HomeMy WebLinkAbout3274P.
.0 r QMFIELO COUNTY DEPARTMENT OF DEVELOPMENT
G1NLtlIN6 tlIV181tlN
3rd Floor, Courthouse
100 lith Sasd
Gmffwo4WSpria ,Colorado 01601
. (3031945-8212
AT*4l)tofpermit: $ 1=00 Date:
Whh9-Tio a.
Ca*wy -Ott1ae
Pink-App"nt
Gold - Duplicat9
lois J. HutzenY
Clerk
-f
BE FILLED OUT BY
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
r�rryry FILING # LOT �_ BLOCK #
a TAX SCHEDULE #
LEGAL (SEC/TWN/RNG)
p„ NAME
pMAILING ADDRESS fol4g_
CITY L • -ris n o �'n 1 �3 PIfONE(� 03 wl'19-e�i7 S•
a
CITY
aG NAME
ADDRESS
CITY
PHONE LICENSE #
CLASS OF WORK
NEW ALTERATION ADDITION
DEMOLISH REPAIR MOVE _
MOBILE HOME (make/model)
S.F. OF BUILDING S.F. OF LOT toQQ .
# OF FLOORS HEIGHT
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING
GARAGE: SINGLE DBL✓ CARPORT: SINGLE_ DSL
FIREPLACE
WATER SUPPLY _ �j�/' / j}
DRIVEWAY PERMIT
SITE PLAN ✓
BUILDING PLANS V
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PER I
91 A * (; tFl (74,6,09#
VALUATIONff
PERMIT FEE $ PLAN CHECKFEE $ W
TOTAL FEE $ �"���. SCHOOL IM ACT FEE $
DATE PERMIT ISSUED
ZONING DISTRICT
TYPE OF OCCUPANCY
TYPE OF CONSTRUCTION
S.F. OF BUILDING S.F. OF LOT
MAX. HEIGHT 4L ROAD CLASS._
SETBACKS FROM PROPERTY LINE:
SFRONT ��
REAR RIGHT ,
n — LEFT .0 .l.
OFF SIRE NG SPACES REWIREDa.
��-7
PERMIT NUMBER 2a
DATE ZL-'19L ^
NOTE: Shaw 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 1
USE OF BUILDINGS NOW ON PARCEL W C.
G"',
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
an state law regulating building construction.
�
SIGNATURE
FLOOD HAZARD
C R�TIFZED BLDG ELEVATION
jCONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ,ENGINEER
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE !OB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, ACOLORADO
�%/QlDate Issued2onedArea.R/m------
EE NT
./r�.
......
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 County Building Inspector and IMMEDIATELY BECOME NULL, AND VOID,
Use .. a • .l
Address or Legal Description
t
Owner Contractor
Setbacks Front /&V ,4 Side 50,'f' Side 546 I4 Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection
THIS PERMIT Is NOT TRANSFERABLE
Phone 945-8212 1.00 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DO NOT DESTROY THIS CARD
Date "� dal By