HomeMy WebLinkAbout3221~' ~: --
Owner
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GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
3rd Floor, Courthouse
100 8th Stroot
Glenwood Springs, Colorado 81601
(,303) 945-8212
Contractor ---1-'14(.;J..D,IL£4'1~.j.,1JiK.i,bJG!i4'U.Z~~=-----------,,-----,----::----,:6~'-J-7"'9-------
White -Treas.
Canary -Office
Pink -Applicant
Gold -Duplicate
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER • .:17.;< GZ. /
DATE 11/.ftd'f(S please print or type
TO BE PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or it space is
too small, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL --------
USE OF BUILDINGS NOW ON PARCEL --------
PHONE '4.£-ll'f :f
CLASS OF l·IORK
NEW ALTERATION y; ADDITION ----
DEMOLISH MOVE
MOBILE IIOME ------_ _..),
S.F. OF BUILDING ...,,,........,....,__S.F. OF LOT-"''--'"'--"'-""
. # OF FWORS --1-.,,..,'---+--
# OF FAMILY UNITS --<!i4<le.""'--
INTENDED uSE OF BUILDING
GARAGE: SINGLE
F4fRi.E 60
WATER SUPPLY (It/~/'
DRIVEWAY PERM~I-T---~,,,,,_,._,,t.L----------
SITE PLAN
BUILDING P_LA_N_s_t7~--v~------~------------
SANITARY SEWER CLEARANCE -~~~~·/(~~~~~~-----~
ON SITE SEWAGE DISPOSAL PERMIT ---------
ar~-·-_
FRONT PROPERTY LINE
STREET NAME/ROAD NuMBER
CHECK IF CORNER WT
DESCRIPTION OF WORK PLANNED ---------
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state laws regulating building construction.
w;R'#i.tei;,,p,_,,~ ~,MI
SIGNA URE
FOR OFFICE USE ONLY
APPROVED:
FWOD HAZARD --------------~
CERTIFIED BLDG ELEVATION ---------~
SPECIAL CONDITIONS
------------~
PROBLEMS WITH PERMIT
-----------~
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND
OR ENGINEER
.. APPROVED: _J.:1,4._ A J/t:-lh--
PLANNING DEPARTMENT
S'.,fl,,..,H.... ' W"-W ~"f'-' f.IO-. J+,...l .. ,.._
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
2~ HOURS NOT!C~: REQUIRED FOR JNSPEC'l'IONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
llate I.sued J/. /z•/· ~oned Areal/: IR JR_ .. · .~l'ermil N<"..~AAJ
/' Af//i.;~Mf:~T
~ from the Street llntil Final lnsp@c:t.ion.
INSl'ECfION RECORD
7.oning
Footing
(;a~ Piping
Frain~ ~";._c:· £-<..-/ ~.3/ f_i;t..p
Plumbing-Rough
Elcctric-Uough ~di( Z-T ·--Y /,,
(by ST A TE lnspedor) '
tRoof Coverin~
eath1g Ventilation
woll () j/ i;,z_ 7
• v
~ 4'(-~A/'1..,-
ALL LISTED ll'EMS MUST BE INSl'ECTEJ) AND APPROVE!) BllFOR1icoVERING
WHETHER INTERIOR OR EXTERIOR, UNDERGROUNIJ OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 l 00 8th Street, (~ounty (:ourthnuse, (;len,vood Spriugs, (:ohJ_
APPROVED DONOTDES'fUOYTlllSCAUD
Dat.e //Jz¢Jsv ~~r~-r IF l'LACE1)(:STJ)E:;-;xR W~Tl-1 CLEAR PLASTIC
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