HomeMy WebLinkAboutApplicationGørfuld County
,,,,Copqlu,4ity Dcvclopmênt Departmmt
' 108 8É Street, sulte ¿lo1
r.j-A ir,,.-,..,.G|Fp¡üfçf lþrlngs, Co 81601
COM M U r'J lT 1 ¿)E vrlc,pslet 945{¡2L2
www. garf ield-countY.com
, up¡9tÇqry[!98!9ll_EI commercia/Multi-Family
ffi Manufactured Hgme (Single or Multl-Level)
fl Residential (SF, DuplexorTownhome)
El Demolition
f] Reroof
/ tø,-;tìr:nPrøger4r eà, Ll-C-
I Phone, (970 I 245-9039
rNVo'tvED PÂRmEs fGruis 5hnj{øn
Emall Address:
PrcperlOwner:CMH Homes lnc
MailingAddress: 671 23 Road Grand Junction, CO 81505 .
Emall Address:staci.douolastOclavtonhomes.com /
Contreotor:Clayton Homes Phone:245-9039
MalllngAddress:67123 Road Grand Junction, CO 81505
Emall Address:staci.douolas(Oclavtonhomes.com /
Archlted: Phone:
MailingAddress:
Entlneer:CIVCO Engineering phone:¡ 435 ¡ 789-5448
Malllng Address
Emall Address:
PO Box 1758 Vernal, UT 84078
vanceking@civcoeng ineering.com
Manufactured Home Insta ller:Pat Murpy Phone:( 970
)
250-2385
MalllngAddress:
Emall Address:
3035 F ll2Road Clifton, CO 81504
PROJECT DEÍAILS
Describe Work:Placement of a HUD Code Manufactured Home Sinqle Familv Residence
BUILDING PERMIT
APPLICATION
lob Address: TBD
Assecao¡'s Parcel Number:2129 152 00 056
Sub. nla
Owne/s Valuatlon of Work $66.710
16¡ n/a ¡¡6¡ n/a
Property Slze (Sq. Ft. or Affes)¡49 ac
Hclght:16'fl of Floors: I
flnepair ¡ ñør.tocation
I Detached
Sq, Ft. of Bulldlng:
Class of Work:
Garage:
New
2304
x
lattached
I nheration E nuu¡t¡on
PR(,¡ECT DETAII.S COI{TINUED
Septlc;
Type of Heat:
Driveway Permlt:
ñonce
OWTS
I Natural Gas PropaneX
fþmmùnity
I eieitrtc
Exempt
¡uihorlw. Thls 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 authorlty, signed by
the Owner, must be provided with this Application.
Lesal Access. A Building Permit cannot be issued w¡thout proof of legal and adequate âccess to the property for
purposes of inspections by the Building Division.
: Other Permits. Multiple separate permits may be required: (11 State Electrical Permit, (2) County OWTS Permít,
(3| another permit required for use on the property identified above, e.g.State or County Hiehway/ 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.
CEßNFrcATlOT{
I trãià¡v certify that I have read this 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 behatf (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 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 ägents will
comply with provisions of any federal, state or local law regulatíng 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(ies), described above, are not in compliance with County Regulation(s) or any
other applicable law.
I hereby grant permission to the Bu¡lding 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 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
designer, engineer and/ or builder.
I heràby acknowledge that I have read and understand the Notice and Certification above, as well as, have
provided the required is correct and accurate to the best of my knowledge.
6t30t2023
Property Owner Date
l-lPermlt#:
LUbó Cù;"*h q-v23
x
OFFICIAT USE ONLY
â ee afu¿he, pry ¿, / ,A/USSpecial Cond¡tions:
Manu home Fee:^,t-ìorj PP
Mlsc Fees:
R,tr t[BDç1,5î8
Permlt Fee: ^ -x32, þ9Adiusted Valuation:3g-8ß0,oo
Plan Check Fee:
^Ll-b,22 BP No:
ß¡--rn?-Wl 8åoS
OWTS No:
47-m-Fees Pald:4oo,o""'Hiä",'97TotafFc¿s: ,t r)
LLTßV I
'Kt:ønstrveïl?c)'ü"fr12 occcroup: tRÞ
BUI"D|NC/ PTANNTNG DIVISION :
Slgned Approval Datc
NOTE: tf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Official that additional information is necessary to review lhe application
and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division willcollect a Plan Review fee at time of applicatlon submittal. The permit fee, as
well as any Road lmpact fees will be collected when the permit is issued,
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO wilfbe considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand, and will abide by the requirements of this
checklist.
6t30t2023
Property Owner Print a Sign Date
Gørfreld County
BUIIT''NG DEPARTMENT
7o8 E¡ghth Street, suite 407, Glenwood Spr¡ng, CO 87607
Tel: (970) 94s-8212
PLAN REVI E WC HECKLIST
Permit No:&mF-07-23- 82oz
Building lssues Planning/Zoning lssues
UND ã€PT-0V27849
Septic Permit and Setbacks
35 ft. stream setbacks 44¿>ê n/aá/e rtr
Flood Plain .^^ I ' \ryØ¿¿29,
Building Height
qønft
/tL+
¿/
/_r'
rty Line setbacksâ/â¿.Engineered Foundation
Driveway Permit
Surveyed Site Plan
Gradel Topography 30%
Attach Residential Plan Review List
N^ subdívision Ptat Notes
Zoning Sig lvltsA-uJn
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
7-
-/ Planni ng lssues A/L|ùA-wft+¿rru)n
N4 Subdivision Plat
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