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HomeMy WebLinkAboutApplication- PermitJob Address Nature of Work Use of Building Owner GARFIELD COUNTY BUILDING, SANITATION and PLANNING DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 (303) 945.8212 1154 Westbank Road, —Glenwood Springs 04503 Building Permit Addition Kirk Carlson Contractor Ken Go Iden Amount of Permit: $ White:-.Treas. Canary - Office' Pink•- Applicant Gold - Duplicate 817.58 Permit $495.50 Plan $ 322.0" Date- June 19, 1992 R. Bennett Clerk GARFIELD COUNTY APPLICATION FOR BUILDING PERMIT TO BE FILLED OLTT BY APPLICANT please print or type PERMIT NUMBER , 03 DATE - (5- — 2— TO- PLOT PLAN --ADDRESS /1 5--g W 5T 134,p /1r)) SUBDIVISION W �5 Y B wn . FILING # / LOT # /0 BLOCK # 1 o W ▪ TAX SCHEDULE # !LEGAL (SEC/TW'v/RNG) [=7 NAMEAX SCHED G ip J / S c . rA k!I i MAILING ADDRESS I� s•41 1�f $ B%( �D CITY G /,c'i Q a 4 PHONE qkJ • g 7 y/ NAME o z ADDRESS ¢ w Rfh eARI . CITY CONTRACTOR NAME ADDRESS CITY 5» m -c- PHONE LICENSE # CLASS OF WORK NEW ALTERATION ADDITION DEMOLISH REPAIR _MOVE MOBILE HOME (make/model) S.F. Or BUILDING S.F. OF LOT # OF FLOORS I HEIGHT # OF FAMILY UNITS . INTENDED USE OF BUILDING # OF BEDROOMS Q?i R60714 GARAGE: SINGLE DBL CARPORT: SINGLE DBL FIREPLACE DOCUME TS ATTACHED 44444711')I sst WATER SUPPLY DRIVEWAY PERMIT SITE PLAN I— BUILDING PLANS SANITARY SEWER CLEARANCE /VPr ON SITE SEWAGE DISPOSAL PERMIT r,x.?It... ►q OTHER DOCUMENTS (specify) T ?f/ S` 7 �S7_ov /6`. • ./4/ J 04lk,17.7.2',/ 0 OFFICE VALUATION S e-[7 003. o a PERMIT FEE $' 6 c. dPLAN CHECK FEE $ 3 2_7, , U TOTAL FEE $ g/ s-5 SCHOOL IMPACT FEE $ 4. DATE PERMIT ISSUED ZONING DISTRICT NOTE: Show easements, property line dimensions, all other structures, specify north, and street name. For odd shaped lots, or if space is too.smalI, provide separate plot plan. # OF BUILDINGS NOW ON PARCEL ®.7 e fec to!PI . USE OF BUILDINGS NOW ON PARCEL le 4 07/1001e aWYl AtSSoc L Ic-S Apr. roki 2c1 Nti P .-f FRONT PROPERTY LINE STREET NAME/ROAD NUMBER CHECK IF CORNER LOT DESCRIPTION OF WORK PLANNED G X31 —,2 D „' 4 I hereby acknowledge that I have read this application and the above is correct and I agree to comply with all county ordinances and staws re ulati build % g construction. SIGNATURE USE ONLY TYPE OF OCCUPANCY TYPE OF CONSTRUCTION V- /\J S.F. OF BUILDINGf S.F. OF LOT MAX . WEIGHT 2 8(.g b4�¢ e de ROAD CLASS. SETBACKS FROM PROPERTY LINE: FRONT REAR RIGHT LEFT li OFF STREET PARKING SPACES REQUIRED 4 FLOOD HAZARD CERTIFIED BLDG ET,FVATION SPECIAL CONDITIONS PROBLEMS WITH PERMIT ADDITIONAL INFORMATION NEEDED CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR OR ENGINEER APPROVED PLANNING DEP Z T N DATE 1 k/R / • 2-- ra- .) — 7/a -f 3j f, 4 L/4/ez-777 """"="7-1•""2.. z a 17 ' 46. 4. c2 -O 4.4C,0,D 0 .19 e 710-- A -0-1/2k 4.7 to c I 4J U 0 b U 4 thl 70 0a 0 0 U U firI = Li 0 0 00 •c (1::::, t u M Qy A g oopQ c4-4 ci) °U Z4 ii" etz 15 •,_: Cal 0 Qom, U bb , •E . g T � 3 a T'4 O U 4i U 0 i 4-d t .° i tj c0 UG, Cn Ell to o - n O ° ren p � +; eg•. 11.4 Q a w v) *g' ' 0 4.0 ga .:� u a U N g a, M an Z 1 -0 a N Addition Use Classification Type of Construction WI GM U Cl? el el • - b 'D O 0 0 0 Co. 4•+ 0 0 L 0 0 m a� u 0 !IS 0 0 rm 0 C I. LZ' -44 Telo y V �i 0 G � CO L ta eel O CIS 4-1cej a o 0 � n corri et 44 UPI Mi ag E al ;C 0 ppprr��" V Cfm Q e� o o as QCcis C © u. Cd `■ 0 a4 s 0 0