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GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
3rd Floor, Courthouse
1 oo 8th Street
Oilenwood Springs, Colorado 81601
(303) 945-8212
JobAddress ____ 7_9_1_6_u_::_wy_u_2~,_G_l_e1_1w:xxl. __ ··_0_':P~r-lll_'_c~Js __ _:_ __________________ _
Nature of Work
Giira«e/Storage Use of Building ------""'--"--=--=="'""''""--------------------------------
Owner ------~Don""-''---'-G~.'--'-'~;a~e~c~l~rt~·l~e~r"-----------~---------------------
Contractor _____ s_e_l_f __________________ , _________________ _
Amount of Permit: $ ~8~3"'."'3"'0 ________ _
White-Treas.
Canary -Office
Pink· Applicant
Gold~ Duplicate
Date: Auwst 5, 1987
Lois J. IUtzen
-... GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
&'jt15/F7
PERMIT NUMBER 3#r
please print or type DATE ] (zttf'fi]
TO BE FILLED OUT BY APPLICANT
c<: NAME
"' ~ -NAME Done... ="' " ~ ADDRESS ~ CITY .. NAME 0 CIDi::.-0 .... ADDRF.SS " ;:; CITY ~ r110NE "
LICENSE #
CLASS OF WORK
Nf:W }( ALTERATION ADDITION ----
DEMOLISH Rf:PAIR -----MOVJ;: ------
MOBILE HOH<: (make/l'lOdel)
S .F. OF BUILDING S .F. OF LOT.
~----# OF FWORS HEIGHT I $'
# OF FAMILY UNITS 0 # OF BED_R_O~O~M~S---,.0----
INTENDED USE OF BUILDING _cz""'--~"'--'-r~~"-".9..!~I'-=-------~
GARAGE: SINGLE_ DBL, _.X CARI'OR1': si'NGLE_ DBL
FIREPLACE fl OM' .. -
DOCUMENTS ATTACHED
WATER SUPPLY hone-( 'h=.r.!
DRIVEWAY PERMIT ---~·--~''-----------~ Pbhl--e c ;{id
BUILDING PLANS
SANITARY SEWER CLEARANCE ------------0 N SITE SEWAGE DISPOSAL PERMIT ---------0 THE R DOCUMENTS (specify)
PLOT PLAN
NOTE: Show easements, property line dimensions,
al.1 other structures / specify north, and street
name. For odd shaped lots, o.r it· spaae i.s
too sm.>1.l, provide separate p.lot plan.
# OF BUILDINGS NOW ON PARCEL -~""'--.. "--"'-"~=--r--
USE O~UILDING~Npw ON PARCEL :,:;:;;._;;to;&..._
~ ¥--Y:""'*"' ~~ & s• h P$
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER £ .fl.. 1:--t., t f!/
CHECK IF CORNER WT ~
DESCRIPTION OF poRK PLANNED 3qro..'.)e-/ s±oY-o.~-bi;.i ldln5
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and st~te laws regulating building construction.
D~G. t~>~-
SIGNATURE
FOR OFFICE USE .ONLY
PERMIT FEE $ !;__o.<:e> PLAN CHECK FEE $ ?7-.. lio
TOTAL FEE $B°E-lO SCHOOL IMPACT FEE $ N:k
DATE PERMIT ISSUED
ZONING DISTRICT -z;:~~7-z-----------
OF OCCUPANCY ~
OF CONSTRUCTI_O_N~~"-""+-(./~-1\7~----------
--"'------'---'"----------~ S .F. OF BUILDING kJ&? S ,F. OF WT flJC.V:..,
MAX. HEIGHT A/ z.._' ROAD CLASS, ~
SETBACKS FROM PROPERTY !,INE: FRONT S'f.e ~
REAR RIGHT LEFT -----
OFF STREET PARKING SPACES REQUIRED -------
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED --------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
----------------~
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1~81,ECTION Wiil NOT BE MADE UNLESS
lU~S CARD IS POSlED ON THE JOB
21 JIOllH~i NO'l'lr:F: 1rnl!llll!FO FOi( INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Dute Issued f'/~!!/37. Zoned Area .. C/ L.. ·--------------------Permit. No .... ;5'.f i?..t?:
A(;I~lq•:MENT
In consich~ration or I.he is~uunce of this pern1ii, the applicant hereby agrees to c.olnply with
all hr\-VS and regulations relah~cl to the :1:onin~, local.ion; construction and crec.tion or the
proposed structure for which this permit is granted, •nd further agrees that if !lie !lbove
said rt.~gulutions .art~ nol. fully complied with in I.he :t.oning, location, c1·cc.tion and
construc1ion of the above dl':scribcd s1rur.1u.-e, the pennit 111ay then he revoked h.v notic("
from the County JlniMi!)ll-,Ins~ct!I'. •nd IM E.1 1/1.'H:J.Y ll~:C~E NI.ILL AND VOID,
Use -·-·------J,;z'/f F,.__tt_6:_ tlJ!,.._fi_~ ··'""·""···· .. --,----
Addre.o;!'i or Legal l)esi..:ript.iorl --4--+--L.l!!_J'---'----ll_-l-----'f~,_<J 1.t llttA. __ :; t ~ S
Ow"" /JO/IJ lt)/IEC HtJ. I /L ConhK<h.r ~/ij.... F
Setba('.k!'j Sii.lc Side Rear
Thi• Card Mu•t lie l'oaterl So It Is Plainly Visible From tho Street Until "'inal ln•p0<tion_
JNSPEC"'TION RECORD •
Zoning (11 /..J Roof C01-ering
Footing(.· (1 ;;(;~i/i ''0
Vicd1k-Final. (hJ' STATE insp<.'dor)
J1"oundation i ' _(. '.{ /.;; ;c/f. -I !#-' -·'·: (~·· ~· '· ..... '/-If <l/ >1 /)
Plumbing· U nclergrounrl
Gas Pipin~ llcating Ventilation
Frnm~ <fil( ~;(.Z-/8/f,\ lnsulaHon
l'lumbing·Rou 1 lhywall
'· 1 ". •· \. >·f ~· · B. 011gh I I
' 1
: ~..: r· Al F inspc~t or) Final(,)(/f Nl//,?//i '7 f/f1,'/
• ' I'
Al.l. usnm ITEMS MliST BE INSPECTED AND APPROVED llEFUll.E COVERING -
WHETHER INTERIOR OR EXTERIOR, \JNOJiRGRUUND OR ABOVE GRO\JNIJ_
THIS PERMIT IS NOT TRANSFERABLE
Phone 945·82 l 2 too 8th Street, County Comthousc, Glenwood Springs, Colo.
APPROVED 110NOT1Hi:..'3TH.OY THIS CARD
one ¢rsl1'7 av /)J, b . B& IN ~B ·
IF PLACKU OUTSIDE-c:ov// WITH CLEAi! PLASTIC
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