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GARFIELD COUNTY
BUILDING, SANITATION ond PLANNING DEPARTMENT
109 8th Blreet Suite 303
Glenwood Springs, Colorado 81601
(303) 845-8212
04138
JobAddress ______ 1~1~0~1"-----'C~·~R~· .,__1~0~7'--------'C~a~r~b~o~n~d~a21£e:c_ ________________ _
Nature of Work J>uildincr r.,rmit
Use of Building ------"F--'o"'u"'"'ll"a"'t"'·j"'_o"'1'"1-f,,_·o~r;__,,SL/!:F __________________________ _
Owner ________ M_i_c_l~u1~e"·l::___:P_i=-n="='s=·---=&---=-J=o=l=i---=S£p=r=i=n~g~.e=r=-----------------------
Contractor --------'o'-'w'-'rl,,e°'r'-------------------------------------
Amount of Permit: $ __ _.::2~5.::'li.:•.::t,~s _____ _
:P~:rtuit .$ 153. 00 .
White -Treas.
Canary • Office
Pl ilk -Applicant
Gold -Duplicate
. Plan $ 99. 45
Date: -=D=e=c=e~='=be==r----"-1~3,__~19~'~90""--~--------~--'--
Cieri<
' .. GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NlMBER # ~3 ~
please print or type DATE I d -I=~~()
TO BE FILLED OUT BY APPLICANT
---111DDRESS //¢/ C"~"'"lf'.,Gno /<>/
SUBDIVISION bf,,;,/ Sf,._ l!}Of!K 1
FILING # LOT # BLOCK/i
TAX SCHEDULE # 7' 7 :i_, g_ $ 5 "\/
LEGAL (SEC/TWN/RNG) /U1Vtu11Wf<S&f $.cc 2... /
NAME
ADDRESS
CITY -------------------PH 0 NE LICENSE # ------
CLASS OF WOPJ<
NEW X; ALTERATION ----ADDITION ----
DEMOLISH ----REPAIR MOVE
MOBILE HOME (make/model) ~tv-~A-=~--------s .F. OF BUILDING· ~·o;> S .F. OF LOT /CJ g_ C,
# OF FLOORS .Z-1-fO;;;_~,if HEIGHT -------.---
# OF FAMILY UNITS I # OF BEDRrJCJMS A--
INTENDED USE OF BUILDING Re .c rlcLlkt (_-_,_---
GARAGE: SINGLE DBL!!S._ CARPORT: SINGLE DBL
~ 'L <'Z"\ - -FIREPLACE ...... 'Ylq:n {(' U/h rs ~ ) ,,.
DOCUW:L.ATTACllED
DRIVEWAY PERMIT ,,.--~--------------SITE PLAN !.----=------------------BUILDING PLANS
SANITARY SEWER CLEARANCE !./A --Ii
ON SITE SEWAGE DISPOSAL PERMIT .J';'.1 c {<.;;,.£(
OTHER DOCUMENTS (specify)
J
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or if space is
too smal.I, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL ~ ---------
USE OF BUILDINGS NOW ON PARCEL --~~-~--
f
STREET NAJIE/ROAD NUMBER
CHECK IF CORNER LOT
DF:SCRIPTION OF WORK PLANNED NAJ ~ b /l'g'j
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comp1y with all county ordinances
and ,tate 1 ws ulating building construction.
FOR OFFICE USE ONLY
VALUATION 7.$ 2. , "'v FLOOD HAZARD
PERMIT FEE $/$""J, ~ opLJrN CHECK FEE $ 9 9', f~-CERTIFIED BLD_G_E_LE_V_A_T_I_O_N _________ _
TOTAL FEE $:Z£7rflSCHOOL INPACT FEE $ 2-oO· D-0 SPF.CIAL CONDITIONS -------~-----DATE PERMIT ISSUED
ZONING DISTRICT ---A.....,....Z"'"~"'"/-+£,,.-.D.,.--------PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY ~ 3 ------------
TYPE OF CONSTRUCTION V-N ADDITIONAL INFORMATION NFIEDFID
S.F. OF BUILDING Al,4-S.F. OF LOT -:::/;::/t/gc,
MAX. HEIGHT /fbf JdeJ-1>1}/z;/ ROAD CLASS • ..--.A CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LIN"l: FRONTJfi&, toefk OR ENGINEFIR
REAR RIGHT LEFT -----· OFF STREET PARKING SPACES REQUIRED --~-----
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PLOT PLAN AND DESIGN FEATURES:
Include by measured distance location of wells, springs, potable water supply,
lines, cisterns, buildings, property lines, subsoil drains, lake, water course,
stream, dry gulch and show location of proposed system by direction and distance
from dwelling or other fixed reference object, and additional submissions in
support of this application such as data, plans, specifications, statements and
connni tmen ts.
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Page 4
' '
INSPECTION Will NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date hsued l.d.~J3:'.".'i6zoned A<ea ......... --·· ____ ·········-·----·-·Permit No. t/.J3[. _______________ _
AGREEMENT
In consideration of the issuance of this permit, the applicant herehy agrees to comply with
all laws and re~ulations 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 descrihed structure, the permit may then be revoked by notice
from e CountyBu'ldin Inspector and MiVlf:lll ··~: ,Y BECOME NULL AND VOfO,
Use LA -
Address or Lego:! JJeseription -W'-C::.....1-....,..._.,.!1<-1'-'-'=•:..._..1..."""'-'-----"'-""""-"'""'--l-'liO... .. Own<f~-1~, 21 M± ¥ti',«ftor
Setbacks Front Side Side Rear
Thi• Card Must Be Posted So It Is Plainly Visible F'rom the Street Until F'inal Inspection.
INSPECTION RECORD
/,ooing Roof Coverin~
Electric-Final (by STATE inspector)
Footing Dhl. ?-!?-'11~ Iii fl-
17<,7-., --::;;::-e;~' (" Foundation I,( j/-_ ; --Sr~~
Plumbing"Underground -
Gas Piping { ( , Heating Ventilation I I • '
Frame 1y ,ri insulation I !V!I
Plumhing.Ruugh Ory wall I
Electric· Rough
·(by STATE in•pector) Final Fot,-,1 bA-tl~o. n-i. ) ,, J./·J.i ."?/ ~
/
. ;;
ALL l.!STED ITEMS MUST BE INSPECTED A.ND APPROVED BEPORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-81.12 l 0 9 8th Street, County Courthouse. Glenwood Springs, Colo.
1713 CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
GARFIELD .COUNTY, COLORADO
luued Without Fee
Permission is hereby granted to _l,,_·io,,r...,.,,,_n_&,,_' ~L"'o""i,,,s,,_· --1&,,,'<i!.,,· l.,,,· t.,h"-----------------------
Bulldlng Permit No. _4.:..;· l'-'3'-'7'---~-------------Zone Dlstnct -,------------
situated a{+2 Cottonwood Court: Batt:leynent ifo!l;i Lot __ Blk. __ Addition, _____ _
tor !he following purpose l>ingle 1•'<llllil y R11Mwlrppe (liiii N•tu,_ Of Uiij
Contractor Si1ndancc 111111 d er s
TAKE NOTICE
...,._ -.be mode In
....... olthlo bulldlng ........
'~ notlct and cenlla•te
flllm tho Bulldlng OlllCloL
White: Own1;1r
G!'een: Lending Agenoy
Gold: Cor,tractor
Y&llow: Building Department
Pink: AMe&sor
::''LD CO~~"
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