HomeMy WebLinkAbout3532 GARFIELD COUNTY _7/
a a / a
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER 5
-
please print or type DATE April 1R. 1988
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS 76 Green Mesa Mart NOTE: Show easements, property line dimensions,
a SUBDIVISION Willow Creek Village all other structures, specify north, and street
d FILING # LOT # 1 BLOCK # 2 name. For odd shaped lots, or if spaces is
TAX SCHEDULE # 270157, Parcel#2407 074 - - 114 too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) Sprtinn nna # OF BUILDINGS NOW ON PARCEL Nnne
- USE OF BUILDINGS NOW ON PARCEL D ip
W NAME Barlow, Allen & B tty
MAILING ADDRESS 60 Skyline Drive
p CITY MorriRtnwr NT 07960 PHONE(X11)7A7_9152
y s NAME Brodsky F Apsnr (mndifinA version)
C ADDRESS 5701 N 19th Avp CITY phnayiv A7
See Attached Plot Plan
a NAME Snnelanre Tit, /�-
° l,.l w/ sty, if--00.44, (j ADDRESS 1 11 Tama rt Trail !fl 11 � � ! /a' /,
CITY Battlement 1.ips a, (:nCalm S1fi75 ¢ ` R�` r �"�E FsC1 � ! R ^+
6 PHONE 755_7554 LICENSE #
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CLASS OF WORK y Q 2 r 1 e,er] -4 i{ 4$7
NEW x ALTERATION ADDITION / /I' \
DEMOLISH REPAIR MOVE 7-„743 / erdd/'PY"? a / r /h , (3•4q noo9
MOBILE HOME (make/model) v e r /J /I
S.F. OF BUILDING 1944 S.F. OF LOT 10,900 appr•, dell- i7/l, (3k rale)
# OF FLOORS 1 HEIGHT 1h' -6""
# OF FAMILY UNITS 1 # OF BEDROOMS 1
INTENDED USE OF BUILDING Single Family Raaidenne
GARAGE: SINGLE DBL CARPORT: SINGLE DEL FRONT PROPERTY LINE
FIREPLACE YSB _
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER C roon Mee.* pinee -
WATER SUPPLY /y,/ CHECK IF CORNER LOT C•ll- do -Snr
DRIVEWAY PERMIT DESCRIPTION OF WORK PLANNED Single--stonf,.
SITE PLAN x frame const., some rock veneer
BUILDING PLANS x
SANITARY SEWER CLEARANCE ------, I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT ,'/i-7 r application and the above is correct and 1
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and state laws regu acing building construction
SIGNATURE
FOR OFFICE USE ONLY
VALUATION 4 6 FLOOD HAZARD
PERMIT FEE $ 3 ,9 LAN CHECK FEE $ /6;00 CERTIFIED BLDG ELEVATION
TOTAL FEE $23-7,6.610 SCHOOL IMPACT FEE $WjE},. SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT /4"4(i) PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY die—
TYPE OF CONS T — ADDITIONAL INFORMATION NEEDED
S.F. OF BU .7 .F. OF LOT V
MAX. HEIGHT --' / (p 1' ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONTS' ' Gy.�T OR ENGINEER .
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
APPROVED • : , , /L!O /. ` �� /r(f4t�v/ r 3 se oiRnn EV s1: 6 Ky) s /q/r d
, ILDING r PARTMENT DA PLANNING DEPARTMENT DATE