HomeMy WebLinkAbout3807 GARFIELD COUNTY
it �• APPLICATION FOR BUILDING PERMIT 7
PERMIT NUMB / ER
please print or type DATE ciAAy
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS gO`y C5 3Ot P4ktchufr3Co. NOTE: Shoal easements, property Iine dimensions,
SUBDIVISION all other structures, specify north, and Street
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c FILING # LOT # BLOCK # name. For odd shaped lots, or if space is
w TAX SCHEDULE # too small, provide._separate plot plan. pkat;60(
PARCEL
C4 NAME yy , USE OF BUILDINGS NOW ON PARCEL A //,; r aa.�,F
TI AM X. iI&&vlok i1-a // .) )J " )
MAILING rra
ADDRESS 4047 R •i
S. CITY YARuiFiCn. va PHONE F,tS- $6Y-l`
'' NAME mr i b� Tya 5 ' : -1 . wt e. Cttw!', auk
ADDRESS : ., i.2,. CITY _ , _ , f
i 11 f For 1+1
w NAME ,5 � lf
i 6 ADDRESS ar..c/ c t v e_ h' ( 0 f k ,1
CITY 1
8 [PHONE' LICENSE # - J-v" t.+ w K IL"
CLASS OF WORK
NEW •— ALTERATION ADDITION `
DEMOLISH REPAIR MOVE w° 1. " k S H ° Pop- a n � s tyi e,
MOBILE HOME (make /model)
Clot- al - 9s 4 * _ y pr
S.F, OF BUILDING 6:23.1 S.F. OF LOT 6 4 J
# OF FLOORS HEIGHT 1 °tint e r
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING Wr..c% )l7ri GhAsiv_
GARAGE: SINGLE DBL CARPORT[ SINGLE_ DBL
_ _ FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS ATTACHED _ STREET NAME /ROAD NUMBER(ijiQcl 34g(
WATER SUPPLY Ole_ Li CHECK IF CORNER LOT _
DRIVEWAY PERMIT r t[,`1. T/ l *^ DESCRIPTION OF WORK PLANNED (camiipipr WoR
sr PLAN _ c-I�':DA Rr/)rcV1il9PO* CitVhed .
BUILDING PLANS
SANITARY SEWER CLEARANCE 4/4. I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT y l3 / application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and state laws regulating building construction.
j /7.0
SIGNATURE
FOR OFFICE USE ONLY
VALUATION / l e ()Q, D 0 FLOOD HAZARD
PERMIT FE $ /{' 3-6 PLAN CHECK FEE $ /0 CERTIFIED BLDG ELEVA ON
TOTAL FEE $2 SCHOOL IMPACT FEE $ SPECIAL CONDITIONS
DATE PERMIT ISSUED i-75 AC, A adE
ZONING DISTRICT .. ,.+ /�jj PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY /`f et
TYPE OF CONSTRUCTION V N ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING S.F. OF LOT /iad*
MAX. HEIGHT 2 -. , ROAD CLASS. ° ) d y CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT , OR ENGINEER
REAR ^-- RIGHT ^-- LEFT r -___
OFF STREET PARKING SPACES REQUIRED
, .�,. ? AA APPROVED• .. -, tat 'JJ /ii.::.r . APPR OVED: /IS� �
t ILDING D EPART T/ / DA PLR NI . *EPARTMENT TE