HomeMy WebLinkAbout3311•
......... _,~ ...
/:· .. ··'"'
GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
BUILDINQ DIVISION
3rd Floor, Courthoute
1 UO 8th Strffl
Glenwood Sp~ngo, Colorado 81601
(303) 945-8212
I
JobAddress------~5~·1~3~1~5~1:tWJ':::J..~b~-~&~2~4~,~G~l~ei~lw:xxi~~----------------...;....-~
Nature of Work n.11i Jding Pennit
Use of Building ______ .. Add=,.i.,t.,i,,on"'-'--'to""'-_7L-~l .. l.i.....:C"'J"'m.,.v....,.<>n...,Macnu..c:<e'--i:Sl1't:i.onrC<f>"-------------------
Owner --------~Sou.,,,,,~tJ~·~lJ.~and,,,._.,"-!(~b~ron...,,nr~a~t-iot.ur1L__ ______ ~----------------
contractor ---------"'Independ~·='.';';'_~-·~enowt~" _!fuCJ,!!>Ji@e'....'Co,&>__,_, L' _..i,IjJ!l,f,;C~.-----------------------
Amount of Perm it: $
White~ Treas.
Canary -Office
Pink· Applicant
Gold -Duplicate
212. 00 Date: SeptWibw" 29, 1YB6
Toi s ,J. Butzen
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER ..33 I I
pl.ease print or type DATE ~/cJI-r,196
TO BE FILLED OUT BY
SUBDIVISION
------,,----·-----~--
FIL ING # LOT # ----BI,OCK #
'!'AX SCHEDULE ii
LEGAL (SEC/TWN/!iNG) ---
NAME.s:bv7,/ /.t1• ~ ft l(i<!_,
MAI&TNG ADDRESSVC $£ All?tv W& I/ p ,
CITY c::ffL" «•ot1ef c.o..t.. PHONE=~=====
NAME $'a"Z?, 1-c .t.I f.; ll. p
ADDRESS 5 14 .. <' CITY ------
NAME tiCJ</'~., T e <J~-(?-.. /µc
ADDREss!&'i; i R j_ .,.,,i;
CI7'Y 0d.tf'4l J'rJ::.__ .~f~D~,(~z,~-~f~/_-1$~<>_,_/_
JPHONE 02¥.;2 !f.y_iH J,ICENSE #
CLASS OF WORK
NEW ____ ALTERATION ~'><'~---ADDITIONX __ _
DEMO DISH REPAIR MOVE
MOBILE HOME (make/model) ~('/'~-.l\_~~-------
S .F. OF BUII,DING S .I'. OF LOT -----# OF FL,OORS llEICHT --------# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING ------------GAR AGE: SING Lio' DBL CARPOR2': SINGLE DBL
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY W:. C';c/<AWJ. W'-<itr f/i (<; r, -
DRIVEWAY PERMIT _ _,A'--"',__/_~---'o,..--·---------
SITE PLAN --.--J.:~e'--"e._,.~.,,,._.._t;;._.,.....,.~----------
BUILDING PLANS ...-/
SANITARY SEWER CLEA.'.:'RA,_..N-C.,...E--7--::.,,.-w=->.~c.-;;r.,--' fu-r----;;; .... 2..,~'"""'.s""--.
ON SITE SEWAGE DISPOSAL PERMIT __,,_A.,_L_·.__IJ~-----
OTHER DOCUMENTS (specify)
PLOT PLAN
NOTE: Show easements, property 1.ine dimensions,
all other structures, specify north, and street
name. For odri shape cl .lots" or .. if space is
too sma.11, provide separate plot plan.
# OF BUIT.IJINGS NOW ON PARCE[, _ _.<'J;L.<rk""-'e_"'-----
USE OF BUlLDINGS NOW ON PARCEL ----~~--
C.,, ~ -7-/f c;;.,.,,..,.,/('11""'-3'6'1----~~ .
FRONT PROPERTY LINE
STREET NAHE/ROAD NUMBER _,t:..._,.L....._._;l"""-~<?(.__ ____ _
CHECK IF CORNER LOT
DESCRIP'f'ION OF WORK PLANNED tlfe e.J tfAS',.it,,.._.,_
Ztfwt<-£ +--fe1M f I :JA AN.I
I heroby acknow]edge that I have read this
applicat.ion ,>nd the above is correct and I
comply with all county ordinances
e laws regu i g building construction.
FOR OFFICE USE ONLY
FLOOD HAZARD ----------------
CERTIFIED BLDG ELEVATION ----------
SPECIAL CONDITIONS -------------
PROB[,EMS f'TTTH PERMIT ------------
ADDITIONAL INFORMATION NEEDED ~tf/"":~:,.4-.__ ____ _
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER