HomeMy WebLinkAbout2972,,; 111
Job Address
Nature of Work
Use of Building
Owner
GARFIELD COUNTY BUIL.DtN(i; AND SANITATfON DEPARTMENT
2014 Blake Avenue
Glenwood Spri.ngs, Colorado 81601
(303) 945·8241 / (303) 625~3321
· 354B County Road 226 Rif1e
Bui1d1ng Permit -Specia1 Use Permit (2 years)
Mob11e Home -Single fam.1,ly dwelling
Lynda Twamley
NI ,IQl.72
Contractor --~-O'"""w'"""n_e=-r;__ ______ _:_ ____________ __:_ _____ ~___:_--
Amount of·Permit: $.--3_0_. 0_0 ______ _ Date: t\pr11 30, 1984
School Impact Fee 191 Ellen L. ~1cks, Clerk
' '. •' I ' •'' ,1 ,, •• , ~ ,,.,,.
UH:DING PERMIT APPLICATION
GARFIELD COUNTY BUILDING DEPARTMENT
, /7
Owner: c:::7);~ Contract~~er:_--L~~~----.(...L _____ ~A~d~d~r~e~s~s~=~----------~~~c__!__ __ _
Location: ------=3=-=S'-----''--""-------'~--"'d~,---'JU~~-· ---'~:____.;_o,)_~. -------,,,=---------------.---
Pmpose fur which building is robe u~d: __ L~~~~~·~~~~~~~~~-~-----~~~~~~~~~~~~~-
Size of Lot: .::J. f ~
Distance of building from property line at
Front: t5lJ µ Rear:---------
Distance from nearest building: _ / ~ ;r
Source of water supply: ~
Type of sewage disposal: 6J..t..~ ~
Width of building: / '/ ...../A---~ p~
Length of building: IJZ/r
Height of walls:----------------
Floor space in square feet: fl J?lJ 41 · il
Estimated valueo $ '/ ~t2t2 0 tfl
Date construction will begm: a;-1~ lf'i-._,_ ___ _
Permit charge: $ --~-~O _________ _
Plan check fee: $ ------B'l---"---
21d g__. TOTAL: $ __ _
Left Side:-------Right Side:-------
Number of stories: ___ IJ-=--_A-~-----------
Number of rooms: --~~--~~~c/r.~"/1?~-· --------
Type of foundation:--~~---·-+-_ _,~----·----
Material in outside walls: tfk~
/i'#:_ ~ .~ Exterior finish: -------=-~=-""-"-""-"""'-'"--'---=-c=~ ·-~~-____ _
Type of roof: ~~~~-~-~-~-
Date of completion:-~// 1/ t? .t:J!'
And I/We hereby agree to build strictly to the terms of the above description, and also to clear the grounds and
adjacent street or streets of all rubbish and debris caused by the construction of said building.
Respectfully, ~~~~~~~~~~~~2~~~;A::::__ ________ _
NOTE: If you are constructing ad lling on a buildings' e established by
subdivision process or by SB 35 Exemption prior to 4/20/ r if the parcel
of land is more than 35 acres, you may be subject to assessment of a $200.00
School Impact Fee prior to the issuance of a building permit, as provided in
Garfield County Resolution #81-263, an amendment to the building co~
(see attachment) -~ A q;;r ·
The County Commissioners hereby grant the above permit as per terms therein stated. Tbis ~ day of z:;,-
Sectio" V -CON~ERSJCINS PIUV4TEL Y OWNED P'llBLICLY OWNSP·
Item ~--N..,.um....,..ber_-_.,......
No. ildi.,,,.,_ ttO~ll$ • .,.., ' ·unfts
(al
No11resider:it·ial and nonhousekeeping
bu.ild'lngs to housekeeping bui I dings 540
Hous,ke..ping bu ii dings to nonr~si en ti al
and:noriliausekeeping buildings -541
S:.c:ti"n: VI -DEMOLITIONS AMO·
--RAZIHG OF BUILD&NGS
One-family buildings attached
and'dinactl.ied, __ · ·
Three-and fou'r-famil.y buildings
-,.r ~, f'. l=h· ·!·\·
. Fi v-e-0.r-~~re-f~m ffr"'ti'~ i ici i n&s
645
646
648
Ari other 'burl dings and structures 6.49 ;
(cl
Valuation of
construction
(07!/t ~$) . -
(d)
Number
uildings Housi~ units
(e) (f)
Vailuatkln of
~true ti on
(Otillt cents)
' ( )
,Stcti~ ,v_n '"'.' ADp~1TlONAL l~f' R~A~f'l()M,,fQ-R lt4Dt ··~U"L PERMtTS OF .. , ..... -,.
P-iease provide in the space belo-.,,, additional information lot! eaeh indi-viduaJ pe11mit v~dt.le<i; at.SSOOiOOO or. more.
entere'i:rin sections 1 through v. · ---·~ ·
Item tt>.
ftollf' '
Sec..
1-v
(a)'
D~serlptl~n _
(b)
· Site address
Kind ot bui ldint
Si.te .. address
Kind of building
sit63ct<t~is--------· -- ----
.Ki11d.of building
Kind ot building
Name and addtess of
._ oWMr .o~ builder
, Oarl"IEISiriSt ':'. Valtsation of
• Matl\I t'f1' : co.nsuuctl-on· one : rom1r centaJ
(c) (d)
------------___________ --o Private
0 P1$1ic
D Prl111ate
__ .. _ --------------_____ 0 Puhtic
-----------------------1• •
::-t
0 Public
------:-------... -"---;-------_QPri,ate
·. ,;i,, -----------------------0 Pul!ill~
- --- - - - - - - - - - - - - - - - - - - -O Private
-----------------------O Public
D Private
O Public
D Private
0 Public
(e)
-----~...,,---~-=-~ ....,.:.... ... -,-.:-:.,..;..:....:........ .... ·-~ -,-.·~··-·-~,-------~---·. -~--,,---.
llUrwl of building
~eaa€ttess--------------
CommElflts
O PriVrate
O Public
-----------------------O Priv,ate
-----------------------O Public
' N IJmDer of! NW!lber
l!loflJlns . -QI> '
_ ul'lits:· ! : bui'ldhle:
(M
Name of person to contact regarding this report Telephone: __
~i+i:'-"'-------------------------------l Area code Number 'Extenstcm 1 Title
FORM C-.404
l7-e-s1.1
Pe!; od in which
perrfl its is sued
O.M.B. '.No. 0607-Q!lM;, A{JPfoval Expires June 1984
!, I
U.S. DEPARTMENT OF COMMERCE
BUREAU OF THE CENSUS PLEASE MAIL ON OR BEFORE THE 4TH QAY OiF THE MONTH
R.EPORT OF BUILDING OR ZONING
PERMITS ISSUED AND LOCAL
PUBLIC CONSTRUCTION
(Please correct any errors In name or· $ddressr
CENSUS USE ONLY
Has the geographic coverage of this permit·
system chang4HI during this period?
D No D Yes -Explain in comments
S.ation I -NEW RESIDENTIAL HOUSE·
-Kl!EPING BUILDINGS AND
MOBILE HOMES
PRIVATELY OWNED
Ntunber
uildings Hou~ing
(b) U~b\S
Valuation of
construction
(Omit cents)
(d)
:·,·
, I
' I
·. 1.
Viluation ot
construction
(Omit oents)
(&)
One-family houses, detached Ii 1 too l,C
One-family houses attached, each unit
separated from adjoining unit(s) by a
wal I that extends from ground to roof 102
Two-family buildings 103
Three· and four-family buildings 104
Five-or-more family buildings 105
TOTAL (Sum ol 101-105)
Hotels, motels, and tourist cabins
intended for transient accommodations 2'13
Other nonhousekeeping shelter
Section Ill -NEW NONRESIDENTIAL
BUILDINGS
Section IV -ADDITIONS AND
AL TE RATIONS
-g c: An increase in the number of housing
: :; units (in the housing units column,
214
g 17: enter only the number of additional
:E ~ units) 433 "'O~ .,_ ________ _,,.. ________________ t-'---1~----
"'0 l'a No change in the number of l
l'aii ho.usingunits 434· 1/ ia Ul
·pc: g
11,1 ·~ A decrease in the number of housing
~ e units (in the housing units column.
~ !! enter only the number of decreased
o:: "i units) 435
Residential garages and carports
(attached and detached)
All other buildings and structures
436
437
.. RIVATEL.Y OWNED
Valuation of
construction
(Omit cents)
(d)
PLE SE CON1:1N~ Otf'~REVERSE SIDE ~
r