HomeMy WebLinkAbout4281GARFIELO COUNTY
BUILOING, SANITATION ond PLANNING OEPAllTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
l\.!2 .:. .. 04281
Job Address ___ _..O .. l..,2"'E"'' -~ ... 'u,.r,_r._·,.e,_y-"'S,.t.=r_,,e"'e'-'t'-----'Ru"·°'1"'1 c"'l"-1 _,ac.t=.· -'ll~' o=ar=.=i°'nroe---=.F~oe'or..>:kc_ __ ~Ce'.a":'r'.'be'.0':"1C!:ld~n='-· "-l '="--------
Nature of Work Eu :i.ld ing l?ermi t
Use of Building ___ c ... ·\~n~1 ... s~t~r~u~c_,,t--"c"'o""v-"e"'r"e"'d'-'d"'e"'""'' ;~'---------------------------
Owner ------'W"""'"'~'~-=E~-_,,&--"B-"e~t~t2y__,,d~e~B~e~'9~u~<~·'---------------------------
Contractor ____ o=-wr="=-''r=------------------------------'-----------
Amount of Permit $ -"4"'1'"''"'2"'5'-----------
Pel·mit $2S. 00
White -Treas.
Canary -Office
Pink T Applicant
Gold -Duplicate
Pl.::irl ~16,2.5
Date: .Tul 2G 1991
R. henri~tt
Clerk
. -· ·-··-~·.·-·-··· ··--~-···-·---------,-·-:-~·-· --···-.
(~AlfflELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER L{ ci<&I
-!J-;:.-e:.mr:!'J Ed,rct: I #
please print or type DATE /• -1. t/, • z> 7 --d/,, ~
e±: TO BE FILLED.~O--U __ T_B=--Y-A'"'P'"'Pc-L-I-c"""'AN_T _______________ _,P"'1'""',o'"'To--=P~L"""'AN=---------
___ ADDRESS ('.J / l, (_, i.'j ;i ,._ b ~ ) fl!';-e. ·I. -NOT/!: Show easements, property line dimonsions,
~ SUBDIVISION ;z,,.,; i/ h _;,,.·Ji.mJli;.,j< 1· 1= ;;.; t' )( a.11 other structuz·es, specify north, and street
j FI[,ING # 7ZJ:# LOT/! 3_::z.__ BLOC # __ name. F'or odd shoped lots, or it· space is
:'.J TAX SCHEDUL.E # ---------------too smal.l, provide separate plot plan.
LEGAL (SEC/TWN/i<NG)___ #OF BUIJ,DINGS NOW ON PARCEL ~el~t~l.,_(-"------
USE OF' BUILDINGS NOW ON FARCE[,
"' NAME It .. 1( k~ . de 8 ';f' II,... -·~-re s Jr{ t'.M (, -'-_,-----------
;;; !MAILING .ADDRESS 4-J..'J.4: J , , , 1. 1' · · ') ) · -
c lcTTY __ffj:u }J,;'rlfl<dc: f't. f'HONF;<·'!.Rt d -Z{f!/ a " !NAME,·----· -·--
:i ~ ADDRE:SS ·---.. -Cl TY -·-·~---
NA/1E _Ou J n e
ZlDDRESS
CITY
---·---.,~-~~------
!Pl/ONE ______ LICENSE #
CLASS OF \/OPJ(
NEW ALTERA1'TON ADDITION )(_'
Dl!MOL.TSH REPZlIR -··-·-'-MOVE _ _,_\ ~-
MOBILF l/OME (mak"/mode_l)----4A/~VA__,_'--------
s .F. OF BUILDING MA S.F. DF WT ____ _
# OP FLOORS A/4 . IIEIGHT _____ _
# OF FA/1ILY UNifs iV?F" # Ol' BEDR0911s
INTENDED USE OF BUILDING __c.a..'<:L ... e cL b t' cf-:";--------
GARAGE: SING.LP. TJRT, CARPORT: SINGLE DBL
~··· . .,._,
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY N_?t'
DRIVEWAY PERM_I_T __ ~~~::;::'~?'f-:::~:~~-·---------
SITE PLAN .._.... -------Bll.TLDTNG PI.AN~c; :...-
SANITZlRY SEWER CLJ;~R~.A~N-C~'E----/t/,---.''/!f--,,---------
ON SITE SEWAGE DISPOSAL PERMIT __,)[Z'----"-L'11f---'-'------
0THER DOCUMEN2'S (specify)
FRONT PROPERTY LINE
I hereby acknowledge that I have read this
a.oplication <;1nd tha above is correot and I
agree to oomply with al.1 county ordinances
and state laws regulating bu.ilding construction.
SIGNZlTURE
FOR OFFICE USE ONLY
YALUA'!'ION q", !/ • 0 "'
PERMIT FEE~s::;;;;----p~LA"--"-N-C-'H~E-.C-K-F'E_E_fL.~cr-,~1-c-'("='"--
TOT!\L FEE $4/~,r-SCH()DI, IMPACT PEE $ N4=
DATE PERMI'J' ISSUED
ZONING DlSTRICT k tJ D
TYPE Ol' OCCUPANCY ·---~AJ'-"-~,1-_,__ _______ _
TYPE OF CONSTRUCTION V-N
~-~-~~-~------S. F. OF BUILDING NA--S.F. OF I,OT -----
MAX. HETGHT --""' "f t ROAD CLASS. ~
SE'J'BACKS t'ROM f'll.OPERTY L TNE; FRONT ~1Lwd
REAR RIGHT [,EFT ----· OFF' STREET PARKING SPACES REQUIRED
FLOOD HAZARD
CERTIFIED BLDG EI,EVATION
sn:CTAL CONDITIONS
PROBLE/1S '1ITI/ PERMIT -------------
ADDITIONAL INFORMATION NEEDED --------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
. OR ENGINEER -----------------
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