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HomeMy WebLinkAboutApplication- PermitGarfield County wilding & Sanitation Department 108 ? Street, Suite #201 Glenwood Springs, Co. 81601 Office- 945-8212 Inspection Line- 384-5003 No. 1-1 Job Address/99 7ce 3 g /1/6-tt Nature of Work Building Permit ,9/ 9S- 3 3,9 - CID - .V Use of Building Owner Contractor Amount of Permit $ / 79 /, &, 9 Date Clerk Permit No: GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8'r. Street, Suite 201, Glenwood Springs, CO 81601 Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 // / Pa rcel//�Sccheed�ulee No: a 1 � 5 3 �a m n% - 1 AGREEMENT PERMISSION 1S 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 THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL. BECOME NULL AND VOID. THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SMD 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 MBE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. G arfom P I\� 3 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): Job Address: 40 fa- at�etanga ' waernq�a/ s-rr r7Per jLA/swe r7 W o..+sa ffdcMile44440et dtkrlr,inec/) 3la-Ia- .;zp 6o%4 -' NPw (m5&1 (o, 8//t/7 , 1 Lot No: 12`Block No: Subd. / Exemption: 3 - „e/ehKo 2 j Owner: 7' �. k= 8K4 Address /2r66t 8 c u) ,r'- Co,8'ibso Ph: 97o b25 -,c/705- Wk Pb:9?o 4404091 s' T` ` (inti' ractoy To.. -.es R. a enr/ Address: earn BC/ w ?v'1a (I. Sei%Co Ph: 970 bdr- v7u� Lic. No- h/on,eervereR 4 Arc itect/Engineer: ,Hi anger. A:�ior Address: P,1% £5/ J Pli 'c . fr1 Ph: 970 Las- v7QC Lic. No. /'/s%r-ie a.'wt4 5 Sq. Ft. of Building: / 341,0 anbr.,/sited /380 Sf Fen' Sq. Ft. of Lot: 178,78`1• r Height: No. of Floors: a . 6 ,5-; Use of Building: / �J� (�) C71Ls1{—f%9/wt•! c /l a 1�est": r. � x � /// 7 Describe Work: Gn S, 2 ,odi chda.+ Sep ,e S y>7e7, Cp//" �// de Lei Con5T44 C•F r Oat o/ /CGS we ll/nit_l ru// Sapeanegf- ,-our,24o.+ 8 Class of Work: er- New o Alteration ❑ Remove o Addition o Move 9 10 Garage: ..0---❑ Double '0— ❑ Double o Driveway Permit e" On -Site Sewage Disposal prr Site Plan (Septic) 11 Valuation of Work: $-p D d V Adjustelua 'ons: $ r 12 tt X7s f�/��,",�(�� /,,may/�.�jy4 rU6n'�! Specialia}Conditions: 7/ YWto ///1t q/1i^y`,f� M[!ti YJam^ P ♦ - e�'e'va K C cirs vv�/'•'�.,eJ ✓C z NOTIC �/C� A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF COLORADO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED l5 NOT COMMENCED WITHIN 180 DAYS, OR, IF CONSTRUCTION OR WORK 1S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONS RUCTION. Plan Check Fee: _ 2't2/ 4 ]0.9 / -( Permit Fee: -'* 7/317C Total Fee: Dated Permit Issued: 1 7Z7 !_ Q 141:9:: 'PCJonst. OC Group: _o up: Type: "` JJ11 Zoning: Setbacks: Manu. Home: ISDS No. & Fee: /��� �6� Go C '69 LI- I 2A•:• � S I�//l J11� / o9 Nig/ BLP , r �' P .44977, 'APPROVAL/DATE , ' / 'r/ AGREEMENT PERMISSION 1S 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 THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL. BECOME NULL AND VOID. THE ISSUANCE OF A PERMT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SMD 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 MBE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. G arfom P I\� 3 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): 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. A complete bathroom, 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 1997 UBC requirements; 6. Outside grading done to where water will detour away from the building; 7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until all the required items are completed and a final inspection made; 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, 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 # 7/17 . Bpcont03/2004 cg3 -o yi Date PLAN REVIEW CHECKLIST Applicant f[.J I Fit!! Date S za'aci Building Planning/Zoning 1&6A- Engineered Foundation Property Line Setbacks .''' Driveway Permit (-'"'"f 30ft Stream Setbacks / /S+urveyed Site Plan y `6 I Flood Plain ✓ Sceptic Permit and Setbacks Building Height ./Grade/Topography 30% Zoning Sign -off ✓Attach Residential Plan Review List Road Impact Fees inimum Application Questionnaire HOA/DRC Approval //,4 Subdivision Plat Notes Grade/Topography 40% gid Fide Department Review Planning Issues Valuation Determination/Fees Subdivision Plat Notes ✓ Red Line Plans/Stamps/Sticker ✓Attach Conditions �/Application Signed % Plan Reviewer To Sign Application arce /Schedule No. 40# Snowload Letter- Manf. Hms. GENERAL NOTES: C t-iu i �' c7 /380 v-4/ = Sep, S10 240.4 I1 z 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. Adequate and complete information will prevent delays in the plan review process. Reviewing a plan and the discovery that required information has not been provided by the applicant may result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor may be required to provide this information before the plan review may proceed. This causes delays because other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. If you do not, it may be helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code". This book is available to you through this department at our cost. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. To provide for a more understandable plan in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following 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. All plans submitted must be incompliance with the 1997 UBC, UMC, and 1997 UPC. 1 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: 106.3.1(7.) 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 playith the proposed structure located within the envelope. Yes 2. Does the site plan when applicable include the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to the property lines, wells (on subject property and adjacent properties), streams or water courses? This information must be certified by a licensed surveyor with their sign Lure and professional stamp on the design. Yes 3. Does the 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 / 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 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 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 applicatio for a building permit? The building permit application will not be accepted without it. Yes No 7. Will this betfie only residential structure on the parcel? Yes '7 No If no -Explain: 8. Have two complete sets of construction drawings been submitted with the application? Yes 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 (iyin. wind speed of 80 mph & 151b. wind load); foundation design; method of anchoring? Yes 7 2 ' 10. Have you designed or had this plan designed while considering building and other construction code requirements? Yes ,� No 11. Do your plans comply with all zoning rules and regulations in the County related to your zone district? Yes ✓ No 12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the G eld County Building Department? Yes No 13. Do you understand that approval for design and/or construction changes are required prior to the applicationff these changes? Yes ./ 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 Sys em" fees required, at the time you pick up your building permit? Yes No 15. Are you aware that twenty-four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. All inspections must be called in by 3:30 p.m. the day before. Failure to give twenty-four (24) hour notice for inspections will delay your inspection one (1) day. Inspec ions are to be called in to 384-5003. Yes No 16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $47.00 re -ins ction fee? Yes No 17. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of building? Yes / No 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 Garfield County Road & Bridge Department at 625-8601 or refer to the phone book for the State Highway Departments number if applicable. Yes 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 tl}e person performing the work will be required at time of applicable inspection. Yes No 3 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 perms plication? Your attention in this is appreciated. Yes No 21. Are you aware that you will need to call the State Division of Housing to have your modular inspected prior to the County building department doing their final inspection? The State will charge a fee for this inspects n. Yes 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 BuildingC9de? Yes ,/ 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 / No I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. 1' Si o/- 23 -vc/ ature of Owner Date Phone: 970 '(c 8-48O 7 (days); 70 - a2S' if79' . (evenings) T� Project Name: &h vel' /&S,o��u / .Lot-tt 3 6;4d/iv A keu/ cask ?/44,, Address: L.C� f 3 C- ,'& P2? Z,' iv ,far Exe»+Ofo iq c5%auk L Eu /cc, - Ga-iJ.P/J 6,,ney 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. bpminregmh03/2004 4 Teteasa Baker From: Wendy Mead Sent: ' Tuesday, April 20, 2004 6:33 AM To: Tereasa Baker Cc: Kraig Kuberry Subject: 2 Exemption Information Hi Tereasa, Kraig has 2 properties that are exempted from Driveway permits. 1.Jim Birney 851 West 24th Rifle, CO 81650 618-6807 625-4795 The property is in Zelenka Subdivision which is not on a county road, so no permit needed. 2.Keith Plantz 265 Averey Ct. New Castle, CO 81647 948-6369 The property is in Red Glen Ranch Subdivision, which is not on a county road, so no permit is needed. I hope that works, if not let me know. Have a great day! Wendy WEST DIVIDE WATER CONSERVANCY DISTRICT 109 WEST FOURTH STREET P. O. BOX 1478 RIFLE, COLORADO 81650-1478 TELEPHONE AND FAX: (970) 625-5461 wdwcd©rtfle.net August 12. 2002 Zelenka Subdivision Exemption Water Association c/o Swift Property Fund. Inc. 112 South Mill Aspen. CO 81611 Ladies and Gentlemen: Enclosed is your approved contract #020807/_(a). Please read the contract carefully if you have not already done so, but please especially note paragraph 2 concerning availability of water West Divide obtains its storage water from a number ofsources including Ruedi Reservoir and Green Mountain Reservoir which are Bureau ofRec!arnation projects. Federal policy relating to endangered species. among other environmental concerns, provides that supplies from these reservoirs may be interruptible. Moreover, the forces of nature are always such that no source of water can be guaranteed from year to year. West Divide continues to make good -faith efforts to obtain alternative long-term supplies in an effort to make reliable and predictable the water supply anticipated by your contract with us. This water allotment contract may require you to obtain a well permit from the State Engineer's office. Once your well is drilled you are required to install a measuring device and submit a meter reading to West Divide. You will be provided with a special titrm for this purpose upon notification that your well has been drilled. Non-compliance with measuring and reporting requirements are grounds for cancellation of your water allotment contract with West Divide. This could result in action by the State Engineer which could prevent your further use of your well. incerely yours. -a, rit KY" c( 4 -- Janet Maddock Office Manager Enclosure cc Division No. 5 Water Resources wienclosure Kerry D. Sundecn, Hydrologist w/enclosure Amanda N. Maurer. Esq. w/enclosure Samuel B. Potter, President Kelly Couey, Vice President William M. Zilm, Secretary Laverne Starbuck. Treasurer & Alternate Secretary Robert J. Zanella. Director P • • 1 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945.8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Permit NE 39 di Assessor's Parcel No. This does not constitute a building or use permit. Owner's Namur ne 1 L. �� sLtl._� Present AddressS J I W 9(-14 R J`lt1074 Phone_ /d - 6)2°7 L D f _� Zeiler) �r .cid/ l/ riCP 6ek d 3g System Location �7 /v�� ' /�� //n/ n 1 Legal Description of Assessor's Parcel No. (9/Tl .tom' -co- o 1- c I LJ SYSTEM DESIGN / 0000 0 Septic Tank Capacity (gallon) Other / 3 / Percolation Rate (minutes/inch) Number of Bedrooms (or other) U/u • 3 z z EP .,--4 93 40 d = VY Required Absorption Area - See Attached Special Setback Requirements: [[�� G Date la 2g: 0 / Inspector to 3t �/ r" / FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation / 2 Tl'Le- System Installer Septic Tank Capacity Septic Tank Manufacturer or Trade Name -4>0 t u) 5c t1 Septic Tank Access within 8" of surface / ! 1, Absorption Area `�. L I L' . 1/i41 � tip Absorption Area Type andlor Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date • _, I I rte! -1 i'-!rlf Inspector (.1 / ; I L.( 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.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs,alters, or installs an individual sewage disposal system in a manner which involves a knowing 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 COUNTY OF GARFIELD - BUILDING DEPARTMENT CORRECTION NOTICE 108 8th St., Suite 201 Glenwood Springs, Colorado Phone (970) 945-8212 Job located at �%a(' VK- Z- 3 Permit No. q kk 1 I have this day inspected this structure and these (`X/'prre_misses and found the following corrections needed: ,tc-axa— a-,1/4_60- - Ili -aer Q . ai4 You are hereby notified that the above correction must be inspected before covering. When correction(s) have been made, call for inspection at 970-384-5003. Date _c^ I 0-05C 20 ,� Building Inspector ; -/„',. }�I- Phone (970) 945-8212 Job Addr s. ' Owner//,0_ Contractor Assessor's Parcel No -�a-mcc C3' .s astisks Pee Date �- / ' OC/ BUILDINJ�RMIT RD �� �� l L/?-hG7 V79 'w AddressltiSiiU.AU Phone Phone Rehr RH LH Zoning G ' a/CTIONS Address Setb cks: Front rn%h &In Soils Test Weatherproofing Footing 4," ✓Cee-tosf Mechanical Foundation k /7 O ari•,r") �-r -‘21194.- Electrical Rough (State) ` Electrical Fin I (State) / -/Z o err Final s -0 Checklist Completed? 1" -- Certificate Certificate Occupancy # Date Septic System #--35fYt Date// yiiD�i�� Final Grout Underground Plumbing k-29-0 Rough Framing PI bin tJp4 g-/-0 04-1C Insulation Roofing Drywall Gas Piping /21-72 ,014^---- /4A-�1 .1)6 Vike NOTES Other (continue on back) INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS MANUFACTURED HOME BUILDING PERMIT GARFIELD COUNTY, COLORADO % Date Issued... Zoned Area Permit No 9//1 AGREEMENT In consideration of the issuance of this permit the applicant hereby agrees to comply with all laws and regulations related to 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 Buildin Official and IMMEDIATELY BECOMES NULL AND VOID /02 `Q (o C �, c5? A err ant Use Add Owner Legal Description r- - INSPECTION RECORD Footing : Cfi' - or Foundation or Blocking : / —/ 7_49 CY ay . itik ou h Plumb' h-2ij-D�l erg-- Gas Piping : 2 , %, (,/ /� I otac, siutii^�..: in04444 s it 1. ,, , _ l%_�Z,o,�/ 7 Se tic Final : p Il - ►l - n 1 Final: 711/01 0111�� -, ) Notes: /51278' pEZ 0 Ssowlosd TSs- lbs Serial MofUsi ,(FL N4//3 21214 -girt THIS PERMIT IS NOT TRANSFERABLE Phone 384-5003 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado DO NOT DES, x THIS CARD DaPROVED j/cw1/69e,, Date (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC) • REVISED August 2001 WEST DfVIDE WATER CONSERVANCY DISTRICT WATER ALLOTMENT CONTRACT Name of Applicant: Zelenka Subdivision Exemption Water Association Quantity of Water in Acre Feet: 3 Contract #020807z(a) Map #448 Date Approved 8/7/02 Applicant, hereby applies to the West Divide Water Conservancy Distnct, a political subdivision of the Stale of Colorado, organized pursuant to and existing by virtue of C.R.S 1973. §377-45-101. et seq., (hereinafter referred to as the "Distnct") for an allotment contract to beneficially and perpetually use water or water rights owned, leased, or hereafter acquired by the District By execution of this Contract and the attached Application, Applicant hereby agrees to the following terms and conditions: I . Water Rights: Applicant shall own water rights at the point of diversion herein lawfully entitling Applicant to divert water, which will be supplemented and augmented by water leased herein. If Applicant intends to divert through a well, it must be understood by Applicant that no nght to divert exists until a valid well permit is obtained from the Colorado Division of Water Resources. 2. Quantity: Water applied for by the Applicant in the amount set forth above shall be diverted at Applicant's point of diversion from the District's direct flow water nghts, and when water is unavailable for diversion pursuant to administration by the Colorado State Engineer during periods when said direct flow water right is not in pnonty, the Distnct shall release for the use of Applicant up to said quantity in acre feet per year of storage water owned or controlled by the Distnct. It is understood that any quantity allotted from direct flow, storage or otherwise, to the .Applicant by the District will be limited by the pnority of the District's decrees and by the physical and legal availability of water from District's sources. Any quantity allotted will only be provided so long as water is available and the Applicant fully complies with all of the terms and conditions of this Contract The District and the Applicant recognize that some of the District's decrees may be in the name of the Colorado River Water Conservation Distnct, and the ability of the Distnct to allot direct flow right to the Applicant may be dependent on the consent of the Colorado River Water Conservation District. If at any time the Applicant determines it requires less water than the amount herein provided, Applicant may so notify the District m wmmg, and the amount of water allotted under this Contract shall be reduced permanently in accordance with such notice Rates shall be ad)usted accordingly in following water years only. 3. Beneficial Use and Location of Beneficial Use: Any and all water allotted Applicant by the District shall be used for the following beneficial use or uses: industrial, municipal, domestic and related uses, or commercial (except for commercial use from Alsbury Reservoir and except to the extent that Ruedi Reservoir water may not be available for commercial as that term is defined on Page 5 of Contract No. 2-07-70-W0547 between the United States and the West Divide Water Conservancy District). Applicant's beneficial use of any and all water allotted shall be within or through facilities or upon land owned, leased, operated, or under Applicant's control 4. Decrees and Delivery: Exchange releases made by the District out of storage from R uedi Reservoir, Green Mountain Reservoir, Alsbury Reservoir, or other works or facilities of the District, or from other sources available to the District, shall be delivered to the Applicant at the outlet works of said storage facilities or at the decreed point of diversion for said other sources, and release or delivery of water at such outlet or points shall constitute performance of the Distnct's total obligation. Delivery of water by the District from Rued' Reservoir or 1 • Green Mountain Reservoir shall be subject to the District's lease contracts with the United States Bureau of Reclamation. Releases from other facilities available to Distnct shall be subject to the contracts, laws, rules. and regulations governing releases therefrom. Furthermore. the Distnct hereby expressly reserves the nght to store water and to make exchange releases from structures that may be built or controlled by the District in the future, so long as the water service to the Applicant pursuant to this agreement, is not impaired by said action. Any quantity of the Applicant's allocation not delivered to or used by Applicant by the end of each water year (October 1). shall revert to the water supplies of the District. Such reversion shall not entitle Applicant to any refund of payment made for such water. Water service provided by the District shall be limited to the amount of water available in pnonty at the original point of diversion of the Distnct s applicable water nght, and neither the District, nor those entitled to utilize the Distnct's decrees, may call on ally greater amount at new or alternate points of diversion. The District shall request the Colorado Division of Water Resources to estimate any conveyance losses between the onginal point and any alternate point, and such estimate shall be deducted from this amount in each case. Water service provided by the District for properties located within the Bluestone and Silt Water Conservancy Districts is provided pursuant to Agreements with said Districts. The Intergovernmental Agreement between the Distnct and the Silt Water Conservancy Distnct, dated January 25, 2001, is recorded as Reception No. 575691. Garfield County Clerk and Recorder's Office The Intergovernmental Memorandum of Understanding between the District and the Bluestone Water Conservancy District, dated .April 26, 2001, is recorded as Reception No 584840, Garfield County Clerk and Recorder's Office. 5 Alternate Point of Diversion and Plan of Augmentation: Decrees for alternate points of diversion of the District's water rights or storage water may be required in order for Applicant to use the water service contemplated hereunder Obtaining such decree is the exclusive responsibility of Applicant. The District reserves the right to re), tew and approve any conditions which may be attached to judicial approval of said alternate point of diversion as contemplated or necessary to serve Applicant's facilities or lands Applicant acknowledges and agrees that it shall be solely responsible for the procedures and legal engineenng costs necessary for any changes in water rights contemplated herein, and further agrees to indemnify the Distnct from any costs or losses related thereto. Applicant is solely responsible for providing works and facilities necessary to obtain/divert the waters at said altemate point of diversion and deliver them to Applicant's intended beneficial use. Irrespective of the amount of water actually transferred to the Applicant's point of diversion, the Applicant shall make annual payments to the Distnct based upon the amount of water allotted under this Contract. In the event the Applicant intends to apply for an alternate point of diversion and to develop an augmentation plan and institute legal proceedings for the approval of such augmentation plan to allow the Applicant to utilize the water allotted to Applicant hereunder, the Applicant shall give the Distnct written notice of such intent. In the event the Applicant develops and adjudicates its own augmentation plan to utilize the water allotted hereunder, Applicant shall not be obligated to pay any amount under Paragraph 19 below In any event, the District shall have the right to approve or disapprove the Applicant's augmentation plan and the Applicant shall provide the District copies of such plan and of all pleadings and other papers filed with the water coup in the adjudication thereof. 6 Contract Payment Non-refundable, one time administrative charge, in the amount determined by the Board of Directors of the District from time to time, shall be submitted with the application for consideration by the District. Annual payment for the water service described herein shall be determined by the Board of Directors of the District. The initial annual payment shall be made in full, within thirty (30) days after the date of notice to the Applicant that the initial payment is due. Said notice 2 • will advise the Applicant, among other things, of water delivery year to which the uncal payment shall apply and the price which is applicable to that year. Annual payments for each year thereafter shall be due and payable by the Applicant on or before each January I If an annual payment is not made by the due date a flat $50 late fee will be assessed Final written notice prior to cancellation will be sent certified mail, return receipt requested, to the Applicant at such address as may be designated by the Applicant in writing or set forth in this Contract or Application. Water use for any part of a water year shall require payment for thc enure water year. Nothing herein shall be construed so as to prevent the District from adjusting the annual rale in its sole discretion for future years only. If payment is not made within fifteen (15) days after the date of said wntten notice, Applicant shall at Districts sole option have no further nght, title or interest under this Contract without further notice, and delivery may' be immediately curtailed The allotment of water, as herein made, may be transferred, leased, or otherwise disposed of at the discretion of the Board of Directors of thc District. Upon cancellation of this water allotment Contract with the District. the District shall noti fy the Division of Water Resources offices in Denver and Glenwood Springs. The Division of Water Resources may then order cessation of all water use 7. Additional Fees and Costs: Applicant agrees to defray any expenses incurred by the Distnct in connection with the allotment of water rights hereunder, including, but not limited to, reimbursement of legal and engineering costs incurred in connection with any water rights and adjudication necessary to allow Applicant's use of such allotted water rights 8 Assignment: This Contract shall not inure to the benefit of the heirs, successors or assigns of Applicant, without the prior wntten consent of the Distnct's Board of Directors. Any assignment of Applicant's rights under this Contract shall be subject to, and must comply with, such requirements as the Distnct may hereafter adopt regarding assignment of Contract nghts and the assumption of Contract obligations by assignees and successors. Nothing herein shall prevent successors to a portion of Applicant's property from applying to thc District for individual and separate allotment Contracts No assignment shall be recognized by the District except upon completion and tiling of proper forms for assignment and change of ownership. In the event the water allotted pursuant to this Contract is to be used for the benefit of land which is now or will subsequently be subdivided or held in separate ownership, the Applicant may only assign thc Applicant's nghts hereunder to I) No more than three separate owners all of whom shall be party to a well sharing agreement satisfactory to the District; or 2) A homeowners association, water district, water and sanitation distnct or other special distnct properly organized and existing under the laws of the State of Colorado, and then, only if such parries, association or special distnct establishes to the satisfaction of the District that it has the ability and authonty to perform the Applicant's obligations under this Contract. In no event shall the owner of a portion, but less than all, of the Applicant's property to be served under this Contract have any rights hereunder, except as such rights may exist pursuant to a well shanng agreement or through a homeowners association or special district as provided above Upon the sale of the real property to which this Contract pertains, Applicant shall make buyer awarc of this Contract and proper forms for assignment and change of ownership must be completed 9. Other Rules: Applicant shall be bound by the provisions of the Water Conservancy Act of Colorado; by the rules and regulations of the Board of Directors of the District; and all amendments thereof and supplements thereto and by all other applicable law. 3 10 Operation and Maintenance Agreement- Applicant shall enter into an "Operation and Maintenance Agreement" with the District under terms and conditions determined by the board of Directors of the District, if and when, the Board of said District determines in its sole discretion that such an agreement is required. Said agreement may contain, but shall not be limned to, provisions for additional annual monetary consideration for extension of District delivery services and for additional administration, operation, and maintenance costs; or for other costs to the District which may anse through services made available to the Applicant 11 Change of Use: The District reserves the exclusive right to review, reapprove or disapprove any proposed change in use of the water allotted hereunder. Any use other than that set forth herein or any lease or sale of the water or water rights allotted hereunder without the pnor written approval of the District shall be deemed to be a material breach of this Contract. 12 Use and Place of Use: Applicant agrees to use the water in the manner and on the properly described in the documents submitted to the District at the time this Contract is executed, or in any operation and maintenance agreement provided by Applicant Any use other than as set fonh thereon or any lease or sale of the water or water rights herein, other than as permitted in paragraph 8 above, shall be deemed to be a matenal breach of this agreement. 13 Title: las understood and agreed that nothing herein shall be interpreted to give the .Applicant any equitable or legal fee title interest in or to any water or water nghts referred to herein. 14 Conservation: Applicant shall use commonly accepted conservation practices with respect to the water and water nghts herein, and hereby agrees to be bound by any conservation plan adopted hereafter by the District for use of District owned or controlled water or water rights 15. Restncttons: Applicant shall restrict actual diversions to not exceed the contract amount, which provides water (on the formula of one acre foot per dwell mg) for ordinary household purposes inside one single family dwelling, the watering of domestic livestock, fire protection, and the irrigation of lawn and garden as specified in the Application Applicant shall also comply with all restnctions and limitations set forth in the well permit obtained from the Colorado Division of Water Resources. Watering of livestock shall be restricted to Applicant's domestic animals not to be used for commercial purposes unless Applicant obtains approval from the Colorado Division of Water Resources for commercial use/livestock watering, provided that in no event shall actual diversions exceed the amount of water provided by this Contract Violation of this paragraph 15 shall be deemed to be a material breach of this Contract. Ib. Well Permit. If Applicant intends to divert through a well, then Applicant must provide to District a copy of Applicant's valid well perms before District is obligated to deliver any water hereunder 17. Measuring Device or Meter: Applicant agrees to provide, at its own expense, a measuring device deemed acceptable by the Distnet's Engineer after consultation, or a totalizing flow meter with remote readout to continuously and accurately measure at all times all water diverted pursuant to the terms of Applicant's water right and the terms of this Contract. Applicant agrees to provide accurate readings 4 -from such device or meter to District upon District's request. Applicant acknowledges that failure to comply with this paragraph could result in legal action to terminate Applicant's diversion of water by the State of Colorado Division of Water Resources. By signing this Contract, Applicant hereby specifically allows District, through its authorized agent, to enter upon Applicant's property dunng ordinary business hours for the purposes of determining Applicant's actual use of water 1 S. Representations: By executing this Contract, agrees that it is not relying on any legal or engineering advice that Applicant may believe has been received from the Distnct. Applicant further acknowledges that it has obtained all necessary legal and engineering advice from Applicant's own sources other than the District. Applicant further acknowledges that the District makes no guarantees, warranties, or assurances whatsoever about the quantity or quality of water available pursuant to this Contract. Should the District be unable to provide the water contracted for herein, no damages may be assessed against the District, nor may Applicant obtain a refund from the District 19 Costs of Water Court Filing and Augmentation Plan: Should the Dtstnct, 111 its own discretion, choose to include Applicant's Contract herein in a water court filing for alternate point of diversion or plan of augmentation, then Applicant hereby agrees to pay to the District, when assessed, an additional fee representing the District's actual and reasonable costs and fees for Applicant's share of the proceedings. Applicant shall be assessed a pro -rata share of the total cost incurred by the District in prepanng, filing and pursuing to decree the water court case The pro -rata share shall be calculated by dividing such total cost by the number of contractees included in the filing. To the extent that the District is caused additional costs because of objection filed specifically due to the inclusion of Applicant's Contract in the filing, such additional costs may be charged specifically to Applicant and not shared on a pro -rata basis by all contractees. 20 Binding Agreement: This agreement shall not be complete nor binding upon the District unless attached hereto is the form entitled "Application to Lease Water From West Divide Water Conservancy Distnct" fully completed by Applicant and approved by the Distnct's engineer. Said attachments shall by this reference thereto be incorporated into the terms of this agreement. All correspondence from the District to Applicant referring to or relating to this agreement is by this reference incorporated into this agreement as funhcr ternis and conditions of this agreement 21. Warning: IT IS THE SOLE RESPONSIBILITY OF THE APPLICANT '10 OBTAIN A VALID WELL PERMIT OR OTHER WATER RIGHT IN ORDER TO DIVERT WATER, INCLUDING THE WATER ACQUIRED UNDER THIS CONTRACT. IT IS THE CONTINUING DUTY OF THE APPLICANT TO MAINTAIN THE VALIDITY OF THE WELL PERMIT OR WATER RIGHT INCLUDING FILING FOR EXTENSIONS OF PERMITS, FILING WELL COMPLETION REPORTS, FILING STATEMENTS OF BENEFICIAL USE, OR OTHERWISE LAWFULLY APPLYING THE WATER TO BENEFICIAL USE ON A REGULAR BASIS WITHOUT WASTE. 22. AREA B. CONTRACTS: IF APPLICANT'S WELL OR OTHER WATER RIGHT THAT IS THE SUBJECT OF THIS CONTRACT IS LOCATED OUTSIDE "AREA A" AS DESIGNATED BY THE DISTRICT, THEN THIS PARAGRAPH APPLIES. THE AUGMENTATION WATER PROVIDED BY THE DISTRICT UNDER THIS CONTRACT MAY ONLY PROTECT APPLICANT"S WATER RIGHT FROM A CALL ON THE COLORADO RIVER AND MAY NOT PROTECT APPLICANT FROM A CALI. FROM ANY OTHER SENIOR RIGHT. NO REPRESENTATION OTHERWISE IS MADE BY THE DISTRICT. IF THIS IS A CONCERN TO APPLICANT, THIS CONTRACT MAY BE RESCINDED UPON WRITTEN NOTICE DELIVERED 'r0 TFIE DISTRICT BY THE APPLICANT WITHIN THE NEXT30 DAYS FOLLOWING THE AFFIXING OF SIGNATURES ON THIS CONTRACT IN WHICH EVENT ALL SUMS PAID BY APPLICANT FOR THIS CONTRACT SHALL BE IMMEDIATELY REFUNDED TO APPLICANT. 5 ZELENKA SUBDIVISION EXEMPTION WATER ASSOCIATION. ‘ii9-ezeHnch, 17 1) kerze-c-- Amanda N Maurer, Attorney for Applicant STATE OFr, (�, t ) ) ss COUNTY OKs1; 1 •( ii ) The foregoing instrument was acknowledged before me on this 246 day of July, 2002, by Amanda N. Maur STATE OF COUNTY OF Witness my hand and official seal My commission expires: Ay.,- 4yr. nzsa:Gt enc./Al-2k (Kt /260e '=W, - ORi2ilpe .fir Notary Public ss. The foregoing instrument was acknowledged before me on this day of , 20 , by Witness my hand and official seal. My commission expires. Notary Public ORDER After a heanng by the Board of Directors of the West Divide Water Conservancy District on the Application, it is hereby ORDERED that said Application be granted and this Contract shall be and is accepted by the District WEST DIVIDE WATER CONSERVANCY DISTRICT By ATTEST President Date This Contract includes and is subject to the terms and conditions of the following documents which must accompany this Contract: I Map showing location of point of diversion (use map provided) 2. Application and Data Form fully completed and signed 6