HomeMy WebLinkAbout3391Nature of Work
GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
llUILDING DIVISION
3rd Floor, Courihouse
100 8th Street
Glenwood Springs, Colorado 81601
(303) 945-8212
i>uil..W1q Penni t
Use of Building ___ Re~p_l_a_,._,._h_._l_J._w:_i_· th_· _m_1o_tl_ier __ 1_1_._H_. _______________________ _
Owner Jon & Diana \Jellrnrklr..._ ___________________________ _
Contractor ____ Se-=lc.f ____________________________________ _
Amount of Permit: $ ~3~0~·~0~0~---------
White -Treas.
Canary -Office
Pink· Appllcant
Gold~ Duplicate
Date: June fl 1937
I.ois J. Butzen
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER .:J.3 '!I
please print or type DATE C:. /af' 7 /7
I I
TO BE FILLED OUT BY APPLICANT
---!ADDRESS 9.1.aa &>I Qond
6 p-. NAME
~ ~ ADDRESS
" ~AME ·SR\ l' ~ DDRESS
~ CITY ·---
~ IP/IONE
CITY ------
LICENSE #
CLASS OF WORK
NEW ALTERATION ADDITION ....--
DEMOLISH REPAIR _____ MOVE ___y~---
MOBILE HOME (make/model) )I Skx:tle.c
S.F. OF BUILDING hi1<7l2 S.F. OF LOT 7£°0Cl-<!S
# OP FLOORS HEIGHT --------
# OF FAMILY UNITS # OF BE9ROOMS
INTENDED USE OF BUILDING £e~1)ie a~----
GARAGE; SINGLE DBL CAFfPORT; SINGLE DBL
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY _ _,..f4,_/~Jii""._t"-1.;.. __________ _
DRIVEWAY PERMIT -
SITE PLAN l\/A"'-------------
BUILDING PLANS -~f\C~~ff~-------------
SANITARY SEWER CLEARANCE ___.., _ __, ___ ,__ ___ _
ON SITE SEWAGE DISPOSAL PERMIT ~z!!~..,.~~L~.J">L~1"~1---
0T/IER DOCUMENTS (specify) ~
PLOT PLAN
FRONT PROPERTY LINE
STREET NANE/ROAD NUMBER -----------C 11 ECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED ---------
I hereby acknowledge that I have read this
applicahon and the above is correct <Jnd I
<Jgree to comply with <Jll county ordin<Jnces
<Jnd st<Jte l<Jws regul<Jting building construction.
SIGNATURE
FOR OFFICE USE ONLY
VALUATION
PERMIT FEE-$-.3""1?-. tP_'P_P_LA_N_C_H_E_• C_K_F_E_E_$_A/....,.-,..-;.q..=-----
T0TAL FC:E $ ;r o, "'0 SCHOOL Il1FACT FEE $@
DATE PERMIT ISSUED~ ~~~~.N~FD~~~~:~~CY %-o-+-:(2...-~+A.r,~~°"'. --6-.-u-· --e----3-
TYPE OF CONSTRUCTION /k1-c-)f, -J./if/3
S.F. OF BUILDING ft?.< zo s.F. OF LOT .. .,.zs-.._.c,
MAX. HEIGHT /k r ROAD CLASS. -
SETBAC)CS FROij.. PROP.EEf7 Y LiplE: . FRONT /J1,, /6~+, -;z ... "'-. -
REARb ( ,/Jrt:t.ceFl'f(;ww. ... r e1c1 .;.~"' M· hi,
OFF STREltT PARKING SPACES REQUIRED ~;t';;i:..J;f
FLOOD HAZARD
~-----------~--~ CERTIFIED BLDG ELEVATION -~~~-~~~~~-SPECIA/-:t;tle!.d:'~./P P,#?A~dfil f
PROBLEMS WITH PERMIT
-----------~
ADDITIONAL INFORMATION NEEDED -~~~~~~~
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
---~----~-~~-~~--
-~
PLANNING DEPARTMENT
\.;; ·,<·•;.;,,, ·~·'
'·,i;, I ~· I -52 51-_4
SEC. 32
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