HomeMy WebLinkAbout4642 Nr 04
GARFIELD COUNTY
BUILDING, SANITATION and PLANNING DEPARTMENT
109 8th Street Suite 303 - :-
Glenwood Springs, Colorado 81601
(303) 945-8212
Job Address County Road 165, Carbondale
Nature of Work Building Permit
Use of Building Single Family Dwelling Unit -
Owner Bob & Wanda Nieslankk
Contractor Griffith Construction
Amount of Permit: $ 1,257.30 Date: November 20, 1992
Permit: 762.00
Plan 1 495.30
S. Archuleta
Clerk
White- Treas
Canary- Office
Pink - Applicant
Gold - Duplicate -
GARFIELD COUNTY
APPLICATION FOR BUILDING PERMIT / / y
/ PERMIT NUMBER / w `�` G°
z16 3 - / /2_o0 - 04t p print or type DATE // as `92_
Assessor's Parcel if
TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS C /& r I NOTE: Show easements, property line dimensions,
SUBDIVISION all other structures, specify north, and street
a
<1 FILING # LOT # 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
J ,,// .O Jf/ .,E USE OF BUILDINGS NOW ON PARCEL
NAME
W f ^04 drlNG4. q /o .e,a,
, §, MAILING / A J DDRESS /� cc 41, n CITY 4v c47' 4 PHONE 94 3- , 1415 IS Q Iv'c r -A 4 f 11 �7 Ace= ce . O'n
s a NAME itf5-14-C{'aS Of ACC GId
w i ADDRESS CITY
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z NAME T ^ L
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g CITY .a,Zo.,c/(o d. '�
o I ° HONE g - ? ? /y' LICENSE # / /�-C 1 1- IX C2 i, irl M.
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. CLASS OF WORK NEW v ALTERATION ADDITION'
DEMOLISH REPAIR MOVE
MOBILE HOME (make /model)
S.F. OF BUILDING S.F. OF LOT /93 ace°
# OF FLOORS ..e 44.0 HEIGHT 4'
# OF FAMILY UNITS / # OFiBEDROOMS 4' D
INTENDED USE OF BUILDING JS s,
GARAGE: SINGLE DBL P CARPORT: SINGLE DBL FRONT PROPERTY LINE
FIREPLACE _ 4.Z..,
DOCUMENTS /r
S ATTACHED _ STREET NAME /ROAD NUMBER it, 6 ,4 , d)
WATER SUPPLY V✓ e-1/ CHECK IF CORNER LOT ett )
DRIVEWAY PERMIT DESCRIPTION OF WORK PLANNED �j'a , [J Ll ocusa.
SITE PLAN 1..-- /2c) /t t' ar a 7 a l rtia i ! / ci Atr / cl / -.
BUILDING PLANS t- a 41 ' - J . _ 0
SANITARY SEWER CLEARANCE /(4,4- / / I hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL PERMIT ''I'/ / application and the above is correct and I
OTHER DOCUMENTS (specify) agree to comply with all county,ordinances
and state laws regulating building construction
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/ I NATURE
:rife ( � FOR OFFICE USE ONLY
VALUATION /34- ( 0 t FLOOD HAZARD
PERMIT FEE $ 7 ,s 0PLAN CHECK FEE $ 47S', 3 0 CERTIFIED BLDG ELEVATION /�
Q/J 1,1PEiQ,
TOTAL FEE $ /2 c7,3 0 SCHOOL IMPACT FEE $ l„00,0," SPECIAL CONDITIONS 521/1-r Ar AVA/Staigielitee
DATE PERMIT ISSUED m&S /N'er /J.✓n- (✓ Ott' Ikea ' $ as
ZONING DISTRICT ,4 / /Te� P / At EA■fla EE HOLc /NC
TYPE OF OCCUPANCY R- 3 400/47 Or4F6EA1600
TYPE OF CONSTRUCTION V - k / ADDITIONAL INFORMATION NEEDED
S.F. OF BUILDING ?; S.F. OF LOT 1/.1 .
MAX. HEIGHT .y / 7' ROAD CLASS. / CERTIFIED BY COLORADO REGISTERED LAND SURVEYOR
SETBACKS FROM PROPERTY LINE: FRONT i OR ENGINEER
REAR RIGHT LEFT
OFF STREET PARKING SPACES REQUIRED
APPROVED: /r/ ,,..0 Al 1 ' 1 — APPROVED: /2 K '�" - " H.20/97_ -
NG D 'A 1 D'TE PLANNI G DEPARTMENT , DATE
I, 'KO ( 4 # & 1
t&4 , state that the residential structure built
under building permit # ` 05 4 2 -- is the primary single family dwelling on the property.
Further that the other dwelling unit(s) on the property is an employee housing unit. An
employee housing unit being a dwelling unit provided to an individual(s) and /or his/her family,
who derives the majority of their income from work on the property and pays no rent. It is
agreed that this unit will not be used for residential occupancy for any person and/or family
that is not employed on the property.
Attached to this agreement is proof of employment of individuals residing in said additional
dwelling unit(s), which is the appropriate signed IRS Form 1099 and copies of workman's
compensation insurance for each person employed.
It is further agreed that this property will not be sold to another party without representing that
the additional dwelling unit is for employees only and cannot be used as a guest house or rental
unit.
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Date
Witness
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' CELL' R. NIESLANIK'
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/ , / iiir__--,_:__________ ________________________._________
JOHN - -
/ / / / : i CELIA L. NIESLANI
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TH�SCARDIS 0 T "''� �'
24 HOURS NOTICE REQUIRED FOR sT , 3 ;,, s M .,' ikw ' e` l
, .. GARFIELD COU T; COLORADO '
(1{ Permit No
°� ,�
.. .Date Issued I q0�, Zoned Area ; , t� _
AG E NT - 1 ff
1 &' In consideration of the issuance of this permit, the applicant hereby agrees to comply with pi s i.,i 'r , ; '
t ' all laws and regulations related to the zoning,': location; construction and erection of the .. 4: . ,,i1: 4 45';',,, ,, , ''` a
a , " V . . prposed structure for which this permit is granted, and further agrees that if the above '� a
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sad i d regulations are not fully _complied with in the zoning, location, erection and -, I 1-
construction of the above described structure, the permit may then be revoked by notice t C {
fromti' 1 . ngIns. t r and IMMEDI T L BE OME NULL AND VO1D, t �'
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`' �i Addr• r Legal Dees riplion _ ee F., , 41 x
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Ili , r This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection ‘ r n <I ,' pop
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5 r4 INSPECTION RECORD d6:){r; zi' Y r ' ' r a
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' ', '7iAllln Roof Covering 1 .1 y, i ,� 414,
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l Electric -Final b STATE 'inspector)
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ner Foundation ' Pl 't `�t':„ea!
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' ng +r. T Heating Ventilation
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. Frame, c 5 , /•?'4 ;- Insulation' , � � y ' a � 4 si
Plumbing- R6ugh�� /// , Drywall 9" . � , ", ff. : ,
Electric -Rough z3 J� ;'� t' li ° 4141..
(by STATE inspector -1 .:K, 4 , Final 1 I , L I c 4, t
7 u N ' a i t
' ,` ;,, ALL LISTED ITEMS MUST WHETHER INSPECTED AND APPROVED BEFORE - .0 �e �'" ., .
WHETHER INTERIOR R- EXTERIOR, UNDERGROUND OR ABOVE! `iIIROUND. , ' x + " 'i
P1118 PERMIT IS NOT TRANSFERABLE 11 - , '1 : -- KI
„ Phone 945 -8212 - fA 109 8th Street, County Courthouse,. Glenwood Springs, Colo. i a t
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