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HomeMy WebLinkAboutApplication-Permit'Prof Address Garfield County Building & Planning Department 108 6th Street Suite 401 Glenwood Springs, CO 81601 - Phone: (970)945-8212 Fax: (870)384-3470 Parcel No, Issue Date: 10/14/2009 Expires: 0411212010 Subdivision Section SCR 108 CARBONDALE, CO 81623- 239332100378 Owner Information Address Phone Township 32 7 Cell Range 88 Crytal River Ranch Co. 1470 CR 108 Carbondale CO 81623 Contractor(s) Phone Primary Contractor Structural Associates (970)945-0147 Yes Proposed Construction 1 Details Employee house #6 on crawl space with a covered deck FEES DUE Fee mount Plan Check Fee $432.09 Residential Building Fee $664.75 Total: $1,096.84 Valuation: $ 52,255.68 Total Sq Feet: 576 FEES PAID Inv:Total P P rp Amt Paid Amt Due., inv # BLRE-10-09-19794 $ 1,096.84 Check # 57539 Check # 59187 $427.54 $669.30 $ 0.00 Required inspections: Far Inspections call: 1(970)384-5003 Inspection IVR See Permit Record Building Department Copy Wednesday, October 14, 2009 2 GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8th Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-82121 Fax: 970-384-3470 / Inspection Line: 970-384-5003 www.garfield-eounty.com 1 Parcel No: (this information is available at the assessors office 970-945-9134) V361;32_4 CO Tie 2 !!, Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description 1.-4429,_- (,c�r�N'rti 121) ft 3 , oke -A -1,01 -3 -PA -L-6, CO g 2.3 3 Lot No: Block No: Subd./ Exemption: 4 Owner: (property owner) C1 45 K AXe t. R e-4 CO Mailing Address: I X410 C12 4 ESS , C c" /4 Ph: 6i ( S —'22-44 Alt P ; u P S Contractor: Steve-flJV- ._ c.k Mailing Address: 4iccS C.c l -t1`'( 22-1)1 Ph: q40-0141 Alt Ph: '3- cj - 5 C.60 Const Type: tS W Zoning: Mailing Address: Ph: Alt Ph: 7 Sq. Ft. of Building: S-1 (le Sq. Ft. or Acres o. t•� �. lief Ci i lot -~ No. of Floors: 1 8 Use of Building: 9 Describe Work: 10 Class of Work: .o/New ca Alteration o Addition 11 Garage: /c o Attached ❑ Detached Septic: SDS o Communi 12 Driveway Permit: k Owners valuation of Work: $ { 5 o00 Authority. This application for a Building Permit must be signed by letter of authority, signed by the Owner, must be provided A Building Permit cannot be issued without proof of Multiple separate permits may be required: (1) State NOTICE the Owner of the property, described above, or an authorized agent. If the signature below is not that of the Owner, a separate with this Application. legal and adequate access to the property for purposes of inspections by the Building Department. Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or Discharge Permit. authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of ISO CERTIFICATION contained above is true and correct. I understand that the Building Department accepts the Application, along with the plans based upon my certification as to accuracy. a Building Permit will be issued granting permission to Inc, as Owner, to construct the structure(s) and facilities detailed on and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Regulation(s)). 1 acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, are not in compliance with County Regulation(s) or any other applicable law. described above, to inspect the work, I further acknowledge that the issuance of the Building Permit docs not prevent the if any, discovered atter issuance; or (2) stopping construction or use of the structure(s) or facihty(ies) if such is in violation the work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without THE NOTICE & CERTIFICATION ABOVE: Levi Aceeg.,, Other Permits. County Highway/ Road Access or a State Wastewater Void Permit, A Building Permit becomes null and void if the work I hereby certify and specifications Assuming the submittals In consideration Code, ISDS construction I hereby grant Building of County Review of or discrepancies. limitation I HER days after commencement. that 1 have read this Application and that the information and other data submitted by me or on my behalf (submittals), completeness of the submittals and approval of this Application, reviewed by the Building Department. of the issuance of the Building Permit, I agree that I regulations and applicable land use regulations (County or use of the structure(s) and facility(ies), described above, permission to the Building Department to enter the property, Official from: (1) requiring the correction of errors in the submittals, Regulation(s) or any other applicable law. this Application, including submittals, and inspections of As the Owner, 1 acknowlcd t responsibility for .• , architect d ':ner, en' • • a _-'f! ilder, CKNOW i•GE ' ` ��"���fff'TTT. AD AND UNDERSTAND i 0 ,ERS Si` , TURF'S` DAT STAFF USE ONLY Special Conditions: Adjusted Valuation: 6'220%46 Plan Check Fee: 4%.06t Permit Fee: 661.7 Mann home Fee: Misc Fees: ISDS Fee: ` '' i s,bb Total Fees: I u0 s Fees Paid: n• L1 Balance Due: BP No & Issue Date: ISDS No & Issued Date: -iaa`+- --i Setbacks: Group: OCC Group: U Const Type: tS W Zoning: BL G DEPT: \ NX'.1).. ' 0/7/061 P GDEPT: N AA` APP OVAL DATE APPROVAL DATE 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 Depai tn ent and posted at the structure and where readily visible from access road. 3) A finished roof; a lockable building; completed exterior siding; exterior doors and windows installed; a complete kitchen with cabinets, sink with hot & cold running water, nonabsorbent kitchen floor covering, counter tops and finished walls, ready for stove and refrigerator; all necessary plumbing. 4) All bathrooms must be complete, with washbowl, tub or shower, toilet, hot and cold running water, non-absorbent floors, walls finished, and privacy door. 5) Steps over three (3) risers, outside or inside must be must have handrails. Balconies and decks over 30" high must be constructed to all IBC and IRC requirements including guardrails. 6) Outside grading completed so that water slopes away from the building; 7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of extenuating circumstances., i.e. weather. Under such circumstances A Certificate of Occupancy may be issued conditionally. 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, and/or State Agencies where applicable. A CERTIFICATE OF OCCUPANCY (C.O.) WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. A C.O. MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED. OWNER CANNOT OCCUPY OR USE DWELLING UNTIL A 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, use and the issuance of a C.O. for the building identified in the Building Permit. OWNER SIGNAT Bapplicationdecember2007 Building Plan Review Description of Work: Employee house #6 on crawl space with a covered deck Bin #: E-4 Location Address: 1443 CR 108 CARBONDALE, CO 81623 General In rmation Contacts Case Manager: Ken Smith Plan Case Number: BLDG -10-09-6140 Parcel: 239332100378 Application Date: 10/06/2009 i raw °4 Owner: Crytal River Ranch Co. Applicant: Crytal River Ranch Co. Applicant Phone: Email: r Building Engineered Foundation Driveway Permit Surveyed Site Plan Septic Permit and Setbacks Grade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnare Subdivision Plat Notes Fire Department Review Valuation Determination/Fees Red Line Plans/Stamps/Sticker Attach Conditions ._ Application Signed Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter - Manu. Homes Soils Report Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Ruilding height Toning Sign -off ,__Road Impact Fees HOA/DRC Approval GradeiTopography 40% Planning Issues ubdivision Plat General Comments- AkAY8li- 1-11/11\16 6. Coric44 ,574,4t k cm,* k 74.46 = 31 0(5.e4 Wednesday, October 7, 2009 GARFIELD COUNTY BUILDING AND PLANNING 974-945-8212 MINIMUM APPLICATION REQUIREMENTS For SINGLE FAMILY DWELLING CONSTRUCTION Including NEW CONSTRUCTION ADDITIONS ALTERATIONS And MOVED BUILDINGS In order to understand the scope of the work intended under a permit application and expedite the issuance of a permit it is important that complete information be provided. When reviewing a plan and it's discovered that required information has not been provided by the applicant, this will result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor shall be required to provide this information before the plan review can proceed. Other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. Any project with more than ten (10) occupants requires the plans to be sealed by a Colorado Registered Design Professional. To provide for a more understandable plan in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following checklist prior to and during design. Applicants are required to indicate appropriately and to submit the completed checklist at time of application for a permit. Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to scale. Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks, 1 balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line and original grade. A section showing in detail, from the bottom of the footing to the top of the roof, including re -bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheeting, house -rap, (which is required), siding or any approved building material. Engineered foundations may be required. A window schedule. A door schedule. A floor framing plan, a roof framing plan, roof must be designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. wind speed, wind exposure B or C, and a 36 inch frost depth. All sheets to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. All plans submitted must be incompliance with the 2003 IRC. 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(s) prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or greater must be shown on the site plan. (NOTE Section: 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 surveyor's signature and professional stamp on the drawing. Any structure to be built within a building envelope ofa 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 2. Does the site plan also include any other buildings on the property, 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 MAY. Yes 3. Does the site plan include when applicable 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? Yes 4. Does the site plan indicate the location and direction of the County or private road accessing the property Yes 2 5. Are you aware that prior to submittal of a building permit application you are required to show proof of a legal and adequate access to the site? This may include (but is not limited to) proof of your right to use a private easement/right of way; A County Road and Bridge permit; a Colorado Dept. of Highway Pere it, including a Notice to Proceed; a permit from the federal government or any combination. You can contact the Road & Bridge Department at 625-8601. See phone book for other agencies Yes X 6. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the IRC or per stamped engineered design? Yes 7. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the clearances required between wood and earth? Yes )( No 8. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and soffits? Yes No 9. Do the plans include design loads as required by Garfield County for roof snow loads, (a minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor loads and wind loads? Yes 10. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes ) 11. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes 12. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes 13. Does the elevation plan indicate the height of the building or proposed addition from the undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the top of a flat roof? (Building height measurement usually not to exceed 25 feet) Yes 14. Does the plan include any stove or zero clearance fireplace planned for installation including make and moded Colorado Phase 11 certifications or phase 11 EPA certification? Yes S No 3 15. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? Yes No 16. Does the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms and/or basements comply with the requirements of the IRC? Yes ,( 17. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes .>( 18. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these areas? Yes )( No 19. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes 20. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, are building plans in compliance with all plat notes and/or covenants? Yes l+/P- 21. Do you understand that if you belong to a Homeowners Association (HOA), 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 be accepted without it, but you run the risk of the HOA bringing action to enforce the covenants, which can result in revocation of permit issued. Additionally, your Plan Review fee is not refundable if the plans have been reviewed by the Building Department prior to any action by the HOA that requires either revocation or substantial modification of the plans. Yes J/A 22. Will this be the only residential structure on the parcel? Yes No If no -Explain: L- c i2 -A J +1 23. Have two (2) complete sets of construction drawings been submitted with the application? Yes 24. Do you understand that the minimum dimension a home can be on a lot is 20ft.wide and 20ft. long? Yes 4 25. Have you designed or had this plan designed while considering building and other construction code requirements? Yes 4- 26. Do your plans comply with all zoning rules and regulations in the County related to your properties zone district? Yes X 27. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes k 28. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes < 29. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application submittal 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 30. 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 from 7:30 a.m. to 3:30 p.m. Monday through Friday. Inspections are to be called in to 384-5003. Yes ) No 31. 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 32. 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 33. Are you aware that the Permit Application must be signed by the Owner or a written authority being given for an Agent and that the party responsible for the project must comply with the IRC? Yes 5 34. Are you aware that the Permit Application must be signed by the Owner or a written authority being given for an Agent and that the party responsible for the project must comply with the IRC? Yes 35. 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 36. 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 submittal of a building permit application? Your attention in this is appreciated. Yes 37. Do you know that the local fire district may require you to submit plans for their review of fire safety issues? Yes (please check with the building department about this requirement) 38. Do you understand that if you are planning on doing any excavating or grading to the property prior to issuance of a building permit that you will be required to obtain a grading permit? Yes 39 . Are you aware that if you will be connecting to a public water and/or sewer system, that the tap fees have to be paid and the connections inspected by the service provider prior to the issuance of a Certificate of Occupancy? Yes 4Jf Pr 40. If you .anticipate obtaining a water tap from the City of Rifle, please provide a letter indicating that the City will provide water service. No building permit application will be accepted without such a letter. Yes T hereby acknowle m bilit gnature of Owner have read, understand and answered these questions to the best of Date Phone: 945-04-1 (days); (evenings) 6 Garfield County Road and Bridge Department P,O, Box 426 Rifle, CO 81650 Phone -(970)625-8601 Fax- (970)625-8627 Invo"ice Driveway Permit Number: GRB09-D-51 Invoice Date: 10/14/2009 Bill To: Crystal River Ranch 3843 CR 125 Carbondale , CO 81623 $75,00 per Driveway Permit, Driveway Permit Fee: Total Due: GARCO ROAD ARD ARIME 0200 COUNTY ROAD 330A RIFLE. CO 61650 970.625.6601 941400097861 / 20012308 Merchant ID: 941000097561 Tern ID; 20012390 Ref u: 0002 Phone Order xxxxxxxxxxxx5767 MAS1ERC4R0 haunt: Tax: Total: 10/14/09 Inv 0: 020002 APervd: Online SVS Code: NO MATCH 11 PO a: £ntry Method: Manual 1 75,40 $ 0.00 r_$ 75,40 98:03:28 hear Code: 294729 atchI: 999208 Cu3toNr• COPY MARX YOU! $75.00 $75.00 Thank You! Lizaa 1. Permit Owner : 2. Address: brlveway Permit Check Oft Form kirs R,kkt. rt. V,A -$-t C 1 . C-T!J L s, oct t4-10 cm. too & C A-4,0 3. City Cakbonda'c.'vi623. New Castle 81647 Parachute 81635 4. Phone No: 5. 6. Nearest Intersection or address: 7. Distance from Int. or address: 8. 9. Glenwood Springs 81601 Silt 81652 [ 1 Rifle 81650 Other Fax No: -1 Vfl County Rd. No: L Lot 8 VrtaG !C. sis .Direction from Int:9ror address: N Side of road: 10• Width of driveway:, 30 -foot Other: 11. Culvert required: Yes. 12. Size of culvert required: I2 -inch Other: 13. Length of culvert tZquired: 30 -foot 14, Asphalt or concrete pad required: 15: Size of pad: •i E. 40 -foot 1 00 -foot l x1 No Ig- 15-ineh 18 -inch 40 -foot Yes othe4:NIA ,1 No 30 -foot wide X 10 -foot long X 4 inches thick: Yes 40 -foot wide X 10 -foot long X 4 -itches thick: Yes 100 -foot wide X 20 -foot long X 4 -inches thick: Yes Other: 16. Gravel portion required Yes 17. Length of gravel portion: 40 -foot 50 -foot 18. Trees orbrush removed for visibility. Yes 19. Distance and direction from driveway to be removed: No 100 -foot No NA t,tL►13 t 20. Driveway must be no more than 3-% slope away from Comity road. +-' 21. Drive must be constructed so no drainage accesses County road from driveway. 22. Certified traffic control required: 23. Work zone signage only required: Yes 1 No Yes No 24. Stop sign required at entrance to County Rd. Yes No se 25. Inspection of driveway will required upon completion and mast. be approved by person issuing permit or representative of person issuing permit. 26. Person Requesting Permit: 27: Person issuing permit: 28. District permit issued in 29. Date checklist completed: M 145 45mp$00 (Y-621) Xi 2 3 1o/ 13/641. tit M tom" P Eat RA kor Th 'St TV 16/M/61 1t-cO, Garfield County Application for Driveway Permit Person Obtaining Permit: Crystal River Ranch Go. Application Date: 10/14/2009 County Road Number: 108 District: 1 Permit Number: GR1309 D-51 Termination Date: 11/14/2009 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, 108,100 Yards West of 1470 CR 108, located on the South side of road for the purpose 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 necessa€y specification detail including: 1. Frontage of lot along road. 2. Distance from centerline dread to property line. 3, Number of driveways requested 4. Width of proposed. driveways and angle of approach. 5. Distance from driveway to road intersection, if any. 6. Size and shape of area separating driveways if more than one approach. 7. Setback distance of buildings) and other structure improveinents. 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 the date of completion. General Provisions 1) The applicant represents all parties in interest, and affirms that the driveway approach (es) is to be constructed by him for the bona fide purpose of securing access to his property and not for the purpose 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 satisfacto€y 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 Commissioner's and their duly appointed agents and employee shall be held harmless against any action for personal injury or property damage sustained by any reason of the exercise of the Permit. 5) 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. 6) In the event it becomes necessaiyto remove any right-of-way fence, the posts on either side of the entrance shall be surely braced before the fenee is cut to prevent any slacking of the remaining fence and all posts and wire removed 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 tight -of -way without written permission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on all 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 inspection of driveway will be required upon completion and Must be approved by person issuing permit or representative of person issuing permit. The inspection and sign off must be done prior to any CO from the Building and Planning Department being issued. 10) Contractor agrees to.all Provisions in Exhibit A. Special Conditions: 1, Driveway Width- 12 Feet 2. Culvert required? False Size: N/A 3. Asphalt or concrete pad required? True Size of pad: 18' x 10' V -Pan 4. Gravel portion required? False Length: N/A 5. Trees, brush and/or fence need to be removed for visibility? True 6. Distance and Direction: 7. Certified Traffic Control Required? False 8. Work zone signs required? True In signing this application and upon-re.Ceivingauthorization and permission to install the driveway approach (es) described herein the Applicant signifies that he has read, understands and accepts the foregoing provisions. and conditions and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved by the Board of County Commissioners. Signed: S ke im r Ton /y { Address: 4kgc c- �` "f, 6 �/-,i co Telephone Number: 414 -6 t 4' 1 Permit granted 10/14/2009, subject to the provisions, specifications and conditions stipulated herein. For Board of County Commissioners' of Garfield County, Colorado: Representative of Garfield County Road and Bridge Signature BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIENS The Contractor, whose name and signature appears below, certifies and agrees as' 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 or contracts with an illegal alien; 2. The Contractor represents, warrants, and agrees that it has verified that it does not employ any illegal aliens; 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. 8-17.5-102(2)(b). 3. The 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 Employment. If the Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et seq., the BOCC may terminate work for breach and the Contractor shall be liable for actual and consequential damages to the State, 4. If the Contractor is 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 States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United States pursuant to Federal law. 1 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. 1 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.ackntwledge that making e false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws o Colorado .s perjury in the second degree under C.R.S. 18-8-503. CERTIFIE' and AGRE..000/ Cit T'4' (Coni r5or AT{ -.a Na e o this day of By: Signature of Authorized Rep Permit Number: GRBO6-D-9 , 200 N cox Social Security Number le Exhibit A 02/17/2010 15:31 97094550482 • Division of Registrations • Colorado The OI$I&sl Slate Web Aortal Department rstl t'2egtifatory h�ehtFes STRUCTURAL ASSOCIATE PAGE 02/83 Division of Registrations Electrical and Plumbing Permits Online Xmas AKTPAI n MARIPr..9.11M OIMo ou n warw,o+nree ac.rann. View Permit 679318 Requester Site Company Name: First Name; Last Name: Address: City: State: 2ipoode: Rhone: Fax; Email Address: License Number: Property Type: Property Owner: Job Site Address: City: Slate: Zlpcode: County: Dower; Building Type: Construction Type• Misc Construction: 'Square Feet: Trim: Page 1of2 ryy,„;y,,,xR'Xria.1..M.1kl6t'W'v.MulYUoli \193.41, =4)51, 01-",ki14U ,... o vrn+.0.,,M nn'ru<taxh"r,•r:r: 0,491Aria: rr. o mw,tieruc.,ettrvmons..ammyt, R & A ENTERPRISES OF WESTERN COLO INC RICKY BROADHIJRST 5317 CR 154 #201 G LENWOo1J SPRINGS CO 81601 (970) 845-650€0 (970) 945-0500 jclark(reeiectrfc,com 3892 PRIVATE CRYSTAL RIVER RANCH - SQUARE HOUSE 1470 COUNTY ROAD 106 CARBONDALE CO 81023 GARFIE_LD XCEL - CARBONDALE RESIDENTIAL NEW RESIDENTIAL NEW 676 N Inspections lr spatted Date Type Status J 0,1/19/2,910 COMPLETE F1NAL -- ACCEPTED 4i___ tZIQ PARTIAL FINAL ACCEPTED PARTIAL 11/1=2 ROUGH IN ACCEPTED h1has://wvrw.dora.state.oo.us/p.I.sWt8 U/ep_we _ae it_gui.show_page?p_user_type=ELEC... 1/28/2010 02/17/2010 1.5:31 9709450482 Division of Registrations Status/Actions Permit Number: Typo; Starts: Opened: Expiration Date; Closed: Replaces: Replaced 13y: 679818 ELECTRICAL CLOSED 11117/2009 1111712010 O1/1912010 NONE NONE STRUCTURAL ASSOCIATE PAGE 03103 C Y E ; ii,,.lt?S R9 OK 1 • Questions? Chock out the DeADitIQDLEAge or Eregke tiy_Asked Questions_( Agl, • Please take our aume.y.to telt us about your experience with the online permits site. Page 2 of 2 i>g,,,'tvkl,E,r,n'mb'k'J1M'luF'toYA*ok*ddtl1+MtlM.SYChWeLtl: teRdkliobiN4iftlYMrMnarrooKMq27VWR13WSR2TVIA91YLLWNroEM.MR4t.tp114 n>1WL.r... 1.L.,'MW;klr'dr.SNGw ..5ve.:..*.1,,,S I-jik.VVVPthbkw.ro.%•L>vrtm,viroubnni Generltetl: olamtno urr2 p.m. IJ0ageStatitil, P..EJyaoy tatetn. at 1 C isciairner 10.7.1illigalMalahanau Anell.lnipraietion.7.10)*NY a9 Peder i ArneeEne II Pp:Ir tnent Homo..pag icalLO age E.Mail the C}ivi ipri_ 1'_Begigtrations 1660 Broadway, Suite 1850 Denver, CO 80202 OM) 800E-1nno rliwrre (3013} a94.7493 . Fox RSI4Y RIP..Ic is (TTY (EriSII h N Spgnieh). voice. VCO. A.$C!J, STS rix.Pa:,lni n{I:IriUsir7,} Mips://www.dasa.atm.co.u8/p1s/yealiep_web_permit_gui.thow_,age?p_uSe.r_type.-BLEC... 1/28/2010 Christi Bullock From: Sent: To: Cc: Subject: Attachments: Mike Simpson tMike@structuralassoc_corrm} Tuesday, October 13, 2009 12:55•PM Jake Mall. Christi Bullock Crystal River Ranch Driveway Permit CRR R driveway permit:pdf Jake! Christi, Please see the attached driveway permit application for 1470 CR 108, in Carbondale. l met with Mike on site this morning and we went through the application as attached. Please call Me With any questions or concerns. l appreciate your prompt review -and permit. issuance. Please contact me with any questions or concerns via email or cell phone 379-5580. Pleasecharge permit fee to: Master Card 5588320025955767 x©1.110 Michael Simpson Structural Associates 4185 County Road 154 Glenwood Springs, 81601 Best Regards, Mike Simpson Jim Wilson From: Michael Prehm Sent: Tuesday, March 09, 2010 2:59 PM To: Jim Wilson Cc: Jake Mail; Deb Fiscus; Christi Bullock; msirnpson@stucturaiassoc.com Subject: Driveway Permit #GRB09-D-51 Jim, I spoke with Mike with Structural Assoc. about the driveway at 1544 CR 108, Crystal River Ranch property. Mike is wanting to do an asphalt apron at this address. Grand River is planning to open sometime between April 15 to May 15, 2010. I am ok with extending the permit until May 31, 2010. This should be adequate time to complete this apron. Mike also mentioned he was going to do the aprons at the other driveways. Thanks Mike Prehm Garfield County Road & Bridge Foreman / Glenwood District Office (970) 945-1223 Fax. (970) 945-1318 Cell (970) 618-7109 Information from ESET N0D32 Antivirus, version of virus signature database 4929 (20100309) The message was checked by ESET NOD32 Antivirus. http://www.eset.com 1 COUNTY OF GARFIELD - BUILDING DEPARTMENT CORRECTION NOTICE 108 8th St., Suite 401 Glenwood Springs, Colorado Phone (970) 945-8212 Job located at Permit No. Ac-iiz- c/e /0 e°' z ,4* 3 7r ,5---,e)3 have this day inspected this structure and these premises and found the following corrections needed: rotifee-Tep fr.-7,4/A /4;17,s/77-46 Ae-c/A/v F� 4lir/DA7�io4./ /415 22/ AP -77-a W0-€12 px)/(//- ktiAx /001‘79 ❑ Gall for Re -Inspection ❑ $50.00 Re -Inspection Fee must be paid prior to Re -Inspection You are hereby notified that the above correction must be inspected before covering. When correction(s) have been made, call for inspection at 970-384-5003. Date r ZP- Building Inspector Phone (970) 945-8212 Parcel Detail Page 1 of 5 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Property Search 1 Assessor Subset Ouery 1 Assessor Sales Search Clerk 6. Recorder Reception Search Basic Building. Characteristics 1 Tax Information Parcel Detail 1 Value Detail 1 Sales Detail I Residential/Commercial ImprnvementDetail Land Detail f Photographs 1 Mill Levy Revenues Detail Tax Area Account Number Parcel Number 2088 Mill Levy 010 R100185 239332100378 60.562 Owner Name and Mailing Address CRYSTAL RIVER RANCH COMPANY 555 17TH ST STE 2400 DENVER, CO 80202-3941 Assessor's Parcel Description (Not to he used as a legal description) SECT,TWN,RNG:32-7-88 DESC: SECA LOTS 2,13,14, 6 SW, SE. LOTS 8,9.11,12,15.16,17. SEC.20 ALL THAT PART OF LOT 14 LYING ABOVE THE SIEVERS DITCH. SEC.28 ALL THAT LOT 14. SEC,28 a LOT 4. 5E0.33 LYING SWLY TO THE N LINE OF LOT 14. SEC.33 (39.42)AC. SEG.29 LOTS 8,14,15,16, 17,18,20,21,22,23, ALL THAT PART Of LOTS 4,5,7. SEC.30 632 ALL. 8E0.33 LOTS 5,13, W2SW. 8-88 SEC.4 LOTS 3,4,5 S2NW, SW, W2SE. SEC.5 LOT 4, E2, NENW, S2NW, SW. SEC.6 LOTS 4,5,6, S2NE SE. http://www.garcoact.com/assessor/parcel.asp?Parcel Number=239332100378 10/8/2009 Parcel Detail Page 2 of 5 'EXCEPT ATR CONT. (128.99) AC AS DESC IN BK 948 PG 650. EXCEPT ATR CONT. (.342) AC AS DESC BK 1190 PG 91 ALSO ATR OF LAND ADDED CONT. (RC) AC. AS DESC 13K 1190 PG 91. EXCEPT ATR OF LAND CONT 27.223 AS DESC IN BK1238 PG 400. ALSO, A TR OF LAND CUNT 29.650 AC AS DEE IN BK 1238 PG 400. PRE:R010097 BK:0979 P13:0978 BK0948 PG:0650 BK:0713 PG:0480 BK:0713 PG:0470 BK:0702 PG:0169 13100411 PG:0193 BK:1613 PG:320 RECPT:957861 BK:1402 PG:384 RECPT:613836 BK:1402 PG:329 RECPT:613834 BK:1402 PG:302 RECPT:613831 BK:1402 PG:290 RECPT:B138311 BK:1402 PG:275 RECPT:613829 BK:1402 PG:197 REPT:61382D BK:1402 PG:195 RECPT:613819 BK:1402 PG:192 RECPT:813818 BK:1238 PG:409 RECPT:577734 BK:1238 PG:400 REPT:577733 13K1238 PG:393 RECPT:577732 BK:1238 PG:390 RECPT:577731 BK:1238 PG:384 RECPT:577730 BK:1238 PG:367 RECPT:577792 13K:1190 PG:91 RUT:5642BI Location Physical Address: 1443 108 COUNTY RD CARBONDALE Subdivision: Land Acres: 3228.345 Land Sq Ft: Section Township Range 32 7 88 http://www.garcont.com/assessor/parcel.asp?ParcelNumber=239332100378 10/6/20013 Parcel Detail Page 3 of 5 20119 Property Tax Valuation Information Actual Value Assessed Value Land: Improvements: Total: 405,300 1,733,71D 2,139,510 1I7,68D 149,919 207,590 Additional Value Detail Most Recant Sale Sale Date: L Sale Price: 3/13/2OD1 440,000 Additional Sales Detail Basic Building Characteristics Number of Residential Buildings: Number of Comm/lnd Buildings: 7 D http://www.garcnact.com/assessar/parcel.asp?ParcelNumber=2393321D0378 10/6/2009 Residential Building Occurrence 1 Characteristics r 2 STORY: B73 HALF STORY, FINISHED: 775 UNFINISHED BSMT: 775 I STORY: B35 TOTAL HEATED AREA: 3,35G ABSTRACT CODE: FARM/RANCH RESIDENCE -IMPS ARCHITECTURAL STYLE: 2 -STORY EXTERIOR WALL: WOOD LAP ROOF COVER: COMP SHNGL ROOF STRUCTURE: GABLE INTER DR WALL: COST PANEL INTERIOR WALL: DRYWALL FLOOR: HARDWOOD HEATING FUEL: GAS HEATING TYPE: FORCED AIR STORIES: STORIES 2.0 http://www.garcnact.com/assessar/parcel.asp?ParcelNumber=2393321D0378 10/6/2009 Parcel Detail Page 4 of 5 BATHS: 1{6 ROOMS: UNITS: BEDROOMS: YEAR BUILT: 13 5 1937 Additional Residential/Commercial Improvement Detail Tax Information Tax Year Transaction Type Amount 20x8 Tax Payment: Whole ($13,255.80) 2008 Tax Amount $13,255.80 [ 2007 Tax Payment: Whole ($13,322.12) 2007 Tax Amount $13,322.12 2008 Tax Payment: Whole ($13,416.56) 2006 Tax Amount $13,418.58 2005 Tax Payment: Whole ($14,181.20) 2005 Tax Amount $14,181.20 2004 Tax Payment: Whole ($13,40122) 2004 Tax Amount $13,400.22 2003 Tax Payment: Whole ($11,280.28) 2003 Tax Amount $11,280.28 2002 Tax Payment: Whole ($11,820.40) 2002 Tax Amount $11,821140 2001 Tax Payment: Whole ($11,887.22) 2001 Tax Amount $11,88722 2000 Tax Payment: Whole ($13,38Q.74) 2000 Tax Amount $13,380.74 1999 Tax Payment: Whole ($13,199.38) 1999 Tax Amount $13,199.38 Mill Levy Revenu D tail T©p of Page Assessor Database Search Options Treasurer Database Search Options Clerk C Recorder Database Search Options http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=239332100378 10/8/2000