HomeMy WebLinkAbout3380GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
llUILDING DIVISION
3rd Floor, Courthouse
100 at~ Street
Glenwood Springs, Colorado81601
(303) 945-8212
0896 co. Rd, 241, New Castle
Job Address~-----------------------------------------
Natura of Work .l:luildi.J.19 Permit
S/F Residence Use of Building---~--------------------------------------
Owner -----~J~o~lm~=J="---"W=i=l=sor=-:1 _____________ _
Self Contractor ----~~~-------------·-----------------------
Amount of Permit: $ -=5=0=1=·=6=0 _______ _
White -Treas.
Canary -Office
Pink ft Applicant
Gold-Duplicate
Date: __ Ma=>y'--'1°"8'-''---=l=..:98,,_7'-------------~
I.Ois J, Butzen -----
Clerk
~
.. ~ -<P !"i ~~
!':'")..
---~"'"
GARFIELD COUNTY
llPPLICATION FOR llUH,D!NG PERMIT
6/1;/11
please print or type
PERMIT NUMBER J.:J J'D
DATE,/a -~ ...-f! C,
TO BE FILLED OUT BY APPLICANT
~-,ADDRESS tl'70 C'i;L~ :2.9' /
SUBDIVISION --L-J' j 'FILING # LOT H ___ BLOCK #
'.'.J TllX SCHEDUL1" # -------------
LEGAI, (SFC/TWN/RNG) rs 9/ fd./ -U,l:f')4
00:
"' ~ CITY
-~\ IPIAl1E r-:-,,;;;;;v....,d _!li1ADDRESS ~ CITY
"' !NAME • ,, J t~ ADDRESS __ ,-~_. __ = _____ _
CITY , ~-<---
1 ---~----·" 3 ]PHONE LlCt:NSE # ______ _
L' CLASS OF 11_0_1u_c ________ _
-~V" ___ ALTERATION _.-=. ___ ADDITION -----
REPAIR MOVE --------
MOBILE HOME (make/Model~
S.F. OF BUILDING t3/g,-t ~OF LOT , J)t/t..~. -f-
# OF FLOORS J..-f _J_. _ HEIGHT .;J..cJ Cf . u
# OF FAMILY UNITS / # OF BEDR90MS A
INTENDED USE OF BUILDING if:J,_~;'c{~c -C
GARAGE: SINGI.r: DBL CARPOR1': SINGLE DBL
FIRE PI.ACE ----
DOCUMENTS ATTACHED
WATER SUPPLY VtJ.:? l b DRIVEWAY PERM_IiT"""""--~~._..,,. ____________ _
SITE PLAN ---""-------------------
8UII.DING PLANS V-------''-----------------SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT
DOCUMENTS (specify)
~OJ:tfo;-., .
OFFICE
VALUATION . -~, , r 1v -
PERMIT FEE $ tO 5?'!!! pLJJf:ffiECK PEE $ f 'f2 ""''
TOTAL FEE $ 5t>/ ~SCH 01 TUPACT PEE $ i!M ~
DATE PERMIT ISSUED ,,
ZONING DISTRICT 4 0 ;A'/)
TYPE OF OCCUPANCY __ __,,a_ __ -_'~lr'-=C!'l~·-c.-~-~---
TYPE OF CONSTRUCTION J·N
S .F. OF B(III,DING /'?(.ft f.'ti,l&•fik. OF LOT ~f.
MAX. HEIGHT (.!..$'/ ROAD CLASS.
SETBACKS FROM PROPERTY LrNE: FRONT SIP -.
REAR ;/!)') '-f RIGHT j/J'jl ± I.EFT y('/-f
OFF STREET PARKING SPACES REQUIRED ~
~·
BUI1.,
PLOT PLAN
NOTE: Show P.asements, property l,ine dimensions,
all other structures, specify no1:t:h, and street
name. For CJdd shaped .lots, or if space is
too srna..l 7.,. p.rovide sep,;,.rate plot plan.
# OF BUl"LDl"NGS NOW ON PARCEL <:lit
USE OF BUILDINGS NOW ON PARCEL
I ,
FRONT PROPERTY LINE
STREET NAllE/ROAD NUMBER 0 '1{9 CJ ¥C1J... ;] :J. /
CHECK IF' CORNER I.OT /
DESCRIPTION OF' WORK PLANNED
~--------
I hereby acknowledge that I have re"d this
application and the above is correct and I
agree to comply with all county ordinances
.1""'111 rcgulfi.ti!'g building construction,
FLOOD IIAZARIJ -----------------CE RT IFIE D BLDG ELEVATION ----------SPEC I A I. CONDITIONS -------------
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED T,AND SURVEYOR
OR ENGINEER
S'".L-J-t;T/ 50 ~ -
M' rll!'D' -/M ?h.r/"\--/1)/7/0,
PLANNING DEPARTMENT DATE
I