HomeMy WebLinkAboutApplicationGarfield County Ð-b
Community Development Department
108 8d'Street, Suite ¿101
Glenwood Springs, CO 81601
lsTol 94s-8212
www. garfield-countv.com
RECËIVËD
GAI{.FIhI.IJ
COMMTINITY D
BUILDING PERMIT
APPLICATION
DemolitionÜðffi inerciaUMulti-Family
Manufactured Home (Single or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SqUARE FEET
ItrûtfolvE]?ARTrEs
Propefi owner: Jaime Nakagawa Lara p¡on".1970 )379-7953
Mailing Address:PO Box 789 Carbondale, CO 81623
Email Address:nakagawaj@hotma il,com
contractor: lSlb Phone: 131¿-¡ 7 s-C -ï33-<
Mailing Address:ftr ils 3
Email Address:r'.A tt1 ê) Bi6ßuiL0tttcsn ¡ l)Ft"l
Architect:Phone: (____-)
Mailins Address:
Email Address:
Engineer:Phone: I I
Mailing Address:
Email Address:
Manufactured Home lnstaller:Phone:
Mailing Address:
Email Address:
PßOJECTDE.TAITS
Describe Work:Detached Storage
Job Address:1701 County Rd 103 Carbondale, CO 81623
Assesso¡'s Parcel Number: 239324300195
Sub.Lot Block
Owne/s Valuation of Work S 25,000.00 Property Size (Sq. Ft. orAcres):4.05q Acres
5q. Ft. of Building:1230 Height:10 # of Floors: 1
Class of Work:./New Remodel/Alteration Addition
Garage:Attached {Detached
DETAII.S CONTINUED
Septic:Commun¡ty
Type of Heat:ral Gas iopane rectiii Other
Driveway
Permit:
Permit #: _
NOTICE
Authoriw. 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 Access. A Building Perm¡t 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
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 Bullding 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 notice from the County, if the location, construction or use
of thestructure(s) and facility(ies), described above, are notin compliancewith County Regulation(s) orany
other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to ¡nspect 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
provided the required
that I have read and understand the Notice and Certification above, as well as, have
ich is correct and accurate to the best of my knowledge
/ ¡- /.-22Jaime Nakagawa Lara
Property Owner and Sign Date
OFFICIAL USE ONLY
Special Conditions:æo ûtboùed C0NT>I ,NS
Adiusted Valuation:
zQ nt>.w Plan Check Fee:l gq"t't ",iii.Tç Manu. Home Fee:NIA
"'^?îQo,tq 'å'gr"l '"':fffriiv BP Ño:f,-rpr-Ðot OWTS No:
N\l t+
Setbacks:. -NL OCC Grouo:ïf¿c_
Const. TvDe:if¿L ZOH¡¡:
iM ll-30'^-
Date
BUTTDtNG / PIANNING DIVISION :
Signed Approval
Garfield County
BUILD'NG DEPARTMENT
108 Eighth Strcet, Suite 401, Glenwood Springs, CO 81601
-rel: (97o) 94s-8212
PLAN REVIEW c HECKLIST
permit ¡,to: BhQf-// -7 - . ry0 Z Mkgazu4--úr4
Building lssues Pla n ning/Zoning lssues
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Revíew List
Subdívision Plat Notes
Fire Department Review
Val uation Determinationf Fees
Red Line Plans/ Stampsl Stícker
Attach Conditions
plication Signed
Plan Revíewer to Sign Application
?arcellschedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Property Line Setbacks
30 ft. Stream Setbacks
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
A/A
A^4
Grade/ Topography 40%
Subdivision Plat
Descriotion & Summa rv
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Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufac{ured 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
andlor 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 applícation 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- I /*zz
Print Date
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