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. _j_Q~l~1J ____ _
Parcel No: 2395-032-00-011
Locality: C_hely_n_6ErEl_~_Lot 0::.>., .:.T:.::rac::.:ct:.::2c::.8 _______ _
Job Address: __ _ ~-----~I~_Piedmont Rd. (CR 149-B) GWS
Use of Building: ____________ ___:D:::e:.:::la::::chc.:ec::.d :.::.Garage[§!Cl_@_9_El___ ____________ ~--
Owner:
Contractor: Owner
Fees: Plan Check: 287.14 Septic:
····-·----~-~~----·---··---
Bldg Permit: $ 441.75 Other Fees: ----------·----
Total Fees: 728.89
Clerk: Date: ___ ,,_, ___ ">o~ . .--M,OOo~M~•Od•---~ --~ ... ~-~"-~--.,-~-----I
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GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8'" Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 I Fax: 970-384-3470 I Inspection Line: 970-384-5003
www .garfield~county .com
assessors office 970-945-9134)
0
-as
Authority. This application for a Building Permit must be signed by th~;~'~;~~~:;~:~;;":,''"Y· d<"otibod ''"''•
letter of authority, signed by the Owner, must be provided with this i
Legal Access. A Building Pennit cannot be issued without proof oflegal and adequate access to the property for purposes of inspections by the Building Department.
Other Permits. Multiple separate pennits may be required: (I) State Electrical Pennit, (2) County ISDS Penni!, (3) another pennit required for use on the property identified above, e.g. State or
County Highway/ Road Access or a State Wastewater Discharge Pennit.
Void Permit. A Building Pennit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of !80
days after commencement.
CERTIFICATION
I hereby certifY that I have read this Application and that the infonnation contained above is true and correct. I understand that the Building Department accepts the Application, along with the plans
and specifications and other data submitted by me or on my behalf(submittals), based upon my certification as to accmacy.
Assuming completeness of the submittals and approval of this Application, a Building Penni! will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating: the work and the Garfield County Building
Code, ISDS regulations and applicable land use regulations (County Reglllation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location,
construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant pennission to the Building Department to enter the property, described above, to inspect the work. 1 further acknowledge that the issuance of the Building Pcnnit does not prevent the
Building Official I) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation
~,~C~o~~~1cy~~~~~~][~ojfu~,~,~~~~i~~~~::~:::;;~::::;~~::
Special Conditions:
Adjusted Valuation:
Z'l.IW
ISDS Fee:
Setbacks:
APPROVAl), ./
inspections of the work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
Plan Check Fee:
Total Fees'7?tt·'5? z. ,.,...., . ·.:-y
· for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
NOTICE & CERTIFICATION ABOVE:
STAFF USE ONLY
Permit Fee: Manu home Fee: Mise Fees:
44/. 7?
Fees Paid: Balance Due: !!E1:iQ. & Issue Date: ISDS No & Issued Date:
~':f.)L\ 44/.75 0Ct1t (p(I5/0i(
OCC Group: ConstType: Zoning:
DATE APPRCWA!J DA
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 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 IBC and IRC requirements including guardrails. ~·
6) Outside grading completed so that water slopes away from the building;
7) Exceptions to the outside steps, decks, grading may be made upon the demonstration of
extenuating circwnstances., 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.
Bapplicationdecernber2007
TIMATE
(ALL FEES ARE ESTIMATES UNTIL FINAL PLANS ARE REVIEWED)
Applicant:
Job Address:
Subd-Lot/block:
FINISHED LIVING SPACE: sf X 74.68= ----------~ --------------
UNFINISHED BASEMENT: sf X 41.00= --------~~ --------------
CRAWL SPACE: -------------_:s~f X 9.00=
GARAGE: __;;;;5__.'-/_1
_JC_,..3D=-' _-_../.=;...~ =;}-"'-o __ .:..-sf x 18.00= -=~....L'fJt-'-/-"'6..,..0 __
UNCOVERED PATIO/DECK: --------~s~f X 12.00= ------------
COVERED PATIO/DECK: sf X 24.00= -------------------------
MISC: ___________________ __
MISC: ___________________ __
TOTAL VALUATION:
THIS SECTION WILL BE DETERMEND BY GARFIELD COUNTY BUILDING & PLANNING
PLAN REVIEW FEE:
PERMIT FEE: L\LJ \ . 3::5
TOTAL:
PERMIT:
SEPTIC=
PERC:
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. 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.
TWO (2) SETS OF CONSTRUCTION DRAWINGS & TWO (2) SITE PLANS MUST BE
SUBMITTED FOR ALL APPLICATIONS.
Please review this document to determine if you have enough information to design your project
and provide adequate information to facilitate a plan review. Also, please consider using a design
professional for assistance in your design and a construction professional for construction of your
project. Any project with more than ten (10) occupants requires the plans to be sealed by a
Colorado Registered Design Professional.
To provide for a more understandable plan in order to determine compliance with the building, plumbing
and mechanical codes, applicants are requested to review the following checklist prior to and during
design. Applicants are required to indicate appropriately and to submit the completed checklist at
time of application for a permit.
Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn
to scale.
Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks,
balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line and
original grade. A section showing in detail, from the bottom of the footing to the top of the roof,
including re-bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation,
sheeting, house-rap, (which is required), siding or any approved building material. Engineered
foundations may be required.
A window schedule. A door schedule. A floor framing plan, a roof framing plan, roof must be
designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. wind speed,
wind exposure B or C, and a 36 inch frost depth.
All sheets to be identified by number and indexed. All of the above requirements must be met or your
plans will be returned.
All plans submitted must be incompliance with the 2003 IRC.
1. Is a site plan included that identifies the location of the proposed structure or addition and distances to
the property lines from each corner of the proposed structure(s) prepared by a licensed surveyor
and has the surveyors signature and professional stamp on the drawing? Properties with slopes of
30% or greater must be shown on the site plan. (NOTE Section: 106.2) Any site plan for the
placement of any portion of a structure within 50 ft. of a property line and not within a previously
surveyed building envelope on a subdivision final plat shall be prepared by a licensed surveyor
and have the surveyor's signature and professional stamp on the drawing. Any structure to be
built within a building envelope 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
withi envelo e.
Y es._,_,94
2. Does the site Ian also include any other buildings on the property, setback easements and utility
easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution if the
property you are applying for a building permit on is located on a corner lot. Special setbacks do
r;::;y f11 v
z;
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
prope~ms or water courses?
Yes
4. Does the site plan indicate the location and direcdon of the County or private road accessing the
propertJIJ:t; \ ./
Yes~
2
5. Are you aware that prior to submittal of a building permit application you are required to show proof
of a legal and adequate access to the site? This may include (but is not limited to) proof of your
right to use a private easement/right of way; A County Road and Bridge permit; a Colorado Dept.
of Highway Permit, including a Notice to Proceed; a permit from the federal government or any
combination. You can contact the Road & Bridge Department at 625-8601. See phone book for
other a~~
Yes.-"~'--#---
6. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel
in acco)f~e ~the IRC or per stamped engineered design?
Yes--"~-..P...--
7. Do the plans indicate the location and size of ventilation openings for under floor crawl spaces and the
clearances required between woq,dj>!Jd earth?
Yes No jj~ ---#, '-lLA~-
8. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and
soffits? A!/ 4.---
Yes No.__,_/-'--'Y)Il-'---
9. Do the plans include design loads as required by Garfield County for roof snow loads, (a minimum of
40 pounds per square foot up to & including 7,000 feet above sea level), floor loads and wind
loads? ,il_,~
Yes /'Y
I 0. Does the plan include a building section drawing indicating foundation, wall, floor, and roof
construct.i9)}]
Yes o/7 '')./ ,
11. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists,
roof r~oists or trusses?
Yes ]/
12. Does the building section drawing or other detail include the method of positive connection of all
columns_wl~e~s?
Yes __ ~:L--t'-----
13. Does the elevation plan indicate the height of the building or proposed addition from the
undisturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the top
of a flat.J~fiuilding height measurement usually not to exceed 25 feet)
Yes--"("LL__-<-+----
14. Does the plan include any stove or zero clearance fireplace planned for installation including make
and model and Colorado Phase certifications or phase II EPA certification?
Yes No_~~~---
3
15. Does the plan include a masonry fireplace including a fireplace section indicating design to comply
with the IRC?
Yes ______ No __ ~--,~---
16. Does the plan include a window schedule or other verification that egress/rescue windows from
sleeping rooms and/or basements comply with the requirements of the IRC?
Yes ;1//f-: •
I 7. Does the plan include a window schedule or other verification that windows provide natural light and
ventilatio9. ~j all habitable rooms?
Y es_-'-f-'-Vt::.'/::1 __ _
18. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing
immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking
surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specifY safety
glazing for these areas? .A tJ_
Yes No _ _,f'--VI-"-tctrr-___ _
19. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on
the plan? 11 lA-
y es._--'-1-=-"" VCV:__ __
20. Do you understand that if you are building on a parcel of land created by the exemption process or the
~!d~~ prv;J;, are building plans in compliance with all plat notes and/or covenants?
21. Do you understand that if you belong to a Homeowners Association (HOA), it is your responsibility to
obtain written permission from the association, if required by that association, prior to submitting
an application for a building permit? The building permit application will be accepted without
it, but you run the risk of the HOA bringing action to enforce the covenants, which can result in
revocation of permit issued. Additionally, your Plan Review fee is not refundable if the plans
have been reviewed by the Building Department prior to any action by the HOA that requires either
revocati!lw;>J?~bstantial modification of the plans.
Yes. _ _,_Y)"_',,_ r;'L __ _
22. Will this be the only residential structure on the parcel?
Yes )(: No !( lfno-Explain:~f-¥.'/l,';f-~""-''7F"'' j
23. Have two ~/ets of construction drawings been submitted with t
Yes~
24. Do you understand that the minimum dimension a home can be on a lot is 20ft. wide and 20ft. long?
Yes (VI{
4
25. Have you designed or had this plan designed while considering building and other construction code
requirel:JJJA~
Yes_~~'---cf---
26. Do your plans comply with all zoning rules and regulations in the County related to your properties
zone dis~
Yes __ ~~<--#'-----
27. Does the plan accurately indicate what you intend to construct and what will receive a final inspection
by the G~nty Building Department?
Yes---~.!L./-L-+--
28. Do you understand that approval for design and/or construction changes are required prior to the
applicati:~anges?
Yes __ (£_£__·~--
29. Do you understand that the Building Department will collect a "Plan Review" fee from you at the
time of application submittal and that you will be required to pay the "Permit Fee" as well as any
"Road I t" r "Septic System" fees required, at the time you pick up your building permit?
Y es_,'---.1---
30. Are you aware that you must call in for an inspection by 3:30 the business day before the
requested inspection in order to receive it the following business day? Inspections will be
made from 7:30 a.m. to 3:30 p.m. Monday through Friday. Inspections are to be called in
to384~:~
Yes ~ No _____ _
31. Are you aware that requesting inspections on work that is not ready or not accessible will result in a
$50.00 re,jP§»e-fee?
Yes. __ ~'EZ'--L__ ___ _
32. Are you aware that you are required to call for all inspections required under the IRC including
approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the
buildinttl.ff? /
Yes._?_-"-f/ __ _
33. Are you aware that the Permit Application must be signed by the Owner or a written authority being
given f~g~nd that the party responsible for the project must comply with the IRC?
Yes_~"---'"---
5
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
applicl/de inspection. r. _.I._ on ?Jltr
Yes t'\tOw"ec ~I "(A{ •
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
buildi~itapplication? Your attention in this is appreciated.
Yes ~
36. Do you know that the local fire district_.Tay require you to submit plans for their review of fire safety
issues?
Yes ~ (please check with the building department about this requirement)
37. Do you understand that if you are planning on doing any excavating or grading to the property prior
~ ei:~ a ~u~(~h~bfq J~ :;;equired to obtain a grading permit?
38. Are you aware that if you will fe connecting to a public water and/or sewer system, that the tap fees
have to be paid and the connections inspected by the service provider prior to the issuance of a
Certificate of Occu ancy?
Yes ~
I hereby ack owledge that I have read, understand and answered these questions to the best of
my ability.
3 7 r ~ /)6 (k) c. e-rr
Phone: Cfo/5-(}..() (J..U c4< (days); --~.9-~.lf~£<---_,_Cf~lJ""'£""'---( evenings)
Project Name: "i:.; I m M(7J...]e.
Project Address: 0 ( Z S f; eJ fiOVt t ~oJ
6
Notes:
If any required information is missing 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.
BpminreqDec2007
7
PLAN REVIEW CHECKLIST
Applicant Z 1 L \'(\
Building
~gineered Foundation
~eway Permit
~urveyed Site Plan
;1../ A7ermit and Setbacks
__ Grade/Topography 30%
~ch Residential Plan Review List
--~um Application Questionnaire
~division Plat Notes
...<~Department Review
__ Valuation Determination/Fees
~d Line Plans/Stamps/Sticker
~h Conditions
~~Signed
~ __ Plan R Rpe"V;JeP"Wer To Sign Application
-~1/Schedule No.
~ 40# Snowload Letter-Manf. Hms.
i14--Soils Report
GENERAL NOTES:
Date C.,-3 -QES
Planning/Zoning
~erty Line Setbacks
J.J.1J;Joft Stream Setbacks
f{:L_plo~in
-~-uillddiinng~r • Height
~ign-off
~oad Impact Fees
~OA/DRC Approval
. ~/Topography 40%
t5:/l_ Planning Issues
~on Plat Notes
Garfield
Application for Driveway Permit
Person Obtaining Permit: Mark Zilm
Application Date: 212612008
County Road Number: 149B District: Glenwood
Permit Number: GRB08-D-25
Termination Date: 3/26/2008
Inspector: Jake Mall
hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es)
on the right-of-way off of County Road, 149B, 1350 ft West of Piedmont I VanDorn, located on the West 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:
I. 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 ofbuilding(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
I) 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.
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.
9) Final inspection of driveway will be required upon completion and must be approved by person issuing
permit or representative of person issuing permit.
The inspection and sign off must be done prior to any CO from the Building and Planning
Department being issued.
1 0) Contractor agrees to all Provisions in Exhibit A.
Special Conditions:
1. Driveway Width-52ft
2. Culvert reqnired? True Size: 18 inch by 60ft
3. Asphalt or concrete pad required? True Size of pad: 50ft wide x 15ft long x 4in thick
4. Gravel portion required? False Length:
5. Trees, brnsh 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
the Board of County Commissioners.
Telephone Number:. _____________ _
Permit granted 2/26/2008, subject to the provisions, specifications and conditions stipnlated herein.
For Board of County Commissioners' of Garfield County, Colorado:
tJcoJwcuV
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 I 00 feet be
proyjded.)
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 ( 1 00) feet. Additional entrances or exits for parcels having a frontage in excess of one hundred 1 00)
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 proyjde, 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) mnst accompany application. No permit will be issued without drawing,
blueprint, or sketch.
Feb 11 08 11:41a
BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY
CERTIFICATION AND AFFIDAVIT
REGARDING ILLEGAL ALIENS
p.2
The Contractor, whose name and signature appears below, certifies and agrees as
follows:
1. The Contractor shall comply with the prov1s1ons of C.R.S. 8-17.5-101 et
seq. The Contractor shall not knowingly employ or contract with an illegal alien
to perform work for the Board of County Commissioners of Garfield County,
Colorado (\\BOCC") or enter into a contract with a subcontractor that knowingly
employs or contracts with an illegal alien.
2. The Contractor represents, warrants, and agrees that it has verified that
it does not employ any illegal aliens; that it has participated or attempted to
participate in the Basic Pilot Employment Verification Program administered by
the Social Security Administration and Department of Homeland Security; and
otherwise shall comply with the requirements of C.R.S. 8-17.5-102(2) (b).
3. The Contractor shall comply with all reasonable requests made in the course
of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor
and Employment. If the Contractor fails to comply with any requirement of this
provision or C.R.S. 8-17.5-101 et seq., the BOCC may terminate work for breach
and the Contractor shall be liable for actual and consequential damages to the
State.
4. If the Contractor is a sole proprietor, the undersigned hereby swears or
affirms under penalty of perjury under the laws of the State of Colorado that
(check one):
~ I am a United States citizenr oi
I am a Permanent Resident of the United States, or
I am lawfully present 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 provide proof
that I am lawfully present in the United States prior to starting
work for the BOCC. I further acknowledge that I will comply with
the requirements of C.R.S. 24-76.5-101 et seq. and will produce the
required form of identification prior to starting work.
I acknowledge that making a false, fictitious, or fraudulent statement or
representation in this sworn affidavit is punishable under the criminal laws of
Colorado as perjury in the second degree under C.R.S. 18-8-503.
CERTIFIED and AGREED to this JZ_ day of ~fJ~e~h~~~U~O~r~J4~--' 200ji.
coNTRAcroryHollle Ow11el' \.)
ffla.d<. £. ~i(M
(Contractor Full Legal Name)
By:
Signature of Authorized Rep
Immigration Affidnvit
{08/06) Final
EXHIBIT
};dJ.-90-530?
FEIN or Social Security Number
Title
=Existing House
=Existing Driveway
D = Proposed New Garage
No. ----------~1~09~7u1L-___ Assessor's Parcel No. ____ . .=.2""39,_,5,0""32.,0...,0,0'-'-11
Date 6/5/2008
BUILDING PERMIT CARD
Job Address ___ _,QoLJ1u.Z.JJ.3-"P'-"ie..,d...,muo!.<JnwtwR"'d.._,.4(,..C...,Rc..-1L:l4..,9'-"B"'-')'-"G...,Wi.!Uo!S'-----------------------
Owner _____ __.z.,.ilwm"-',-'lM...,a,...r.uk-"&'-'Pwh'-"yiUI""Iis,.__ ____ Address 0173 Piedmont Rd.
Contractor Owner Address same
Phone # 970-945-2020
Phone # . 970-379-2020
Setbacks: Front Rear _____ RH _____ LH _____ Zoning ____ _
.1}~ ~ ~~ INSPECTIONS
Soils Test ~ Weatherproofing
Footing 16-"Zf? -eH ~ Mechanical ______________ _
Foundation q -JI-v.Z '~ Electrical Rough (State)---:::::;--:;;:;;;;---~-=-----
Grout Electrical Final (State) Z. -:?-/C?
Underground Plumbing Finai"Z-/t'-/f?/Checklist Completed? ~
Rough Plumbing Certificate Occupancy # ----------
Framing -z:: ..-/(!)-/?? ~ Date ___________ _
Insulation Septic System # ---------------
Roofing -z-01-/C? <;?""-! Date------------
Drywall Final __________________ _
Gas Piping------------Other _________________ __
NOTES
(continue on back)
I
BUILDING PE
GARFIELD COUNTY, COLORADO
INSPECTiON WILL NOT BE MADE UNLESS
THBS CARD IS POSTED ON THIE JOB
MIT
Date Issued {Q l5lc1Q Permit No. _j_D"'-CJ"'--1-8--JJJ-.------
AGREEMENT
In consideration of the issuance of the permit, the applicant hereby agrees to comply with aH iaws and regulations
related to the zoning, location; construction and erection of the proposed structured 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 department and IMMEDIATELY BECOME NUll AND VOID.
use Ue±ach:d BarcY3e /S~'-----~--
AddressorLega1Description011~ 'P\edmont £d. (C2, ~-B~ GWS
Owner Z.il m I Mo.r]<.-? Ph~ lli s Contractor owne!Lr ____ _
Building Permit Type '&es.idenbDJ_~., _________________________ _
This Card Must Be Posted So It Is Plainly Visible From The Street Until Final Inspection
INSPECTION RECORD
Footing -i' i( r-:c: (,Z,__ Driveway
21 .~ z:_:;3·-c.:.s· ~.v 7' 777,'L eJ_ 1°/JII I oq
FoundatiorrttGrouting 0'-//-c?: y7lo Insulation
i
Underground Plumbing Drywall
-
Rough Plumbing Electri~~l (bffate ln~97;~
{Prior to Final)
Rough Mechanical Septic Final
Gas Piping FINAL -z-/67-/?' ("":?<}
Electric Rough (by State Inspector)
(You Must Call For Final Inspection)
(Prior to Framing) Notes
Framing 2 -/<P-/?' 'TN
(to indude Roof in place & Windows & Doors Installed & Firestopping in place)
THIS PERMIT IS NOT TRANSFERABLE
For Inspection Call 970-384-5003 Office 970-945-8212
108 8th Street, Suite 401 Glenwood Springs, Colorado 81601
DO NOT DESTROY THIS CARD
(DO NOT LAMINATE)
COUNTY OF GARFIELD ~ BUILDING DEPARTMENT
CORRECTION NOTICE
108 8th St., Suite 401 Glenwood Springs, Colorado
Phone (970) 945-8212
Job located at CJ I 7:3 tl/£7JMtJ~ tep,
Permit No. /& r 7/
I have this day inspected this structure and these
premises and found the following corrections needed:
A/ t:?lic& p c50 m;r:
.j; CdAc.I{J/1/G-/d
ff1d Ufrt £/r-
EAcl<
..
VJBLL £/(on r7L11o: 74? 7//"/tr
222 L?JAI<!t: s«te.tC /r-~..s
A/c;C /11t9v/C Lf(elf!.£.-
0 Call for Re-lnspection
0 $50.00 Re-lnspection Fee must be paid prior to Re-lnspection
You are hereby notified that the above correction must be inspected
before covering.
When correction(s) have been made, call for inspection at 970-384-5003.
Date 2 -/t:J 20 /C7
Building Inspector ~ ~b '!I'
Phone (970) 945-8212
Parcel Detail Page 1 of 4
Garfield County Assessor/Treasurer
Parcel Detail Information
A:>sS!ssor/Treasurer Proper:ty: Search I Assessm_Subset Querx I Asse"ssPr Sales Search
Clerk ~"R~corder ReceJ)tion Search
Parc;el Detail I Value Detail I Sale~Detail I Residential/CpmmerciaJJmnrovementDg_tail
Land Detail I Photog@llhs
I Tax Area II Account Number 1/ Parcel Number II 2007 Mill Levy I
I 008 II R080135 II 239503200011 II 60.596 I
Owner Name and Mailing Address
jZILM, MARK R. & PHYLLIS E.
jm PIEDMONT RD
jGLENWOOD SPGS, CO 81601-9518
Assessor's Parcel Description
(Not to be used as a legal description)
jSECT,TWN,RNG:3-7-89 SUB:CHEL YN
IACRES LOT:O DESC: TR 28 BK:0493
jPG:0033 BK:0812 PG:0753 BK:0763
IPG:0044 BK:0649 PG:0803
Location
Physical Address: IIGLENWOOD SPRINGS
Subdivision: IICHEL YN ACRES
Land Acres: 115.24
Land Sq Ft: 110
Section II Township II Range
3 II 7 II 89
2008 Property Tax Valuation Information
htt]2 :/ /www. garcoact.com/ assessor/parcel.asp ?ParcelN umber=23 9 503 2000 11
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5/14/2008
Parcel Detail Page 2 of 4
II Actual Value II Assessed Value I
I Land: II 150,000II 11,9401
I Improvements: II 458,60011 36,5001
I Total: II 608,6ooll 48,4401
Sale Date: l\914/1991
Sale Price: l\41 ,000
Basic Building Characteristics
Number of Residential 1 Buildings:
Number of Commllnd 0 Buildings:
I Residential Building Occurrence 1 Characteristics I
I TOTAL HEATED AREA: 112,072 I
I
\\SINGLE F AM.RES-ABSTRACT CODE: .,IMPROVEMTS I
I ARCHITECTURAL STYLE: IIII/2 STRY I
EXTERIOR WALL: I LOG
ROOF COVER: 1CEDARSHAK
I ROOF STRUCTURE: IIRIDGE FRME I
I INTERIOR WALL: IIEXPOSD LOG I
I INTERIOR WALL: IIDRYWALL I
FLOOR: IIPINE WOOD I
HEATING FUEL: IlGAS I
HEATING TYPE: IIFORCED AIR I
STORIES: IISTORIES 1.5 I
I BATHS: I 1.5
I ROOMS: 16
I UNITS: II
I BEDROOMS: 12
I YEAR BUILT: 111993 I
Tax Information
Tax Year II Transaction Type II Amount I
2007 II'-_...::.Tax=-:..::Pc::aL.ym=e=n=-t:-=-F=irs::.::.t~H=al=-f----'11 ($1,467.64)1
http://www: garcoact.com/ assessor/parcel.asp ?Parce!N umber=23 9 503 2000 II 5/14/2008
Parcel Detail Page 3 of4
2007 II Tax Amount II $2,935.281
2006 II Tax Pa~ment: Second Half II ($1,269.4421
2006 II Tax Payment: First Half II ($1 ,269.44 )I
2006 II Tax Amount II $2,538.881
2005 II Tax Payment: Second Half II ($1,270.3621
I 2005 II Tax Payment: First Half II ($1 ,270.3621
I 2005 II Tax Amount II $2,540.721
I 2004 II Tax Pa~ment: Second Half II ($1,363.6221
2004 II Tax Payment: First Half II ($1,363.62)1
2004 II Tax Amount II $2,727.241
2003 II Tax Pa~ment: Second Half II ($1,202.8621
2003 II Tax Payment: First Half II ($1,202.86)1
2003 II Tax Amount II $2,405.721
2002 II Tax Pa~ment: Second Half II ($1,145.88)1
2002 II Tax Payment: First Half II ($1,145.88)1
2002 II Tax Amount II $2,291.761
2001 II Tax Pa~ment: Second Half II ($1,153.35)1
I 2001 II Tax Payment: First Half II ($1, 153.3521
I 2001 II Tax Amount II $2,306.701
I 2000 II Tax Payment: Second Half II ($1,177.74)1
I 2000 II Tax Payment: First Half II ($1,177.74)1
I 2000 II Tax Amount II $2,355.481
I 1999 II Tax Pa~ment: Second Half II ($1,086.2421
I 1999 II Tax Payment: First Half II ($1,086.24)1
I 1999 II Tax Amount II $2,172.481
Top_ of Page
Assessor DatahaseB_e_!lr.>:JJ._ Owion~ I TreaS.Yr§LDatab~e Search_QpJion.s.
Clerk.&:_.Recorder :OatslbllseSe_arch Owi@s
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.
http://www. garcoact. corn/ assessor/parcel.asp ?ParceiN umber=23 9 503 2000 11 5/14/2008