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HomeMy WebLinkAboutApplicationG4C;t 1 Cro Z4/2 108 8th Street, Suite 401, Glenwood Springs, CO 81601 Ph:970-945-8212 Fx:970-384-3440 Inspection Line:888-868-5306 www.gartield-county .com BUILDING PERMIT APPLICATION 1 Parcel No: (this information is available at the assessors office 970-945-9134) 2[ 7-3Z4 -00--160 Lot No: Block No: Subd./ Exemption: 1 1e_SQ.�s•Sue>Mvlcic) ?O' 2 Job Address: (if an address has not been assign,, please provide CR, HWY or Street Name & City) or and legal description 101 (kJ oo9 ►"t e tit?V\- c / ii_,( ika00p vS (•) 8I VZ i 3 Owner: (properly owner) Mailing Address: I Ol Z (Ai. Soeiz \5 c is . g.t) , Ph: - Q7(D--S2:7-61 e. Alt Ph: Due: Z,z5?. o 7 ..--6-\-!\ f-\ ---'1/I 4 Contractor: n 7,1-\GLSCc, MA2r-t rt,C? Mailing Address:l) �6h: 1\ 7 Ife. �a Alt Ph: 5 Manufactured home installer: Mailing Address: Ph: Lic 1/: 6 Architect:J ` -XJ ( L.S.__ i CSU r j Ci Mailing Address: 10 y ST.--ff.-10.--;--'L L i, sac Ph: `s Z 9'- Alt Ph: 7 Engineer: Utz -/-t - \ x N. t1 Mailing Address: 3Zo Vl N ► r1 SA' 5(.) I lt=- Z6 3 Ph: 33 az_ .3 Alt Ph: 8 Sq. Ft. of Building: 3 ,-O o Sq. Ft. or Acres of Lot: / i.N. rt,:: --vim 7 Height: 2-4 No. of Floors: 2.-- Z9 9 Use of Building: esidential ❑Commercial ❑Other Class of Work: �- LLew ❑Alteration ❑Addition ❑Repair ❑Demo ❑Move 10 Describe Work:,.� _���) } , ` CO 1 i2c"-- SCJ t✓vc� r �_ ' C 1-,---1 11 Garage:� .� DAttached EEP$ tached Septic: ❑ISDSCommunity Type of Heat: ,,--- -{-- CANat. Gas ❑Propane ❑Electric ❑Other 12 Driveway Permit: e)(6..w�� O els vol alien of Wo •a� ) j %,,,, -,y' ry- _,.i� �?,:i.v • J G_ 1 / 0 c)() NOTICE Authority. This application for a Building Permit must be signed by the Owner of die property, described above, or an authorized agent. If 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 Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Department. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County ISDS 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 Permi6 A Building Perrnit 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 1 hereby certify that I have read this Application and that the information contained above is true and correct. 1 understand that the Building Department 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 Department. In consideration of the issuance of the Building Permit, 1 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, ISDS regulations and applicable land use regulations (County Regulation(s)). 1 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. 1 hereby grant permission to the Building Department to enter the property, described above, to inspect the work. 1 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 Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owner, 1 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 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: OWNERS ATURE DATE e.1,7L5-1),5 lv//f STAFF USE ONLY Special Conditions: Adjusted Valuation: 3z5,99b.001.I�6I.30 I ilIP^ rtian4 ",.• Permit Fee: 224/8./ Manu home Fee:_ Mis/c Fees: -- Total Fees:Sees 37o9. y5 Paid:Balance . /��-vr --A- Due: Z,z5?. o 7 BP No & Issue Date: ISDS No & Issued Date: ,;2agS- Setbacks: OCC Group: Const Type: Zoning: B DE ////91/fi DATE . J / P 41 `.� ll / AP " OVAL ' DATE APPRtVAL Pu it//;-/- NOTE: If any required information is missing, delays in issuing the permit are to be expected. If 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 department will collect a Plan Review fee at time of application submittal. The permit fee, as well as any Septic or Road Impact 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. Sign- .-e of Owner 111 40 / c C) 1 Date Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.garfield-county.com NOV Y0nil Applicant Address Date VALUATION FEE DETERMINATION Levine Residence 101 Wood Nymph Place GWS 11/28/2011 Subdivision Lot/Block Contractor Finished (Livable Area): Main 2512 sq,ft Upper 1388 sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 3900 sq.ft Total Valuation Basement: Unfinished Conversion of Unfinished to Finished Other Total Valuation Garage/Storage (wood framed) Conversion of garage to finished living Carport Other Total Valuation Crawl Space Total Valuation Decks/ Patios/Porches Covered Open Other Total Valuation Type of Construction: Occupancy: Total Valuation 592 813 173 sq.ft X $41.00 sq.ft X $33.68 sq.ft X sq.ft X $18.00 sq.ft X $56.68 sq.ft X $12.00 sq.ft X sq,ft X $9.00 sq.ft X $24.00 sq.ft X $12.00 sq.ft X Commercial sf X sf X sf X sf X sf X sf X Elk Springs Exemption Lot /1 1 Francisco Martinez 291,252.00 0.00 10,656.00 0.00 21,588.00 0.00 Total Valuation 323,496.00 Building Plan Review Description of Work: New home construction Bin #: Location Address: 101 Wood Nymph PL Glenwood Springs, CO General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -11-11-7059 Parcel: 218732400160 Application Date: 11/10/2011 Owner: FATMA FEYHAN LEVINE Applicant: FATMA FEYHAN LEVINE Applicant Phone: Email: Building Planning/Zoning Engineered Foundation Property Line Setbacks Driveway Permit 7 30ft Stream Setbacks s` Surveyed Site Plan / Flood Plain ' '' Septic Permit and Setbacks Building height ✓ Grade/Topography 30% / 7oning Sign -off Attach Residential Plan Review List N/A Road Impact Fees N/ir Minimum Application Questionnare HOA/DRC Approval Subdivision Plat Notes Grade/Topography 40% d'4 2 ' >� C Fire Department Review Planning Issues Valuation Determination/Fees Subdivision Plat Red Line Plans/Stamps/Sticker General Comments: Attach Conditions Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. A.1` 40# Snowload Letter - Manu. Homes Soils Report Monday, November 28, 2011 FEE ESTIMATE FOR S/F STICK BUILT HOMES (ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED) Applicant: ��LSPICIGCO �TAa-Tl l`Z Job Address: 101 W000 M 1{Now Ti_nG— =) for =--( (n.JooO S -GG , l cj 8/6 z3 Subd- Lot/block: €{._t. e&s SU PCO I U s vo l tic e e r to rt I Lar 1 FINISHED LIVING SPACE: 39-00 sf X 74.68= 2_9 , a UNFINISHED BASEMENT: sf X 41.00= CRAWL SPACE: sf X 9.00= GARAGE: 592_ sf X 18.00= UNCOVERED PATIO/DECK COVERED PATIO/DECK: MISC: MISC: sf X 12.00= 10,(,56," 174 sf X 24.00= 17,400 TOTAL VALUATI .3Z I,O4 B THIS SECTION WILL BE DETERMEND BY GARFIELD CQUNTY BUILDING & PLANNING PLAN REVIEW FEE: PERMIT FEE: TOTAL: SEPTIC= PERMIT: PERC: