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Application-Permit
VALUATION FEE DETERMINATION Applicant Address Date ""C'='im~arr"'o:::n!-'Lo:!a!!!n~d.::a!!:nd::...!.!H:,:om=es::._ _____ Subdivision 372 Mineral Springs Circle Lot/Block -:1':-1':':/2:C:OC:'/2c;;0:;:07:;'-'====.:::._-----Contractor Finished (Livable Area): Main Upper Lower Other Total Basement: Unfinished Square Feet Valuation Conversion of Unfinished to Finished Total Garage: Valuation Crawl Space Valuation Decks/ Patios Valuation Valuation Covered Open Type of Construction: Occupancy: Valuation Total Valuation sf sf sf sf X $74.68 0 sf sf X $41.00 sf X $33.68 484 sf X $18.00 1580 sf X $9.00 sf X $24.00 160 sf X $12.00 Commercial sf X sf X sf X sf X sf X sf X Tamarisk Meadows L-11 B-10 Cimarron L&H 0.00 0.00 8,712.00 14,220.00 1,920.00 0.00 24,852.00 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS For MANUFACTURED HOMES 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. 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. Applicants are required to indicate appropriately and to submit the completed checklist at the time of application submittal for a permit. All plans submitted must be incompliance with the 2003 IRC for Residences and 2003 IBC for Commercial Offices and Storage. I. Is a s ite plan in c luded that identifi es the loca tion ofthe proposed str ucture or addition and di stance s to the prop erty I ines fr om eac h co rn er of the proposed structure prepa red by a I icen se d s urveyor and has the sur veyors s ignature and profess iona l stamp on the drawing ? Prop erti es with s lo pe s of30% or more mu st be shown on s ite plan . (NOTE Section 106.2) Any s ite plan for the placem ent of any portion of a structure w ithin 50 ft. of a property line an d not with in a prev ious ly survey ed building env e lope o n a subdivi s ion final plat shall be prep ared by a I ic e nse d s urveyor and have th e s urv eyo r 's s ignature and profe ss iona l sta mp on the drawing. Any s tru cture to be bu ilt within a building envel ope of a lot show n on a recorded s ubdi vis ion plat s ha ll include a copy of th e building envelope as it is s hown on the final plat with the proposed stru cture located wit hin the e nve lo pe . Yes w/ 2. Doe s the s ite plan when app lic ab le in c lud e the location of the !.S.O.S. (Individual Sewage Dispo sal System) a nd the dista nces to th e property lin es, we ll s (on s ubject propert y a nd adj acent propertie s), streams or water co ur ses? This informatio n must be ce rtified by a li ce nsed surv eyor wit h their s i~nature a nd pr ofe ss ional stamp on the de s ign. Yes v 3. Doe s th e s ite plan includ e an y other buildings, setb ac k ease ment s and utilit y easeme nt s? Please refer to Section 5.05.03 in the Ga rfi e ld Co unty Zo nin g Re so luti on if the property yo u are app ly in g for a building permit on is located o n a co rn er lot. Spec ial setbacks do appl y. Yes / 4 . Does th e s it e plan indi ca te the locat ion and dire c ti on of the Co unty or pr ivate road access in g th e property ? Yes / 5. Do th e pl ans in c lud e a foundation plan indicating th e s ize, lo cat ion and spac in g of a ll reinforcin g stee l in accorda nce w ith the unifor m building code or per stamped e nginee red de s ign? A Floor Plan of the Modular Unit s howing exte ri or do ors is requir ed. Yes / 6. Do you und e rstand that if yo u be long to a ho meow ne rs associat ion, it is yo ur respo ns ibility to o btain written permi ss ion fr o m the assoc iati on, if required by that assoc iation, prior to submitting an application for a building permit? Th e building pe rmit applic ati on will not be accepted without it. Yes V No ------- 7. Will thi s be the only r·esidential stru cture on th e pa rcel? Ye s v/" No lfno-Ex plain: ______ _ 8. Have tw o (2) co mpl ete se ts o f co nstru cti on drawings been submitted wi th th e app li ca ti on? Yes / 2 9. Fo r th e pla ce me nt of a manufac tured ho me, have th e fo ll ow in g been s pec ifi ed? T he s ize of th e unit (min. 20ft. x 20ft.); liv e ro of loa d (m in . 40 # cou ld be more dependin g on e leva t ion of pro pert y); wind desig n (min. wind s peed of 90 mph); fo und atio n des ign; method of a nc ho rin g? Yes iL I 0. Have you de s igned or had this plan de s ig ned whil e co ns id erin g buildin g and ot her co nstruct io n code requirement s? Ye s i/' No ____ _ II . Do yo ur plan co mpl y w ith a ll zon in g rul es and reg ul ati ons in the Co unty re lated to yo ur zo ne di stri ct? Yes No ------ 12. Does th e plan acc ur ate ly indi ca te what yo u intend to co ns truct and what will rece ive a fi na l inspec ti on by th e Ga rfi e ld Co unt y Buildin g Departm ent? Yes £/ No _____ _ 13. Do yo u und erstand th at approva l for design and /o r co nstruction changes are require d prior to th e app li ca ti on of th ese c hanges? Yes ~ No _____ _ 14 . Do yo u und erstand that th e Buildin g Department w ill co ll ec t a "Pl an Revi ew " fee fi ·om yo u a t the time of app li cati on and th at yo u will be required to pa y th e "Perm it Fee" as we ll as any "Road Imp act" or "Sep ti c Sys tem" fees required , at the tim e yo u p ick up yo ur bui ldin g permi t? Ye s ,/ No ------ 15. Are yo u aware that you mu s t call in for a n in s pection by 3:30 th e business day before th e r equested inspection in order to receive it the following business day ? Inspections will be made betwee n 7:30a.m . and 3:30p.m. Monday through F riday . Inspections a re to be called in to 384- 5003. Yes _ ____.,,/"----No ------ 16. A re yo u awa re that requ est in g in spe c t io ns on work that is not ready or not access i b le w i II res ult in a $50.00 re-in spe ction fee ? Yes ~ No ____ _ 17. Are yo u awa re that yo u are req uired to ca ll for a ll in spections required un de r th e IR C includ in g app rova l on a fina l inspect ion prior to rece ivin g a Ce rtifi cate of Occupa ncy and occ upancy o f th e buildin g? Yes ~ No _____ _ 3 18. Are yo u awa re as part of the submittal for a building permit you are required to s how proof of a driveway access permit from Garfi e ld Cou nty Ro ad & Bridge Department or if app licable the State Highway Department ? !fa permit is no t ne cessary, then a letter stating that informati on is required. You can co nt ac t the Garfield Co unt y Road & Bridge Department at 625-860 I or re fer to th e phone boo k for the State Hi ghw ay De partments number if a pplicable. Yes ,/ No ______ _ 19 . Do yo u und erstand th at yo u wi ll be required to hire a State of Co lorado Licen se d Electri cian a nd Plumber to perform in sta ll ations and hookups, unl ess yo u as the home owne r ar e performing th e work ? The li cense numb er of the person performing th e work will be required a t time of a ppli ca ble in spectio n. Yes ,/ No ______ _ 20. Are yo u awa re, that on the front of th e Buil din g Permit Application yo u w ill need to fill in t he Par cel /Sc hedule Numbe r for the lot yo u a re applyin g fo r thi s pe rmit on prior to th e sub mitta l of a building permit application? Your attention in thi s is ap preciated . Yes V" No ----- 21. Are you awa re that you will need to have yo ur in s taller obta in an in stallation in spection as per the Sta te Divi s ion of Hou s ing requirements prior to the Cou nt y building department doing th e ir final in spection? The State will char ge a fee fo r thi s in spection . Yes / No ------ 22. Are you aw are that th e Permit Application mu st be sig ned by th e Owner or a written authority be ing give n for a n Age nt and that th e party responsible for the project mu st co mpl y with t he Uniform Building Code? Yes V No _____ _ 23. Are yo u aware, that if yo u receive yo ur water and/or se wer from an Assoc iat io n, a Di s trict or Municipality, yo u w ill be required to provide the Co unty with a copy of the Tap Permit (o r ev ide nce of an exemp ti o n) at the tim e of th e building permit ap pli cat io n sub mittal ? Yes t/ No ___ _ 24. Do yo u understand that if yo u are planning on doing any excavatin g or grading to the prop erty prior to iss uance of a buildin g permit th at yo u w ill be req uir ed to o bta in a grad in g permit? Yes t./ 4 I hereby acknowledge that I have read, understand and answered these questions to the best of my ability . Si gnature ofOwner Date Ph one: 285 -l~ (days); ___________ (eve nin gs) Pr oj ect Na m e:CiN\OS~ l.Qrd \-\-\ort-es , LLc.. Proj ec t Address: 312. Mi rero.\ s~,~~ Circle.. Notes: If yo u hav e answe red "No " on a ny of th e qu est ions, yo u may be required to pr ovid e thi s inform ati o n a t th e requ es t of th e Buildin g Offi c ial pri or to beg innin g the pl an rev iew pr ocess. Delays in iss uin g th e pe rmit are to be expected . Work may not pr oceed w ithout th e iss ua nce o f a permit. If it is de te rmin ed by th e Buil d in g Offi c ia l tha t addi tiona l in fo rm ati o n is necessary to re v iew th e app lica ti o n and plan s to determi ne minimum co mpl ia nce w ith th e a do pted co des, th e ap pl ica tion may be pl ace d be hind more rece nt appli catio ns fo r buildin g pe rmit s in th e revie w pr ocess and not revi ewed until required info rm ati on has bee n pr ovid e d a nd th e ap pli ca ti on rotates aga in to fir st pos iti on for revi ew, de lay in iss uanc e of th e permi t or de lay in proceedin g wi th co ns tru cti on. bpminreqmh Fe b200 5 5 PLAN REVIEW CHECKLIST Applicant t'V\ G\. (L{lo ~ U\-\- /Building _V_En g~in eered Foundation ~Driveway Permit ~Surveyed Site Plan ~S e ptic Permit and Setbacks ..f!.J.L-Gradeffopography 30% 0 ta ch Resi dential Plan Review List L Minimum Application Questionnaire ~Subdivision Plat Notes -U4b-Fire Department Review J Valuation Determination/Fees lzed Line Plans/Stamps/Sticker P..j.a-Attach Condi ti ons _L_Appli ca tion Signed ~Plan Reviewer To Sign Application 4 Parcel/Schedule No. _iL_ 40# Snowload Letter-Manf. Hms. L Soil s Report GENERAL NOTES: Date __ .-1)'--'-1_-_'2-=-c.r----O--- Planning/Zoning ~perty Line Setbacks ~Oft Stream Setbacks ~oodPlain ~ding Height ~in g Sign-off ~Road Impact Fees ~OA/DRC Approval ~e/Topography 40 % V Pianning Issues _0ubdivi sion Plat Notes BATTLEMENT MESA SERVICE ASSOCIATION ARCHITECTURAL COMMITTEE APPLICATION & CHECKLIST (for New Home Construction projects) Homeowner: _Cimarron Land & Homes, LLC _ Home Mailing Address: _73 Sipprelle Drive I Suite E3, Battlement Mesa CO 81635_ Phone: _(970) 285-7330 _ Project Address: _372 Mineral Springs Circle_ Lot: 11 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: 10110107 --Estim. Start Date: 12101/07 Estim. Completion Date: _04115108_ SUBMITTAL REQUIREMENTS: Two Copies each of items 1, 2 & 4 need to be submitted. M (Check-off items attached to the Application. Fill in spaces as indicated.) 0 ~ 'U X 1. Site Plan Drawing (1" ~ 10' or 1" ~ 20' scale) with the following in~tion shown: X Lot, Block & Subdivision nan1e. X Street Address of Project. X Building Setback Lines (also fill-in the shortest di stance between property line to the exterior wall clo sest 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!! Front Setback: Left Side Setback: Right Side Setback : Rear Setback: X Utility Easements. Dwelling Unit 18'-0 8'-0 nla 51'-0 nla 55' Clear Site-Line at Intersection Corner Lots. X Site Grading Elevations & Drainage. 22'-0 nla 7'-8 n/a X First (main) Floor Height in relation to top of street curb at front-center of lot. X Driveways (including width of driveway), Walkways, Patios, etc. nla Outbuildings. Page 2 of 6 X X n/a 2. Architectural Drawings (1/4" =I' or 118" = 1' scale) with the following information shown. Floor Plan(s) with overall dimensions (fill-in the following square foot areas). 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 n/a square feet 484 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: _n/a_ Stucco Material: _ n/a _ Front Door Material: _Insulated Steel_ Garage Door Material: _Steel Overhead Door_ Color: _Gray_ Color: _Gray_ Color: _Arresting Auburn_ Color: White -- Color: n/a Color: n/a Color: _Pre-Finished White_ Color: _Pre-Finished White_ BODY COLOR TRIM COLOR ACCENT SHUTTERS (WHITE) Page 3 of 6 X n/a X X n/a X n/a n/a 4. Landscape/Irrigation Plans with the following information: CONCEPT PLAN 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.) I/We 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. "If I/We are found in violation of these Conditions at the Hearing it will result in a fine to the Owner of not less than $500.00 per month for each full month in excess of the allotted completion time frame. I/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 of these 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/We understand that Architectural Committee approval does not constitute approval oft he local building department, drainage design or structural soundness, nor does it constitute assurance that the plans comply with all applicable 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): _William Wilde, Manager_ Date: Builder's Signature: Builder's Printed Name: _William Wilde, Manager_ Date: l "" !1 o) Zoo\ Page 5 of 6 7 \ This portion of the Application Form is to be completed by the Architectural Committee (not the Applicant). CONDITIONS OF APPROVAL or DISAPPROVAL I. 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. 7. ~~:plicat:~roval (I~~Architectural Committee Membe_r_s)_: __ _ Application A By Chairman:u.~~~~-__/.,~~"""':E.d:d~:__ _____ _ e above conditions: Date: / L40~Jc 7 Application Denied (Initials of Architectural Committee Members): By: Application Denied for reason(s) stated above: By Chairman:--------------------Date: ___ _ Page 6 of 6 11/08/200 7 09:25 6258627 ROAD AND BRIDGE PAGE 02 Garfield Coun Application for Driyeway Permit Person Obtaining Permit: Cimarron Land and Homes Application Date: 1118/2007 County Road Number: 300C District: Silt Permit Number: GRBO 'f:JJ:173 Terminatioll Date: 121812007 Inspector: Jake Mall hereby requests permission and authority from the Board of County Commissioners to construct a driveway approach (es) on the right-of-way off of County Road, 300C, .5 .nne North of 372 Mineral Springs Circle, located on the East 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 o f the proposed installation showing all the necessary specification detail including: · 1. Frontage of Jot along road. 2. Distance from centerline of road to property line. 3 . Number of driveways requested 4 . Width of proposed driveways and angle of approach. 5. Distance from driveway to road intersection, if any . 6. Size and shape of area separating driveways if more than one approach. 7. Setback distance ofbu1ld1ng(s) and other structure improvements . 8. No unloading of equipment on county road, any da.m.age caused to county road will be repaired at subdivision expense . 9. Responsible for two years from the date of completion. General Provisions l) The applicant represents all parties in interest, and affirms that the driveway appr oach (es) is to be constructed by him for the bona fide purpose of securing access to h is property and not for th e purpose of doing business or s ervicing vehicles on the road 1ight ofwny. 2) The applicant shall furnish all labor and materials, perform all work, and pay all cos ts in connect; on with the construction of the driveway(s). AU work shall be completed within thirty (30) days ofthe pennit date. 3) The type of construction shall be as designated and/or approved by the Board of County Commissioners or their representative and all materials used shall be of satisfactory quality and subject to inspection and approval of the Board of County Commissioners or their representative. 4) The traveling public shall be protected during the installation with proper warning si gns and signals and the Board of County Commissioners and their duly appointed agents and employee shall be held hannless against any action for personal injury or property damage sustained by any reason of the exercise of the Pennit. 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 coutse of the County snow removal operations. __]1/08/_2007 09:25 6258627 ROAD AND BRIDGE PAGE 03 6) In the event it becomes necessary to remove any right-of-way fence, the posts on either side of the entrance shall be surely braced before the fence is cut to prevent any slacking of the remaining fence and all posts and wire removed shall be turned over to the District Road Supervisor of the Board of County Commissioners. 7) No revisions or additions shall be made to the driveway(s) or its appurtenances on the right-of-way without written permission of the Board of County Commissioners. 8) Provisions and specifications outlined herein shall apply on all roads under the jurisdiction of the Board of County Conunissioners of Garfield County, Colorado, and the Specifications, set forth on the attached hereof and incorporated herein as conditions hereof. 9) Final inspection of driveway wiD be required upon completion and must be approved by person Issuing permit or representative of person Issuing permit. The Inspection and sign off must be done prior to any CO from the Building and Planning Department being Issued. 10) Contractor agrees to !Ill Provisions In Exhibit A. Speci!IJ Conditions; 1. Driveway Width· 16ft 2. Culvert required? False Size: by 3. Asphalt or concrete pad required? True Size of pad: 16ft wide x 32ft long x 41n thick 4. Gravel portion reqnlred? False Length: s. Trees, bru~h and/or fence need to be removed for visibility? False 6. Distance and Direction: 7. Certified Traffic Control Required? False 8. Work zone signs required? True In signing this application and upon receiving authorization and permission to install the driveway approach (es) . described herein the Applicant signifies that he has tead, understands and accepts the foregoing provisions and conditions and agrees to construct the driveway(s) in accordance with the accompanying specification plan reviewed and approved by the Board of County Commissioners. Slg11ed: ~ ~ Cimatron Lan fiildH(JlpeS Address: 12 $.,£Tid=! \:L. ~ !!:::-2:, Teleph<llle Number:. __ -u'>..::::..;::::....:S:::_]...l,f..::l;>~}q2S.l. ___ ~ Permit granted ll/8/2007, subject to the provisions, specifications and conditions stlpulllted herein. For Board of County Commissioners' of Garfield County, Colorado: i'J;NMcuL) ;_ Representative of Garfield C01mty Road and Bridge Signature 11/08/2007 09:25 6258627 ROAD AND BRIDGE PAGE 04 Specifications I. A driveway approach is understood to be that portion of the county road right-ofway between the pavement edge and the property line that is designed and used for the interchange of traffic between the roadway and abutting property. 2. At any intersection, a driveway shall be restricted for a sufficient distance from the intersection to preserve the normal and safe movement of traffic. (It is recommended for rural residence entrances that a minimum intersection clearance of 50 feet be provided and for rural commercial entrances a minimum of I 00 feet be 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 pennitted to erect any sign or display material, either fixed or movable, on or extending over any portion of the GOunty road right-of-way. 5. Generally, no more than one approach shall be allowed any parcel or property the frontage of which is less than one hundred (I 00) feet. Additionlll entrances or exits for parcels having a frontage in excess of one hundred I 00) feet shall be permitted only after showing of actual convenience and necessity. 6. All driveways shall be so located that the flared portion adjacent to the traveled way will not encroach upon adjoining property. 7. No conm'lercial driveway shall have a width greater than thirty (30) feet measured at right angles to the centerline of the driveway except as increased by permissible radii. No noncommercial driveway shall have a width greater than twenty (20) feet measured alright angles to the centerline of the driveway, except as increased by permissible radii. 8. TI1e axis of an approach to the road may be at a right angle to the centerline of the county road and of any angle between ninety (90) degrees and sixty (60) degrees but shall not be less than sixty (60) degrees. Adjustment will be made according to the type of traffic to be served and other physical conditions. 9. The construction of parking or servicing areas on the county road right-of-way is specifically prohibited. Commercial establishments for customer vehicles should provide off-the-road parking facilities. I 0. The grade of entrance and exit shall slope downward and away from the road surface at the same rate as the normal shoulder slope and for a distance equal to the width of the shoulder but in no case less than twenty (20) feet from the pavement edge. Appmach grades are restricted to not more than ten percent (10%). II. 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 pruvide, at his own expense, drainage structures at entrances and exits, which will become an integral part of the existing drainage system. The Board of County Commissioners or their representative, prior to installation, must approve the dimensions and types of all drainage structures. Note: This permit shall be made available at the site where and when work is being done. A work sketch or duwing of the proposed driveway(s) must accompany application. No permit will be issued without drawing, blueprint, or sketch. 11/08/2007 09:25 5258527 ROAD AND BRIDGE PAGE 05 BOARD OF COUNTY COMMlSSIONERS OF GARFIELD COUNTY CERTIFICATION AND AFFIDAVIT REGARDING ILLEGAL ALIENS The contractor, whose name and aignature appears below, certif~es and agrees 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 Board of County Commiesioners 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 haa verified that it does not employ any illegal aliens; that it has participated or attempted to participate in the Basic Pilot Employment Verification Program administered by the social Security Administration and Department of Homeland security; and otherwise shall comply with the requirements of C.R.S. 8-17.5-102(2) {p). 3. The contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the colorado Department of Labor and Employment. If the contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101 et seq., the EOCC may terminate work for breach and the contractor shall be liable for actual and consequential damages to the stat'!>. 4. If the Contractor is a sole proprietor, the undersigned hereby sweare or affirms under penalty of perjury under the laws of the State of Colorado that {7-one), ... am a unite~ States citizen,; ~r I am a Permanent Resident of the United Statea, or l am lawfully present in the united States pursuant to ~ederal law. I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the BOCC. I understand that state law requires me to provide proof that I am lawfully present in the United states prior to starting work for the ~occ. I further acknowledge that I will comply with the requix-ements of C.R.s. 24-76.5-lOl et seq. and will pl'odu<;!e the required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this aworn affidavit is punishable under the criminal laws of Colorado aa perjury in the second degree under C.R.S. 18-8-503 . .. -r..\-\ CERTIFIED and AGREED to this~ day of ~~-~~o=-'~'~·-------' 200:}. C9N'tAACTOR: L .I ! ( 70:-'vr-'---;!'~::..ttz-."":"'YL!:ti="d:;~'!'I>-'-':K"-'::t:>~:.L'!7~'--l...'=;crc:;...~.;;:V:,:::..,>......:l..:::LL. Lo -2:, \ 8 0 'Zo <-j (Contractor Full Legal Name) FEIN or Social Security Number Ily: ~ ~ ~f:=-r-1 M.,...-lt:.c...::Lf?.._ Signature of Authorized Rep Title r - Permit Number: GRB07-D-113 Exhibit A Date Issued: Issued To: Address: Telephone #: Type of Connection: Describe Other: CONSOLIDATED METROPOLITAN DISTRICT CONNECT PERMIT November 6, 2007 Cimarron Land & Homes LLC Homeowner 73 Sipprelle Dr Ste E3 Parachtue CO 81635 970-285-7330 Permit#: C02-5314 Contractor XXX Other Service Address: 372 Mineral Springs Circle PERMIT FEE: $50,00 The permit fee covers the cost of ONE u·ip to inspect all services indicated above. If more than one inspection trip is required, they will be billed at $~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 Regulations. 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 No. ____,_\ O_if..:._1--'--'\'------Assessor's Parcel No. ~4{1l-I,L\l-\D-C)\ \ Date ____,\a'-'-·...Ll} 0'"'--....::=:()\._,___ BUILDING PERMIT CARD(_ Ttct~-LOt\\ ) Job Address '310, VY\\ V\fJUL ~pUV\.~.'5 C\tc.\~ 1 P'cV\..\jfl;-'--KlWlOf\~~ Mro.tl.~OJ.S ~h l>lU\- OwneCW'AWmY\ le~V\Ql k ~~W\£5 U..!. Addressl3c.S\p~\\r: bJ. P't~~Wcme # d.o'S .. }~"SO> ContractorOU}V\H" Address \ Phone # ' t Setbacks: Front Rear RH LH Zoning ___ _ \\!: RiffOl'J b\>\lt" Vi~~ )}Jf part~~~~\:aWsOctG Soils Test ---=-="7""":?"-.,----->r-.-fl'l-:~/. .I Weatherproofing _________ _ Footing ;-01.:.2 ·o &' ~ GiA P..ti8;'1f)j0{) ~ Mechanical ___________ _ Foundation Electrical Rough (State) ~~ Grout ElectriJJa:l Final (State) 1-~~"08 Underground Plumbing Final y-{5;ii{ /Checklist Completed? Roug_h Plumbing A: 'lD · D5JJii\ Certificate Occupancy # -:-:--7"8 .... 9---'::1::>-;\ =------ Frammg ~=&_?_~.e.._~ Date\~'SUPQ q-.)..HY~ Insulation Septic System #_.))=-'-'\J;~-------- Roofing Date __________ _ Drywall ---..,..r---uJF-=::;;o-:;.......-:~--- Gas ;;tt-3: &~~~f'l ~-o*-. Final __________ _ Other _____________ _ NOTES J-0 5~() l t;t9{)V{1 (continue on back) \tiLL NOT BE MADE UNLESS ···· ~S POSTED ON THE JOB ·· E REQUIRED FOR INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued . .l~:::lQ:1: .... Zoned Area ............................... Permit No ..... l.Qll.l .......... . 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 structnre for which this permit is granted, and further agrees that if the above said regulations are not fully complied with in tbe 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 \i.C. ~t\tir\l b\l\LT" wi'P.rii'iO \-Q.\\Qt\ln:d \\~'Me Address or Legal Description 3N. wiwum'.IL S~l!lVl!:\5 Dn:lf. • Pomci.'\WE OwnerC\W\UJVGV\ \n\\ll H\~WIES Contractor OIJ.l'i\H'" Setbacks Front Side Side Rear This Card Must Be Posted So It Is Plainly VIsible From Tbe Street Until Final Inspection. INSPECTION RECORD Footing /~ ~Jt-,,;1 Driveway col( ~ Foundation d-/o-62, /}M-~;;;? Underground Plumbing Insulation .,..,_,<'<. Rough Plumbing.;,?-7--f'-o"?( ,l(h'Y(.. Drywall ~ Chimney & Vent Electric Final (by State Inspector) 3 -;.!/;#,:- Gas Piping j -1!5-V'fl /;}w\ Final !f-f6'~ors /071A.. \_,ugh (By State lnsped~'r•· Septic Final ~ Framing · 'f-!.J -o~!!!J (To include Roo't in place and Windows and Doors installed). Notes:,'=. ~Sift> ~t e';t)SZ·OU3 t-<JB/1 '4"#/@!J~ rtif8Mf. ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE •.1:1•' lOll 8th Strel't Glenwvod Springs, Colorado APPROVED '•J DESTROY THIS CARD Date ldr-\o-1 By I ~(J{WcO V\ -M> IF PLACED OUTSIDE-COVER WITH CLEAR PLASTIC Parcel Detail Page I of 3 Garfield County Assessor/Treasurer Parcel Detail Information As~essor/Tre<~surerProperty Seurc:b I AsseJ;sm:._Subset Query I Asse§_£Qf Sales Search Clerk & Recorder Recention Search ----------., .. ,,,,,,,, __ --------------------------········-········-·-------------J_o:------------------------------ Basic Building Characteristics I Tax Information Parcel Detail I Value Detail I Sales Detail I Residential/Commercial Im12rovement Detail Land Detail I Photographs I Tax Area II Account Number II Parcel Number II Mill Levy I I o8o II R800364 II 240924110011 II 39.826 I Owner Name and Mailing Address jCIMARRON LAND &HOMES, LLC. I j363 COUNTY ROAD 251 I jRIFLE, CO 81650 I Legal Description ISECT,TWN,RNG:24-7-96 SUB:TAMARISK I jAMD PLAT FLG #2 BLK:IO LOT: II DESC: jRESUB OF BLOCKS 6,7 & 8 PRE:R770001 IBK:0747 PG:0194 BK:0735 PG:0142 jBK:0601 PG:0658 RECPT:731438 jBK: 1930 PG:502 RECPT:724203 BK: 1765 IPG:966 RECPT:690932 BK:1668 PG:443 jRECPT:669853 BK:0769 PG:0518 I Location Physical Address: IIMINERAL SPRINGS CR PARACHUTEj Subdivision: jjTAMARISK AMD PLAT FLG #2 I Land Acres: lio Land Sq Ft: 118,344 I Section II Township II Range I II II http://www .garcoact.corn/assessor/parcel.asp?Parce!Number=24092411 00 II 11114/2007 Parcel Detail Page 2 of3 II 24 II 7 96 II Property Tax Valuation Information II Actual Value II Assessed Value I I Land: 5,7ooll 1,6501 I Improvements: oil ol I Total: 5,7ooll 1,6501 Sale Date: 118121/2007 Sale Price: 11147,000 Basic Building Characteristics Number of Residential lo I Buildings: Number of Commllnd lo I Buildings: No Building Records Found Tax Information I Tax Year Transaction Type II Amount I I 2006 Tax Payment: Whole ($66.52)1 2006 Tax Amount $66.521 2005 Tax Payment: Whole ($86.46)1 2005 Tax Amount $86.461 2004 Tax Payment: Second Half ($44.50)1 2004 I Tax Payment: First Half ($44.50)1 2004 II Tax Amount $89.001 I 2003 II Tax Payment: Second Half ($51.24)1 2003 II Tax Payment: First Half ($51.24)1 2003 Tax Amount $102.481 2002 Tax Payment: Second Half ($56.20)1 2002 Tax Payment: First Half ($56.20)1 2002 Tax Amount $112.401 2001 Tax Payment: Second Half ($53.50)1 2001 II Tax Payment: First Half ($53.50)1 2001 II Tax Amount $107.001 II II http://www .garcoact.com/assessor/parcel.asp?Parce1Number=24092411 0011 11114/2007 Parcel Detail I 2000 II Tax Payment: Second Half ($61.36)1 I 2000 II Tax Payment: First Half ($61.36)1 I 2000 II Tax Amount $122.721 I 1999 Interest Payment ($0.50)1 I 1999 Interest Charge $0.501 I 1999 Tax Payment: Second Half I ($50.40)1 I 1999 Tax Payment: First Half II ($50.40)1 I 1999 Tax Amount II $100.801 Top9LI'nge Assessor Database Search Options I Treasurer Database Search Options Clerk & Record.er Database Search QpJ.i.om Garfield Countv 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 Qgod Turns Soft¥~are. http://www .garcoact.com/assessor/parcel.asp?Parce!N umber=24092411 00 II 11114/2007 ,... Garfield County No. I \011' I Building & Sanitation Department 108 8th Street, Suite #401 Glenwood Springs, Co. 81601 Office 945-8212 Inspection Line 384-5003 Job Address: Locality: Use of Building: Owner: Contractor: Amount of Permit: IRC manu llevel Total 372 Mineral Springs Circle, Pa rachute T amarisk AMD Plat Flg2, Lot 11 /2409-241 -10-011 IRC factory built home w/patios & Attached garage $645 .56 $400.00 $1,045.56 Cimarron Land & Homes LLC Owner Date: