ZONING PERMIT MOBILE HOME (ZPMH) SUBMITTAL CHECKLIST (A PRINCIPLE DWELLING UNIT, TEMPORARY USE DURING CONSTRUCTION OF RESIDENCE, TEMPORARY STORAGE (UNLESS OTHERWISE SPECIFIED), TEMPORARY ACCESSORY FARM USE, TEMPORARY ACCESSORY USE DURING MEDICAL HARDSHIP, TEMPORARY ACCESSORY USE AS AN OFFICE AND MOBILE HOMES IN THE C (COMMERCIAL) OR I (INDUSTRIAL) ZONE DISTRICT) APPLICATION REQUIREMENTS: _____ One original application form _____ One original drawing. A scaled drawing of the property (1"=50') needs to show the proposed location of the mobile home. Include distances between the property lot lines and proposed mobile home and all other existing structures on the property; access to the property (indicate whether it is existing or proposed) ; County, State, or Federal road rights-of-way; amount of road frontages; location and measurements of any easements; and any proposed structures to be located on the property. _____ One original Weld County Road Access Permit Application Form. PICTURES MUST ACCOMPANY PERMIT. _____ Copy of a document showing evidence of adequate water supply (e.g. well permit or letter from water district). This is not required if applying for temporary storage of a mobile home. _____ Copy of a document showing evidence of adequate methods of sewage disposal (e.g. septic permit). This is not required if applying for temporary storage of a mobile home. _____ One copy of deed or legal instrument identifying applicant's interest in the property. Copy of recorded instruments may be obtained from Weld County Clerk and Recorder's Office or a title or abstract company. ____ One copy of affidavit and certified list of the names, addresses and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners’ of property (the surface estate) within 500 feet of property being considered. This list shall be compiled from the records of the Weld County Assessor, the Weld County Website, www.co.weld.co.us, or a person qualified to do the task, and shall be current as of a date no more than thirty (30) days prior to the date the application is submitted to the Department of Planning Services. _____ One copy of the completed Application for a Mobile Home Building Permit _____ Application fee _____ An additional investigation fee shall be added to the cost of the permit application when specific land, uses, building, manufactured homes, mobile homes, and structures that require a permit by the Weld County Code are located, moved, operated, or constructed prior to obtaining a permit. The investigation fee shall be fifty percent of the fee established by separate action by the Board of County Commissioners for land-use applications. The payment of such investigation fee shall not relieve any persons from fully complying with the requirements of the Weld County Code, nor from any other penalties. _____ The applicant shall submit 1 packet containing one original of all of the above. The packet shall be bound with either paper clips or binder clips (no substitutes). Applications bound in any other fashion may be returned to the applicant without review. The Department of Planning Services may request additional information, application packets and/or fees that will aid in the review of the Zoning Permit application. Updated 5/2014 -1- ZPMH ADDITIONAL REQUIREMENTS (IF APPLICABLE): Temporary Use During Construction of Residence: _____ Application for a Building Permit for the Permanent Dwelling Unit on the same lot _____ Exit Plan for removal of mobile home Temporary Storage: _____ Detailed statement demonstrating that no reasonable alternative exists to the temporary storage of the mobile home on the land involved (as per Sec.23-4-160 C) _____ Exit Plan for removal of mobile home Temporary Accessory Farm Use: _____ Questionnaire/certification on page ten _____ Evidence of tax records (W-2 forms) or employment agreements _____ Exit Plan for removal of mobile home Temporary Accessory Use during Medical Hardship: _____ Brief statement of why the medical hardship is necessary for a second dwelling on property _____ Documentation of the medical hardship shall be established in a letter from the subject’s medical doctor or other evidence deemed suitable by the Department of Planning Services. The letter shall be submitted as a part of the zoning permit application and shall verify that the subject is physically impaired and requires full-time care. _____ Exit Plan for removal of mobile home Temporary Accessory Use of a Manufactured Structure used for Office/Construction: _____ Detailed statement demonstrating that no reasonable alternative is available to the applicant for office use, and the number of employees that will occupy the office. _____ Exit Plan for removal of mobile home Mobile Homes in the C (Commercial) or I (Industrial) Zone District: _____ Detailed statement of why the mobile home is necessary for the effective and economic operation of the business, commercial or industrial activity -2- ZONING PERMIT MOBILE HOME (ZPMH) PROCEDURAL GUIDE APPLICATION FEE $300.00 $75.00 $ 150.00 HEARINGS/MEETINGS Administrative Staff Review or Board of County Commissioners PROCESSING TIME 60 days Administrative Review for Temporary Storage Investigation Fee, (if required) Fees are non-refundable and due at time of application submittal. Fees are set by the Board of County Commissioners by Resolution. County Staff is not authorized to negotiate fees and cannot, under any circumstance, change, reduce, or amend the fees set forth in the Weld County Planning Fee Schedule. PURPOSE The purpose of this packet is to provide applicants with information regarding the Weld County Zoning Permit for a Mobile Home process. It is the responsibility of the applicant to be knowledgeable of the specific requirements of the ZPMH application process. Specific requirements regarding Zoning Permits may be found in Section 23-1140, of the Weld County Code. GENERAL INFORMATION BUILDING PERMITS Building permits are required for all mobile homes in addition to the Zoning Permit for Mobile Homes. The building permit may be obtained from the Building Inspection Department, at 1555 N. 17th Avenue, Greeley, Colorado 80631, Phone 353-6100 x3540. Or online at www.co.weld.co.us/Departments/BuildingDepartment The permit will be released only after approval of the Zoning Permit. MOBILE HOME A transportable STRUCTURE which as originally built exceeds either eight feet in width or thirty-two feet in length, was originally built on a chassis and was originally designed to be used as a year-round DWELLING UNIT with or without a permanent foundation. A SINGLE-FAMILY DWELLING which is certified pursuant to the “National Manufactured Housing Construction and Safety Standards Act of 1974," 42 U.S.C. 5401 et seq., as amended, but does not meet all of the other provisions of the definition of MANUFACTURED HOME is considered to be a MOBILE HOME. A MOBILE HOME or MANUFACTURED HOME shall not be converted to any USE other than a SINGLE FAMILY DWELLING and shall not be allowed to deteriorate to the condition of a DERELICT MOBILE HOME. A Mobile Home or Manufactured Home, Converted or in its Original Condition, shall not be utilized as an AGRICULTURALLY EXEMPT BUILDING or as a Temporary Structure for Storage. MANUFACTURED STRUCTURE: Any factory-assembled STRUCTURE with or without service connections that is not a DWELLING. RECREATIONAL VEHICLE DEFINITION A transportation structure or self-propelled vehicle with or without flexible, removable or collapsible walls and partitions designed to be used as a dwelling for travel, recreation or vacation uses. The term recreational vehicle shall include: motor home, camper bus and travel trailer, but shall not include pickup trucks with camper shells that do not extend above the cab of the truck. For the purpose of this Ordinance, a recreational vehicle shall be subject to all requirements and restrictions for mobile homes as provided in this Ordinance when its placement is intended for non-transient residency. A recreational vehicle shall not be used for temporary storage, temporary -3- accessory farm use, temporary accessory use during a medical hardship, temporary accessory use as an office, or as a principal dwelling unit. (Only utilized for Temporary during Construction) APPLICATION REQUIREMENTS The submission requirements are explained in Section 23-4-130 through Section 23-4-230 of the Weld County Code. No Zoning Permit for a Mobile Home application shall be assigned a case number or be reviewed until all required items on the Zoning Permit submittal checklist have been completed and submitted to the Department of Planning Services. ADMINISTRATIVE REVIEW The Board of County Commissioners delegates the authority to issue a zoning permit for a mobile home which otherwise requires the approval of the Board of County Commissioners through a public hearing process to the Department of Planning Services upon the determination by the Department that: - The applicant is in compliance with the criteria identified in the Weld County Code, for the specific category of zoning permit that is being applied for. - The Department of Planning Services has sent notice and received signed notification of at least thirty percent of surrounding property owners within five hundred feet of the subject property in opposition to the location of the mobile home. The petition shall indicate that the surrounding property owners who have signed the notification have objections to the issuance of a zoning permit for the mobile home. Any notice not received within twenty one days shall be deemed a positive response of said request. - If the Department of Planning Services has sent notice and received signed notification of at least thirty percent of surrounding property owners within five hundred feet of the subject property in opposition to the location of the mobile home. The petition shall indicate that the surrounding property owners have no objections to the issuance of a zoning permit for a mobile home. Any notice not received within twentyone days shall be deemed a positive response of said request. INVESTIGATION FEE - An additional investigation fee shall be added to the cost of the permit application when specific land, uses, building, manufactured homes, mobile homes, and structures that require a permit by the Weld County Code are located, moved, operated, or constructed prior to obtaining a permit. The investigation fee shall be fifty percent of the fee established by separate action by the Board of County Commissioners for land-use applications. The payment of such investigation fee shall not relieve any persons from fully complying with the requirements of the Weld County Code, nor from any other penalties. -4- APPLICATION ASSISTANCE AND OFFICE LOCATIONS Weld County Planning and Zoning Department of Planning Services 1555 N 17th Ave Greeley CO 80631 (970) 353-6100 x3540 Weld County Public Roads Weld County Department of Public Works 1111 H St Greeley CO 80631 (970) 356-4000 x3750 Web link – www.co.weld.co.us/Departments/PlanningZoning Web link – www.co.weld.co.us/Departments/PublicWorks Weld County Building Inspection Department of Planning Services 1555 N 17th Ave Greeley CO 80631 (970) 353-6100 x3540 Colorado Highways Colorado Department of Transportation 1420 Second St Greeley CO 80631 (970) 353-1232 Web link – www.co.weld.co.us/Departments/PlanningZoning Web link – www.coloradodot.info/ Water Wells - State of Colorado Division of Water Resources 1313 Sherman St Rm 818 Denver CO 80203 (303) 866-3581 Division of Water Resources 810 Ninth St 2nd Floor Greeley CO 80631 (970) 352-8712 Web link - www.water.state.co.us Geological - State of Colorado Colorado Geological Survey Division of Minerals and Geology 1313 Sherman St Rm 715 Denver CO 80203 (303) 866-2611 Weld County Septic Permits Department of Public Health and Environment 1555 N 17th Ave Greeley CO 80631 (970) 304-6415 Web link – www.co.weld.co.us/Departments/HealthEnvironment Soil Conservation Districts Big Thompson (Fort Collins) - 970-493-1638 Boulder Valley (Longmont) - 303-776-4034 Centennial - 970-522-7440 x3 Fort Collins - 970-221-0611 Morgan - 970-867-9659 x3 Platte Valley (Brighton) - 303-857-6721 Southeast Weld (Brighton) - 303-659-7004 x101 West Adams (Brighton) - 303-659-2080 West Greeley - 970-356-8097 x3 Web link – www.cacd.us Web link - www.geosurvey.state.co.us -5- ZONING PERMIT MOBILE HOME (ZPMH) APPLICATION FOR PLANNING DEPARTMENT USE RECEIPT/AMOUNT # ___________/$____________ APPLICATION RECEIVED BY__________________ DATE RECEIVED: __________________________ CASE # ASSIGNED: _________________________ PLANNER ASSIGNED: ______________________ Parcel Number ___ ___ ___ ___ - ___ ___ - ___ - ___ ___ - ___ ___ ___ (12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co.weld.co.us) Legal Description ______________________________, Section ____, Township ____ North, Range ____West Subdivision______________________________________________, Lot ____________, Block____________ Acres_____________ FEE OWNER(S) OF THE PROPERTY: Name: ____________________________________________________________________________________ Work Phone # _________________Home Phone # _________________ Email Address____________________ Address: ___________________________________________________________________________________ City/State/Zip Code __________________________________________________________________________ APPLICANT/AUTHORIZED AGENT: Name: ____________________________________________________________________________________ Work Phone # _________________Home Phone # _________________ Email Address____________________ Address: ___________________________________________________________________________________ City/State/Zip Code __________________________________________________________________________ TYPE OF APPLICATION – Check one Temporary Use During Construction of a Residence (6 months) renewable up to 18 months Temporary Storage (not including storage of goods) (6 months) Temporary Accessory to the Farm (renewed on an annual basis) Temporary Use during a Medical Hardship (renewed on an annual basis) Temporary Accessory Use as an Office in the A (Agricultural) zone district (6 months) renewable up to 18 months Accessory Use in the C (Commercial) or I (Industrial) zone district (for first mobile home) Principle Dwelling TYPE OF SEWAGE DISPOSAL WATER SUPPLY Public or private company Public or private company ______ Septic Tank - ISDS Permit # Copy of permit attached: Yes No Individual (well, cistern) Permit # Copy of permit attached: Yes No ACCESS: Existing - Address Proposed - Access off of What housing is available on the property and what is its present use? How many mobile homes are on the property at the present time? I (We) hereby depose and state under penalties of perjury that all statements, proposals, and/or plans submitted with or contained within the application are true and correct to the best of my (our)knowledge. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included showing the signatory has to legal authority to sign for the corporation. ________________________________________ Signature: Owner or Authorized Agent Date _________________________________________ Signature: Owner or Authorized Agent Date -6- AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE Property Legal Description: __________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Parcel Number ___ ___ ___ ___ - ___ ___ - ___ - ___ ___ - ___ ___ ___ (12 digit number - found on Tax I.D. information, obtainable at the Weld County Assessor's Office, or www.co.weld.co.us) (Include all lots being included in the application area. If additional space is required, attach an additional sheet) THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners’ of property (the surface estate) within five hundred (500) feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or a person qualified to do the task, and shall be current as of a date no more than thirty (30) days prior to the date the application is submitted to the Department of Planning Services. Signatures of all fee owners of property must sign this application. If an Authorized Agent signs, a letter of authorization from all fee owners must be included with the application. If a corporation is the fee owner, notarized evidence must be included indicating the signatory has the legal authority to sign for the corporation. I (We) hereby depose and state under the penalties of perjury that all statements, proposals and/or plans submitted with or contained within the application are true and correct to the best of my (our) knowledge. __________________________ Signature Date __________________________ Signature Date _______________________ Signature Date -7- ACCESSORY TO THE FARM CERTIFICATION I (We) hereby certify, under penalty of perjury and after carefully reading the entire contents of this document, that the below stated information is true and correct to the best of my knowledge. 1. Describe below in detail, or attach a letter describing the farming operation and the role/duties of the occupant of the mobile home in that operation. Attach tax records, employment agreements or any other documents to provide evidence that the occupant is principally employed at or principally engaged in the farming operation. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ 2. How many hours per week/month will the occupant be working at the farming operation? _____________________________________________________________________________ 3. Will the occupant of the mobile home be employed elsewhere? If yes, how many hours per week/month __________________________________________________________________ 4. Total acreage associated with the agricultural operation __________________________ acres. 5. How many acres are productive farm ground ____________________________________ acres. 6. Please list crops associated with the parcel:__________________________________________. 7. How many farm animals are on site: __________________ List all the animals to be cared for: _____________________________________________________________________________. 8. Is there any other information you would like to provide to be included in consideration of this application? _____________________________________________________________________________ _____________________________________________________________________________ I have read and understand Section 23-4-170 of the Weld County Code regarding accessory to the farm use. I also understand that this is a temporary use and that I must revalidate the use on an annual basis that the occupant of the mobile home is principally employed at or principally engaged in the farming operation. I also understand that this unit is not to be used for rental purposes. I affirm and acknowledge that the above statements are true and correct. ______________________________________ Owner Signature ______________________________ Date Subscribed and sworn to before me this ________ day of _________________________, 20 ________. My commission expires __________________ _______________________________ Notary Public -8- Weld County Public Works Dept. 1111 H Street P.O. Box 758 Greeley, CO 80632 Phone: (970)304‐6496 Fax: (970)304‐6497 ACCESS PERMIT APPLICATION FORM Applicant Property Owner (If different than Applicant) Name _____________________________________ Name _______________________________________ Company __________________________________ Address _____________________________________ Address ___________________________________ City__________________ State ____ Zip __________ City__________________ State ____ Zip ________ Phone ______________________________________ Business Phone _____________________________ Fax ________________________________________ Fax_______________________________________ E‐mail_______________________________________ E‐mail _____________________________________ ▲= Existing Access ∆= Proposed Access Parcel Location & Sketch The access is on WCR__________ Nearest Intersection: WCR __________ & WCR __________ Distance from Intersection ___________________________ Parcel Number __________________________________ Section/Township/Range__________________________ Is there an existing access to the property? YES NO Number of Existing Accesses________________________ Road Surface Type & Construction Information Asphalt ___ Gravel ___ Treated ___ Other __________ Culvert Size & Type _________________________________ Materials used to construct Access____________________ Construction Start Date _________ Finish Date___________ Proposed Use □ Temporary (Tracking Pad Required)/ $75 □ Small Commercial or Oil & Gas/$75 □ Field (Agriculture Only)/Exempt □ Single Residential/$75 □ Large Commercial/$150 □ Industrial/$150 □ Subdivision/$150 Is this access associated with a Planning Process? □ No □ USR □ RE □ PUD □ Other__________ Required Attached Documents - Traffic Control Plan -Certificate of Insurance - Access Pictures (From the Left, Right, & into the access) By accepting this permit, the undersigned Applicant, under penalty of perjury, verifies that they have received all pages of the permit application; they have read and understand all of the permit requirements and provisions set forth on all pages; that they have the authority to sign for and bind the Applicant, if the Applicant is a corporation or other entity; and that by virtue of their signature the Applicant is bound by and agrees to comply with all said permit requirements and provisions, all Weld County ordinances, and state laws regarding facilities construction. Signature_______________________________ Printed Name _________________________ Date _________________ Approval or Denial will be issued in minimum of 5 days. Revised Date 6/29/10 Approved by____________________________
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