HomeMy WebLinkAboutApplication- PermitJob Address
Nature of Work
Use of Building Roof Repair
047Gr
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 9454212
0890 County Road 102, 04.4 -4 -n.14 --(L,
Building Permit
Owner 1((atha Rossein & Ron Rossori
Contractor „Ty Design/Build
Amount of Permit: $ 24.75
Permit: 15.00
Plan : 9.75
White-Treas.
Canary -Office
Pink -Applicant
Gold- Duplicate
Date -
April 8, 1993
S. Archuleta
Clerk
Assessor's Parcel #
GARFIELD COUNTY
APPLICATION FOR. BUILDING PERNIT
PERMIT NUMBER '0,,6
please print or type DATE e/ -?---- 93
6
U
TO BE FILLED OUT BY AP LIC�} NT
ADDRESS (>gqp Gaul7`)/ ad WA
SUBDIVISION
/
FILING # LOT #
TAX SCHEDULE #
LEGAL (SEC/TWN/RNG)
BLOCK #
MAILING ADDRESS
6/:e70-
CITY 1 /ar i �WYi'k��
NAME /ti°y'e /�� !�� �a/ GAY
ADDRESS ;5a,1Q / / v" CITY
CONTRACTOR
NAME
ADDRESS
CITY
PHONE
i
_dr.be n - A/.e
4-3--/17O 0 LICENSE #
NEW
CLASS OF WORK
DEMOLISH
ALTERATION
REPA IR
MOBILE HOME (make/model)
v ADDITION
MOVE
S.F. OF BUILDING S.F. OF LOT
U OF FLOORS 4-- HEIGHT
f OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING
GARAGE: SINGLE DBL CARPORT: SINGLE DBL
FIREPLACE
WATER SUPPLY
DOCUMENTS ATTACHED/v
DRIVEWAY PERMIT /G
SITE PLAN Al o
BUILDING PLANS
SANITARY SEWER CLEARANCE ATA
ON SITE SEWAGE DISPOSAL PERMIT IVA-
OTHER DOCUMENTS (specify)
5
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or if space is
too small, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL 7-0/0
USE OFiATILDING7 NOW ON PARCEL
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNED LOT
DESCRIPTION WORK PLANNED
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply
and s ..: /laws
ith all county ordinances
b Idirig construction
NATURE
FOR OFFICeUSE ONLY
VALUATION S—O D. v
PERMIT FEE $ s; v p PLAN CHECK FEE $9, -73 ---
TOTAL
9,-7yTOTAL FEE $ ��G 7,3� SCHOOL IMPACT FEE $ JA -
DATE PERMIT ISSUED
ZONING DISTRICT /41/ f/e ,Q
TYPE OF OCCUPANCY
TYPE OF CONSTRUCTIONAL—
t% 3
S.F. OF BUILDING (S.F_ OF LOT
MAX. HEIGHT /'ip rf ROAD CLASS.
SETBACKS FROM PROPERTY LINE: FRONT/12,2_1.47z_
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
APPROVED:
UIIT,DING DEPARTMENT
DA'E
APPROVED:
441)
PLANNING DEPARTMENT DATE