HomeMy WebLinkAbout3676 GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER
please print or type DATE /tJ1I
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS C. R A l 3 1 NOTE: Show easements, property line dimension
SUBDIVISION n f /V�'I all other structures, specify north, and stree.
U FILING # LOT # I BLOCK # name. For odd shaped lots, or it space is
w TAX SCHEDULE # too small, provide separate plot plan.
LEGAL (SEC/TWN/RNG) # OF BUILDINGS NOW ON PARCEL N ONE
NAME J; 5 r7 e,•LE/ USE OF BUILDINGS NOW ON PARCEL
q MAILING ADDRESS • at r _ _
CITY , „ 5'• ,s. PHONE 7v`s. 503/ flS Hp
a NAME , • ' , • ( "4 9
�2 S ADDRESS aucrgreen CITY C n L0, .W /fEr
NAME J 7C VVn /al/ h eeint ! '�
§ ADDRESS
CITY - 3C , 14
[PHONE LICENSE #
CLASS OF WORK
NEW X ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING TQI�IQ S.F. OF LOT 4t % ewes
# OF FLOORS 1 * L0 Ant HEIGHT 4'
# OF FAMILY UNITS / # OF BED ROTS 3
INTENDED USE OF BUILDING R ,0sidunKa!
GARAGE: SINGLE DBL CARPORT: SINGLE DBL FRONT PROPERTY LINE
FIREPLACE'
DOCUMENTS ATTACIHED STREET NAME /ROAD NUMBER ra R 1) 1/ 3
WATER SUPPLY -11 CHECK IF CORNER LOT
DRIVEWAY PERMIT DESCRIPTION OF WORK PLANNED CONS 'T R VL'T"
SITE PLAN X /FS r Q ENGF
BUILDING PLANS X
SANITARY SEWER CLEARANCE I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT ,70(.4,.VDEp application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and state laws regulating building construction
-SE glasa,
SIGNATURE V '
FOR OFFICE USE ONLY
VALUATION* & 3 4 00 0 0744 FLOOD HAZARD
PERMIT FEE $LAN CHECK FE $ /go 3z- CERTIFIED BLDG ELEVATION
TOTAL FEE $ SCHOOL IMPACT FEE $ 4/4 SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT A/ /a PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY R ,g
TYPE OF CONSTRUCTION 4' ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING 3, 2'0 S.F. OF LOT - etc,
MAX. HEIGHT 9e ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
APPROVED: � , , * , // /,u 3 9/ „' ' APPROVED: 4 i ,j u e�- ��/
ILDING DEPARTME T 'DA PLANNIN DEPARTMENT DA E
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
b ARFIELD COUNTY COLORADO
[�
• Date Issued J .. /.!/,1 Zoned Arca Pernut No
AGREEMENT
• In consideration of the issuance of this permit, the applicant hereby agrees to comply with
a ll laws and regulations related to the zoning, location; construction and erection of the
proposed structure for which this permit is granted, and further agrees that if the above
said regulations are not fully complied with in the zoning, location, erection and
• construction of the above described structure, the permit may then be revoked by notice
from the Cou y Building In e igr`a M�jrDIATELY BECOME NULL AND VOID,
Use . �� 477,3 - / fie,
Address orregal Description
° f ,� / � r ■
' t' ` /, `r` � ,/'y r' ttt, �Q.�'
Owner C/ : % iw 4/ / ! 67 444 Contractor 7,40J^ r w Q � 7 od4A
• - Setbacks Front Side Side Rear -
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning Roof Covering
Electric -Final (hy STATE inspector)
Footing // 9l 7 cz 5
Foundation
Plumbing- Underground
Gas Piping Heating Ventilation
Frame Insulation //- /41 - j -f -3-
Plumbing -Rough Ole / / /G /ba !: Drywall 1t iy - y ��
Electric -Rough / / - -s' 7i
(by STATE inspector) Final
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT LS NOT TRANSFERABLE
Phone 945 -8212 109 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DO NOT DESTROY THIS CARD
Date f/ 2r, B y A
IF PLACED OUTSIDE - OVER WITH CLEAR PLASTIC