HomeMy WebLinkAbout3247 r GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT /
PERMIT ERpii
please print or type DATE j
TO BE FILLED OUT SY APPLICANT PLOT PLAN IT ll
ADDRESS 1ppp pt •N& plc & R c., , NOTE: Show easements, property line dimensions,
a SUBDIVISION all other structures, specify north, and street
6 FILING # LOT # BLOCK # name.. For odd shaped lots, or if space is
TAX SCHEDULE # too small, provide separate plot plan.
LEGAL (SEC /TwN /RNG) # OF BUI:DI NGS N ON PARCEL pig r �j. j/.
W NAME �r USE OF BILDINGS NOW ON .PARCEL �Ips,'2(P n c C-
e: MAILING ADDRESS %', W
O CITY Ti/A-4 PHONE ,. _ - L !�d 'o�.n �i � /nom.
m NAME [T4N �.e�i11/ ` Qo /�oi N P(.2' �
a ADDRESS � CITY ff• " pt, / w �j I
a s N AME O &Vne/ F7- lfar(� /�(^�
H DDRESS _ / Ste Pe �� O
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CITY n)
t I IIONE LICENSE # 9 Urn � � 1
CLASS OF WORK
NEW c ALTERATION ADDITION r ^----
DEMOLISH REPAIR MOVE
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MOBILE HOME (make /model) // 11--- - - -•--
S.F. OF BUILDING giro. S.F. OF LOT ¢p aft $
# OF FLOORS l HEIGHT eJ
# OF FAMILY UNITS Non f,. # OF BEDROOMS N n-
INTENDED USE OF BUILDING 5 r
GARAGE: SINGLE DEL CARPORT: SINGLE DBL
_ _ _ FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS ATTACHED _ STREET NAME /ROAD NUMBER 7 a SYS low ,5't( /?
WATER SUPPLY Ain y{ . CHECK IF CORNER LOT
DRIVEWAY PERMIT Al on e y S - tie i DESCRIPTION OF ORK P NNED _ p; . . n; , / / - ti C i
SITE PLAN At t-1-7- r 47 P 04 S 6
BUILDING PLANS 4 C / ,�
SANITARY SEWER CLEARANCE MOj° /u...L('n H I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT •j�/py(- y application and the above is correct and 1
OTHER DOCUMENTS (specify) G agree to comply with all county ordinances
_ and state laws regulating building construction
1 ' J
SIGN URE ( j
�! FOR OFFICE USE ONLY
VALUATION 5� s 0 0 FLOOD HAZARD JJ a r^Y-e---
PERMIT FEE $ 4%. co PLAN CHECK FEE $ .n).," CERTIFIED BLDG ELEVATION
TOTAL FEE $ q3,2,4 SCHOOL IMPACT FEE $ SPECIAL CONDITIONS
.+
DATE PERMIT ISSUED 7/7/4//
ZONING DISTRICT PROBLEMS WITH PERMIT A/Cnwe_
TYPE OF OCCUPANCY S' i-v +-,q, c g, d n lif _
TYPE OF CONSTRUCTION /Gc/- ( C... ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING S.F. OF LOT .¢ ackO
MAX. HEIGHT / ROAD CLASS. _ CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS i FROM PROPERTY LINE: FRONT /s^ p ICfy OR ENGINEER
f /{fig] f
REAR RIGHT 2-0011, LEFT / 100 P7
OFF STREET PARKING SPACES REQUIRED .4/ , e
APPROVED •/, 1Lii /u. • . • rI ' /7 g C. APPROVED: )X--- /
WILDING DEP' - M 'T / DA E PLANNING DEPARTMENT DATE
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