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HomeMy WebLinkAbout4192 • GARFIELD COUNTY APPLICATION FOR BUILDING PERMIT 4 ` /9) PERMIT NUMBER lease_ print or type DATE 7 r1.5 A sse rs eref ,Z /21 2 s 3 -cf W -Ot2 �� - TO BE FILLED OUT BY APPLICANT PLOT PLAN ADDRESS jiffs :f _ s _ � I NOTE: Show easements, property line dimensions, SUBDIVISION cg 7 7 c - - f ail other structures, specify north, and street FILING # LOT $ g BLOCK # 5 name. For odd shaped lots,. or if space is i-1 TAX SCHEDULE # dy'a,,7ol too small , provide separate plot plan. LEGAL (SEC /TWN /RNG) 0 OF BUILDINGS NOW ON PARCEL W NAME "am��( ni USE OF BUILDINGS NOW ON PARCEL . O Ej MATLING ADDRESS — •-- -- - - -- p CITY J? j , DR� L e- U , PHONE `• . x NAME f t � � r 7 ra w ADDRESS CITY .mm-r N M 4 n x NAME - �i . � .0 1 , f 0t WAtC ' 5745C -' - ADDRESS � •� X~s4 w • I `3 0 1 •P W "�I" D t w, / f4 g CITY _ o ° $ ° 47 � , 4 „/ 6 0 h 5 a ) M e ts. 6 t I °HONE yj i 0 , I'LENSE # F4)) 14 N i" J J 'S p qv CLASS OF WORK NEW QL ALTERATION ADDITION DEMOLISH REPAIR MOVE MOBILE HOME (make /model) _ _ _ S.F. OF BUILDING /770 S.F._ OF LOT 0 OF FLOORS 2- HEIGHT 2 /.= # OF FAMILY UNITS r _ # OF BEDROOMS '� . INTENDED USE OF BUILD NG f, y 4 " c a A- Arf • GARAGE: SINGLE DBL� CARPORT' SINGLE_ D L FRONT PROPERTY LINE FIREPLACE 2 fl ie e e tegimAilfrir.: ...0 a ple DOCUMENTS ATTACHED _ STREET NAME /ROAD NUMBER 5f.7 1....1. WATER SUPPLY CHECK IF CORNER LOT DRIVEWAY PERMIT `C /y/7614r 4 �Aer /1 SCRIPTION OF WORK PLANNED /, LYE BUITDING PLANS .vim ! !/" /• /J SANITARY SEWER CLEARANCE T hereby acknowledge that I have read this ON SITE SEWAGE DISPOSAL PERMIT application and the above is correct and I OTHER DOCUMENTS (specify) agree to comply with all county ordinances / C /S ,A - .2r,/ =Lye/- _ and state , ws regula i.ng building construction. / f ' /// JAS, o O • SIGNATURE __. ..� //17 ° bntvn, annoi. -4 /0$" .goeFinPlinm Y VALUAT s . a . a: s y so • fr F T. 0 0 D HAZARD PERMIT FEE Snel poPL' CRE K FEE j.3 ,S p / CERTIFIED BLDG ELEVATION TOTAL FEE $Sy3, c'r' SCHOOL IMPACT FEE $ o0 SPECIAL CONDITIONS DATE PERMIT ISSUED ZONING DISTRICT POP PROBLEMS WITH PERMIT TYPE OF OCCUPANCY ?j TYPE OF CONSTRUCTION .v --iv ADDITIONAL INFORMATION NEEDED 5_1 OF BUILDING 3 3 9 / S - F. OF LOT MAX. HEIGHT m-L, 2 ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR SETBACKS FROM PROPERTY LINE: FRONT_ OR ENGINEER REAR RIGHT LEFT OFF STREET PARKING SPACES REQUIRED APPROVED zn A r !' i APPROVEDY ()s i✓ ! /J / � / r T � � ` •r I� "( - DING 'Era / DA t. PLANNING DEPART ENT DATE INSPECTION WILL NOT BE MADE UNLESS • THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS 7-.. BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issuedi .J ,(..Zoned Area Permit No AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, location; construction and erection of the proposed structure for which this permit is granted, and further agrees that if the ahove said . regulations are not fully complied with in the zoning, location, erection and construction of the above described structure, the permit may then be revoked by notice from a County Bu' ding Ins? ctor a y{J, MM BECOME NULL AND VOID, -14 Use 1 (,. """C /d� Address or Legal Description 4 45 5S /4L4 v Lot . L ct Ig 0 Owner `red � a �. �.. OS ' - Setbacks Front Side This Card Must Be Posted So It Is Plainly Visible. • INSPECTION Zoning .. _ r) Footing K t� 1 Foundation c g s Z - 7/ `E'r Plumbing- Underground Gas Piping /d ^ I _ j/ ` t Heating Ventilation Frame O/q'. 7. 3I ^ 4' c Rbn 5 " - t- Insulation 9. - „ 7r y ( c,L -Sr1 Plumbing -Rough 7 -3 - 7i e Drywall % Je b 7-I2 -97 Electric -Rough (by STATE inspector) Final J — :// _. 77 c , ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING — WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE Phone 945 -8212 109 8th Street, County Courthouse, Glenwood Springs, Colo. APPROVED 00 NOT DESTROY THIS CART) it /B, �� Date