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GARFIELD COUNTY
BUILDING, SANITATION end PLANNING DEPARTMENT
4 109 9th Street Suite 303
Glenwood Springs, Colorado 01601
(903) 945 -9212
Job Address tn)YS 9 $ 18 Se i 12. T78 RR7W 0"9e'M1C
Nature of Work Building Permit
Use ofeuilding S.F. Residence
Owner Brad Faber
Contractor O%aler
Arr4ount of Permit: $ =11 . AO Date: 9/8/89
310.00 Permit
+ 201.50 Plan E. Haring
Clerk
White - Trees.
Canary - Office
Pink -Applicant
.Gold - Duplicates
GARFIELD COUNTY
�' APPLICATION FOR BUILDING PERMIT 7 ���
PERMIT NUMBER 3
please print or type DATE /40
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS NOTE: Show easements, property line dimensions,
.a SUBDIVISION all other structures, specify north, and street
FILING # LOT # BLOCK # name. For odd shaped lots, or if space is
o
a TAX SCHEDULE # too small, provide separate plot plan.
LEGAL (SEC /TWV /RNG) # OF BUILDINGS NOW ON PARCEL / 'oitt
-
c4 NAME,. ptii9�S" USE OF BUILDINGS NOW ON PARCEL
W ' MAILING ADDRESS A\ 011...,,. 0 CITY _ ,,, s)....... �,'�
l _ PHONE �- \pj )
x NAME ( 4 tM.c oc s$ts
M ADDRESS CITY e
cg NAME Q ua esr
,ADDRESS \? s % ... .. 01.4.1' r D D PIA /AI
1 CITY Coot t . t.
PHONE atc.,¢,-(Ot4L LICENSE #
CLASS OF WORK
NEW y ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING \t 0 \Q S.F. OF LOT 4-4.0- 0ctc
# OF FLOORS r HEIGHT 10.
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING S.tt \ 4
GARAGE: SINGLE_ DBLC CARPORT: SINGLE_ DBL FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS ATTACKED STREET NAME /ROAD NUMBER
WATER SUPPLY W t.\\ CHECK IF CORNER LOT _
DRIVEWAY PERMIT .. "ee7��#�. DESCRIPTION OF WORK PLANNED
SITE PLAN
BUILDING PLANS
SANITARY SEWER CLEARANCE // I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PE MIT tyf«de /e 4 le,... application and the above is correct and I
OTHER DOCUMENTS (specify) p - g u Ire agree to comply with all county ordinances
and state 1 regulating building construction.
r .
SIGNATURE
FOR OFFICE USE ONLY
VALUATION .5r' 3o S ' o FLOOD HAZARD
PERMIT FEE $ 3 / / CHECK FEE $' ° CERTIFIED BLDG ELEVATION
TOTAL FEE $ �L /,S'o SCHOOL IMPACT FEE $ . SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT AV/2/k2:2) PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY A -3
TYPE OF CONSTRUCTION // — /✓ ADDITIONAL INFORMATION NEEDED _
S.F. OF BUILDING / 12 , 92? S.F. OF LOT 4 Q C,
MAX. HEIGHT ti, 1 ROAD CLASS. - CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT t. OR ENGINEER _
REAR RIGHT LE 'T
OFF STREET PARKING SPACES REQUIRED
i Ar
APPROVED:. Ziff. , . ../ S 3o; 8 ' APPROVED: /I.I 9 / r r
O r DING DEPARTMENT r DAT: PLANNI G DEPARTMENT DATE