HomeMy WebLinkAboutApplicationGarfield County ß-5
Com munity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 94s-8212
Y't@
I Commercial/Multi-Fa Demolition
Manufactured Home or Multi-Level
Residential (SF,orT Reroof
Unít - MAXIMUM SIZE OF SQUARE FEET
INVOTVEÞ.PART .':l
Property owner: Kay Crook and Bernard Crook Phone:303 618-0725
Mailing Address: PO Box 1174 Rifle, CO 81650
Email Addresr, Kay Crook
Contractor: Glayton albuquerque Phone:505 242-5580
Mailing Address: 2700 Karsten Ct. SE, Albuquerque, NM A1702
Emai I Addresr. David. Mahovsky@Clayton Homes.com
Architect: Same as above Phone: I
Mailing Address:
EmailAddress:
Engineer:Same as above Phone:(
Mailing Addressi
Email Address:
Manufactured llome lnstaller:Clayton Homes - HC 1037 Phone:970 245-9039
Mailing Address: 671 23 Rd Grand Junction, Co 81505
Emait Addresr. David. Mahovsky@ClaytonHomes.com
Describe *or¡. lnstallation of manufactured home duplex
JobAddress: TBD Hwy 6, Silt, CO 81652
Assesso/s parcel Number: 217902400549
sub. 2 Lot_- Block_
Owner's Valuation of Work:450,000 Property Size (Sq. Ft. or Acres):30.5
Sq. Ft. of Building:2200 Height:15 fr.# of Floors: 1
Class of Work:{New Remodel/Alteration Addition
Garage:Attached {Detached
i PRgJEcf Drrruu CONTINUED
Sept¡c:
Type of Heat:Natural Gas Propane
CommunitY
Electric Other
Driveway
Permit:
mpt Pcrmit tf;
pplication for a Buildi ng Permit must be signed by the Owner ofthe property, deseribed above,
agent. lfthe signature below is not that of the Owner, a separate letter of authoritY, signed bY
authorized is not commenced within 1.80 days
a period of 180 days after commencement'
NOTICE
Authoriw. This a
or an authorized
the Owner, must be provided with this Application'
lesal Açcess. 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 pernt,, Muttiple separate p"r.it, may be required: (1) state Electrical Perrnit, {2) County owTS Permit'
(3) another permit required for use on the propefi identified above, e'g' State or County Highway/ Road Access
or a State Wâstewater Discharge Permit'
Void Permit. A Buitding Permit becomes null and void if the work
of the date of issuance and if work is suspended or abandoned for
CERTIFICATION
nformation contained above is true and correct' I
along with the plans and specifications and other
data submitted by me or on my behalf (submittals),based upon my certificatíon as to accuracy' Assuming
completeness of the submittals and approval of this Appli cation, 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 th e Building Permit, I agree that I and my agents will
comply with P rovisions of any federal, state or local law regu latlng 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 susPe nded or revoked, uPon notice from the County, ifthe location, construction or use
of the structure(s) and facitity(ies),described above, are not in comPlia nce 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 Bu¡lding Permit does not prevent the Building Official from; (1i
requiring the correction of errors in the submlttals, if any, discovered after issuance; or (2) stopp¡ng
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 acceptänce 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 arehiteet
en neer a or builder
I hereby acknowledge that I have read and understand the Not¡ce and Certification above, as well as, have
ledge.required which
Crook*tY.r
r0/73/2022
Owner Print and Date
ls correct änd accurate to the best of my know
Special Conditions:e.Ð
u.Pe t#Plan2 Check w
Balance00d
Fees Paid
Co
(U,ilþt14
Signed Approval
BUILDING / PLANNING D]VISION :
Date
ûð,
Gørfield County
BUILDING DEPARTMENT
7A8 Eighth saeet, Su¡te 401, 6lenwood spr¡ngs, Co 81607
Tel: (970) 945-8272
PLAN REVIEW C HECKLIST
Permit No: 6LW F aa-p- 7g8y' ORØK
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-"'' Surveyed Site Plan
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Building lssues
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A2376 -aØ/
Pla n ning/Zoning lssues
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Line SetbacksEngineered Foundation
Driveway Permit
Grade/ Topography 30%
Attach Residential Plan Review List
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30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Gradel Topography 40%
Planning lssues
Subdivision Plat
Road rmpac tre.,f/Eþs biWf
// Applícation Signed
reêep+i?r 4828î/
Description & Summarv:
Subdivision Plat Notes .
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Val uation Determi natíon/ Fees
Red Line Plansl Stamps/ Sticker
Attach Condítions
Plan Reviewer to Sign Application
Parcel/ Schedule No
40# Snowload Letter - Manu. Homes
Soils Report
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