HomeMy WebLinkAbout32 Blue Creek Trl - 239127106003 - 1832-98IS VOIDNOV-10-98 11:46A P_05
Sent bv:ENu[kbN"L N(HL kEGLTN No•.-69-9V l2:bi�rn from 3288349* aa92 L
lnuomplete'Appl.itations Will Ros Be hcCepted
(Site Plan MUST be attached)
ISOS Permit # 183�l 8{
Building Permit 0
APPLICATION Fol INDIVIDUAL 8$A268 DISPOSAL SYSTrX PT.iiMIT
E14VTRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O, BOX 179
EAGLE, CO 91631
329-8755/927-3823 (Basalt)
a!i!+•t��e3r�riri*!illrisk++1t*#i4!#*ki!#ir#Y*sst#isslwsssls!l�ii,r:ssdrrlftf��♦��e
: PERMIT APPLICATION FEE S150,00 PERCOLATION TEST FEE S200.00
3 MAKE ALL REMITTANCE PAYABLE.TO: "EAGLE COUNTY TREASURER" •
r�:t*�:�,�s�r��tl�;��r!*:s,�,�:�x#s*�,�t,c=t��x�:�l::l�:�f+�,r,e:ftw�+e�+�,�1.*�f:*:tl+►!
PROPERTY OWNER: Jensen Homes, Inc.
MAILING ADDRESS: 303 AABC, Suite J Aspen, CO 81611 PRONE;970-544-8036
APPLICANT/CONTACT PERSON: Ken Janckila PHONE.970-379-4695
LICENSED SYSTIMS CONTRACTOR: Stutsman-Gerbaz PHONE:970-92372734
COMPANYIDEA: ADDRESS:
!*�#lltk33'Rik!*4!!4#3�[#*4t►!?ltdrl4e**##!!lxlt7tt=4ie11l1�1R'#likitYf=!#!3l1f1r341f3!!!!B
PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description; Lot $, Mountain Meadow Ranch, First Filing
Tax Parcel Number: 239127106003 Lot Size: 3.297 acres_
Physical ,Address; 32 Blue Creek Trail, Carbondale, CO 81623
BUILDING TYPE:. (Check applicable category)
(X) ' Residential/Single Family Number of Bedrooms
( ) Residential/Multi--Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
(X) well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These systems requ design b Registered Professional Engineer
SIGNATURE:///Date: 11 /11 /98
AMOUNT PAID: RECEIPT 0: 3 DATE:
CHECK P. �� CASHIER:
lug
1832-98 Tax# 2391-271-006-003
JOB NAME Lot #8, Mt Meadow Ranch JENSEN
32 Blue Creek Trail
Carbondale, CO
JOB NO.
n
10"JOR LOCATION 11 1 A J !I 1 f
Air
FAA
MIAM0
711711Z F
IN
JOB COST SUMMARY
TOTAL SELLING.PRICE
TOTAL MATERIAL
10
SIN
TOTAL JOS COST�i
FIE
LESS OVERHEAD COSTS
% OF SELLING PRICE
JOB FOLDER Product 277
JOB FOLDER
Printed in U.S.A.