HomeMy WebLinkAbout4995 N° 04995
GARFIELD COUNTY
BUILDING, SANITATION end PLANNING DEPARTMENT
109 8th Street suite 303
Glenwood Springs, Colorado 81601
(303) 9454212
Job Address 1 740 Counts! Road 27..4, Giit
Nature of Work :uuiidin:: Permit
Use of Building ;torag;e
Owner Esther ' E.iclaa:r : :i?arsi
Cc 'tractor
An $ 25^..00 • Date: December. 30, 1
Permjt: 126.00
:investigation Fee: 126,00
P, S'0 _ S. Archniel'»
paid 10 -16 -93
Clerk
White - Treas.
Canary - Office
Pink - Applicant
Gold- Duplicate
t
GARFIELD COUNTY
AI'I'LICATION FOR BUILDING PL'RUI'L' 9
PEWIT NUMBER
please print or type DATE /J 30 �q % y
,
Assessor's Parcel # TO BE FILLED OUT BY APPLICANT PLOT PLAN
ADDRESS ,Q02 ( c NOTE: Show easements, property line dimension:
, - � .SUBDIVISION all other structures, specify north, and street
FILING N LOT 11 BLOCK H name. For odd shaped lots, or if space is
a TAX SCHEDULE N _ too small, Provide separate plot plan.
LEGAL (SEC /TWN /RNG) !1 OF BUILDINGS NOW ON PARCEL _
- re, NAME jgj O - Et fn re 1) �q a — ( USE OF BUILDINGS NOW ON PARCEL
MAILING ADDRESS `Z 33 C 12c{ 2S'o
C CITI' S I I I _ -_ PHONE �7Si 2:2.,s13 4 3 _ 7,,, it
NAf1E
eJ w ADDRESS CITY _ j ^� -
• 0 NAME ` ✓�i �//
o
v ADDRESS
CITY
a PHONE LICENSE I
CLASS OF WORK
VEIV ) ALTERATION ADDITION •
DEMOLISH REPAIR - _ MOVE
MOBILE HOME (make /model)
•
S.F. OF BUILDING 24 )C36' S.F. OF LOT
II OF FLOORS HEIGHT .
e OF FAMILY UNITS (! OF BEDROOMS •
INTENDED USE OF BUILDING Sto /2 A 6-
GARAGE: SINGLE DBL CARPORT: SINGLE DBL FRONT PROPERTY LINE
FIREPLACE
DOCUMENTS ATTACHED _ STREET NAME /ROAD NUMBER
WATER SUPPLY _ CHECK IT CORNER LO1' _
DRIVEWAY PERMIT DESCRIPTION OF WORK PLANNED
5I7'E PLAN _
BUILDING PLANS _
SANITARY SEWER CLEARANCE 1 hereby acknowledge that I have read this
ON SITE SEWAGE DISPOSAL, PERMIT application and the above is correct and 1
OTHER DOCUMENTS (specify) agree to comply with all county ordinances
and state laws regulating building constructi.c
+c IturesrIt9T /or�c r � ogee) °`� "�`
wort r wawa'? el Minn %T, SIGNATURE • - -'
V 1 r _ S W 2 C - n G - FOR OFFICE USE ONLY
VALUATION 0 SJda. r6 itV ?S7 / t 9 pow it FLOOD HAZARD
PERMIT FEE $47.4.1._ P LAN - CITE FEE $ 42Z . -- CERTIFIED BLDG ELEVATION
TOTAL FEE $252. SCHOOL IMPACT FEE $ SPECIAL CONDITIONS
DATE PERMIT ISSUED
• ZONING DISTRICT _ _ PROBLEMS WITH PERMIT
TYPE OF OCCUPANCY _
TYPE OF CONSTRUCTION N - ADDITIONAL INFORMATION NEEDED
5. F.._ OF BUILDING 720 S.F. OF LOT
MAX.. HEIGHT /5 ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVEY())
SETBACKS FROM PROPERTY LINE: F'RONTN- /90 _ OR ENGINEER
REAR RIGHT Ile/ 8O LEFT/C-/0 't
OFF STREET PARKING SPACES REQUIRED • APPROVED: 'CO I - Gt / �C (,i — !J APPROVED: I _ 1 3
BUILDING 'o EPA( IEN7' -- DATE PLANNING DEPARTMENT DATE:
7-