl/
pnorrcr 6ffiiE CONTINUED
Septlcl OWTS
Natural Gas
] [ r'on'n"
fi[Eommuniw
ff aeciricType of Heat:X
:Iottnr
Driveway Permit:fliiempt n Permit #:
NOTICE
Authorlw. 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.
leqal Access. A Bullding Permit cannot be issued without proof of legal and adequate access to the property for
purposes of lnspections by the Building Division.
Other Permits. Multiple separate permits may be required: (U 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.
Void Permit. A Building Permit becomes 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.
CERNFrcAilOT{
I hereby certif,, 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 with the plans and speclfications 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 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 Building PermiL 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 location, construction or use
of the structure(s) and facility(iesl, 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 Buildin8 Permit does not prevent the Building Official from: (11
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
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
deslgner,engineer and/ or builder
I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provlded the required which is correct and acsurate to the best of my knowledge.
2, / ?'cg
Property and Date
OFFICIAI USE ONLY
eee aftuM AtDtT/a175Speclal Condltlons:
Misc Fees:'R;iz=ii> fqg/"ePlan Chc6k 5ig'zt ry.1 t
Permit Feq- -73tr zc iiriy:&gAdiusted Valuation: -Jo,qVA.e
BP No:TLtnvffi+OWTS No:z-7vftTotal4ecs: . I
963.ra "wP Balance Due:. z55e lb
,o*rrrofpCr/,"ff,Setbacks: -Dz-Orr'ror'/,ea ,/*o"(,rr);n.M
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Slgned Approval
ftlD
BUTTDTNG / PTANNTNG DIVISION :
G*ffi{N ffwnnwW
B U I LD I IVG DEPABTfuI'E NT
1o8 Eigtrh Stref Saite 407, Glenwood Springs' CO 81:601
Te!: (970) 945-8272
Building lssues
PtA NR EVilE wc il-fr8 CK LIST
Perrnlt No: BLmtr €7--?/-gZ?Z
Flanning/Zaning lssues
v a
Fotrrn+d+tic+
Grade/ ToPograPhY 30%
Attach Residential Plan Review List
Sr-lbdiv'*sb-+' F lat F{ote s
Fire DePartment Review
Valuation Determinationl Fees
Rcd Line Plans/ StamPs/ Sticker
ttach Conditions
,K&ffiik^ffi''ru
Application Signedirn CPOH
Energy Compliance Path/Pla n Received
Qttco Engzlz-(
Soils Report
Krf s F.> =
35 ft. Strearn setbacks u*^
Flood Plain
Building Height
Zoning Sign-Off
Road tmpact Fees 9 6D
Grade/ ToPograPhY 40%
Planning lssues
Subdivision Plat
R Surnn a
pfrs"-)DrivewaY Perrnit
Surveyed Site Plan
D
Plan Reviewer to Sign APPlication
Parcel/ Schedule No
40# Snowload Letter - Manuf' Homes
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