HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
04873
Job Address 45855 Highway 6, Lot 1, Canyon Creek Estates, Glenwood Springs
Nature of Work Building Permit - Reissue of Expired Permit #4498
UseofBuilding Garage
Owner Neil Westberg
Cc itractor Gold Star Homes
Anhount of Permit: $ 72.510 date- August 7( 199
Permit: 72.00
White-Treas.
Canary -Office
Pink -Applicant
Gold - D iplicate
S, Archuleta
&o o
Clerk
1
Assessor's Parcel #
TO BE FI D
ADDRESS
SUBDIVISIO
FILING #
TAX SCIHEDULE #
LEGAL (SEC/T hW/RNG )
- GARRELI) COUNTY
APPLICATION FOR BUILDING PIERMIT
please print- or. type
PERMIT NUMBER 14 73
DATE g ` 9 7
AP''LI N`L'
ARklatAllurfm
I/si«L7
LOT #
NAME
MAILING ADDRESS
CITY
NAME
ADDRESS
NAME
ADDRESS
CITY
PHONE
BLOCK 11
PHONE
c.rTY
LICENSE #
CLASS OF WORK
'JEW ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make/model)
S.F. OF BUILDING 2'f S,r. OF LOT
N OF FLOORS
1 HEIGHT
I/ OT FAMILY UNITS !1 OF BEDROOMS
UNTENDED USE OF BUILDINGf.���
GARAGE: SINGLE BL, CARPORT: 5?1VGLL' DBL
FIREPLACE
PLOT PLN
NOTE: Show easements, property line dlmensioi
all other structures, specify north, and strec
name. For odd shaped lots, or if space is
too small, provide separate plot plan.
P OF BUILDINGS NOW ON PARCEL 4
USE OP BUILDINGS NOW ON PARCEL
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bZ ''S.77( cy-/Cf-J. SG/% LiFGL
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L 5'' N. •CT/C/. cw q +,ter r c
gr /4,4; /77c
WATER SUPPLY
DRIVEWAY PERMIT
SITE PLAN
BUILDING PLANS
SANITARY SEWER CLEARANCE
DOCUMENTS ;1TAClED
5
ON SITE SEWAGE DISPOSAL PERMIT
j
OTHER DOCUMENTS (specify) 11/?. W s rye gr-',-irr J
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yr-)
FOR
VALUATION gO. /‘
PERMIT TEL' $ 72, o c' PLAN CHECK FEE $
TOTAL PEE $ 2, SCHOOL IMPACT PEE $
DATE PERMIT ISSUED
TONING DISTRICT
OFFICE
TYPE OF OCCUPANCY
TYPE OP CONSTRUCTION
S.F. OF BUILDING `9-5,S.F. OF LOT
MAX. HEIGHT ROAD CLASS.
SE'T'BACKS FROM PROPERTY LINE: FRONT
REAR RIGHT LEFT
TOFF STREET PARKING SPACES REQUIRED
APPROVED•,
BL ",D.I NG r I'AR' :;NT
DAT
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IP CORNER LOT
DESC5 O WORK PLAbf D % 41
.1r
I hereby acknowledge that I have read this
avplication and the above is correct and I
agree to comply with all county ordinances
and state •2p re ya Iding constructic
l
51 ONATURE
USE ONLY
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS -
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEY01
OR ENGINEER
PLA +N.IDEPARTMENT
DATE