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 D
(For Dock Construction or Repair)
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 INDERSTAND 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): __________________________________________________
__________________________________________________________________________________
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
Note: It is the sole responsibility of the property owner to determine the applicability of all Federal, State, County and local laws, ordinances, & /or other requirements and to comply fully with such prior to altering or modifying his/her property in any fashion. This includes, but is not limited to, Federal United States Army Corps of Engineer and other requirements as pertain to wetlands.
1.
a. No private dock or pier shall exceed 15 feet in length and 80 square feet in area outside the owner's property line or from the average shoreline; whichever causes the least protrusion into the lake at the time of construction.
b. The dock shall be constructed of wood or wood-like material, no more than forty-two (42) inches high.
c. No additional structure will be allowed (i.e.: roofs, storage boxes, etc.) on any dock.
d. The platform of the dock shall be no higher than two (2) feet above water level.
2. Items 2a through 2d MUST be submitted with this properly signed form:
a. Fee and deposit (See Notes 3a, 3b, and 3c under "Reference Notes")
b. Samples of dock construction material.
c. Samples of paint or stain color.
d. A plot plan, showing the outline of the lot, the out line of the dock in its proposed location, and the dimensions of the dock.
3. General Information
a. You will be notified within thirty (30) days after receipt of this information if your plans have been approved or disapproved. If your plans are 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 from 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 Country 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 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 Subdivision.
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 understood 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 Review and Covenants 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 replacements 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.
Reference Notes:
Note 1: The owner or contractor is responsible for notifying Columbine Lake Country Club, Inc. for inspection requests. At least one working day in advance notice may be required prior to performing inspection.
Note 2: Community Trash Compactor is for household trash only, NOT for construction trash. No burning or construction trash is permitted. Deposit to be forfeited if regulations are violated.
Note 3: Building Fee and Deposit:
a. $25.00 Non-refundable building permit fee.
b. $100.00 trash removal deposit, if no excavation is required.
Or
c. A $1500.00 landscaping, grading, trash removal deposit may be required for any construction project that disturbs the ground, creates construction debris, and requires re-vegetation, as may be deemed appropriate by the Architectural Review Committee. A final approval from the Architectural Review Committee is required for refund of this deposit. Final inspections will not be made while snow is on the ground. A $400 per month penalty will be charged against this deposit for each month work remains incomplete past the time limit of 90 days from the issuance of the Columbine Lake Country Club, Inc. Building Permit.