HomeMy WebLinkAboutApplicationGarfleld Cor-¿r¿
108 8't'Street. Suite 40t. Clentt't¡t¡cl Sl+'ings, C'O 8t60 I
Ph :97()-9,1 5-82 I 2 F.r. 970-j84-314{) [nspection Line : B8B-868-5 3 l)6
lvmv. garfr e1 d- co u nty. c o m
BUILDING PERÙTTT APPLICATION
Lot No: Block No: Subd..i Exernption:Parcel No: {this ittlbrntation is utailublc ut tha ussesso¡s t¡lfice 97()t)15-9lJ1l
'2115 234ôo t 66
)JobAddress: lil utrmltlrasslutsnotbeentrs.tiqnecl,plcuseptot'itlc('R. Illþ'Yot Street.\onett Ci¡rJorandl!'gcl description
co8q9 c R 32ö ¡ RltrLE, co 8¡65Õ
26A*1051
Ð1,.Alt Ph:J Owner: (proper^' ov ilcrl
RICHARt)¿ AÞBI W('T¡{BÔW
Maíling ¡\ddress:
68q9 cR. 32ô ) R I trtE, co
Ph:--.-2s4^ó4do AIt Ph:Contractor:
MOP sTÔRAG€,
Meilins Address:
3ôüO"Í-7O8, G.J, ,QO 8t%4
-+
Ph:Lic #:Mailing Address5Manufactured horne installcr:€-
,Alt PhMailing Address6Architect:
Alt Ph;
z43"6c-ø1
Ph:8tbos7
ALLEN
Engineer:
C LI NTÔN
Mailins .\ddrcss:
5¿9 '25 VzRD f3úrrE B:210
Sq. Ft. or Acres orLot¡
t .?H0 Ac
6"
Height:g No. of Floors:
1
I Sq. Ft. of Building:' 2,35O 5F 383 ST
nNew ü;\lteration Xe,ldition DRepair DDerno [lvfove
Class of Work:9 ding:
XResidential [Commercial nother
Iise of Buil
Describe Work:
)o?gt x l2r Gnsua TVÞe P¡rto Cr\iÊR, Auo STUccô 3t )c-76 E'xrsrtñe ilousei0I
Etsos flComrnunity
Septic:
ilNat. Gas flPropane flElectric tother
Type of HeatllCarage:
f, tA nAttached ilDetactreci
Orvners valuation of Work:
S 33' oc>ò ' oot2
lr^1É,l,th6
Driveway Perr¡it:
letter ofruthority. signed by the Owner. nrust be provided u'rth this Application
County Ffighwayj Road i\ccess or a State Wrstcu'ater Discharge Pertnit.
days aller cornrllclìcement
cERTrFICATIo¡i
rnd specitications ¡trd orher cl¿rt¿ subtnirted by rne or on nry læhall(submittals). based upon tny certifìcutiorr ts t(r âccurxcy.
thc submittrls revierved by the Building Depantttent.
ofCount¡" Rdgulrtiontsì or rny rrther applicable larv.
DATEOWNERS SIGNATURE
NOTICE
ldern1y. elìgr
AND L:NDIìRST\\'D TI-IE NOTICE & CERTII.IC.\.
Iimitrtion
I I-IEREI]
e2 loQss/ 6 rÞıtl C.{ IoetÉ9 Elqq.ls STAFF USE ONLY
Special Conditions:
ùIisc Fees:Perrnit Fee
/53,21
ùIanu home Fee:
".
Adjusted I'aluation
7??2. oo
Plan Check Fee
77,¿t
Balance Due:
t¿tq.tl
BP No & lssue Datc
-å0I3
ISDS No & [ssued Date:
L¡o3t /e ¡q.o5
Total Fees
z,fz. B6
Fees Paid:
t0r.+t
Const T¡*pe Zoning
ERC ßr
Setbacks:
)0tr25ziP,
OCC Croup:rv.
A ÅL D,{TE .{PPROV.\L D,\TE
Description of Work Add gable type patio covsand sttæco to existirg house.
Building Plan Review
Bin #:
Location Address: 6899 CR 320
RIFLE, CO
Case Manager: David Bartholomew
Plan Case Number: BLDG-S-I l-6846
Parcol: 217523400166
Application Datez O5l04l20ll
Ownen Richard & Abbi Withrow
Appil&¡ntl Rlchard & Abbi Withrow
Apdddfi¡þhone: EmaitL
Oont¿lctr;General I nforr¡r¿atiorr
Plan
, Property Line SetbacksEngineered Foundation
Nl /r
/Surveyed Site Plan
N( 4
"eptic
Permit and setbacks
opography 30%
Residential Plan Review List
Minimum Application Questionnare
Driveway Permit / toft stream setbacks
1
",roNlr
ivision Plat Notes
Fire Department Review
/Plain
height
,i¿oning Signoff
P' Road lmpact Fees
Approval
Grade/Topography 40%
/lssues
-Subdivision
Plat
General Gomments:
/
/
Valuation Determination/Fees
-..-.,-..-,.-Red Line Plans/Stamps/Sticker
Snowload Letter - Manu. Homes
/
/ Attach Gonditions
-
/ \pplication signed
/ Plan Reviewer To Sign Application
'/ ,arceuschedule No.
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y/r Gaila Report /?/.É