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GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood lipl'lngs, Colorado 81601
(303) 946-8212
JobAddress _ __:;2~7~8~0_1=1=3='-'Rd~·:.._~G~·~S~,------------------------~-~
Nature of Work Building Pennit
S/F Residence Use ofBullding ___ _..::.;:..:_....:::::::=::::=;:::::;;_ _____________________________ _ ;;,
· ~ner Stephwi Ii Sl.iiim st:ollel:JJuse
·. \-Contractor Dave Dool en
Amount of Permit: $ __,,,6,.4..,8_..-"9""1~--------
393.28
255.63
While-· Treas .
.. q~nary .-Offlc·a
Pi~k-Applicanf
.Gold -Duplicate
Pennit
Plan
Date:
Clerk
•.
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER -------
please print or type DATE -'V-......_-4~'+'-,--,-,....,-
TO BE FILLED OUT BY APPLICANT
---I.ADDRESS ~ zyo 113 !{) ,,$,
SUBDIVISION
~---------------FIL ING # WT # BLOCK # --------
TAX SCHEDULE #
LEGAL (SEC/TWN/RNG) ------------
NAME j~
MAILING ADDRESS
CITY Glen .., pf ..1-y,=i(-9_e> __ P_H_O_N_E_'Y=--'5"---6-,-_,'l,..,'J.._,s,,.
--· -!,; AME ~ ,f ADDRE_S_S __________ C_I_T_Y _____ _
--:.--INAME . b ~ .. e Dru1 le(\
§ ADDRESS 3 $ f' .2 ~] f?/
~ CITY ~ C,,i.s'tl e . Co, ~ jPliONE 11/Tt/-)jjij LICF.NSE #
cLASS OF WORK
ALTERATION ADDITION --------REPAIR MOVE
NEW y
DEMOLisii ----_____ ,
MOBILE HOME (make/model)
S ,F. OF BUILDING. :.2. 0 Q"?'. S .F. OF LO'!' 'f, J lltte;f
# OF FLOORS HEIGHT --------# OF FAMILY UNITS } # OF BEDROOMS
IN'l'ENDED USE OF BUILDING Be !j -~--
GARAGE: SINGLE DBL)!_ CARPOR'I': SINGLE DBL
FIREPLACE v..1 store--
DOCUMENTS ATTACHED
WATER SUPPLY , ?)
DRIVEWAY PERM_I_T_~ -.. -_ -... -~ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_ -_·:c::::,,:::::::b::::r:·:a::::1:::·,..,::::::::c::::c.:::l=~-.
SITS PLAN ')i("'
----~: ...... .,--------------BUILDING PLANS IL_
SANITARY SSWSR CLEARANCE _A'-"'/_,,.;+",_,,. _______ _
ON SITE SEWAGE DISPOSAL FERMI'!' ---------O'l'HER DOCUMENTS (specify)
PLOT PLAN
NOTE: Shaw easements, property line dimensions,.
all other structures, specify north, and street
name. For odd shaped lots, or it-space is
too smal.l, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL --~------USE OF BUILDINGS NOW ON PARCEL
-
"' u c}!
~3:a7~
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER _ _.,c.;;.,.,_'-"R"--"',/'-----J-/'--'-/'--'p"-------
CHECK IF CORNER LOT
DESCRIPTJ;DN OF WORK PLANNSD #ey $,'~,/,o fh>,'{~
flps i/e ... cr
I hereby acknowledge that I have read this
application and the above is correct and I
agree to oomply with all county ordinances
and state ~,regulati~uilding oonstruotion.
SIGNATURE . ~ ~
FOR OFFICE USE -ONLY
FLOOD HAZARD ~~-~--~-------~~
CERTIFIED BLDG ELEVA'l'ION
----~~~~~~
SPECIAL CONDITIONS -~--~-~---~-~
PROBLEMS ~TITH PERMIT
-~----------
ADDITIONAL INFORMATION NEEDED _______ _
CERTIFIED BY COW.RADO REGISTERED LAND SURVEYOR
OR ENGINEER
--~~~~~~--~--~~-~
APPROVED:~---~~-~~--------;-o-:::::--
PLANNING DEPARTMENT DATE
i
i\.
' ' _,--I
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
N HOURS NOTICE REQUIRED FOR INSPECTIONS
BUil.DiNG PERMIT
GARFIELD COUNT~, COLORADO r
Date Issued '-111/d__ __ Zoned Are~.G~E~~EN-~-----------Permit No. j___7/._ .. ___ -·· ........ .
In consideration of the issuance of thi• permit, the applicant hereby agrees to comply with
all laws and regulations related to the zoning, location; construction and erection of the
proposed structure for which this permit is granted, and further agrees thal if the above
• said regulations are not fully complied with in the zoning, location, erection and
construction of the above described structure, the permit may then be revoked by notice
e:~ th -n BuildinJls~ctora~rEDIATELY BECOME NULL AND VOID,
Addm• r .• galD•miptioJ~ lPd '11.1/J.P <r.-.r. Owne..rYO'Hm!ft~ p,Jr£ dlUltJ
Setbai::ks ~: Side
1 4
Side Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Fina.I Inspection.
INSPECTION RECORD
Zoning Roof Covering
Electric-Final (by STATE inspector)
Footing Q:/, ()w.._
Foundation !)f<Vf."-'t
Plumbing-UndergronndO ?<f.)fj_,
Gas Piping " Heating Ventilation
Frame.JI': 9' /1/t!'/ //. Insulation
Plumbing-Rough tfk 'l, I /!J }Ji, Drywall 0 J.1 _ 9-I q -s;-.,. <;Fr-.,,-,,;-
Elecrric-Rough 6 'Jr; 9' ' )--q
(by STATE inspccror) '72,f'7 -"~ ,. final Of< I///3/fj "/d~" -
' ,..
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 10 9 Sth Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DO NOT DESTROY THI~ CARD
Date 't3/~~' ~V .:!,,~!?!!! /~~+:,, ·~·~r• '· '~ '"
1464 CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
GARFIELD COUNTY. COLOFIADO
Issued Without Foo
--101.,.,~·.,,··abat-o-'lnl4r----.--1 91,19
Permission is hereby granted to ----fSllbl!pi~Clh•aitr--&•r--l&OU.1 ••9ftllll.!BtlttlEltliEDlellii$f1,Eftl~••itillt----------------
Buildlng Permit No. ----.!~~-'------,-----------Zone District ____________ _
situated at ------i'J!l'a81H30Hl"3lC::3HH~l!ha-EGlatan.-d:in!ldc-flflllt:'lllll~hl:n411'SS----'Lot __ Blk. --Addition ------
for the following purpose-;.S,>/'T'IF--1~,..le&!!liio' dElllW1i11iee1Eie--------;;;===::-:=::;-------'----------tSUte Nature of U9e)
Contractor l:.W [)'"vl m
TAKE NOTIC'-
No Gh1n91 shall be m.tt in
thl· UH of thit: building with•
out· prior noticll •nd c::ertifi-
cata fram 1he BulldlngOfflclal.
Wl'litt~ Owner
~old: Contractor
Y•llow~ SU)ldlng Department
Pink: A•t:enor
:;r'LD CO~~w~;/ i~ PARTM,~.~T
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