HomeMy WebLinkAboutApplication- Permit,..,.iia
Jiadress
Ntafure of Work
Usk of Building
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t
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
0306 C.R. 323, Rifle
Building Permit
Single Family Residence
Norman D. Schmeeck .P
Permit $581.00
Plan $377.65
Date- March 9, 1992
-NPIK.,
04419
R. Bennett
Clerk
GARFIELD COUNTY
APIATION FOR BUILDING PERMIT
1111
PERMIT NUMBER 1
19
please print_ or type DATE
TO BE FILLED OUT BY APPLICANT
1 DDRESS 030
2 1 1
UBDIVISION
TILING // LOT /T
PAX SCHEDULE #
BLOCK #
i,EGAL (SEC/TWN/RNG)
•VAP!E
01- ON 0- vs,
'TAILING ADDRESS
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0610 PHONE
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PLOT PLAN
PJOTE: 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.
11 OF BUILDING;; NOW ON PARCEL
USEOF BUILDINGS NOW ON PARCEL
/
SINE
1 DDRESS
CITY
AME
I T)DRESS
'TTY'
TIONE
LICENSE l{
CLASS OF WORK
ALTERATION
H REPAIR
HOME (make/model )
BUILDING q,8®¢1
')ORS ,Z
ITILY UNITS
USE OF BUILDING
ADDITION
MOVE-----
S.F. OF LOT
HEIGHT
# OF BEDROOMS
SINGLE DBL CARPORT:
F,
SINGLE DBL
DOCUMENTS ATTACHED
TPPLY e C(
PERMIT c11517
1N
PLANS
' SEWER CLEARANCE AV/4
SEWAGE DISPOSAL PERMIT AJ/k
'CTIMENTS (specify)
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I;E $ �gr(. OVPLAN CHECK FEE $
r $ 95 r' . SCHOOL, IMPACT FEE $ ]r
• 'ITT ISSUED • t
' TSTRICT
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER
CHECK IF CORNER LOT
DESCRIPTION OF WORK PLANNED
C edetic l U C_ 5 . cle Ct—
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I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and sate laws 3p7Pdnrhp1din construction
SIGNATURE
FOR OFFICE
USE ONLY
// /)
OCCUPANCY
CONSTRUCTION V
!;UI LDING 7 / / Z S .F . OF LOT 't' 1/,g r, ,
;IIT --+ / 9 e ROAD CLASS.
FROM PROPERTY LINE: FRONTAL)/7,
L
RIGHT C� C
EFT
"T PARKING SPACES REQUIRED
BUILDING DEPAR
rME
FLOOD HAZARD
CERTIFIED BLDG ELEVATION
SPECIAL CONDITIONS
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER
/r��etie c
PLANNING DEPART ENT
DATE