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HomeMy WebLinkAboutApplication-PermitI Garfield County Building & Planning Department 108 8th Street, Suite #401 Glenwood Springs, Co. 81601 Office:970-945·8212 Fax: 970·384-3470 Inspection Line: 970·384-5003 Building Permit No. Parcel No: 2407-192-15-006 ---··--------·~- Locality: Job Address: ____ _ 107 Queen City ~ircle, Parach_~u_te ________ _ Use of Building: _____ IR.C Factory built home on foundation w/patios & attgarage __ _ Owner: Cimarron Land & Homes ---'-'---- Contractor: Owner Fees: Plan Check: 227.Q1 Septic: ·-'·--··----···- Bldg Permit: 349.25 1 lv manufacture fee 400.00 Total Fees: $ 976.26 ~_j\OL Clerk: Date: ~-1D-D~_ ------~·-----I Parcel No: 2 Job Address: 3 Lot No: 06 4 GARFIELD COUNTY BUILDING PERMIT APPL!CA TION 108 8'h Street, Suite 401, Glenwood Springs, Co 81601 Phone: 970-945-8212 I Fax: 970-384-3470 I Inspection Line: 970-384-5003 \Y\YW . .£N.!5.~~J(j~~.QH!.H}:~.~Dm R770216 I 240719215006 107 Queen City Circle, Parachute CO 81635 Block No: 12 Ph: OwnerCimarron Land & Homes Address 73E Sipprelle Dr ParAchute CO 81635 1970) 285-7330 WkPh· '(970)285-733C 5 Contractor: Ph: AltPh: Cimarron Land & Homes Address 73E Sipprelle Dr PRrAC'h;,~, CO 811i'l5 1970) 285 7330 1970) 640 0394 6 Alt Ph: Architect I Engineer: Greg Rob son Address 73E Sipprelle Dr Parachute CO 81635 Ph: (970) 285-7330 (970) 640-0394 7 Sq. Ft. of Building: 1264 Sq. Ft. of Lot: 5732 Height: 14' No. of Floors: One Use of Building: Familv Dwelline 'Tvtc. ':i-tu-"1-LM-8 Sinele Describe Work: Excavation, Foundation, Set Modular, Backfill, 'Y • II 1"'-- Flatwork, Final Grade-' 9 10 Class of Work: 111 New o Alteration o Addition 11 Garage: Septic: Xi Attached o Detached o ISDS :®Community 12 Driveway Permit: {j R J:{)'Q _!) Owners valuation of Work: $ NOTICE Authority. This application for a Building Permit must be signed by the Owner of the propetty, described above, or an authorized agent. lfthe signature below is not tlmt ofthe Owner, a separate letter of authority, ~igncd by the Owner, must be provided with this Application. Leg:ll Access. A Building Pe1mit cannot be issued without proof oflegn! and adeg~~ate access to the propet1y for pm]Joses of inspections by the Building Department. Othet· Permits. Multiple separate permits may be required: (I) State Electrical Permit, (2) County JSDS Pennit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or n State Wastewater Discharge Penni!. Void Permit. A Building Permit becomes nullnnd void if the work nuthorized is not commenced within 180 days of the dnte ofissnance and if work is suspended or abAndoned for n period of 180 days after commencement. CERTIFICATION I hereby certify that 1 have read this Application and that the information cont<"lined above is true and COITCCt. I understand that the Building Dcpa1tment accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittals), based upon my ccr1ification as to accumcy. Assuming completeness of the submittals and approval of this Application, a Building Pennit will be issued granting pennission to me, ns Owner, to construct the structure(s) and fnci!ities detailed on the submittals reviewed by the Building Depmtment. In consideration oft he issuance of the Building Permit, ! agree that l and my agents will comply with provisions of any federal, state or local law regulati11g the work and the Garfield County Building Code, JSDS regulations and applicable land use rcgu lations (County Regulntion(s))-l (lcknowledge that the Building Pc1mit may be suspended or revoked, upon notice from the County, if the locatior\, constmction or use of the stnlcture(s) and faci!ity(ies), described above, are not in compliance with County Regulntion(s) or any other applicable law. J hereby grant pennission to the Building Department to enter the propetty, described nbove, to inspect the work. I further acknowledge that the issuance ofthe Building Permit does not prevent the Building Official fi·om: (1) rcqniring the con-ection ofctrors in the submittnls, if any, discovered after issuance; or {2) stopping construction or use of the structmc{s) or fhci!ity(ies) if such is in violation of County Rcgu!ation{s) or any other applicable !nw. Review of this Application, including submittals, nnd inspections of the work by the Building 0epm1ment do not constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the Owne1; I acknowledge that respon.sibility for compliance with federal, state and local laws and County Regulations rest with me and my autho!ized agents, including without lnmtatton my m~~~:1gner, engmee1 and/ 01 bmldet lllEREBY ACK!A;/lT l HAp;;~ AND THE NOTICE &CER11:r:OY~~ OWNERS SIGNATURE ~~i:::"[_g:;,;lf~--"'D7AT"'E"'' ----1----lt--....--=-----------·------- STAFF USE ONLY Special Conditions: Adjusted Valuation: Plan Checl< Fee: Pc:·mit Fcc: {_ '5" Manu home Fee: Mise Fees: ~\I~)\, CIJ '?-?-l o• ""311 '\ l\OOou c; ISDS Fee: cf Total Fees:: Fees Paid: Balance Due: !!E1fu. & Issue Date: ISDS No & Issued Date: '111.. '2\-~~1-·0\ 1'\1-\ " ·z $" \OoS~ .._____ Setbacl{s: OCCGI'OUp: Const Type: Zoning: :r (1.-<.. BLDG DEPT: PLNG DEPT: \l~ ~\ \\.~ '2/2-c£5~· .'1:\ '/ -7-~ .-Q( 11\(\VJH\ DATE APP! QV\\1-l DATE ~ The following items are required by Garfield County for a final Inspection: I) A final Electrical Inspection from the Colorado State Electrical Inspector. 2) Permanent address assigned by Garfield County Building Department 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, non-absorbent 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 !BC 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. OWNERS~~ DATE Bapplicationseptember2007 VALUATION FEE DETERMINATION Applicant Address Date _,C"'im::;:::arr:.:.o;;::n::..L:::&::;:,:;H'-:::,....-,'--:--:----'----,.-,-subdivision 107 Queen City Circle Lot/Block -:2,:;;/2:-;8::::/2'::0?::0:::08=""'-==----,..,-..,.-'---contractor Finished <Livable Area): Main Upper Lower Other Total Basement: Unfinished Square Feet Valuation Conversion ofUnfinished to Finished Total Valuation Garage: Valuation Crawl Space Valuation Decks/ Patios Valuation Covered Open Type of Construction: Occupancy: Valuation Total Valuation sf sf sf sf X $74.68 0 sf sf X $41.00 sf X $33.68 400 sf X $18.00 1264 sf X $9.00 sf X $24.00 220 sf X $12.00 Commercial sf X sf X sf X sf X sf X sf X SaddlebackVillage Cimarron L&H 0.00 0.00 7,200.00 11,376.00 2,640.00 0.00 21,216.00 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS For MANUFACTURED HOMES 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. 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. Applicants are required to indicate appropriately and to submit the completed checklist at the time of application submittal for a permit. All plans submitted must be incompliance with the 2003 ffiC for Residences and 2003 IBC for Commercial Offices and Storage. ]. 2. 3. 4. 5. 6. 7. 8. Is a site plan included that identifies the location of the proposed structure or addition and distances to the property lines from each corner of the proposed structure prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of30% or more must be shown on 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 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 ./ Does the site plan when applicable include the location of the !.S.O.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes V Does the site plan include any other buildings, setback easements and utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying for a building permit on is located on a corner lot. Special setbacks do apply. Yes v/ Does the site plan indicate the location and direction of the County or private road accessing the property? Yes ./ Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the uniform building code or per stamped engineered design? A Floor Plan of the Modular Ul}it showing exterior doors is required. Yes. _ __,/:__ __ Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? The building permit application will not be accepted without it. Yes v No _______ _ Will this beJ;he only residential structure on the parcel? Yes v No lfno-Explain: ___________ __ Have tw.o (;l) complete sets of construction drawings been submitted with the application? Yes ./ ----- 2 9. I 0. II. 12. 13. 14. 15. 16. 17. For the placement of a manufactured home, have the following been specified? The size of the unit (min. 20ft. x 20ft.); live roofload (min. 40# could be more depending on elevation of property); wind design (min. wind speed of 90 mph); foundation design; method of anchoring? Yes. __ if--- Have you designed or had this plan designed while considering building and other construction code requiremen_ts? Yes .; No ____ _ Do your plsms comply with all zoning rules and regulations in the County related to your zone district? Yes / No _____ _ Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes No ______ _ Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes V No ____ _ Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "Road Impact" or "Septic Sy;tem" fees required, at the time you pick up your building permit? Yes ~ No ______ _ Are you aware that you must call in for au inspection by 3:30 the business day before the requested inspection in order to receive it the following business day? Inspections will be made between 7:30a.m. and 3:30p.m. Monday through Friday. Inspections are to be called in to 384- 5003. / Yes No _______ _ Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re-il}spection fee? Yes / No ______ _ 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 ~ No. ______ _ 3 18. Are you aware as part of the submittal for a building permit you are required to show proof of a driveway access permit from Garfield County Road & Bridge Department or if applicable the State Highway Department? If a permit is not necessary, then a letter stating that information is required. You can contact the Garfield County Road & Bridge Department at 625-860 I or refer to the phone book for tho/State Highway Departments number if applicable. Yes .L No·~----- 19. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups, unless you as the homeowner are performing the work? The license number 9f the person performing the work will be required at time of applicable inspection. Yes / No _______ _ 20. Are you aware, that on the front of the Building Permit Application you will need to fill in the Parcel/Schedule Number for the lot you are applying for this permit on prior to the submittal of a building permit application? Your attention in this is appreciated. Yes / No ____ _ 21. Are you aware that you will need to have your installer obtain an installation inspection as per the State Division of Housing requirements prior to the County building department doing their final inspection? The State will charge a fee for this inspection. Yes / No ____ _ 22. 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 Uniform Building Code? Yes / No ____ _ 23. Are you aware, that if you receive your water and/or sewer from an Association, a District or Municipality, you will be required to provide the County with a copy of the Tap Permit (or evidence of an exynption) at the time of the building permit application submittal? Yes No __ ~- 24. Do you understand that if you are planning on doing any excavating or grading to the property prior to issum~of a building permit that you will be required to obtain a grading permit? Yes ____ _ 4 I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. Signature of Owner Date Phone: (970) 285-7330 (days); ___________ (evenings) Project Name: Skyline Manufactured Home Plan "Cumberland" Model Project Address:_-"-l"-0'-7_Qocu,_e,_e"'n'"--C"-l"-. t"-y,_C,_l"'. r'-'c~l"-'e"------------------ 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. bpminreqmhFeb2005 5 PLAN REVIEW CHECKLIST Applicant G 1 M ft1Ul{)Y'-.. J &\f-- Building _lLEngineered Foundation ___l.L_Driveway Permit VSurveyed Site Plan 4septic Permit and Setbacks 4..-Grade/Topography 30% Attach Residential Plan Review List __t.L'Minimum Application Questionnaire _0ubdivision Plat Notes 4Yire Department Review -LL Valuation Determination/Fees ~Red Line Plans/Stamps/Sticker 4-Attach Conditions _tLApplication Signed ----4,.LPlan Reviewer To Sign Application ~Parcel/Schedule No . ..JL 40# Snowload Letter-Manf. Hms. GENERAL NOTES: Planning/Zoning Wroperty Line Setbacks -- . V3oft Stream Setbacks ~loodPlain -- _L::::_ Building Height l--zoning Sign-off .J_Road Impact Fees · --~_,.LHOAIDRC Approval ~Grade/Topography 40% _LPlanning Issues dsubdivision Plat Notes 02/20/2008 13:31 9705258527 GARCO ROAD BRIDGE Application for Driveway Permit Person Obtaining Permit: Cimarron Land and Homes Application Date: 2/2012008 County Road Number: 373G District: Silt Permit Number: GRB08-D-2I Termination Date: 3/2012008 Inspector: Kraig Kuberry PAGE 62/05 hereby requests pennission and authority from the Board of County Commissioners to consi:t\lct a driveway approach (es) on the right-of-way off of County Road. 373G, of 107 Qneen City Circle, located on the North 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 ceni:L'I'line of road to properly line. 3. Number of driveways requested 4. Width of proposed driveways and angle of approach. S. Distance from driveway to road intersection, if any. 6. Size and shape of area separating driveways if more than one approach. 7. Setback distance ofbuilding(s) and other structure improvements. 8. No unloading of equipment on county road, any damage caused to cotmty 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 affinns 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 a11labor and materials, perform all work, and pay all costs in connection with the construction ofthe driveway(s). All work shall be completed within thirty (30) days of the penni! date. 3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their representative an.d 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 hannless 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 ofthe County snow removal operations. 02/20/2008 13:31 9705258527 GARCO ROAD BRIDGE PAGE 03/05 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. ?) 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 mnst 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: l. Driveway Width-16ft 2. Culvert required? False Si7..e: by 3. Asphalt or concrete pad requil·ed? True Size of pad: 16ft wide x 20ft long)". 41n thick 4. Gravel portion required? False Length: 5. Trees, brush and/or fence need to be removed for visibility? False 6. Distance and Direction: 7. Certified Traffic Control Required? False 8. Work zone signs required? True . 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 Board of County Commission¢rs. Signed: __.Uewt-~· '=:::::;:;::-;-::~::-.:r==ri=::::-----­ Cimarron Land and Homes Address; 12 e:-3:> ~t£§.\\.z.~ ~~r\u-~ Ce:> Telephone Number: ""no -"2. f:> S -:r~:>? o Permit gra.nted 2/20/2008, stlbject to the provisions, speeifications ~nd conditions stipulated herein. For Board of County Commissioners' of Garfield County, Colorado: {~l:JrLJcu,J) Representative of Garfield County Road and Bridge Signature 02/20/2008 13:31 9706258627 GARCO ROAD BRIDGE PAGE 04/05 Specifications 1. A driveway approach is understood to be that portion of the coun.ty road right,of way between the pavement edge and the property line that is designed :md used for the interchange of traffic between the roadway and abutting property. 2. Ai 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 ch"arance of 50 feet be provided and for rural commercial entrances a minimum of I 00 feet be provided.) 3. All entrances and exits shall be so located :md constructed that vehicles approaching or using them will be able to obtain adequate sight distance ill. 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 (I 00) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred I 00) feet shall be permitted only after showing ofactual convenience and necessity. 6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upcn adjoining property. 7. No commercial driv~way shall have. a width greater than thirty (30) feet measured at right angles to the centerline of the driveway. except as inoreased.by permissible ra_dii, ~o 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 maybe at a right angle to the centerline of the county road and of any angle between ninety (90) degrees and slli:ty (60) degrees but sha11 not be less th:m sixty {60) degrees. Adjustment will be made according to the type of traffic to be served :md other physical conditions. 9. The construction of parking or servicing areas on the county road right-of-way ls specifically prohibited. Commercial establishments for customer vehicles should provide off-the-road parking facilities. 10. The grade of entrance :md exit shall slope downward and away from the road surface at the $llroe rate as the normal shoulder slope and for a distance equal to the width of the shoulder but in no case Jess than twenty (20) feet from the pavement edge. Approach grades arc restricted to not more than ten percent (I 0%). 11. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the street or county road. The Applicant wlll be required to provide, at his own expense, drainage structures at entrances and exits, which will become an integral part of the existing drainage system. The Board of County Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage structures. Note: This permit shall be made available at the site where and when work is being done. A work sketch or drawing of the proposed driveway(s) must accompany application. No permit will be issued without drawing, blueprint, or sketch. 02/20/2008 13:31 9706258627 GARCO ROAD BRIDGE BOARD OF COUNTY COMMXSSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIENS The Contractor, whose name and signatuJ:e appea.rs below, certifies and agrees as follows: 1. The Contractor shall comply with the provisions of C.R.S. S-17.5-101. et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work for the Board of County Commissioners of ·Garfield County, coloraao {"BOCC") or enter into a contract with a subcontractor that knowingly employs or eontra.cts with an illegal alien_ 2. The Contractor represents, warrants, and agrees that it has verified that it does not employ any illegal aliens; that it has participated or attempted to participate in the Basic Pilot Employment Verification Program administered by the Social security AdministratJ.on and Department of Homeland security; an<;\ otherwise shall comply with the requirements of C.R.S-8-17.5-102(2) {b). 3. The contractor shall comply with all reasonable requests m$.de in the course ot 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. a-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 undersisned hereby swears or affirms under penalty ot perjury under the laws of the State of Colorado that {check one) ' Vr am a ·unite·o. State·s··c:lt:rzen, or. ·--···.~· I am a Permanent Resident of the United States, or I am lawfully presene in the united States pursuant to Federal law. I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the BOCC. I understand that state law requires me to pro~ide proof that I am lawfully present in the United States prior to starting work f.or the SOCC. I further acknowledge that I will comply with the requirements of C.R.S. 24-7G.5-101 et seq. and will produce the required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraud\l.lent statement or representa.tion in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under c.R.S. 18-8-503 . .-,11-1- CERTIFIED iil.nd AGREED to this~ day of ~~A.,~ , 200 E:>. Permit Number: GRB08-D-21 PAGE 05/05 Exhibit A CONSOLIDATED METROPOLITAN DISTRICT CONNECT PERMIT Date Issued: Issued To: Address: Telephone#: February 14, 2008 Cimmaron Land and Homes 73 E. Sipprelle Dr. Suite 103 Parachute, Co. 81635 970-285-7330 Type of Connection: xxxx Water Describe Other: Service Address: 1 07 Queen City Circle PERMIT FEE: $50.00 Sewer xxxx Permit#: C02-5322 Other The permit fee covers the cost of ONE trip to inspect all services indicated above. If more than one inspection trip is required, they will be billed at $35.00 per trip. Plans must be submitted to the District for approval PRIOR to this permit being issued to insure compliance with the District Rules and Regulations. Connections and installations must be in accordance with the approved plans. The District requires a 24 hour notice for all inspections (excluding weekends and holidays). No inspections will be performed on weekends or holidays. All connections and lines must be fully exposed for inspections. All service connections must be inspected and approved prior to the District providing water and sewer services. Customer Signature: Date: 02/14/08 Issued By: Nancy INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO S) Date Issued3:1!!.:9.Q.Zoned Area .•.••.•.•.•.•.••••.••••••••.... Permit No •. .19.~ ................... . AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structure for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Inspector and IMMEDIATELY BECOME NULL AND VOID. use /J?£ 7fic{;;y bvttf /!!)tnu aw 8JrmrliJi(ft1 /11/priliQ:> 1-a+f. qwqt- Address or L<gal Description 107-Cf~n CiTi( Ctt.cff?, {bJ?achv]f Owner frmuewVJ /a<rd r /l~l#fS Contractor Owmt Setbacks Front Side Side Rear This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD Footing 1-2-o8 ,0vt !PU ok Drive~ /}w-t -!~-oS &rv-- 1!/t:.(h... Foundation Underground Plumbing Insulation Rough Plumbing s=~.s fiN tiC Drywall Chimney & Vent Electric Final (by State Inspector) & -I '?:fM Gas Piping !:-:Yo$ ~ 6K Final iP-It. ·P8 ~ ~ Electric Rough (By State Inspector) Septic Final Framing ~~~Dfi :5·&:>-oS,/Jn (To include Roof in place and Windows .tl 31 o!f{p()(),]..'ff and Doors installed). s.M..t# 8Al<:'2.. -o"'u -wi>tl ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING· WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE For Inspections Call384-5003 I 08 8th Street Glenwood Springs, Colorado APPROVED DO NOT DESTROY THIS CARD Date'3-\0~l) Byt·JaF»JCH) * IF PLACED OUTSIDE-COVER WITH CLEAR PLASTIC No. ___________ 1~o~s~s~3 __ ___ Assessor's Parcel No. 2407-192-15-006 Date __ _.3..._/1..,.0"""/2..,0""'08!<.--_ BUILDING PERMIT CARD Job Address --~1~0~7~q~"eee~n~ci~ey~ciwre~lee~,P~a~r4a~chw•w•t~e~(s~a~d~dwle~b~a~c~k~V~ilwla~g~euf~lg~1uA~M~D~b~lk~1u2~,~~nut~6~)------------- 0wner Cimarron I and & Homes Address 73E. Sipprelle dr, P'chutePhone # 285-7a30 Contractor _____ _,.O..._w ... n..,.e"'-r ___________ Address same Phone # ..,s~am""""e ___ __ Setbacks: Front ______ Rear _____ RH _____ LH _____ Zoning ______ _ INSPECTIONS Soi Is Test -u--.--;::-;...-n-:-::n--m;;-:-=----r:- Footing {-/-D8 fd'YV\ U.EU< ok Foundation __________ _ Grout __________________ ___ U n derg ro u n d PI u m bing ~-=:-:::o""""'--.---:­ Rough Plumbing :s-;::5 -o'g $20, eJI< Framing ___________________ _ Insulation ------------------ Roofing-------------- Drywall ------=:;;---c=.---:;;;»",.-,---:=,- Gas Piping 9:~;-:-o~ ~?J~ 0/<," GA~. ~p .3;/~fo yz:vl oK NOTES ~ ~lfJ?\ ll~St-, OQt\ ~~~ .. \ ~~'V\\ v Weatherproofing _______________ _ Mechanical _________________ _ Electrical Rough (State) , Electri9aJ1final (State) tf' ~1'2,-0 g t?-fti Final k·Je.-"li /Checklist CQplo.leted?_~-~11;'-"-LL­ Certificate Occupancy~# ff'f~~ Date l..Q..:_6_-~ Septic System # Tf!L \fY\j)No_ Date -------------Final _____________ _ Other ______________ ~-------- (continue on back) Parcel Detail Page 1 of3 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Property Se;rrch I Assessor Subset Ql!ei)' I Assessor S_ales Se_arch Clerk_&; Recorder Receptiou Search P<!Icel P_etail I Value Detail I Sales l)etail I Resideutial/Cgl!lll1ercial Improy:emeni Detail Lood Detail I l'b_otographs I Tax Area II Account Number II Parcel Number II 2007 Mill Levy I I 080 II R770216 II 240719215006 II 38.002 I Owner Name and Mailing Address lciMARRON LAND & HOMES, LLC 1363 COUNTY ROAD 251 jRIFLE, CO 81650 Assessor's Parcel Description (Not to be used as a legal description) JSECT,TWN,RNG:19-7-95 SUB:SADDLEBACK JVLG FLG #1 AMD BLK:12 LOT:6 DESC: ISADDLEBACK VILLAGE FLG 1 jPRE:R770007 RECPT:731438 BK:1930 JPG:502 RECPT:724203 BK:1668 PG:443 IRECPT:669853 BK:0928 PG:0262 IBK:0776 PG:0563 BK:0769 PG:0518 Location I I I I I I I I I I Physical Address: 11107 QUEEN CITY CR BATTLEMENT MESAl Subdivision: !iSADDLEBACK VLG FLG #1 AMD I Land Acres: 110 Land Sq Ft: 115,662 I Section II Township II Range I II II http://www .garcoact.corn/ assessor/parcel.asp ?ParcelN umber=240719215006 2/2112008 Parcel Detail Page 2 of3 II 19 II 7 95 II 2007 Property Tax Valuation Information II Actual Value II Assessed Value I I Land: II 5,18011 1,5ool I Imerovements: II Oil 0 I Total: II 5,18011 1,5ool Sale Date: 118121/2007 Sale Price: 11147,000 Basic Building Characteristics Number of Residential 0 Buildings: Number ofComm/Ind 0 Buildings: No Building Records Found Tax Information I Tax Year II Transaction Tyee II Amount I I 2007 II Tax Amount II $57.ool I 2006 II Tax Payment: Whole II ($66.52)1 I 2006 II Tax Amount II $66.521 I 2005 II Tax Payment: Whole II ($86.46)1 I 2005 II Tax Amount II $86.461 I 2004 II Tax Payment: Second Half II ($44.50)1 2004 II Tax Parment: First Half II ($44.50)1 2004 II Tax Amount II $89.ool 2003 II Tax Payment: Second Half II ($51.24)1 2003 II Tax Parment: First Half II ($51.24)1 I 2003 II Tax Amount II $102.481 I 2002 II Tax Payment: Second Half II ($56.20)1 I 2002 II Tax Parment: First Half II ($56.20)/ I 2002 II Tax Amount II $112.401 I 2001 II Tax Payment: Second Half II ($53.50)/ I 2001 II Tax Payment: First Half II ($53.50)1 II II http:/ /www.garcoact.com/ assessor/parcel.asp ?Parce1Number=240719215 006 2/21/2008 Parcel Detail 2001 II Tax Amount $107.001 2000 II Tax Payment: Second Half ($61.36)1 2000 II Tax Payment: First Half ($61.36)1 2000 II Tax Amount $122.721 1999 II Interest Payment II ($0.50)1 1999 II Interest Charge II $0.5ol 1999 II Tax Payment: Second Half II ($50.40)1 I 1999 II Tax Payment: First Half II ($50.40)1 I 1999 II Tax Amount II $100.801 ThpofPa~ Assessm: Database Search O];ltions I Treasurer Database Search O];ltions Clerk & Recorder Database Search O];ltions Page 3 of3 The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2008 Good Turns Software. All Rights Reserved. Database & Web Design by Good Turn~l!oftwllJ:e. http://www.garcoact.com/ assessor/parcel.asp ?ParcelN urnber=240719215006 2/21/2008