HomeMy WebLinkAbout3509 GARFIELD COUNTY
APPLICATION APPLICATION FOR BUILDING PERMIT
^'- PERMIT NUMBER .3..r
please print or type DATE Jr- p- y , Et g
TO BE FILLED OUT BYPLICANT PLOT PLAN
ADDRESS 03 3 4- rtt/ r,J NOTE: Show easements, property line dimensions,
a SUBDIVISION /ff�yr/ A.l fl 4-do ) all other structures, specify north, and street
▪ FILING # LOT # 4 BLOCK # 3 name. For odd shaped lots, or if space is
o
w • TAX SCHEDULE # too small, provide separate plot plan.
LEGAL (SFC /TWV /RNG) # OF BUILDINGS NOW ON PARCEL Mon n -,
cC NAME T yAr 6 , si'-e y- USE OF BUILDINGS NOW ON PARCEL
w I MAILING DDRF S ;f0-97 Jam.BA,ed y
o CITY L ' / A a il) t PHONE N 3f9 66�5- CO 10 t (7 l V G F'
6. NAME , 1 L�,. g yg¢ $L
-r6 ____ (r+r o v � �'
a ` ADDRESS ( V 1 CITY 1(11
= NAME Ow rR e{-- /O` ' � . .Th! (' r
PA" ADDRESS %, 14 -k§2' %/
CITY t
PHONE LICENSE # d 0 44r ` 0
V CLASS OF WORK F1 0
NEW V ALTERATION _ ADDITION ' 6a
DEMOLISH REPAIR MOVE ' d,� CO
MOBILE ROME (make /model) leven ci C d /• k- , > Z- 34 "
S. F. OF BUILDING .7 2, g S. F. OF LOT /!
# OF FLOORS f HEIGHT --xi' z_j
# OF FAMILY UNITS / # OF B D OOMS 4-r 00 re
INTENDED USE OF BUILDING /r =. S den c..t --
GARAGE: SINGLE DELI CARPORT: SINGLE DEL ,4fr/0 e Dr,
FRONT RUPERTY LINE
FIREPLACE /�
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER pp1 4 r•
WATER SUPPLY r i7 7t- f 7 mn'1V#1 1 ��s Crl-. CHECK IF CORNER LOT J/ /
DRIVEWAY PERMIT /(/� r" DESCRIA'TI ail,
OF PLANNED 4r,/ rc.,
SITE PLAN L- _ /� S - X Z
BUILDING PLANS
SANITARY SEWER CLEARANCE 7 — I hereby knowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT MA application and the above is correct and I
OTHER DOCUMENTS (specify) agr-- to comply with all county ordinances
an4.t:te laws regu ti building construction
4[ NATURE
36,a'OR OFFICE U ONLY
VALUATION sr Da FLOOD HAZARD
PERMIT FEE $ PLAN CHECK FEE $ CERTIFIED BLDG ELEVATION
TOTAL FEE $ SCHOOL IMPACT FEE $ SPECIAL CONDITIONS
DATE PERMIT I SUED 3C4" ZONING DISTRICT ,e"•R/R p PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY dd a-
TYPE OF CONSTRUCTION - \ ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING yam® dF. OF LOT / /pg J
MAX. HEIGHT-4? 71-it M. AD CLASS. eJec /; CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT;igre OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
ry
APPROVED:' . ,, j �j/� 1 .. ..,, �` / / I,,, • y s _ 5 APPROVED: -,:///08
aim: i... S-T .N / DA'' - • .. PLANNING DE RTMENT T E