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JobAddress ~
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 811> Slreet S•lte 303
Glenwood Sprlngs1 Colorado 81801
(303) 945·8212
04060
Nature of Work --...l:ill..l..ilW;J-ll,Jellllll-------------------------------
Use of Building _.Q:lllJO;>eli.h~µJI:<l.\:,fe-___ ...,.. _________________________ .,.._
Owner __ -.--J.Q,>::J.¥--l:i:~...i.,._ ________________________________ -,-__ _
Contractor _ _&!.l!:ih-l!t::ettL __________________________________ _
Amount of Permit: $ -l..1.!-IJU..1.-_______ _
White -Treas.
Canary -Office
Pink~ Applicant
Gold -Duplicate
Permit
Plan
80.50
52.30
Clerk
•.
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER !{:?tu
DATE $-.30-90 please print or type
NAME _ _E,;'"'°i:.:¥--lo.IL:!e.!~-------
ADDRESS ----------------~
CITY ------------------------PHONE LICENSE # ------
CLASS OF WORK
-~)(--ALTERATION ADDITION ___ _
REPAIR MOVE ---------------MOB I LE HOME (make/model)
S.F. OF BUILDING 960 S.F. OF LOT-----
# OF FLOORS _ __._ _____ HEIGHT --------
# OF FAMILY UNITS # OF BEDROOMS
INftNDED USE OF BUILDING Sfr:>r-t¥Y-----
GARAGE: SINGLE_ DBL~ CARPORT: SINGLE_ DBL
FIREPLACE
ATTACHED
SANITARY SEWf:R CLEARANCE -'~"'---------
ON SITE SEWAGE DISPOSAL PERMIT -~<¥-/,""'------
OTHER DOCUMENTS (specify)
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 small, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL I
-=---~----USE OF BUILDINGS NOW ON PARCEL Jhr..eM/c;.
FRONT PROPERTY LINE
STREET NA.NE/ROAD NUMBER l'NJtrh, R;I. 4¥0
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLAJfNED -:---:--;-c;;---;==:O:::=::::cc_ Ck~~ 02 « c ,2 ~Pb<ZJ.-&C-:-::-
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and sta laws regulating building construction.
<f-..3D-9C
SIGNATURE
FOR OFFICE USE ONLY
VALUATION .-:C"Zlr---~-!f-~~O~e>'-::.~o:.....;:~-..,=------,.-,_,,,,....,,....,;:-~
PERMIT FEE $ 1'~.,-o PLAN CHECK FEE $ ~ .:~v
TOTAL FEE $/_1?.8.o SCHOOL IMPACT FEE$ A/If-,
DATE PERMIT ISSUED ---.,.......,,..,~,...~~----
ZONING DISTRICT ------'-~'-"/'--4-.F--· -""-~-------
OF OCCUPANCY A:/7 .-,----~~---------OF CONSTRUCTION !L-f\/
OF BUILDING 'l&.."'v-----s-.-F~.-O-F_W_T_+""T""1-=-, .,.."-<LC-,
MAX. HEIGHT ..-..../.?-" ROAD CLA~S. /iJ/if"i
SETBACKS FROM PROPERTY LINE: FRONT .
REAR RIGHT LEFT
---~-OFF STREET PARKING SPACES REQUIRED -------
FLOOD HAZARD ..-,.~~--------~~~~~
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS ---~-,------
~-----------~
PROBLEMS WITH PERMIT
----~----~~-
ADDITIONAL INFORMATION NEEDED
-~~-~---
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER ~-~--~-~~~-------
,,.
/
... ------
PROPOSED
SiTE FOR
ROBERTS
RESIDENCE
---
3.21 ACRES
NO TREE COVER
2"9% SLOPE
---
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I PROPOSED DIVISION
t I LINE
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EXISTING WELL I l
25 gal. /min. I / , -~
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¢1 t
I 2-11% SLOPE
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- - - - - - - --1-- - - --/PROPOSED
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- -EXISTING I .
LOG BUILDING I
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3.66 ACRES DENSE TREE
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SPARSE· MEDIUM TR EE CO VER . EXISTING ROAD
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15-25% SLOPE
excCM11on slore 10 be crlbbe~.: "· ,.--.. , , . ""'."_.:··,,_· · ..•. ·.. ,,, ,_:' .. .:
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- - - - - - - -PROPOSED-ACCESS -12\.id!h - - - -.. - --j-- ---~~ ----------/ ~x:~.s;'(/.''r;·i .:~ ... -----------------------
_!l% 9!!!de_ 6_so"21.'oc~°-IJI ro~el _ _ ______ ---~ . ~;:::~::---_ ~~~~iI~~~~#~:~fi(',EJi .. ~-~-~:~:,_-~-«:-=
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-;:::::.----"'G • . =--------AGRICULTURAL· PASTURE LAND ~-------·
10"25% SLOPE
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