HomeMy WebLinkAbout4022'" r
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GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Qlenwaod Springe, ColoradO 81601
(303) 945-8212
04022
0412 Sim King Drive Qak HeadOdS G.S. JobAddress ___ __::_::_:::=_~=::__:_:=-:~:::::==--=--_:_::::_:_:::_:_~::.:.~-.C..::..:.:...:.:.. ________________ _
Nature of Work Building Permit
use of Building __ _:::C:::am~. :::s.:::truc:::..::::::t.:::....S:::t.:::o:::r:::a:::q.:eo;:;/c;g,,ar=a:::go;e"----'----::c__ __________________ _
83.30 AmountofPermit: $ -------------
50. 50 Pe:an.i.t
32.80 Plan
Whiter Treas.
Canl)rY -Office
Pink'· Applicant
Go.1d·-DuJ)llcate_
E. Haring
Clerk
--........ ___ _ '. GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT ..
please print or type
PERMIT NUMBER +::...,"-'----,.._,,.,_-\
DATE -....:..f'='+"--"'--+---.''-->''-"-"'-/
<>: NAME /.... vL£-SOV
~ MAILINefADDRESS Of!L Set/ii t\/AfL<f>?
o CITY G-/...c.tJu/?JtJ,D PHONE <1'fS'~~9f"
~ NAME Q11&!E'R ~ ~ ADDRESS ---------CITY ------
NAME ouWe. e
ADDRESS
CITY ------------------~ IP//ONE LICENSE #
CLASS OF WORK
NEW b
DEMOLISH
ALTERATION ____ ADDITION----
REPAIR MOVE ----
MOBILE HOME (make/~odel)
S.F. OF BUII,DING -----S.F. OF LOT ____ _
# OF FLOORS HEIGHT -------
# OF FAMILY UNITS # OF EEDROOMS ----INTENDED USE OF BUILDING VTI) f:;fr!Ie...
GARAGE: SINGLE DEL CARPORT: SINGlt.E DBL --FIREPLACE
DOCUMENTS ATTACHED
WATER SUPPLY
-----------------~ DRIVEWAY PERMIT
SITE PLAN ----------------:;,..-"'-
BU I LDI NG PLANS
----------------~ SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT ---------0 THE R DO~ENTS (~ify) ~3114tf}&:Jifj/7NffsMa!S
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 smal 1, provide separate plot plan.
# OF BUILDINGS NOW ON PARCEL --------
USE OF BUILDINGS NOW ON PARCEL -------
FRONT PROPERTY LINE
STREET NAME/ROAD NUMBER _ __.=s:,;;"'_.._"'·=J&="-Act=>'~D~"''--"'-
CHECK IF CORNER LOT /
DESCRIPTION OF f'IE_RK PLANNED .,;!!.
<0 ~r":721-n >--a-;i r;-4_,:;~ ... -.-7-e--
I hereby acknowledge that 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
ZONING DISTRICT /' -u-D
TYPE OF OCCUPANCY ---~,...;.!.::...l.---------
TYPE OF CONSTRUCTION I/'..--l\J
s. F. OF BUILDING .$"'"'•""'().-""""'s"'.-"F"".-,..o .... F_L_07 T--/J""',...,....t.-:-F=z.=-
MAX. HEIGHT ,........ , z. I ROAD CLASS,.,_ &.:Tu: _A
SETBACKS FROM PROPERfY LINE: FRONT~LA ,f'
REAR RIGHT LEFT (
OFF STREET PARKING SPACES REQUIRED
FLOOD-HAZARD -~~~~-~-----~~-
CERTIFIED BLDG ELEVATION --~~~----~
SPECIAL CONDITIONS
--~-~~~~-----
PROBLEMS WITH PERMIT ~~~--~-~----
ADDITIONAL INFORMATION NEEDED -~--~---
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER --~----~~-~--~--~
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Ii: ------·---------_, ___ 4 _______ , ______ ---
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This is to certify that on the 10th day of August, 1973, there was a survey
made und<.r my supervision o't Lot 2 of the Oak 11,eadows Subdivision, Second
f i Ii ng, County of Garf i e Id, State of Co I or ado as f i I ed in the off ke of the
Clerk and Recorder of G"rfield County, Colorado "s Document No. 250268. 11
found a one-story house of frame construction, with baseirent, concrete footers,
and asphalt shi·ngle roof, to be located within the boundary lines of the lot
as shown on this plat. The location and dimensions of al I bui !dings, improve-
ments, easements, and rights-of-ways in evidence or known to me and encroach-
ments by or on the premises are accurately shown.
SCARROW AIJD WALKER, INC.
Robe rt A. 1·1.,ms I ey
· Registered Land Surveyor
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GARFIELD COUNTY
DEPARTMENT OF BUILDING SANITATION AND PLAN!
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AA"E MIN.~ Lt,IU1E/J.. MAY
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INSPECTION WILL tOT BE MADE UNLESS
THIS CARD IS PQ:)lED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date Issued ffe_;j?~-Zoned Are~G~ f:~~MEN_T ___ ·-· Permit No .. "Y.~.; 2J ______ ..
In consideration of the issoance 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 ab<n•e
said regulations are not fully complied with in the ,oning, location, erection and
construction of the above described structure, the permit may then be revoked by notice
from t Count Buildin~ lnspe JM, j,l.lA ELY BECOME NULL AND VOID,
Use
Addr~ss or Legal Description
Own<r ,,/ i/L,/£), ['() 11/4-,
Setbacks Front Side Side R~ar
This Card Must Be Pooted So It Is Plainly Visible From the Stre.t Until Final Inapection.
INSPECTION RECORD
Zoning Roof Coverin2
f/;r/fl:> /It.~/..,,/
Electric-Final (by STA TE inspector)
Footing
Foundation
Plumbing-Underground
Go.' Piping Heating Ventilation
Frame Insulation
Plumbing-Rough Drywall
Electric-Rough
(by STATEinspcctor) Final 'ir-IJ./-9'o (I '
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVHUNG -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212 l 0 9 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DONOTDFBTROYTHISCARD
Date 7J31/9tJ By M /Jl;')t#)~")tt/J
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