HomeMy WebLinkAbout3852,
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Nature of Work
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GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
Bqilding Pepnit
109 8th Street Suite 303
Glenwood Sprfngo, Colorado 81801
(303) 945-8212
Use of Building _Jlpg~LlC:~"'!:!r~a~gi"e"-----------------------------------
J:irn nlilX Sorrell Owner
56,50
37.70
White -Treas.
Canary 'Office
Pink -Applicant
Gold -·Duplicate
Permit
Plan
Date:
E. Haring
Clerk
..
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
TO BE FILLED OUT BY APPLICANT
TAX SCHEDULE #
. --------------LEGAL (SEC/TWN/RNG)
el NAME So
~ 1
MAILING ADDRESS
cITY Ale i• 1 ~Hb PHONE
~ NAME C lo .... i-£. c 0 11.+-· a g ADDRESS o'4s·o /U,µ...3 CITY 2. Flt.. ~"'
"' NAME o ..... c .i..s ~ ADDRESS "f:,""a /ZJt. . ~'2..L3
~ CITY g,qf c. ,,
PHONE LICENSE # u
CLASS OF WOP.K
NEW ~ ALTERATION ADDITION
DEMOLISfi' ____ REPAIR ========MOVE
MOBILE HOME (make/1'10del)
S.F. OF BUILDING b74' S.F. OF LOT-----
# OF FLOORS HEIGHT --------# OF FAMILY UNITS # OF BEDROOMS --------INTENDED USE OF BUILDING
GARAGE: SINGLE_ DBL-i{'_ CARPORT: SINGLE DBL
FIREPLACE
------------------~
DOCUMENTS ATTACHED
WATER SUPPLY
-----------------~ DRIVEWAY PERMIT
---------------~ SITE PLAN
------------------~
BUILDING PLANS ----------------~ SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT ---------0 THE R DOCUMENTS (specify)
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures1 specify north, and street
name. For odd shaped lots, or if space is
too small, provide separate plot plan .
# OF BUILDINGS NOW ON PARCEL
NOW ON PARCEL --------
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_ ........... , .... ,:..:: ....... :: ... : .... ::.~·: .
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER Oz.<f:i-eel 3 .3 S-
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED 201 ~ f:.
I hereby acknowledge that I have read this
application and the above is correct and I
to comply with all county ordinances
laws regulating building construction.
"{(, FOR OFFICE USE ONLY
VALUATION 's7"' 0, 0 0 FLOOD HAZARD P/i:RMIT F/i:E $ ?fti~~O PLAN CHECK FEE $ 3 7, 7 0 CERTIFIED /3LDG_E_LE_V_A_T_I_O_N __________ _
TOTAL FEE $qif; 2...£> SCHOOL IMPACT FEE $ A/!E SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT .-"11"---,~~...,_-f~~"r-.£:>=--------~ PROBLEMS WITH PERMIT ---'----------~
1'YPE OF OCCUPANCY __ . __ 1.,.~--·--'2.,...._ _______ _
TYPE OF CONSTRUCTION V~~ ADDITIONAL INFORMATION NEEDED --------
S. F. OF BUILDING $"7~ S.F. OF WT ~ tl[l". ±-
MAX. HEIGHT _.-/ z_ ROAD CLASS ... ..c--CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT k OR ENGINEER
REAR RIGHT LEFT -----OFF STREET PARKING SPACES REQUIRED -------
APPROVED:
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INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Oate l8'uedJ~/tt_/f'l .. Zoned Area.. . ....................... Permit No . ..J'£L.2./ ..... _.
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 hy notice
from tqe Countv Buildin I!J§Pector and IMMEDIATELY BECOME NULL AND YOlD,
Use ~.;(../)~~~~~!fJ!2!!~=-~~~~~~~~~""'"~~~~-:---:,-,.~~c-c::=-
A.ddress or Legal Description · ~ m'/r'
owner W/!2 ~eelTJ.I,.,, Contractor lf'iaK (J,l(,)11+/'~
Setbacks Front Side Side Rear
This Card Must Be Posted &> It Ia Plainly Visible From the Street Until Final Inapection.
INSPECTION RECORD
Zoning Roof Covering
Electric-Final (by ST ATE inspector)
11~ooting ;(/,.
Foundation ~/.J. -//-;l "lf-'19
Plumbing-!) nderground
Gas Piping Heating Y entilation
Frame 1-11-'i'o ~ Insul:Hion
Plumbing-Rough Drywall
Electric-Rough
(by STATE inspector) Final /-//-9"J ,--1 '• ,··Ct..77..~
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING ·-
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND 011. ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 I 0 9 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DONOTDESTROYTHJSCARD
,' Date It.. I J, 111sv m Blfiltl Bf'Jtt Iii
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