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GARFIELD COUNTY
BUILDING, SANITATION ond PLANNING DEPARTl\IENT
108 8th Street Sulto 303
Glenwood Springe, Colorado 81601
(303) 945-8212
NatureofWork __ ..Jflllll.l.1 i;i.l.1.id"11.in<JW___l'.Plli~il:IIl.l0.J:t;_ _____________________________ _
use of Building __ J,Li~v:;i,i.nqrn_\1!11111i!Ctwal:.ov!!!i.~e~qg,araa!.!l!ol!e,,_ ______________________ _
Owner :_ ___ __JRi~c<-S.and!!!:'L!:lNanC!1!!~Y~Qui~·~senberry~~~.r_---------------------~
Contractor ----~=:.::er=-----------------
Amount of Permit: $ --,Jde!l,MS~.-44-llli--------
Pomnit
Plan
f White"': Treas. :,:',. 'll~ Canary -Office
··-...Pink~ Applica.n.t
,, ', 'Gold -DupHcate
193.00
125.45
Date: --.ll,1l,~122J9!1./Q;(l~9~--------------
E. Har,ing
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or typo
PERMIT NUMBER ---~-DATE~ ... t.ea,_//tf;.c}i('f
~ ...
TO BE FILLED OUT BY APPLICANT
SUBDIVISION _______________ _
FILING # ____ LOT /I BLOCK #
TAX SCHEDULE #
LEGAL (SEC/TWN/RNG)
NAME C-.0.+.VC
MAILING ADDRESS ~f~-~t~>,_~1:>;,,.~,·~~---'""-":..>.;;-----
CITY c 4£&1VJ:>Ace
MAME ~ fl',.L1t5!;~v ) /Jrff!:-'IV6 t,.;>A-RD
ADDRESS~ 1Jl7 r C12'Y~~ l"tvl¢>¢b
MAME OIV 10 iE.../i!._
DDRESS
CITY --------------------PHONE LICENSE # -------
CLASS OF WORK
____ ADDITION 17' __ _
MOVE
(make/~odel) ----·---------
S\F. OF BUILDING 7/JO S.F'. OP LOT-----
# tOF FWORS I/EIGHT _,.,:J_,_'fL'-----
# OF FAMILY UNITS # OF' BEDROOMS .~:1~--
INTENDED USE OF BUILDING C#E:-'fA,<'.E~ (..(<\) ,T
GARAGE: SINGLE DBL V CARPORT: SINGI,E DBL
FIREPLACE ()
DRIVEWAY PERMIT _,--::=:c"'"-'"'°--'--'~~---------SITE PLAN __ t..---" _________________ _
BUILDING PLANS_,,,........--'----------------
SANITARY SEWER CLEARANCE AZA "
ON SITE SEWAGE DISPOSAL PERMIT _Hz c..l~d!e¢'
OTHER DOCUMENTS (specify)
PLOT PLAN
NOTE: Show easements, property l .ine dimensions,
all other structures, specify north, a.nd st·raet
nal'l1(?. For od(] shaped lots, or. if space is
too smal 1,. p.rovide sepY.rate plot plan.
# OF BUILDINGS NOW ON PARCEL _,:Z:.,,,,_ ______ _
uSE OF BUTLDINGS NOW ON PARCEL l'.E,;,1 DL'>.JT"li/L
_ (6or ·~ &> so\-l'.?zg.H<9.e)
FRONT PROPERTY LINE""'--......_
STREET NAJIE/ROAD NUMBER O'?I!;) ~b ID 7
CHECK IF CORNER WT
D/ISCRIPTION OF WORK PLANNED ,\\)llrTl9"-,) ""'
<-I U 11\!6 IJN CC @~c>E Ek1JTir0t'.~ .,-;, A:f!U.f.
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and stato laws regu ting building construction.
Fon OFFICE USE ONLY
DATE PERMIT ISSUED ---~~--------~
ZONING DISTRICT ---"=~>-.lo.C:.."""'-------
OF OCCUPANCY ---..&::..:::..2...--------
TYPE OF CONSTRUCTION ---'l("--'---'-'A~/'---------~-
OF BUILDING //72-.<;.F. OF LOT /l+'~c_r
HE.WHT ~ ROAD CLASS.
SETBACKS FROM PROPERTY LINE:
RIGHT
FRONT ~V-'------
LEFT -----
OFF STREET PARKING SPACES REQUIRED -------
FLOOD HAZARD ----------------
CERTIFIED BLDG ELEVATION ~--------~
SPECIAL CONDIT.IONS -------------
PROBLEMS WITH PERMIT -----------~
ADDITIOMAL INFORMATION NE/IDED --------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER -----------------
'
' ! ' Q r .. 11~$ e_ "1 IP~\ ':j-) /rJ~_, ____ --
I. 0 ': ---i-~-t:J ..;;> _______ _3_'C_Jf<:-_0 _'?•_ 0 0
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2 r. 3_ ~s2---~---! I 72...:c _____ @ __ 3c__~---~l-;1_i2_?-:_Q,__!!._Q_ _____ _
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____ =_~__;...____Jr-_3_t)_S:.+1'> <::> J ----- ---- ---- - -
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/ CERTIFICATE OF OCCUPANCY
BUILDIN(i DEPARMNT
GAR FIELD COUN'tV, cOi.;oRADO
I
. . . ' 1,/:;No ~--~~-------19_
P•~ml$sl~ ls tiereby grantell tof Jl·k & lifmc Y Uuj 11@\lki-n·v
. ' ,•, ' ' :f ,! -~
. Building Permit Np. )f:lj 'j .· \) . ·.. . . . . . ·. I
'siW~d.&t 01s 0 Rdr lot,yeaY.1*"d•.la
2!i:>rte Dl~rict ___ ~~-----~-
~of~Blk.-Addition ____ _ ;.7 :.· ' ' ·. •' ·.
" for tne foHQllllng purpose LiVi,\lf: linlt aboV• ure<· I!
··'\~ tSD&t-·Nature·of Usel
'Ci>f\ttlictor .-'-.,-""°"""""""'•_I ____________ _,_ __ ~--'---+-.c.-...-----~~----
1 \
\
' >'M··'·•
Whit•: O.wner
areao: Landliig A111..-icv
Go.Id: .. ~ntr111ctor
Y•llow; 6uil<llftig.p.,;.drtrt't8nt , ..
Pink; A ... Nor ·
.,..
GARFl~LD ®Ul'HY111WILDmG DEPART-T
t '/ • ,~; i •r,•1~/ r \'
By ~if¥$6<t:< ' .,. . ' ,1i;l> ,, '. • •,