HomeMy WebLinkAboutApplication.pdfGARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
TO BE FILLED QUT BY APPLICANT
ADDRESS / W
SUBDIVISION
FILING # LOT # BLOCK t
TAX SCHEDULE #
APIA g
PLOT PLAN
LEGAL (SEC/T6W/ NG)
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MAILING ADDRESS AZ W /1--y . n- (z/}�j• + h' C/ g
CITY p 'IL q h r17 #� PHONE
NAME
ADDRESS
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CITY
a NAME - N
[ ADDRESS , T,sF !
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e PHONE Ay- 74LT LICENSE #
CLASS OF WORK
NEW ALTERATION
DEMOLISH REPAIR
MOBILE DOME (maks/model)
S.F. OF BUILDING
ADDITION ffR ,, „qy
MOVE J
S.F. OF LOT
# OF FLOORS • HEIGHT
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING pion
GARAGE: SINGLE DRL CARPORT: SINGLE DEL
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY , �ft.,+}
DRIVEWAY PERMIT �I
ST PE PLAN
BUILDING PLANS
SANITARY SEWER CLEARANCE AVA.
ON SITE SEWAGE DISPOSAL PERMIT /1/-4..
OTHER DOCUMENTS (specify)
NOTE: Show oascments, property line
dimensions,
all other structures, specify north, and street
nark. For odd shaped lots, or if space is
too small, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL
USE OF BUILD NCS NOW ON PARCE
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VFRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DES RIPPT 1OF w IWORK
LANNED
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I hereby aVknowledge that I have read thi
application and the above is correct and I
agree to comply with all county ordinances
and sate laws regulating building construction.
SIGNATURE
FOR
OFFICE USE ONLY
VALUATION 7 Eab. ao
PERMIT FEE $4:a001 r,fJ A PLAN CHECK FRE $ e„ ,
TOTAL FEE $ %(, r SCHOOL IMPACT FEE $ A --
DATE PERMIT ISSUED
ZONING DISTRICT
TYPE OF OCCUPANCY
TYPE OF CONSTRUCTION
S.F. OF BUILDING
MAX. HEIGHT
SETBACKS ?ROM
REAR
.5 0_411, S . F . OF LOT
/ ROAD CLASS.
PROPERTY LINE: FRONT e
RIGHT LEFT -7
OFF STREET
PARKING SPACES REQUIRED
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
APPROVED:
LDING DEPARTMEN
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APPROVED:
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iNSPEGifithl HILLitui 1 u
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Permit No.-,.-.!'-
31 .... ............
Date Issued 1143. q•- Zoned Arca.,.....- ----
AGREEiYl.ENT agrees to comply with
In consideration of the issuance of this permit, the applicant hereby
all laws and regulations related to themi#nsnr}anted, andcfu then ogre yon nthaterection
f attic above proposed structure fair which this per g � location, erection
said regulations are not fully complied with in the zoning,
construction of the above described IMMEDIATELY BECOME NULL AND VOIDtructure, the permit may then be revoked by ,
from t e Count/ B ilding inspector and
Use a a.
Address or Legsl Description
Setbacks
Front Side
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
rr - LnsutauUsi ii s, . - -
Frame J/= ' g / - - `/ Drywall ll - 9 l r
Plumbing -Rough
Electric -Rough
(by STATE inspector)
RE COVERING —
ALL WHETLTEDI ER INTEITER OR OMS AR EXTERIOR, UN RG ROUND OR A OT BE INSPECTED AND APPROVED Q E GROUND.
THIS PERMIT IS NOT TRANSFERABLE Glenwood springs, Colo.
Phone 945-8212 109 Stir Street,
County Courthouse,
APPROVED DO NOT DESTROY THIS CARD
Date - gy
IF PLACED OLITSII)E - COVER WITH CLEAR PLASTIC