HomeMy WebLinkAboutApplication- Permit•.•..• ••1•
llARFIELO COUNTY
BUILOING, SANITATION and PLANNING OEPARTMENT
109 8th street Suite 303
Glenwooa Springs, Colorado 81601
(303) 945-8212
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JobAddress ----'2"-0"'9..,l,,_,C,,; • ..,R"'.,_,l.,0"'6,_,c.,,a.,r,_,,lXll=,,,•d,,,a,,,1,,,e,_ ________________________ _
Nature of Work __ P~emu. __ ._t _____________________________________ _
Use of Building -~Roo""'· ,,,. f,,_,CN"'-'er....__,Qnl,...._v._ __________ ~-
Owner walter Strom
Contractor ____ Ool.n __ er _____________ _
White· Treas.
Canary· Office
Pink-Applicant
Gold· Duplicate
Pellllit 25.00
Plan 16.25
Date:
Clerk
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GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER ..Jj;" / 2
DATE ~J;F'-please print or type
-ADDRESS
TAX SCHEDULE #
LEGAL (SEC/TWN/RNG)
NAME -----~"L.J:n~t~AIJ-~P:....i;!'":._ _______ ~
DDRESS ----------------~
CITY -------------~-----~ PHONE ---~--LICENSE #
CLASS OF WORK
NEW ____ ALTERATION ____ ADDITION /;/
DEMOLISH REPA:f_R MOVE ------
MOBILE HOME (make/model) ~-~----------
S .F. OF JKHLDlNtY l..>et::kr S.F. OF LOT 3 a..s I
# OF FLOORS ~ HEIGHT _-_/,_.,,2.=---'----
# OF FAMILY UNITS ~ # OF BEDROOJlr--___ _
INTENDED USE OF BUILDING ·LJe<--/c arrfdt'Mt7 ('
GARAGE: SINGLE_ DBL CARPORT: SINGLE_ DBL
FIREPLACE ------------------~
DOCUMENTS ATTACHED
WATER SUPPLY _..~,..._~x.._,r~'r~· ~f";'-'-'-~---------
DRIVEWAY PERMIT --·'---~----"....._------~ ~~i~D~~N PLANS /1 t tltE~i e J
SANITARY SEWER CLEARANCE -4'-//,CJ 2-
0N 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 smal.1, provide sBparate plot plan:/
# OF BUILDINGS NOW ON PARCEL --~t:J'--"f!"£!_~~--
USE OF BUILDINGS NOW O~ PARCEL I R es ; d <Z t! c e-------
(,_.,., .P avei--,. .. f:f.)
-ye: Co:>V'IZl""A /0 "x 2-"7
1 ek1'"s:f-,~
r:le c k ,'.., /;.,,,.. r "",,._ J 6'"', '/I
t:11t,/ e"1. c/o.r.e. <¢ 'x Io' s;-fe>,,."'"'
f:n,,/-'J •. :f-re"-"",
Two -.:J'ift"f'f,{tlf/Ie_ ~
/11. 11{,1;, 41? v,} fL
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER ;!.J» f/ /..., 12.d {O{q
CHECK IF CORNER LOT
I here y acknowledge I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state law regulati g building construction.
SIGNATURE
FOR OFFICE USE ONLY
VALUATION Lc::'oo 1 ov
PERMIT FEE $ 2S:0t11PLAN CHECK FEE $Lfk, Z-l
TOTAL FEE !i4--/, Z,,.S.-SCHOOL IMPACT FEE $ ;V±
DATE PERMIT'iSSUED -~__,, _ __,___~------~
ZONING DISTRICT ,tf::ifSU /)
TYPE OF OCCUPANCY _ __,-Tc_ ·__.f'<"o__.::-_:__3"'----------
TYPE OF CONSTRUCTION ~~-"t/''-'~--'/\/~-------
S .F. OF BUILDING /Jgck <;. S .F. OF LOT )'> <i "-.
MAX. HEIGHT ~ /k 7 ROAD CLASS. -I
SETBACKS FROM PROPERTY LINE: FRONT ~L.itief
REAR RIGHT LEFT -----
OFF STREET PARKING SPACES REQUIRED -------
FLOOD HAZARD ---------------~
CERTIFIED BLDG ELEVATION ----------
SPECIAL CONDITIONS ------------~
PROBLEMS PTITH PERMIT ------------
ADDITIONAL INFORMATION NEEDED --------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER ----------------~
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