Columbine Lake Country Club, Inc.
P. O. Box 714
Grand Lake, Colorado 80447
Telephone: (970) 627-8120 Fax: (970) 627-3313
Building Request, Checklist and Permit
Exhibit G
(For New, Redesigned, or Repaired Deck)
THIS FORM MUST BE COMPLETED, SIGNED BY LOT OWNER, AND APPROVED BY COLUMBINE LAKE COUNTRY CLUB, INC., BEFORE ANY EXCAVATION, CONSTRUCTION, OR INSTALLATION WORK HAS BEEN COMMENCED. BEFORE PROCEEDING, IT IS EXTREMELY IMPORTANT TO REVIEW AND UNDERSTAND THE "DECLARATION OF PROTECTIVE COVENANTS, RESTRICTIONS, EASEMENTS, AND RESERVATIONS, COLUMBINE LAKE SUBDIVISION", THE "COLUMBINE LAKE COUNTRY CLUB, INC. BUILDING CRITERIA AND INFORMATION", AND THE INFORMATION CONTAINED IN THIS APPLICATION. GENERAL INFORMATION AND IMPORTANT NOTES ARE WITHIN THIS FORM.
1. Owner___________________________________________________________________________
2. Mailing Address__________________________________________________________________
3. Phone Numbers: (Home)_____________________(Work)________________________________
(Grand Lake)______________________(Fax)____________________________
4. Columbine Lake Property: Block No. ________ Lot No. _________Email: ___________________
Street Address____________________________________________________________________
5. Builder or Contractor___________________________Company____________________________
MailingAddress___________________________________________________________________
Phone: _____________________________Fax: _________________________________________
6. Construction Start Date (Proposed): __________________________________________________
7. Is proposed project new, redesigned or major deck repair? -______________________________
________________________________________________________________________________
For Office Use Only
Date received from Owner: __________________________________________________________
Date Approved___________________________ Date Permit Issued_________________________
Check Info: Amount _______________ Number ____________ Date Deposited ________________
Date of Disapproval: _________________________________________________________________
Date of Mailing Notice of Disapproval ___________________________________________________
Building Specifications
Important: All measurements must agree with your drawings, plan, etc.
1. Setbacks: (Use "Front" or "Rear" as applicable.)
Front__________ (Minimum of 30 feet from any part of the deck, including steps, etc., to front lot line.)
Rear __________ (Minimum of 25 feet from any part of the deck, including steps, etc., to rear lot line.)
Side __________ (Minimum of 10 feet from any part of the deck, including steps, etc., to side lot line.)
Side __________ (Minimum of 10 feet from any part of the deck, including steps, etc., to side lot line.)
2. Material:
A. Deck Floor: Type __________________________________ Color__________________________
B. Railings: Type________________________________ Color _____________________________
C. Steps: Type ___________________________________ Color ______________________________
3. 3a., 3b., & 3c. MUST be submitted with properly signed form:
a. Deposits & Fees:
1. Refundable $100.00 trash removal fee
2. Non-refundable $25.00 permit fee for new or re-designed deck.
3. There is no fee for major deck repairs, however, a $100.00 trash removal fee is required.
b. Color &/or Material Sample (s)
c. Plot Plan showing house, deck, and setbacks.
4. General Information
a. You will be notified within 30 days after receipt of this information if your plans have been approved or disapproved. If your plans have been disapproved, the entire form with attachments, will be returned, with the items causing disapproval marked and noted.
b. A Grand County Building Permit and a Columbine Lake Country Club, Inc. Building Permit must be posted on the site, prior to any excavation or construction. They must be posted at all times so that they are accessible for check-offs and visible from the road.
c. The project is to be completed within 90 days of the issuance of the Columbine Lake Country Club, Inc. Building Permit.
d. It shall be the sole responsibility of the owner (s) and builder (s) to monitor and comply with all the building criteria. Any change or deviation from the approved plans, as submitted to the Architectural Review Committee and the Columbine Lake County Club, Inc. Board of Directors could result in the revocation of the building permit issued by Columbine Lake Country Club. If the Columbine Lake Country Club, Inc permit is revoked, this information will be forwarded to the Grand County Building Department, and all construction activity will be terminated. Construction activity cannot resume until after compliance with the original plans, or until changes have been approved.
e. The owner or contractor is responsible for notifying Columbine Lake Country Club, Inc. for inspections.
f. Community trash compactor is for household trash only, not for construction trash. No Burning of construction trash permitted. DEPOSIT TO BE FORFEITED IF REGULATIONS ARE VIOLATED.
g. The sale of your property will transfer to the new owner the obligations of the building covenants and restrictions, and therefore should be considered as conditions to the right to build/sell/purchase at Columbine Lake.
CERTIFICATION
I hereby certify that I have examined and completed this application, and know the information I have given to be true and correct. I further certify that I have read and understand the Columbine Lake Country Club, Inc. Building Criteria and Information and the Declaration of Protective Covenants, Restrictions, Easements, and Reservations of Columbine Lake Subdivision, and I will comply with all specifications. I will post the Grand County Building Permit and the Columbine Lake Building Permit (Columbine Lake Subdivision Architectural Control and Covenant Enforcement Checklist), where they are accessible for check-offs and are visible from the road. I also understand I will not be paid any interest on deposits made to CLCC.
____________________________________________________________________________
Signature of Lot Owner (s) Date
DISCLAIMER
Nothing contained in the building application form, process, plans, or approvals should be construed to represent any assurance whatever that the building, as constructed, necessarily complies with any zoning, building code, design review, or other governmental ordinance, resolution, regulation, statute, or requirement. No Owner may rely upon any approval by the Architectural Review Committee as an assurance of compliance with the foregoing. Further, the owner is advised that any review by the Architectural Review Committee is for architectural control purposes only. Nothing in said review process or approval should be construed by the owner or any one acting by or through the owner to constitute a substitution for or replacement of any survey, location certificate, inspection, or other professional review of the construction.
____________________________________________________________________________
Signature of Lot Owner (s) Date
Application cannot be processed unless the above certification and disclaimer have been properly signed.