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 C
(For Detached Garage or Addition to Original Structure)
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 INPORTANT 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
IMPORTANT: All measurements must agree with your drawings, plans, etc.
1. Setbacks:
Front _____________ (Minimum of 30 ft. from any structure, overhang, deck, step, etc. to front lot line).
Rear______________(Minimum of 25 Ft. from any structure, overhang, deck, step, etc. to rear lot line, unless property abuts a body of water, in which case a minimum of 30 ft. from any stream or lake is required.)
Side ______________(Minimum of 10 ft. from any structure, overhang, deck, step, etc. to side lot line.)
Side ______________(Minimum of 10 ft. from any structure, overhang, deck, step, etc. to side lot line.)
2. Square footage of proposed construction: ______________________________________________
3. Height of Addition, measured from highest original grade next to foundation (See note 3).
Height__________________________________ (Maximum 26 feet)
Is this point at front, rear, or side of the house? ________________
4. Exterior (Attach color samples for each)
A. Siding: Type ____________________________ Color ______________________________
B. Trim Color, including window trim & doors: _______________________________________
C. Window and Door color: (White is Not Allowed)
D. Exterior lighting (motion sensor required for ingress/egress):
Type ___________________________ Wattage ___________________ (Cannot exceed 75W)
5. Roof
Material___________________________ Color ______________________________ (Attach Color Sample)
6. Foundation (See notes 1,2, & 3)
Material _________________________________________________________________________
Finish Material ___________________________ Color _______________ (Attach Color Sample)
Basement? Yes __________ No ________________
Exposed foundation height, from original grade (See Note 3):
Front ________________________ Back__________________________
7. Items 7a through 7e MUST be submitted with this properly signed form:
a. GRADE MODIFICATION PLAN - showing height of any fill, or depth of any excavation, including the footing and foundation holes, with scale measurements.
b. FINAL LANDSCAPING PLAN - plan must include off-street parking for at least 3 automobiles &/or trucks with a minimum size requirement of 10' x 20' for each parking space; culverts will be make of corrugated steel and be no less than 12" in diameter (if need is determined by the Committee); any other drainage needed; a grading and re-vegetation plan. Plan is to be submitted as a sketch, using a written description for clarification.
c. DEPOSITS & FEES (See Notes 8a & 8b)
d. COMPLETE SET OF BUILDING PLANS (blueprints)
- Show all elevations and grade lines.
- Indicate actual, original grade line in red on front, rear, and side elevations.
e. PLOT PLAN:
- Show building orientation on the lot, with distances from ALL property lines to the closest edge of any portion of the structure, including eaves, decks, steps, drip lines, etc.
- Show eave projection, using dotted line.
- Show location of ALL utility lines: gas, electric, water, sewer. Utilities on all new construction must be installed underground.
- The location of all exterior lighting must be indicated in red on all elevation diagrams. No more than 2 light bulbs per fixture, no more than 6 light bulbs per building, and no more than 3 light bulbs per facing will be allowed for exterior lighting
- Show location of off-street parking (space for at least 3 vehicles/trucks with 10' x 20 ' for each space).
- Show area on lot to which snow will be pushed from the driveway/parking area (cannot be pushed into road).
- Landscaping &/or re-vegetating plan may be shown on plot plan.
8. 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.
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: A reference elevation marker must be established, verified by the Columbine Lake Country Club Manager, and maintained during excavation and foundation construction. Footing elevation MUST be verified by Columbine Lake Country Club Manager, before pouring concrete. Before a footing inspection is requested, string lines must be in place along all lot lines (From pin to pin) and marking the perimeter of the structure at the drip line on all sides (including eaves, decks, steps and any other overhangs).
Note 2: Any foundation wall or concrete footer that has one (1) foot or more of exposed surface must be finished with siding, paint, or natural rock, to blend with the building colors.
Note 3: Original grade is the level of the ground before any dirt has been moved or fill has been added.
Note 4: The owner or contractor is responsible for notifying Columbine Lake Country Club, Inc. for inspection requests. At least one working day advance notice may be required prior to performing inspection.
Note 5: Community trash compactor is for household trash only, not for construction trash. Not burning of construction trash is permitted. Deposit to be forfeited if regulations are violated.
Note 6: The liability of the property owner or contractor shall not be limited by the prepaid deposit, if actual road repairs exceed the deposit amount.
Note 7: Only water, sewer, telephone, gas, and electric utility companies have easements in Columbine Lake roads and right-of-ways, for the utility lines. No privately owned line shall be installed in, under, or overhead above any Columbine Lake Road or right-of-way.
Note 8: Building Deposits and Fees.
a. Additions less than 100 total square feet: $50.00
Additions more than 100 total square feet/detached garages: $250.00
b. $1500.00 Landscaping, Grading, Trash Removal Deposit:
Final approval from the Architectural Review Committee and approval from Grand County are required for refund of this deposit. Final inspections will not be made while snow is on the ground. In addition to any other remedy available to Columbine Lake Country Club, Inc., a $400 per month penalty will be charges against this deposit for each month work remains incomplete as follows: within 6 months of the issuance of the Columbine Lake Building Permit, the structure's exterior including foundation, walls, siding, roof, roofing material (shingles, metal, etc.), decks, all exterior doors and windows including garage doors, backfilling, initial grading, and trash cleanup as necessary must have been completed. The entire project must be completed within 12 months of the CLCC building permit's issuance.