Loading...
HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY BUILDING, SAN1TATION and PLANNING DEPARTMENT 109 8th. Street, Suite 303 Glenwood Springs, CO 81601(970) 945-8212 Job Address 14 c �1•J�'1 Nature of Work Building Permit t No. 6973 Use of BuildingsJ2,ibItLd &2-40 Owner Contractor 4 [< IRz)/- \)46- Wv-) Cb BILSa Amount of Permit$ - I . fNCw..„, . S4 -v -lo � ado . � Date 46-)).(, 19(IS, 6 Pi GARFIELD COUNTY BUILDING PERMIT APPLICATION GARFIELD COUNTY (GLENWOOD SPRINGS), COLORADO TELEPHO:+E; -(970) K 4528212 Applicant to complete numbered spaces only. PERMIT NO. (oqi3 INSPECTION LINE: (970) 945-9159 PARCEL/SCHEDULE NO. SOB ADDRESS: C1 jell. L.h i%e,k 1 G -.S / e , 5 / - �klip 1 G LOT N9. BLOCK NO.S DIVISION/EXE ON • _ , 5007H-Oe.sT of i2, 6. Int -714-E(dove1les� , via-7z,-$oJrlt..S'cl,0l31Uis i 2OWNER.A14k1) Ian' (3easI6 C ,' r. cll. OW' eihesTtz sr. R, ,L Ca.,y/Gsa??,,.. 0 .� 5 , �'r1H17e i�r .a,h PIE , s--ii7? Sia . 9'2.0.-62.5-1/477.3.- cr. -101,76�3S' 3/� 4 -/ ARCHIBCITENOINE R ADDRESS PH: LIC NO: 5 en Fr. OFBUU.DLNG l5 / gi8Q �7/ OF LO7 ) � V'S ! HEIGHT V[ NO. OF FLOORS JI C 6 JXl . USE OF BQ6.DINQ fy /.... / V/ J .'�y�///��� I rF` /f(\ J/ /I �fj�j'�J� � j/�f, // [J q % / DESCRIBE WORK Si I,. td l k/'LN' C/Y'.^'�!V �/ •� /J 1 l ,�`� �J�/� �y7�yry`� }gyp u I V 11PRA/ —LAI 8 crossOFWORK: ANEW .anrar[ON 9AL TIONf lJ- LIMO[[ VE 9 GARAGE: .SINGLE oDOOBLE CARPORT: .RDrtDTx .DOUBLE 7 n L V Is DRIVEWAY PERMIT OOQN am SEWAGE D�Mg GSAL RC! USiIP PIAN VALUATION OF WORKS ADJUSTED VALUATIONS SPECIAL CONDITIONS: f> /,.t. eJ f f e-0re- bm 9 v cc (s,- IQ f I 9/ N NOTICE A SEPARATE ELECTRICAL PERMIT iS REQURED AND MUST BE ISSUED BY THE STATE OF COLORADO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND 10,10W THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WITHER 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 LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CO 'S':' RUCTION. /. .i1j it/ „dr' t� _ ..i _ Dm/A-7-7 PLAN CHECK FE, -PERMIT^ ! f ..1J 4 l gi 7„ TOTAL FEE:DATE PERMIT ISSUED: /3 f+ 7,S 5 OCC: GROUP: CONST: TYPE: r�I 3 ZONING: SETBACKS: J _ Signature of Owner, Contactor ort .. prized _ .. t having read and understood no , .. e. / /� �/ c_J '-e_ ti--(2,... % I/ MANiJ. 730ME r9 1 L�1 CJ rS ISDS NO. /E. FEE: �C a /Y R' [j Building Deft. Approval/Date a Iammg ppmv4D / AGREEMENT PERMISSION IS HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDINGDEPARTMENT. IN CONSIDERATION OF THE ISSUANCE 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 30.21.201 CRS AS AMENDED. THE SIGNER FURTHER ACRtEES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF THE ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE C0UNIY AND THAT THEN AND THERE 1T 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 REQU R -NG THE CORRECTION OF ERRORS IN SAID PIANS, SPEC:R7CATIONS AND OTHER DATA OR FRO PREVENTING BUILDING OPERATION BEING CARRIED ON TFM FUNDER WHEN 1N VIOLATION OFTHIS CODE OR. ANY OTIIERORDINANCE ORREGULATION OFTHIS JURISDICTION. THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE RESPONSIBILITY FOR THESE ITEMS AND LNIPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. /� Garfoom.003 I HEREBY ACKNOWLEDGETHAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE, (INITIAL) 8e, iippY 5--a9 lof R � 7 The following items are required by Garfield County for a final inspection: 1. A final Electrical Inspection from the Colorado State Electrical Inspector. 2. A permanent address assigned by the Garfield County Building Department posted where it is readily visible from an 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, 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 & cold running water, all floors and walls finished and a privacy door. 5. All steps inside or outside over three (3) steps must have handrails. All balconies or decks over 30" high mush have guardrails constructed to meet 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 # (4 9 -23 L - L ife% 7'— - Signature Date c: /cbw/final.wpd 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 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 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 courses? Yes 3. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes ✓ 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 design? Yes �. 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 c/ _ No 6. Will this be t e only residential structure on the parcel? Yes No If no -Explain: 7. Have two (2) complete sets of construction drawings been submitted with the application? Yes ✓ 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 mph & 15 Ib. wind Ioad); foundation design; method of anchoring? 9 Have you designed or had this plan designed while considering building and other construction code requirement)? Yes ,/ No 10. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes ✓ No 1 I . Do you understand that approval for design and/or construction changes are required prior to the applicaticof these changes? Yes ✓ 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" or "Septic System" fees required, at the time you pick up your building permit? Yes No 13. 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 the issuance of the building permit. 14. 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 delay your inspection one (1) day. Inspections are to be called in to 945-9159. Yes `/' No 15. Are you aware that you are required to call for al inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building. Yes kY No 16. Attached is information for placement of a manufactured home. Please review. If you have any questions, please call this office. a I hereby acknowledge that I have read, understand and answered these questions to the best of my ability. 7/-6z- yg signature date Phone: 1)7O -6,6i / 73 (days) 7' GAS- l/ (evenings) Project Name:LiiM-E-0 e gS- fT / 4"iti1)-e/ Project Address: Q / `V(a a<'Nei /ie . 5 i RI =:4i f ��� /o - '` 16,0 Notes: If you have answered "No" on any of the questions, you may be required to provide this information at the request of the Building Official prior to beginning the plan review process. Delays in issuing the permit are to be expected. Work may not proceed without the issuance of a permit. If it is determined by the Building Official that additional information is necessary to review the application and plans to determine minimum compliance with the adopted codes, the application may be placed behind more recent applications for building permits in the review process and not reviewed until required information has been provided and the application rotates again to first position for review, delay in issuance of the permit or delay in proceeding with construction. Geotechnical Engineering 1\ Group, Inc. Exh;h;+ f4 RESIDENTIAL SOILS INVESTIGATION Proposed Crandell Residence Lot 5, Bock 1 TBD Winchester Village South Rifle, Colorado Prepared For: Ms. Louise Crandell 560 East 12th Street Rifle, Colorado 81650 Job No. 147 July 27, 1998 Geotechnical, Environmental and Materials Testing Consultants (970) 245-4078 • fax(970)245-7115 685 West Gunnison Ave., Suite 110, Grand Junction, Colorado 81505 TABLE OF CONTENTS SCOPE 1 SUMMARY OF CONCLUSIONS 1 SITE CONDITIONS 1 PROPOSED CONSTRUCTION 2 SUBSURFACE CONDITIONS 2 MODULAR FOUNDATION 3 Spread Footing Foundations 4 FLOOR SYSTEMS 4 BELOW -GRADE CONSTRUCTION 5 CONCRETE 5 SURFACE DRAINAGE 5 LIMITATIONS 6 FIG. 1 - VICINITY PLAN FIG. 2 - LOCATION OF TEST PIT FIG. 3 - LOG OF TEST PIT FIG. 4 - SWELL CONSOLIDATION TEST RESULTS FIG. 5 - GRADATION TEST RESULTS TABLE I - SUMMARY OF LABORATORY TEST RESULTS Crandall OEG# 147 ti. SCOPE This report presents the results of our Residential Soils Investigation for the proposed modular residence at Lot 5, Block 1 TBD, Winchester Village South, located west of Rifle-Rullison Road and Village in Rifle, Colorado. Our investigation was conducted to evaluate subsurface conditions and provide foundation recommendations for the proposed modular. The report includes descriptions of subsoil and groundwater conditions found in a test pit, recommended foundation systems and allowable design soil pressures, and design and construction criteria for details influenced by the subsurface conditions. The report was prepared from data developed during our field exploration, laboratory testing, engineering analysis and experience with similar conditions. A brief summary of our conclusions and recommendations follows. Detailed criteria are presented within the report. SUMMARY OF CONCLUSIONS 1. Subsoils found in the test pit included 8 feet of silty, sandy clay and clayey sand with gravel and cobble lenses. Groundwater was not encountered the day of observation in the test pit. 2. We believe spread footing foundations, bearing on well compacted subgrade soils will perform satisfactorily for the proposed modular. Detailed design and construction criteria are included in the text of the report. 3. Surface drainage should be designed for rapid runoff of surface water away from the proposed modular structure. SITE CONDITIONS Lot 5, block 1 consists of approximately 0.8 acres located west of the Rifle- Rullison Road and Village in Rifle, Colorado. A site Vicinity Plan is included as Fig. 1. The subject site was vacant field. The ground surface was covered with grass and weeds and sloped down from the south toward the north at grades of 8 to 10 percent. An open Crandall 1 GEG# 147 irrigation ditch was observed about 60 feet south of the site. The ditch was about 3 feet wide, 1 foot deep and was flowing slowly. Approximately 30 feet south of the site, an embankment of 1.4 horizontal to 1 vertical supported a 15 foot wide access road and the ditch. A hillside rose about a hundred feet, south of the ditch. Existing single family residences occupied lots north, east and west of the subject site. The site was located in a rural area. Observation of the area of the site indicates the soils to the north, east and west likely originated as an ancient slide mass from the south hillside. The resulting colluvium would now comprise the surficial strata. We made a walking inspection of the 1.4 H: 1 V slope south of the site and observed no obvious signs (i.e. cracking, movement, water seeps) of recent slope movement. We also made a cursory visual inspection of the existing residences, located adjacent to the west and east of the subject lot. We did not observe obvious signs of cracking and movement of these foundation walls. PROPOSED CONSTRUCTION We understand the proposed modular structure will be a 28 -foot by 56 foot, one story, wood framed, pre -manufactured building which is delivered in two pieces. There will be no below grade construction. Anticipated loads consist of Tess than 1,000 pounds per lineal foot of structural perimeter for each of the two buildings. We understand the desired foundation consists of cast -in-place footings supported by the shallow subsoils. Adjustable mechanical supports will be used to support the modular at the structural perimeter. A facia, `skirting' type product will be used to insulate the foundation area and under side of the modular. We understand up to 1 to 2 feet of site grading cut and fill is planned to level the building pad area. SUBSURFACE CONDITIONS Subsurface conditions at the site were investigated by observing one exploratory test pit at the location excavated by Mr. Crandell. The location of the test pit is shown on Fig. 2. Graphic logs of the soils found in the test pit and field penetration resistance tests are presented on Fig. 3. Crandell GEG# 147 2. Subsurface conditions encountered at test pit TP -1 consisted of 8 feet of variable silty, sandy clay and clayey sand with gravel and cobble lenses. The soils observed were medium stiff to stiff, dry to slightly moist, brown and tan. A sample of sandy, silty clay exhibited no movement when wetted under constant pressure in our laboratory. A sandy, silty gravel sample tested had a liquid limit of 24 percent, plasticity index of 8 percent and 19 percent passing the No. 200 sieve (silt and clay size particles). Groundwater was not encountered the day of observation in the test pit. Results of laboratory testing are included in Figs. 4 and 5 and summarized on Table 1. MODULAR FOUNDATION Our investigation indicates subsurface conditions at the proposed foundation levels Include a variable clay, sand, gravel and cobble soils mixture. The soil sample tested for swell -consolidation characteristics exhibited no movement when wetted under Toad. Observations made at the site indicate a potential for future consolidation of site soils. One alternative would be to use a deep foundation, such as drilled piers or driven piles, bearing below the zone of potential movement. We believe this alternative would be costly and not take advantage of the adjustable foundation mechanical supports. The planned site grading includes cuts and fills in the building pad area. Our experience indicates a thickness of well compacted soils which support footing foundations would tend to increase performance. The greater the thickness of well compacted soils would correspond to a decrease in the potential settlement. Considering the adjustment of the foundation supports, we recommend a minimum of 1 foot soils below footings be removed, subgrade be compacted, and soils replaced as a well compacted fill. A uniform thickness mat of over -excavate and re -compact should be completed in the footing areas (i.e. the planned cut and fill should be considered to `optimize' the actual thickness of re - compacted soils). Recommended design and construction criteria for spread footing foundations are presented below. These criteria were developed from analysis of field and laboratory data and our experience. Crandell GEG# 147 3 1 ( r Spread Footing Foundations 1. Foundations should be designed for a maximum soils bearing pressure of 1,000 psf. Loose soils should be completely removed from foundation bearing areas, prior to placing concrete. 2. The completed excavation, within 5 feet horizontally of footing areas, should be over -excavated to a depth of at least 1 foot. The completed fill subgrade should be moisture conditioned to within 2 percent of optimum moisture content and compacted to at least 95 percent of standard Proctor (ASTM D698) maximum dry density. Fill should be placed in thin, loose lifts, moisture conditioned to within 2 percent of optimum moisture content and compacted to at least 95 percent of maximum standard Proctor dry density (ASTM D698). The completed fill subgrade and fill placement should be tested for compaction, prior to placing concrete. 3. Soft areas may be encountered in open excavations. If unusually soft and yielding conditions are found excavation stabilization may be required. 4. Exterior walls must be protected from frost action. We understand the foundation will be interior and exterior facia (skirting) installed to protect foundations from frost action. Therefore, burial should not be necessary. 5. The completed foundation excavation should be observed by a representative of our firm, prior to placing forms, to verify the foundation bearing conditions. FLOOR SYSTEMS To our knowledge, the only reliable solution to control floor movement is the construction of a structurally supported floor with at least a 12 -inch air space between the floor and subgrade. In our opinion, structural floors should be used in all finished living areas. We understand the proposed modular structure will include structural floors in all areas. Driveways, sidewalks and exterior patio slabs are normally constructed as slabs -on -grade. Slabs -on -grade can be used in these areas provided the owner is aware of and accepts risk of potential movement and damage. We recommend the following precautions for construction of slabs -on -grade at this site. These precautions will not prevent movement in the event the underlying conditions become wetted; they tend to reduce damage if movement occurs. Crasdell GEG# 147 1. Slab -on -grade construction should be limited to areas such as exterior flatwork. 4 2. Frequent control joints should be provided to reduce problems associated with shrinkage and curling. The American Concrete Institute (ACI) and Portland Cement Association (PCA) recommend a maximum panel size of 8 to 15 feet depending upon concrete thickness and slump, and the maximum aggregate size. We advocate additional control joints 3 feet off and parallel to grade beams and foundation walls. 3. Exterior patio and porch slabs should be designed to function as independent units. Movement of slabs -on -grade should not be transmitted directly to the residence foundations. 4. Soils identified at this site may compress when wetted under pressure. We recommend slab subgrade be moisture conditioned and well compacted as stated in the "MODULAR FOUNDATIONS" section, above. BELOW -GRADE CONSTRUCTION Below -grade construction is not anticipated. If plans change, we should be contacted to review the planned construction and given the opportunity to provide geotechnical recommendations for the actual construction. CONCRETE One soils sample (TP -1 at 2-3 feet depth) tested had a 0.05 percent water soluble sulfate content. Sulfate concentrations in this range are considered to have negligible effect on concrete which comes into contact with the soils, Ordinary Type I or Type 11 cement be used for all concrete that comes into contact with the subsoils. SURFACE DRAINAGE Performance of foundations and concrete flatwork is influenced by surface moisture conditions. Risk of wetting foundation soils can be reduced by carefully planned and maintained surface drainage. Surface drainage should be designed to provide rapid runoff of surface water away from the proposed structure. We recommend the following precautions be observed during construction and maintained at all times after the construction is completed. Crandell GEG#147 6 1. The ground surtace surrounding the exterior of the modular should be sloped to drain away from the modular in all directions. We recommend a slope of at least 12 inches in the first 10 feet around the structure, where possible. In no case should the slope be Tess than 6 inches in the first 5 feet. The ground surface should be sloped so that water will not pond on the uphill side of the modular. 2. Roof downspouts and drains should discharge well beyond the limits of all backfill. Splash blocks and downspout extenders should be provided at all discharge points. 3. Landscaping should be carefully designed to minimize irrigation. Plants used close to foundation walls should be limited to those with low moisture requirements; irrigated grass should not be located within 5 feet of the modular perimeter. Sprinklers should not discharge within 5 feet of the perimeter. Irrigation should be limited to the minimum amount sufficient to maintain vegetation; application of more water will increase likelihood of slab and foundation movements. 4. Impervious plastic membranes should not be used to cover the ground surface immediately surrounding the modular. These membranes tend to trap moisture and prevent normal evaporation from occurring. Geotextile fabrics can be used to limit the weed growth and allow for evaporation. LIMITATIONS One test pit was observed at the subject site. The test pit is representative of conditions encountered only at the exact test pit location. Variations in the subsoil conditions not indicated by the test pit is always possible. Our representative should observe open foundation excavations to confirm soils are as anticipated from the test pit and foundations are prepared as recommended herein. Crandell GEG# 147 6 We believe this investigation was conducted in a manner consistent with that level of care and skill ordinarily used by geotechnical engineers practicing in this area at this time. No other warranty, express or implied, is made. If we can be of further service in discussing the contents of this report or the analysis of the influence of the subsurface conditions on the design of the modular, please call. Sincerely, GEOTECHNICAL ENGINEERING GROUP, INC. hn P. Withers, P.E. Principal Engineer (2 copies sent) 1 cc: Crandell GEG# 147 Palm Harbor Village Attn: Mr. Dan Stover 2507 Highway 6 & 50 Grand Junction, CO 81505 7 (t Rifle Exit S West N Rifle Exit Job No. 147 Vicinity Plan No Scale Rulison-Rifle Road -o-- Village ----.) Winchester Drive subject site Fig. 1 Winchester Drive TP -1 • Proposed Modular Location Property Line Job No. 147 Scale 1m=30' Legend: 40 TP -1 - Indicates location of test pit, TP -1. Location of Test Pit Fig. 2 ),J • 0 — 5 TP -1 0 5 , Legend: ElClay, sandy, silty to sand, clayey; gravelly, cobbly with cobble and gravel lenses, medium stiff to stiff, dry to slightly moist, brown, tan (CL, SC; GM) Notes: Job No. 147 Indicates location of penetration test. The symbol 12/6 indicates that 12 blows of a 15 pound hammer falling 26 inches were required to drive a 1.0 inch diameter penetrometer 6 inches. The symbol HID indicates hand drive using modified California (2.0 - inch 0.0.) liner. 1.) The test pit was evaluated July 17, 1998. 2.) This log is subject to the explanation, limitations and conclusions as contained in this report. Log of Test Pit Fig. 3 z O z II.. X sL 7 6 5 4 3 2 0 2 3 4 5 3' b z 0 W 7 V 0 8 0.1 APPLIED PRESSURE - KSF 1.0 sampled Clay, sandy, silty (CL) From TP -1 at 6 feet Job No. 147 10 100 NATURAL DRY UNIT WEIGHT= 92 PCE NATURAL MOISTURE CONTENT= 5.1 % Swell Consolidation Test Results Fig. 4 Indicates due to n0 ra8vement ! I� _wetting...__________ 1 . . _—I -4.-- 1 f 1 T I I . I 0.1 APPLIED PRESSURE - KSF 1.0 sampled Clay, sandy, silty (CL) From TP -1 at 6 feet Job No. 147 10 100 NATURAL DRY UNIT WEIGHT= 92 PCE NATURAL MOISTURE CONTENT= 5.1 % Swell Consolidation Test Results Fig. 4 HYDROMETER ANALYSIS SIEVE ANALYSIS 25 MR. 7 HR TIME READINGS 45 MIN. 15 MIN 60 MIN 19 MIN 4 MIN, 1 MIN. '200 •100 U.S. STANDARD SERIES •50'40•30 '16 '10'8 • CLEAR SQUARE OPENINGS 315' 314'. 11/2 3' ... 5'6. 8' lar 5°17:7: 7-1- . I -1 30;_ 10 .:20 30 40 a0 - 70 80 --i90 0L- 1 - ,-..t..:� 111... '�__1it_-Ll=Ji 1-1� i _1. _..1._1 1 _ L�I - I-....... L. -4 . —_.� —... __ ...�._.-�.�-.• .a._l._L it_..--� ...I.., X..1_3Afs_.J_ __...100 .001 .002 ry .005 .009 .019 .037 .074 .149 .297 .590 1.19 2.0 2.38 4.76 9 52 19.1 36.1 76.2 127 200 0.42 152 DIAMETER OF PARTICLE IN MILLIMETERS CLAY (PLASTIC) TO S1LT (NDN -PLASTIC] SAND GRAVEL FINE MEDIUM 1 COARSE FINE COARSE COBBLES PERCENT RETAINED Gravel, sandy, silty (GM) Sample of GRAVEL 6 0 % SAND 21 From TP -1 At 2-3 feet SILT & CAY 1 Q—% LIQUID LIMIT 2 4 % PLASTICITY INDEX 8 25 HR. 7 MR 45 MIN. 15 MIN. 60 MIN. 19 MIN.._ 4 MIN. 1 MIN. 100 • HYDROMETER ANALYSIS TIME READINGS 90 U.S. STANDARD SERIES '100.,_ 750.'40'30,. I• SIEVE ANALYSIS '16 .1p •6 CLEAR SQUARE OPENINGS 318' 314" 1'h' 3' 5'6' 8' .I • �++ .__. 40 -----. �,.... { 30'(,•,-•—• 20 L —, I� 1 .. ., { .. . .001 .002 .005 .009 .019 .037 .074 .149 .297 .590 0A2 DIAMETER OF PARTICLE IN MILLIMETERS ;20 30 •40 150 z 60 1.19 2.0 2.38 4.76 9.52 19.1 j. I , .90 . 100 36.1 76.2 127 200 152 CLAY (PLASTIC] TO SILT [NONPLASTIC) SAND GRAVEL FINE MEDIUM I COARSE FINE l COARSE I COBBLES Sample of GRAVEL % SAND From SILT&CLAY % LIQUID LIMIT % PLASTICIN INDEX Imm Gradation Test Results JOB NO. 147 DATE: July, 1998 FIGURE NO. JOB NO. 147 SUMMARY OF LABORATORY TEST RESULTS w d O u) Gravel, sandy, silty (GM) Clay, sandy, silty (CL) 7 WATER SOLUBLE SULFATES (%) 0.05 a Swell / Consolidations CONFINING PRESSURE (PSF) 0 0 u, SWELL (70) 0 Atterberg Limits PLASITICITY INDEX (%) co 0 Q v J= N NATURAL DENSITY (PCF) I N a) NATURAL MOISTURE (%) al c‘i u') EL LTJ N W 0 H r H 0 15' (-10' (e0 cLes7 Pr -- g_ 0 'd 0b: ST 86, 9 I of ZZ8S- b -02_6: xed 39dflIA dO IHH i*Ii dd Palm Harbor VILLAGE October 30, 1998 To Whom It May Concern: Attn: Garfield County Building Dept. Palm Harbor Homes does offer and has built this Model 8561 To the specifications as follows; Roof Snow Load is built for A 40 lbs requirement. And has a wind shear of 15 pounds per square foot horizontal and 9 pounds per square foot uplift. If you have any questions please feel free to call Dan Stover. Sincerel Dan Slaver 2507 Highway 6 & 50 • Grand Junction, CO 81505 • 970/242-2500 • 1-800-406-4611 • FAX 970/242-5822 08/04/98 08:29 Pansy, C.E,O, Jab P. Abel D�rnig Aerirrinn Charier, P. Actuavella Ilruce Baldwin Bili Birch Richard A. Dol<.p Ch:uhe R. Br4.v4r }fuller; L. Brz,ver M•I p t ark'. Bra ughton Fred Choaick Jell' Churshitl Rene Clne Ed Caronodo Larry Cox, G, Michael Drspec Jame& R, Metier Bill Gambrel' RZ.ichruti Gwr.ip. Borne (*Win Jody Jetrkinr, Larry Keener Mark Kelly Paul Kroll Oory Legg Lod Lehman fa r, Martin Allen McKemie Tam McPhaul Donna Miley L?.vayno Wilco Ton Mirrciotxic John Mau James P Nicholson Rick C7ucY+4n Greg fete Ila, l�owrll Mike Paves Tom Pratt Icon ]karir••k Rcbcece f&4ynv.r Andy Re;imond Allen Reitmeier Toni Renner J+anell N. Ytcyneidn Doug Richard', W,D, Renenbur6, Jr Kathy Rucker Ralph Russell ]elly Tarku L.cc TamIiaaan JA, 4 Trennmell I]enny Vick C.J. Wads Roger White C.uid R. %Wks Cary FlIron David Wi;herepoon Mike Wr.ek N.argaret Lewi:,Wright Den Ziebarth Palm Harbor CIGNA NORTH UALLEY i 19722425822 Homeit� lisktc'3.Ic'a August 4, 1998 Palm Harbor Village Dan Stover 2507Hwy5&60 Grand junction, Co 81505 Dear Dan, • • Palm Harbor Homes does offer and will build a home with a 40 pound roof for Bill & Louise Crandell when they order their home with this option. Ourhomes have a wind shear of 15 pounds per square foot horizontal and 9 pounds per square foot uplift. If you have any questions, please feel free to contact me, Sincerely, Ann thlkerson And all the Quality Heroes at Palt,+ Hansa', Homo -13- 509 Soulb 13 5(19,Soutb ('rrry T,�>.nc • Turrpr,, AZ EY 52rY1 • (602) 967-7rY77 &a,' (602) Q.9-7C79I NO. 862 R21 LIMITED POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, for valuable consideration, receipt of which is hereby acknowledged, that the undersigned as buyer, seller or legal owner of the following described mobile home Manufacturer: Palm Harbor Homes, Inc. Complete Serial #: PH1900605X/ PH1900605U Model: 8561 Year: 1999 Size: 28'156' does hereby irrevocably authorize and appoint Attorney -in -Fact my (or our) true and lawful attorney-in-fact with full authority and power to do and to perform all and every act and thing whatsoever necessary, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution and revocation, to sign any Manufacturer's Statement of Origin or to sign any titles, or certificates of ownership issued by the appropriate State authority, for the purpose of transferring any registration or title covering the mobile home described above, and does hereby ratify and confirm whatever action said attorney-in-fact shall, or may take, by virtue hereof in the premises. IN WITNESS WHEREOF, the undersigned has executed this instrument this ,J1 day of Az/Lys .T , 19 i P . Customers Signature Bessie Louise Crandell Leonard W Crandell Customer Name Customer's Signature State of Colorado County of Mesa Customer Name Witness Witness The foregoing instrument was acknowledged before me this J6s7 day of 19 9 / , by 2;$ ze . „_) E.I. 6„ 61 e, u My commission expires: 6 �f� j7 RIFLE FIRE PROTECTION DISTRICT. October 22, 1998 Leonard & Bessie Crandell 560 East 12th Street Rifle, Colorado 81650 Reference: Crandell Special Use Permit To whom it may concern, The Rifle Fire Protection,District has discussed the Crandell Special Use Permit with'.Mre-' Crandell. It is the District's understanding tha the request,is for placement of a .single family"�dwelli withfh the flood plane of Block 1, Lot 5 (,QW Wi.iichester) , ! of` Rifle: --Village South. The above property,is wrth,.n'tie"aoindaries of the Rifle Fire Protection District/and fire and,emergency medical services protection will be provided by the,District. The District does?i otlhave.3any�regu1,atsons ., ..,r Bards to the placement of fomes- -within the fIood-"°plane, but�,would recommend thia�,tt'' wild.,,fzre concerns.,, be addressed ;y — Thankou fo contact �,�your.„cooperati.an:' and feel1� free- to contact me if I can be of fu ther',asslstance': -, f / - J Sincerely, Mike Morgan District Chief 77) setv,o4 7-7o9 /k-,5 13,2_ss/ Telephone (970) 625-1243 • Fax (970) 625-2963 1850 Railroad Avenue • P.O. Box 1133 • Rifle, Colorado 81650 9ngthwise Perimeter Footings: 48" x 7" deep ftg #4 reibar continuous lengthwise, equally spaded roeswiae rebar — #4 at 24" c/c Knee Wall Old Perimeter routings: 14" x 7" deep ftg 2 — #4 rebar lengthwise under perimeter wall ..I (-:,040)2rCojo� 0/1( 2)c h csz PR fi);71•9 Veh)-%111"e 36 4-eohlAtin CR0517d<72 Union wall blocking as specified by manufacturer may be used as an alternative to the knee wall. FOr "Drive—On": Dig footing in or backfill to level: ceniterlihe dnd longitudinal walls. Set house, biotic level, then build end wails, build •4 Lag into rich —� 0 4' c/c. natively, dt union wall Ipport Iocetions. 8x1 6 CMU Piers or Steel Pier Stands Design Assumptions: 90 mph Expesure B Wind 40 paf roof load (Snow) 40 psi Occupancy load (Live) Concrete +nark to conform to all ACI recommended practices Concrete fc 3000 psi (rhi��v Conc Grade 40 (min) Footing design based on DL pl 1/2 LL on 1000 paf soil resiatonce. It is the owner's res . x ,.t: to verify the modular .1 ' * 1 #•_' ipt,..: dimensions.rr (ii Fwq�;�a.,r) .:7.g )i,d#;, Asgumad Unit Dimen9it�,t LL4100 CP.e.PA 1 ^ Lerlgth• 56'—O"'./L: X77! r �T Width: 27'-4" r - I Frame Width: g9.5' Prrrfirel P,`t'' i . ilk. Meer 11ik1 0 arts: Footer / Foundation Wall Plan Palm Harbor Model 8561 HUD Crawl Space Owner: Louise Crandell (Contact: Palm Harbor Homes) Location: Lt 5, Block 1 TBD, Winchester village South. FM., Colorado 51050 Page 1 1'—r +/- 24"x32" Crawl Space Access — Locate as needec 27'-4" 2' max mi r Centerline Footing: 84" x 7" deep ftg with #4 rebor longitudinally 12" c/c continuous and lj4 rebor crdsswise at 24" c/c 8'-6 8'-4 8' (max) Spacing on each unit frame. 3'-1" Footings: Width and Depth as epeCified on drawings. All Rebar continuous and tied to adjoining footers. Increase footer depth to 10" within 18" of tie—down locations, Excavator should read sail report to meet excavation and preliminary fill) requirements. 8" x 16" CML1 Piers support franc per manufacturer recommendations ED HUD approved anchor or #4 rebar leap with 2" exposed radius and each end embedded with 10 length horizontal bar below footer mbar. (9 required) Rebar Loop 2"min 1{l" min Perimeter Wall: 28' High Prefabricated / Vented Wall Sections by Stone Wall Products Install prefabricated panels as specified by manufacturer. Minimum fill height — 24" to meet frost depth of 30". Backfill in 8 — 12" compacted lifts after unit in ata l led. Final grade to maintain frost depth and direct surface water away from home. Knee Wall: Knee Wall with 2x6 tap plate level with perimeter sill. 2x4 studs 24" c/c CCA—LP21 Bottom plate. Anchor to footer at 48" max intervals. Add two studs to any support past location indicated by manufacture Top sill plate same level as perimeter wall sill plate. Front of Home 3/8, joist Alten blocG at s ChartIES J'o6lrt5on, Pr '19 501h evai Avow (970) 493-0778 rod Conine, Colorado 8451 Drawn by: Geoff Robinson Reviewed by: Charles Robinson Scale: As shown Date: August 12, 1998 File: POIrnLHarbor_ 1.AutoCAD Revisi INSPECTIONS Vt. .T BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS Date Issued!.' MANUFACTURED HOME BUILDING PERMIT GARFIELD COUNTY, COLORADO 131Ct54 Zoned Area Permit No 6:5i AGREEMENT "I3 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 kx.V, iNt\t cr.soc1/4Nketii Addre or Legal Descr'ption0 ��,,// Owns L:: '`�kKtractor l\ lr • gIS‘tw'PECTION RECORD Footing Foundation or Blocking w Rough Plumbing 1_ 3 0— el c Gas Piping `ir"---,. Electrical Final 1 D7 -5o -Lir'''------ (by State Inspector) (by Septic Final 1. r (,) --f � \. Final Notes: TIUS PERMIT IS NOT TRANSFERABLE{ Phone 945-9159 109 8th Street County Courthouse Glenwood Springs,Colorado DO NOT DESTROY THIS CARD APPROVED DatetrACk16% B R .y (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC) 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. ' BICIS‘ Zoned Area Permit No.�..�. ..�. 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 fiNcumix.c,Orome... C—OCMINAetit Addre or Legal De sc 'ption 14 t jak_661NeSktekcSi.V; Own \ktractoro INSPECTION RECORD Footing i t I A- i A Foundation or Blocking Rough Plumbing Electrical Final (by State Inspector) Final Gas Piping Septic Final Notes: THIS PERMIT IS NOT TRANSFERABLE Phone 945-9159 109 8th Street County Courthouse Glenwood Springs,Colorado DO NOT DESTROY THIS CARD APPROVED Date 11\VIAJ\COSBy C (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC) 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. (MgZoned Area Permit No.(CC:i....,,� 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. s Use ►,.'" t?.. 14-40co.tketi Addre, or Legal Description 0 14 (0 V.) 660* St"di \\ik�ntractor Own THIS PERMIT IS NOT TRANSFERABLE Phone 945-9159 109 8th Street County Courthouse Glenwood Springs,Colorado DO NOT DESTROY THIS CARD APPROVED Date 1 IV-XACklt By F C (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC) SPECTION RECORD / Footing l / ..23 - r r A,,,,, - Foundation or Blocking t- 1 ! - 9? stc c ostc, il (p-,,,y- _Rou Rough h Plumbing Gas Piping Electrical Final / --3 d - 2' r (by State Inspector) 6 Cly Septic Final J� 3 c 9 R Final i` 1 I— 9 9" 4 (U1( Notes: (J THIS PERMIT IS NOT TRANSFERABLE Phone 945-9159 109 8th Street County Courthouse Glenwood Springs,Colorado DO NOT DESTROY THIS CARD APPROVED Date 1 IV-XACklt By F C (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC) AUG. -22' 98 (SAT) 10:04 PALr1 HARBOR VILLAGE i.999 9:2epti TEL:19702425822 P. 002 N0,023 P, 2/4 PALM HAAeo]R FtDMES, INC. • 1108 w. MLA BEND HIGHWAY I CASA`rGRANDE, ARIZONA 85222 • (520) 83G-1341 ' FAX (CD2) -- 4.3166 Neater f' rf �/ rf L VVNahri Nemo 9hIP Te; _.. Oars dr Ordtr:. , Reg. RO,A Fleeting Approved 6 'amotatae D.S.M. . 3: r6g- PAW l i dsee Beck Lop M --• R-1 DECOR WA RE ENT -02 Ga •: Kit Ito M$.•u W Its Me • le fr binel +ro a Thrughout: Brass Beall Package Accent So war Fk0„ Liv, Rm M. EWA Well P fru . LR, DR, ER, ulll Kiltneri, Bathe FLOG - COVE INC , C]S CARPET ;MM.- y - Ror Ina I c - LAPP I.IAND 8_- 0 FOU • ION R AD* ca t••r1o� Coon. _A1�ialf(Ar -3 E'# • i -.• 'WIs .drpWI1 arse to 13004- 1 0 er: • LR roof 1W IIII 10,74•-•'dint►�-1,_ L_`aNE12111 "'�•. _ 20' t. °ter-;sePanel =.• SIDING CO 0 - 7-Y =,,.r~i'i A �►� ' Refl.70rtror: 6' a' - QOR?,tEFI- ' - e COORS; i 41 ■Isrwainer: • shwaehur Prep:- • w/clb • MO cab 47/ ►A F - fill j •S.4 1l. • oar Door: tip IPO E2 RD Munn Poor: + - our + mini Elldln• rIeu door - Sea Firm3ii. in IN CO - r; IrT7. iinP 77'' ►+� A.01 WT • tnva; Lot: _ MMus sloe 1 ,n.d=a• _ - ENERG PACKASE; 11I7 er 2Ye Esi. Wei's IPR•30 r 4 Collin' --_-r P• ' 9 W Gwai C 4Es • Vin Wlndaws ^ , ilLihla hltehss R-1 DECOR WA RE ENT -02 Ga •: Kit Ito M$.•u W Its Me • le fr binel +ro a Thrughout: Brass Beall Package Accent So war Fk0„ Liv, Rm M. EWA Well P fru . LR, DR, ER, ulll Kiltneri, Bathe FLOG - COVE INC , C]S CARPET ;MM.- y - Ror Ina I c - LAPP I.IAND 8_- 0 :� ca t••r1o� Coon. _A1�ialf(Ar -3 _ All a ao tie wl100 a BONN, arse to 13004- 1 0 er: 240 Arnp service Opt. Edge our: — "'�•. _ 20' t. °ter-;sePanel =.• Y11 A ' Refl.70rtror: 6' a' - W. a breve 4 ewl. •.o. I I -, FM *ME- ii, :2 IBR3 += - :.a, e WiCIMIllni +3elt•clean 1 ant i 41 ■Isrwainer: • shwaehur Prep:- • w/clb • MO cab 47/ i Ga.••:Cole ., Furnew, • GIS + Flee!. •;lilt f - 110V P76: _ 'liege •t n sonur; Ant Water Hee 6 • • 30 iL'II7 . r - _'i CO - r; IrT7. iinP 77'' ►+� _ MMus sloe 1 ,n.d=a• S JI • e -lever teweet - Int±, oa .--, --_-r Caromte Iia splash Calor. O I, cl 0 Gale ShAw6r: +32 6C0 2.eis1 nal Obl• lav $0I, -lever faucela vNlasn Cebinat over tellat GIar11DyF BaG1 Packilfla /•_, Qve11Wb '�'�' $bows►w/eM1CI, Qg» Dual Lavish Qouble Poore 3 poor Llrten Cabinit xVW, Li1vY Amp 1.4A ? D IMEmMim F-1111EZNEMb• as I it4'' 2•eea- I :0�2Ifeal r'�J+l1r. Reeeueeef Medicine Cablndl • vivo' lav, n_ — 1111 Orono Elan stag talIet geatiaitimb UN;. RTAS - 07 Decor P end ' Vq 1 c- ; lnda ELECTRICA - 8 _ All a ao tie wl100 a BONN, 240 Arnp service _ 20' t. °ter-;sePanel =.• Y11 A xt.rrorG I110cutet: I rant'/, W. a breve 4 ewl. •.o. I I -, FM *ME- ii, :2 IBR3 += - :.a, e TV Jack -No. sae print} Rhona Jack -No. esa I I Overhead ducts ig y41 • Ell _ Cao er prop (see tenni) +``-' 110V P76: _ 'liege •t n sonur; Ant LIGHTING:�^ et: Su,lt solgiee - GENE AL•06 Dir cabinslu washer/a • Shall ail Mir shuteff vii Eel hose nib 'Fran T Rear throw • hnul rOrea; •. Country Cupboard ilAm6/.,41n N•• C - T--- �, (Pt* 411111 A Lill Id T uL:Lgc 2507 Htivy 6 & 50 Grand Junction, CO 81505 (970) 242-2500 In this contract the words, L ME, and MY refer to the Buyer and Co -Buyer signing this contract. The words YOU and YOUR refer to the Dealer. I' c ' Subject to the tenns and conditions on both pages of this agreement you agree to sell and I agree to purcfiase the fo Gwmg described unit BUYER(S) - PHONE DATE Bessie Louise Craudell and Leonard W Crandell (970) 625-1716 08/31/98 3 ADDRESS SALESPERSON 560 E. 12th Street Rifle, CO 81650 Dan Stover DELIVERY ADDRESS 0146 Winchester Drive Rifle, CO 81650 MAKE & MODEL Palm Harbor Homes, Inc. - 8561 YEAR 1999 BEDROOMS 4 FLOOR SIZE L 56 x W 28 HITCH SIZE L 60 x W 28 STOCK NUMBER SERIAL NUMBER PH1900605X/PH1900605U l3 NEW • USED COLOR PROPOSED DELIVERY DATE KEY NUMBERS LOCATION R -VALUE THICKNESS TYPE OF INSULATION BASE PRICE OF UNIT $52,807 00 CEILING 38 10.25 OWENS OPTIONAL EQUIPMENI 51,600 00 EXTERIOR 19 5.1 OWENS 0 00 FLOORS 22 7.0 OWENS SUB -TOTAL $104,407 00 THIS INSULATION INFORMATION WAS FURNISHED BY THE MANUFACTURER AND 0 00 _ 1S DISCLOSED IN COMPLIANCE WITH THE FEDERAL TRADE COMMISSION RULE SALES TAX 0 00 16CRF, SECTION 460.16. 5% 1,372 99 OPTIONAL EQUIPMENT, LABOR AND ACCESSORIES NON-TAXABLE ITEMS 0 00 Home to be delivered & set to HUD code on buyers VARIOUS FEES AND INSURANCE 0 00 prepared foundation. Water and sever hookups to 0 00 20' CASH PURCHASE PRICE $105,779 99 TRADE -1N ALLOWANCE $0 00 Land purchase $39,000 00 LESS BAL. DUE ON ABOVE $0 00 Water/Sewer Taps $3,500 00 NET ALLOWANCE $0 00 Gas/Electric Service $1,600 00 CASH DOWN PAYMENT 54,645 27 Permits $1,000 00 CASH AS AGREED(re , ) $900 00 Foundation $6,500 00 LESS TOTAL CREDITS $5,545 27 SUB -TOTAL 5100,234 72 SALES TAX (If Not Included Above) 0 00 UNPAID BALANCE OF CASH SALES PRICE $100,234 72 rIncludes PALM HARBORS Exclusive One/Five Factory New Home Warranty with 1 Year Limited Warranty and Extended Protection Plan to Five Years. Delivered, Set -Up and Tied Down to State Code. Customer Responsible for All Utility Hookups including Water, Sewer, Gas, Electric, obtaining all permits unless specified in writing on this Document One Set of Small Steps. Purchase of Horne does not include Furniture, Light Bulbs, or Decor items. Skirting and/or Ceiling Fans are 'Optional' and must be listed separately if included. Palm Harbor Village retains all wheels, axles, and tires. NOTE: See the 'Arbitration Provision and Agreement' which is part of this transaction. Contingent on Management Approval. Customer responsible for permits, closing costs, points, fees, and insurance. Any site improvement allowances included in the purchase price are ESTIMATES ONLY. Any increase from that estimate will be the responsibility of the homeowner. DEPOSIT ACKNOWLEDGMENT: We acknowledge Receipt of Earnest Money Deposited in the Amount or 5 Reemarks: $900.00 to be credited as partial down. Buy $500.00 on Real Estates Contract & 400 paidand special use permit application. BALANCE CARRIED TO OPTIONAL EQUIPMENT PRICE LINE $51, 600 00 NOTE: SEE WARRANTY, EXCLUSIONS AND LIMITATIONS OF DAMAGES ON PAGE TWO DESCRIPTION OF TRADE-IN YEAR SIZE 1985 0 x 0 MAKE MODEL BEDROOMS M1T-CAR SD 0 These funds were tendered as ( ) Cash ( ) Check. ANTICIPATED PAYMENT: Payable in Consecutive Monthly Installments of 5 based on TITLE NO. SERIAL NO. COLOR JA3BF46DIFZ710987 GRAY AMOUNT OWING TO WHOM % down and % APR. ANY DEBT I OWE ON THE TRADE-IN IS TO BE PAID BY: (check one) El YOU 0 ME THIS AGREEMENT CONTAINS THE ENTIRE UNDERSTANDING BETWEEN YOU AND ME ANO NO OTHER REPRESENTATION OR INDUCEMENT, VERBAL OR WRITrEN, HAS BEEN MAGE WHICH IS NOT CONTAINED IN THIS CONTRAC You and I certify that the additional terms and conditions printed on page two of Ih s contract are agreed 10 as part of this agreement, the same as 1f printed above the signatures. 1 ant purchasing the above described trailer, manufactured home or vehicle; the optional equipment and accessories and the insurance as described has been voluntary; that my trade -In Is free from all claims whatsoever, except as noted. I, OR WE, ACKNOWLEDGE RECEIPT OFA COPY OF THIS ORDER AND THAT I, OR WE, HAVE READ AND UNDERSTAND PAGE TWO OF THIS AGREEMENT. Palm Harbor Village By DEALER Not Valid Unless Signed an by an Officer of the Company 1L Approved BUYER SIGNATURE: Le-, 2 ..""J Social Security Number: 523-50-6354 Birthdate: 9113/40 Driver's License e d State: CO 92-048-7872 CO -BUYER SIGNATURE:711,4,r 7�7,eiC Social Security Number: 522-44-8776 _ Birthdate: 8/9/36 Driver's License N & State: CO 94-194-0208 Ram 500.2 REV. 0915 ORIGINAL Page 1 of I