Loading...
HomeMy WebLinkAboutApplication- Permit:a013e.1)u03 0 ID 1 0 e!lnp 'saimou)I :6u1p1Un8 }o asn :pap paler= ppe vg luawaseq ys!u!4 r 0 m 9 l0 -00 -1760 -LL 1-Z :ssaappv qof aIJ!H `176Z JO 99t7 • Oo • Op▪ o 0. ▪ a0 `▪ °' Rt00 et • A N [n • � 0 et O b M � V ▪ N • • PO C T�, Lro Cro oo vl Z O Permit No: GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8'" Street, Suite 401, Glenwood Spring., CO 81601 Phone: 943.8112 / Fero 970-384-3470 Inspection Line: 970484.8003 tGUIJ Job Address: *--G Ci 0Z9V J�1 co Parcel/Schedule No: 07/ 7 7 45 ?4y Dt7 Oleo /C4 Sb 1 Lot No: Block No: Subd. / Exemption: 2 Owner:/Address ulla. 46w/es 'fib Cie. a9'1 �r rim Ph.?70 `G z5 -o4.6 �' Wk Ph: 970 -6z3-- 7G3� 3 Contractor: Address: &'i' -D Ph: Lie. No. 4 Architec /Engineer:,/� 4.A 5eu-C.rkr 4clt/'Ile ct pe, Address: /3GE, 3 kip ph: 970.6z57osso Lic. No. Sq. Ft. of Building: /Set `i Sq. Ft. of Lot: . /7 a.Gr� Height: oZZ /k-- No. of Floors: / 6 Use of Building /)3t S Idsitted b 7 Describe Work: tecitt>def .40.604.. ,,Zyuajf,tLei 8 Claes of Work ❑ New id Alteration r, Remove 0 Addition t] Move 9 10 Garage: 0 Single 0 Double Carport: EK Single J Double o Driveway P.� On -Site Sewage PS/ u Disposal ❑ Site Plan 3,,�/0' 11 Valuation of Work: $ tjD 000 Adjusted Valuations: S ,1 Ay i 12 Special Conditions: Vc4zipy 6A15-7-, 56 iSra4Ta ap p t- > TIC ?mak IS /San d41- vwits- I-cierI2r14NOTICE A SEPARATE ELECTRICAL PERMIT 13 REQUIRED AND MUST E�� EIS"- ISSUED BY THE STATE OF COLORADO. TMS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED I3 NOT COMMENCED WITHIN 180 DAYS, OR, IF CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 18 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 OF CONSTRUCTION.. L L. ee-6 ?/G 67 Plan Check Fee �; •l�'r ~- Permit Fee: Total Fee:Dated p�� . / ,! ,��� ,4/'' Permit Issued: OCC Group: Tilt, Const. Type: Zoning: Setbacks: Manu. Home: ft ISDS No. & Fee: /51 NATURE OF OWNER D i. _ , . ' 4 r/ .J-.. .�l`� 7.�'JI . ' l B 1+ • el o�' PLNO. DEFT. /DATE APPROVAL/DATE AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURIt AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT. IN CONSIDERATION OF THE 1SSSUANCE 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 LN 30.28 201 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 CONS'TITIri1E AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABLITIES BY OARFIELD comer/ FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSI BILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPEC!FICIALLY WITH THE ARTICTECT, ,SIGNER, B ILDER, AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. PlU n If Fee I HEREBY ACKLLOWL,EDOE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL) , 174Itzto 421,10.0k 100 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. All bathrooms must be complete, 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 IBC and IRC 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; S. 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. 9. If you will be connecting to a public water and/or sewer system, proof of the tap fees have been paid and the connections inspected by the service provider prior to issuance of a C.O. A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. ****A CERTIFICATE OF OCCUPANCY MAY TAKE UP TO 5 BUSINESS DAYS TO BE PROCESSED AND ISSUED. ****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 # jo. ,,);< koG ge 07 Signature Date Bpapplicationoctober2006 VALUATION/FEE DETERMINATION Applicant 1kr..ir.).,.J1e5 Address tisca .9-9k Date Cr- 2? -c Finished (Livable Area): Main Upper Lower Other Total Square Feet Valuation Basement: Unfinished Conversion of Unfinished to Finished Plan Check Fee for Conversion Valuation Garaae: Crawl Space: Valuation Valuation Subdivision Lot/Block Contractor S p, Decks/Patios: Covered i, x Z �t rl 3 4,1 Valuation Open Valuation Total Valuation C 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 Iine for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please reviem 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. 2 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°0 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 Iicensed 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 with r the envelope. Yes Does the site plan also include any other buildings on the property, setback easements and utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying for a building permit on is located on a corner lot. Special setbacks d apply. Yes t, 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 roperties). streams or water courses? Yes 4. Does the site plan indicate the location and direction of the County or private road accessin_ the property? Ycs %Vk 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 s, ti. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing st e in accordance with the IRC or per stamped engineered design? Yes 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 46r Do the plans indicate the size and location of ventilation openings for the attic. roof joist spaces and soffits? Yes i,, 9. Do the plans include design Toads as required by Garfield County for roof snow loads. (a minimum of40 pounds per square foot up to & including 7,000 feet above sea le%el), floor loads and wind loads? Yes Li_. 10. Does the plan include a building section drawing indicating foundation. wall. floor. and roof const c o Yes 4-/J 11. Does the building section drawing include size and spacing of floor joists. wall studs, ceiling joists ��y afters or joists or trusses? Yes 1?. Does the building section drawing or other detail include the method of positive connection of all •c4umns and beams? Yes J 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 cave of a gable or shed roof or the top of a flat roof? (Building height measurement usually not to exceed 25 feet) Yes O A 14. Does the plan include any stove or zero clearance fireplace planned for installation including 3 make and model and Colo do P ase I1 certifications or phase II EPA certification? Yes No k 15. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? iv Yes No ICA 16. Does the plan include a window schedule or other verification that egressrescue windows frorrhsl ,p ni rooms and/or basements comply with the requirements of the IRC? Yes K!!{{//`` No 17. Does the plan include a window schedule or other verification that windows provide natural light a d ilation for all habitable rooms? Yes ILA No 18. Do the pians 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? I /A, Yes No ' M 19. Is the location of all natural an liquid petroleum gas furnaces. boilers and water heaters indicated on the plan? ti A Yes No 20. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process. are building plans in compliance with all plat notes and/or covenants? tAIA Yes No 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 v the HOA that requires either revocation or substantial modification of the plans. } Yes No Will th. th only residential structure on the parcel? Yes , �� No Ifno-Explain: 23. Have two ( ) complete sets of construction drawings been submitted with the application? Yes ' 4 24. Do you understa d that the minimum dimension a home can be on a lot is 20ft.wide and 20ft.long? 'A` A Yes No /5. Have you designed or had this plan designed while considering building and other conwpio4 code requirements? Yes 4 , No 26. Do your plans comply with al] zoning rules and regulations in the County related to your Yeped ie,� zpndistrict? ILA j No 27. Does the plan accurately indicate what you intend to construct and what will receive a final insp^ i n v the Garfield County Building Department? Yes -t No 2$. Do you understand that approval for design and/or construction changes are required prior to the p i ation of these changes? Yes No 29. Do you understand that the Building Department will collect a "Alan 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 build' rmit? Yes No 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 c ll lI to 384-5003. Yes No 31. Are you aware that requesting inspections on work that is not ready or not accessible will resul n a 50 00 re -inspection fee? Yes No 32. Are you aware that you are required to call for all inspections required under the IRC including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes No 33. Are you aware that the Permit Application must be signed by the Owner or a written authority being given for an Agent and that the part) responsible for the project must comply with .-I Yes 14, 9 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 reqi4T4, ayme of applicable inspection. Yes (, /' j 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 'Id' a permit application? Your attention in this is appreciated. Yes�'F No 36. Do you know that the lac' f strict may require you to submit plans for their review of fire safety issues? Yes �k No (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 to issuance of a building permit that you will be required to obtain a grading permit? Yes 38. Are you aware that if you will be connecting to a public water and/or sewer system. that the tap fees have to be paid and the connections 'nspected by the service provider prior to the issuance of a Certificate of Occupancy? Yes I hereby acknowledge that I have read. understand and answered these questions to the best of my ability. Signature of Owner Phone: 125 - 0 C 6c1 (days); 309 t ? S3 el( Project Name: C_ Date (evenings) Project Address: (0. _ - 41- i CQ S� Notes: If you have answered "No" on any of the questions. you may be required to provide this 6 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 revievr 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. Bpminreq November2006 PLAN REVIEW CHECKLIST Applicant ‘,3\e5. Date 27 -01 Building ✓ Engineered Foundation .7DrivewayPermit 6,t " ✓ Surveyed Site Plan 1p4?. wY , o ✓� Septic Permit and Setbacks E's ""'z \/ rade/Topography 30% Attach Residential Plan Review List Minimum Application Questionnaire ,/Subdivision Plat Notes Fire Department Review 1/Valuation Determination/Fees 1 -//Red Line Plans/Stamps/Sticker )U Attach Conditions _t'Application Signed / Plan Reviewer To Sign Application t Parcel/Schedule No. )47i 40# Snowload Letter- Manf. Hms. tilt Soils Report GENERAL NOTES: P1. - eng/Zoning Pro erty Line Setbacks 30 Stream Setbacks Fl od Plain B ilding Height Zoning Sign -off /Road Impact Fees /HOA/DRC Approval Grade/Topography 40% f Planning Issues Subdivision Plat Notes LF • - $1 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N 2440 r 109 Bth Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 61601 Phone (303) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT 1 This does not constitute a building or use permit. PROPERTY Michael Ruchhoeft 0454 CR 294, Rifle 625-0541 f Owner's Name Present Address Phone System Location 0451, County Road 294, Rifle F. Legal Description of Assessor's Parcel No, SYSTEM DESIGN / / ' C' 0 Septic Tank Capacity (gallon) Other / .4 II. Percolation Rata (minutes/inch) Number of Bedrooms (or other) 4 ' ...`) // 7 1'1 roc 1- ci"-e r c.,4'1 v r , r - .3 Required Absorption Area - See Attached Special Setback Requirements Date r yq t j -t ,� �ti r• rH •� '� � 3 r rt-.- . 0 is Inspector Gr } ,' �+.�►-�" ✓� FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Cali for Inspection (24 hours notice) Before Covering Installation System Installer 03 Edi :_ :. • 1 L e5 Septic Tank Capacity Septic Tank Matuliacurer or Trade Name ' ' ' •' Septic Tank Access within B" of surface ; Absorption Area Absorption Area Type and/or Manufacturer or Trade Name c' .-t (/ r` \, Adequate compliance with County and State regulations/requirements Other 175 Date inspector T' c -1 ,- t ." RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of 'fhb Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25. Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters. or installs an Individual sewage disposal system In a manner which involves a knowing end material variation from the terms or specifications contained in the application of permit commits a Class I. Petty Offense (5500.00 line —8 months in Jail or both). Applicant: Green Copy Department! Pink Copy f. 1 INDWIDUALS lAOLDISPLSAi.SYSTEM APPJ.ICATION OWNER YY1 % CIA& e tr�� o e ADDRESS OeiS`'2 Coe nIiy j?c t 019 y �i05 PIIONE 6.25 --OS Y// CONTRACTOR ADDRESS PIIONE PERMIT REQUEST FOR (>3 NEW INSTALLATION (} ALTERATION () REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). LOCATION Or PJiOPOSED FACILITY: COUNTY 6,/q R I�l C C 1J Near what City or Town Lot 1.ega1 Description IMASIJS TYPE: (}'Dwelling ( ) Transient Use ( ) Commercial or Industrial ( ) Non-domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: . r Number of bedrooms: o7 4 tl . ,AO 2P'�Number of persons .j ( ) Garbage Grinder ulomalic Washer ( ) Dishwasher SQURCI ANIS TYPE. O LSUPTLY: O WELL () SPRING () STREAM OR CREEK Give depth of all wells within 180 feel of system* If supplied by communtiy water, give name of supplier C 1 cr Q 11--217. ORCI INP CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent Ground Slope: Pit? , iLr 4 F14 TCftf/ 7 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 4S - Was an effort made to connect lo community system? J, 2 'SZ" To Gl2Fj�1.- TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: S Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable ttse ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe - FINAL DISPOSAL BY: ( ) Absorption Trench, Red or Pit ( ) Evapotranspiration Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCI IARGt:D DIRECTLY INTO WATERS OF THE STATE? .moo r • ERQQLATIQN TEST R I:_SlJLTS: (To be completed by Registered Professional Engineer) Minutes per inch in hole No. 1 Minutes per inch in Hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in Hole No. Name, address and telephone of RPE who made soil absorption tests: Name, address and telephone of RPF: responsible for design of the system: Applicant acknowledges that the completeness orate appliction is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary 10 inusre compliance with rules and regulations adopted tinder Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements make, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to bre relied on by the local department of health in evluating the same fro purposes of issuing the permit applied for herein. 1 further understand That any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Signed A., „r Dale 1'LEASE_DRAW.A1 s IRATE MALTD_XSLUR ..PIMEERTY if (6 (pr goivo AL ?az 0 6- 7" 1, /T /7^r 1 D Tit y i.134 14' -3'.4-- I? .3 j2 i or . . --r- 1 10 . Cok.:,.... 1 1 .......". . .1.. . I i I ! I . . - .-. tilt INI . .......' Na. 1 .. ...>". • —. Igt... ....r.;f .0 \ C- 1-c; -7- 1 c., . _ 1 . - 1 . 1 I . ••••, .... , r k.. V-" _ 1 t :cil IN - r.: • V ' c.r I - . - ---,..- _ N -_p vl - n f vs 0 T5 1J n 1 , 7p . R k X'').:, nF. E . C,. r, 0. -14 N ' �, L. N -) ' mi, Q 411 „ r1 '51 "tl. Parcel Detail Page 1 of 4 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/TreaGurer Property Search 1 Assessor Subset Query 1 Assessor Sales Search. Clerk & Recorder Reception Search Basic Building. Characteristics 1 Tax Information Parcel Detail 1 Value Detail 1 Sales Detail 1 Residential/Commercial Improvement Detail Land Detail 1 Phatoaraphs Tax Area 021 Account Number R210266 Parcel Number 2I7709400016 Mill Levy 45.694 Owner Name and Mailing Address KNOWLES, JULIA LYNN 456 COUNTY ROAD 294 RIFLE, CO 81650-2156 Legal Description SECT,TWN,RNG:9-6-93 DESC: TR OF LAND IN SE BK:0574 PG:0039 BK:1477 PG:464 RECPT:628717 BK:1031 PG:0362 BK:0788 PG:0211 BK:0743 PG:0908 BK:0702 PG:0463 Location Physical Address: 456 294 COUNTY RD RIFLE Subdivision: Land Acres: 0.46 Land Sq Ft: 20,037 Section Township Range 9 6 93 Property Tax Valuation Information http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=217709400016 8/7/2007 Parcel Detail Page 2 of 4 Sale Date: Sale Price: 8/26/1997 95,000 Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 1 0 Actual Value Assessed Value Land: 78,000 6,210 Improvements: 101,500 8,080 Total: 179,500 14,290 Sale Date: Sale Price: 8/26/1997 95,000 Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 1 0 Tax Information Tax Year Residential Building Occurrence 1 Characteristics Amount TOTAL HEATED AREA: 1,536 ABSTRACT CODE: SINGLE FAM.RES- IMPROVEMTS ARCHITECTURAL STYLE: l-STRY/BSM EXTERIOR WALL: T-11 SHTNG ROOF COVER: COMP SHNGL ROOF STRUCTURE: GABLE INTERIOR WALL: DRYWALL FLOOR: CARPET FLOOR: SHT VINYL HEATING FUEL: GAS HEATING TYPE: FORCED AIR STORIES: STORIES 1.0 BATHS: 1 ROOMS: 4 UNITS: 1 BEDROOMS: 2 YEAR BUILT: 1974 Tax Information Tax Year Transaction Type Amount 2006 Tax Payment: Second Half (52I7.96) http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=217709400016 8/7/2007 Parcel Detail Page 3 of 4 2006 Tax Payment: First Half ($217.96) 2006 Tax Amount $435.92 2005 Tax Payment: Second Half ($218.81) 2005 Tax Payment: First Half ($218.81) 2005 Tax Amount 5437.62 2004 Tax Payment: Second Half ($286.69) 2004 Tax Payment: First Half ($286.69) 2004 Tax Amount $573.38 2003 Tax Payment: Second Half ($317.97) 2003 Tax Payment: First Half ($317.97) 2003 Tax Amount $635.94 2002 Tax Payment: Second Half ($303.60) 2002 Tax Payment: First Half ($303.60) 2002 Tax Amount $607.20 2001 Tax Payment: Second Half ($310.41) 2001 Tax Payment: First Half ($310.41) 2001 Tax Abatement ($76.90) 2001 Tax Amount $697.72 2000 Tax Payment: Second Half ($282.94) 2000 Tax Payment: First Half ($282.94) 2000 Tax Amount $565.88 1999 Tax Payment: Second Half ($283.69) 1999 Tax Payment: First Half ($283.69) 1999 Tax Amount $567.38 Top of Page Assessor Database Search Options 1 Treasurer Database Search Options Clerk & Recorder Database Search Options Garfield County Home Page 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 - 2006 Good Tums Software. All Rights Reserved. http://www.garcoact.com/assessor/parcel.asp?ParcelNumber=217709400016 8/7/2007