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HomeMy WebLinkAboutApplication- Permit4 - Job Address No. 6559 GARN LD COUNTY BUILDING, SANITATIONand PLANNING DEPARTMENT 109 81h Street Suite 303 Glenwood Springs, Colorado 81601 (303) 945-8212 f County Road 215, Parachute Nature of Work Buildin2 Permit Use of Building Manu. Home on Foundation Owner Kevin Groff Golden Villa Homes Contractor Amount of Permit $ 426.46 Permit: 137.25 Plan : 89.21 Set Up Fee: 200.00 Date December 5, 1997 S. Archuleta Clerk -GARFIELD COUNTY BUILDING PERMIT APPLICATION GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO TELEPHONE: (970) 945-8212 Applicantto complete numbered spaces only. PERMIT NO. INSPECTION LINE: (970) 945-9159 PARCEL/SCHEDULE NO. JOB ADDRESS: . ! ` .- G' v 69 C rY /J '.166-- -" fil I liaginliiIIIIM 1 VI LOT. a. BLOCK NO. SUBDIVISION/EEMIPT'ION r1 L a`�N R Ke t/r.0 6--J ' / Anpu s. PDBDx .5 41 5417PareseA4V Po 7y pp.l'97'� X9.5-AR 3 Wei PHC9%Q� 41.1? -5 ; CONRACI]R (/✓Wti-+:i ADDRE"1r;1.7s, if"ll ‘ ye),( , [' C NO pg//1,O 4~,L 4 ARCHfrECrENOEvFFR ADDRESS PKLICNO JC sQ, FC. 6FBUUDII70 /p`i [ 1 SQ. FL OF LOT nor _/ / ,J �+iL/�i� }iIIGH2 N0. rz 1.Dciftn 6 USE OF877Q.IIRfG T.M f'II f7', 6 7 DFSCRSBE WORK: W2 `•- 8 CLASS OFWORIC NEW DADDITION ❑ALTERATION .MOVE ORQIOVE 9 GARAGE: CSINGLE ODOORLE CARPORT: n STT GLE vDODBLY. 10 0 OSITEPLAN o DRIVEWAY PERMIT DON SITE SEWAGE DISPOSAL (ARYI]CJ /, 1 Lig Y VALUATION OF WORE: S ADJUSTS, VALUAT]ON:S SPECIAL CONDITIONS. 1 e v y 6„, V 7 9, Q C NOTICE A SEPARATE ELECTRICAL PERMFF IS REQUIRED AND MUST BE ISSUED BY THE STATE OP COLORADO. THIS PERMIT BECOMES NC.,'LL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED 11 NOT COMMENCED WIT'HRN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD 0E180 DAYS AT ANY MAE AFTER WORK 15 COMMENCED. I 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 WORT: WILL BE COMPLIED WITH 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. ! _ �i A_ Waft Date PL.AN CHECK FEE: `=.2/ PERMIT FEE: /3 7, s --- TOTAL FEE; DATE PERMIT ISSUED: +� LP /02-S-- OCC: GROUP; CONST: TYPE: ZONING: SETBACKS: Signature of Owmer, Contractor or auth.: • 'agent havingzead t .,, r , . notice above. 34 77 If ' f MANU. HOME: ISDS NO. & FEE: Building Dept. Approval/Date P Ing Dept. Apprava AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR A'N'D/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE A,S DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT. IN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADO Y1_RD BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN B.E REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID. THE ISSUANCE OF .A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTTER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING TEE CORRECTION OFERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION. THE REVIEW OF THE SUBMITTEDPLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONS i.IILTIE AN ACCEPTANCE OF ANY RESPONSIBILITIES ORLIABILII ES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND R, PL.EMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY 'WITH THE ARCHITECT, DESIGNER, BUILDER AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF TRE OWNERS INTEREST. Garform.003 I.IIEREBY ACKNOWLEDGE THAT IHAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. lINI IAL) �,� The following items are required by Garfield County for a final inspection: 1. A final Electrical Inspection from the Colorado State Electrical Inspector. ?. Permanent address assigned by the 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, kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all necessary plumbing. 4. A complete bathroom, with wash bowl, tub or shower, toilet stool, hot & cold running, water, floors and walls finished an a privacy door. �. All steps outside or inside over three (3) steps must have handrails, guardrails on balconies or decks over 30" high constructed to all 1994 UBC requirements. 6. Outside grading done to where water will detour away from the building. 7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of extenuating circumstances, i.e., weather, but a Certificate of Occupancy will not be issued until all the required items are completed and a final inspection made, A CERTIFICATE OF OCCUPANCY WELL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED, ****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY (C.O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, use and the issuance of a Certificate of Occupancy for the dwelling under building permit # Signature prmtcond.lst Date of c 0 -7- .,0 ,zootto Chevron Chevron Shale Oil Company 6400 South Fiddler's Green Circle, Englewood, Colorado 80111 Mail Address: P.O. Box 6518, Englewood. CO 86155.6518 November 18, 1997 RE: Permission to Place and Occupy A Residential Trailer on Chevron Shale Oil Company Land Mr. Charles I. Lewis P.O. Box 83 Parachute, CO 81635 Dear Charlie: Pursuant to your letter of October 11, 1997 and Articles 2(a) and 10 of our Grazing Lease SLR -87-2, permission is hereby granted for a residential trailer to be placed and occupied on land you lease from Chevron under said lease. This permission is granted based on our understanding that the trailer will be located at the site you recently discussed with our contractor, Bob DalPorto, and that the trailer will be occupied by Mr. Kevin Groff, your work -hand, and his family. It is also understood that you and/or Mr. Groff will obtain, at your own expense, all permits necessary to install the trailer and further that all costs for installing the trailer and for obtaining a water supply, electrical service, gas service, telephone service, etc. will be paid by you and/or Mr. Groff Notwithstanding anything to the contrary in Article 2(a) of said lease, the trailer shall be rem: ved from the premises upon termination of said lease or at such time as Mr. Groff ceases to assist with the farm/ranch work on said lease. Chevron also reserves the right to require the trailer be removed if it interferes with our own use of the land. Please call me at (303) 930-31.03 if you have any questions about this matter or if there is anything else I can do for you in this regard. .hep,c� 5 WR, -5 -Rev. 76 ., . Application m S be complete whe ee applicable. Typed print in BLACK INK. No overstrikes or erasures unless initialed. COLORADO DIVISION OF WATER RESOURCES RECEIVED 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 ; PERMIT APPLICATION FORM A PERMIT TO USE GROUND WATER :{ t.4 PERMIT TO CONSTRUCT A WELL ._. FDR: (1.4A PERMIT TO INSTALL A PUMP ( ) REPLACEMENT FOR NO MAY — 1 1 7,.CEIVED `NATER REsoQRcJJ N 1 61986 ATE • ENGINEFit qua. WATER ROURCMS CCM STATE - ENGINEER ( ) WATER COURT CASE NO DIVISION COPY OTHER (1) APPLICANT - mailing address (N Luj NAME 0 STREET 4 C7 CSE& IA/ // q� oZ 1 s -0D 8 cITY ctliJ t -ire, Po ID 8/(P8S TELEPHONE NO (State) (Zip) (2) LOCATION OF PROPOSED WELL County 0Q R Y 1h� (' ,[ '/a goof the Ai E ` Twp ✓ �2 Rng• 9L6 A, IN,s( ie,wm 1/4 Section J% A P.M. (3) WATER USE AND WELL DATA Proposed maximum pumping rate {gpm) Average annual amount of ground water to be appropriated (acre-feet)• A5— Number of acres to be irrigated: Proposed total depth (feet): Aquifer ground water is to be obtained from: rq /<- S 0 Owner's well designation 7'/RS'Chfe\d GROUND WATER TO BE USED FOR: ( ) HOUSEHOLD USE ONLY - no irrigation (0) ( %/DOMESTIC (T) { ) INDUSTRIAL (5) ( ) LIVESTOCK {2) ( ) IRRIGATION (6) ( } COMMERCIAL I4) ( ) MUNICIPAL (8) ( I OTHER (9) DETAIL THE USE ON BACK IN (11) (4) DRILLER Name � - e ry" s Street �. r�x 39? / s City SfJ 1t` (�u1a (state) (Zip) Telephone No,3C.3 • 76 " • fl I aLic. No. 710 ;47 7 8/e FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN Receipt No71 / Basin Dist. CONDITIONS OF APPROVAL This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 1) APPROVED PURSUANT TO .CRS '. 37-92-602 (3)(b)(II) AS THE ONLY WELL ON AJTRACT OF LAND OF 4o ACRES DESCRIBED AS 56 Yy SEC. r%/ T &S./ R.76 w., £ P.M. 2) THE USE OF GROUNDWATER FROM THIS WELL IS LIMITED TO FIRE PROTECTION, ORDINARY HOUSEHOLD PURPOSES INSIDE A SINGLE FAMILY DWELLING, THE IRRIGATION OF NOT MORE THAN ONE ACRE OF HOME GARDENS AND LAWNS, AND THE WATERING OF DOMESTIC ANIMALS. 3) THE RETURN FLOW FROM THE USE OF THE WELL MUST BE THRU AN INDIVIDUAL WASTE WATER DISPOSAL. SYSTEM OF THE NON - EVAPORATIVE TYPE WHERE T iE WATER IS RETURNED TO THE SAME STREAM SYSTEM IN WHICH THE WELL IS LOCATED. - 777- 4--,5"- 4 APPLICATION APPROVED 144 406 PERMIT NUMBER DATE ISSUED SUN 301986 EXPI RION DATE JUN 3 U 19S3 31.1101,1%cnoNNA917,Adm1:*PIP a) a) -4- C) co = cr) .„... n O a) ,....t — Le, cn CD 1 • C• I' R o n =. go y) -, =1' -4. n n a) CA ri- p • 6- . c.., c. A: cD 0 Ci LC . z-Cr7;. 0 o co go =4 - F. t cry la. ,-. ..... • cn Cf4 ,.• .< .• A P -• -, i 1—• = CD po ,54 •-i 'CA' n Po n O CD '-s cl. n f22. GC . n -!. ro g < ...,, • , tDI 0.. P •-s • .-. Y." 1 zi - o r▪ zr --% o ▪ o • tA so -...... -1. „ , ..,, , ..._..7)., -..........._,...„....._... ..... ..: .„....._ N -,W '..., ......, ,- ... „...< -. ........ i •i I ..) '.'5.'' " `•-• ,• . 4-' .-•:..,.„,....., VAN En cr 1 ."--.... ' / A i -4...-- go •-• I I i. i' .--..,....".„..7 ..% CD i 0 Al0.1_11/27 IRION 011UU5!Wa ) alV VI VI N Co 0 DD 11 Oo co (0(0 rnrn 0101 N N G] W it it CO CO D 1 > CO N op op (c) N co X Ch O O [I3 N� N x21p do O N 0) .L� `il r D ^I" :1 f C2 O c, Z n -{ n 5 rn 3 3 IJf S 1NQ 1iAdrD �1 10„ 401 ` , (.010Vc , CI9 46.f .I. 6(01`a„ 7 Pt R. ai'Ag r10110JS SSO?i0 -Z(3lcj ?13_13VA1713d DEC -02-97 TUE 02!18. PM HOUSING DIVISION OF CHIEF DOU$TFIIFS P.O. Box 127 111 Grant St, Aurora, Nebraska 58818.4127 Phone 402-694.5250 MIKE RUSE GOLDEN VILLA HOMES 2475 U S HWY 6 & 50 GRAND JUNCTION CO 8155 Re: Floor Plan 652CA-89 Customer: Kevin Groff Dear Mike: FAX K. 4026945873 P.91/01 December 2, 1997 #85 This letter is to certify that the above home will be built by Chief Industries Housing Division d/b/a BonnaVilla Homes and designed, constructed and inspected to the Federal Manufactured Horne Construction and Safety Act of 1974, Title 24 CFR, Parts 3280, 3282. and the law 42 U.S.C. 5401 et, seg. The home will be constructed with a 40 psf live roof load (55 Ib. total load). The compliance certificate, located on the interior of the home, will verify all structural loads at the time of construction. The home will also be constructed to meet the Zone III energy requirements of the H.U.D. regulations. The State of Nebraska, acting as agent under the Department of Housing and Urban Development as DAPIA and IPIA, will approve the home in both design and construction. Evidence of their approval is the H.U.D. compliance labels which will be located at the end of the home. Thank you. BP:k Sincerely, CHIEF INDUSTRIES, INC. HOUSING DIVISION DOD PHILLIPS DIRECTOR OF ENGINEERING -MOV -i4-97 FRI 03155 PM FAX MO. 4026945873 P: 0i/03 CHIEF INDUSTRIES, HOUSING DIVISION SERVICE ENTRANCE LCCAT1CNS COUELE SECTION gH_ 7. ' *14T- . 3 � • RA71-1 — DRAIN DIV. FROM REAR "o" — DRAIN DIM. FROM RCADSiOE — WATER " " " "+t" — WATER " 11 „0" GAS 1$ ,.c.. — GAS „ " H "0" ELECT. H ,1 H "d" ELECT. Tl 11 P MODEL "71 nc 652CA-89 V-2„ "B" 10, 11 n " 1.. 4V—E" l4— f" 34'—e 46'—a11 Q" RUNNER/PAD FOUNDATION 1 Thickness and use of rebar is customer/contractor decision, but is strongly recommended. 2. Ridge beam supports are also indicated.. 3. There must be 1 square foot of crawlspace'ventilation per every 150 square foot of home. This is required by allrnanufactureres. 4. The runners or pads must be backfilled. 5. All manufacturers require no less than 12" between ground/concrete and the bottom of the I -Beam. 16" to 18" minimum is strongly recomended 6. Adequate site access is the customers responsibility. This foundation print has not been engineered to meet any specific soil conditions. If engineering is required it will be the customers reponsibility. 7. If a perimeter footer is shown it will be wider than the perimeter of the home to accomidate future perimeter wall installation. S. These diagrams are for informational use, they will not supersede local building requirements. 9. Unless specifically noted and a seperate bid is attached, construction is the responsibility of others. IF YOU HAVE ANY QUESTIONS ON FOUNDATIONS, CONTACT SHAWN RUSE AT (970) 257-0113 OR (970) 245-9039 CET_C_ E X GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS for SINGLE FAMILY DWELLING CONSTRUCTION including NEW CONSTRUCTION MANUFACTURED HOMES ADDITIONS ALTERATIONS and MOVED BUILDINGS In order to understand the scope of the work intended under a permit application and expedite the issuance of a permit it is important that complete information be provided. Adequate and complete information will prevent delays in the plan review process. Reviewing a plan and the discovery that required information has not been provided by the applicant may result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor may be required to provide this information before the plan review may proceed. This causes delays because other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. If you do not, it may be helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code". This book is available to you through this department at our cost. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. To provide for a more understandable plan in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following check list prior to and during design. Applicants are required to indicate appropriately and to submit the completed check list at time of application for a permit. For the placement of a manufactured home, questions numbers 1-4 and 19-28 are the only questions that need to be addressed: 1 1. is a site plan included that indicates the distances of the proposed building or addition to property lines, other buildings, setback easements and utility easements? Yes )e3 2. Does the site plan include the location of the I. S.D. S. (Individual Sewage Disposal System) and the distances to property lines, wells (on subject property and adjacent properties), streams or water courses? Yes iye_,5 3. 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? Yes 2e/4 5. 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 Do the plans indicate the size and location of ventilation openings for the attic, roofjoist spacess and soffits? Yes Do the plans include design loads as required under the Uniform Building Code for roof snow loads, (a minimum of 40 pounds per square foot in Garfield County), floor loads and wind loads? Yes 8. Does the plan include a building section drawing indicating foundation, wall, floor and roof construction? Yes 9. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof rafters or joists or trusses? Yes 10. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes 2 11. Does the plan indicate the height of the building or proposed addition from the highest point of the building or addition measured at mid span between the ridge and the eave down to existing grade contours? Yes 12. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and Colorado Phase II certifications or phase II EPA certification? Yes No 13. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the Uniform Building Code Chapter 37? Yes No 14. Does the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms and/or basements comply with the requirements of the Uniform Building Code? Yes No 15. Does the plan include a window schedule or other verification that windows provide natural light and ventilation for all habitable rooms? Yes No 16. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these areas? Yes No 17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes No 18. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, are building plans in compliance with all plat notes and/or covenants? Yes No 19. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? If you do not have written permission from the association, do you understand that the plan check fee will not be refunded should the architectural committee deny or reject your building plans? Yes /' No 3 20. Will this be the only residential structure on the parcel? Yes j No If no -Explain: 21. Have two (2) complete sets of construction drawings been submitted with the application? Yes 22. Is this an application for the placement of a manufactured home? Yes ye43' No If yes, have you specified the size of the unit (min. 20ft. x 20ft.); ive roof load (min. 40#); d_esi�n (min. wind speed of 80 mph & 15 lb. wind load); foundation design; method of anchoring? Yes /ea— 23. Have you designed or had this plan designed while considering building and other construction code requirements? Yes yea.. No 24. 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 25. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes a - No 26. 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 "School Impact" or "Septic System" fees required, at the time you pick up your building permit? YesNo 27. Are you aware that twenty four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be called in by 12:00 p.m. the day before; afternoon inspections must be called in by 5:00 p.m. the day before. Failure to give twenty four (24) hour notice for inspections will delay your inspection one (1) day. Inspections are to be called in to 945-9159. Yes 'ems No 28. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? YesU No 4 29. Are you aware that the person signing the Permit Application, whether the "Owner", "Agent of the Owner", "General Contractor", "Contractor" or otherwise, is the party responsible for the project complying with the Uniform Building Code? Yes No I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. 7 signature date Phone: (979),ZeS (days); _54/VC (evenings) Project Name: Project Address: Notes: If you have answered "No" on any oldie 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. PerAppO2.95 Effective August 15, 1995 5 (5) THE LOCATION OF THE PROPOSED WELL and the area on' which the water will be used must be indicated on the diagram below. Use the CENTER SECTION CI section, 640 acres) for the well location. + -- -t + — - -- — 4- - -- + - -� I� k 1 MILE, 5280 FEET- --�I T - — --F_+—+—+ _- — — + +- — The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre.foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfsl ... 449 gallons per minute Igpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 36o ft. from Atm' h' T sec. line (north or south} 70� ©O ft from £c? 6 1 sec line (east or west} LOT BLOCK FILING # SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: e i Q) (O iv' No, of acres 3 S 4 £ .454 Will this be the only well on this tract? z.a (8) PROPOSED CASING PROGRAM Plain Casing 7 in. from 0 ft to 3 U ft in from ft to ft Perforated casing in from z:. -7a ft to 5-0 ft in from ft to ft (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): i?jl @ V R O /1/ Legal description •] E/ d P f s c' C No. of acres: 4 D /T14 /7, b s 'f`./°/) (11) QETAILED DESCRIPTION of system to be used. •/�o/ureslrc N `, r /°'1 n r� Tk1cr/tr the use of ground water: Household use and domestic wells must indicate type of disposal U, s �, I7/0 4 s e - a 1 ci LS )C . tr vi 19 cr 1-.)5}0 CI. Q c.cc / v 0 12- ti F' 't) t" -V Th eLv t rn_ ,i L :, ulex' 5 c diz41ir s'AG K (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for {purpose) Description of land on which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. _, E ff SIGNATUR OF APPi.ICANT(S) Use additional sheets of paper if more space is required. IVUH IH ,EL:I !UN LINE L J E EAST SECTION LINE - x -- 4 - - u u n '> w cnl ITW CP rrrnnr r HUG - — --F_+—+—+ _- — — + +- — The scale of the diagram is 2 inches = 1 mile Each small square represents 40 acres. WATER EQUIVALENTS TABLE (Rounded Figures) An acre.foot covers 1 acre of land 1 foot deep 1 cubic foot per second (cfsl ... 449 gallons per minute Igpm) A family of 5 will require approximately 1 acre-foot of water per year. 1 acre-foot ... 43,560 cubic feet ... 325,900 gallons. 1,000 gpm pumped continuously for one day produces 4.42 acre-feet. (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 36o ft. from Atm' h' T sec. line (north or south} 70� ©O ft from £c? 6 1 sec line (east or west} LOT BLOCK FILING # SUBDIVISION (7) TRACT ON WHICH WELL WILL BE LOCATED Owner: e i Q) (O iv' No, of acres 3 S 4 £ .454 Will this be the only well on this tract? z.a (8) PROPOSED CASING PROGRAM Plain Casing 7 in. from 0 ft to 3 U ft in from ft to ft Perforated casing in from z:. -7a ft to 5-0 ft in from ft to ft (9) FOR REPLACEMENT WELLS givedistance and direction from old well and plans for plugging it: (10) LAND ON WHICH GROUND WATER WILL BE USED: Owner(s): i?jl @ V R O /1/ Legal description •] E/ d P f s c' C No. of acres: 4 D /T14 /7, b s 'f`./°/) (11) QETAILED DESCRIPTION of system to be used. •/�o/ureslrc N `, r /°'1 n r� Tk1cr/tr the use of ground water: Household use and domestic wells must indicate type of disposal U, s �, I7/0 4 s e - a 1 ci LS )C . tr vi 19 cr 1-.)5}0 CI. Q c.cc / v 0 12- ti F' 't) t" -V Th eLv t rn_ ,i L :, ulex' 5 c diz41ir s'AG K (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for {purpose) Description of land on which used (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST OF HIS KNOWLEDGE. _, E ff SIGNATUR OF APPi.ICANT(S) Use additional sheets of paper if more space is required. kill WILL NO i" bt, iVillithE tiLES 1 CARP ,12(!TITO ON THE JOE :4 i_totT Q id"--1.0tiol4PF,*.IONS Date Issued . , g.`,. -1.f.".•-• . GREEMENT In consideration of the issuanceof 1 6 • permit, the applicant hereby agrees to comply With all 'f' laws and regulations related tithe location. construction and erection of the proposed • structure for which this permit ii ' and furtheriagrees that if the above said regulations • are not fully complied with in e /Ann location, erection and construction of the abovV * descnbed structure, the permit may then be revoked by notice from the County Building, -. Inspector a IMMEDIAT LX BECOME NULL AND VOID. . Use - oft/le, *I titel) ACuodel-(0k) - :AddresA . Description ti h aS-i - fi0 _,e'd * sA I G P 1 • GAJF LD COUNTY, COLORADO Permit No t r, This Card Must Be Posted So It is Plainly Visible From The INSPECTION, q CORD , ''''' ,/ Footing -- , ;`,'„;911'r'(›atif.M, ''" ' / A.:-73-/-7 77 -41 • Grop,,,,- . ",-,..t. ,1-44V,' liJnderground Plumbing ..,i Liii 77:l Rough PliPnbin.8 ..-/- 'I'l Li -• illation Chimney *Vent ; - ' ..V- ' :. 1 . : - . 7 , 1=1111112 ping : - -1 - 90 '":,'_:.1,10.II3EEREMIEft. 4ectrivRough r 11.. ,11.14.e inspetter) - it410:40 ..- Septic Final' Zi ..• ,. Flinling tirl •,.. (To include Roof in place and Windows ' •'aid Doors instidied). , • i , Notes: •• A wv'ALL LISTED ITEMS MUST BE INSPECTED WHETHER INTERIGROR EXTERIOR, • . AND APPROVED BEFORE COVERING - , $ ERGROUND OR ABOVE GROUND. --•THIS PERMIT IS NOT TRANSFERABLE Acme ,§45-8212' lit 8th Street County Courthouse Glenwood Springs, Colorado. App)0 NI ! r• ? .• yinH. .ip PLACED OUTSIDE • EAR;CASTIC