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PERMIT APPLICAT~N C~ Year Number San Miguel County Building Department P. O. Box 2676, Telluride, CO 81435 .JB ADDRESS PROJECT VALUATION. 3057 IiIC-14;~~Y lis5 Sf'J;Ti± $15F(XJQ.Git 1C1r.J~ t,i3/Y?b' LEGAL LOT NO. BLK. TRACT. ^ DESG SEE ATTACH ED SHEET F~t',1J ~: ~_,, 1)•~r OWNER MAIL ADDRESS PHONE F:~:FIIv)7: Di~~~ F'L'!:a'(1 1' L'OX i9i i1 3'rL[;LP.'.II' s CO 728-3•r:CP . , . . a e AROHITECTIDESIGNER MAIL ADDRESS PHONE i;+t7J) !ri)f1F.Y P.n. E?X I3 5. 1i`'7.CJJnt: '.., , CO. 7LE-6253 CONTRACTOR MAIL AODRESS PHONE STATE LICENSE NUMBER rLR,',":1 ~ ;?:;.~iVi~l'I~l P.O. Fi}}[ I75 I:C:".: :{:? (Rl.::'..~:1.3 327i56c ^SF REB ^COMMERCIAL ^MECMANILAL GRADING ^MOUSIHO TYPE OF CUSS OF ^NEW ^ALTERATION ^MOVE PERMIT ^MULTI~FAMILY ^CHURCMISCHOOL ^pLUMBING ^CLEARING ^OTHER 1r-!ry~ WORN ^ADDIiION Lai PEpAIR ^DEMO DESCRIBE WORM v ! txcaa~uTl~ t•1;~; c~:nrrx; rcrt izc~w nrx,"~s Plan Check Fee: $ -{Y BUII.~ING MECHANICAL 117 "' P i NO. ITEM FEE . ermit Fee: $ p•!A T n f C 1 P7lt, Bltl N h ype o O s g. alg l: Famed Art Heal BrU Use Tax: $ v T r l Floorwall Healer ~Y" Mechanical Fee: $ o a A<ea. Sq FI. Map Locallon: rr 1 Boiler or Heal Pump Mr Contlilioner~Unit Cooler TOTAL RUti.DlNG FEES: $ I17.L'): Floor ) Use Zone' ~a/.~ Vennlahon Syslem~Eahausl Noon Septic Pemtit: S wDpd slows Basement. Occupancy Group: Gas Plpirg Other: $ Jther: $ Garage: No. of Stories: $ 117 TOTAL FEES PERMIT tr n . : Decks. Occupant Load: TOTAL SpeClal I C Ondl[IO r S: NOTICE TO APPLICANT S'' 66S ~1 ~1 ~•t+~)!~~ p ~~V fQ!?~{{±!r•{{ TT~1 ~ t 1) tiW Lir'~1'Iil'AJi~h G1)Ly:i~t[A~!'IL7^t IWJL ll~: Tnla parmn pacomes nun area void ll tree wad or consnuclion aumodsl`O le not commenced wllnin r~ r~ ~p I. t C r ~x~Ia I it ~ L l C'I`, 1 t,' t ?.4P '1, 7 0 Vl llW 1Bpoays. or if work or[OnslrucllOn is susDantled or i0antlpned lCr lBDdaYS ll any llma alter work . a le comm¢ncea or II wow. is not crmolelea wilnm one year nom gala of ,f]Ve. T ~ a ~T- ~ /+ ~ p t V y-~ T ~ T ilF,iYr112f L'Ulld/1L\'~s l.Ot~G tLLDL~I'.a~'ll.~\. Au »ork anal pe Dons In accord wren Ina Fpprorea alone, aaeol. wne~a aucn eDp•o•el la In cnnlnCl w~ln olns• [otlaf Tree apD~OVeO Olanf ]Hall n01 De CnanpeU or mOGilled W~Inpul Ina Drwr aDOrOVaI of tree Bmlomp Olbua. II If Ina respOnflDeny of Ins permlllae to obtain Ihs reAwrad mfPac4oM q~Wm to nobly Inlf Oepadmsnl IMI Ins wore b reedy for Inapscllen may necufllsla Ina remora of fpm] of ma COnallVCl~pn matsrlaf al tree owner] of penfl n p/dew la perform au[n nep1[Ilpn. Tnl lollowlnD InfpaUlon+ art neWno Dy $ap11On DDS of Ina UNIFORM BUILOINO CODE AMD LOCAL ORDINANCE. 1. FOUNDATION - WDen forma era In place, pow to plAUmenl OI any concnb. 7. FOUM DATIOM AND RDOF DRAINS - Prla to backlllllnp. ]. CDNCRETE SLAB, GROUNDWORK - Wnan all fenl0e eOVlpmenl ono plDlnp la In but pdw b placement OI any concrete. 1. FRAMIND - ADer all baminp. bnclnp, DlOCklnp, pl0lnp, wbinp artl pucllnp era complete, DW ptla fo covenng anew approval Dy stole elecvmal and Olumemq inapecmra. S. DRYWALL -Alter Dry«a1 Ia in place. prla to Iaplnp or cpre•Inp VI laalanara la FINAL - Wpra completed, Dul pd Or to occupancy FOR INSPECTION CALL 728-3923 I nera0y urllly mat I nave read ono agminad Inb apppullOn end know Ins same Ip W INs and corns All prorlapns of law] and ordmancef porern~np Inls type of worh wlll be compllatl wlln wnelMl >pecllled Mreln Or real. Tna pnnllnp 01 • permll d0af rot presume to Dlre aulnorlly to •IDlala or Uncal Ina prorlllpne DI any other Stale or local law PoppNllnp conflrycupn ar Ina performenca of cootlrucllpn SlDnalure pI OW NERIGONTRACTORIOR AUTHORIZED AGENT IOATEI Permit is approved for work described above ir. accord TOTAL FEES with the approved plans a~ld specifications. ~ ~ COLLECTED: $ Check No: -~..;r' .<_ ~~;/.~ j,. Date?!25/93 gy . _ . DATE: