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: