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GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 309
Glenwood Springs, Colorado 81601
303) 9454212
Job Address 1555 No Name Lane Glenwood Spgs
Nature of Work Building Permit
Use of Building Professional Construction, Inc. LeRoy Spaulding) Found. Garage/Addition to
Joe Scott Ilonse of bethroan & exercise
Owner 1-w1,1.•
Contractor i.•
Amount of Permit: $ 318.45 Date: A /2f1/119
5 E. Haring
Clerk
White- Treas.
Canary - Office
Pink -Applicant
Gold - Duplicate
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER J77
please print or type DATE _JPi
TO BE FILLED OUT BY APPLICANT PLOT PLAN
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ADDRESS X37 4,4 4,144n,r 1.404,NOTE: Show easements, property line dimensions,
SUBDIVISION r,,,,,1 all other structures, specify north, and street
FILING #LOT #BLOCK #name. For odd shaped lots, or if space is
TAX SCHEDULE #too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG1$OF BUILDINGS NOW ON PARCEL
ranrn.w- - -' ,USE OF BUILDINGS NOW ON PARCEL
w NAME T e Sin f /"
MAILING ADDRE /s 4`5-j,„.n
CITY PHONE 9V55 0c .
x NAME i
I ADDRESS J CITY ft
m NAME L' Rsy t
66 ADDRESS 3 /6yz RI-4 t4arradje it c1u 01
CITY 0.4 Sr v /., ph o Z.0.7/ b.S. PHONE 9VK, -,2v8A LICENSE # rI. , A. C - -fl J
CLASS OF WORK A J s Y o 4 u $e
NEW f ALTERATION ADDITION
DEMOLISH REPAIR MOVE
G S :).- 1- n p 01-1 dwt,. C
MOBILE HOME (make /model)b
S.F. OF BUILDING f(/ S.F. OF LOT ex e-0-4:1 - 5 EL f .
OF FLOORS 7&ia HEIGHT 2 O
OF FAMILY UNITS OF BEDROOMS
INTENDED USE OF BUILDING
GARAGE: SINGLE_ DBL]CARPORT: SINGLE_ DBL FRONT PROPERTY LINEFIREPLACE
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER
WATER SUPPLY 14¢CHECK IF CORNER LOT _
DRIVEWAY PERMIT A//{DESCRIPTION OF WORK PLANNED 6,f,• /J,t Mao .
SITE PLAN -y'e@tgrlr eJ as e A-' P,0,,- getBUILDINGPLANS /r fir 4 le /- eV
f
ea- jr get
SANITARY SEWER CLEARANCE f/A 1 here1g acknowledge that I' read this
ON SITE SEWAGE DISPOSAL PERMIT Am application and the above is correct and I
OTHER DOCUMENTS (specify) T i--agree to comply with all county ordinances
n e Ce/7 r•rt.and state law. regulating building construction.
SIGAC'.RE
r
71 FOR OFFICE USE ONLY
VALL?ATTON 9c p 0 FLOOD HAZARD
PERMIT FEE $/5?4,e4 P CHECK FEE $CERTIFIED BLDG ELEVATION
TOTAI, FEE 9 JGl -SSCHOOL IMPACT FEE $ VA SPECIAL CONDITIONS
DATE PERMIT ISSUED _
ZONING DISTRICT 11VIe p PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY e -- 3 k- Al
TYPE OF CONSTRUCTION AJ A INFORMATION NEEDED
S.F. OF BUILDING fl ', .F. OF LOTAPYinlr, . r•.'
MAX. HEIGHT ate )gp ROAD CLASS. .r-CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT 1 it OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
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APPROVED:L3 APPROVED:
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