HomeMy WebLinkAbout4232.... '"ll;.'ll"','"-
GARFIELD COUNTY
BUILDIN<l, SANITATION and PLANNING DEPARTMENT
109 sth Blreet Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
04232 \.
JobAddress ---~~~.<:'..'._!.'.._]_~--_!J_~~:_:::~:_ __ ~,,_ __ _j_ __ ___!~--_::::::.,.,.-------
NatureofWork __ .....::::::~+"""---.:..:::=-::::::.-=_1----l-'----------'\-----lr-----+-----....,'<"""'-----
Use of Building __ _J~WlqL.Ji~ofil~llr,lflllCIU..L.ecjl;lQll!&.e ____ ---\---l------\--'--------'\-----
Owner -----~:!!'=:.:':.:~l!!.....!!:=:!!:;...J.:.... __ --Jc__ ______ ---11---1-------lr-------.+-----
Contractor ------'o"'wn"""e,_.r_-\-'--1------tf----------f--+----+----'----+-----
Amount ot Permit: $ -"-1,,0,,0.._. "'O"'O _ _.___,L__ ___ _
White -Treas.
Canary-Office
Pink -Appllqant
Gold -Duplicate
R, B ett
Clerk
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WHILE YOU WERE OUT
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of~~~~~~~~~~~~~~~-Phone_~Cj_i.f_O_-_~_O=-<-/,,.._'Z ..... 2..._ ___ _
Area COde Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
I RETURNED YOUR CALL T 1
RC-300W
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GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
NUMBER L/ ()3d._
a7t4 '-f» IP-3-ql
---ADDRESS
SUBDIVISION
FILING # ___ _ LOT # _ ___ BWCK #
TAX SCHEDU1£ # ---------------
[,f:GAL (SIX/TWN /RNG)
MAIL.TNG ADDRES.'l --------~---
CITY ---------PHONP @6---..s:.£"3
___ , _____ C_LA_Sj__Q~_lJORK
NEW-----ALTERATION -------·ADDITION ___ _
DEMOLISH REPAIR MOVE
MOBlLE HOME (rtk>ke/!'1odel) ~~ /lk)tJdtJ ~ 2:1.k
S ,F, OF BUII,IJING S .F, OF LOT /'f::zo 0 C,·
# OP FLOORS HEIGHT _______ _
# OF FAM.f[,Y UNITS # ()F ~OOMS ----
INTENDED USE OF nun.DING rt?'> t·d.J..d:j!;_ "
GARAGE: SINGLE DBI" CARPORT: SINGLE DJJL
FIREPLACE
DOCUMllNTS ATTACHED
WATER SUPP LY ---..4l'4AJJJe:::.J.ll11--~,,~-!-'----------
DRIVEWAY PERMIT _ ___.E;"-"x,__,cc_·_,_S-_r,__.._, _,'n'-'-"_t:'==."1+--------
SITE P[,AN ----~~-------------
BUTLDING PLANS --''--"----'--'----------------
SANITARY SEWER
ON SITE Sl!:WAGE
OTHER DOCUMENTS (specify)
PERMIT
DATE
PLOT PLAN
OTE: Show easements, pro port{} line dimensions,
al.I other stL·uctures, specify north, and street
name. F'o:r odd shaped lots, or ii-· s_pace is
too sina..11, provide separate plot plan.
# UF BUILDINGS NOW ON PllRCP.L l'l/1!> ~1-<.
USP. OF BUILDINGS NOW ON PARCEL
(') UJn e.~~ -L).., J d l els hf e_-!j
(_ s.Ae1/cf WO!s f Ls fe4'51~.J' ~-e.
tfl, II. 5 :-1-e_ ~ J tv-r; ,. k' i: j /) 1--
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i'r;_ I'! 8 D .
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER -----------
I hereby ackn ledge that rO!ad this
iilpplic;;ition and the above is correct <ind I
agree to comply with all county ordinances
and state laws regu,lating building construction. 6idfu.:e-,&(. ?l),"-t
IGNA1'URE
FOR OFFICE USE ONLY
DATE PERMLT ISSUED ·------'-'-------
ZONING DISTR.TC1' · .4_/',R//<!_i:,
TYPE OF OCCUPANCY R ~ .!_ 3 ~
FLOOD HAZARD --------------
CERTIFIED BI,DG ELEVATION ----------
SPECIAL CONDITIONS -------------
PROBLEMS WITII PERMIT ------------
ADD.T1'IONAL INF()RMATION NEEDED _______ _ TYPE OP CONSTRUCTION $4kkl:J/o..,,,e lf/vJ/JcS,5
S.F. OF BUILDING ±Gt2 S.F. OF l,()T 1;,.70 • ,
MAX. HEIGHT ..-t,.-t z_ 1 ROAD CI.ASS. ~~ j
SE7'BACKS FR()M PROPERTY LINP.: FRONT ~k <--~
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER -----------------REAR RIGHT DEFT ----
OFF STREET PARKING SPACES REQUIRED ------
I APPROVED:?t~
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