HomeMy WebLinkAbout4341 m. M,
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GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 903
Glenwood Springs, Colorado 81801
(309) 995 -8212
Job Address
94 West .Car son Circle Saddleback Village: Battlement Mesa
Nature of Work Builidng Permit
UseofBuilding Install Manufactured Home (7?MRCSS)
Owner Battlement Mesa Partners
Contractor owner
Amount of Permit: $ 100.00 Date: October 7, 19 °91
R. Bennett
• Clerk
White-Treas.
Canary -Office
Pink - Applicant
Gold - Duplicate
ID ., ; Y q. .1
f.. >t ? 1
i ` GAkFIELD COUNTY
5EP 24 1991 j APPLICATION FOR BUILDING PERMIT
PERMIT NUMBER "� ,r
.3 1
GARFtELD COUNTY
please print or type DATE 9-)) -T , p - ` 1 -
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS Clg at. CIWSO7✓ c-/020- NOTE: Show easements, property line dimensions,
SUBDIVISION 1( V`,
�{�J t44.e _ al! other structures, specify north, and street
W FILING # I LOT # pi __ BLOCK # J7 name. For odd shaped lots, or if space iS
W TAX SCHEDULE' # ! too ;mall, provide separate plot plan.
` LL'GAL (SEC /TWN /UNG) # OF BUILDINGS NOW ON PARCEL ll l / I 1 ® •�r N , t_.,
NAPSF. 1FrnF1rJ} 1T 8.4(� A(�/ic� USE OF BUILDINGS NOW ON PARCEL
MATLTNG ADDRPS - ---- -- •
p }CITY 'Ait-Wn sN>.mEs4 CO PHONE 25:1119._ SEA PtitvAtAr-t,
r a -FAME
a
Ce 'ADDRESS CITY
m NAME
o _._. ....__.. ............._.. ..............._.... r ADDRESS
ADDRESS
. CITY
F ...
� 1 °HONE' LICENSE' # --
CLASS OF WORK .
NEW / ALTERATION ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make4model)
S.F. OF BUILDING-14l n ___ S.F. OF TOT
# OF FLOORS ' HEIGHT f�
# OF FAMILY UNITS L # # OF BEDROOMS _
INTENDED USE OF BUILDING l_m_ f puIrmini
GARAGE: SINGLE DBL CARPORT: SINGLE r
DBL '
_ — _ FRONT PROPERTY LINE
. REPLACE N 0
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER
WATER SUPPLY ApLRtam ,,'QjGT CHECK IF CORNER LOT
DRIVEWAY PERMIT DEESCRI TIO OF WORK PLANNED --
SITE PLAN *se vre'p aN tAgA .u, MP Ar -er—I� s
BUILDING PLANS NW
SANITARY SEWER CLEARANCE c )1,1 /. 1 hereby acknowledge that I have read this
A
ON SITE SEWAGE DISPOSAL PERMIT IZI. application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and state laws regulating building onstr ction
`� T /
._... _........._.... .--,,. . ._......_....__ W.... ......_�......._., .�....�..__. R uc ' L':.,, . w 'ads L.,,..
STGNATURE
FOR OFFICE USE ONLY _
VALUATION FLOOD HAZARD
PERMIT FEE $ plans PLAN CYECK FEE $ 4/ CERTIFIED BLDG ELEVATION
TOTAL FEE $ 4 ,404:10.c0 O S01100L IMPACT FEE $ 4/4 SPECIAL CONDITIONS
DATE PERMIT ISSUED _
ZONING DISTRICT pall) PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY _ eg - 3
TYPE OF CONSTRUCTION M.4C_SS ---- -- ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING fAc t i pn S.F. OF LOT 0.'
MAX. HEIGHT .Z.,/ y.., ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT / .,/ OR ENGINEER
REAR _ RIGHT L:.FT
OFF STREET PARKING SPACES REQUIRED - m_.m__T
ar
APPROVED: OC' / /� .4( ,.. _,� eV 3 APPROVED: �( !0'7• Q/
IT,DING
EAR .N J A.':' PLANNING DEPART NT DATE
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