HomeMy WebLinkAbout4974.GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
N:: O 4 9 7 4
0162 Hiller Lane, Rifle
Job Address ------------------------------------------
Nature of Work Jluilding Permit
Cc 1tractor ------'O~wn=e'-'r'-----------------------------------
An. ou nt of Perm it: $ --:10-'t"'\ 2"-'-. 00-0"---;;:-o--=----
Permi t: 81. 00 Date:
Investigation Fee: 81. 00
White -Treas.
Canary -Office
Pink-Applicant
Gold -Duplicate
November 30 1993
s. Archuleta
Clerk
G/\RFIELIJ COUNTY
/\l'PLIC/\TION FOR BUILDING PERMIT
PERHIT NUNm~R i9'1 i
D/\TE ___iL /-'j3 !l-3o-9 3 Assessor's Parcel II please pr1nt or t:yr-~e
:...·' ".
TO BE FILLED OUT BY AP l'LICJ\NT
_· --ADDRESS O!';i2 Mdft:Ac ta'{'{'_
SUBDIVISION
FILING I/ L01' // BLOCK I/ --------
";I p;: Nl1!1E
~ ~ ADDRESS
" w
Cl1'Y
"' N/INE
0
H ADDRESS u
;l CITY ~ Pl/ONE 0 u LICENSE /.1
--,------"CLASS OF 110£\K
'IE'IV )(
'
lll!DITlON ----llLTERll'l'TON
l!EMOLISJ/ REPllIH MOVE
.'JOBILE 110/JE (make/l'IOdel)
'>.F. or BUILDING 33:\;> s.F. OF LOT 1: L~
(I OF FLOOI<S /IEIGllT --'-----
/! OF F/INILY UNT1'S #. OF BEDROOMS -----
INTENDED USE OF BUILDING
r;AR.llGE: Sl'NGI.E v· DBL
l"IREPL/ICE
CA/lPOll1': SINGLE
DOCllfffiNTS ATTACHED
/v/ITER SUPPLY
DBL
---------------------/JR IVE WAY PEllMI1'
!'11'E PL/IN
UUILDING PLANS ---------------·-----511 NIT ARY SE"WE/l CLE/lll/INCE
ON SITE SErvAGE VISPOSllL PEllM.f'.l' ---·-------0 T /I Ell DOCUMENTS (specify)
J3 $J »f@ ''t--. 0 7 ~-, o-?~3~. (_£ _____ _
PLOT PLAN
NO'J:E: Show easen1ents, property line dirnension.•
al.l other struct:vres, SJJecify north, and street
na111e. For odd s/Japed lots, or if space is
too smal.1.,. ]Jrovide separate plot 1'lan.
I // OF DUlTDINGS NOW ON P/lllCEL 3 _
USB OF' DUlLDlNGS NOW ON P/l/lCEI, f ~;·jt~(•·"'::f-
;;.;r .. o _ 'l
~~~·"5) iFl ~· ~~tr~~~
vl\1"4<-1 "
>/I'
FRONT PROPERTY LINE ~N
51'HBE1' N11/1B/llOllD ,NUMBE/l <91(.1. frf,/fe,y. k,.;:__
Cl/BCK IF' CO/lNEH LOT
DESClllP1'10N Of' WOil[( Pf,/INNED k{d j<l>A11· .t
S~'~''j~,lrt=I~~~~~--~~~
I he.reby acknowledge that I have read this
a.~J?lication and the above is cor.rect and I
agree to co111J7l!J t'/.f t/1 all county ordinances
ar~d sta e laws regula-t.ing bu.ilding constructic ·.. ..GI' ;l ' #'' ~fl ·-r . ---~~' ,,_,Jf~t;J~~P2>=<ZOL'---
Sl'GN/l'l'UHE ui
·-----------------------'-----------·
.;(. FOil OFFICE USE ONLY 'IJ> I 0 '(":J, '... -~ I hi" 11"/eSrt {;/?fW,., f'L~(~)(J~[J~/1.-/l-Z_/l_Jl/_) _____ ~---------VllLU/11'ION
PERMIT FE:E $ 'ij"/ ,0 <> f'falh Ciif,C~/ F'EE: $ 8°'/.<"' CE:HUf'lED BLDG l'iLE:VM'ION ~1-
TOTl\L FEE $ /62,,,,, SCJIOOL, LML'11CT FEE: $ J..~ SF'l':CLAI. COND17'10NS =~~~IL r(!J/qf_ _
IJM'T> PEHMB' ISSUED & tl7num-JM.l!'._ua/ be.t, ,y"J~r·
ZON.fl/G DISTRICT--~--------------PllOBI£MS f'/JTll l'E:RMB' ~ 1)17
1'YPE OF' OCCUPANCY f1 -(
TYPE Of' CONSTIWCTION ~X-.--~'-"-----------
S.F., Of' BUIL,DlNG ,l,?Y S.F.
NllX •. llEIGl/T ROl\IJ
OF' LOT
CL,/ISS.
SB7'DACK5 FROM PllOPE/l1'Y L,lNE: F'ilONT
HE/Ill /lTG/17' L,EF'7' -----
OF'F 57'11EET PARKING SPACES RBQUlRED
. ) -------
11f'PllOVED: 1/-11-93_
D/11'E
------·-------------------lll!Dl1'10Nll[, INFOllMll7'10N NEEDED -------
CEHTJl'IE/J BY COLOIV1/JO REGI57'ERED LllND SURVEYOI
OR ENGlNE'BR
I