HomeMy WebLinkAbout3400. .r. •", -· . '
GARFll!LD COUNTY DEPARTM!NT OF DEVELOPMENT
BUILDING DIVISION
3rd Floor. Courthouse
1 00 Blh SlrHI
Glenwood Springs, Color11do 81601
(303) 945-8212
JobAddress _____ 0~0~6~'2"--'CJ==·ie::rry:.::,;c_.::lbur::::::"'-'t~,c__.::M~oun~t~a.u~·~1~S~had~aw'.:'..'.'.~s~,~l~•e~w:'....:ca~'~&~·t=l~e~"------------
NatureofWork Buihli.ng Pennit
Usaof Building __ Mo-"-bi=' "'le"-l-"'a=""'::....-----------------------'----------~
Owner _____ Cl::-ir"-l-'-' s"-ta'-'---"1::i•....::Sp=ad:::u=zz:::l-:..' --------------------------
Contractor ____ G-'l=-en=\..arl __ · ..::l-b=b=i=l:.:e=--------------------------------
Amount of Permit: $ --'3:..;0:;.;•:..;0:..;0,_ _______ _
White -Treas.
Canary ~ Office
Pink· Applicant
Gold· Duplicate
:Wis J. Butzen
Clerk
. -
GARFIELD COUNTY
APPLICATION FOR BUILDING PF.RMIT
PERMIT NUMBER J.J/:t11J
DATE ti/.£/ fr?'/ r r1 lJlease print or type
-----=~=-,'-7==.,.::..:=_:c__::_:;;:-;.-==;='--------~·-·---··----PLOT PLAN~---------
---ADDRESS
'!1AX SCH1::,'DULR #
LEGAL {SEC/Tw:J/RNG) ___________ _
NAME
~ ~ NA!1E
::i ~ 11.DDI~E:ss C.T'.1 1Y
-:i: ~ ~·~··-~---------~-~"/AME ___ ,4 la,,. IJwu/_ /J?u.£; I e
t; ADDRESS ---·-··-·---·--··---;:i CITY ' .... ----~-,~-----·-----------8 IP!IONE [1TCP.NSb' If
CLASS OF \IOPJ('------------
NEW ~---AL1'ERl!TlON ADT!ITION ------·---·
DEMOLISH RSPAlR MOVE
MOBILE 110/ii' (make/1"odel) M,;;r;Jt 19.loS.
S . P. OP BU 1 LDING ),, ~X.5:s::_ 'S • P. OP L01' ____ _
# OP FLOORS / !!RIGHT ,.,_,. /.~(,J'--------
# OF FAMIT.Y UNITS / f or IJEfROOMS __.J,...~--
TN1'E:NDED usE oF IJUILDINc Re ~/de.ltJ" e
GARAGP, SINGLE DIJL cARPiJR'I', STNGJ..,E: DBL ---
FIRE'PLACE: -======-----
DOCUMENTS ATTACHED
WATER SUPPLY ~--'"'""-'~~-'1-+----------
DRIVEWA Y PERMIT ·-7
SITE PTA/I -
BU.TLDlNG PLI!NS
SANI'l'ARY SEWl;'R CLJ::ARANC;E-C .u.., .,,.,,,.., ,''41
011 STTE SEWAGE DISPOSAL PERMI'I' -
OT/IPR TX!CUME'N'l'S (specify)
-------------~·~··-~-~~~--~-~------
l~OR OFFICE
VALUA1'ION -----------------
PERM.TT FPE' $ 3 0, .VO PLAN CHJ;"CK FEE $ -
TOTAL FEE $ -SCHOOL IMPAC'l' FEE .;! Al:fL.
DATE Pl':RMI2' T.%'UED ~ 1
ZONING DISTRICT {{_-/11/J':G.[JJ:Q. _______ .,_ b.
TYPE OF OCCUPANCY __ 1";__=-----------1;.__t\.4'-b \
TYI'E OF CONSTRUCTION __L:;(_'. D M I
s .F. OF BUlLDING z._1 . .:'x ,,-£!,:-5·:--;:-:----oF W'l'~---· . )
MAX. /IP TGllT"' / o I ROAD CLASS. .
SET.BACKS ViWM PROPERTY LINE: FRON'/' ~
REAR RIGHT LETT -----------------
OFF STREET PARKIWG SPACES REQUTRED -------
NO'I'E: .Show easement:s, property line dimensions,
a.l.l othor stz-uctut·es, s,oecify nortll, and street
nan1e. For odd sl1a1Jed lots, oi: 1.f space i.i;:;
too smaJ 'I,. provide serJarate plot pl~:in.
# .Qf' BUILDINGS NOW ON PARCEL __jy Q rt(,.. ____ _
USP. OF P,UTL,DINGS NOW ON PARCEL _______ _
l( 1 .( '> L-----' .)o
,il L"' ~o' ._,,,..
\Y
FRONT PROPERTY LINE
STREET NAHE/ROllD NUMBER
CHECK lF CORNER LOT
DE.9CRIP'l'TON OF r'10RK PMWNED
I he rel)y a.cknow.1 edgP-that I have rea.d this
iJ.pplic~-:it.ion and the f.J.bove is correct and I
agree to oomply with all county ordinances
regulating building oonst uction. .. ,
USE ONLY
FWOD HAZARD /f'l&iz tOiS
CPR'l'IFIED RJ,DG ETifATION·'-""--------------------------
SPECIAL COND.LTJONS --------------
. .
/fROBLEMS WT1'H PE'RMIT
---------··-----------------l!DDLTJONAL INFORMATION NEEDED ---------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER ------------------Sitt (1~ kc.J"-!k· "~a~.~ ·lL_
j,O'() '!"-.. ~ .. f.41 .....
PI,ANNING DEPARTMENT
) ..... -'
E 1,422,000
RIVER