HomeMy WebLinkAbout4199 q , � a �� ! GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
s i \l FEB 28 1991 PERMIT NUMBER � �
1 _
GARFIELD COUNTY please print or type DATE 5 — 5 - c 7(
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS GOT 1c) L S p /tN 54� NOTE: Show easements, property line dimensions,
SUBDIVISION v E ra- IJ /-//C -l-j all other structures, specify north, and Street
FILING # LOT # /6) BLOCK N /(7 name. For odd shaped lots, or if space is
a
TAX SCHEDULE # O Z_ 6092 too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) # OF BUILDINGS NOW ON PARCEL 0
NAME * .k)Sepjt} er5NSO(CT USE OF BUILDINGS NOW ON PARCEL a
g MAILING ADDRESS O/ 0 - s . 1 /S'CP
6 CITY 60/ S." PHONE 94C-2O3e,
m NAME w ADDRESS O / >i ,c CITY �(� CITY G C �� &9
a NAME 4# e r cZ00
ADDRESS .a eta.
CITY WA7Ce7000I/ -r _ jp b"0/
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PHONE LICENSE #
co
CLASS OF WORK
NEW X ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING 2)&6) S.F. OF LOT ? - 5 - 0MRE
; :# OF FLOORS Z ilifirSoffkr HEIGHT
# OF FAMILY UNITS / # OF BEDROOMS
INTENDED USE OF BUILDING .ee'lCC
GARAGE: SINGLE DBL 1( CARPORT: SINGLE DEL FRONT PROPERTY LINE
FIREPLACE yF)
DOCUMENTS J ATTACUF,D STREET NAME /ROAD NUMBER /4Q4426 'O5 4 .o
WATER SUPPLY 4.46 thla,90 Q, s#t,, . 51 s 't..-...-.� CHECK IF CORNER LOT [r
'DRIVEWAY PERMIT DESCRIPTION OF WORK PLANNED l'0n/.srX?r_.r
SITE PLAN ■ of SNCvLC Aerea''rL y ,e /Pevc t. .
BUILDING PLANS ✓ I
SANITARY SEWER CLEARANCE . Wf &r _ - 0^4A -k, �• S4I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT yr appi4cation and the above is correct and I
g
. OTHER DOCUMENTS (specify) " a e0 to comply with all county ordinances
ans ws egubuildip4 construction
Z•Z3 o" ( t /n!- = 961 nl
SIG
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- 00 4y / ec -7P �"F920,W OFFICE USE O' Y
VALUATION F to g 4 `O ,." ,p FLOOD HAZARD
PERMIT PER $ O PLAN FEE $00341/5- CERTIFIED BLDG ELEVATION
TOTAL FEE $ 5 SCHOOL IMPACT PEE $411111m, SPECIAL CONDITIONS
DATE PERMIT ISSUED _200.40
ZONING DISTRICT P ?h PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY Ze 3 n
TYPE OF CONSTRUCTION V- it/ ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING 3,3 7o S.F. OF LOTO,64_F i
MAX. HEIGHT ,.._.2-2- ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT OR ENGINEER .
REAR RIGHT LEFT
OPE STREET PARKING SPACES REQUIRED
/ r 5.-6 'W
APPROV .:_ , _, - j '' /�I�i� 3 - r
. APPROVED:
ILDIN r DEPARTMENT,. NA ' PLANNING DEPA TMENT DATE