HomeMy WebLinkAbout4204GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
108 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
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JobAddress -----~?~.'.._l:;~s~G~,r~a~.s;o;;·-M~e~s~a~R~o~a~d~ ___ ,_.ti_t~:l;e;'----------------------
Nature of Work Bu~_idlng Pet"nlit
Use of Building ____ S_i_n~c~l;e~. _1_.,·a;m~1~·~1v~~R~e_s~i~d~e~n~c~"'----------------------------
Contractor ------''-'""'""'."''~' -----------------------------------
Amount of Permit: $ -~7~;.J~:;~·-1•~·, _______ _
Per.rai.t (,~ 47:>.rj()
White -Treas.
Canary -Off lee
Pink-Applicant
Gold -Duplicate
Fbi1 B 307, ;,5
Ha,• G, 1991
Date; -~-~~--------------------
J:~. Be1mett
Clerk
. ....,._.,. ...... ,.
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
•
PERMIT NUMBER ,4 d..01/
DATE $-Ip~ Cf,( please print or type
TO BE FILLED OUT BY APPLICANT
---ADDRESS ~e55 Grass Mesa Qoaa
.,., SUBDIVISIOIV _____ ~-------,......--
j FILING # LOT # 3 3 BWCK #
~ TAX SCHEDULE #
\,,."" LEGAL (SEC/TWN/RNG)
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NAP.IE DQA:9 1gllflSQR
MAILING ADDRESS -n~n-,1,oi....._~1~7~4h~J--------~"=' 'C!SJE :tT--='
c TTY ==R~i !:;f ~l!e=~C~e'====_::P_::H.:::0:.:.NE:::__:e~:l ~!li~2:.'!9~0~2=
NA/1E
ADDRESS CITY
INAME ADDRESS
CITY
IP/IONE LICENSE #
CLASS OF WORK
NEW ALTERATION ADDITION ------------"DEMOLISH REPAIR MOVE
PLOT PLAN
NOTE: Show easements, property line dimensions,
all other structures, specify north, and street
name. For odd shaped lots, or 11· space is
too small, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL __ __.,. ____ _
USE OF BUILDINGS NOW ON .PARCEL --------
MOBII,E /IOME (make/model)
s.F. OF BUILDING 2 ;i 19 S.F. OF LOT I~Si*86es)
# 01' FLOORS _ _,_ _____ I/EIGHT 27 • 10 • •
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING -~;>me.--------
GARAGE: SINGLE DBL _fARPORT: SINGLE DBL
FTREPLACE Rlr' CTwoo ,,/_r-1,,,,,. "'. cJ,..,f/,) t"-/
DOCUMENTS ATTACHED
WATER SUPPLY si;iring
DRIVEWAY PERMIT tf,~;4,~------------
SITE PLl!N
BUILDING PLilN J[
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VAL.UATION ~ 2-., 7 70t o 'O
PERMIT !'EE $ f7£.o:PLAN CHECK FEE $307.1-C
TOTAL. FEE $ 7BQ,</:!:° SCHOOL IMPACT FEE $ __ _
DATE PERMIT ISSUED ----~~-------~
ZONING DISTRICT ---~,4~/~Fi!'-4/~g~~--------
TYPE OF OCCUPANCY &'-;?
TYPE OF CONSTRUCTI_O_N---~17">-_-/\/......,,.----'-------
~==-,.--'----''--------...,.--~
S.F. OF BUILDING 2..2..74 S.F. OF LOT -J= 'fogc.
MAX. HEIGHT .-t..-Z-,3 ( ROAD CLl!SS. -)
SE2'BACKS FROM PROPERTY LINE: FRON~;!l; -
REAR RIGHT LEFT 4
UFF STREET PARKING SPACES REQUIRED -------
FRONT PROPERTY LINE
STREET NAHE/ROAJJ NUMBER Grass Mesa Road
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED ---------
N&W CQR&tr~~tian rgsfQg~ti;l
I hereby acknowledge that I have read this
applic<1tien. and the above is correct and I . . ·.. ?,, ' ag:ree to comPJ.y with alJ/ unty ordinances
and state law~ regula 'n building construction
. ' '
FLOOD HAZARD, ________________ _
CERTIFIED BLDG ELEVATION
---------~ SPECIAL CONDITIONS --------------
PROBLEMS P/ITH PERMIT
ADDITIONAL INFORMATION NEEDED --------
CERTIFIEJJ 8Y COLORADO REGISTERED LAND SURVEYOR·
OR ENGINEER _;... _______________ _
APPROVED:dLr:~--S:<f-V
PLANNING DEPAF0MENT DATE
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l9ITT"Oll4o..-I .£./:'.;-JI -"3'"T'o?'!I
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