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BIXILDING, SAN(TATOI end Kaman DEPARTM
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Job Address ie1d Avenin Carte
# t'of Work
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- Owner
CoOactor
Aria of Parfait: $
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tate
Card. and Nation Vetter
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103.95
Permit $63.O0
Pian $40.95 .
Date'
clerk
v � O BE FILLED ��OUT BY APPhICANT'
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type.
PERMIT NUMBER /c
DATE_ ii,L
A,Dtl ss 99 a>r J. f 4v
$tJBRIVTSZON
FIttING, # ..
PLOT PLAN,..
LOT #
TAJ,(, SCHEDULE #
LEGAL: (SEC/WWN/ANG)
BLOCK #
ce
NAME
MAILING $ DD.. E5S
CITY • .. f[
NAME
ADDRESS
0
Pa Roar 71-4-
ro PHONE 91.re,K�
CITY
NAME. fi.k.r/J•�'
ADDRESS,
-rr
PHONE LICENSE #
CLASS OF WORK
NEW x•ALTERATION ADDITION
DEMOLISH REPAIR' •MOVE
MOBILE HOME (make/modelYT .VT
OF BUILDING j32. S S.F. OF LOT '7iQ, 3.ictr
#. OF FLOORS /. HEIGHT
# OF: FAMILY UNITS ! # OF BE ROOMS 3
INTENDED USE SOF • BUILDING .°'y.ir:5Lr 441.. e
GARAGE: SINGLE:. DEL ,CARPORT; SINGLE DEL
FIREPLACE. .
pea NTS. ATTAGUED
..WATER.SUPPLY e. 6 5,4
DRIVEWAY PERMIT jt$ t7
SITE PLAN
BUILDING PLANS
SANITARY. SEWER CLEARANCE
ON SITE SWAGE DISPOSAL.PER MIT
OTHER DOCUMENTS. (Specify)
Al At -
Lilac
FO. OFFICE
VALUATION : l 2-0 9 d
PERMIT FE$ $ 4:3 •• v' •PLAN CHECK FEE $ r
TOTAL FEE $103k9C SCHOOL IMPACT FEE $
DATE PERMIT ISSUED
ZONING DISTRICT
TYPE OF OCCUPANCY ,Qr'.,
TYPE OF CONSTRUCTION , 1..'-'-'",/
S.F. OF BUILDING J 312. 5.F. OF LOT tO.34ra.c
114AX. HEIGHT �A,.r ROAD CLASS.' --7 /
SETBACKS FROM PROPERTY LING': FRONTf
�
R5A2 RIGHT ..LEFT ��ff
OFF STREET ?ARKING.SPACESREQUIRED' „,•
! LrING:,DEPARTMEN r. DAT
NOTE: Show easements,'prOperty•2ine dimensions,
.all other structures, specify north, and street
name. For odd shaped lots, or if space is
too small, providQ sep:Orate plot /an. .
#
OF BUILDINGS ,NOW:ON PARCEL n.r,
USE OF BUILDT 5...NOW ON PARCEL
leSJc• tamer
74Xe./eoc:i'si/;t� i-as
/ict en
rS q/elnq / 41oVECL a. %
15
[�? b eIp Lei c•e4 c4,74-11
M&nu: U gLf -- u BC Made
model fent, 3 z
3X4-8 03/1—n)
FRONT.PROYERTY LINE
STREET NAME/ROAD NUMBGR t aA-Pep lel /4-i/.
CRECIC SIF CORNER LOT,
DESCRIPTION OF WORKPLANNNED
,,
.Z'ntitraif elPrmb r.rvn)
I hereby acknowledge that.I have read this
application.and',the:ahove is correct and I
agree -to comply, with e22county ordinances
and state�j 44S—regulating buildln construction.
'/✓Pau •l u e+ti C/
SIGNA& RE
USE ONLY.
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL. CONDITIONS sa emL 8e69''
Wolfs
PRGIBLEALS; WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO,.REGrSTERED LAND SURVEY()
OR:.ENGINEER
APPROVED:
PLAN DATE DATE
ROSEWOOD MODULAR MODEL #4828-320 28x48-1312 SQ. F7.
3 BEDROOM -2 BATH
O.X. CAR
CL IBUETErni 121
N EI U I T NNW
NNNN NN•DOM aN±l
•-,Nr�►N1
IF
P' :II r•UNwhw.MMINEMIN
ASTER
BATH
BEDROOM 3
1 OPT -
I ENTERTAINMENT
111111111111111111
MASTER
BEDROOM
LIVING ROOM
BEDROOM 2
oft Viet
HOMEWOOD .MODULAR MODEL #5228-38-1
BEDROOM 3
1.11111111111
BEDROOM 2
10'-11"
1111111111
ege
j
DINING
ROOM
14'-0"
LIVING ROOM
21'-3"
BEDROOM 2
BASEMENT STAIRWELL
OPTION
28x52-1421 SQ. FT.
3 BEDROOM -2 BATH
144
DPT'/
FIREPLACE
WET BAR
OPTION
MASTER
BEDROOM
14c1"
"
BASEMENT STAIRWELL
OPTION
La"-
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BUILDING PERMIT
GARFIELD COUNTY,. COLORADO�
Date Issued Cif Zoned Area Permit No. L 1 1 -
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with
all laws and regulations related to the zoning, location; construction and erection of the
proposed structure for which this permit is granted, and further agrees that if the above
- said regulations are not fully complied with in the zoning, location, erection and
construction of the above described structure, the permit may then be revoked by notice
• from the Count Building In����pppp ctor and,IMnMED ATELY BECOME NULL AND VOID,
Use Ln S� vi �1 -ie Iii'' /L�
Address or Legal Description q q 'U_,tC;,. r 97 P tar 4 Car y,
[[ll � � �/� �� a
"fr
OwneCAX `'k�S � V .r-1-erContractor .•:
arse ' /
Setbacks Front Side Iv-,
s Side Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning -
Roof Covering
Footing
Foundation
.
Plumbing -Underground
Gas Piping -
Heating Ventilation
Frame
Plumbing -Rough
Insulation
Drywall
Final p azytyrs%
ALL. LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
Phone 945-8212
THIS PERMIT IS NOT TRANSFERABLE
109 8th Street,
APPROVED
Datta - I 5.Cil BY
County Courthouse, Glenwood Springs, Colo.
IF PLACED OUTSIDE =COVER WITH CLEAR PLASTIC