HomeMy WebLinkAboutApplication- PermitN° 04409.
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Job Address
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
- (303) 945-8212
1101 C.R. 107, Carbondale
Nature of Work
Building Permit
Use of Building
Owner
Contractor
Amount of Permit: '$
Single Family Residence
Michael Pines & Joli Springer
owner
• 1,291.95
Permit $783.00
Plan 8503.95
Date February 24, 1992
R. Bennett
Clerk
White - Treas.
Canary - Office
Pink -Applicant
Gold - Duplicate
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92/9
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
TO BE FILLED OUT BY APPLICANT
please print or. type
PERMIT NUMBER �7 0l
DATE -a `
PLOT PLAN
ADDRESS if 0 1 C T y 12(.7/3-1') 107
SUBDIVISION 5'T/Z.(o !C
FILING # LOT ,-; BLOCK
TAX SCHEDULE # '7` 7 3 fit 4C. WOO
LEGAL (SEC/TWN/RNG) // Y4 A itd ryl ,50 562.24
0
NAME
MAILING ADDRESS /7 0. ? S
PHONE X6.3-32_30
CITY C I x 7�%�-1
z
NAME
0/0 / f?
ADDRESS /7c?/°]„, r Z CITY f��1Jr:
CONTRACTOR
NAME
ADDRESS
k7ITY
PHONE
LICENSE #
CLASS
OF WORK
NEW ALTERATION
DEMOLISH
MOBILE SOME
S.F. OF BUILDING
# OF FLOORS 3 t Ar} -5 „
r OF FAMILY UNITS
REPAIR
(make/model)
ALA
ADDITION
MOVE
INTENDED USE OF BUILDING
S.F. OF LOT r/0 4L -G
r HEIGHT
OF BEDROOMS
SF - ,5/ z ce-
GARAGE; SINGLE__ DBL 'CARPORT: SINGLE DBL
C'_Th Unlz y-5
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY
DRIVEWAY PERMIT
SITE PLAN
BUILDING PLANS r
SANITARY SEWER CLEARANCE I "
�tIL-�L
17"
ON SITE SEWAGE DISPOSAL PERMIT -,fps
OTHER DOCUMENTS (specify) ��#isse
3 si `74-14
f 1d� 2.34g.��
444 4 /15x2 �l of 3 G3 o
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or if space is
too small, pz•ovide separate plot plan.
# OF BUILDINGS NOW ON PARCEL 6
USE OF BUILDINGS NOW ON PARCEL
Se- cf c 7Cc« a l 6 c�
&e ') /,Wo 4 ss' 0
Se FL)1+�ci i• DnC
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FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IE CORNER LOT
DESCRIPTION QF WORK PLANNED
C�.,•r��e � C_c).7S-71rcr c� 1-1
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hereby
hereby acknowledcre that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state_laws regulating bilding construction.
SIGNATURE
i-e4LI4_e,`l �3 '7 2 Og+r Bz¢, -P OFFICE USE ONLY
FLOOD HAZARD
VALUATION 9.:/..,d()_0
PERMIT FEE $ 7" 4,oa PLAN CHECK FEE , _jog,QHS^
TOTAL FEE / ?1 9r.SCBOOL IMPACT FEE $ ;4•3A
DATE PERMIT ISSUED
ZONIkG DISTRICT
TYPE OF OCCUPANCY
14--3
TYPE-, OF CONSTRUCTION
U— IU
S.F. OF BUILDING 44,..,70 S.F. 05 LOT ' /0 2C
MAX. HEIGHT ROAD CLASS. ---
SE TBA CKS FROM PROPERTY LINE: FRONT /171-
REAR
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
pit
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
APPROVED:
PLANNING D 'ARTM'N
DATE
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