HomeMy WebLinkAbout3245GARFIELD COUNTY DEPARTMENT OF DEVELOPMENT
BUILDING DIVISION
3rd Floor, Counhouse
100 8th Street
Glenwood Springs, Colorado 81601
(303) 945·8212
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JobAddre••---------.::_1~24~3~3~H~1~q~hw~a~y~R~2~-~C~a~r~b~o~n~da~l~e:__ ____________ ~---
NatureofWork remodel upstairs bedroom, chanoe roof 11ne
Use of Building ------~r~e:..:s:...i:..:d:..:e:...n~c~e~-:--------,----------------------
Owner --------~H~o~wa~r~d"----!T~1~n~q~lesYL_ _________ ~-------------
Contractor _______ _:D:_:o:.:n:__:I:.:c:.:e:_ ____________ _
Amount of Permit $ _____ __.:8...:3:..:·:...1:...n ____ _
Wh Its -Treas.
Canary~ Office
Pink -Applicant
Gold· Duplicate
nermit fee $50.5'1
plan check fee 32.8'1
Date:---·· April 8, 19?6
Patricia ,Jones McPherson
Clerk
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GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER
please print or type DATE 3.[;t CQ ~~CO-(q--
BWCK #
TAX SCHEDULE #
LEGAL (SEC/TWN/RNG) ------------
NAME C) <..o.JY"'\ «!; C-
AD DRESS
CLASS OF WORK
CITY
NEW ALTERATION 'j...,_ ADDITION ----
DEMOLISH REPAIR MOVE ---------MOBILE: HOME: (make/l'IOdel)
S .F. OF BUILDING S ,F. OF LOT -----------# OF FLOORS HEIGHT --------
WATE:R SUPPLY ------------------DRIVEWAY PERMIT
---------------~ SITE: PLAN BUILDING P_LA_N_S_\A::~----------------
SANITARY SEWER CLEARANCE
ON SITE SEWAGE DISPOSAL PERMIT ---------0 THE: R DOCUMENTS (specify)
PLOT PLAN
NOTE: Show easemenrs, 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
FRONT PROPERTY LINE
STREET NAHE/ROAD NUMBER -----------CHECK IF CORNER LOT DKSCRI~~ OF wqRK 1\LANNEDyo W>. a t ~\ '¢£lr\'t~-'=:e~ <•~~. C:b;:"'~
I hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
la s regulating building consrruction
SIGNATURE
FOR OFFICE.USE ONLY
APPROVED:
FLOOD HAZARD ---------------~
CERTIFIED BLDG ELEVATION ---------~
SPECIAL CONDITIONS --------------
PROBLEMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED --------
CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER -----------------
APPROVED: _________________ _
PLANNING DEPARTMENT DATE
