HomeMy WebLinkAbout3360GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
3rd Floor, Courthouee
100 8thSl....t
GlenwoOd Spring•, Colorado 81601
(303) 945-8212
JobAddress __ ____c0_9~7~6_co_·_·::__:Rd=·=·-=3=1=1~,....::Si=·1~t:..... __________ . _____________ _
Nature of Work ___ ..::B:::'uc:i::olo::d::oin=g1...-';P..::enril~.~·~t=-------------------------------'--
Use of Building ___ ..::Re=I>c=l:::ac:::·e~ex~·~i:::· st=ir:=.l!'OgL..!CM~·!'Hc:.· _Wl.~· tl':'..1..1 ~=~'..':ther:!.-""'":....'~".:1_._;. l'!::l•!._ ______________ _
Owner _____ V~al==l=e~'~J_F:..:::ann::;:.:.~s=-"In~c~.'------------
Contractor ___ OWn==e:;,r ____________________ _
Amount of Permit: $ ~3-'0-''-'0"0'-----------
White -Treas.
Canary -Office
Plnk-Appllcant
Gold~ Duplicate
Date: April 16 1 1987
Iois J. Butzen -----
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER .3.3 h [)
DATE BPRtl I (o 1987 please print or type
---'ADDRESS -~_L_L..!UL _ _£UlJtlo!L.;.LL.!.-...J-~"""!ld..~
SUBDIVISION _____________ ~--
F ILING # LOT # BLOCK #
TAX SCHEDULE #
LEGAL (SEC/TWN/RNG)
NAME l/f!LLE y FA!!! "'1-S ~M '-
MAILING ADDRESS -1@~0~Xi!...._~1..~HuB>i.... ______ _
CITY S:1Lr (£) PHONE A7Co ?!137
NAME ---~O~UJ""-'Vl'-"'lR._,_,,,__ __________ _
ADDRESS
CITY -------------------IPHONE LICENSE #
CLASS OF WORK
NEW ___ ALTERATION ----ADDITION ___ _
DEMOLISH ----REPAIR MOVE
MOBILE HOME (make/model) 701C 1r (r,O fr
S.F. OF BUILJ!ING S.F. OF LOT ____ _
# OF FLOORS HEIGHT --------
# OF FAMILY UNITS # OF BEDROOMS ___ _
INTENDED USE OF BUILDING 5;111c../e F&Tlily
GARAGE: SINGLE DBL CARPORT: SINGLE DBL
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY __ S"'-J"p~R.._..,1~~~"'-------------
DRIVEWAY PERMIT ----------------
SITE PLAN ------------------
BUILDING PLANS -----------------
SANITARY SEWER CLEARANCE ------------
ON SITE SEWAGE DISPOSAL PERMIT S£u.Jf/(' ~ S°&.t• c
OTHER DOCUMENTS (specify) 'tns TIH•IO l'IG.S
VALUATION -~------------_,,_,,_..,,,___ __
PERMIT FEE ~$:.:zfL!.JtJ.!__ PLAN CHECK FEE ~$~f.!:J~"---+-
DATE PERMIT ISSUED £_L&!.f7 TOTAL FEE $ s~c OOL IUPACT FEE $
ZONING DISTRICT L!!:.j £. ,0
TYPE OF OCCUPANCY ---------------
TYPE OF CONSTRUCTION -------------
S. F. OF BUILDING-----S.F. OF LOT----
MAX. HEIGHT ROAD CLASS,
SETBACKS FROM PROPERTY LINE: FRONT _.,fi=X._ __ _
REAR f.i 1, RIGHT £ X LEFT £ X
' OFF STREET PARKING SPACES REQUIRED -------
APPROVED:
BUILDING DEPARTMENT DATE
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, o.r if space is
too sma.1.1, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL -~-----~
USE OF BUILDINGS NOW ON PARCEL
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER 0 9 7(,,, Ron-p ?t 1
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED Vbou I' QJnA1 le
ro 8UJ{1<Jcf' €x1sn.,.:e mb1S1le
'
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
ands laws ~g building construction.
USE ONLY
ADDITIONAL INFORMATION NEEDED -~--~~~-
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER -~-~----~-~~~--~-
APPROVED:'-/?~~
p;,NGPE:MENT hiii