HomeMy WebLinkAbout3799 r GARFIELD COUNTY
APPLICATION FOR BULLDING PERMIT .37�
PERMIT NUMBER
please print or type DATE / V,
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS /4[ /r,�r_ _ ____ NOTE: Show easements, property line dimensions,
,a SUBDIVISION 70c.":- THt4IPSOr all other structures, specify north, and street
d FILING # / LOT # 5 BLOCK # name. For odd shaped lots, or if space is
TAX SCHEDULE # too small, provide separate plot ylan.
LEGAL SEC /TWN /RNG)to/ r -CC 3 3 # OF BUILDINGS NOW ON PARCEL
L W. r n+su USE OF BUILDINGS NOW ON PARCEL War ry icy/
cd NAME )4h 1 : . , . � ?Ai; — 0:17 � �1 i�A7�/A�'L� -F l
o W MAILING ADDRESS .po' r.6 L
CITY CY.t /A'9tC CO, PHONE %AL... ~
7 d�(/,I/yj' .
C3 x NAME
% w ADDRESS CITY
g NAME T3M,eN /A4' /WV, &U,L -s
1 ADDRESS , WA." -796 rn.�
CITY (�j2Awh4 -r c r (, .
1 (PHONE 94 Wi{X, LICENSE # .v, '
CLASS OF WORK
NEW ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING 7Ft0 S.F. OF LOT,,,' %T.
# OF FLOORS. ! HEIGHT /9'
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING 4p, mvd e s4g6 4
GARAGE: SINGLE DELXCARPORT: SINGLE DEL 1
FIREPLACE .. 1INA -F . 1 icrvc
j � , DOCUMENTS ATTACHED W STREET NAME /ROAD NUMBER
WATER SUPPLY 4/At CHECK IF CORNER LOT
DRIVEWAY PERMIT cl(r nal DESCRIPTION OF WORK PLANNED /' ijG.tl i.
SITE PLAN ,( 7 q6X" r
BUILDING PLANS 2( 14 ra7P,�r RVeyaf r/. -�
SANITARY SEWER CLEARANCE At o- I hereby acknowledge Vey
I have read Otis
ON SITE SEWAGE DISPOSAL PER IT ,y/ application and the above is correct and I
OTHER DOCUMENTS (specify) a e to comply ith all county o dinances
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s TURF
FOROFFICEUSE ONLY
VALUATION '� r o 0 FLOOD HAZARD
PERMIT FEE $ P R E S "P LAN CHECK FEE $ ¢• it S-0 e.._ CERTIFIED BLDG ELEVATION
TOTAL FEE $ �/ 3, w o SCHOOL IMPACT FEE $ I(I tI SPECIAL CONDITIONS
DATE PERMIT ISSUED /
ZONING DISTRICT /¢ 02. PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY r
TYPE OF CONSTRUCTION y/ r ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING _ 714 S.F. OF LOT 1"2. i
MAX. HEIGHT -,-,1 -7 L ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTx LINE: FRONT OR ENGINEER
REAR RIGHT L T
OFF STREET PARKING SPACES REQUIRED 9
APPROVED: yi ..� r
1 /. i..11i . APPROVE N N G �/
r DING DEP %'TMENT/ � DAT: PLA DEPARTMENT DATE
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