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HomeMy WebLinkAboutApplication - PermitGarfield County I NO. 10493 I Building & Sanitation Department 108 gh Street, Suite #401 Glenwood Springs, Co. 81601 Office-945-8212 Inspection Line-384-5003 ~1 ~{o ~ ~ , ~ 1/M 7-~ :&- Job Address 5;J.l-{ ~~ (/_;MJ., P~ C1'i?f63c; NatureofWork Building P ermit ~ c)L/09 -J..Cf(-IO-Do1 I UseofBuilding T{-(C. ~ ~~ 6\f\~~"')~ ~ Owner ~ r/rMJ-.f ~ c/£(}__ Contractor ~ Amount of Permit $S11 3£ Date~ fo / ;( CiD 7 -t-Cfe5D. 6b VV?f H sdvf ~!"~ CJ 'J9' 3 b fr'<-'-Clerk._(__v t' ~-------=--=;:z:+ INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS MANUFACTURED AND FACTORY BUILT(IRC) BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued.'-/.~/.~.1 ... Zoned Area ............................. ~.Permit No .. ./0~.1.. .. AGREEMENT In consideration of the issuance of this permit the applicant hereby agrees to comply with all laws and regulations related to zoning, location, construction and erection of the proposed structure for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Official and IMMEDIATELY BECOMES NULL AND VOID. INSPECTION RECORD Footing: b-/] -OI Foundation or Blocking : riveway: . 5 p~ .; l u__ BfV... RoughPlumbmg: , , , ',' · , .~ GasPiping: ~-/· 07 '~s'- cr__ L-'-,-z:,'tAA...C .,""Y'J"-'"1... 0 ...J t'-- 1 I ~--------------~----------~------------------------------~ '/!' ' \ , ,) .' 0 . Electrical Final : L)ffll/f/ '(by State Inspector) v v Septic Final : 1"1- Notes: Uhii.......,.Vl'-'". -l:t-!9313 Snow load '1 t) · lbs Serial# of Unit: CJ75''2--0IT>Z-W /3 4- Final: 1-1{ -{) 7 /)J1}- THIS PERMIT IS NOT TRANSFERABLE Phone 384-5003 108 8th Street, Suite 401. County Courthouse Plaza Glenwood Springs, Colorado DO NOT DESTROY THIS CARD APPROVED Date fD/~/07 By., •~'#I t-. (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC) ., c € P erm it N o GARFIELD C OUNTY BUILDING PERMIT APPLICATION 1 0 8 8'h S t r eet, S uite 201, G l e n wood S prings, C O 81 601 l ()~C{ Pho n e : 970-945-821 2/ Fax: 9 70-384-3470 I Inspection Line: 970 -384-5003 , 3 P arcel/Sch edule No R 800360 -~0~'4 \-\0-aa+ J o b Address: 324 M u1 e r a l S pring s C ir cle, Parac hute C O 8 1635 1 Lo t No.: 07 Bl ock No.: 10 S ubd . I Exem ptio n : Tan~·~k ~do ~ 2 Own e r : Cimarron Land & H omes LLC Add ress: 73E Si p p re Ue Dr, Para c hute CO 81635 P h : 285-7330 --u Wk P h : 285-7330 3 C o ntra c tor: C ima r ron La nd & Homes A ddress: 73E S i ppre Ue Dr, Para c hute CO 8 1635 P h : 285-7330 L ic.N o. 4 A rc hite c t I E n gineer : G reg Robaon Addres s : 7 3E Sip pre ll e D r , Parac h u te CO 8 1635 P h : 28 5-7330 Lic.No. 5 Sq. Ft. Of Build i11g : 1369 Sq . Ft . O f L o t : 9028 H e i g h t: 14' No. o f F loors: O n e 6 U s e o f Bui ldmg: S in g le Family Dwe llu1g ~AJJa-"" -:ff<._C ~~ ~~~~.) ......, 7 Describe W o rk: Excava tio n , Fotmdatio n, Bac k FiU, A ttach G a ra g e, F la twork o r .lA 'I o .._)ef (f -..,~ 8 C la ss o f Wor k : 181 New 0 Alterati o n o Re mov e 0 A dditi on 0 Mov e 9 Garage: 0 S in g le CMport: o S ing le 181 Doub le o D o u ble 10 ~(5:wgoel]i ~ D -3q 181 On-Si te Sewage D i s p o s a l ® S i te P la n 11 Val u a tion o f W o rk:$ A d ju s ted Va l u a tio n s: $ ;l d..r (p gq' J) 12 S p e c ia l C ond i tions: NOTICE P la n C h eck Fee: P e r mit Fee: A SE PARATE EL ECTRI CAL PE RM IT IS REQUIRED AND MU ST BE ISS UED BY T H E 23i. It 3.b3z r ST ATE OF CO LORADO. T HIS PERM IT BECOMES N ULL AND VO ID IF WO RK O R CONSTRUCTION Tota ll'ee: 5 "J '3 6 D a te P e 1mit I ssu e d : AUTHORIZ ED IS NOT COMMENCED W ITHJ N 18 0 DA YS, O R IF CONSTRUCTION OR WORK IS SUSP ENDED O R ABANDONED FOR A PERIOD OF 180 DAYS AT . 1 .,o ANY TI ME AFTER WO RK IS COMM ENCED . ~ 'i 0 0 q q '(.3 6 I HEREBY CERTIFY THAT I HAVE READ AND EXAM IN ED T H IS APPLICATI O N OCCGrou p : Con s t. Type : AND I KNOW T H E SAM E TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW S GOVERNING T H IS TYPE O F WORK W ILL BE COMPLETED WITHIN ; :raL v"\~~ .JZ-r3 WHET HER SPECIFI ED H ER ErN O R NOT. TH E GRANTI NG O F A PERMIT DOES NOT PRESUME TO G IVE AUTHO RITY TO VIO LATE OR CA N CEL T H E PROV Ii~ ANY CJT ~TE OR W CAL LAW REG '4<TING Zoning: Setba c k s: CONSTRU N L H E PE . ~FCON ~tCTI O . 'A~.h, './-.5o~(~\ ./ 7 S I ~:OF;)l! DAl 'E f S -l f'-oQ fn\l L .• ~1F;i!';jq Man u . H o m e: ISDS N o .&Fee: ....... ~:'-<- ~)y_ 0 0 (J ~ ~ ~~ B ~P.flWJ: !}LNG . DEPT. I ~, AI' DATE A PPR OVAL I DATE AGREEM ENT PERMI SSION IS H EREBY G RANTED TO T HE APP LI CA NT AS O WNER, CONTRACTOR AND/OR TH E AGENT OF TH E CONTRACTOR O R O W NER TO CONSTRUCT TH E STRUCTURE AS D ETA ILED ON PLANS AND SPECIFICATIONS SUBM ITTED TO AND REV I EWED BY THE BUI LD ING DEPARTME NT. I NCONSIDERATION OFTHE ISS UANCE OFTH!S PERM IT,TH ESIG NERHEREBY AG REES TOCOMPLYW!TH ALL BUI LD ING CODESAND LANDUSE REGULATIONS ADOPTEDB YGARF!ELD COUNTY PU RSU ANTT OAUTHORI TYGIVENIN 30.28.20 1 CRSAS AMENDED. THESIG N ERFURTH ERAGREES T H AT IPTHE A BOV ESAID O RDINANCES ARE NOTFULLYCOMPLI ED W!TH INTHELOCATION,ERECTION,CONSTRUCT ION ANDUSEOFTHEABOVEDESCRIBED STRU CfUR E,THE PERMIT M AY BE REVOKED BY N OT ICE FRO M TH E COUNTY AND T H AT THEN AND TH ERE IT SHALL BECOME NULL AND VOID. ISS UA NCE OF A PERM IT BA SED UPO N PLAN S, SPEC IFICAT IO NS AND O TH ER DATA SHALL NOT PREVENT TH E BUl LDING OFFICIAL FRO M T H EREAFTER REQUIRING THE CORR ECTION OF ERRORS IN SA ID PLA NS, S PE CIFI CA TJONS AND OTHER DATA OR FO R PRE VE NTIN G BUILDING OP ERATIO N BEING CARRIE D O N THEREUNDER W HEN IN VIOLATION O F THIS CODE O R ANY OTHER O RDIN A NC E OR REG ULATIO N O F TH IS JURISDICTION. T H E REVIEW O F SUBMITT ED PLANS A N D S PEC IFICAT IONS AND IN SPECTIO NS CONDUCT ED TH ERE AFTE R DOES N OT CONSTITUTE AN ACCEPTANC E OF ANY RES PO N SIB ILITI ES O R LI A BILITI ES BY GARF IELD COU NTY FOR ERRORS, OM ISS IONS O R DI SC REPANCI ES . T HE RESPO N SIBILITY FO R T H ESE ITEM S A ND IMPLEMENTATION D URI NG CONSTRU CTION RESTS S PEC IFICALLY W ITH THE ARC HITECT, DES IGNER, BU ILDER AND OWNER. COMMENTS A RE INTENDED TO BE CONSERV AT IVE A N D IN SUPPORT OF TH E OWNERS INTE REST. _k_ Garfor m .003 ~l(l V\I~rrreKNOW LEDG ~7; ~~E Rros 3D ER7;1 ~7~~REEM E~AB0~3:~ s-l-o~ l_Jtr c~ oocx; jt~~·( ( ~' ct R- ~ ~ The following items are required by Garfield County for a final inspection: 1. .A final Electrical Inspection from the Colorado State Electrical Inspector. 2. Permanent address assigned by Garfield County Building Department posted where readily visible from access road. 3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows installed, a complete kitchen with cabinets, a sink with hot & cold running water, non- absorbent kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all necessary plumbing. 4. All bathrooms must be complete with wash bowl, tub or shower, toilet stool, hot & cold running water, non-absorbent floors and walls finished and a privacy door. 5. All steps outside or inside over three (3) steps must have handrails, guardrails on balconies or decks over 30" high constructed to all IBC and IRC requirements. 6. Outside grading done to where water will detour away from the building. 7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of extenuating circumstances, i.e., weather, but a Certificate of Occupancy will not be issued until all the required items are completed and a final inspection made. 8. A final inspection sign off by the Garfield County Road & Bridge Department for driveway installation, where applicable; as well as any final sign off by the Fire District, anchor State Agencies where applicable. A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. ****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY (C.O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, u,.se ,<m_d the issuance of a Certificate of Occupancy for the dwelling under building permit# / Ofi 3 ~~ slo?>( 'Zcol Signature Date Bpcont0ct2004 VALUATION/FEE DETERMINATION Applicant C \ t/\1\,. PrtLtl& ._) L-\-\+ S ubdivis ion &ttt\--1~ \Mil--:x:- Address 3'2-'-\ ""' ~,..,~ c,~ Dat e S-l ~-a"? LoUBlo ck L '7. t3 Ill t"t> Contractor ~ Fin i shed (Liva b le Area): Mai n Upper Lower Other Baseme n t: Total Sq u are Feet Valuat io n Unfin ished Conv ers ion of Un fin ished to Fini shed Plan Check Fee fo r <;onv e rsion Va lu at ion C rawl Space: "2. t_a -/.J lxq::. Va luatiOn Decks/Pati os: Covered Valuat ion Open Va lua tion 4 '¢: 3'? 2 'l 'f - I{)..., 3 'J..(. d"D To tal Val u ati on 4. 2 Z /::,BtJ 01) ) 7· '-' ""'~ 1. Is a site plan included that identifies the location of the proposed structure or addition and distances to the property lines from each corner of the proposed structure prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or more must be shown on site plan. (NOTE: 106.2) Any site plan for the placement of any portion of a structure within 50 ft. of a property line and not within a previously surveyed building envelope on a subdivision final plat shall be prepared by a licensed surveyor and have the surveyors signature and professional stamp on the drawing. Any structure to be built within a building envelope of a lot shown on a recorded subdivision plat shall include a copy of the building envelope as it is shown on the final plat with the proposed structure located within the envelope. Yes X 2. Does the site plan, when applicable, include the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes X 3. Does this site plan include any other buildings, setback easements and utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying for a building permit on is located on a corner lot. Special setbacks do apply. Yes X 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes X 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the uniform building code or per stamped engineered design? A floor plan of the modular unit showing exterior doors is required. Yes X 6. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? The building permit application will not be accepted without it. Yes X No. _____ _ 7. Will this be the only residential structure on the parcel? Yes X No IfNo,Explain _________ _ 8. Have two (2) complete sets of construction drawings been submitted with the application? Yes X 2 9. For the placement of a manufactured horne, have the following been specified? The size of the unit (min. 20ft x 20ft); live roof load (min. 40# could be more depending on elevation of property); wind design (min. wind speed of 90 mph); foundation design; method of anchoring? Yes X 10. Have you designed or had this plan designed while considering building and other construction code requirements? Yes X No __________ _ 11. Do your plans comply with all zoning rules and regulations in the County related to your zone district? Yes X No _______ _ 12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes X No. _________ _ 13. Do you understand that approval for design and/ or construction changes are required prior to the application of these changes? Yes X No. _________ _ 14. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "Road Impact" or "Septic System" fees required, at the time you pick up your building permit? Yes X No. ____ _ 15. Are you aware that you must call in for an inspection by 3:30 the business day before the requested inspection in order to receive it the following business day? Inspections will be made between 7:30a.m. and 3:30p.m. Monday through Friday. Inspections are to be called in to 384-5003. Yes X No. _________ _ 16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re-inspection fee? Yes X No _____ _ 17. Are you aware that you are required to call for all inspections required under the IRC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes X No. _________ _ 3 18. Are you aware as part of the submittal for a building permit, you are required to show proof of a driveway access permit from Garfield County Road & Bridge Department or if applicable the State Highway Department? If a permit is not necessary, then a letter stating that information is required. You can contact the Road & Bridge Department at 625-8601 or refer to the phone book for the State Highway Departments number if applicable. Yes X No. _____ _ 19. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups unless you, as the homeowner are performing the work? The license number of the person performing the work will be required at time of applicable inspection. Yes X No. _____ _ 20. Are you aware that on the front of the Building Permit Application , you will need to fill in the Parcel/Schedule Number for the lot you are applying for this permit on prior to the submittal of a building permit application? Your attention in this is appreciated. Yes X No _____ _ 21. Are you aware that you will need to have your installer obtain an installation inspection as per the State Division of Housing requirements prior to the County building department doing their final inspection? The state will charge a fee for this inspection. Yes X No· _____ _ 22. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an agent and that the party responsible for the project must comply with the Uniform Building Code? Yes X No _____ _ 23. Are you aware, that if you receive your water and/ or sewer from an Association, a District or Municipality, you will be required to provide the County with a copy of the Tap Permit (or evidence of an exemption) at the time of the building permit application submittal? Yes X No _____ _ 24. Do you understand that if you are planning on doing any excavation or grading to the property prior to issuance of a building permit that you will be required to obtain a grading permit? Yes X 4 I hereby acknowledge that I have read, abilitk~ Signature of Owner Phone: (970) 285-7330 (days) understand and answered these questions to the best of my Date ------"N_,_,/,_,A~ ______ (evenings) Project Name: Cimarron Land & Homes, LLC I Manufactured Home on Foundation Project Address: 324 Mineral Springs Circle, Parachute CO 81635 Notes: If you have answered "No" on any of the questions, you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected. Work may not proceed without the issuance of a permit. If it is determined by the Building Official that additional information is necessary to review the application and plans to determine minimum compliance with the adopted codes, the application may be placed behind more recent applications for building permits in th e review process and not reviewed until required information has been provided and the appli cation rota te s again to first position for review, delay in issuance of the permit or delay in proceeding with con s truc tion. bpminreqmhFeb2005 5 PLAN RE,TIEW CHECKLI ST A pplicant C:, M .a--art-e! ;./ L .f H Building L._Engineered Foundation _Lnriveway Permit ~urveyed Site Plan ~Septic Permit and Setbacks ~ ~Grade!fopography 30 % ~Attach Residential Plan Rev iew List ~ini mum App lication Quest ionnaire /S ubdivision Plat Notes kf/LF ire D epartme nt Rev iew ~Va lu at i on Determi n a ti on/Fees ~L i n e Plans/Stamps/S ticker ~Attach Conditions ~pplication Signed ~eviewer To Si gn Appl icat ion ~Parce l /Sche dul e No. v 40# Snowload Letter-Manf. Hms. --L.L' Soils Report GENERAL NOTES: Date _ ___..S=='---'/'-'f',_--=0 _'7 ____ _ rade!fopography 40 % Plan ni ng Issues __ Subdivi sion Pl at Notes 04/19/2007 22:57 6258627 ROAD AND BRIDGE PAGE 02 Garfield Aoplicatlon for Driveway Permit Person Obtaining Permit: Cimarron Land and Homes Application Date: 411012007 County Road Number: District: Silt Permit Number: GRB07-D-39 Termination Date: 511012007 Inspector: Jake Mall hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es) on the right-of-way off of County Road._. of 314 Mineral Springs Circle, located on the E.!!! side of road for the plll'pOse of obtaining access to property. Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the proposed installation showing all the necessary specification detail including: I. Frontage oflot along road. 2. Distance from centerline of road to property line. 3. Number of driveways requested 4. Width of proposed driveways and angle of approach. 5. Distance from driveway to road intersection, if8ny. 6. Size and shape of atea separating driveways if more than one approach. 7. Setback distance ofbuilding(s) and other structw-e improvements. 8. No unloading of equipment on county road, any damage caused to county road will be repaired at subdivision expense. 9. Responsible for two years from tbe date of completion. Gener!ll Provisions I) The applicant represents all parties in interest, and affinns that the driveway approach (es) is to be constructed by him for the bona fide PUI'J'OSC of securing access to his property and not for the plll'pOse of doing business or servicing vehicles on the road right of way. 2) The applicant shall furnish all labor and materials, perform all work, and pay all costs in connection with the construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date. 3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their representative and all materials used shall be of aatisfactory quality and subject to inspection and approval of the Board of County Commissioners or their representative. 4) The traveling public shall be protected during the installation with proper warning signs and signals and the Board of County Commissioners and their duly appointed agents and employee shall be held hannless against any action for personal injwy or property damage sustained by any reason of the exercise of the Permit. S) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of the driveway approach (es) even though deposited on the driveway(s) in the course of the County snow removal operations. 84/lg/2887 22:57 G258G27 ROAD AND BRIDGE PAGE 83 6) In the event it becomes necessary to remove any right~of-way fence, the posts on either side of the entrance sha11 be surely braced before the fence is cut to prevent any slacking ofth~ remaining fence and all posts and wire remo.ved shall be turned over to the District Road Supervisor of the Board of County Commissioners. 7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written permission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on aU roads under the jurisdiction of the Board of County Commissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and incorporated herein as conditions hereof. 9) Final inspedion of driveway will be required upon completion aDd must be approved by person issuing permit or representative of penon Issuing permit. The Inspection and sign off must be done prior to aay CO from tbe Building and Phumlng DepartmeJlt being issued. 10) Contractor agrees to all Provisions In Exhibit A. 1. Driveway Widtb.-16' l. Culvert required? False Size: by 3. Asphalt or concrete pad required? False Size of pad: 4. Gl'avel portion required? False Length: 5. Trees, brush and/or fence need to be removed for. :vislbiUty? False 6. Distance and Direction: 7. Certified Traffic Control Required? False 8 . Work zone signs required? False In signing this application and upon receiving authorization and permission to install. the driveway approach (cs) described herein the Applicant signifies that he has l'ead,. understands and accepts the foregoing provisions and conditions and agrees to construct the driveway(s) in accordance ~th the accompanying spec.ification plan reviewed and approved ~ ~· by the Board of County Commissioners. Signed: .A.A.--Cr-.. JmarronanallfHomcs AddTess:j~ SiWe}~ t>r L::s\-e.E3 , 'Pcracb.,st<!. co ~ ll.o1S Telephone Number: (C:no\2.. ~S -1 ~ Permit g1:anted 4/20/2007, subject to the provisions, specifications and condltlons stipulated herein. For Board of County Commissioners' of Garfield County, Colorado: Representative of Garfield County Road and Bridge Signature 04/19/2007 22:57 6258627 ROAD AND BRIDGE PAGE 05 BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLZGAL ALIENS The Contractor, whose name and signature appears below, certifies and agrees ae follows: 1 . The Contractor shall comply with the provisions of C.R.S. 8-17.5-101 et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work for the Board of County Commissioners of Garfield County , Colorado ("BOCC ") or enter into a contract with a subcontractor that knowingly employs o~ contracts with an illegal alien . 2. The Contractor represents, warra.nts, and agrees that it has verified that it does not employ any illegal aliena; that it has participated or attempted to participate in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security; and otherwise shall comply with the requirements of C.R .S . B-17.5-102(2) (b). 3. Tbe Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S . 8-17.5-102 by the Colorado Department of Labor and Em~loyment . If the Contractor fails to comply with any requirement of this provision or c.R.S. 8-17.5-101 ec eeq., the BOCC may terminate work for breach and the Contractor'shall be liable for actual and ~onsequential damages to the State . 4 . If the Contractor ie a sole proprietor, the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (check one) : .. I am a United ~tates citizen,, .oz:- I am a Permanent Resident of the .United States, or I am lawfully present in the United States ~ureuant to Federal law. I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the BOCC . I understand that state law requires me to provide proof that I am lawfully present in the United States prior to starting work for the BOCC. I further acknowledge that I will comply with the requirements of C.R.S. 24-76.5 -101 et seq. and will produce the required form of identification prior to starting work . I acknowledge that making a false. fictitious, or fraudulent statement or representation in this sworn affi~avit is punishable under the criminal laws of Colorado as perjury in the second degree under C .R.S. 18-8 -S OJ. CERTIFIED and AGREED to this ~() day of -'-~~tL-1\....:::l:.....___, 2 o(]. 2\:J-3 l~0 2.04 E NTRACTOR : ~ ( fS\Qf'('()'(:., lo.l\d ..-.. \\~ Ll.c.. (Contractor Full Legal Name) FEIN or Social Security Number By : ~,...;.. C2&& ~ Signature of Authorized Rep Permit Number: GRB07-D-39 Exhibit A BATTLEMENT MESA SERVICE ASSOCIATION ARCHITECTURAL COMMITTEE APPLICATION & CHECKLIST (for New Home Construction projects) Homeowner: _Ryan Green and Kortnie Valencia_ Home Mailing Address: _800 South Whitewater Avenue #1B, Rifle CO 81650_ Home Phone: _(970) 618-6999 _ Project Address: _324 Mineral Springs Circle_ Lot: 07 Block: 10 Subdiv: Tamarisk Meadows Production Home Plan Name (if applicable),: _Skyline Manufacture Home Plan "Madison" Model_ Homebuilder: Cimarron Land & Homes, LLC. Business Mailing Address: 73 Sipprelle Drive I Suite E3, Battlement Mesa CO 81635 Business Phone: (970) 285-7330 Fax (if desired): (970) 285-7303 Submittal Date: _ 05/02/07 _ Estim. Start Date: _ 06/04/07 _ Estim. Completion Date: _ 08/31107 _ SUBMITTAL REQUIREMENTS: Two Copies each of items 1, 2 & 4 need to be submitted. (Check-off items attached to the Application. Fill in spaces as indicated.) X 1. Site Plan Drawing ( 111 = 1 0' or 111 = 20' scale) with the following information shown: X Lot, Block & Subdivision n ame. X Street Address of Project. X Building Setback Lines (also fill-in the shortest distance between property line to the exterior wall clos est to tha t property line). Please be aware that all Building Setback Lines are taken from your Property Line Pins!! Your Property Line is NOT the Curb Line!! X n/a X X X n/a Front Setback: Left Side Setback: Right Side Setback: Rear Setback: Utility Easements. Dwelling Unit 43'0 12'0 28'0 18'0 55' C lear Site-Line at Intersection Corner Lots. Site Grading Elevations & Drainage. Garage 19'0 n /a 12'0 n /a First (main) Floor Height in relation to top of street curb at front-center of lot. Driveways (including width of driveway), Walkways, Patios, etc. Outbuildings. Page 2 of 6 _X_ 2. Architectural Drawings (1/4" = I' or 1/8" = I' scale) with the following information shown. X Floor Plan(s) with overall dimensions (fill-in the following square foot areas). n/a First Floor Finished Living Area: Second Floor Finished Living Area: Lower Floor Finished Living Area: Total Finished Living Area: Total Unfinished Living Area: Garage Area: _1369 _square feet _n/a_ square feet _ n/a _ square feet _1369 _square feet _n/a_ square feet _576_ square feet Building Elevations Plans indicating doors, windows, exterior materials, building height, roof pitch, roof-mounted evaporative coolers, etc. (Std. manuf. home plan on file.) Maximum building height to highest ridge line or building structural projection _14 _feet above top of street curb at front-center of your lot. X Engineered (stamped) Foundation Plan. n/a Outbuildings indicating dimensions, elevations and overall height to ridge line. _X_ 3. Exterior Materials (fill-in the selections below): X X X X n/a n/a X X Roofing Material: _3-Tab Comp. Shingle_ Primary Siding Material:_ Vinyl Lap_ Accent Siding Material: _Vinyl Shutters_ Trim Material: _Vinyl_ Masonry Material: _n/a_ Stucco Material: n/a Front Door Material: _Insulated Steel_ Garage Door Material: _Steel Overhead Door_ Color: _Gray_ Color: _Country Beige_ Color: _Arresting Auburn_ Color: White -- Color: _ n/a _ Color: _n/a_ Color: _Pre-Finished White_ Color: _Pre-Finished White_ BODY COLOR TRIM COLOR ACCENT SHUTTERS (WHITE) Page 3 of 6 n/a n/a X n/a n/a n/a n/a n/a 4. Landscape/Irrigation Plans with the following information: Planting Plan (indicate areas ofirrig.lawn, tree placement, shrub beds, ground cover, etc). Plant Material listing by species of trees, shrubs and grasses. Groundcover Material with weed control barrier. Fences. Other Landscape Improvements (decks, site lighting, flag poles, etc.). 5. Variance Request (if applicable) Give details below: 6. Residential Construction Monetary Deposit: (Existing pre-paid deposit by CLH.) 1/We hereby acknowledge and understand that our failure to complete Home Construction, Improvement Projects or Landscaping Construction within the time constraints noted in Conditions 2. & 3. On Page 6 of this Application will result in a Notice and Opportunity for a Hearing before the BMSA Board of Directors. If 1/W e are found in violation of these Conditions at the Hearing it will result in a fine to the Owner of not less than $500.00 per month for each full month in excess of the allotted completion time frame. 1/We hereby acknowledge that Home Construction or Improvement Projects or Landscape Construction features which are built in non-conformance with this full application, including the Conditions of Approval noted on Page 6 of6 herein, 1/Wewill be cited by the BMSA/AC in written citation form at the time of discovery. In extenuating circumstances a Variance may be requested from the BMSA/AC, provided such Variance request item is within the purview and approval jurisdiction of the BMSA/AC. If a Variance is not granted by the BMSA/ AC and if theN on-Conforming Items are not corrected within 60 days after the date of written citation, 1/Wewill be served Notice ofa Hearing before the BMSA Board of Directors, and ifi/We are found in violation of these Non-Conforming Items at the Hearing 1/We will be fined a minimum of $500.00 per Non-Conforming Item. Notwithstanding the foregoing, 1/We acknowledge that the BMSA Board of Directors and/or Architectural Committee may pursue any legal remedy available in the event of a non-compliance. Page 4 of 6 Failure to pay fines levied as determined at the Hearing may also result in a Lien being placed on your Property or litigation Process initiated by the BMSA Board of Directors to secure conformance with this full Application and its respective Conditions Of Approval. 1/We understand that Architectural Committee approval does not constitute approval ofthe local building department, drainage design or structural soundness, nor does it constitute assurance that the plans comply with all applicable codes, regulations, ordinances and laws. 1/We further acknowledge that any subsequent field changes which 1/We may desire to the Home Construction or Improvement Projects of this original Application Submittal and the original Conditions of Approval issued by the BMSA/AC will require an additional Revised Application Submittal on our behalf, and that 1/We will not proceed with any subsequent field changes until a Revised Conditions of Approval have been issued to us by the BMSA/AC. Owner's Signature(s): Owner's Printed Name(s): Owner's Signature(s): Owner's Printed Name(s): Builder's Signature: Builder's Printed Name: ~· :;;J;:;;;{/JU/w _Kortnie Valencia_ _William Wilde, Manager_ Page 5 of 6 This portion of the Application Form is to be completed by the Architectural Committee (not the Applicant). CONDITIONS OF APPROVAL or DISAPPROVAL I. No sitework or building construction may proceed on any Lot (including no preliminary site clearing, grubbing, grade alteration, storing of material, foundation excavation, extension of underground utilities, etc.) until the Project has received a Project approval from the Architectural Committee and has been issued a Building Permit (as required by Garfield County for new home or Renovation projects). 2. All general building and site improvements construction for any Project shall be completed and shall have issued a Certificate of Occupancy from the Garfield County Building Department no later than one (1) year after the issuance date of this Architectural Committee Approval. 3. The complete landscaping and revegetation of the improved Lot, to specifically include the front, side and rear yard areas, shall be completed no later than six (6) months from the date of the Certificate of Occupancy. 4. If the selection of colors and /or landscaping plans are not included with this application they must be submitted for approval before any action is taken to install the missing items. 5. 6. Comple~ion Date Architectura~omlee 7. Date:~~? Application Denied (Initials of Architectural Committee Members): By: Application Denied for reason(s) stated above: ByChalrman: ______________________________________ __ Date: ________ _ Page 6 of 6 Date Issued: Issued To: Address: Telephone#: Type of Connection: Describe Other: Service Address: PERMIT FEE: CONSOLIDATED METROPOLITAN DISTRICT CONNECT PERMIT April 19, 2007 Permit #: C02-5251 Cimarron Land & Homes, LLI Homeowner ('{:ontracto0 73 Sipprelle Dr. Suite E3 Parachute, Co. 81635 324 Mineral Springs Circle $50.00 Other The permit fee covers the cost of ONE trip to inspect all services indicated above. If more than one inspection trip is required , they will be billed at $35.00 pt:r trip. Plans mus t bt: submillt:d to lht: District for approval PRIOR to this permit being issued to insure compliance with the District Rules a nd Regulations. Connections and installations must be in accordance with th e approved plans. The District requires a 24 hour notice for all inspections (excluding weekends and holidays). No inspections will be performed on weekends or holidays . All connections and lines must be fully exposed for inspections. All service connections must be inspected and approved prior to the District providing water and sewer services. C ustomer Signature: Date: ~ l1 q / 01 Issued By: Kristin 1111 ~ ~~~.~~N~rMt£N\,ti;J,W.Wi:M:M\~ II Ill Reception~: 722784 05/07/2007 04 :26 :12 PM 8:1923 P :0766 Jean Alberico 1 of 2 Rec Fee :$11 .00 Doc Fea :1 .70 GARFIELD COUNTY CO WARRANTY DEED THIS DEED, made this 3rd day of May, 2007 between BATTLEMENT MESA PARTNERS, a Colorado General Partnership, as Grantor, and Cimarron Land & Homes, LLC whose address is: as Grantee. 363 County Road 251, Rifle, CO 81650 WITNESSETH, That, the Grantor, for One Hundred Dollars ( $100.00 ), and other good and valuable consideration, the receipt and adequacy of which are acknowledged , has granted, bargained, sold, conveyed and tran sferred, and by these presents does grant, bargain , sell, convey an d transfer to Grantee, its heirs and assigns forever , all the real property, together w ith improvements, i f any, situate in Garfield County, Colorado, to-wit: Lot7 Block 10 First Amended Plat of Tamarisk Subdivision Filing No.2 According to the plat recorded August 17 , 1998 as Reception No. 530564 also known by street and number as: 324 Mineral Springs Circle Parachute, CO 81635 RESERVING AND EXCEPTING unto the Grantor all water and water ri ghts (whether tributary, non-tributary or not non-tributary, adjudicated or unadjudicated), ditches and ditch rights, reservoirs and res ervoir rights , wells and well rights, and springs and springs rights on, underlying, and appurtenant to, or hi storicall y used in connection with , said lands: AND FURTHER RESERVING AND EXCEPTING unto the Grantor all mineral s and mineral rights, rights to oil and gas, and oil and gas royalties in and under said lands, which otherwise have not been reserved previously or conveyed by parties other th an Grantor, and the right and privileges of mining and/or re moving same in sofar as s uch can be removed without materially impairing the subsurface or lateral support of said lands. TOGETHER with all and singular the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining, and the reve rs ion and reversions, remainder and remainders, ren t s, issues and profits thereof; and all of the estate, right, title, interest , claim and demand whatsoever, of th e Grantor, either in Jaw or equity, in and to the lands described herei n. TO HAVE AND TO HOLD the said lands and tenements , hereditament s and appurtenances unto Grantee, its heirs and assigns forever; subject, however, to all easements, covenants, conditions, restrictions, reservation s, exceptions, rights-of-way, and other matters of re co rd affecting the herein described lands, all building and zoning regulations of Garfield County, Colorado, all special or other statutory districts, ad valorem taxes for the current year and succeedin g years, di screpancies , conflicts in boundary Jines , shortage in area, encroachments, and any fact s w hich a correct survey and inspection of the land s described herein would di sclose and which are not shown by the public records . And the Grantor, for itself and its successors, covenants and agrees to and with the Grantee, its heirs and assign s, to warrant and forever de fend all said lands and rights in the quiet and peaceable possession of said Grant ee, its heirs and assig ns, against all and every person or persons lawfully claiming or to cl aim the whole or any part thereof. ).70 1111 ~~ ~~tiM.~J.l.I'W,~tltr,~jiii~:II!','IN IIIII ~ecept1on#; 722784 05/07/2007 04:26:12 PM 8:1923 P:0767 Jean Alberico 2 of 2 Rec Fee:$11 .00 Doc Fee:1.70 GARFIELD COUNTY CO IN WITNESS WHEREOF, Grantor has executed this Deed on the date first set forth above. BATTLEMENT MESA PARTNERS, A COLORADO GENERAL PARTNERSHIP By: Community Holdings West, Inc., a General Partner By: Eri Title: Authorized Agent State of Colorado ) ) SS: County of Garfield ) The foregoing instrument was acknowledged before me this 3"' day of May, 2007 by Eric Schmela as Authorized Agent for COMMUNITY HOLDINGS WEST, INC., a Colorado Corporation, General Partner of BATTLEMENT MESA PARTNERS, a Colorado General Partnership. WITNESS my hand and officfa(seai: My commission expires: When recorded, return to: Cimarron Land & Homes, LLC 363 County Road 251 Rifle, CO 81650 c:\BMP deeds '07.wpd ~~~~~~~~~~~~ Notary Public ·~ No. _ __._{-=.O_L('--'t'-"3=---- Setbacks: Front Rear _____ RH, _____ LH _____ Zoning ____ _ J:"i\c_ 1-~"'-1 ~ ~ CV\-INSPECTIONS Soils Test~~ c.:O( df · ~~ Weatherproofing ___________ _ Footing · ~-1,;?-~,.(}rn Mechanical _____ ---r....-c,.--,-=--r----- Foundation (,~.__. 1-!') -o ~ p¥ Electrical Rough (State) 'd-/-01 ~ Grout Electril:at.Fi n~UState) __ ?.-"-::...!!:fP:.::-:..~<0~7'-----,--- Underground Plumbing Finai21;/Y..i1/AJ7tlehecklist Com_e.leted? ,.......-- Rough Pl~bing ~~ v\• ~~~ Certificate Occupancy_£ ,56-=t'B' Fram1ng _-~-'!lT-D?~ Date_-.-.,JQ~-::.t.:I~::~.-:_O~±:t::-____ _ Insulation Septic System #-Lrl:::.t-I:..:A-c_ ________ _ Roofing------------Date 1.;..t.,. Drywall ---::;:--,---:---,,--c-----final IVfr Gas Piping ~y,_,· ''-'\_:_-,_a '\-'----'lW¥-h.ttl---Other d.~ Q._j~ ~= D -3~ NOTES {)l_ {i)yll\.' ,~'313 I OM 'Ztf I EXTERIOR Address No.------------- Drainage-------------- Decks-support & clearance to wood ------ Decks-stairs & rails __________ _ Exterior locks----'--------- Flashing around doors & windows------- Insect screens------------ INTERIOR GARAGE Fire wall separation __________ _ Service doors-Hit" min.---------- Door (20 min.) w/auto closer-Hit" min. _____ _ Mach. equip. 18" above floor _______ _ No opening into sleeping area _______ _ BASEMENT-CRAWL AREA Access _____________ _ Insulation-------------- Headroom/Stairs ___________ _ Ventilation------------- FINAL CHECKLIST MECHANICAL ROOM Boller ___________ _ Hot water __________ _ FA gBB/oll _________ _ Floor drain _________ _ Clearance __________ _ Air con. system ________ _ Hot water heater _______ _ Combustion air ________ _ Gas piping, valves _____ __.:. __ LPG Drain---------- FIREPLACE/STOVE Clearance to combustibles _____ _ Termination of chimney ______ _ Combustion air ________ _ Hearth (12" or 20" on sides) ____ _ Glass doors _________ _ Certified by:---------- REMARKS (continue on back) STAIRWAYS . Headroom (6'6") ---------- Railing & guardrails --------- Widlh--~---------­ Rise & run------------ KITCHEN Clearance above grill ________ _ Exhaust fan----------- Broiler exhaust (1 hr. chase)------- BEDROOMS Egress ____________ _ Smoke detector---------- BATHROOMS Exhaust fan------'----- Shatterproof glass _________ _ OTHER Parcel Detail Page 1 of 3 Garfield County Assessor/Treasurer Parcel Detail Information AssessQJ:/TreasurerProperty Search I Assessor SubseLQue_ry I As~s"essor Sales Search Cle.r.k .& RecorderRgcep!ion.S.e.an:h I3asiGI3Yilding Clwracteristics I Tax Infonnation Parcel Detail I Value Detail I Sales Detail I Residential/Commercial Improvement Detail Land Detail I Photographs I TaxArea II Account Number II Parcel Number II Mill Levy I I o8o II R800360 II 240924110007 II 39.826 I Owner Name and Mailing Address !BATTLEMENT MESA PARTNERS I IPOBOX6000 I !PARACHUTE, CO 81635 I Legal Description lsECT,TWN,RNG:24~7-96 SUB:TAMARISK IAMD PLAT FLG #2 BLK: 10 LOT:7 DESC: IRESUB OF BLOCKS 6,7 & 8 PRE:R770001 IBK:0747 PG:0194 BK:0735 PG:0142 IBK:0601 PG:0658 BK:1765 PG:966 I IRECPT:690932 BK:1668 PG:443 I IRECPT:669853 BK:0769 PG:0518 I Location Physical Address: IIMINERAL SPRINGS CR PARACHUTE! Subdivision: IITAMARISK AMD PLAT FLG #2 I Land Acres: llo Land Sq Ft: 119,028 I I Section II Township II Range I I 24 II 7 I 96 I http://www. garcoact.corn/ assessor/parcel. asp? Accoun tN umber=R8003 60 517/2007 Parcel Detail Property Tax Valuation Information II Actual Value II Assessed Value I I Land: 5,95oll I Im~rovements: II oil I Total: 5,95oll ll lli==========Sa=le=D=a=te==!: I .I Sale Price: I Basic Building Characteristics Number of Residential 0 Buildings: Number of Commllnd lo Buildings: No Building Records Found Tax Information Tax Year Transaction Type 2006 Tax Payment: Whole 2006 Tax Amount 2005 Tax Payment: Whole 2005 Tax Amount 2004 Tax Payment: Second Half 2004 Tax Payment: First Half 2004 Tax Amount 2003 I Tax Payment: Second Half 2003 II Tax Payment: First Half 2003 Tax Amount 2002 Tax Payment: Second Half I 2002 Tax Payment: First Half 2002 Tax Amount 2001 Tax Payment: Second Half 2001 Tax Payment: First Half 2001 Tax Amount 2000 Tax Payment: Second Half II http://www. garcoact.cornl assessor /parcel.asp? AccountN umber= R800360 1,7301 0 1,7301 I Amount I ($66.52)1 $66.521 I ($86.46)1 $86.461 ($44.50)1 ($44.50)1 $89.001 ($51.24)1 I ($51.24)1 $102.481 ($56.20)1 ($56.20)1 $112.401 II ($53.50)1 II ($53.50)1 II $107.001 II ($61.36)1 II Page 2 of 3 5/7/2007 Parcel Detail 2000 Tax Payment: First Half ($61.36)1 2000 Tax Amount $122.721 1999 Interest Payment ($0.50)1 1999 Interest Charge $0.5ol 1999 Tax Payment: Second Half II ($50.40)1 1999 Tax Payment: First Half II ($50.40)1 1999 I Tax Amount II $100.801 Top of Page Assessor Database Search Options [ Treasurer Database Search Options Cl~Jk & Recorder Database Se.i!Icll.Qp1ioni; Garfield County Home Pag,~ Page 3 of3 The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2006 Good Turns Software. All Rights Reserved. Database & Web Design by 0..9D.d_Il!f!lJLSoftwan;. http://www. garcoact.corn/ assessor/parcel.as p? Accoun tN umber=R8003 60 517/2007