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HomeMy WebLinkAboutApplication-Permit.pdfPermit No: GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 81h Street, Suite 201, Glenwood Springs, CO 81601 Phone: 970-945-82121 Fax: 970-384-3470 / Inspection Line: 970-384-5003 Cl U ParceUSchedule No: P42403 043 00050 AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT. IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF TUE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID. THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Garfom.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL):54, t og 3 it/9' os Job Address: G..°,�ass /1/� u�QN. ,, -Fie co PA j- l I 1 Lot No: Block No: Subd. i Exemption: 2 Owner: 1 L oil�, S Address 7242 ' Oe S /-:✓00570 N '%Xi 77074 Ph: 7/3-777-167 l Wk Ph: 3 Contractor:_,,Address: ;RET L05S 60 T, 'tic. 5)76- G445_5 34 4 P /7o.-3() 7- D o 2 o _ Lic. No. 4 Architect/Engineer: HOW/EA 400 A»' 59 Address: (o@ al'3 mit +°I ' kg 00; A i►ico 51 ph:_ (170 -24 -7130 Lic. No. 5 Sq. Ft. of Building:/, 53 ,, Sq. Ft. of Lo , 4c4 Height: Z 2 / 1I No.oof Floors: 6 Use of Building: KL- 5 f 4L N CCL - 7 Describe Work: s/F _I -„•l% , „ �� i/ (NC�nix�' S Class of Work: + New o Alteration o Remove ❑ Addition o Move 9 10 Garage: 0 Single o Double Carport: o Single o Double o Driveway Permit p( On -Site Sewage Disposal Site Plan iVOr NL i 1 a p ( ptic) 11 Valuation of Work: $ ��47, c� Adjusted Valuations: S �} 12 Special Conditions: NOTICE A SEPARATE ELECTRICAL PERMIT IS REQUIRED ISSUED BY THE STATE OF COLORADO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS I HEREBY CERTIFY THAT I HAVE READ AND APPLICATION AND KNOW THE SAME TO BE TRUE AND PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK COMPLETED WITHIN WHETHER SPECIFIED HEREIN GRANTING OF A PERMIT DOES NOT PRESUME TO TO VIOLATE OR CANCEL THE PROVISIONS OF ANY LOCAL LAW REGULATING CO TRUCTION OR HE OF CONSTRUCTION. 84.tr4 is . 4-, > 1�n )<` .ZN /� AND MUST BE CONSTRUCTION OR, IF FOR A COMMENCED. EXAMINED THIS CORRECT. ALL WILL BE OR NOT. THE GIVE AUTHORITY OTHER STATE OR PERFORMANCE AO C 1.1, 0205) Plan Check Fee: A64,34-1 Permit Fee: 1 3 +� 9. 75 Total Fee: Dated Permit Issued: Z . o 7 q (so -- Z 5414/, 0C) / 0 roup: Const. Type: C - Zoning: Setbacks: ► 4-2-0- Manu. Home: ISDS No. & ����J Fee: �DTE4`-r41-• SCL0/ PING. DPT. 'APPROVi4L 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 STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT. IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, THE SIGNER. HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF TUE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID. THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING BUILDING OPERATION BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF THIS JURISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Garfom.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL):54, t og 3 it/9' os 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; 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 WILL NOT BE ISSUED UNTIL ALL THE ABOVE ITEMS HAVE BEEN COMPLETED. ****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY (C.O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING PREMISES UNTIL ABOVE CONDITIONS ARE MET. I understand and agree to abide by the above conditions for occupancy, use and the issuance of a Certificate of Occupancy for the dwelling under building permit # CVl �.�� . dtt;C" ic"oAl_ 6-k IC 17, 6i:7 .05 5 f5 r-5 i ckivL //,/ 7/1- c Signature BpcontOct2004 4 -4 -os Date VALUATION/FEE DETERMINATION C ApplicantC(OS'3 Subdivision % i4,7 /f,ti Address it Sy. /ale/ e %i" f'.i Lot/Block Date /<� } Contractor 6 re 4- (s; Finished (Livable Area): Main /D$¢ Upper 6(o9 Lower Other Total Square Feet /453 7; Valuation Basement: Unfinished Conversion of Unfinished to Finished Plan Check Fee for Conversion Valuation Garage: Crawl Space: Valuation Valuation Ay ‘( 7 Decks/Patios: Covered Valuation /024 Open Valuation /05 ' (2_ Total Valuation 446 J' 75 , 2q,' 1c, / 2t00 /5go38 641 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. 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. 1 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 within the envelope. Yes the, 2. Does the site plan also include any other buildings on the property, setback easements and utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying for a building permit on is located on a corner lot. Special setbacks apply. Yes 3. Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacentprerties), streams or water courses? Yes 2 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcisteel in accordance with the IRC or per stamped engineered design? Yes 6. Do the plans indicate the Location and size of ventilation openings for under floor crawl spaces and" clearances required between wood and earth? Yes l/ 7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and soffits? Yes 8. Do the plans include design loads as required by Garfield County for roof snow loads, (a minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor loads and wynd loads? Yes V 9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof construction? Yes 10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof ra rs or joists or trusses? Yes 11. Does the building section drawing or other detail include the method of positive connection of all columns and beams? Yes ✓ 12. Does the plan indicate the height of the building or proposed addition from the highest point of the building or addition measured at mid span between the ridge and the cave down to existing (uy disturbed) grade contours? Yes �V 13. Does the plan include any stove or zero clearance fireplace planned for installation including make andm del and Colorado Phase Il certifications or phase II EPA certification? Yes t/ No 3 14. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? Yes No 7� 15. Does the plan include a window schedule or other verification that egress/rescue windows from sleepyoms and/or basements comply with the requirements of the IRC? Yes No 16. Does the plan include a window schedule or other verification that windows provide natural light and v ntilation for all habitable rooms? Yes V No 17. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify fety glazing for these areas? Yes s No 18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated o the plan? Yes t No 19. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, are building plans in compliance with all plat notes and/or covenants? Yes V No 20. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? The building permit application will not be accepted thout it. Yes No 21. Will this be)he only residential structure on the parcel? Yes t/ No If no -Explain: 22. Have two (2}complete sets of construction drawings been submitted with the application? Yes V 23. Do you understa d that the minimum dimension a home can be on a lot is 20ft.wide and 2011. long? Yes No 4 24. Have you designed or had this plan designed while considering building and other constructio code requirements? Yes V No 25. ' Do your plans comply with all zoning rules and regulations in the County related to your properties zone district? Yes #! No 26. Does the plan accurately indicate what you intend to construct and what will receive a final inspection b the Garfield County Building Department? Yes V No 27. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes No 28. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application submittal and that you will be required to pay the "Permit Fee" as well as any "Road Impact" or "Septic System" fees required, at the time you pickup your building p it? Yes No 29. Are you aware that you must call in for an inspection by 3:30 the business day before the requested inspection in order to receive it the following business day? Inspections will be made from 7:30 a.m. to 3:30 p.m. Monday through Friday. Inspections are to be called in to 84-5003. Yes No 30. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $ O.00 re -inspection fee? Yes No 31. 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 o the building? Yes No 32. Are you aware that the Permit Application must be signed by the Owner or a written authority being given for an Agent and that the party responsible for the project must comply with the IRC? Yes V No 33. Are you aware that prior to submittal of a building permit application you are required to show proof of a driveway access permit or obtain a statement from the Garfield County Road & Bridge Department stating one is not necessary? You can contact the Road & Bridge Department t 625-8601. Yes �/ No 34. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups, unless you as the homeowner are performing the work? The license number of the person performing the work will be required at tim of applicable inspection. Yes 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 buildingp it application? Your attention in this is appreciated. Yes V No 36. Do you know that the local fire djstt et may require you to submit plans for their review of fire safety issues? Yes 1/ No (please check with the building department about this requirement) I hereby acknowledge that I have read, understand and answered these questions to the C494.1 best of my ability. . 2- 94 CoQ, O, a, is CG0s,s ,9S 4T7V /VCy pc- 4_z_ o sr Signature of Owner Date `] Phone: q20-30?- 0020 (days); 97o-307- ©o C> (evenings) Project Name: D441C C L 055 C 4, r AI Project Address: PA -0 -CL -74 'h 240 3 4 4 3(9 00 5-0 Notes: If you have answered "No" on any of the questions, you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected. Work may not proceed without the issuance of a permit. If it is determined by the Building Official that additional information is necessary to review the application and plans to determine minimum compliance with the adopted codes, the application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review, delay in issuance of the permit or delay in proceeding with construction. BpminregOct2004 6 Applicant k_CA) PLAN REVIEW CHECKLIST Date 44-65 Building Engineered Foundation Driveway Permit S-tilasTerl Site Plan �dP Septic Permit and Setbacks --'/Grade/Topography 30% Attach Residential Plan Review List --"/Minimum Application Questionnaire U 4 Subdivision Plat Notes ka_ Fire Department Review f Valuation Determination/Fees s—i .-/Z."-tach Line Plans/Stamps/Sticker tach Conditions (Application Signed `-!Plan Reviewer To Sign Application Parcel/Schedule No. 40# Snowload Letter- Manf. Hms. GENERAL NOTES: Planning/Zoning roperty Line Setbacks ( F 30ft Stream Setbacks Flood Plain Building Height aping Sign -off / Road Impact Fees L -H' OA/DRC Approval �` Clrade/Topography 40% aPlanning Issues ��r Subdivision Plat Notes GRASS MESA HOMEOWNERS ASSOCIATION Architectural Control Committee 1899 Grass Mesa Road Rifle, CO 81650 March 24, 2005 Daric Closs c/o Bret Closs 5175 Grass Mesa Road Rifle, CO 81650 RE: Building Plans Dear Daric: The Architectural Control Committee for the Grass Mesa Homeowners Association has approved the plans attached hereto for the construction of a home on Lot 49, Grass Mesa Ranch Subdivision under the following conditions: 1. All driveway entrances onto the lot must have an adequate culvert(s) in place in order to allow the flow of water through ditches along Grass Mesa Homeowner Association roadways. 2. Construction or installation of any structure or improvement on any Lot shall proceed promptly and diligently upon commencement thereof Failure to complete any structure or improvement within one (1) year after the date the same is commenced shall constitute a violation of the Declaration of Easements, Restrictions and Covenants for Grass Mesa Ranch. Sincerely, GRASS MESA HOMEOWNERS ASSOCIATION ARCHITECTURAL CONTROL COMMITTEE '/` effrey C. Lange JCL/cc GRASS MESA HOMEOWNERS ASSOCIATION Architectural Control Committee 1899 Grass Mesa Road Rifle, CO 81650 March 24, 2005 Daric Closs c/o Bret Closs 5175 Grass Mesa Road Rifle, CO 81650 RE: Building Plans Dear Daric: The Declaration of Easements, Covenants and Restrictions for Grass Mesa Ranch Subdivision does not require that wood fire burning fireplaces do not need to be EPA certified. Sincerely, Cheri Chattier, Association Manager CC/ IIIINIIIVIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1111 1111 624384 04/07/2003 03:09P B1455 P417 M ALSDORF of 6 R 31.00 D 0.00 GARFIELD COUNTY CO STATUTORY POWER OF ATTORNEY NOTICE: UNLESS YOU LIMIT THE POWER IN THIS DOCUMENT, THIS DOCUMENT --GIVES YOUR AGENT THE POWER TO ACT FOR YOU, WITHOUT YOUR CONSENT, IN ANY WAY THAT YOU COULD ACT FOR YOURSELF. THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING. THEY ARE EXPLAINED IN THE "UNIFORM STATUTORY FORM POWER OF ATTORNEY ACT", PART 13 OF ARTICLE 1 OF TITLE 15, COLORADO REVISED STATUTES, AND PART 6 OF ARTICLE 14 OF TITLE 15, COLORADO REVISED STATUTES. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH-CARE DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO. THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE TfIE PERSON YOU DESIGNATE _YOUR "AGENT') BROAD POWERS TO JAND�,F� Y0 JR PROPERTY AND AFFAIRS, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL, OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS FORM DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS; BUT WHEN POWERS ARE EXERCISED, YOUR AGENT MUST USE DLit CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THE PROVISIONS OF THIS FORM AND MUST KEEP A RECORD OF RECEIPTS, DISBURSEMENTS, AND SIGNIFICANT ACTIONS TAKEN AS AGENT. YOU MAY NAME SUCCESSOR AGENTS UNDER THIS FORM BUT NOT CO -AGENTS. UNTIL YOU REVOKE THIS POWER OF ATTORNEY OR A COURT ACTING ON YOUR BEHALF TERMINATES IT, YOUR AGENT MAY EXERCISE "THE POWERS GIVEN HERE THROUGHOUT; YOUR 'LIFETIME, EVEN AFTER YOU MAY BECOME DISABLED, UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THIS POWER IN THE MANNER PROVIDED BELOW. YOU MAY HAVE OTHER RIGHTS OR POWERS UNDER COLORADO LAW NOT SPECIFIED IN THIS FORM. ., I, Dario Hunter Closs, of 7242 Roos Road, Houston , Texas 77074, appoint my brother, Bret Closs, whose address is 5175 Grass Mesa Road, Rifle, Colorado 81650, as my agent (attorney-in- fact) to act for nie iu3 any,awfu1 way withrespect to the.following subjects TO GRANT ONE OR MORE OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF EACH POWER YOU ARE GRANTING. TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT. YOU MAY, BUT NEED NOT, CROSS OUT EACH POWER WITHHELD. 13L (A) Real property transactions (when properly recorded). (B) Tangible personal property transactions. (C) Stock and bond transactions. A L -(D) • C pmrnodity and option transactions. O L. (E) Banking and other.financial institution transactions. (F) Business operating transactions. 1111111-111111111111111111111111111111111111111111111111 624584 04/07/2003 03:09P B1455 P418 11 ALSDORF 2 of 6 R 31.00 D 0.00 GARFIELD COUNTY CO Statutory Power of Attorney Daric Hunter Closs Page 2 of 5 (G) Insurance and annuity transactions. _C (H) Estate, trust and other beneficiary transactions. DC (I) Claims and litigation. 0 C (3) Personal and fancily maintenance. D G (K) Benefits from Social Security, Medicare, Medicaid, or other governmental programs, or military service. m C (L) Retirement plan transactions. (M) Tax matters. UNLESS YOU DIRECT OTHERWISE, THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED OR TERMINATED AS SPECIFIED BELOW. STRIKE THROUGH AND WRITE YOUR INITIALS TO THE LEFT OF THE FOLLOWING SENTENCE IF YOU DO NOT WANT THIS POWER OF ATTORNEY TO CONTINUE IF YOU BECOME DISABLED, INCAPACITATED, OR INCOMPETENT. 1. ( ) This power of attorne Evill continue to be effective even though I become disabled, incapacitated, or incompetent. YOU MAY INCLUDE ADDITIONS TO AND LIMITATIONS ON THE AGENT'S POWERS IN THIS POWER OF ATTORNEY IF THEY ARE SPECIFICALLY DESCRIBED BELOW. 2. The powers granted above shall not include the following powers or shall be modified or limited in the following manner (here you may include any specific limitations you deem appropriate, such as a prohibition of or conditions on the sale of particular stock or real estate or special rules regarding borrowing by the agent): 1, Daric Hunter Closs, state that the principal purpose of this Power of Attorney is to authorize my brother, Bret Closs, as my agent, to act in my stead as a co-owner (co -tenant in common) of certain real property located in the southwest quarter of Section 4, Township 7 South, Range 93 West of the 6th Principal Meridian, as specifically described in Exhibit A attached hereto and incorporated herein by this reference, which property is also Mown asas Lot 49,-Grasi Mesa Ranch, Garfield County, State of Colorado, USA. As clarification and not as limitation, 1 specifically authorize my attorney-in-fact to negotiate, sign agreements and do all other acts on my behalf with any owner and/or lessee of mineral rights or the mineral estate associated with the above-described property. The only limitations on the power granted herein are that my agent shall have no authority to convey, transfer, or quitclaim any interest in said property on my behalf nor encumber my interest in said property with any instrument securing a loan or other finance transaction. 15L (Initial) 3. In addition to the powers granted above, l grant my agent the following powers (here you may add any other delegable powers, such as the power to make gifts, exercise powers of -,- 1111111 11111 111111 1111 uu 111111 111111111111 1111 1111 624584 04/07/2003 03:09P B1455 P419 M ALSDORF 3 of 6.R 31.00 D 0.00 GARFIELD COUNTY CO Statutory Power of Attorney Dario Hunter Closs Page 3 of 5 appointment, name or change beneficiaries or joint tenants, or revoke or amend any trust specifically referred to below): 4. SPECIAL INSTRUCTIONS, ON THE FOLLOWING • LINES YOU MAY GIVE SPECIAL INSTRUCTIONS TO YOUR AGENT: 6 YOUR AGENT WILL BE ENTITLED TO REIMBURSEMENT FOR ALL REASONABLE EXPENSES INCURRED IN ACTING UNDER THIS POWER OF ATTORNEY. STRIKE THROUGH AND INITIAL THE NEXT SENTENCE IF YOU DO NOT WANT YOUR AGENT TO ALSO 1111E ENTITLED TO.REASONABLE COMPENSATION FOR SERVICES AS AGENT. 5. ( ) My agent is entitled to reasonable compensation for services rendered as agent under this power of attorney. THIS POWER OF ATTORNEY MAY BE AMENDED IN ANY MANNER OR REVOKED BY YOU AT ANY TIME. ABSENT AMENDMENT OR REVOCATION, THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY IS EFFECTIVE WHEN THIS POWER OF ATTORNEY IS SIGNED AND CONTINUES IN EFFECT UNTIL YOUR DEATH, UNLESS YOU MAKE A LIMITATION ON DURATION BY COMPLETING THE FOLLOWING: 6. This power of attorney terminates on . (Insert a future date or event, such as court determination of your disability, when you want this power to terminate prior to your death.) BY RETAINING THE FOLLOWING PARAGRAPH, YOU MAY, BUT ARE NOT REQUIRED TO, NAME YOUR AGENT AS GUARDIAN OF YOUR PERSON OR CONSERVATOR OF YOUR PROPERTY, OR BOTH, IF A COURT PROCEEDING IS BEGUN TO APPOINT A GUARDIAN OR CONSERVATOR, OR BOTH, FOR YOU. THE COURT WILL APPOINT YOUR AGENT AS GUARDIAN OR CONSERVATOR, OR BOTH, IF THE COURT FINDS THAT SUCH APPOINTMENT WILL SERVE YOUR BEST INTERESTS AND WELFARE. STRIKE THROUGH AND INITIAL PARAGRAPH 7 IF YOU DO NOT WANT YOUR AGENT TO ACT AS GUARDIAN OR CONSERVATOR, OR BOTH. 7. ( ) If a guardian of my person or a conservator for my property, or both, are to be appointed, I nominate to be appointed the guardian of my person.. 14111111111111111111101111111111111111111111111111111 624584 04/07/2003 03:09P B1455 P420 M ALSDORF 4. of 6,R'31.00 D 0.00 GARFIELD COUNTY CO Statutory Power of Attorney Daric Hunter Closs Page 4 of 5 IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME AND ADDRESS OF ANY SUCCESSOR AGENT IN THE FOLLOWING PARAGRAPH: 8. If any agent named by me shall die, become incapacitated, resign, or refuse to accept the office of agent, I name the following to act alone, as successor to such agent: �(o sf /142. ho j)-,. sI t , 77614 For purposes of this paragraph 8, a person is considered to be incapacitated if and while the person is a minor or a person adjudicated incapacitated or if the person is unable to give prompt and intelligent consideration to business matters, as certified by a licensed physician. I agree that any third party who receives a copy of this document may act under it. Revocation of the power of attorney is not effective as to a third party until the third party learns of the revocation. I agree to indemnifylhe third party for any claims that arise against the third party because of reliance on this power of attorney. Signed this ?I qday of f1 A- 'J/ _, 2003. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, IT MAY BE IN YOUR BEST INTEREST TO CONSULT A COLORADO LAWYER RATHER THAN SIGN THIS FORM. ).3 Daric Hunter Closs — Principal Soc. Sec. No. t(6‘- YOU (6‘_ YOU MAY, BUT ARE NOT RQUIRED TO, REQUEST YOUR AGENT AND SUCCESSOR AGENTS TO PROVIDE SPECIMEN SIGNATURES BELOW. IF YOU INCLUDE SPECIMEN SIGNATURES IN THIS POWER OF ATTORNEY, YOU MUST COMPLETE THE CERTIFICATION OPPOSITE THE SIGNATURES OF THE AGENTS. NOTICE TO AGENTS: BY EXERCISING POWERS UNDER THIS DOCUMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT UNDER COLORADO LAW. _a_ 11H11111111111111111111111111111111111111111111111111 824584 04/07/2003 03:09P B1455 P421 M ALSDORF 5 of 6 R 31.00 D 0.00 GARFIELD COUNTY CO Statutory Power of Attorney Daric Hunter Closs Page 5 of S Specimen signatures of agent I certify that the signatures of my agent (and successors are correct 84,,6t eeevsp (PM=`s a04A- agent principal GGA - successor agent principal STATE OF 1-444-S ) COUNTY OF 'T` f- Btrio SS . This document was acknowledged before me this 3 / day of , 2003, by DAR -1 H. C1.-orS , as Principal, who certifies the correctness of the signature(s) of the agent(s). WITNESS my hand and official seal. My commission expires: )� , s� 20 0 Notary Public BY ACCEPTING OR ACTING UNDER 'fHE APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT. _S_ Order Number: 03000165 11111011111111111.1111111111111111111111111111111111111 624584 04/07/2003'03:09F B1455 P422 11 RLSDORF 6 of 6 R 31.00'D 0.00 GARFIELD COUNTY CO LEGAL DESCRIPTION LOT 49 GRASS MESA RANCH MORE PARTICUL.nRLY DESCRIBED AS FOLLOWS: A PARCEL OF LAND SITUATED IN T88 SOUTHWEST 1/4 OF SECTION -4, TOWNSHIP 7 SOUTH, RANGE 93 WEST OF TEM 6TH PRINCIPAL !MERIDIAN, COUNTY OF GARFIELD, STATE OF COLORADO AND SHOWN ON TEE BOUNDARY SURVEY OF GRASS MRSA RANCH, DATED 6-11-85 BY CONSTRUCTION SURVEYS, INC., SAID LOT BEING MORS PARTICULARLY DESCRIBED AS FOLLOWS: BEGIN AT A FOUND. 1947 ZiLO 9RASS CAP 111 PLACE FOR PER SOUTH 1/4 CORNER OF SAID SECTION 4; THRNCH S 89040'05" W ALONG TES SOUTH LINE OF SAID SECTION 4 A DISTANCE OF 1358.50 FRET TO A FOS MAR AND ALUMINUM CAP P. 38. # 0D9..1N .DLACB FOR THE CORNER COMMON TO LOTS 49 AND 58 OF GRASS MESA RANCH, SAID CORNER ALSO BEING THE WEST 1/16 CORTER ON TEN SOUTH 1,1213 OF SAID SECTION 4; THENCE 21 04009'58F W ALONG D ' i1oRTH-BOVTH CENTERLINN OF THE SOUTHWEST 1/4 OP SAID SECTION 4 A &ISTANCE OF 1496.18 FEST TO A FOUND BSBAR AND ALUMINUM CAP P.L.S. #9009 IN PLACE! FOR THS COP.NRR COMMON TO LOTS 48 AND 49 OF SAID GRASS MRSA RANCH; 11 r TRENCH N 89°35'50" S ALOXG THE SOUTH LINE OF SAID LOT 49 A DISTANCE OF 1308.87 FEST TO A POUND RS'AR AND CAP P.L.S. #9009 IN PLACE FOR TAB WITNESS COMM TO THE CORNER COMMON TO LOTS 48, 49, 50 AND 51 OF SAID GRASS ANSA RANCH; THENCE CONTINUING ALOE TSB SOUTH LINE OF SAID LOT 49 N 89°35'50" SA DISTANCE OF 30.00 FEST TO THE TRUE CORNER =mom TO SAID LOTS 48, 491, 50 AND 51; THENCE S 04°54'37" swam TSS NORTH -SOUTH CENTERLINE OF SAID SECTION 4 A DISTANCE OF 1499.27 FENT TO THS POINT OF BEGINNING. COUNTY OF GARFIELD STATE OF COLORADO 0 10/2 9/05 (2) - LVL 5 I/4" HDR 53 COMMON TRUSS 24" a,G. fo.F. GIRDER TRUSS COMMON TRUSS 24" D.G. 1 FOR TyficAf.- Q, (2)- 4c. LVL, 14I7 Tins .Liss.)) 2x6 LOOK- OUT ® 24" O.G. L O.F. 6/2 D.F. o HDR 2x6 LOOK- OUT @ 24" O.G. PA AL L o w aR— ovF FM+rJC7 PLAN r w r. s-'&4.114, P.AKIcH c1J5G 211-10" S GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name System Location �v. �1 . _ i C . Present Address r- 1� , ti � A Permit 4054 Assessor's Parcel No. This does not constitute a building or use permit. Phone Legal Description of Assessor's Parcel No - SYSTEM DESIGN 1Sn Septic Tank Capacity (gallon) Other / Percolation Rate (minutes/inch) Number of Bedrooms (or other) C� QS' I1 kO(k J ea J) R 1c'd Required Absorption Area - See Attached S{cr/ -i-v `mil^ (� O L 1 r! _5 or Special Setback Requirements: , -,. � L ftp ft c.c.^ 3x f 6,,A),6,-( ij7 srii Date Inspector ./UttiIS ru.;r FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer_ -- Septic Tank Capacity /_' U Septic Tank Manufacturer or Trade Name )C,� r.v � c...0 Septic Tank Access within 8" of surface y. rl it Absorption Area } a.•�r , :; � • f�•,.P f 1.y Absorption Area Type and/or Manufacturer or Trade Name � � •C.' `�'�_ i ' 1. Adequate compliance with County and State regulations/requirements ,_ Other Date ti - 1 - Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.I.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 actioh 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 and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT r COUNTY OF GARFIELD - BUILDING PERMIT CORRECTION NOTICE 108 8th St., Suite 401 Glenwood Springs, Colorado Phone (970) 945-8212 Job located at 67-n9,5— 2 - goe, Permit No. ci5l6f I have this day inspected this structure and these premises and found the following corrections needed: all( ,ze,-/e1G , You are hereby notified that the above correction must be inspected before covering. When corrections have been made, call for inspection at 970-384-5003. Date oZ --C)? 20,,E� Building Inspectorz�.7lsi. Phone (970) 945-8212 No. 1 Li Assessor's Parcel No., -#t` 5 -Ckr c3 _ BUILDING PER�MI CA D Job Ad .es 5 b,5 C71. -A-, '\_1 . -- QL , �� " '�r : � • 1 c -,c- \) Owner ( _ (..) J Tf. .-L�� Address 1- tet • e-__.1,- I,C Phone #7B-777-- 61,-;7 i Contractor I etk 1 \i ry� Off1 1 Address)5-1-�1 �irc�AtPhone #7,7-1-L"--% �t ` ' .aC r— Zoning Date Seacks: Front _ ear Soils Test Footing -a- ' d i61— Foundation - E-0.5 Grout tpt0 6'[,-05 Underground Plumbing Rough Plumbing 4- ,L Framing -a Insulation rid Roofing Drywall 0 Gas Piping '-'-iali-J1?("6 2Z' RH LH INSPECTIONS NOTES Weatherproofing Mechanical Q Electrical Rough (State) 1 r- 0..67 Electrical incl (State) / 1- f,'4, Final ecklis . pleted? '1,---` Certificate Occupancy # 11 Date 7 Septic System # Date Lit --,=:)1-n------- Final r=I / C'•-- Fi nal /i4?-f'n' /Z -4fA vl " Other (continue on back) Parcel Detail Page 1 of 3 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/Treasurer Properly Search 1 Assessor Subset Query 1 Assessor Sales Search Clerk &RecorderReceptionSearch Basic Building Characteristics 1 Tax Information Parcel Detail 1 Value Detail 1 Sales Detail 1 Residential/Commercial Improvement Detail Land Detail 1 Photographs Tax Area 024 Account Number R247216 Parcel Number 240304300050 Mill Levy , r 44.867 Owner Name and Mailing Address CLOSS, DARIC H 7242 ROOS HOUSTON, TX 77074 Legal Description SECT,TWN,RNG:4-7-93 DESC: SEC 4 SESW. AKA LOT 49 GRASS MESA RANCH. PRE:R247185 AND/THRU:& TO:R247187 PRE:R247195 BK:0643 PG:0348 BK:1522 PG:832 RECPT:637310 BK:1455 PG:417 RECPT:624584 BK:1444 PG:310 RECPT:622457 BK:1444 PG:308 RECPT:622456 BK:1412 PG:913 RECPT:615825 BK:1352 PG:962 RECPT:602916 BK:1014 PG:0767 BK:0982 PG:0593 Location Physical Address: Subdivision: 1 RIFLE 11 http://www. garcoact.com/assessor/parcel.asp?ParcelNumber=240304300050 2/13/2007 Parcel Detail Page 2 of 3 Land Acres: 1140.49 Land Sq Ft: 0 Section Township Range Property Tax Valuation Information Sale Date: Sale Price: 5/30/1996 59,800 Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 0 0 No Building Records Found Tax Information Tax Year Actual Value Assessed Value Land: 85,000 24,650 Improvements: 0 0 Total: 85,000 24,650 Sale Date: Sale Price: 5/30/1996 59,800 Basic Building Characteristics Number of Residential Buildings: Number of Comm/Ind Buildings: 0 0 No Building Records Found Tax Information Tax Year Transaction Type Amount T 2006 Tax Amount $1,105.96 2005 Tax Payment: Whole ($112.70) 2005 Tax Amount $112.70 2004 Tax Payment: Whole ($128.64) 2004 Tax Amount $128.64 2003 Tax Payment: Whole ($143.02) 2003 Tax Amount $143.02 2002 Tax Payment: Second Half ($67.82) 2002 Tax Payment: First Half ($67.82) 2002 Tax Amount $135.64 2001 Interest Payment ($9.70) 2001 Interest Charge $9.70 2001 Fee Payment ($24.75) http:l/www.garcoact.com/assessor/parcel.asp?ParcelNumber=240304300050 2/13/2007 i INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued.l.:6 t.' Z3....Zoned Area Permit No. ......1 t AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structure for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Inspector and IMMEDIATELY BECOME NULL AND VOID. , etV—..clop1, Use Address r Legal Description Owner1 i. t Contractor 13e4:1- Setbacks 3i$A,- Setbacks Front Side Side Rear This Card Must Be PostedSoIt is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD Footing 47-12,571,164._ ,gex5 ,-US Driveway Foundation 4 -1-6-05 .— !i"�- V Underground Plumbing Insulation .3 -a /, 0 (v 611,(___ Rough Plumbing 04-04 -04 j Drywall --,7y 06 /r -ii Chimney & Vent 1-c 14, MIL, 1 Electric Final (by State Inspector) 1) '`l` 11 Gas Piping /441i [k„� Final 5.�7 _ Electric Rough (By State Inspector) 1-q.0(40 Septic Final 1,2,..2.-65—/017),L, Framing /441_4 ' /9*.., (To include Roo in place and Windows and Doors installed). Notes: 1 ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND, THIS PERMIT IS NOT TRANSFERABLE For Inspections Call 384-5003 108 8th Street Glenwood Springs, Colorado APPROVEDDO NOT DESTROY THIS CARD Dat , 31 / a+s'By 44v Palazt&k IF PLACED OUTSIDE - COVER WITH CLEAR PLASTIC Garfield County Building & Sanitation Department 108 8r'= Street, Suite #201 Glenwood Springs, Co. 81601 Office- 945-8212 Inspection Line- 384-5003 t q -q Job Address i>0Gcs 14 ( ! NO. 464 Nature of Work Building Permit F Use of Building G/ic pro f6 f L S Owner Contractor " Kr 0 'Z4-, Amount of Permit $ i Clq-, DC1 Date LI —(3 Clerk