HomeMy WebLinkAboutApplication- PermitGarfield County
Building & Sanitation Department
108 8" ` Street, Suite #201 Glenwood Springs, Co. 81601
Office- 945-8212 Inspection Line- 384-5003
Job Address 0 X 00 re
Nature of Work
Use of Building
Owner Ct
Contractor
Building Permit
Amount of Permit $
NO. CIao,
Ct t.e..F.e, /0a k Co s�IMS
$ (0 7W2briC.5 Stan¢'t;4-d,t.-
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Date SCIFTa op y
Clerk
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8° Street, Suite 201, Glenwood Springs, CO 81601
(Phone: 970-945-8212/ Fax: 970-384-3470 / Inspection Line: 970-384-5003
Permit No: 1 )50
Parcel/Schedule No: 2 q07 — 193 — 2 q— 00
AGREEMENT
PERMISSION I5 HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE
REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT
IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING
CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER BUILDER, AND OWNER. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garfom.003 HEREBY ACKNOWLEDGE_ T T 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): ✓I'
00 .3gns -a(e attic) -1-5
Job Address: aro G1,t.G Co Fit 35
&+aa t on�EPacE GIdtlE T f
1 Lot No: Block No: Subd. / Exemption:
10 S ,fCTone Id,c 5464%V:5ion
2
Owner:
D4ild Llgr/(
Address
b7So ctt,„+y id 301
Ph:
(970/615 2173
Wk Ph:
3
Contra tor:Address:
jmd otpldrr5
6750 Leant/ ed301
ph:
(970)625-2/73
Lic. No.
e..s2051(0't
4
rchitect/Engineer:
valid (lar1C
Address:h:
6675-0 604,417 /?IJo1
(1 70) 625-2/73
Lic. N O'
a
5
Sq. FI. o{ wilding:
3
Sq Ft. of Lot:
IO, cc/
Height:
2174"
No. pf Floors:
1
6
Use of Buildin ���(����� �}�
sSya�ay.j AMi , ria^`A-"";46 OJ CAe AArMiS ca, 03 f COO, edit, fes,
7
Describe Work: // I 1 CVJ Q t'
fl?W Ct7vl 5 -it -me -Ho lel
8
Class of Work: )1 New o Alteration 0 Remove
o Addition o Move
9
10
Garage: o Single
X Double
Carport: o Single
o Double
1( r _ _ o On -Site Sewage Disposal o Site Plan
5 A-+ (Septic)
11
Valuation of Work: $
?GSf 000
Adjusted Valuatiol�$1
8. tl°
12
Special Conditions:
NOTICE
A SEPARATE ELECTRICAL PERMIT 15 REQUIRED AND MUST BE
ISSUED BY THE STATE OF COLORADO.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDONED FOR A
PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE
COMPLETED 'WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE
O CONSTRUCTION.
/
Plan Check Fee:
8 78. `l f7
Permit Fee:
I �J 1'Z e /�
Total Fee: DatedjsPermit Issued:
9 2.3) 05"
OCC C J Group: Type:
�� / �
6666 (�( f t'�
! • a 0-i
Zoning:
Setbacks:
Manu. Home: ISDS No. & Fee:
fr
r/9
OF OWNER DAT.� . B �f / '.�IM1/�/�
'
' APPROVALIT 1 /DATE ��(rr' - /,�' E
AGREEMENT
PERMISSION I5 HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT.
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE
REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT
IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED
STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING
CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION.
THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF
ANY RESPONSIBILITIES OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS
AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER BUILDER, AND OWNER. COMMENTS ARE
INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST.
Garfom.003 HEREBY ACKNOWLEDGE_ T T 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): ✓I'
00 .3gns -a(e attic) -1-5
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. A complete bathroom, with washbowl, tub or shower, toilet stool, hot and 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, guard rails on balconies or
decks over 30" high constructed to all 1997 UBC 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, 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, use and the issuance of a
Certificate of Occupancy for the dwelling under building permit # 9?so
e2,), 6/4A
9-6-oLJ
Signature Date
Bpcont03/2004
VALUATION/FEE DETERMINATION
Applicant . JL./t
Address 0/00 i-Ociff Qfoh. Ci(c(2.
Date g•P
Finished (Livable Area):
Main
Upper
Lower
Other
K133 469
Total Square Feet
Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Plan Check Fee for Conversion
Valuation
Garage:
Crawl Space:
Decks/Patios:
Covered
Valuation
Open
Valuation
Valuation 6529, ) 9
Valuation
193319
Total Valuation
24=
Subdivision5+vrte. cI9 e (&' "^ei+q'
Lot/Block t 0 Blooms J
Contractor J
a $.ti fdcr5
)3 3, 37 7
•
l
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
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. Adequate and complete
information will prevent delays in the plan review process. Reviewing a plan and the discovery that
required information has not been provided by the applicant may result in the delay of the permit
issuance and in proceeding with building construction. The owner or contractor may be required to
provide this information before the plan review may proceed. This causes delays because 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. If you do not, it may be
helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code".
This book is available to you through this department at our cost. Also, please consider using
a design professional for assistance in your design and a construction professional for
construction of your project.
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.
1
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, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line.
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.
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, an 80 M.P.H. windshear, wind exposure B, windload of 15 pounds
per square foot, 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 1997 UBC, UMC and 1997 UPC.
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: 106.3.1
(7.) 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
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 comer lot. Special
setbacks do apply.
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
2
4. Does the site plan indicate the location and direction of the County or private road accessing
the property?
Yes
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?
Yes X-
6.
6. 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
7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces's and soffits?
Yes
8. 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
9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof
construction?
Yes �(
10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roof rafters or joists or trusses?
Yes iC
11. Does the building section drawing or other detail include the method of positive connection
of all columns and beams?
Yes
12. Does the plan indicate the height of the building or proposed addition from the highest point
of the building or addition measured at mid span between the ridge and the eave down to
existing (undisturbed) grade contours?
Yes X
13. Does the plan include any stove or zero clearance fireplace planned for installation including
make and model and Colorado Phase II certifications or phase II EPA certification?
Yes No �(
3
14. Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the Uniform Building Code Chapter 37?
Yes No X
15. 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 Uniform
Building Code?
Yes 1( No
16. Does the plan include a window schedule or other verification that windows provide natural
light and ventilation for all habitable rooms?
Yes No
17. 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 X No
18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated on the plan?
Yes x No
19. 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 )( No
20. 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? If you do not have written permission from
the association, do you understand that the plan check fee will not be refunded should the
architeal committee deny or reject your building plans?
Yes A No
21. Will this be the only residential structure on the parcel?
Yes )( No If no -Explain:
22. Have two (2) complete sets of construction drawings been submitted with the application?
Yes K
23. Do you understand that the minimum dimensions a home can be on a lot is 20ft.wide and
20ft. long?
Yes x .No
4
24. Have you designed or had this plan designed while considering building and other
construction code requirements?
Yes X No
25. Do your plans comply with all zoning rules and regulations in the County related to your
properties zone district?
Yes )( No
26. 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 No
27. Do you understand that approval for design and/or construction changes are required prior to
the application of these changes?
Yes X No
28. 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 ermit?
Yes No
29. 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 )C No
30. Are you aware that requesting inspections on work that is not ready or not accessible will
result in a 547.00 re-inpsection fee?
Yes X No
31. Are you aware that you are required to call for all inspections required under the Uniform
Building Code including approval on a final inspection prior to receiving a Certificate of
Occupancyand occupancy of the building?
Yes No
32. 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
5
33. Are you aware that prior to submittal of a building permit application you are required to
show proof of a driveway access permit or obtain a statement from the Garfield County Road
& Bridge Department stating one is not necessary? You can contact the Road & Bridge
Department at 625-8601.
Yes )X No
34. 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
35. 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 / No
36. Do you know that the local fire district may require you to submit plans for their review of
fire safety issues? Yes x No (please check with the
building department about this requirement)
I hereby acknowledge that I have read, understand and answered these questions to the
best of my ability.
Sigcr`ature of Owner Date
Phone:0 70) 2 S- 217) (days); 70) 6 2 S 217 3 (evenings)
Project Name: 54-e0 c n;e(5 e
Project Address0 00 Lidyepo(e 6 i rcie � P4rGL�+u f� gym, '/c 3S
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 the review process and not
reviewed until required information has been provided and the application rotates again to first
position for review, delay in issuance of the permit or delay in proceeding with construction.
Bpminreg072004
6
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PLAN REVIEW CHECKLIST
Applicant r-441119 Oak Date $-2-7.05
Building
✓ Engineered Foundation
✓/Driveway Permit
Srirrey�ed Site Plan
SFr ✓anuli)
MA Septic Permit and Setbacks
"Grade/Topography 30%
Attach Residential Plan Review List
✓Minimum Application Questionnaire
✓ Subdivision Plat Notes
Fire Department Review
Valuation Determination/Fees
Zed Line Plans/Stamps/Sticker
ttach Conditions
Plan Reviewer To Sign Application
N t4. Water and Sewer
i•i—arcel/Schedule No.
j 11, 40# Snowload Letter- Manf. Hms.
GENERAL NOTES:
Planning/Zoning
Property Line Setbacks
30$ Stream Setbacks
Flood Plain
Building Height
Zoning Sign -off
Road Impact Fees
(40A/DRC Approval
Grade/Topography 40%
Planning Issues
Subdivision Plat Notes
se% 11/445 a
BAT7LEENT MESA
c�,p c�A
cc�� o4,
SCALE: 1 = 20'
N
Curvet Radius Lw�p th MordTangent 0 69L1�' 9LJ1' 91PI' 171 Delta'56' 72'
STONE RIDGE SUBDIVISION
1'
0
22/L"•••,,,CroPse•
c•
he
10' urnm EASE
20' unary F.ISEYLNI
N
LOT 10
BLOCK 5
ADDRESS: 0100 LODGEPOLE CIRCLE
AREA = 10,051 SOVARE FEET 0.2,31 ACRE
APPROVED BY PURCHASER (S): • APPROVED BY SELLER:
DATE
DATE
DRAWN BY: DSO ORE- 7/1/95
APPROVED BY BUILDER:
DATE
Rpr 29 05 02:08p Battlement Mesa MetDis 9702859631cia_iv p.1
zo.
BATTLEMENT MESA ro ETROPOLITAN DISTRICT
109 TAMARISK TRAIL / P.O. BOX 6116 / BATTLEMENT MESA, CO 81636
(970) 285-9050 / FAX (970) 285-9631
EQR Tap Fee Calculation
Date: June 16, 2004
Buyer: David Clark
Buyer's Address: Unknown
Service Address: 100 Lodgepole Circle
Parachute CO 81635
Subdivision: Stone Ridge Village
EQR Calculation By:
Arnie L. Arneson, Utility Clerk
Water Tap Fee = $3,000.00 x 1.0 EQR = $2500.00
Sewer Tap Fee = $2,000.00 x 1.0 EQR = S1500.00
Total Fees Due and Payable Upon Closing
Application Approved By:
Please remit payment to:
= $} UAO
%U
Sandy Y(¢ager, 4(. outftjng Manager
Battlement Mesa Metropolitan District
PO Box 6116
Battlement Mesa, CO 81636
We also need a copy of the deed for this property after the closing.
A Water and Sewer Connect Permit is required to connect to the District mains. A
Connect Permit will be issued upon receipt in full of all fees required by the Battlement
Mesa Metropolitan District.
BATTLEMENT MESA SERVICE ASSOCIATION
ARCHITECTURAL COMMITTEE APPLICATION & CHECKLIST
(for New Home Construction projects)
Homeowner: 0,-v rn( E
Home Mailing Address' E150 -3o1 Rode/
Pa ra.ch4,tt CO vu -
Home Phone: 970-61C-7/73
Project Address: loo beds?polt G,ic-1
Work Phone (ifdesired):
Lot: )o Block: S Subdivision: Stone R,doe ,
r
ProductionHome Plan Name (if applicable):
Homebuilder: Oa yr- E C la r /i- (6%1-/0
BusinessMattingAddress: 6750 -3o/ Roa,l Para.ct *. CO V47.5-
Business
47sBusiness Phone: 970- 625 . 9 ;13 Fax (ifdesired):
Submittal Date: 7-30 oy Estimated Start Date: 5'-13-0`1 Estimated Completion Date: ,2-ar-or
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.)
1. Site Plan Drawing (1" = 10' or 1" = 20' scale) with the following information shown:
Lot, Block & Subdivision name.
✓ Street Address of Project.
✓ Building Setback Lines (also fill-in the shortest distance between property line to the
exterior wall closest to that 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!!
Dwelling Unit Garage
0105esl 1)'eate.rcn.enrs Pros% Stir -hack
Front Setback: 1.2 -6 6"
Left Side Setback: 10'- g" J'- 5
Right Side Setback: g'- r"
Rear Setback:
w; l) hav .S'�..rvtyor Set Pins m'f c.onS*rutt,'on
✓ Utility Easements.
rvA 55' Clear Site -Line at Intersection Corner Lots.
Site Grading Elevations & Drainage.
✓ N1 First (main) Floor Height in relation to top of street curb at front -center of lot.
Driveways (including width of driveway), Walkways, Patios, etc.
IVA Outbuildings.
Page 2 of 6
i 2. Architectural Drawings (1/4" = 1' or 1/8" = 1' scale) with the following information shown.
Floor Plan(s) with overall dimensions (fill-in the following square foot areas).
First Floor Finished Living Area: / 933 square feet
Second Floor Finished Living Area: NA square feet
Lower Floor Finished Living Area: NA square feet
Total Finished Living Area: 1993 square feet
Total Unfinished Living Area:
Garage Area:
NA square feet
652 square feet
✓ Building Elevations Plans indicating doors, windows, exterior materials, building height,
roof pitch, roof -mounted evaporative coolers, etc. (fill-in maximum height below).
NA
Maximum building height to highest ridge line or building structural projection
2- /'- 6feet above top of street curb at front -center of your lot.
Engineered (stamped) Foundation Plan.
Outbuildings indicating dimensions, elevations and overall height to ridge line.
3. Exterior Materials (fill-in the selections below):
To be 9“.b,nities' q.+ +ate date
Roofing Material: Color:
Primary Siding Material: Color:
Accent Siding Material: Color:
Trim Material: Color:
Masonry Material: Color:
Stucco Materials: Color:
Front Door Material: Color:
Garage Door Material: Color:
COLOR SAMPLE COLOR SAMPLE COLOR SAMPLE
COLOR SAMPLE COLOR SAMPLE COLOR SAMPLE
Page 3 of 6
•
4. Landscape/Irrigation Plans with the following information:
Planting Plan (indicate areas of irrigated 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:
I/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 I/We 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.
UWe hereby acknowledge that Home Construction orlmprovement Projects or Landscape Construction
features which are built in non-conformance with this full application, including the Conditions of
Approval noted on Page 6 of 6 herein, I/We will 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 the Non -Conforming Items are not corrected within
60 days after the date of written citation, I/W a will be served Notice of a Hearing before the BMSA Board
of Directors, and if UWe are found in violation of these Non -Conforming Items at the Hearing I/We will
be fined a minimum of $500.00 per Non -Conforming Item. Notwithstanding the foregoing, I/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
I/We understand that Architectural Committee approval does not constitute approval of the 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.
UWe further acknowledge that any subsequent field changes which UWe 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 I/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): C a rrof F. (A -J
Owner's Printed Names:
Daeid E• C -/ark
Date: 7-,zS-0y
Builder's Signature: /✓aN i cesi
Date:
BuildersPrintedName: DaG(tcrk Date: 7 -2g -Dy
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 Cornu Ittee 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. Fh1' WNtic. .ern✓ +.f
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6.
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Applicatio
By:
Appli
By Ch
val (Inti of Architect,al Commies Members):
ation Approv
Applicati
By:
or Construction subject to the
e conditions:
Application
By Chairman:
nry
/�
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of Architectur
tubers):
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Date: 8-
Page 6 of 6
c
Date:
SCALE: 1" = 20'
N
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Cv rvr# Advs. Length
0 690AI 9Lt
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STONE RIDGE SUBDIVISION
LOT 10
BLOCK 5
AREA = 10,051 SOUARE FEET
APPROIEO BY PURCHASER (5):
DATE
DATE
ADDRESS: 0100 LODGEPOLE CIRCLE
0.2J1 ACRE
APPROVED BY SELLER:
DRAWN BY: DSD DATE: 7/1/95
A4 TE
APPROVED BY BUILDER.
API
DAT
BATTLEMENT MESA SERVICE ASSOCIATION
ARCHITECTURAL, COMMITTEE APPLICATION SUBMITTAL FORM
(For New Home Construction)
INSTRUCTIONS:
This Application & Checklist is to be used for all project submittals to the Battlement Mesa Service Association
Architectural Committee (BMSA/AC). This form is intended to assist in ensuring that the application submittal
is complete. This will help provide a quicker, more thorough review process.
It is recommended that each Applicant thoroughly review the requirements of the current Architectural
Standards, the Amended and Restated Declaration of Covenants (including Resolutions) and the recorded
Final Plat for their respective neighborhood prior to preparing a submittal.
Applicants preparing a submittal should compare the information they are about to submit with the requirements
of this form and "check off' each required item on the form. If any item is not checked, the Application submittal
is not complete and should not be submitted. Incomplete Applications will not be processed and will be returned
to the Applicant.
In addition to the checklist, Applicants should fill in all of the places on the Application Form where information
is requested. The Architectural Committee will use this information in evaluating your Application. If information
is requested but is not applicable to your specific project submittal, write "N/A" in the space provided. If some
required information is yet to be determined (such as exterior paint colors you may not have yet selected) write
"TBD" in the appropriated space provided. You will then be required to make a follow-up submittal with these
selections at a later date but before installation in the home.
DO NOT fill in any information in the "Conditions for Approval" section of this form. This portion of the form
is for Architectural Committee use only.
When an Application is complete, please mail or deliver it to the following address:
Battlement Mesa Service Association
Architectural Committee Application
73-G Sipprelle Drive
P.O. Box 6006
Battlement Mesa, Colorado 81636
The Architectural Committee meets twice monthly on the 1" and 3n° Wednesday, and Applications are due
one week prior to the Scheduled Meeting Dates for prior review by Committee members. Please contact
Jane Chapman at (970) 285-9740 to confirm the next scheduled meeting date or to request further information.
We thank you in advance for your cooperation and in complying with the Architectural Standards of the
Battlement Mesa Service Association.
Page 1 of 6
7
Garfield County
Road and Bridge Department
P.O. Box 426
Rifle, CO 81650
Phone -(970)625-8601 Fax- (970)625-8627
Invoice
Invoice Date: 8/10/2004 Invoice Number. 52
Bill To: David Clark
6750 CR 301
Parachute , CO 81635
Driveway Permit Number. 52
$75.00 per Driveway Permit.
Driveway Permit Fee: $75.00
Total Due: $75.00
Thank You!
1
Garfield County J
Application for Driveway Permit
Application Date: 8/10/2004 Permit Number:52 Permitee: David Clark
Termination Date:9/10/2004 County Road Number: 372V Inspector: Jake Mall
District: 3 Sub -Contractor:
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, 372V, At address of 100 Lodge Pole Circle, Lot #10, Bks, adjacent to
Applicant's property located on the East 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 necessary specification detail including:
1. Frontage of lot 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, if any.
6. Size and shape of area separating driveways if more than one approach.
7. Setback distance of building(s) and other structure 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 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 satisfactory 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 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.
co
6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall
be surely braced before the fence 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 right-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.
Special Conditions:
1. Driveway width per Battlement Mesa Specifications
2. Asphalt or concrete pad required per Battlement Mesa Specifications.
3. Work zone signs required.
In signing this application and upon receiving authorization 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 BoCounty Commissioners.
err
Signed:
avi
Address:
Telephone Number:
Permit granted 8/10/2004, 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
Specifications
1. A driveway approach is understood to be that portion of the county road right -of way between the pavement edge
and the property line that is designed and used for the interchange of traffic between the roadway and abutting
property
2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the
normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum
intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be
provided.)
3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to
obtain adequate sight distance in both directions along the county road in order to maneuver safely and without
interfering with county road traffic.
4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or
extending over any portion of the county road right-of-way.
5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than
one hundred (100) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 100)
feet shall be permitted only after showing of actual convenience and necessity.
6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon
adjoining property.
7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline
of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater
than twenty (20) feet measured at right angles to the centerline of the driveway, except as increased by
permissible radii.
8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle
between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will
be made according to the type of traffic to be served and other physical conditions.
9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited.
Commercial establishments for customer vehicles should provide off -the -road parking facilities.
10. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the
normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20)
feet from the pavement edge. Approach grades are restricted to not more than ten percent (10%).
11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the
street or county road. The Applicant will be required to provide, at his own expense, drainage structures at
entrances and exits, which will become an integral part of the existing drainage system. The Board of County
Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage
structures.
Note: This permit shall be made available at the site where and when work is being done. A work sketch or
drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing,
blueprint, or sketch.
Z1Z8-SV6 (oL6) auogd
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Owner ! �pp f . n q -
Contractor (�l.(X ,ice
Assessor's Parcel No a c/017 -1g3 - ay-aD
Date Sr loci
BU LDING PERMIT ARD
R . o4 t /0 Se 2 SS �✓�! �aAct .CoV635
Address &75-0 ('it3oij3JJ. CO Phone # gas -0113
Address 675D Phone # 6(95-R11.3
Setbacks: Front Rear
RH
ok( tC Allem 0J (03\5 -
�1^J•°r��/`ted g��. INSPECTIONS
(
Soils Test
Footing/g�
Foundation 9-g_0y err
-
Grout
Underground Plumbing
Rough Plumbing // l2••10 4Dr
Framing l/-1 2--O ..QtY��
Insulation //-22 O /EalL
Roofing
Drywall 1 a -IO -01#Aavrl
Gas Piping //-/2 054ATY(
17€32-6 3-1(1Y5-1 .61! • Ok( ISCIA\ t6
EXTERIOR
Address No.
Drainage
Decks -support 8 clearance to wood
Decks -slams a rails
Exterior lecke
Flashing wound doors & windows
Insect screens
INTERIOR
GARAGE
Fire wall separation
Service doors -l% min.
Door (20 min.) wlauto closer -13/4" min.
by
Mech. equip. 18" above floor
No opening into sleeping area
BASEMENT -CRAWL AREA
Access
Insulation
HeadroonVStatn
Ventilation
ibr
/
GLH Zoning
Weatherproofing
Mechanical
Electrical Rough (State) / 0Y
ElectFinal r (State) Completed? Final Checklist Completed ✓
Certificate Occupancy #
Date
Septic System # MP/;
Date
Final
Other S(1
FINAL CHECKLIST
MECHANICAL ROOM
Boiler
Hot water
F A. gWoil
Floor drain
Clearance
yYtc-�.
r
Air con system
“
Hot water heater
Combustion air /Or
Gas piping valves
LPG Crain
FIREPLACE/STOVE
Clearance to combustibles
Termination of chimney
Combustion air
Hearth (12'• or 20" on sides)
Glass doors
Certified by.
1'
(continue on back)
STAIRWAYS
Headroom (Sr)
Railing 8 guardraII
Width
Paririun
KITCHEN
Clearance above grill
Exhaust tan
Broiler exhaust (1 hr. chase)
BEDROOMS
Egress
Smoke detector
BATHROOMS
Exhaust pin
r/
/ Shatterproof gleesve ✓
Ke, Shatterproof
REMARKS
•
a
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued�ti.i.t' Zoned Area Permit No a5)
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with all
laws and regulations related to the 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
Inspector and IMMEDIATELY
�BECOME
�NULL AND VOID. �//�� /j
USIF�crt es CAUL alt ,o +dt•41atw�tes
Address Legal Descrip 'on S ti.! �.'. r 1 vJ V
Osvaer R�l� _1 Qid Coat etor
Setbacks Front Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION RECORD
Footing Cj_9.,-0 t7 pyv,
Foundation 9 .1- pc{ AL}yriLi
Underground Plumbing
Insulation 11-22_0V/0wu
Rough Plumbing 11-12' D L kry ,
Drywall ]2--/9 -Ji/ /Owl,
Chimney & Vent 11.12 ..p filiviu,
Electric Final (by State Inspector9-B-Os
Gas Piping I I _ 1 y _p kw\...
Final 9-#7.9.1,s- hy,"
Electric Rough (By State Inspector»144r
Septic Final Nig-
Framing 11.-11...0 if flr: Pitt.
(To include Roof in place and Window
and Doors installed). Q pV
Notesgn/jeec„a-r o� /67,',6
!P'
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
TIIIS PERMIT IS NOT TRANSFERABLE
Phone 384-5003 109 8th Street County Courthouse Glenwood Springs, Colorado.
APPROVEDDO NOT DESTROY THIS CARD
Date_ Blene.944k CC
IF PLACED OUTSIDE C R WITH CLEAR PLASTIC