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N 04310
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81801
(303) 995 -8212
Job Address 756 C.R. 221 Rifle
Nature of Work Building Permit
Use of Building Addition of one (1) bedroom
Owner d Copeland
Contractor "lea SLIMS
Amount of Permit: $ 311 Date: September 3, 1991
Permit $189.00
Plan $122.85
R. Bennett
Clerk
White - Trea9.
Canary -Office
Pink - Applicant
e Gold - Duplicate
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GARFIELD COUNTY
I; APPLICATION FOR BUILDING PERMIT �� 0
- PERMIT Cl. UMBER 1
l• - please print or type DATE ? �-- "" U 1
TO BE FILLED OUT BY APPLICANT PLOT PLAN
--•. .—• ADDRESS 9s r22/ /QA I NOTE: Show easements, property line dimensions,
a .SUBDIVISION all other structures, specify north, and street
d (FILING # LOT # BLOCK # name. Fo.r odd shaped lots, or if space is
ral 'I'AX SCHEDULE # y ----. too sma provide .separate_ plot plan.
LEGAL (Skc p
/TWV /RNG) /2 9, - I OF' BUILDINGS NOW ON PARCEL /
NAME *Et/ �o An USE BUILDINGS NOW ON PARCEL Si%, �e
4 7A TLT A NN ADDRESS ' f� p,3 i7!,.: -'ai}' �, . .. . .. .r/ -/H I/ y de2.r /SGgtSrL
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ADDRESS _- ......... — CITY �...._.....__.— jlrn /t= na of
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ce NAME �¢..S �. f,F
ADOREss �D0- a.a .cJ
F. CITY £2, el% Phi 2-._
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1.7 PRONE �P 4 9PZ LICENSE # _._. - -.. d 094 CLASS OF WORD _�.._ 21/7 ca A
NEW ALTERATION ADDITION 44--- cop e
D REPAIR MOVE -
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MOBILE HOME (make /model) _ W
S.7'. OF Brr rLDINo_01ZS'' _ s . F. OP LOTS", 723'
# OF FLOORS / HEIGHT ipr !! trt ,��r,�//
# OF FAMILY UNITS 1 # OE BEDROOMS ,l� ,�nr. eprc (� TE L / ° /T'
INTENDED USE OF' BUILDING ,p O @a4-ad/9,
GARAGE: SINGLE BL
D CARPORT: SINGLE. DBL
— — — FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS S ATTACHED _ STREET NAME /ROAD NUMBER 2X / c / d
WATER SUPPL,Y E�"I �Tt -t-5 CHECK IF CORNER LOT
DRIVEWAY PERMIT cC D ESCRIPTION OF WORK PLANNED A dr/ilajOA n
SITE PLAN lo• ,d1 - 00Jn_A /.,a.kS� al 0X4 - /f rte. -f.... .
BUILDING PLANS `- q .4 .7e jo ts, /¢ns
SANITARY SEWER CLEARANCE ,j/4. _ I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAT, PERMIT /AI ( .?t/n _ aoplication and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply With an county ordinances
and state laws regulating building construction
'77 a F-I// 116,0 1710k1
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FOR OFFICE USE ONLY
VALUATION 75P ./ 7 42 Co , 0o FLOOD HAZARD
PERMIT FEE saf dO PLAN CHECK PEE $ /22 a SC CERTIFIED BLDG ELEVATION
TOTAT, FEE $ .3`b r5' SCHOOL IMPACT FEE $ 4/4 SPECIAL CONDITIONS
DATE PERMIT ISSUED /RJR
ZONING DISTRICT T A /!.� /R b PROH LEMS WITH PERMIT
TYPE OF OCCUPANCY fit
TYPE OF CONSTRUCTION V ^ n,/ ..__.w. ADDITIONAL .INFORMATION NEEDED
S.F. OF BUILDING C74 de id.s.P. OF LOT t AL.(
MAX. HE WTI T -.s../ ROAD CLASS. .--r CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS PROM PROPERTY LINE: FRONT c OR ENGINEER
REAR RIGHT LE-
OFF' STREET PARKING SPACES REQUIRED �y
APPROVED: gee . / �
�'l /..►./ S "�` : • 7/ APPROVED: �.�� .. S // � .' - o 2!"!//
BIdLDING DE'A - TM _ T / DAT' PLANNING DEP 'T'''N • DATE
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INSPECTION WILL ' NOT BE MADE UNLESS
Ip THIS CARD IS POSTED ON THE JOB
Z4 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
�
j GARFIELD COUNTY, COLORADO
Date Issued 7 . 3 - - ` , 9 1 Zoned Area Permit No 443 /
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 above
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 e County Building Ins fo a d [MMF,➢IATELX BECUME NUI L AND VOID,
Use
■ k � a t• • 4.
Address or Legal Description — - FOrieX
Owne -m
.. AP � _ I.; ,r/ Contractor._. /1
Setbacks Front
Side Side near
Y l
This Card Must Be Posted in
So It Is Plaint Visible From the Street Until Final Inspection.
INSPECTION RECORD
Zoning
l i Roof Covering
Footing 6/ { 9 - . c .- 311
Foundation 0 h( , 4 - ) .
Plum bin g- Underground
Gas Piping
Frame ®' �'6 —q s :
Insulation °A c
Plumbing -Rough
Electric -Rough
(by STATE inspector)g _Se_
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND,
THUS PERMIT IS NOT TRANSFERABLE
{ Phone 945 10 8th Street, County Courthouse, Glenwood Springs, Colo.
APPROVED DO NOT DESTROY THIS CARD