HomeMy WebLinkAboutApplicationGaffield County ß-lCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
ltg7ol945-82L2
www. ga rf ield-cou ntv.coa
INVOTVEDPARTIES
Manufactured Home lnstaller:Clayton Homes - HC 1037 Phone: ( 970
)
245-9439
Mailing Address: 671 23 Rd Grand Junction, Co 81505
Emait Addresr. David. Mahovsky@ClaytonHomes.com
WPE
t Commercial/Multi-Fami ly Demolition
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
Kay Crook and Bernard Crook
PO Box 1174 Rifle, CO 81650
Phone: (303 )
618-0725
Email Address:Kay Crook
Property Owner:
Mailing Address:
2700 Karsten Ct. SE, Albuquerque, NM 81702
Email Addresr. David. Mahovsky@Clayton Homes.com
contrâctor: Clayton albuquerque 505 242-5580Phone:
Mailing Address:
Archirect: Same as above Phone:
Mailing Address:
Email Address
Same as above Phone: ( IEngineer:
Maíling Address:
Email Address:
New Addition
Detached
PROJECTDETAII.S
Describe *or¡. lnstallation of manufactured home duplex
Job Address: TBD Hwy 6, Silt, CO 81652
Assessor's Parcel Number:
sub.2
217902400549
Owner's Valuation of Work: S 450,000
Sq. Ft. of Building:2200 Height:
Block
Property Size (Sq. Ft. or Acres):30.5
Lot
15ft
i Class of Work:
Garage:Attached
Remodel/Alteration
# of Floors: 1
ISeptle:SWTS Community
Type of Heat:Natural Gas Propane T Electric Other
Driveway Permit#:
Author¡W. 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.
legal Aètess. 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 Permits. Multiple separate permits may be required: (1) State Electr¡cal Permit, {2) County OWTS Permit,
(3) another perm¡t 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.
I hereby cert¡fl, 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 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 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 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 not¡ce from the County, if the location, construction or use
of the structure(s) and facility(ies), described above, äre 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 Official from: (1)
requiring the correction of errors in the submittals, if anç 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 Counry 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 author¡zed agents, including without limitation my architect
and/ or builderr
I hereby acknowledge that I have read and underctand the Notice and Certificatlon above, as well as, have
requlred I which
Crook
is correct and accurate to the best of my knowledge.
LOlt3/2022
Owner Prlnt and Date
Be
speciar cond itions: Õ'æ Þiú f l,Vet 5/Ø b"/4 væ¡þtp¡ /7ð ITS O /:Btlt tbtna Pæm tT (a*b44d)
Adiusted Valuation:'/9,q'laø Plan Checkfee:.uR, ët '"HT'tt Manu. Home Fee:$uût6 þiË"äp>Þs/,
oþTotal fees:qru.åiliäj*Balance Due: ,530,ob BP No:
ßnÉ-7S83
OWTS No:+Ttr- Vt-\t
setbdcksöþ>-occ u'ïþo coslfvg:tËu'
BUTIDTNG / P|-ANN|NG DTV|SION :
Sþned Approval
/**27
Date
Ciltiú
0a
Gørfteld County
BUILDING DEPARTMENÍ
708 E¡qhth Street, Suite 407, Glenwood Springs, CO 87607
Tel: (970) 945-8272
PLAN REVIEW CHECKLIST
Permit No: Ø tmF-/æz-7ß 3 cRôK
Building lssues
,/
-/
ailp
/
Planning/Zoning lssues
q?n?nt' Driveway permit
I surveyed site Plan( ^ ire"lr*agsn
Engineered Foundation
Grade/ Topography 30%
Attach Residential Plan Review List
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Grade/ Topography 40%
Planning lssues
Subdivision Plat
Road rmpact Fees NBÞ=, /Ø ft
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Sub{ivision Plat Note,
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Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
Plan Reviewer to Sign APPlication
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
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