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Job Address
Nature of Work
Use of Building
Owner
Contractor
'I° 04377
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Salta 303
Glsnwo d Springs. Colorado 81601
(303) 945-6213
37 Columbine Line, kfonument Creed:. Vi 11a ;e BattI.ement 1:,282.;,
Builaiag Permit
Roo. over er-istitr,{- i. do/d4lzk.
ffardol Youri.f;
owner
Amount of Permit: $ 24.7.5
White-Treas.
Canary -Office
Pink - Applicant
Gold - Duplicate
Perm.!!;1.5.0r,)
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4.7
Date:
1Tovertuer 1 ' , 199
cErn net t
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
PERMIT NUMBER
DATE
TO BE FILLED
ADDRESS
SUBDIVISION /
FILING # LOT # BLOCK #
TAX SCHEDULE #
STT Y APPLICANT
1604
PLOT PLAN
LEGAL (SEC TWV/RNG)
NAME
MAIL:DDRE''SS
CITY
NAME
PfONE S 4 I
ADDRESS
NAME
CITY
ADDRESS
CI TY
PHONE
LICENSE #
CLASS OF�WORK
NE'W ALTERATION 4/ /
DEMOLISH REPAIR
MOBILE HOME (make/model )
ADDITION
MOVE
s.r. OF BUILDING -If ' S.F. OF LOT
# OF FLOORS
HEIGHT
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING A/p r�
GARAGE: SINGLE DEL CARPORT: SINGLal DBL
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY
,DRIVEWAY PERMIT
SITE PLAN
BUILDING PLANS
SANITARY SEWER CLEARANCE
'ON SITE SEWAGE DISPOSAL PERMIT
OTHER DOCUMENTS (specify)
NOTE: Show easements,: property line dimensions,
all other structures, specify north, and street
name. F» odd shaped ,dots, or if space is
too small, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL J
USE OF BUILDINGS N W ON PARCEL
•1-e CMS
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED
l4. 1/4 z #Y ,-na eyre i -
I hereby ackn1 dge t Tt I have read this
application and the above is correct and I
agree to comply with all county ordinances
and state laws regulating building construction,
SIGNATURE.
FOR OFFICE USE ONLY
VALUATION „g16.
PERMIT FEE $J214i PLAN CHECK FEE $ 7 7 - -
TOTAL FEE $.V1,75' SCHOOL IMPACT FEE $
DATE PERMIT ISSUED
ZONING DISTRICT
TYPE OF OCCUPANCY ,
TYPE QF CONSTRUCTION V..N
S.F. OF BUILDING ' /3 7 f q S.F. OF LOT
MAX. HEIGHT S'' -- ROAD CLASS.
SETBACKS FROM PROPERTY LINE: FRONT
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
FLOOD HAZARD
CERTIFIED BLDG VATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
APPROVED:
I DING DEPART .N
DAT
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INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE R.EQLUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued 1 — -'CI Zoned Area PuDPermit No. 1
AGREEM I1 NT withIn consideration of the issuance of this permit, the applicant hereby agrees to comply
all laws and regulations related to the zoning, location; construction and erection of the
proposed structure for which this permit is granted, and further agrees that if the above
said regulations are not fully complied with in the zoning, location, erection and
construction of the above described structure, the permit may then he revoked by notice
from the County Buildi Inspector and IM. EDIATE Y BECOME NULL AND VOID,
Use
Address or Legal Deseriptio
Contractor
Setbacks Front Side Side Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
Z titling
Footing
Foundation
INSPECTION RECORD
Plumbing -Underground
Gas Piping
Frame / j-7 -9 f `d Insulation
Plumbing -Rough 4y- Drywall
Electric -Rough ff
(by STATE inspector) /Y i
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND,
MS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 109 8th Street, County Courthouse, Glenwood Springs, Colo.
igg
Roof Coverin
Electric -Final (by STATE inspector
Heating Ventilation
4 -
4
Final j
APPROVED DO NOT DESTROY THIS CARD