HomeMy WebLinkAbout4030 GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER Maa_
please print or type DATE .EVS/5.
TO BE FILLED OUT SY APPLICANT PLOT PLAN
ADDRESS 393� / ,e, ..ra.,, ear-- pew'? NOTE: Show easements, property line dimensions,
SUBDIVISION 'f3, ., •„ «. 4 R new., all other structures, specify north, and street
FILING # LOT # 3 BLOCK # name. For odd shaped lots, or if space is
w TAX SCHEDULE # too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) # OF BUILDINGS NOW ON PARCEL _,_
NAME USE OF BUILDINGS NOW ON PARCEL ( r
MAILING ADDRESS R,,1. .p 6.
C ''"'""' w s ri'`" w j—
o CITY MAILING
,c44,6.,,r Mora. PHONE _ "d-fa -e �If'
x NAME / I1-114 )1 ,.L._ IPPO - c rr
w ' ADDRESS St.4 CITY
x NAME 'R, A , ,,yr Ainat l s.S
e ADDRESS Cal-AP-sr
g CITY
PHONE 2,84 LICENSE #
U
CLASS OF WORK
NEW 4,- ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING /g/9 S.F. OF LOT A/A
# OF FLOORS / HEIGHT 17 /
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING 2 14,01.4ar
GARAGE: SINGLE � _ DBL CARPORT: SINGLE DBL FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS ATTACHED _ STREET NAME /ROAD NUMBER ^/. c17-1 Picot-
WATER SUPPLY N -' CHECK IF CORNER LOT
DRIVEWAY PERMIT A — DESCRIPTION OF WORK PLANNED a, .,Gnr A.VM P
SITE PLAN An :* Al) . - ' -
BUILDING PLANS ,�.,.,,, _ r r J .... re:
.
SANITARY SEWER CLEARANCE M/. I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT 474- application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply . th all count • dinances
and stat- ws r •ulating byi g construction
SIGNATURE
� 41;1 i/.Z k e FOR OFFICE USE ONLY
VALUATION W / 35 oo FLOOD HAZARD
PERMIT FEE $ Z-.3 PLAN CHECK FEE $ /.$', LS CERTIFIED BLDG ELEVATION
TOTAL FEE $ St,7,C SCHOOL IMPACT FEE $ 4/4- SPECIAL CONDITIONS
DATE PERMIT ISSUED
ZONING DISTRICT eZ L.0 PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY /J//
TYPE OF CONSTRUCTION V nI ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING / 911 4. / S.F. OF LOT
MAX. HEIGHT - -FO , ROAD CLASS./t� CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT i,,,e OR ENGINEER .
REAR RIGHT LEFT ,- .01r e ? 1
OFF STREET PARKING SPACES REQUIRED ( i lir
APPROVED: ... , / " /�1I /il..ra - r / APPROVED: .i..„ „ .. S ��.
UILDIN DEAR MET . D'TE PLANNING.DEPAR rill DAT'
` JOE MC FADDEN
"' SIERRA MILLWORK
Come
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P.O. BOX 520
Andersen C EDA 3 - -85 8 - 6 1
30 55
3 85655
DATE: JOB: 2 xr8 Zaea /cuDS
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ANDERSEN PERMA- SHIELD ` gy WINDOWS 8t PATIO DOORS FOR COMMERCIAL & INSTITUTIONAL. USE