HomeMy WebLinkAbout4476 N 04476
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945 -8212
Job Address Lazy Diamonda A Subdivision
Nature of Work - Building. Permit
Use of Building Consturct Pump /Clorinator Building
Owner Larry Ala helm
Contractor - M & M Consturction Company, Inc.
Amount of Permit: $. 61 ' n ' Date: May 14, 1492
Permit $37.00
Plan $24.05
R. Bennett
Clerk
White-Treas.
Canary-Office
Pink - Applicant
Gold - Duplicate
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT
{
0149Z PERMIT NUMBER ( please print or type DATE S ( — 14 -7 a_
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS a4 ga 117 NOTE: Show easements, property line dimensions,
SUBDIVISION , 1 , 4 S , all other structures, specify north, and street
6 FILING # LOT # /2 BLOCK # _ name. For odd shaped lots, or if space is
- -
SCHEDULE # too small, provide separate plot plan.
LEGAL (SEC /TWN /RNG) hu) i4 a fliW y iSet 1D # OF BUILDINGS NOW ON PARCEL ^/p a,
GG NAME T8•- 45 SUSE OF 14 BUILDINGS NOW ON PARCEL
Y I-' 1.14
.MAILIN ADDRESS St] -C,l. 4 in ��� � '
0 (CITY C. ,ss&n 9s Sp11 _ PHONE �' (�____
NAME Ocia, 4,s S _
ADDRESS /00 i yjy CITY OpIJJDD , YJ + *S .C.4 e e6 z ( c L
o NAME Y4011 l(QI1R Sew" !limn 1 Ca) . .7711 C.- di
( 0 1? 1 / y �L 4v�) oil 1- Ol7.S�tlLC'.�/ o -
8 ADDRESS Fiat, y /`o - 5 / 1
+o 1- 4 L ' /
! CITY G-(P.., u. 9Cee/ 4 e C',/) Q1(a!)/ P " ` 7' \ ' y c �e'� on �C 4
3 P HONE y - V7 3 LICENSE # _ S n i V t S l an
CLASS OF WORK
NEW' ALTERATION _ ADDITION
DEMOLISH REPAIR MOVE
MOBILE HOME (make/model)
S.F. OF BUILDING `(p 0 S.F. OF LOT
# OF FLOORS HEIGHT
# OF FAMILY UNITS # OF BEDROOMS
INTENDED USE OF BUILDING CloF! cto- a L Ar/Nq
GARAGE: SINGLE DBL CARPORT: •INGLE DBL
_ _
FIREPLACE FRONT PROPERTY LINE
DOCUMENTS ATTACHED STREET NAME /ROAD NUMBER
WATER SUPPLY /1/il CHECK IF CORNER LOT
DRIVEWAY PERMIT ,/1/'l-- DESCRIPTION OF WORK PLANNED, A
SITE PLAN cl o , ' _ —', a ' .r
BUILDING PLANS L.---- - y 1 ,, a ran I .4 Oar 6 .
SANITARY SEWER CLEARANCE /V/l- I ' er -by acknowledg- that I have read this
ON SITE SEWAGE DISPOSAL PERMIT 41,4 application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and state laws regulating building construction
SIGNATURE
fr FOR OFFICE USE ONLY
VALUATION 4(.0 o, 0 0 FLOOD HAZARD
PERMIT FEE $270 PLAN CHECK FEE $2.5 � CERTIFIED BLDG ELEVATION
TOTAL FEE $ ( 1 pg^ SCHOOL IMPACT FEE $ _. 4 ' SPECIAL CONDITIONS
DATE' PERMIT ISSUED
ZONING DISTRICT LOCI z5 PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY .1?--
TYPE OF CONSTRUCTION V'^ kr ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING / ( _ S.F. OF LOT
MAX. HEIGHT ea.- 9'/ RQJD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: RONT OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
/ . / / /%/
11PPROVED:
/_, 0 'j, APPROVED: _. _ f /J ` �/ / ( _ .5
BUILDING DE•ARTMEN'• S DA E PLANNING !E "r" EN/ DATE