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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.- agog- 1t3 -Ay _ oto 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 r -6 -ON �D - �a i �G�i n ,i- fIan n i., „5, �eP l�- L2a ✓,7.i F. Cla ,-k of 6 75-1) 1puy%r Road 7o/ /arac.-Aate_ Co. 9ivc Bryan t2 dark, (Ay S'on), ler riissiron *C Yi n pocu-menu in my thSenc2 S-6—oy— �S' i'y am aroiso ..r please tel Yree- f Ga // r+2 a± 62.5=2/77— -Pia 4 Es 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 %a ifhJ Gcv r. +�,T..—ccs 6. j /kip Ycyt' •rc�/'I°i 01-&-e7/^/ 6 - I O e tk' 6-4.1i•-7 le -r2 `f C c,/; .✓ is O goo -F Pr T u+ fever /zcm c" v, .ere A./t4--- 41-erA' . Thal »oz) YO -z) P44,i et-/ i thf Fi ti14 cF -74-6 Fi26r/ c= c rr.es' 'c Rte -tee, trev-tet. en AI 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 /� i` sr iter! of Architectur tubers): ll /01 Date: 8- Page 6 of 6 c Date: SCALE: 1" = 20' N N Cv rvr# Advs. Length 0 690AI 9Lt chordChord npe 9L21' S Y7�l' F� AI�I'76 Angie tjf�2'p; N 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 ZL2S-S46 (oL6) euoyd Joloadsui Bu!piing O G 03 l0 . m 0 7 c O m o ^4... C01 A t N II g 5 O Pc ID ali ,NtN. *9 5o l Job AddrgsG 0O 0\1) �( 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