Loading...
HomeMy WebLinkAboutApplication4111 -_- Gcz z -~e lel C'v u n xj-' 108 8`h Street, Suite 401, Glenwood Springs, CO 81601 Ph: 970-945-8212 Fx:970-384-3440 Inspection Line: 888-868-5306 www.garfield-county.com BUILDING PERMIT APPLICATION n SEP 1 20'2 Ak4 (�LU 1✓L)UN I)' 111 nwp St. 111 ✓ "lPl�1' I Parcel No: (this information is available at the assessors office 970-945-9134) "Z "L 1 —. 'Z VS, " ©p --- 2 --at , Lot No: Block. No: Subdi Exemption: CrD'- 1 4 he cz) . rA.ti,3 ..lar..Pcx) ( .t 2 Job Address: (if an address has not been assigned, please provide CR, HWY or Street Name & City) or and PCS 1 + '," #)1-- %Z. Cha /kV> tor_ c legal description rZ.sc t ! L_. � co 9tV Z 3 O ner: 'property owner) F- �/1% ''esA, TEPerfaal Mailing Address: 1#S'1 cnWlasT? T tz.tar.. Ph: g'a'r[ C:, --41495--- Alt Ph: Lail (4 4 Contractor: T TwtxlrzS Mailing Address: pi-( t rt t O Ph: iI iv et 4$►- Alt Ph: z t (.4 5 Manufactured home installer: Mailing Address: Ph: Lic #: 6 Architect: ZY ,12 sz Mailing Address: 1 +S 1 cipo rvre TCP 1 Ph: 4 tO 411 Alt Ph: "art b t... 7 Engineer: '.4) Mailing Address: LA— 9 ....rx30.--f TM) Ph: DZ._ d=?'7O 14, Alt Ph: t I 0. 4 8 Sq. Ft. of Building: MD Sq. Ft. or Acres of Lot: zi°z # -it Height: zr5"IMox No. of Floors: 9 Use of Building: ('gt esidentiaf ❑Commercial ❑Other Class of Work: ptiew DAlteration DAddition ❑Repair ODemo ❑Move 10 Describe Work: -- ij re.t.16 1 CS,� VOb1 dr. 11 Garage: MO ❑Attached ❑Detached Septic: 'RSDS ❑Community Type of Heat: ylNat. Gas ❑Propane DElectric ❑Other 12 Driveway Permit: `IC 4 s'- t "p res J c tx.ht. ` Owners valuation of Work: i' G. am) NOTICE Authority. This application for a Building Permit must be signed by the Owner of the 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. Leea1 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 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 atter 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 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, I agree that I and my agents will comply with provisions of any federal, state or local taw 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 structures) 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. 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(ics) 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. 1 HEREBY ACKNOWLEDGE THA 1 HAVE READ AND UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: I f WIi OWNEI4QICNA DATE \uav aal•Id, �t�cl —11, 8.41 STAFF USE ONLY Special Conditions: Adjusted Valuation: '711,093. Pi Plan Check Fee: 53Z. 19 Permit Fee: c310,75- Manu home Fee: Mise Fees: Total Fees: a;50,611 Fees Paid: Zi . LI Balance Due: i, 2.69.53 BP No & Issue Date: ISDS No & Issued Date: K x030 ap---D.1i 1 Setbacks:r l F zSt gz,5 5 /0 OCC Group .�Rt. Const Type: _TR C., Zoning: BLDG DEPT: / / C� /a % .ter --- -- '`'J ! / / / P/�/�: j` D ,. Q / y / f 7 /Z- r � -- APPRnVA DATE APPROVAi. DATE Building Plan Review Description of Work: Accessory dwelling Unit Bin #: Location Address: 1451 CR 102 CARBONDALE, CO 81623 General Information Contacts Case Manager: David Bartholomew Plan Case Number: BLDG -9-12-7378 Parcel: 239121300241 Application Date: 09/11/2012 Owner: Nina & Jess Petersen Applicant: Nina& Jess Petersen Applicant Phone: (970)948-2966 Email: Building Engineered Foundation ti/d Driveway Permit Surveyed Site Plan Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain / / Septic Permit and Setbacks - Building height / / - Grade/Topography 30% Zoning Sign -off / Attach Residential Plan Review List 1A)f4 Road Impact Fees / fV 11 Minimum Application Questionnare 1 HOA/DRC Approval Subdivision Plat Notes Grade/Topography 40% .4)//14 Fire Department Review lanning Issues Valuation DeterminationlFees Subdivision Plat 7 Red Line Plans/Stamps/Sticker General Comments: Attach Conditions _Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Wednesday, September 19, 2012 Applicant Address Date VALUATION FEE DETERMINATION Jess & Nina Petersen, ADU 1451 CR 102, Carbondale 9/19/2012 Subdivision Lot/Block Contractor Finished (Livable Area): Main 612 sq.ft Upper 276 sq.ft Lower sq.ft Other sq.ft X $74.68 Total Square Feet 888 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 Total Valuation 264 116 sq.ft X $41.00 sq.ft X $33.68 sq.ft X sq.ftX $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.ftX $12.00 sq.ft X Commercial sf X sf X sf X sf X sf X sf X Jacqyemin Exemption Lot # 1 Owner 66,315.84 0.00 0.00 0.00 7,728.00 0.00 74,043.84 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. Signature of Oer ste re/ : so, Garfield County Building & Planning 108 8th Street, Suite 401 Glenwood Springs, CO 81601 Phone: 970-945-8212 Fax: 970-384-3470 www.qarfield-countv.com BUILDING & PLANNING DEPARTMENT Building Plan Submittal X. New application Revisions requested by Plans Examiner Information/Corrections requested by Inspector Revisions to approved plans. Building Permit # Contact Information Owners Name: Am Pel mai Job Address: Phone: qL\cftQ CeII: -mail: -ctt Permit Number (if applicable): bt--VEA (P30 108 Eighth Street, Suite 401 • Glenwood Springs, CO 81601 (970) 945-8212 • (970) 285-7972 • Fax: (970) 384-3470