HomeMy WebLinkAbout4376 y a ,
Na 04376
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwo..d Springs, Colorado 81801
(303) 945 -8212
JohAddresa 17115 ': " `32 Carbondaie
Nature of Work Building Perini t
Use of Building dd- t,ict
Owner Sohn W. Fish, Jr.
Contractor Carter llotr.ii C0natrucL'7 cm `+erviccs
Amount of Permit: $ )13 Date: November 3, 1991
Permit ' "
Plan $52. 5 R. Bennett
Clerk
White-Treas.
Canary - Office
Pink -Applicant
- Gold- Duplicate
` Jl x\91, CARFIEL➢ COUNTY
007 28 199 i APPLTCAT7ON FOR BUILDING PERMIT 1 137/
• L- PERMIT NUMBER ' t ( e
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(, (ZI -.;.r hLLu�}•Uu.l + please print or type DATE 1 1 - ` 1 J�
C M /tte/ 2- 3 It— 3 24 , 4 — Ct it
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS /7 1 IC it-Si y $z NOTE: Show easements, property line dimensions,
SUBDIVISION all other structures, specify north, and street
FILING # LOT # BLOCK # J _ name. For odd shaped lots, or if space is
c.D • TAX SCHEDULE # Q too small, provide separate plot plan.
LEGAL (SEC /'1'WN /RNG) 3 z # CP• BUILDINGS NOW ON PARCEL _ / g
1-4,,,:o144,44-1-11 - �t USE OF BUILDINGS NOW ON PARCEL 11- 4,, ,:o 144,4 4 -1- 11 +4 -1- 11
• NAME _ 0 I. ' 13 r •
i i i MAILING ADDRESS _ m.
p CITY p' V �"4G, PHONE 1 L ;./ 3 c ' p r� '� 9.4. .2471 Pit x NAME C EW A-1 ' T ...,.,, f T a awl ' / e rc�'
w ADDRESS Cg 1-. CITY gK
x NAME /fief
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g CITY Ar -. an w. e. 0 tj . —�.3 .
o (PHONE 745 ;qzO LICENSE # _ lO 37
CLASS OF WORK
NEW ALTERATION ADDITION __
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model) _ l �
S.F. OF BUILDING t/3j ' S,F. OF TOT �. G
# OF FLOORS 'Y HEIGHT 249 1 4.
# OP FAMILY UNITS ) # OF BE R
re"; USE OF BUILDING e"f Car
GARAGE: SINGLE DEL CARPORT: SINGLE DBL FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER 11 1 $
WATER SUPPLY CHECK IF CORNER LOT _
DRIVEWAY PERMIT DESCRIPTION OF WORK P NED v
SITE PLAN / ZS S ruo it 1 IQvt
BUILDING PLANS re ' • 14 ii ' ri •
SANITARY SEWER CLEARANCE I hereby acknowledge that have read this
ON SITE SEWAGE DISPOSAL PERMIT application and the above is correct and 1
OTHER DOCUMENTS (specify) _ agree to comply with all county ordinances
and state laws regulating building construction
et' lifrigesibl 51 1-,
2.2_0 p / , 1 / � , OA/ SIGNA URE
r Fro, �1 F FOR OFFICE USE ONLY nn
VALUATION'" O O FLOOD HAZARD 'f'� fa -' �j
PERMIT FEE $1;11,o0 FLAN CHECK FEE $ c•Z CERTIFIED BLDG ELEVATION
TOTAL FEE $ /3 ', CSCHOOL IMPACT FEE $ ,474^ SPECIAL.&ONDITIONS 1% afd7 C Jfsr'T/1 -7 1
DATE PERMIT ISSUED A st)Ae.�yy 'K- A t : Qcij; V f `Y AL,
ZONING DISTRICT AV iq to b PROBLEMS WITH PERMIT reervy[4 L'/ 4+
TYPE OF OCCUPANCY R
TYPE OF CONSTRUCTION ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING e ( S.F. OF LOT 5 -r ` ['C,
MAX. HEIGHT -- / ROAD CLASS CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT OR ENGINEER
REAR RIGHT LE T
OFF STREET PARKING SPACES REQUIRED
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APPROVED: ■ APPROVED : .rsr Gle .
BU. ',DING DEPARTMENT s DA PLANNING DEPARTME' DATE
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