HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood SPNnge, Colorado 81801
(303) 945-8212
Job Address 77 I^7G P•r1yanaa
04085
Nature of Work Ell I lding Panni i -
Use of Building Instal jtry?nlar
Owner
Contractor
& rJararfo
laatl-1 anent M,Fa Parf-rtarq
Biattd+annnt Mesa Herrn
Amount of Permit .$ i3 Z tip Date: 1 0/1 1/9(1
Permit 68.50
P7 an 15.00
White - Treas. .
Canary -Office
Pink -Applicant
Gold -duplicate
Clerk
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER Z -ib 5
please print or type DATE JOJfl)yf l
TO BE FILLED OUT BY APPLICANT
PLOT PLAN
-
ADDRESS 22_7_
ui .. 43.ri..auzw•
SUBDIVISION Is Rnfl.caaric
FILING # ) LOT # /S' BLOCK
TAX SCHEDULE #
LEGAL (SEC/TWN/ANG)
# /q
NAME 2 4mn_c...s.. n- .H sg4 rientanes
MAILING ADDRESS 'P p i3 or earrc
CITY gear. i- MEJ k PHONE s t, s n&
NAME CFI40.4Pt n e i 44-n yi at,
ADDRESS CITY Nark
NAME T:S.FrriLAs/..a ..-r-
ADDRESS
MC-es. 4.
CITY Sig
S PHONE zsr.-n . I LICENSE #
CLASS OF WORK
NEW � ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make/model) q,, -,-Pi e,y 14x w-4.
S.F. OF BUILDING ///ns S.F. OF LOT ,6 06O
# OF FLOORS 1 HEIGHT 11 '
# OF FAMILY UNITS } # OF BEDROOMS 23
INTENDED USE OF BUILDING st..ccr FAQ. Qom,.
GARAGE: SINGLE DEL +CARPORT: SINGLE DBL
N /A
FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY
DRIVEWAY PERMIT
SITE PLAN
BUILDING PLANS
xi ENDED
ATTA-c-a+C,T
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT
OTHER DOCUMENTS (specify)
,0P
3
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 p
USE OF BUILDINGS NOW ON PARCEL ././/4
r
41 t1
41i16P8LCti
(4c$ L. 5.x0,4)
2
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED e,-%
ALA._ 4Am- Tn lJ&' I Lias d1
W &sr-
Tin,vwY.h
Fal DTi./1
CEsicr
10 O1OFFI,. O V
RCEIUSE ,ONLY
I hereby acknowledge. that I have read this
application and the above is correct and I
agree to comply wunty ordin4nc
and sta. arks regula :.' • : g con notion
SIGNATURE
VALUATION'7/ 6 3 01 a a�
PERMIT FEE $C&fo PLAN CHECK FEE $(5 ,.m v.
TOTAL FEE $83,5-a SCHOOL IMPACT FEE $ 4/4
DATE PERMIT ISSUED
ZONING DISTRICT
TYPE OF OCCUPANCY re- 3 //''
TYPE OF CONSTRUCTION A'�I GS5�1?'ht4114„.9
S.F. OF BUILDING S.F.do,--,019 F LOT
MAX. HEIGHT -L-/ 1- .. ROAD CLASS. A/
SETBACKS FROM PROPERTY LINE: FRONT
REAR RIGHT L
OFF STREET PARKING SPACES REQUIRED
',APPROVED:
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER .
APPROVED -
PLANNING DEP -•T
fie. y." -C9
DATE
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
���yy
Date Issuedoned Area
Permit No.. O•€•---" -
AGREEMENT with
In 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 ocatiohateif the bone
ve
said regulations are not fully complied with in the zoning,
construction of the above described structure, the permit may then be revoked by notice
fro • .• - oun y Buil ': i}. • edo and MMED ATELY BECOME NULL AND VOID,
Use - 1 !
e!t.,:. so!. ..: 4...:: 111111't`.: - +1...4
Address or Legal Description ai,WLO, C
C M ra.�
Owner
Contractor
Setbacks Front
Side Side Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RRoo overmECORD
sc
Zoning rs�ecta f
Footing s -'SM.
Foundation
Foundation 4&a -'/r —2.�-9e,
Plumbing -Underground
Gas Piping /) --2 i—
Frame
Plumbing -Rough
Heating Ventilation
Insulation
Drywall
Final /2—/3—?O
ALL LISTED ITEMS MT BE INSPECD MDBEFORE
VED
WHETHER INTERIOR ORE TERIOR UNDERG OUNOD OR ABOVE GROUND- —
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 109 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED
Det®�_ BY 4ategallOetesme- - ..