HomeMy WebLinkAbout3703Nature of Work
GARFIELD COUNTY
BUILDING, SANITATION ond PLANNING DEPARTMENT
Bui]dim Pennit
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
Use of Building _.l;S!t'./FLRe~s~i!!d~ence~~-----------------------------
Owner ----~~~e._Dwir~=·~e"-Tr\Jst==-·""'-"'---,----------------------~--------
J:im Mazuchi Contractor -------------------------------------------
1·;J
Amount of Permit: $ _.::.6 .::.04=· 3::.c1=---------
366. 25 Pem1it
238.06 Plan
White~ Treas. ';k Canary~ O!fice
Pink -Applicant
1. Gold -Duplicate
Date: S/25/!!9
E ..... Harioo --~
Clerk
• #• GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
please print or type
TO BE FILLED OUT BY APPLICANT
--ADDRESS ----------------
SUBDIVISION,t,Y,'7Uh!( -, «· /,< 51' j" /: J:.I {
FILING# LOT# J:.2_-__ BLOCK#
TAX SCHEDULE #
LEGAL (SEC /TWN /RNG J _,,5,_. _,,_ .. ·_.::' C_~--"'."-'--1-'-'"'*-Fl-'-<4-'-'-'---
f;l NAME r:.-"' ru 6i
~ MAILING ADDRESS
CITY ,~j/I T -NAME ~ i ADDRESS CITY
"' NAME
!': DDRESS " ;:i CITY ~ PHONE u
CLASS OF WORK
NEW <. ALTERATION ADDITION ----DEMOLISH REPAIR MOVE -----
MOBILE HOME (m;ike/model)
S.F. OF BUII,DING/if:;oo ,;>.r)S.F. OF LOT c--·1')
# OF FLOORS I HEIGHT
/)
--------# OF FAMILY UNITS # OF BEDROOMS ·:;.
INTENDED USE OF BUILDINCf /l ( /V) e ..--.;..---
GARAGE: SINGLE DBL /·/CARPORT: SINGLE DBL
FIREPUICE •'•
DOCUMENTS ATTACHED
WATER SUPPLY __ ._,._.-:: .... ,_· "''""""-· -·--"'..-----"'"-"'cJ"-'-/--'''--.'-7"---· ----
DRIVEWAY PERMIT ----------------SITE PLAN
-------~-----------BU IL DING PUINS / --"--------------~ SANITARY SEWER CLEARANCE.' ------------
ON SITE SEWAGE DISPOSAL PERMIT ---------
DTHER DOCUMENTS (specify)
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
STREET NAHE/ROAD NUMBER
-~-~-------CHECK IF CORNER LOT
DESCRrPTION OF WORK PLANNED --~~~----
r hereby acknowledge that I have read this
application and the above is correct and I
agree to comply with all county ordinances
and ate laws regulating building construction
f'
FOR OFFICE U
PERMIT FEE $ CHECK FEE $
TOTAL FEE $ .j_ SCHOOL IUPACT.~FE":'B':'-'~r=~::c
DATE PERMIT ISSUED ~
ZONING DISTRICT ail;;~ TJ5
TYPE OF OCCUPANCY~::_
TYPE OF CONSTRUCTION~;
s. F. OF BUILDING .~ c;-"""~2,=-=c""""-s-. F-'-. _O_F_L_O_T_$ __ +..,.. -4-C--.
MAK. HEIGHT ...,; z;z_T ROAD CLASS.
SETBACKS FROM PROPERTY. LINE: FRONT ------
REAR RIGHT LEFT -----
OFF STREET PARKING SPACES REQUIRED -------
CERTIFIED BLDG
SPECIAL CONDITIONS
-~~~----~~~~--
PROBLBMS WITH PERMIT
ADDITIONAL INFORMATION NEEDED --~~---~
CERTIFrBD BY COLORADO REGISTERED LAND SURVEYOR
OR ENGINEER . MP.J il'f\,11"'-f, v• l~~-0-ff....-o>'....,fil-.-.... 26..-+' v-·------
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1,,.Jy1~G AOOM
l?-G K 14'-10"
GARAGE
21'-4".23'8'
\. oot1onol door lotolinn
OEN OR
Elf.OROOM
12·-o·~ 10'
CONCORD
1,314 Sq.Ft.
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