HomeMy WebLinkAbout3899 GARFIELD COUNTY
+ APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER
please print or type DATE 3- 2 i f 0
TO BE FILLED OUT API:LIC PLOT PLAN
ADDRESS O O'7 L- /'/7 at/ NOTE: Show easements, property line dimensions,
SUBDIVISION ',C•L._ i 7-c. U,c " U-%
a alI other structures, specify north, and street
FILING # LOT # 3 BLOCK # 4- name. For odd shaped lots, or if space is
W TAX SCHEDULE #
W too small, provide separate plot Wan.
an,
LEGAL (SEC /TWN /RNG) # OF BUILDINGS NOW ON PARCEL Q Pt_ cL
a NAME � OS eo UN' �011. USE OF BUILDINGS NOW ON PARCEL
g C g MAILING ADDRESS OOC' 73 A) 0 it-LC i T"
4 CITY (;t6&itutu) S pi_ IU,:S PHONE qtS- - 5 4 JI--
b ts NAME
W ADDRESS CITY
NAME 6 4C 1 CI-% C L–
DDRESS Of$ /' HI LEI A)i
CITY f tac)i� s F' /' //4' CS
8 (PHONE ei tt S 665 T LICENSE #
CLASS OF WORK
NEW ��� ALTERATION _ ADDITION
DEMOLISH REPAIR MOVE
MOBIth HOME (make /model)
S.1',.,- OF BUILDING 2364 S.F. OF LOT - 13 nc' &
# U.F FLOORS 2 - . HEIGHT Z 5 1
# OF FAMILY UNITS / # OF BEDROOMS 4- _
INTENDED USE OF BUILDING .ES /pt 4J•
GARAGE: SINGLE DBL CARPORT: SINGLE DEL
FIREPLACE — FRONT PROPERTY LINE
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER ,�i,■5.0
WATER SUPPLY G e. m /' c N, r y CHECK IF CORNER LOT
DRIVEWAY PERMIT DESCRIPTION OF WORK PLANNED
SITE PLAN per /j,: , i_ o i ,: c i- .k iv E4: i , Ai - t C
BUILDING PLANS ✓ .w n � o f= - r »- / It c- I f , c.< -
SANITARY SEWER CLEARANCE ^'ffniL'Lir�p�,/k I hereby acknowledge. that I have read this
•
ON SITE SEWAGE DISPOSAL PERMIT . 'c 'f - application and the above is correct and 1
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and e law regplating building construction .
'Pr r SIGNATURE
'��� ��i l���; FOR OFFICE USE ONLY
VALUATION AMC .Q,pv FLOOD HAZARD
PERMIT FEE $ '41 °PLAN CHECK FEE $ ,2-971-7C, CERTIFIED BLDG ELEVATION
TOTAL FEE $737,042 SCHOOL IMPACT FEE $241 SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT —/4 / Rlb PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY t ` 3
TYPE OF CONSTRUCTION it �A.Y ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING -${p go_ S. F. OF LOT pagQr,
MAX. HEIGHT -,. 1 c ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT s t! e, OR ENGINEER .
REAR RIGHT Z. T
OFF STREET PARKING SPACES REQUIRED
APPROVED: S, „F f ft APPROVED: ' =.,�, _ / • 1 i 1 ?d
4ILDING DE•ARTMEN o f D: 5 PLANNING DEPARTMENT DATE