HomeMy WebLinkAbout3430.-
' GARFIELD COUNTY DEPARTME F DEVELOPMENT
BUILDING SION
Glenwood rings, Colorado 81601
(303)9~212
Co, Rd.
JobAddress ----------\-:__-+----=~~::_:_~----------------
Natura of Work Duildinc Permit
Use of Building __ A_u_to __ s..rv __ ,._· c_·r;/_I_«_•s_:i._· -+-+-~-::::<SA~t----.f4-'-,.---------------
0wner ----~v~i:i.~·1~1~i.aJ~~~J~.c__c:~=":'±:.J:~-J.--__,tfL _ __J'4-1.
Contractor ____ Se__:__::l:_f_--:;;;-------1-__.:::o~~-------
White -Treas.
Canary -Office
Pink -Applicant
Gold -Duplicate
Date: Augm;t 7, 1987 -----p,J~!"'0~~~-1o_is_J_·._ru_t7_,a_1~-
Clerk
NaJft> r. t-
_ ;3~p__j/bT (!)~5:00 _
.8~71-~)/lJ,tJO_
8£,(R S 12~"'f
U.;,../v;zJftt..r
$ /t?? &-,l/O,ct'.. ;;;. . /ftjPtJ.tJ /'"'rAV/.ffe<I" ..
;-;;, 6??. 4,:6;#,,./j,/'!<1,:J_,;; .. .. .. ~· /er,,,_;,?'r:..~ #SS.SD
atJ·6 p,z,,.,<J:/..::/d''e;., ,p,9&-,1J<?
jf;Z/f6'tf' 'J 75;;$?
--
/! ,} 7S-/.S..--8 7Jf k!J1¥'1".,tf/.:;;.t'I(
r;;-o. o-o .Jvf1""-~ ltrm/f P11!J
-... (prr-c j;,.,.,.. #,g''/1) .... ..
--J_r:>,O • Q Q_ ___ ;:;.J-/ :J,,,,,,;-.r-
.•.. ·-·-·· .
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER ,§ _§{)
DATE f) !J1 J'J please print or type
BLOCK # ----
NAME ~' I I 1.a,m J. Mallory
MAILING ADDRESS Box 400
~-~~~~--~~~~~~ CITY El Jebel,Co.81628'HONE 96:3-3060
NAME Thee aePe lb Otioy A~.eee!e:ti e e
ADDRESS Bf'l0-'Jl;lt'---'1l.ot!6>"14l-1'0J-----~IT y ----;B!f!lilH8HlilHJ.l-ltr---
NA/1E owner
ADDRESS
CITY
------------------~ PHONE LICENSE # ------
CLASS OF WORK
NEW X ALTERATION ADD TT.TON ---------DEMOLISH REPAIR MOVE
---~
MOBILE HOME (makeli.r,'tJ'Oo -----------~~
S.F. OF BUILDING • S.E'. OF LOT 1.88aores
# OF FLOORS 2 -----HEIGHT 20 I -----
# OF FAMILY UNITS 1 # OF BEDROOMS . 4
INTENDED USE OF BUILDING Auto Servioe1"-R"'eoo-s=..-1-,,d'-e=ne
GARAGE: SINGLE DBL
FIREPLACE
CARPORT: SINGLE
DOCUMENTS ATTACHED
DBL
WATER SUPPLY __,w._,,e~l~l--Jp~e""'r~m~1ut.__ _________ ~
DRIVEWAY PERMIT ----------------
SITE PLAN a..:r...:r. plPiRS
BtlILDING PLANS see~ •n1
SANITARY SEWER ~CL~E~A~R~lfN::t<-,C~E...., ...... ----------~
------------ON SITE SEWAGE DISPOSAL PERMIT ---------0 T II ER DOCUMENTS (specify)
FOR OFFICE
VALUATION /tJ'l; /)/)/}
PERHIT FEE $ !,/,IT..f'IJPLAN CHECK FEE $ JJ.9#,_iz_~
TOTAL FEE $ 7..fl, S$ SCHOOL IMPACT FEE $ #IJT>
DATE PERMIT ISSUED
---~t-r---------Z ON ING DISTRICT ft ff.-
TYPE OF OCCUPANC_Y_/3~--/_,.---/-~~~lf'~3~-~~-~-~
TYPE OF CONSTRUCTION _\C..,_~t\(_.__-'--------
S. F. OF BUILDING .fr/ =t() S.F. OF LOT
MAX. HEIGHT ,(//)' ROAD CLASS.
SETBACKS FROM PROPERTY LINE: FRONT ------REAR RIGHT LEFT -----
OFF STREET PARKING SPACES REQUIRED -------
APPROVED:
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
n~me. For odd shaped lo'ts, or ii-space is
too smal.l, provide separate plo~ .[Jlan.
# OF BUIT,DINGS NOW ON PARCEL ~A/'O~_o~,,,_~e ____ _
USE OF BUILDINGS NOW ON PARCEL
FRONT PROPERTY LINE
STREET NAHE/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED ---------
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state laws regulating building construction
SIGNATU
USE ONLY
FLOOD HAZARD ----------------CERTIFIED BLDG ELEVATION ----------
SPECIAL CONDITIONS ------------~
PROBLEMS '1ITH PERMIT ------------
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED [,AND SURVEYOR
OR ENGINEER
,.'I!'-",