HomeMy WebLinkAbout4814I
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
04814
Nature of Work _ __,Ee!u'!:i:'oc· 1,,,d~in~g-":.P.':e.=r""m~i:.':t'-----------------~-------------------
Use of Building __ O':Go>:a.=r.<:a:<:,~e;___ _____________ '----------------~---------
owner ------'':.':1i-=·c~h~a~e=l-=E~.__'.'W~a:.':t~t~s._ _____________________________ _
Cc 1tractor ___ _,o'!.wn~-e~r"'-----------------------------------c------
An .ount of Permit: $ _ _,7'-'1-'-''"'-'2"'5"--~~~--
Pennit: 45.00
White -Treas.
Canary -Office
Pink -Applicant
Gold -Duplicate
Plan 29,25
Date: July 2, 1993
s. Archuleta
Clerk
GARFIELD COUNTY
J\PPLICATION FOR BUILDING PEIU!IT
Assessor's Parcel # please print or ty1)e
TO BE FILLED OlJT BY APPLICANT
---llDD/lESS Oi/14' cf.?. Mo Sur Co,
'.:;! SUBDIVISJDN~~~.fl~------------
l'.l f' IJ,ING # LO'l' II _____ BLOCK II
«1 2'/IX SCllBDUD/S II ,_,
LEG/IL {5£'C/1WN/HNG)
NANE MC/iliii1. G'., c;z<I~ _
11/IILING llDDRESS Ll,5'/J? ~bJ.ipt17-, l.t1.11J/f;; _
CITY LJ 1frloNM<.~__c_Q__ __ Pl/ONE' q,Jeil-;z;L'fle
"" "' NA/1B -1i!~A~-------· ~ ~ 11DDRESS
NANB C/ "/AIEI<
llDDRE:SS
CI'l'Y
Pl/ONE: LJCENS/o /.1
CLASS OF \-lOIU<
~~--llL2'E:Hl!TION .,[[,,
i!E:NOLISll ____ HC:PllI/l
•/OBILE 110/IE (make/model)
llDDI'l'ION
MOVE
·;.P. OP BULLDING S.P. OF LO'l'
ii OF PLOORS f/EIG/11' -------
!! OP FllNILY UNITS I! Of BEDROOMS ----
1NTENDBD USE OF BUILDING
c;flRllGB: SINGLE
PlllEPLACE
DBL CAllPOll'l': SL NG LB
nocmIBNTS J\TT/\.Cl!ED
DBL T
1vll1'Ell SUPPLY NA
/JllIVBJvllY PEllN~Iµ1'~-~-----------------
SITE PL/IN~,/--------------------
1ll/ILD1NG PLANS
SllN l'l'llllY SEWl>ll CLEAllANCE
ON SI1'B SEWAGE DISPOSAL PB/lM11'
O'l'l/l>R DOCUMENTS {specify)
PLOT PLAN
NO'l'E: Show ease111e11ts, property line dimension!
al.l other structures, specify north, and street
na111c 4 For orld sliapcd lots, or if spuce is
too small., provide separate plot plan.
II OF DUILIJLNGS NOlv ON PARCEL ---------USE Of' B[]LI,IJINGS NOrv ON PARCEL
i /OD
1
f-'-1'?° ~-I ______ _
FRONT PROPERTY LINE
S'l'llC:E'T NAl!E/ROllD NUMBER
C/JECK If' CO/lNER L02' ~
DF.SCRIP7TON OF ffORK. PL/INNED .,,,'X=J,0-~<==-,,f<"--"""'----
I hereby acknowledge that I have read this
ai)]Jlication and the above is correct and I
agree to con1ply with all county ordinances
and state laws regulating building constructio ___ !~ ___ s_1~N11_1_v_H_E __________________ _
______L___ FOil OFFICE USE ONLY
VllWATION "-"_t,,_.~9-1'u%~---------~-----
l'EIIMI2' FBI': $ .L,o/;C?C> PL/IN Cl/ECK I"BE $ ;l'j, 2£
'!'01'AL FEE $ ?'.Y:.:Zo scu_ooL: l/Jfi)j<·FFEE $ A/A
DllTE PEllNI'l' ISSUED ftHPy-:Z.-<?Jt:);(
~---------------
ZONING DIS'l'RlC'l' ~1_,.,/.~~~_,_/,=~~D~-----------
1'YPE OF OCCUPANCY ~--'4---'--~----------
'/'YPB OF CONS1'/lUC1'ION
S.1'. OF BUILDING Jee, S.F. Of' LOT
HllX. llE'IG/12' !i"}j' llOAD CLllSS.
SETBllCKS FROM P/WPEllTY J,JNE: F'/lON'l' ------
l!EllR RIG/11' LE'f'T
OFF S1'REE1' PllRKING SP/ICES REQULRIW /T--c,,.,------
P LOOD //AZAR/J ----------------CE ll 2' IFIE D flf,DG BLBVA1'LON
SPIXIAD CONDITIONS --------------
-------------------------P llO B f,E MS f-II7'1/ PE'RNIT
llDDI'l'LONAI. LNFOllMA'l'ION NEEDED
CEH1'I1'1BD BY COLO/lllDO REGIS'l'EllED LllND SURVBY01'
OR ENGINE:Ell
llPPROVEIJ:
/'l.<1/IN l l/c; IJEI'll/11'MENT D11'1'E
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' INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
""" '""'" z 9W~~~~ A~~;k~~"?.~N~~ti ~ AGREE!\%~;[
In consideration of the issuance of this pern1it, the applicant hereby agrees to co1nply n·ith
all lan·s and regulations relaled to the zoning, location; construction an<l erection of the
proposed structure for which this pennit is granted, and further agrees that if the aboYe
said regulations arc not fully complied "\i'ith in the zoning, location, erection and
construction of the a hove described structure, the pcrn1it n1ay then be revoked by notice
from ~'?t.,i:,.Bni~in spector and IMMEDIATELY BF,COME NULL A ND VOID,
Use !.,.CJU1yJ) ·
Owne
Sclbacks Front Side Side Rear
This Card Must Be Posted So It ls Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning Roof Covering
Ji'oundntion
Pl uni bing-U ndcrground
(;as Piping Heating Ventilation
Frnme /0---,2_>-'.?'J c_~,1 Insulation
Plumbing-Rough Drywall
Electric-Hough
(by STATE inspector) Final
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING-·-
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 10 9 8th Street, County Courthouse, Glenwood Springs, Colo_