HomeMy WebLinkAboutApplication- PermitJob Address
Nature of Work
Use of Building
Owner
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945.8212
5345 C.R. 100 Cnctondale
03841
Sheldon Gross
Contractor
Owner
Amount of Permit: $ 631.51 Date; 31'21/89
Permit 382.73
Plan 248.78 E. Haring
Clerk
White -Treas.
Canary - Office
Pink -Applicant
Gold - Duplicate
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
PERMIT NUMBER
DATE
TO BE FILLED OUT BY APPLICANT
5
ADDRESS 53'5 a, £'j / a u,
SUBDIVISION
FILING #
TAX SCHEDULE #
LEGAL (SEC/TWN/RNG)
LOT # BLOCK #
NAME E4/aP/11 GLPvcS
MAILING ADDRESS /;w‘„ 1p7
CITY C % /a PHONE 9 43 -z r
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
USE OF BUILDINGS NOW ON PARCEL
NAME 1/2_6,4 hRal.-k e_k
ADDRESS CITY
NAME �,,y c_r-
ADDRESS
CITY
PHONE
LICENSE #
CLASS OF WORK
NEW ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE ROME (make/model)
S.F. OF BUILDING S.F. OF LOT
# OF FLOORS HEIGHT
# OF FAMILY UNITS / # OF BEDROOMS
INTEI$'DED USE OF BUILDING
GARAGE: SINGLE DBLII CARPORT: SINGLE DBL
FIREtLACE .* .c'
DOCUMENTS ATTACHED
WATER SUPPLY sa[e.t2.47",t
DRIVEWAY PERMIT el l
SITE PLAN �--
Se rs/J s %.tart,/ P(6/ 36.7
FRONT PROPERTY LINE
BUILDING PLANS
SANITARY SEWER CLEARANCE /V/R-
ON SITE SEWAGE DISPOSAL PERMIT Jam,'} /7 t y
OTHER DOCUMENTS (specify) �F
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED
e7" -°"'.7.s 74, --Cr c. 74 5-7-4e, &lce
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and sta -ting building construction.
SIGNATURE
FOR OFFICE
VALUATION 1-4-; u
PERMIT ' PLAN CHECK FEE $ 2.4S.72
TOTAL $4,3/, s" / SCHOOL IMPACT FEE $ M4
DATE PERMIT ISSUED
ZONING DISTRICT /7,p
TYPE OF OCCUPANCY /2 -2d
TYPE OF CONSTRUCTION
.�
S.F. OF BUILDING 24,3a ^S.F. OF LOT/3• .,
MAX. HEIGHT .n,..2_0141 6ROAD CLASS. ---
SETBACKS
rSETBACKS FROM PROPERTY LINE: FRONT ••!;'�•
REAR RIGHT LE�b-^ti eT`'
OFF STREET PARKING SPACES REQUIRED
APPROVE
USE ONLY
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
EWL ,,pIT�I0Iy5t /,')
PROBLEMS��WITH
PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
!/
UILDING . EPA •TMENT
PLANNIN
DEPARTMENT / DAT
J
r# Ein'A/ 4' ' o3f at/li Cee r Pi Cf. A/i,11 j g 1
/O q 37 „ ¢O s G 4-
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INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT.
GARFIELD COUNTY, COLORADO
Date Issued/. ...Zoned Area.. Permit No Jtl
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with
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 be revoked by notice
from the f un_ty B r nspector and IMMEDIATELY BECOME NULL AND VOID,
Use CJ /� ��,4iI pp / f'� y�% f
Address rr Leeggall Descriptiones}�/ 9tC, Pt's / 06 ,�` e ` js ,{ &' r
Owner Ct) h//LUrj /s4 CI Sr Contractor C/ �/ j�
Setbacks
Front
Side Side Rear
This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning
Roof Covering
Footing
Electric -Final (by STATE inspector)
Foundation
Plumbing -Underground
Gas Piping
Heating Ventilation
Frame
Plumbing -Rough
Insulation
Drywall
Electric -Rough
(by STATE inspector)
Final
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING —
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 109 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DO NOT DESTROY THIS CARD
Date %I/J4( M T,y'8y M8M s