HomeMy WebLinkAbout3722"" """'""",~"'" ~ Y• ~~'\ ""•O" "4''''"•1""'""11'•'"'9" 'll"'"~!"l'll'"•""'C•\"'l'l'T~""'"~"~fi'.l~~--·:~,""""'I'
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945·8212
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Job Address _ __.Ou7_..0,,.4_Ski.,,,.,,,o.,per=~nr"'. "'i"':ll'e""-'--'SUn"""'"--"Me,.,.sa,,.__,,c,.,.,,,_rl:ond..,,,.....,a""l"'e"---------------------
Nature of Work Building Permit
Use of Building -""'Ad'"=d=i'-'t"'io=n'------------------------------------
Contractor ___ awn __ er ________ --------------------------------
Amount of Permit: $ ~4>:5)<2l.-.luo;_ _______ _
Wh lte -Treas.
Canary~ Office
~ink -Applicant
Gold -Duplicate
;!74,00 Pei:rnit
178.10 Plan
Date:
E. 'Haring
-------=-----------------~
Clerk
\
\ _\ _·-·
.... \ ' GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER J12 V
please print or type DATE ~~r
NAME ..rJa rn< ..-= ADDRE_S_S_~~~~-"-...-<-----------
C ITY
--------~-----------PHONE ------LICENSE #
CLASS OF WORK
NEW ALTERATION ADDITION --------DEMOLISH REPAIR MOVE --------MOBILE HOME (make/l!IOdel) J S .F. OF BUILVING /??'>._'f'.,_S ____ F-.-0-F_L_O_T ____ _
# OF FWORS L HEIGHT [
# OF FAMILY UNITS L # OF BEDij.OOMS _.;J... £ej?
INTENDED USE OF BUILDfNG & e :;. ,/-2f(..o-./;.• p..o/
GARAGE: SINGLE-DBL CARPORT: SINGLE DBL
FIREPLACE
DQ~jl.TTACl!ED ~
SANITllRY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT;;i....~.oq,,,=;~,i..J.~_...__,.
OTHER DOCUMENTS (specify)
~ FOR OFFICE
VALUATION 4_ 7_ 8 ( 0, '-' 0
PERMIT FEE $ 2-11J>CihAN CHECK FEE $/ZS, {()
TOTAL f'f!E $'¢.$=2---,( OSCHOOL I/JPACT FEE $ N '°r
DATE PERMIT ISSUED
ZONING DISTRICT __ -_-_-_-_./?;;.-::c1;.:1:2::======~~~~~~~~~=
TYPE OF OCCUPANCY ---~f?....__-~°3..._ ______ _
TYPE OF CONSTRUCTION -~l/"~~-~l\/~----~--
S. F. OF BUILDING J 'j(,,~ S.F. OF LOT;t1.>f"/O
MAX. HEIGHT -"I:>"' I ,i., ROAD CLASS. -----
SETBACKS FROM PROPERTY LINE: FRONT _...-------REAR RIGHT LEFT -----OFF STREET PARKING SPACES REQUIRED -------
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, -~pecify north, and street
name. For odd shaped lots, or if space is
too small, p.rovide separate plot f!)an.
# OF BUILDINGS NOW ON PARCEL (f,/ n -e._
USE OF BUII.DINCf_SjNOW ON PARCEL P-e_o./<kb-1 c._-£ -------
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER __ __,.7"'-._..g=')l'~-l'Pt'-'-'~'--'D,,,-_,_r,__,
CHECK IF CORNER LOT
DESCRI~PT __ N OF WORK PLAN/Y¥ / e 1-----,-a= .-/ ba_i!z_ udz:'6~.., /. P; .·· -~vs e:
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and tate laws re ulati~g building construction.
FIDOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
-----------~
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER