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HomeMy WebLinkAboutApplicationDocusign Envelope lD: 161CE836-A58A-45FC-A566-16539D6EF20C Com m unity Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 1970194s-8212 www.garfieldcountvco.gov TYPE OF CONSTRUCTION INVOTVED PARTIES Garfield County BUILDING PERMIT APPLICATION tr Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET tr Rerooftr Residential (SF, Duplex or Townhome) tr Manufactured Home or Tiny Home (Single or Multi-Level) tr Demolitiontr Commercial/Multi-Family tr Move/RelocationE RepairEl AdditionE Remodel/AlterationE NewClass of Work: JobAddress: Tbd County Rd 320, Rifle, CO 81650 15' Describe 1111or1, New Modular (lRC) Home 2052Sq. Ft. of Building: 423.424Owner's Valuation of Work: $ f of Floors: 1Height: 2.233Property Size (Sq. Ft. or Acres) Lot 2 Block Assessor's Parcef Number: 217527401002 Sub. Dotson Minor PROJECT DETAITS Phone: (970-718-5504 789-5448Phone:435Civco EnqineerinqEngineer: Home lnstaller: Jamie BUrChManufacturedl Tiny Address: PO Box 1758, Vernal, UT 84078Mailing vanceking@civcoengineering.comEmailAddress: Emait Addresr. jamiebeyes@gmail.com 3027 Palterson Rd, Grand Junction, CO 81504Mailing Address Phone: (_)N/AArchitect: Mailing Address EmailAddress: Email Address: clavicl-mahovsky@elaytonhomes com 671 23 Rd. Grand Junction. CO 81505 Phone:( 970i249-9939--contractor: Clayton Homes Mailing Address: Address: 8495 Hwy 6 &24, Parachute, CO 81635 Property Mailing con radfa m i lv89(Oo ma i l. comEmail Address: owner: Conrad, Kurtis & Nicole & Booker, Me lissa6on", t g70t216-0912 Garage:E Attached E Detached Docusign Envelope lD: 161CEB36-458A-45FC-A566-16539D6EF20C PROJECT DETAITS CONTINUED I hereby certify 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)). All County development requiring a permit, except for residential uses, are subject to Article 7 of the Land Use and Development Code. 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 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 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 hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge. by: wicole Conrad 6/2/202s Property Owner Print and Sign Date Authoritv. This application for a Building Permit must be signed by the Owner of the property, described above, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby the Owner, must be provided with this Application. Legal Access. 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 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. CERTIFICATION E Permit #:E Exempt NOTICE Driveway Permit: E PropaneE Natural GasType of Heat:E otherE Electric E CommunityE oWTSSeptic: Signed Approval hl,'r*h Date Tz?tsPIANN;NG D1VtStOft2,424BUILDING / RZoning:Setbacksi OWTS No: ' E-Efif.q3ilj Const BalanceFees Paid: I a2 No:_ tz I ?e: OCC Group: '"'^)l"ilbz, '' '"p)'i,'zsPlan Check Fee: 4/9. +F Misc Fees: R.tFes>+l.5qB't{s".8ft:lAdiusted Valuation:qt,249.u seealtacheel ANb ffIONSSpecial Conditions: \OFFICIAL USE ONLY Docusign Envelope lD: 161CE836-A58445FC-A566-16539D6EF20C MANUFACTURER'S AND/OR ENGINEER'S STRUCTURAL PLANS: Provide the following information.. SOILS REPORT - lf the project is located in a subdivision with a final plat requiring site specific soils investigation report or if Structural plans make a specific reference to a soils report, then a copy of the soils report is required to submit a building permit application.. Design specifications to include roof and deck snow load, wind and seismic design and frost depth.. Foundation plan showing complete footing and foundation dimensions.. Footing and foundation details specifying reinforcement and referenced on plans.. Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses specified. Pre-manufactured structures require the engineers' stamp, signature and date.. Framing /connection details, braced wall lines, shear wall schedule, location and hold downs. NOTE: lf 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 the application and/or plans for compliance, the application may be placed on hold until the required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application 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 will be 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. t DocuSlgned by: t',li col e Con rad 6/2/202s Property Owner Print a 431...Date 24 Gurfrcld County BUILDING DEPARTMENT 108 Eighth Street, Suite 401, Glenwood Springs, CO 81601. Tel: (970) 94s-8212 PLAN REVIEW CHECKLIST Permit No:6LnF-o6-35-Q3o? Building lssues NA 1 subdivision Ptat y Permit Surveved Site Planflffirobz,-?3lo Septic Permit and Setbacks Grade/ Topography 30% Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ Stamps/ Sticker ttach Conditions Engineered FoundationoR6zt-P-tz Application Signed *hru t RcJ Energy Compliance Pa{h/P Pla n ning lToning lssues t) Grade/ Top6graphy 40% Planning lssues Property Line Setbacks 35 ft. Stream Setbacks ,,""rl@t;/g*rh Building Height Zoning Sign-Off Road,rmpact Fees R.tF 6 '8,>/ qqd6b Raol zo244S@s ("eol ^z+^ilDescriotion & Summarv:m$lr r_ (cD@H) Plan Reviewer to{gn -/Parcel/ Schedule No. 2,052 modular ,, nhfVf lwne -f q6P, ao lan Reqeived Application 40# Snowload Letter - Manuf. Homes ZO52 crdtal x Z4 l/r2,/6.oo 5q8?")I{ Soils Report (tf s.E.D. R