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HomeMy WebLinkAboutApplication- Permite Job Address No. 7246 GARFIELD COUNTY BUILDING, SANITATION, And PLANNING DEPARTMENT 109 8th, Street, Suite 303 Glenwood Springs, CO 81601(970) 945-8212 '"305 cr too C'�f t Nature of Work Building Permit _/J Use of Building m / ' Qin} (� F_-� C (�/ /15 ti► c,�()-ryryc` Contractor I nuJrux- Amount of Permits ) S B5. 63 Date 1` I q. j C-) (40-, r t-pce: 1( &so r , /50 0-0 - Clerk GARFIELD COUNTY BUILDING PERMIT APPLICATION TELEPHONE: (970) 945-8212 GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO INSPECTION LINE: (970) 945-9159 PERMIT NO. PARCEL/SCHEDULE NO. >410 AHbRESS: 0---rz__ 1 DO 1 r .rri a (0 r. 1 LOT NO. Lur e. BLOCK NO. SUBDIVISION/EXEMPTION 'r 2 ` Y' DIME 4E / N DSU _. � X30 id btU o {A , B4541�` 142,37 P13 3'`PT ' t ' I LQ UC, NO 3 CONTRACTOR ADDRESS 4 ARCHITECT/ENGINEER ADDRESS Pit-, LEC NO: 5 SQ PT OF BOrLWO I `IC V SQ. FE OF IAT.— � �� xrcErf NO. OF FLOORS 6 USE OFBVBDTNG i 5 y+�l_t. Firm / w ITIA DeTAG4E D (. (oC MAI- 115 Cif L • DESCRIBE WORK: flJ E-CWALAteE BASerneksr Fb2 f lDutA2_ 14(01..% T nxoDe.L LIV t A, &. 7 8 rasa OF wo Ic: /ANEW ADDmON oALTERATION f I [0 �� oRE7 ROVE L}osINoL3 9 OARAGE o/pTG\\\ ��`LE ) OVI3LF. CARPORT: °DOS BLE I O 0 DRIVEWAY PERMIT AGE 5—rA AL1 14 • 1-CIk -1 1 ' i Erne MITE PLAN VALUATION OF WORK: 1 4pir Qd AMSTED VALCATION.I ,,,,,f,Ij [ I ¢i vL/_ y 7 A i. Q 1..Oc!) SPECIAL. CONDmONS: NOTICE A SEPARATE ELECTRICAL. PERMIT IS REQUIRED AND MUST BE ISSUED BY TEE STATE OF COLORADO. PLAN CHECK FEE: 01 4147423 PERMIT FEE: "7/, ,5o THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN ISO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF ISO DAYS AT ANY TIME AFTER WORK IS COMMENCED. TOTAL FEE: DATE PERMIT ISSUED: :7, /• / 3- 31, ,C'J 7—/ J_ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND 1040W 11IE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR OCC: CROUP: CONST: TYPE: / "1! a 5- �/ —E J A/ LOCAL JAW REGULATING CQNSTRUCTION OR THE PERFORMANCE OF CO ' UCTION, 11 r_ .r4 — 1'S .- �+ �9 ZONING SETBACKS: Signature ger, Contract t h tics onzed _ - ardent: , . . o. ior if ►,�,� [�_ - >r - - ' 4 r_f . � r f 1.. is ONE: /� a ISDS No. 11 r /� o a Building P pt, pptm'aUD1to 4'~ S '. ApproviVDa #, Q V t 1 �7 �h AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE A` DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT. IN CONSIDF-RATIONOF THE ISSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL IDLING CODES AND LAND USE REGULATIONS ADOPTED B1 GARFIEID COUNTY PURSUANT TO AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE. SAID ORDINANCES ARE NOT FULL\ COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME NULL AND VOID. THE ISSUANCE OF A PERMIT BASED UPON PLANS, SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER REQUIRING TIRE CORRECTION OF ERRORS IN SAID PLANS, SPECIFICATIONS ANI) OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON THERELPNDER WHEN I> VIOLATION OF THIS CODE OR ANY OTHER ORDINANCE OR REGULATION OF TITS JURISDICTION. THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF AK, RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATIO` DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER, BUILDER AND OWNER COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPOR' OF THE OWNERS INTEREST. Garfoim.003 i HEREBY ACKN1 WLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE. (INITIAL) (...1214 ;alt p I NA. 142/41 3 Su. °`-f e cp3c: t 1 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 wash bowl, 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 1994 UBC requirements; 6. Outside grading done to where water will detour away from the building; 7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of extenuating circumstances, i,e. weather, but a Certificate of Occupancy will not be issued until all the required items are completed and a final inspection made. A CERTIFICATE OF OCCUPANCY 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 VACATION 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 # Sig at bpcont Date Tomb i -g> Ca X00 ayx(,„v6, deAL-c-4-e-t pprt ?VT' --= ' ► ,+ `/,749'OW 49,°° c/).3040o /Roo *SA ° .21 4 oo,o O 147Vot ,e) 0 XS P-5 T/0.50 4 y47. 3 goo.00 /$~0. i 0 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS for SINGLE FAMILY DWELLING CONSTRUCTION including NEW CONSTRUCTION ADDITIONS ALTERATIONS and MOVED BUILDINGS In order to understand the scope of the work intended under a permit application and expedite the issuance of a permit it is important that complete information be provided. Adequate and complete information will prevent delays in the plan review process. Reviewing a plan and the discovery that required information has not been provided by the applicant may result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor may be required to provide this information before the plan review may proceed. This causes delays because other plans that are in line for review may be given attention before the new information may be reviewed after it has been provided to the Building Department. Please review this document to determine if you have enough information to design your project and provide adequate information to facilitate a plan review. If you do not, it may be helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code". This book is available to you through this department at our cost. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. To provide for a more understandable plan in order to determine compliance with the building, plumbing and mechanical codes, applicants are requested to review the following check list prior to and during design. Applicants are required to indicate appropriately and to submit the completed check list at time of application for a permit. J January 1, 1999 Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and drawn to scale. Plans must include a floor plan, a concrete footing and foundation plan, elevations all sides with decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line. A section showing in detail, from the bottom of the footing to the top of the roof, including re -bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation, sheating, house - rap, (which is required), siding or any approved building material. A window schedule. A door schedule. A floor framing plan, a roof framing plan, roof must be designed to withstand a 40# per ft. up to 7,000 F.O.S. and an 80 M.P.H. wind. All sheets to be identified by number and indexed. All of the above requirements must be met or your plans will be returned. 1. Is a site plan included that indicates the distances of the proposed building or addition to rty lines, other buildings, setback easements and utility easements? 2. Does the site plan include the location of the I. S.D.S. (Individual Sewage Disposal System) and the distances to property lines, wells (on subject property and adjacent properties), s or water courses? 3. Does the site plan indicate the location and direction of the County or private road accessing rty? 4. 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 flo 8n? Yes 5. Do the plans indicate the location and size of ventilation openings for under floor crawl es and the clearances required between wood and earth? Do the plans indicate the size and location of ventilation openings for the attic, roofjoist aoass and soffits? Yes 7. Do the plans include design loads as required by Garfield County for roof snow loads, (a minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor and wind loads? 8, Does the plan include a building section drawing indicating foundation, wall, floor and roof otruction? 9. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling s, roof rafters or joists or trusses? 10. Does the building section drawing or other detail include the method of positive connection �f1 columns and beams? Yes 11. Does the plan indicate the height of the building or proposed addition from the highest point of the building or addition measured at mid span between the ridge and the eave down to e : ting grade contours? Yes 12. Does the plan include any stove or zero clearance fireplace planned for installation including make and model and • , • rado Phase II certifications or phase Il EPA certification? Yes 13. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the Uniform Buijdhg Code Chapter 37? Yes 14. Does the plan include a window schedule or other verification that egress/rescue windows from sleeping rooms and/or basements comply with the requirements of the Uniform Building oe? No 15. Does the plan include a window schedule or other verification that windows provide natural li a and ventilation for all habitable rooms? No Yes 3 16. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazing for these as? Yes N 17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters ted on the plan? No 18. Do you understand that if you are building on a parcel of land created by the exemption process or the subdivision process, are building plans in compliance with all plat notes and/or c+ enants? No 19. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? If you do not have written permission from the association, do you understand that the plan check fee will not be refunded should the architectural committee deny or reject your building plans? No 20. 21. 22. 23. Ye his be the only residential structure on the parcel? No If no -Explain: Yes e two (2) complete sets of construction drawings been submitted with the application? understand that the minimum size a home can be on a lot is a 20ft. x 20ft.? No Have you designed or had this plan designed while considering building and other ction code requirements? No 24. Does the plan accurately indicate what you intend to construct and what will receive a final n by the Garfield County Building Department? No 25. Do ou understand that approval for design and/or construction changes are required prior o th : pplication of these changes? Yes No 4 26. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "School Impact" or "Septic System" fees required, at the time you pick up your building No Yes 27. Are you aware that twenty four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be called in by 12:00 p.m. the day before; afternoon inspections must be called in by 5:00 p.m. the day before. Failure to give twenty four (24) hour notice for inspections will e1: our inspection one (1) day. Inspections are to be called in to 945-9159. Yes No 28. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of cy and occupancy of the building? No 0. p 29. 1 - ou aware that the person signing the Permit Application, whether the "Owner", "Agent of the Owner", "General Contractor", "Contractor" or otherwise, is the party responsible for �the-poject complying with the Uniform Building Code? No Yes 30. Are you aware that If you are accessing a county road and do not have an existing driveway you will reed to acquire a driveway permit from Garfield County Road and Bridge? Their phone number is 945-6111. You will need to show proof prior to the issuance of the building permit. I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. LP' it`Ctc\ signatur ; date Phone: (days); reN. (evenings) Project Name: i.tfl ems. - . Project Address: 5 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 m proceeding with construction. bpminreq 6 •• IF • rwa•mmaN•*//rah.6......,.;;MMOliY•;•i.• 61;0:1;i..1 ) r ) e r--------> ) 0 . 1- cI E 1994 Building rode Setbacks: 25 feet front and rear and 10 feet on the sides Snowload: 401bs. /sq. ft. up to 7000 feet Seismic: Zone 1 Windshear: 80 mph Wind exposure: B Windload: 1 S1bs. /sq. ft. Frost Depth: 36 inches --30 inches from finished grade to top of footing (Liveload is snowload-imposed by snow) 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 check list prior to and during design. Applicants are required to indicate appropriately and to submit the completed check list at time of application for a permit. 1 1. Is a site plan included that indicates the distances of the proposed building or addition to property lines, other buildings, setback easements and utility easements? Yes y 2. Does the site plan include the location of the I.S.D.S. (Individual Sewage Disposal System) and the distances to property lines, wells (on subject property and adjacent properties), streams or water es 3. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes 'JO 4. Do the plans include a foundation plan indicating the size, location and spacing of all reinforcing steel ordance with the uniform building code or per stamped engineered design? 5. Do you understand that if you belong to a homeowners association, it is your responsibility to obtain written permission from the association, if required by that association, prior to submitting an application for a building permit? If you do not have written permission from the association, do you understand that the plan check fee will not be refunded should the architectural committee deny or reject your building plans? Yes No 6.(5his be the only residential structure on the parcel? Yes No If no -Explain: 7. .fie two (2) complete sets of construction drawings been submitted with the application? 8. 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#); wind design (min. wind speed of 80 hi 15 lb. wind load); foundation design; method of anchoring? Yes 9. Have you designed or had this plan designed while considering building and other construction code irements? No 10. Does the plan accurately indicate what you intend to construct and what will receive a final inspection Garfield County Building Department? No 11. Do you understand that approval for design and/or construction changes are required prior to the cation of these changes? No 2 12, Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application and that you will be required to pay the "Permit Fee" as well as any "School Impact" +, •tic System" fees required, at the time you pick up your building permit? Yes No 13. Are you aware that twenty four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. Morning inspections must be called in by 12:00 p.m. the day before; afternoon inspections must be called in by 4:00 p.m. the day before. Failure to give twenty four (24) hour notice for inspections will delay your inspection one (1) day. Inspections be called in to 945-9159. No 14. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspectionprior to receiving a Certificate of Occupancy and �w� • : ncy of the building? Yes No 15. If you are accessing a County Road and do not have an existing driveway you will need to acquire a driveway permit from Garfield County Road and Bridge. The phone number is 945-6111. You will need to show proof prior to issuance of the building permit. 16. Attached is information for placement of a manufactured home. Please review, If you have any questions, please call this office. 1 hereby acknowledge that I have read, understand and answered these questions to the best of my ability. signat its,LC? Phone'cta ? (days); le4CP�1l�'Det -l_ Project Name: date (evenings) Project Address: 3 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 fust position for review, delay in issuance of the permit or delay in proceeding with construction. perappmh ft` Aea.s s To p zop ER.7.1 l S o F F atvD €s2rnn aT- OFF Cc, . P4A b 100, 4 Effective August 15, 1995 OF '3f z� g z Awe t z til goo' g`2 �W o_ of CrS County Road (Note the Road Number and Name) --Li !a C0vtb 4otAs 6 Tr' A 1cH6 R. Piers withj ee.13Ari we?ded To Ftirt-'e. 1� x V X11 N• TYp X • t Mo 13; 2 S R i i3 Foot,/ ?)9S 6" X 11e'7 Miwe with 2"� 14eb7R frio Bike [32ock $hq 1.)/ e 73 S :: li i3 y., / t. .e. .1- /i NSI, C1N /.' ACJ, St ee'? C 1,e7 7a4L g f'o/q po4z3?e wrc.e We? d )?fit 8 .0 fF�c I''/5: , L/' 1i ► T p/ P / e CA -hi e of en- Afpfiov ct0'61 C F *Al 4 Y Co cite- /coot.),/1 t.VAtI, 2 -ir 61 nu /;1(31 C,oivcAE fip ,j-3 At SfiPS 0414)/- p STATE OF COLORADO DIVISION OF WATER RESOURCES WATER DIVISION FIVE Office of the State Engineer Department of Natural Resources 50633 U.S. Hwy. 6 & 24 P.O. Box 396 Glenwood Springs, CO 81602 Phone (970) 945-5665 FAX (970) 945-0741 REPORT OF THE DIVISION ENGINEER SUMMARY OF CONSULTATION CASE NO: 97CW042 APPLICANT(S): BILL ANI) DIANE TEAGUE APPLICATION FOR: FINDING OF REASONABLE DILIGENCE STRUCTURE(S): TEAGUE WELL NO. 1 Roy Romer Governor James S Lochhead Executive Director, UNR Hal D. Simpson State Enginee, Orlyn E. Hell Division Engineer COMMENTS The material in the application appears to be adequate. RECOMMENDATIONS Application should be issued by Referee as a ruling. OTHER: The name of the well is "Teague Well No. 1" and the Permit No. 046203-F. DATE: May 9, 1997 SIGNED: Orlyn J.on Engineer i ell vision CRS 1973, Section 37-92-302(4), signed into law May 17, 1988, provides that the applicant or his attorney shall mail or deliver a copy of this consultation to all parties of record who filed a Statement of Opposition to this application, 1f any. and the statute also requires That the applicant or his attorney shallfle a certjcation of mailing with the Water Clerk of Water Division No. 5 If this consultation is mailed 10 opposing parties. CERTIFICATE OF MAILING I hereby certify that on this /4/-k , day of May 1997, a true and correct copy of this REPORT OF THE DIVISION ENGINEER - SUMMARY OF CONSULTATION was mailed to: BILL ANO DIANE TEAGUE 4294 103 ROAD CARBONDALE CO 81623 • 141 5701042 Teague MIRY - Nater biv 5 Page 2 The Referee, having examined the information submitted by the Applicant, and having completed the investigations necessary to make a determination in this matter, does find that the Claimant has shown reasonable diligence in the development of the proposed appropriation of the 0.033 cubic foot of water per second of time, conditionally awarded to Teague Well #1; and therefore concludes that the above entitled Application should be continued in full force and effect. Application for a Finding of Reasonable Diligence shall be filed in the same month as the decree herein is entered every six years after the entry of the decree herein so long as applicant desires to maintain 'the conditional water rights, or until a determination has been made that such conditional rights are made absolute by reason of the completion of the appropriation, or are otherwise disposed of. It is accordingly ORDERED that this Ruling shall be filed with the Water Clerk subject to Judicial review. It is further ORDERED that a copy of this Ruling shall be filed with the appropriate Division Engineer and the State Engineer. Dated May 13, 1997 C to .11 Cow..Y leoor Mater Referee Div !tate rag ....Din S-gp—y% 6eputy`cierk, Wa 6lv 'o 5 - BY T��I es 1 r 'pater Referee Water Division No. 5 State of Colorado No protest w s filed in this matter. The foregoing Ruling is confirmed and approved, and is made the Judgment and Decree of this court AND THE KORTH FOR FILING AN APPLICATION FOR A FINDING OF JUNE 2003 Dated 4 7 Copy of the for Ding a W to ell counsel of record *tate sngJ DIt DivDeter Referee 5ng ✓ 7 Deputy clerlc,li" v Po 6 r.- 2 CWater Judge ?Maim rte• GWS-10 03/92 STATE OF COLORADO OFFICE OF THE STATE ENGINEER 818 Centennial Bldg., 1319 Sherman St, Denver, Colorado 80203 (0X581 For Office Use only RECEIVED i'A425'96 WATER REsoum.Es S ATEQ ) FOR INSTRUCTIONS, SEE REVERSE SIDE , STATEMENT OF BENEFICIAL USE WELL PERMIT NUMBER ©'4I 6 2 D 3 f 1. WELL OWNER NAME(S) LILL lEA6.lAF,- Mailing Address q L j b 3 ,2ci City, st. Zip (ft tuAta i a /e - g/6 23 Phone (f?O) 1!'63 - 0 & t?� 2, WELL LOCATION: COUNTY.1,:_,', i AOWNER'S WELL DESIGNATION l '.0 VWel (Address} (City) (State) (Zip} SE 1/4 of the ltd 0114, Sec. ) Si Twp. 7 5. ❑ N. or NS., Range t 7 E. or ® W. 6 P.M. , _0 Distances from Section Lines /9/ yt. from © N. or 0 S. Line, 2 Q 3 6 Ft. from El E. or KW. Line. 3. The well is being used for the following purpose(s): i la i eC 'p.i . k 0usLa t1)ei vs of VO ) - 4-,(ikw,us lotkirki �immertiAL API 4 L turesoGk, .�eerps4-ioN of 0-Britz c s (S 0, 4. Water from the well was first used beneficially C/ under this permit number, for the above described purposes on AL4 10 19 I tv. (Do not report a date which is before the issued date of this permit) 5. The pumping rate claimed is /5 gallons per minute. 6. The average annual amount of water diverted is Q+ S 7 cI acre feet. /�, 760 5 .1-LLD, s. 7. The land area irrigated (watered) by water from this well is: 260 111 Acres or ® Square feet, AS / (N ber) described as: 5"1 EAS A,60Z• (Legal 6 escr ption)C or as Subdivision Lot(s) Block Filing/Unit 8. / , Wel! drilled by: (I (_!LIN C `J.,f[L/fi)C ee3 lac. No: 6.3 , Pump Installed by: CI) ur, i 2 -I ud /(/6 �� --Lic. No: /Z $". __ 9. Meter Mfg. by Serial No.: Date Installed: 1 (we) have read the statements made herein, know the contents thereof, and state that they are true to my (our) knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a Class 1 misdemeanor.) 10. Name/Title (Please type or print) igna SILL ) -Cci ala _ i Date / -''6, FOR OFFICE USE ONLY Accepted that those conditions of approval stated on the permit are complied with„ , N1 t P �• a� „ , ; APR 2 5 1996 State Engineer Bye---)_,Jr; Court Case No. Div. Co. + ri plasin Date MD Use MANUFACTURED HOME BUILDING PERMIT GARF LD COUNTY, COLORADO Date Issued.. ....�............ .Zoned Area Permit No4141 4#0 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 Building Official and IMMEDIATELY BECOMES NULL AND VOID. Use m/sbv\ bswtf1 Add r Legal bsvy* iption Owner 1 Footi rrcf-a yy6 Sly i/ ,,,0,...p -lie la pg ZI/,Gfcv✓a//,5K 9/ve9 Foundation or Blocking 5A SY',Al S C ((ct` i `f'"9 R 4,—, 14 () /b- ' _D t y Rough Plumbing .--. 1_ `t„7 4_,.._4„,- Gas Piping cPk 42 /0 /SAA ` v �'��L g, o- 94, Electrical /4J1- 41cife ` .. (by State Inspector) f,+,,, 4,1 /6 - - 9S Septic Final i•A f .24-Nsucqr.it r UPSta,,'rs 0 q q srvC. ++atr oa e 5.-11-33 A .s o� s: 'r-tv''xt 1-` 0 (� 9 Nbeil---ivaitiLI'L-'] `fit Ar THIS PERMIT IS NOT TRANSFERABLE W 4C Bg4RO ak 2 s 99 PosTii s Au XP--o!{$1�ff� i Phone 945-9159 9 8th Strr eet County Courthouse Glenwood Springs,Co i,: 1.15 APPROVED Date By rado (IF PLACED OUTSIDE, COVER WITH CLE ' PLASTIC) e_op/ Pish(4,Zafg7 C'I3/ 1S7 44490W 6"/