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HomeMy WebLinkAboutApplicationGarfield County BUILDING PERMIT APPLICATIONRE C E IVE ¡pmmunlty Developmcnt DcptrtmÊnt 108 tñ Struct, Sultc ¡lot û{)T 2 3 lûliJ Glenwood Sprlnss,cosl6ol l970l eft-8212 GAR F I E L D C O U N TY**r*.r.rfi "ld*ounw*COMMUNITY DEVELOPMEN trI Demolltlon Home or Modular Re¡ldentlal {SF, D¡¡¡t!ç1q¡Iqwnnomel _Reroof PropsrtyOsrner:CMH Homes lnc Phone:r970 t 245-9039 MsllluAddrrs¡:67123 Road Grand Junction, CO 81505 Emell Address:michael. GONI]'Cü¡T:Clayton Homes ptonstgTo I 245-9039 lialllrg Addrosr:671 23 Road Junction. CO 81505 Emall Addresg:michael. genevay@claytonhomes.com Archltecü Phom: f l MallhUAddrc¡¡: Emall Addroo¡: Englneer:CIVCO Engineering Phone¡(435 | 789-5448 MalllngAddrp¡¡: Em¡llAddrcss; PO Box 1758 Vernal, UT 84078 M¡nuf¿ctured Homa ¡n$¡llsr:Pat Murpy Phon¿:r 970 I 250-2385 MalllngAddres¡:3035 F ll2Road Glifton, CO 81504 Cm¡llAddrcs¡! - PROIECT De¡crlbc Work:IRC Code Modular Home neenng.com Job Addrc¡¡:TBD County Road 237 Silt, CO 81652 â¡scsso/¡ Percel t{umbcr:2127262000073 Suþ. Owne/s V¡h¡etlon of Work:87,000 Sq. Ft. of Bulldlng¡1815 Hsl¡ht¡16' Oas¡qf Work: þt 24 Bþck 6 Propsrtv Sht {SC. f¿ or Acru}l 10.3 ac *of Floon: 1 IEI*.r.', | ü tvtovd/netoãåtion I G.fage: EIh*"n Alteratlon De¿otlon I Elo"!*.o PROIECT DEÍAIls CO¡IÍITI UGD Septlc:owTs Type of Heat:Natural Gas DñewryPçnnlt:Exempt Propane Communlty Electric n Permlt#: Autñorltv. This appllcatlon for a Bulldlng Permlt must be slgned bythe Owner of the property, descrlbed above, or an author¡zed agent. lf the signature below ls not that of the Owner, a separate lctter of authorlty, $gned by the Owner, must be provlded wlth thls Appllcatlon. leral Acce¡¡. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of lnspections bythe Buildlng Dlvislon' Other Pernlt¡. Multlple separat€ permits may be requlred: (11 State Electrical Permit (2) County OWTS Permit, (3! another permit required for use on the property identified above, e.g. Sþte or County þllghway/ Road Access or a Statê Wasteweter Discharge Permit' Vold Permlt. A Euildlng Permlt becomes null and vold lf the work authorized ls not commenced within 180 days ottt " Oate of lssuance and lf work is suspended or abandoned for a perlod of 18fl days after commencement. CERNHCANOil certlfy that I have read thls Application and that the lnformation contained above ls true and correct. I understand that the Bulldlng Dlvlslon aacepts the Appl¡catlon, along wltlr the plans and speclfkatlons and other data submitted by me or on my behalf (submittals!, bascd upon rny cêrtmcetlon as to âccuracy. Assuming completeness of the submlttals and approval of thb epplicât¡on, â Bulldiry Permit will be issued grentlng permisslon to me, âs Ovynet to construct the structure(s) and facilltles detalled on the submittals revlenæd by the Bulldlng Dlvlslon. ln conslderatlon of the lssuance of the Building Permlt, I agree that I and my agents wlll comply with provlsions of any federal, state or loc¡l law pgulating the work and the Garfield County Euilding Code, OWTS regulations and appllcable land use rcgulatlons {C"ounty Regulation(s}}. I acknowledge that the Buildlng permit may be suspended or revoked, upon notioe from the County, if the location, constructlon or use of the structure(s) and facllffiles), descrlbed above, are not in compllance with County Regulatlon(s) or any other appllcable law. I hereby grant permission to the Bulldlng Dlvíslon to erìtêr the property, descrlbed above, to inspectthc work. I further acknowledge that the lssuance of the Bu¡ldlng Permtt does not prevent the Building offlclal ftom: {1} requiring the correct¡on of errors in the submittals, lf any. dlscovered after lssuance; or (21 stopping construction or use of the structure(s) or facillty{les} if such ls ln violation of County Regulatlon(s} or any other appllcable law. Review of this Appllcatlon, lncludlng submíttals, and lnspectlons of the work bythe Bullding Division do not constltute en acceptance of responslblllty or liabillty by the County of errors, omlsslons or dlscrepancles. As the Owner, I açknowledge that rcsponslblllty for compllance wlth federal, state and local laws and County Regulatlons rest $rlth me and my authorized agents, lncludlng without llmltatlon my archltect or builder acknowledge rcrd and understand the Notlce and Certmcstlon abovê, å3 whld¡ i¡ corect and accur¡te to th€ bêst o'f ny knowledge. I 'à3 Prnperty Owner Prlnt and Slgn Date ôooFfrgAtusGoNtT\o Condlt¡on¡: a Manu ñome Fea: áQ nô- o""'*ffui 4vz , û%iy:-tr%0yi:Å,vä""' EEI[srQ rnË-l,tôfñ OUVTSNo: SÊGtÞ (ffitaTot¡l Fees: 11p'" gA Fee¡ Pàld:ıLl/,ñ,oo occ HT tl{"r'Setb¡cks: ilLrel1Dnto r rurtDlt{G I PLANNING DIVISION : Gørfteld County BUILDING DEPARÍMENT 108 E¡ghth Street, Suite 401, Glenwood Spr¡ngs, CO 8L601 Tel: (970) 945-8272 PLAN REVIEW CHECKLIST Permit No: b/ kl| /> lq- (oZS Building lssues Planning/Zoning lssues t, ß.Engineered Foundation Driveway permit NA 'lfø C b @yed Site Plan Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Line Plans/ Stamps/ Sticker ch Conditions Application Signed Plan Reviewer to S¡gn Application Parcel/ Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Property Line Setbacks 30 ft. Stream Setbacks Flood Plain Building Height |,1 tft '^14, D,IL. _/ ¡V A ning Sign-Off d lmpact Fees Grade/ Topography 40% N4 Ptanni ng lssues Subdivision Plat Description & Summa rv ,ô l8 À/,ß. I ïaz 32,13ç