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HomeMy WebLinkAboutApplication - PermitGarfield County Building & Sanitation Department 108 8th Street, Suite #401 Glenwood Springs, Co. 81601 Office 945-8212 Inspection Line 384-5003 10535 Job Address: 346 Mineral Springs Circle, Parachute Parcel#: 2409-241-10-009 ------------------~~~~~------------------- Use of Building: IRC factory build home on foundation w/att garage Owner: Cimarron Land & Homes LLC Contractor: Cimarron Land & Homes --------------------------------------------------- Amount of Permit: I lv factory home Total $576.26 $400.00 $976.26 Date: 6/27/2007 Clerk: __ ___, • ._:l;'*WJ-L='\.)"-=ru-:..;,-______ _ I GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8'" S t reet, Suite 201, Glenwood Springs, CO 81601 Phone: 970-945-8212/ Fax: 970-384-3470 I Inspection Line: 970-384-5003 Permit N o. --~,-l b=-::)_"jS ___ _ ParceUSchedule No .. _--'R~8..,0""03::.>:6.:.2 __ __.2~l-~.l6::::::Cf-2 ~ \ \ 6 04 Job Address: 346 Mine ral Springs Circle, P arachute CO 8 1635 1 Lot No.: 09 Block No.: 10 Subd. I Exempt ion : Tam a ri sk Meadows -~ ~\l\M '::>.. 2 Owner: C imarro n Land & Homes LLC Address: 73E Sippre ll e Dr, Parachute CO 81635 Ph: 285-7330 Wk Ph: 285-7330 3 Contractor: C imarron Land & Homes Address: 73E Sippre lle Dr, Parachute CO 81635 Ph: 285-7330 Lic.No. 4 Arc h itec t I Engineer : G reg Robs on Address: 73E Sippre lle D r, Parachute CO 81635 Ph: 285-7330 Lic.No. 5 Sq. Ft. O f Building: 1580 Sq. Ft. OfLot: 9440 Height: 14' No. of Floors: One 6 U se o f Building: Single Family Dwelling -.:(~ <--;r~'v..f ~~ eM -j;rN .. ~ 0-;{ ..._ Wj cJf! ~lA 7 Describe Work: Excavat ion, Foundation, Ba ckfill, Set H o m e, Attach Garage, Site Concre te v cr ---e:; 8 Class o f Work: 181 N ew 0 A lteration 0 Re m ove 0 Additio n 0 Move 9 Ga rage: 0 Single Carpo rt: DSingle 181 Double o Double 10 181 GVRW\3D~~b-b \ 181 On-Si te Sewage Disposal 181 Site P lan 11 Val uat ion of W ork:$ Adjusted Va luat ions: f J_ {I lf({ ,6\) 12 Special Conditio ns: NOTICE P lan C heck Fee: Pe rmit Fee: A SEPARATE ELECTRICA L PERM IT IS REQ UIRED AND MU ST BE ISS UED BY TH E 227 Ol 3Lf 1 Zt" STATE OF COLORADO. THIS PF.RM IT AF.\OMF.S NUI.I. AND VOIO IF WORK OR CO NST RUCTION Total Fee: 57 l:, Zf, D a te Permit Issu e d : AUTH ORIZE D IS NOT COMMENCED WITHIN 180 DAYS, OR IF CO NSTRUCTION OR WORK IS SUSPEN DED OR ABANDONED FOR A PERIOD OF 180 DAYS AT oC) ANY TIME AFTER WORK IS COMM ENC ED . '--tOO e;,..,, z.v I HEREBY CERTI FY THAT I HAVE READ AND EXAM INED THIS APPLICATION OCCGro up: Con s t. Type: AND I KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROV ISIONS OF LAWS GOVERNING TH IS TYPE OF WORK WILL BE COMP LETED WITH IN; :Pr2C-WHETHER SPECIF IED HER EIN 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 REGULATI NG Zoning: Setbacks : ~UCTIOLJ :"'PERFORMANCE OF CONSTRUCTION . 0.~ AA~ G /J LOI Sf NATUREOFOWNER c9£\TE ~u \lh _ b-\~,o!l'?~ 'bvv.~&/zz!JJ' DM'0{;)ocJ ISDS No. & Fee: ~~~; . PLNG . DEPT I {3 AP AL/DATE APPROV AL/DAT E AGREEMENT PERMISS ION IS HER EBY GRANTED TO THE APPLI CA NT AS OWNER, CONT RACTO R AN D/OR THE AG ENT OF THE CONTRACTO R OR OWNER TO CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPEC IFICATI ONS SUBMITTED TO AND REVI EWED BY THE BUILDING DEPARTMENT. IN CONSIDERATION OFTHE ISS UANCE OFTHIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND US E REGULATIONS ADOPTED BY GARF IELD COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.20 1 CRS AS AMENDED. THE SIGNER FURTHER AG REES TH AT IF T HE ABOVE SAID OR DINANCESARE NOTFULLY COMPLIEDW ITHINTHELOCATION,ERECTION,CONSTRUCTIONANDUSEOFTHEABOVE DESC RIBED STRUCTIJRE,THEPERMIT MAY BE REVOK ED BY NOTICE FROM THE COUNTY AND THAT TH EN AND THERE IT SHALL BECOME NULL AND VOID. ISSUANCE OF A P ERMIT BASED UPON PLANS, SPECIFICATI ONS AND OTHER DATA SHAL L NOT PREVENT TH E BU ILDI NG OFF ICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLAN S, SPECIFICATI ONS AND OTH ER DATA OR FOR PR EVENTING BUILDI NG OPERATION BEING CA RRIED ON THERE UNDER WHEN IN VIOLATION OF THIS CODE OR ANY OTHE R ORDINANCE OR REGULATION OF THIS JURI SDI CTION. THE REVIEW OF SUBM ITTED PLANS AND SPECI FI CATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPT ANCE OF ANY RESPONS IBILITIES OR LIABILIT IES BY GARFIELD COUNTY FOR ERRORS, OMISS IONS OR DI SCREPANC IES. THE RESPONSIBILITY FOR THESE ITEMS AN D IMPL EMENTATIO N DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DES IGNER, BUILDER AND OWNE R. CO MM ENTS ARE INTE ND ED TO BE CONSE RVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Ga rfonn.003 d ~ ~ · 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 wash bowl, tub or shower, toile t stool, hot & cold running water, non-absorben t floors and walls finished and a privacy door. 5 . All steps outside or inside over three (3) steps must have handrails, guardrails on b alconies 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, d ecks and grading may be made upon the demonstration of ex t enuating circumstances, i.e., weather, but a Certificate of Occupancy will not be issued until all the required items are completed and a final inspec tion 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, anchor 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 unders tand and agree to abide by the above conditions for occupancy, use a nd the issuance of a Certificate of Occupancy for the dwelling under building permit# I 0 'S~ 0/) -~ )._.. .. LR It lo• Signature Date Bpcont0ct2004 VALUATION/FEE DETERMINATION Applicant C, M ttlJW ,...) L i: "+ Address 3L( L ~ ·tw4 s~ ~ Date Ia ~ IS= -o'1 Finished · (Livable Area): Main Upper Lower Other Basem ent: Total Square Feet Valuation Unfinished Conversion of U nfinis hed to Finished Plan C heck Fee for Conversion Valuation Gara2:e: Yoo )(. \ ~ ~ 12-oo Valuation Crawl Space: .J S' 7 "( X. 4 ~ ValuatiOn Decks/Patios: Covered Valuation Open Valuation Total Valuation 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 prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or more must be shown on site plan. (NOTE: 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 surveyors 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 X 2. Does the site plan, when applicable, include the location of the !.S.O.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes X 3. Does this site plan include any other buildings, setback easements and utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution if the property you are applying for a building permit on is located on a corner lot. Special setbacks do apply. Yes X 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes X 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel in accordance with the uniform building code or per stamped engineered design? A floor plan of the modular unit showing exterior doors is required. Yes X 6. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? The building permit application will not be accepted without it. Yes X No ____ _ 7. Will this be the only residential structure on the parcel? Yes X No IfNo,Explain _________ _ 8. Have two (2) complete sets of construction drawings been submitted with the application? Yes X 2 9. For the placement of a manufactured home, have the following been specified? The size of the unit (min. 20ft x 20ft); live roof load (min. 40# could be more depending on elevation of property); wind design (min. wind speed of 90 mph); foundation design; method of anchoring? Yes X 10. Have you designed or had this plan designed while considering building and other construction code requirements? Yes X No. ____ _ 11. Do your plans comply with all zoning rules and regulations in the County related to your zone district? Yes X No ____ _ 12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes X No ____ _ 13. Do you understand that approval for design and/ or construction changes are required prior to the application of these changes? Yes X No _____ _ 14. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "Road Impact" or "Septic System" fees required, at the time you pick up your building permit? Yes X No ____ _ 15. 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 between 7:30 a.m. and 3:30p.m. Monday through Friday. Inspections are to be called in to 384-5003. Yes X No ____ _ 16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $50.00 re-inspection fee? Yes X No ____ _ 17. 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 X No _____ _ 3 18. Are you aware as part of the submittal for a building permit, you are required to show proof of a driveway access permit from Garfield County Road & Bridge Department or if applicable the State Highway Department? If a permit is not necessary, then a letter stating that information is required. You can contact the Road & Bridge Department at 625-8601 or refer to the phone book for the State Highway Departments number if applicable. Yes X No _____ _ 19. Do you understand that you will be required to hire a State of Colorado Licensed Electrician and Plumber to perform installations and hookups unless you, as the homeowner are performing the work? The license number of the person performing the work will be required at time of applicable inspection. Yes X No _____ _ 20. Are you aware that on the front of the Building Permit Application , you will need to fill in the Parcel/Schedule Number for the lot you are applying for this permit on prior to the submittal of a building permit application? Your attention in this is appreciated. Yes X No. _____ _ 21. Are you aware that you will need to have your installer obtain an installation inspection as per the State Division of Housing requirements prior to the County building department doing their final inspection? The state will charge a fee for this inspection. Yes X No. _____ _ 22. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an agent and that the party responsible for the project must comply with the Uniform Building Code? Yes X No _____ _ 23. Are you aware, that if you receive your water and/ or sewer from an Association, a District or Municipality, you will be required to provide the County with a copy of the Tap Permit (or evidence of an exemption) at the time of the building permit application submittal? Yes X No _____ _ 24. Do you understand that if you are planning on doing any excavation or grading to the property prior to issuance of a building permit that you will be required to obtain a grading permit? Yes X 4 I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. ~~ ~c --~~~ft ~/m~----- Signature of Owner Date Phone: (970) 285-7330 (days) ___ ___,_N_,_,Ic....:.A....__ ______ (evenings) Project Name: Cimarron Land & Homes, LLC I Manufactured Home On Foundation Project Address: 346 Mineral Springs Circle, Parachute CO 81635 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 b eginning 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 n ecessary to review th e 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 r eview, delay in issuance of the permit or delay in proceeding with construction . bpminreqmhFeb2005 5 PLA N RE VIE\V CHE CKLI ST Building L Engineered Foundation ---t.L"Dri veway Pennit X surveyed Site Plan Date_-(;lbi_-...J.._/.JJ-f ,._c!]--L-- Pl a nni ng/Zo n ing v Septic Permit and Setbacks ~ ,._.rGradefT o p ograph y 30% ~ttach Resident ial Plan Rev iew Lis t V Minimum Application Questionnaire ~Subdi vis i on Plat Note s ~_&_Fir e Department Rev iew ~Valuation Dete rminati on/Fee s J Red Line Plans/Stamps/S ti cker *Attach Conditions V Appli cation Sign e d L Plan R eviewer To Sign App li cati on ~Parce l /Sched ul e No . .L 40# Sno w l oad L et te r-Manf. Hms. _L Soil s Report GENERAL NOTES: Subdivision Plat No tes 05 /30 /2667 23:31 6 2 58£>27 ROAD AND BRIDGE PAGE El3 Garfield Cou Application for Drivewa.J Permit Person Obtaining Permit: Cimarron Lllnfland Homes ApplicatloiJ Date: S/3111007 County Road Nu,.ber: District: Silt Permit Number: GRB07-D-61 Termination D11te: 613011007 Inspector: Ja/u Mall heteby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es) on the right-of-way off of County Roa~ or 346 Mineral Springs Clrcle, located on the Eut side of road for the purpose of obtaining access to property. Applicant submits herewith for the consideration and approval of the Board of County Commissioners, a sketch of the proposed installation showing all the necessary specification detail including: · 1. Frontage of lot along road . . 2. Distance from centerline of road to pf.operty line. 3. Number of driveways requested 4. Width of pt"oposed driveways and angle of approach . 5. Distance from driveway to road intersection, if any. 6. Size and shape of atea separating driveways if more than one approach. 7. Setback distance ofbuilding(s) and other structure improvements. 8. No unloading of equ;pment on county road, any damage caused to county road will be .repaired at subdivision expense. 9. Responsible for two yeus from the date of completion . General Proviaions 1) The applicant represents all parties in interest, and affinns that the driveway approach (es) is to be constructed by him for the bona fide purpose of securing access to his property and not for the purpose of doing business or servicing vehicles on the road right of way. 2) The applicant shall furnish all labor and materials, perfonn all work, and pay all costs in connection with the construction of the driveway(s). All work shall be completed within thirty (30) days of the permit date . 3) The type of constniction shall be as designated and/or approved by the Board of County Commissioners OX' their rept"esentative and aU materials used shalt be of satisfactory quality and subject to inspection and approval of the Board of County Commissioners or their representative . 4) The traveling public shall be protected during tbe installation with proper warning signs and signals and the Board of County Commissioners and thei( duly appointed agents and employee shall be held harmless against any action for personal injury o( property damage sustained by any reason of the exercise of the Permit. 5) The Applicant shall assume responsibility for the removal or clearance of snow, ice, or sleet upon any portion of the driveway approach {es) even though deposited on the driveway(s) in the course of the County snow removal operations. · 05/30/2007 23:31 6258627 ROAD AND BRIDGE PAGE 05 Specifications 1. A driveway approach is understood to be that portion of the county road right-of way between the pavement edge and the property line that is designed and used for the interchange of traffic between the roadway and abutting property. 2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of 100 feet be provided.) 3. All entrances and exits shall be so located and constructed that vehicles approaching or using them will be able to obtain adequate sight distance in both directions along the county road in order to maneuver safely and without interfering with county road traffic. 4. The Applicant shall not be permitted to erect any sign or display material, either fixed or movable, on or extending over any portion of the county road right-of-way. S. Generally, no more than one approach shall be allowed any pan:el or property the frontage of which is less than one hundred (100) feet. Additional entrances or exits for parcels having a frontage in eJ~:cess of one hundred 100) feet shall be permitted only after showing of actual convenience and necessity. 6. All driveways shall be so located \hal the flared portion adjacent to the traveled way will not encroach upon adjoining property. 7. No commercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width .greatet than twenty (20) feet measured at righ.t angles to the centerline of the driveway, except as increased by . permissible radii. 8. The axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle between ninety (!10) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will be made according to the type of traffic to be served and other physical conditions. 9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited. Commercial establishments for customer vehicles should provide ot'f-the-road parking facilities. 10. The grade of entrance and ell:it shall slope downward and away from the road surface at the same rate as the normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20) feet from the pavement edge. Approach grades are restricted to not more than ten percent ( 1 0%). ll. All driveways and approaches shall be so constructed that they shall not interfere with the drainage system of the street or county road. The Applicant will be required to provide, at his own expense, drainage structures at entrances and exits, which will become an integral part of the existing drainage system. The Board of County Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage structures. Note: This pumit shall be made available at the site where ud when work Is being done. A work sketch or drawing of the proposed drlveway(s) must accompany applleatloa. No pennlt will be issued without drawing, bluepriDt, or sketch. 05/30/2007 23:31 6258627 ROAD AND BRIDGE PAGE 04 6) In the event it becomes necessazy to remove any right-of-way fence, the posts on either side of the entrance shall be surely braced before the fence is cut to prevent any slacking of the remaining fence and all posts and wire removed shall be turned over to the District Road Supervisor of the Board of County Commissioners. 7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-<>f-way without written pennission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County Commissioners of Garlield County, Colorado, and the SJIC"ifications, set forth on the attached hereof and incorporated herein as conditions hereof. 9) Final inspection or driveway wiD be required apo11. completion and must be approved by person Issuing pefllllt or representative of person Issuing permit. The inspection and sign orr mast be done prior to uy CO from the BuDding and Plauing Department being Issued. 10) Coiltrador agrees to aU p.,ovfsions In Exhibit A. Spedal Copdillw; 1. Ddveway Width-16' 1. Culvert required? False Size: by 3. Asphalt or concfete pad required? False Size or pad: 4, Gravel portion required? Flllse Lenlth: 5. Trees, brush and/or fence need to be removed for vl•lblUty? Flllse 6. Distance and Direction: 7. Certlfl.ed Trame Control Required? Flllse 8. Work ZOJJe signs required? Trne In signing this application and upon receiving authorization and permission to install the driveway approach (es) described herein the Applicant signifies that be has read; understands and accepts the foregoing provisions and conditions ·and agrees to consttuct the driveway(s) in accOI:dance with the accompanying specification plan reviewed and approved by the Board of County Commissioners. Telephone Number: { 91 0 ~ 2. ~ ~ -l:)~J Pennit granted S/31/:1007, subject to the provisions, speeiOcationsand conditions stlpalated herein. For Board of County Commissioners' of Garfield County, Colorado: Representative ofGarlield CoW!ty Road and Bridge Signature 05/30/2007 23:31 6258627 ROAD AND BRIDGE PAGE 06 BOARD OF COUNTY COMMISSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIENS The Contractor, whose name and signature appeaxs below, certifies and ag~ees as follows: 1. The contractor shall. comply with the provisions of C.R.S. 8-17.5-101 et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work for the boaxd of County Commissioners of Garfield County; Colorado ("BOCC") or enter into a contract with a subcontractor that knowingly employs or contracts with an illegal alien. 2. The Contractor represents, warrants, and agrees that it has verified that it does not employ any illegal aliena; that it has participated or attempted to participate in the Basic Pilot Employment Verification program administered by the Social Security Administration and Department of Homeland Security; ~a otherwise shall comply with the requirements of C.R.S. B-17.5-102(2) (b). J. The Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8·17.5-102 by the colorado Department of ~abor and Employment. It the Contractor fails to comply with any requirement of thi.s provision or C.R.S. B-17.5-101 et seq., the BOCC may terminate work far breach and the Contractor shall be liable for actual and consequential damages to the State. 4. If the contractor is a sole proprietor. the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (check one) : ~ I am a United States citizen, p~ I am a Permanent Resident of the ·unit~d States, ··or I am lawfully present in the United States pursuant to Feder~l law. I understand that tbis sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the BOCC. I understand that state law requires me to provide proof that I am lawtully present in the United States prior to starting work for the BOCC. I further acknowledge that I will comply with the requirements of C.~.s. 24-76.5-101 et Beq. and will produce che xequired form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under c.R.$. 18-B-503. CERTXFIED and AGREED to this _I_ day of ""J\ihe.. , 200]_. FEIN or Social Security Number Permit Number: GRBO?-D-61 Exhibit A Date Issued: Issued To: Address: Telephone #: Type of Connection: Describe Other: Service Address: PERMIT FEE: CONSOLIDATED METROPOLITAN DISTRICT CONNECT PERMIT May 30,2007 Cimarron Land & Homes LLC Homeowner 73 Sipprelle Dr Ste E3 Parachute CO 81635 285-7330 Water 346 Mineral Springs Circle $50.00 Sewer Permit#: C02-5271 Contractor XXX Other The permit fee covers the cost of ONE trip to inspect all services indicated above. If more than one inspection trip is required, they will be billed at $35.00 per trip. Plans must be submitted to the District for approval PRIOR to this permit being issued to insure compliance with the District Rules and Regulat ions . Connections and installations must be in accordance with the approved plans. The District requires a 24 hour notice for all inspections (excluding weekends and holidays). No inspections will be performed on weekends or holidays . All connections and lines must be fully exposed for inspections. All service connections must be inspected and approved prior to the District providing water and sewer services. Customer Signature: Date : Arnie Issued By BATTLEMENTMESASERVICEASSOCIATION LU f; ARCIDTECTURAL COMMITTEE APPLICATION & CHECKLH W Q (for New Home Construction projects) -u..u Homeowner: _Michaela & Cody Fulk _ Home Mailing Address: _Post Office Box 34, Lazear CO 81418_ Home Phone: _(970) 201-8492_ Project Address: _346 Mineral Springs Circle_ Lot: 09 Block: 10 Subdiv : _Tamarisk Meadows Production Home Plan Name (if applicable): _Skyline Manufactured Home Plan "Columbine" Model_ Homebuilder: Cimarron Land & Homes, LLC. Business Mailing Address: 73 Sipprelle Drive I Suite E3, Battlement Mesa CO 81635 Business Phone: (970) 285-7330 Fax (if desired): (970) 285-7303 Submittal Date: _ 06/06/07 _ Estim. Start Date: _ 08/01107 _ Estim. Completion Date : _ 09/30/07 _ SUBMITTAL REQUIREMENTS: Two Copies each of items 1, 2 & 4 need to be submitted. (Check-off items attached to the Application. Fill in spaces as indicated.) X 1. Site Plan Drawing (1" = 1 0' or 1" = 20' scale) with the following information shown : X Lot, Block & Subdivision mime . X Street Address of Project. X Building Setback Lines (also fill-in the shortest distance between property line to the exterior wall closest to that property line). Please be aware that all Building Setback Lines are taken from your Property Line Pins!! Your Property Line is NOT the Curb Line!! X n/a X X X n/a Front Setback: Left Side Setback: Right Side Setback : Rear Setback: Utility Easements. Dwelling Unit 28'0 15'0 - 28'0 35'0 55' Clear Site-Line at Intersection Comer Lots . Site Grading Elevations & Drainage. Garage 34'0 n/a - 8'0 - n/a First (main) Floor Height in relation to top of street curb at front-center of lot. Driveways (including width of driveway), Walkways, Patios , etc. Outbuildings . Page 2 of 6 _X_ 2. Architectural Drawings (1/4" = I' or 1/8" = I' scale) with the following information shown. _X_ Floor Plan(s) with overall dimensions (fill-in the following square foot areas). n/a First Floor Finished Living Area: Second Floor Finished Living Area: Lower Floor Finished Living Area: Total Finished Living Area: Total Unfinished Living Area: Garage Area: _1580_square feet _n/a_ square feet _ n/a _ square feet _1580_square feet _nla_ square feet _ 400 _ square feet Building Elevations Plans indicating doors, windows, exterior materials, building height, roof pitch, roof-mounted evaporative coolers, etc. (Std. manuf. home plan on file.) Maximum building height to highest ridge line or building structural projection _14 _feet above top of street curb at front-center of your lot. X Engineered (stamped) Foundation Plan. n/a Outbuildings indicating dimensions, elevations and overall height to ridge line. X 3. Exterior Materials (fill-in the selections below): _ X_ X X X n/a n/a X X Roofing Material: _3-Tab Comp. Shingle _ Primary Siding Material: _Vinyl Lap_ Accent Siding Material: _Vinyl Shutters_ Trim Material:_ Vinyl_ Masonry Material: _nla_ Stucco Material: _nla_ Front Door Material: _Insulated Steel_ Garage Door Material: _Steel Overhead Door_ Color: _Gray_ Color: _Clay_ Color: _Arresting Auburn_ Color:_ White_ Color: _n/a_ Color: _nla_ Color: _Pre-Finished White_ Color: _Pre-Finished White_ BODY COLOR TRIM COLOR ACCENT SHUTTERS (WHITE) Page 3 of 6 nla nla X nla n/a n/a n/a n/a 4. Landscape/Irrigation Plans with the following information: Planting Plan (indicate areas ofirrig.lawn, tree placement, shrub beds, ground cover, etc). Plant Material listing by species of trees, shrubs and grasses. Groundcover Material with weed control barrier. Fences. Other Landscape Improvements (decks, site lighting, flag poles, etc.). 5. Variance Request (if applicable) Give details below: 6. Residential Construction Monetary Deposit: (Existing pre-paid deposit by CLH.) 1/W e hereby acknowledge and understand that our failure to complete Home Construction, Improvement Projects or Landscaping Construction within the time constraints noted in Conditions 2. & 3. On Page 6 of this Application will result in a Notice and Opportunity for a Hearing before the BMSA Board of Directors. lfi!We are found in violation of these Conditions at the Hearing it will result in a fme to the Owner of not less than $500.00 per month for each full month in excess of the allotted completion time frame. 1/We hereby acknowledge that Home Construction or Improvement Projects or Landscape Construction features which are built in non-conformance with this full application, including the Conditions of Approval noted on Page 6 of6 herein, 1/We will be cited by the BMSA/AC in written citation form at the time of discovery. In extenuating circumstances a Variance may be requested from the BMSA/AC, provided such Variance request item is within the purview and approval jurisdiction of the BMSA/AC. If a Variance is not granted by the BMSA/AC and if the Non-Conforming Items are not corrected within 60 days after the date of written citation, 1/We will be served Notice of a Hearing before the BMSA Board of Directors, and ifi/We are found in violation ofthese Non-Conforming Items at the Hearing 1/We will be fined a minimum of $500.00 per Non-Conforming Item. Notwithstanding the foregoing, 1/We acknowledge that the BMSA Board of Directors and/or Architectural Committee may pursue any legal remedy available in the event of a non-compliance. Page 4 of 6 Failure to pay fines levied as determined at the Hearing may also result in a Lien being placed on your Property or litigation Process initiated by the BMSA Board of Directors to secure conformance with this full Application and its respective Conditions Of Approval. 1/W e understand that Architectural Committee approval does not constitute approval ofthe local building department, drainage design or structural soundness, nor does it constitute assurance that the plans comply with all applicabl~ codes, regulations, ordinances and laws. 1/We further acknowledge that any subsequent field changes which 1/We may desire to the Home Construction or Improvement Projects ofthis original Application Submittal and the original Conditions of Approval issued by the BMSA/AC will require an additional Revised Application Submittal on our behalf, and that 1/We will not proceed with any subsequent field changes until a Revised Conditions of Approval have been issued to us by the BMSA/AC. Owner's Signature(s): Owner's Printed Name(s): _Michaela Fulk_ Owner's Signature(s): Owner's Printed Name(s): _Cody Fulk_ Builder's Signature: Builder's Printed Name: _William Wilde, Manager_ Page 5 of 6 Date: J{udn I Z, Date: 5-2l-o7 Date: 5 {2-s/o/ This portion of the Application Form is to be completed by the Architectural Committee (not the Applicant). CONDITIONS OF APPROVAL or DISAPPROVAL 1. No sitework or building construction may proceed on any Lot (including no preliminary site clearing, grubbing, grade alteration, storing of material, foundation excavation, extension of underground utilities, etc.) until the Project has received a Project approval from the Architectural Committee and has been issued a Building Permit (as required by Garfield County for new home or Renovation projects). 2. All general building and site improvements construction for any Project shall be completed and shall have issued a Certificate of Occupancy from the Garfield County Building Department no later than one (1) year after the issuance date of this Architectural Committee Approval. 3. The complete landscaping and revegetation of the improved Lot, to specifically include the front, side and rear yard areas, shall be completed no later than six ( 6) months from the date of the Certificate of Occupancy. 4. If the selection of colors and /or landscaping plans are not included with this application they must be submitted for approval before any action is taken to install the missing items. 5. 6. Comple~ion Date Architectu~Comlee 7. ~~:plica;~val (I~of Arch~al Commi~be-r-s)_: --- bove conditions: Date:~.-6?/ Application Denied (Initials of Architectural Committee Members): By: Application Denied for reason(s) stated above: By Chairman:--------------------Date: ____ _ Page 6 of 6 Jun 05 07 02:42p Cimarron Land & Homes 9702857303 11'\\,-..... --..._.,..., ·~,,·~=-)~:~' WARRANTY DEED THIS DEED, made this 301h day Qf May, 2M7 between BATTLEMEI"T MESA PARTNERS, a Colorado General Partnership, as Grantor, aod Cimarron Land & Homes, Ll..C whose address is: as Grantee. 363 County Road 251, Rifle, CO 81650 WITNESSETH, That, the Grantor, for One Hundred Dollars ( SIOO.OO ), and other good and valuable consideration, the receipt and adequacy of which are acknowledged, ha$ granted, bargained, wld, conveyed and transferred, and by these presents does grant, bargain, sell, convey and transfer to Grantee, its heirs and assigns forever, all the real property, together with improvements, if any, situate in Gru-field County, Colorado, to-wit: Lot9 Block 10 First Amended Plat of Tamarisk Subdh·i~ioo Filing No.2 According to the plat rrton:fed August 17, 1998 as Re~eption No. 530564 also known by street and number as: 346 Mineral Springs Circle Parachute, CO 81635 RESERVING A!'"D EXCEPTING unto the Grantor all water and water righfs (whether tribmary, non-tributary or not non-tributary, adjudicated or unadjudicated), ditches and ditch rights, reservoirs a."ld reservoir rights, wells and well rights, and springs and springs rights on, underlying, and appurtenant to, or historically used in conr~.ettion with, said lands: AND FURTHER RESERVING AND EXCEPTING umo the Grantor all minerals and mineral rights, rights to oil and gas, and oil and gas royalties in and under said lands, which otherwise have not been reserved previously or conveyed by parries othenhan Grantor, and the right and privileges of mining and/or removing same insofar as such can be removed without materially impairing the subsurface or lateral support of5aid lands. TOGETHER with all and singular the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and !ill of the estate, right, title, interest, claim and d.cmand whatsoever, of the Grantor, either in law or equity, in and to the lands described herein. TO IIA VEAND TO HOLD the said lanrls and tenements, hereditaments and appurtenances umo Grantee, its heirs and assigns forever; subject, however, to all easements, ~;o·venants, conditions, rcsnictions, reservations, exceptions, rights-of-way, and other matters of record affecting the herein d.estribed lands, all building and zoning regulatio:ls of Garfield County, Colorado, all special or other s:atutory districts, ad valorem taxes for the current year and succeeding years, discrepancies, conflicts in boundary lines, shortage in area, encroachments, and any facts which a correct st~rvey and inspection orthe lands des en "bed herein woul-d disclose and which are not shown by the public record5. And the Grantor, for itself and its successors, covenants and agrees to ~nd with the Grantee, its heirs and assigns, to warrant and forever defend all said lands and right$ in the quiet and peaceable posse~sion of said Grantee, its heirs and assigns, against all and every person or persons lawfully claiming or to claim the whole or any part thereof. p.1 Jun 05 07 02:43p Cimarron Land & Homes 9702857303 Dl WITNESS WHEREOF, Grantor has exe~uted this Deed on the date first ~et forth above. BATfLEMENT MESA PARTNERS, A COLORADO GENERAL PARTNERSHIP By: Community Holdings West, Inc., a Colorado Corporation, Genr:ral Partner By: Eri~ Schmela Title: Authorized Agert; State of Colorado ) )SS, County of Garfield ) The foregoing lnstrument was acknowledg>ed before me this JOlh day ofMay, 2007 by Eric Schmela as Authorized Agent for COMMUNITY HOLDI:-.IGS WEST, INC., a Colorado Corporation, General Partner of BATTLEMENT MESA PARTNERS, a Colorado General Partnership. WITNESS my hand and orticial seal. My commissior1 expires· \'v'hen recorded, return to· Cimarron Land & Homes, LLC 363 County Road Z5l Rifle, CO 81650 c:\.BMP deeds '07.o,q:d ~otary Public p2 No. Assessor's Parcel No. dtlcR-d.Li)-\0-0Q9 Date £-a t--o 3- BUILDIMG PERMIT CARD l..ot9 1 b\OCl: \D (l\u.\1~2. Job Address t'A\ et tli!? Plc'NJ s HeQdUU>.5 ~ tla-1- 0wner Orrof®l') I oro r MlDW~t5 Ll.( Addressl-'3c.Slppre\le IPichufe Phone# ~85·1-~'30 Contractor ___ \\ ___________ Address ___ .'-.J... _____ Phone # ___ 1_1 __ Setbacks: Front Rear RH LH _____ Zoning ____ _ 1 jj: R:tcror~ bv1t,t \')C)I'Y'e ~ n ~ Mnctut-t~~sWJcq.\t~raqe Soils Test Footing 1'--t""'a---:o-.,7'A9i'ii=:,....--.•u"@"'7'C,---o::-J<r-- Foundation ~~~8-;:J..~A)rvl Weatherproofing ____________ _ Mechanical ______________ _ Grout '{~~ ~07 fd.t:!= Underground PI u m b i ng _.n...__--=---=--,-,,.---- Rough Plumbing 3J/' 1ML Framing 9-lo-07 ~e.. ~ Insulation ------------- Electrical Rough (State) -r:~orr·.,...------­Eiect~al Final (State) g'-!!lo1 ....,.o___ Fina17:/o-o1 /Checklist Complet~d?~ Certificate Occup~c.Y. # ..... :s~"l-LO~o._._ ___ _ Date \.f•I'O_,O"l; Septic System # --"fJ,_ullfu._ ________ _ Roofing ij Drywall '1-10 -o7. · !ICJ !WftJtkJn-<_ Gas Piping ¥/ <· (.) '1 yW Date - Final ____________ _ Other _________________________ __ I 'f? U J:.-rl5 (3 A..J6'2.. ,;_C) /2...4[!0TES , ~ w$~ v.j I 1./.v .;J- EXTERIOR Address No.------------~ Drainage-------------~ Decks-support & clearance to wood ------ Decks·stairs & rails ----------~ Exterior locks---~-------- Flashing around doors & windows ______ _ Insect screens------------ INTERIOR GARAGE Fire wall separation __________ ~ Service doors-Pia" min.----------- Door (20 min.) w/auto ctoser-1:}1" min, ____ _ Mech. equip. 18" above floor _______ _ No opening into sleeping area _______ ~ BASEMENT-CRAWL AREA Access Insulation------------- Headroom/Stairs Ventilation------------- FINAL CHECKLIST MECHANICAL ROOM Soller ___________ _ Hot water __________ _ F.A. gas/oil __________ _ Floor drain __________ _ Clearance ____________ _ Air con. system ________ _ Hot water heater---------- Combustion air _________ ~ Gas piping, valves ___ , ____ _ LPG Drain---------- FIREPLACE/STOVE Clearance to combustibles _____ _ Termination of chimney _______ _ Combustion air ________ ~ Hearth (12" or 20" on sides) ____ _ Glass doors __________ ~ Certified by: ________ --- REMARKS (continue on back) STAIRWAYS . Headroom (6'6") ---------- Railing & guardrails--------~ Width ______________ _ Rise & run------------- KITCHEN Clearance above grill ________ _ Exhaust fan------------- Broiler exhaust {1 hr. chase)------ BEOROOMS Egress ______________ _ Smoke detector----------- BATHROOMS Exhaust fan __________ _ Shatterproof glass __________ _ OTHER BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued.6.~.Z.~ .. Zoned Area ............................... Permit No .. J.Q~ ...... .. 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 stmcture for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from the County Building Inspector and IMMEDIATELY BECOME NULL AND VOID. use IRC fut\onr P\.lll-t '1\(}VW! ~n lb\l'f\tlii\\<t>V) w)M~ ~Clftl\1t: Address o•· Legal Description 3lJ£ M IVIHttl. ~~f\V)Q,S Cue It-1 Pt~rQ.thuTe;" Owner ~lYV)fU\'lDVl I rmcH· \\ltl'MC:. (,LC Contractor C)\}j\')1?(' Setbacks Front Side Side Rear This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD Footing /·· ;' J ·o 7 /.;•>·. 1), t~'£1 ~ )' Dliveway ok 1-t 0-o1 /Orv.. Foundation G<v\. F......C. '0-2.:3·<>7 1.ft/\.-~ ---------Under·ground Plumbing /1<1-Insulation '/t4-- Rough Plumbing ·~8-o?.JSK Drywall ;ld!{_ ~-(0-0 7 fJ7.L_C" Chimney & Vent ~ r :!-'f!li' hn;d (1.'·' <)!Hie lu<;pt~fhtrl ~/~ _ Gas Piping '?:-ff-o7 ..f5k. Fmal {/-/o -0 7 kJrv( · Eiertrk Hough (Uy !!t~~r. !ns!lH!(~\: Septic Final .,...... Framing~ 'i'·t.J -61/ifw.- (To include Ro fin place and Windows and Doo111 installed). Notes: _o 1'1.3/o ~/~'If ~,( JJ-tltf'2-0I'Z-2-~WB/l.- ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE For Inspection~. t aH JH-~-~;op ~ !OH ~'dil -liHT! , r 1.cnn~.q:; \p~-in;_!',. ( nlonHJo APPROVED DO NOT !)ESTHO\-TIW~ CARll Date&'~}4 By ·FSJ;H IF PLACED OUTSIDE -COVER WITH CLEAR PLASTIC Parcel Detail Page 1 of 3 Garfield County Assessor/Treasurer Parcel Detail Information Assessor/TreaslJieX Property Search I Assessor Subs@uery I Assessor Sales Search Ckrk_&RecQrdeLRecePtiQn_Se<trGh E<tsic.E.lJi.ldingCh<Jmcttristic:s I TaK.lnfonnation Parcel Detail I Value Detail Sales Detail I Residential/Commercial Improvement Detail Land Detail I Photographs I TaxArea II Account Number II Parcel Number II Mill Levy I I o8o II R800362 II 240924110009 II 39.826 I Owner Name and Mailing Address )CIMARRON LAND & HOMES LLC I )363 COUNTY ROAD 251 I )RIFLE, CO 81650 I Legal Description jSECT,TWN,RNG:24-7-96 SUB:TAMARISK I jAMD PLAT FLG #2 BLK:10 LOT:9 I jPRE:R770001 BK:0747 PG:0194 BK:0735 I jPG:Ol42 BK:0601 PG:0658 BK: 1933 jPG:134 RECPT:724619 BK:1930 PG:502 jRECPT:724203 BK: 1765 PG:966 jRECPT:690932 BK: 1668 PG:443 I)RECPT:669853 BK:0769 PG:0518 Location Physical Address: IIMINERAL SPRINGS CR PARACHUTE) Subdivision: jjT AMARISK AMD PLAT FLG #2 I Land Acres: )lo Land Sq Ft: ))9,440 I Section II Township II Range I II II http://www .garcoact.com/assessor/parcel.asp?Parce1Number=24092411 0009 9112/2007 Parcel Detail Page 2 of3 II 24 II 7 II 96 II Property Tax Valuation Information Jl Actual Value II Assessed Value I I Land: II 5,95011 1,7301 I Improvements: II oil ol I Total: II 5,95oll 1,7301 Sale Date: 1!5/30/2007 Sale Price: \IF=l7==,o==o=='o========9 Basic Building Characteristics Number of Residential lo I Buildings: Number of Comm!Ind lo I Buildings: No Building Records Found Tax Information I Tax Year II Transaction Type II Amount I I 2006 I Tax Payment: Whole II ($66.52)1 2006 Tax Amount II $66.521 2005 Tax Payment: Whole II ($86.46)1 2005 Tax Amount II $86.461 2004 I Tax Payment: Second Half II ($44.50)1 2004 II Tax Payment: First Half II ($44.50)1 2004 II Tax Amount II $89.ool I 2003 II Tax Payment: Second Half II ($51.24)1 I 2003 II Tax Payment: First Half II ($51.24)1 2003 II Tax Amount II $102.481 2002 II Tax Payment: Second Half II ($56.20)1 2002 II Tax Payment: First Half II ($56.20)1 2002 II Tax Amount II $112.401 2001 II Tax Payment: Second Half II ($53.50)1 I 2001 II Tax Payment: First Half II ($53.50)1 I 2001 II Tax Amount II $107.001 II II http://www. garcoact.corn! assessor/parcel.asp ?ParcelN umber=24092411 0009 9/12/2007 Parcel Detail I 2000 II Tax Payment: Second Half II ($61.36)1 I 2000 II Tax Payment: First Half II ($61.36)1 I 2000 II Tax Amount II $122.721 I 1999 II Interest Payment II ($0.50)1 I 1999 II Interest Charge II $0.501 I 1999 II Tax Payment: Second Half II ($50.40)1 I 1999 II Tax Payment: First Half II ($50.40)1 I 1999 II Tax Amount II $100.801 TopofP<lge Assessor Database Search Options j Treasurer Database Search Options Clerk & Recorder Database Search QptiQ!J.> Garfield County Home Page Page 3 of3 The Garfield County Assessor and Treasurer's Offices make every effort to collect and maintain accurate data. However, Good Turns Software and the Garfield County Assessor and Treasurer's Offices are unable to warrant any of the information herein contained. Copyright © 2005 -2006 Good Turns Software. All Rights Reserved. Database & Web Design by Good Turns Software. http://www.garcoact.com/assessor/parcel.asp?Parce!Number=2409241!0009 9112/2007