HomeMy WebLinkAboutApplication- PermitJob Address
Nature of Work
Use of Building
Owner
R}"yyt� 04{�`!'
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GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
0!131 ;::taranc' Road, Van Rancl industrial Lark, Glenwood Springs
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Addit ou
Dodson Engineered Products, Inc.
Contractor 'Wade tiio1111Yrinl�
Amount of Permit: $ 178' 2°
remit: 1M.00
Plan. 70.20
White-Treas.
Canary - Office
Pink -Applicant
Gold - Duplicate
Date February 1, 1993
S . Archuleta
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
Assessor's Parcel # 23n3 O(3
please printt
TO BE FILLED OUT BY APPLICANT
ADDRESS) 0033 MMMJb 'RQfip
ter : 1-51-05 VAN itAtOb IkrP0)S7? A L ?AAA.
2S
FILING # LOT # BLOCK #
TAx SCHEDULE #
0
x �
2
w
LEGAL (SEC/TWN/RNG)
'7(I'DSDNE�A1r1r��h Mali) In/
I + G
MAILING ADDRESS Q , aD�( pZ��
CITY GLExWero 1 se iraDir a F l4tS 233
!WINE STII L -P L 'O $'O
ADDRESS 75 4"1L CITY 514‹.....
PERMIT NUMBER 140c2-...'
or type DATE p(- / -93
PLOT PLAN
NAME Wade_ W 4f7/Ari nrk "Bui ldi nv l►J449ra l
ADDRESS s12 /(J'
CITY 1/6NWbDC/
o SHONE 9-a 6 9 S[ LICENSE #
NEW
CLASS OF WORK
DEMOLISH
ALTERATION .ADDITION '>K
REPAIR MOVE
MOBILE HOME (make/model)
S.F.
,# OF
# OF
OF BUILDING / ;2„. S.F. OF LOT
FLOORS .bNM,
FAMILY UNITS
INTENDED USE OF BUILDING
HEIGHT %ar
# OF BEDROOMS
17,mW!-L7L7/v!
GARAGE: SINGLE DBL CARPORT: SINGLE DBL
FIREPLACE — —
DOCUMENTS ATTACHED
WATER SUPPLY lfcrt'1 Rand Cc m4 r►-} . �.•
DRIVEWAY PERMIT ZE--;k-1 *A--21
SITE PLAN
BUILDING PLANS X
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT
OTHER DOCUMENTS (specify)
C.o41,4 .
6-7
!:7I
FOR OFFICE
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or if space is
too small, provide separate plot plan.
OF BUILDINGS NOW ON PARCEL 3
USE OF BUILDINGS NOW ON PARCEL
CD s
,� '- e,
r e5 S�� t re' 2 s
7475`1 ch e
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED
�¢ ctec6 +74r 6
74 E K L s �t i 1
I hereby acknowledge that I have read this
ar3plication and the above is correct and I
agree to comply with all county ordinances
and state laws regulating building construction
SIGNATURE
USE ONLY
VALUATION
PERMIT FEE $ ng. cn o PLAN CHECK FEE $ 7Q - r�
TOTAL FEE $/77/ SCHOOL IMPACT FEE $44014 -
DATE PERMIT ISSUED
ZONING DISTRICT
TYPE OF OCCUPANCY
TYPE OF CONSTRUCTIO
S.F. OF BUILDING 4 J 5 / 7 -S . F . OF LOT -14-7,7;',,
MAX. HEIGHT --ti- /o ROAD CLASS.
SETBACKS FROM PROPERTY LINE: FRONT,yal.,
REAR RIGHT LEFT
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
APPROVp:-
ILDING DEPARTMEAT
ATE
A TE
APPROVED:
'al 1-z8-qs
PLANNING DEPARTMENT DATE
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