HomeMy WebLinkAboutApplication-PermitGarfield County
Building & Sanitation Department
108 8`h Street, Suite #201 Glenwood Springs, Co. 81 601
Office- 945-8212 Inspection Line- 384-5003
NO. a 5$
Job Address 14C1 (k (; Q
Nature of Work Building Permit ��� J, " ()CD— CA r
Use of Building 9/-ncl_v-N C , o en v.O
'"Og±,-
Owner MAG
Contractor e)* 0 Innt1 (P
Amount of Permit $ [�55`q. Date
Clerk
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e
Permit No:
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8"' Street. Suite 201. Glenwood Springs. CO 81801
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
J67
Parcel/Schedule No:
73' 331--oo-°L
Job Address: i; 19 3 C h 10 c c I dCos_ 1 baa
1 Lot No: Block No:�} Lubd. /Exemption:
l
1 L[ 9 .a [ �-+ K CA CoC4 l /� 1
2
Owner: Goto( 67o R-0GiL`7'
PAM/ SG+i�oe�
AddressZ
( ,t0P i 6° . 3162-3Ph.
q (D3 + v �v a-
Wk Ph:
3
Contractor: g. l-tAddress:53ti?
c 1_ cos-ra a -s
CO. gp 154
*lob, ( 6 cv. sig►
Ph kmti5-
t45— OIb2
Lk. No. FilrhT
1'7.53 -SZ
4
Architect/Engineer:
Jame 0024.I14
Address:p.17. �t=jc SSD
Aspe..ra) Lo. 81612
Ph:
92O -022I
Llc. No.
B 24qS
5
Sq. Ft. of Building: f 21 l SF
Ft.of Lot:
Height:
No. of Floors:
(1
Use of Building: 7iP ,� X9,4 pgr 4 c , _r�ttoi
7
Describe Work:meR 1o w TaRfigoicwrivoirpGE,Draisto4satist,451 c
8
Class of Work: X., New 0 Alteration u Remove
J Addition J Move
9
10
Garage: 0 Single
0 NO Double
Carport: 0 Single
J Double
o Driveway Permit 0 On -Site Sewage
TI41'_7'-11/74-lam C42 -1V„ sii Disposal
U Site Plan
11
Valuation of Work: $ 41-567)(7(-2c=,
Qr1�� 07)
Adjusted Valuations: S l q 07
12
Special Conditions: r
(91•►.�(5 VTI L) ZE E SYI r! S PI-]✓ SYS 1 -Al ' - E ) ��
(1 sT) w & I•+r 'S 0 S>
NOTICE
A SEPARATE ELECTRICAL PERMIT 1S REQUIRED AND MUST B4
ISSUED BY THE STATE OF' COLORADO.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WTTHLN 180 DAYS. OR IF
CONSTRUCTION OR WORK 15 SUSPENDED OR ABANDONED FOR A
PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS •
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS GOVERNING THIS TYPE OF WORK WILL BE
COMPLETED WITHIN WHETHER SPECIFIED HEREIN OR NOT. THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY
TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE
OF CON V. S41 ON
Plan Check Fee:
/ Mr i 3°
Permit Fee:
/g48.6--
-Total Fee:
f C"[-4 /45"
•
Dated Perit Issued:
OCC room
fff/`J
Const. Type:
Zoning:
Setbacks:
Manu. Home:
1SDS No. & Fee:
1
of, 6 , p�
} �� ER.4o5
�j 7
y DATE
. (1 7 /.Q
ofrs,`rt'G DEFF.
.. .�+- . • /DATE OVAL/DATE
AGREEMENT
PERMISSION I5 HEREBY GRANTED TO THE APPLICANT AS OWNER CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR OR OWNER TO CONSTRUCT
THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BLTITDING DEPARTMENT
IN CONSIDERATION OF THE ISSSUANCE OF THIS PERMIT, THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND
USE REGULATIONS ADOPTED BY GARFIELD COUNTY PURSUANT TO AIJTI-IORTIY GIVEN LN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES
THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WT H IN THE LCOATION, ERECTION, CONSTRUCTION. AND USE OF THE
ABOVE DESCRIBED STRUCTURE, THE PERMIT MAY BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT SHALL BECOME
NULL AND VOID. THE ISSUANCE OF A PERMT BASED UPON PLANS. SPECIFICATIONS AND OTHER DATA SHALL NOT PREVENT THE BUILDING OFFICIAL
FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS. SPECIFICATIONS AND OTHER DATA OR FROM PREVENTING
BUILDING OPERATION BEING CARRIED ON THEREUNDER WITEN IN VIOLATION OF THS CODE OR ANY OTHER ORDINANCE OR REGULATION OF
THIS JURISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE
AN ACCEPTANCE OF ANY RESPONSTBILrIIES OR LLABLMES BY GARFIELD COUNTY FOR ERRORS. OMISSIONS OR DISCREPENCLES. THE RESPONSE
BI.TIY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIAL LY WITH THE ARTICTECT, DESIGNER, BUILDER.
AND OWNER COMMENTS ARE INTENDED 70 BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS LNTEREST
Garfom.003 ACKNOWLEDGE()I.`
` 1 HAVE � ANDGi �� h__ THE AGREEMENT ABOVE (INITIAL).
%�
1
The following items are required by Garfield County for a final inspection:
1. A final Electrical Inspection from the Colorado State Electrical Inspector;
2. Permanent address assigned by Garfield County Building Department posted where readily
visible from access road;
3. A finished roof, a lockable house, complete exterior siding, exterior doors and windows
installed, a complete kitchen with cabinets, a sink with hot & cold running water, non-absorbent
kitchen floor coverings, counter tops and finished walls, ready for stove and refrigerator, all
necessary plumbing;
4. All bathrooms must be complete, with washbowl, tub or shower, toilet stool, hot and cold
running water, non-absorbent floors and walls finished and a privacy door;
5. All steps outside or inside over three (3) steps must have handrails, guard rails on balconies or
decks over 30" high constructed to all IBC and IRC requirements;
6. Outside grading done to where water will detour away from the building;
7. Exceptions to the outside steps, decks and grading may be made upon the demonstration of
extenuating circumstances, i.e. weather, but a Certificate of Occupancy will not be issued until
all the required items are completed and a final inspection made;
8. A final inspection sign off by the Garfield County Road & Bridge Department for driveway
installation, where applicable; as well as any final sign off by the Fire District, anchor State
Agencies where applicable.
A CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL ALL THE
ABOVE ITEMS HAVE BEEN COMPLETED.
****CANNOT OCCUPY OR USE DWELLING UNTIL A CERTIFICATE OF OCCUPANCY
(C.O.) IS ISSUED. OCCUPANCY OR USE OF DWELLING WITHOUT A C.O. WILL BE
CONSIDERED AN ILLEGAL OCCUPANCY AND MAY BE GROUNDS FOR VACATING
PREMISES UNTIL ABOVE CONDITIONS ARE MET.
I understand and agree to abide by the above conditions for occupancy use and the issuance of a
Certificate of Occupancy for the dwelling under building permit # 5-5-r
Signature
BpcontOct2004
\J)pi e a2) 2o OS
Date
VALUATION/FEE DETERMINATION
Applicant Ll R it 4 Subdivision ( e �� VW - �5 k ou se)
Address / 7 (? itY Lot/Biock
Contractor
+f' 6eoeia Con efors
Date 7. /I- Q6
Finished (Livable Area):
Main /537
Upper
Lower .10 13
Other
G�
Total Square Feet z5 Y 7�
Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Plan Check Fee for Conversion
Valuation
Crawl Space:
Valuation
Valuation 5-83
Decks/Patios:
Covered
Valuation (3z zq
Open
Valuation
Total Valuation
5242
• 3108
GARFIELD COUNTY BUILDING AND PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
For
SINGLE FAMILY DWELLING CONSTRUCTION
Including
NEW CONSTRUCTION
ADDITIONS
ALTERATIONS
And
MOVED BUILDINGS
In order to understand the scope of the work intended under a permit application and expedite the
issuance of a permit it is important that complete information be provided. When reviewing a plan
and it's discovered that required information has not been provided by the applicant, this will result
in the delay of the permit issuance and in proceeding with building construction. The owner or
contractor shall be required to provide this information before the plan review can proceed. Other
plans that are in line for review may be given attention before the new information may be reviewed
after it has been provided to the Building Department.
Please review this document to determine if you have enough information to design your
project and provide adequate information to facilitate a plan review. Also, please consider
using a design professional for assistance in your design and a construction professional for
construction of your project. Any project with more than ten (10) occupants requires the plans
to be sealed by a Colorado Registered Design Professional.
To provide for a more understandable plan in order to determine compliance with the building,
plumbing and mechanical codes, applicants are requested to review the following checklist prior to
and during design. Applicants are required to indicate appropriately and to submit the
completed checklist at time of application for a permit.
Plans to be included for a Building Permit, must be on drafting paper at least 18"x24" and
drawn to scale.
T
Plans,must include a floor plan, a concrete footing and foundation plan, elevations all sides with
decks, balcony, steps, hand rails and guard rails, windows and doors, including the finish grade line
and original grade. A section showing in detail, from the bottom of the footing to the top of the roof,
including re -bar, anchor bolts, pressure treated plates, floor joists, wall studs and spacing, insulation,
sheeting, house -rap, (which is required), siding or any approved building material. Engineered
foundations may be required.
A window schedule. A door schedule. A floor framing plan, a roof framing plan, roof must be
designed to withstand a 40 pound per square foot up to 7,000 feet in elevation, a 90 M.P.H. wind
speed, wind exposure B or C, and a 36 inch frost depth.
All sheets to be identified by number and indexed. All of the above requirements must be met or
your plans will be returned.
All plans submitted must be incompliance with the 2003 IRC.
1. Is a site plan included that identifies the location of the proposed structure or addition and
distances to the property lines from each corner of the proposed structure(s) prepared by a
licensed surveyor and has the surveyors signature and professional stamp on the drawing?
Properties with slopes of 30% or greater must be shown on the site plan. (NOTE
Section: 106.2) Any site plan for the placement of any portion of a structure within 50 ft.
of a property line and not within a previously surveyed building envelope on a
subdivision final plat shall be prepared by a licensed surveyor and have the surveyor's
signature and professional stamp on the drawing. Any structure to be built within a
building envelope of a lot shown on a recorded subdivision plat shall include a copy of
the building envelope as it is shown on the final plat with the proposed structure located
within the envelope.
Yes
2. Does the site plan also include any other buildings on the property, setback easements and
utility easements? Please refer to Section 5.05.03 in the Garfield County Zoning Resolution
if the property you are applying for a building permit on is located on a comer lot. Special
setbacks do a ly.
3. Does the site plan include when applicable the location of the I.S.D.S. (Individual Sewage
Disposal System) and the distances to the property lines, wells (on subject property and
adjacent propefties), streams or water courses?
Yes
IN.fg ►,-L& 1 v4 -1-z? E)([ S1- 5e.
ocontmo-0 S rM01 b'rF. O Otf PL -/V
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2
4. Does the site plan indicate the location and direction of the County or private road accessing
the property?
Yes
5. Do the plans include a foundation plan indicating the size, location and spacing of all
reinforcing in accordance with the IRC or per stamped engineered design?
Yes
6. Do the plans indicate the location and size of ventilation openings for under floor crawl
spaces and required between wood and earth?
Yes
7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist
spaces and so
Yes
8. Do the plans include design loads as required by Garfield County for roof snow loads, (a
minimum of 40 pounds per square foot up to & including 7,000 feet above sea level), floor
loads and win' 1 • . ?
Yes : ,/•�
9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof
construction?
Yes
10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling
joists, roof or joists or trusses?
Yes
11. Does the building section drawing or other detail include the method ofpositive connection of
all columns and
Yeses,
?
12. Does the elevation plan indicate the height of the building or proposed addition from the
u nd isturbed grade to the midpoint between the ridge and eave of a gable or shed roof or the
top of a f? (Building height measurement usually not to exceed 25 feet)
13. Does the plan include any stove or zero clearance fireplace planned for installation including
make and model and Colorado Phase cations or phase II EPA certification?
Yes No
(*S LVA F1 t, Yt• Acb9/1 Gt
3
14; • Does the plan include a masonry fireplace including a fireplace section indicating design to
comply with the IRC?
Yes No
LD(:5 (iW
15. Does the plan include a window schedule or other verification that egress/rescue windows
from sleepoms and/or basements comply with the requirements of the IRC?
Ye No
16. Does the plan include a window schedule or other verification that windows provide natural
light and v i ion for all habitable rooms?
Yes- �., No
17. Do the plans indicate the location of glazing subject to human impact such as glass doors,
glazing immediately adjacent to such doors; glazing adjacent to any surface normally used as
a walking surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures
and specify glazing for these areas?
Yes No
18. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters
indicated o plan?
No
19. Do you understand that if you are building on a parcel of land created by the exemption
process or the subdivision process, are building plans in compliance with all plat notes and/or
covenants?
No
20. Do you understand that if you belong to a homeowners association, it is your responsibility
to obtain written permission from the association, if required by that association, prior to
submitting an application for a building permit? The building permit application will not
be accepted • ut it.
Ye No
21. Will this be the only residential struc e on the parcel? , ,� _ f
Yes No If no -Explain: C.�-1 -S MhSTZ PLA6\-I
22. Have two (2) plete sets of construction drawings been submitted with the application?
Ye -
23. Do you understand that the minimum dimension a home can be on a lot is 20ft.wide and 20ft.
long?
Ye No
4
24. Have you designed or had this plan designed while considering building and other
construction a requirements?
Yes No
25. Do your plans comply with all zoning rules and regulations in the County related to your
properties zone di trict?
Yes No
26. Does the plan accurately indicate what you intend to construct and what will receive a final
inspection by a Garfield County Building Department?
Yes No
27. Do you understand that approval for design and/or construction changes are required prior to
the application +f these changes?
Ye No
28. Do you understand that the Building Department will collect a "Plan Review" fee from you
at the time of application submittal and that you will be required to pay the "Permit Fee" as
well as any "Road Impact" or "Septic System" fees required, at the time you pick up your
building p
Yes No
29. Are you aware that you must call in for an inspection by 3:30 the business day before
the requested inspection in order to receive it the following business day? Inspections
will be made from 7:30 a.m. to 3:30 p.m. Monday through Friday. Inspections are to be
called in to 4-5003.
Ye No
30. Are you aware that requesting inspections on work that is not ready or not accessible will
result in a $ 0 re -inspection fee?
Ye No
31. Are you aware that you are required to call for all inspections required under the IRC
including approval on a final inspection prior to receiving a Certificate of Occupancy and
occupancy o uilding?
Ye No
32. Are you aware that the Permit Application must be signed by the Owner or a written
authority being given for an Agent and that the party responsible for the project must comply
with the IRC?. /7
Y
No
33. Are you aware that prior to submittal of a building permit application you are required to
show proof of a driveway access permit or obtain a statement from the Garfield County Road
& Bridge Department stating one is not necessary? You can contact the Road & Bridge
Department at 6 -8601.
Yes No
34. Do you understand that you will be required to hire a State of Colorado Licensed Electrician
and Plumber to perform installations and hookups, unless you as the homeowner are
performing the work? The license number of the person performing the work will be
required at ti of applicable inspection.
Yes— No
35. Are you aware, that on the front of the Building Permit Application you will need to fill in
the Parcel/Schedule Number for the lot you are applying for this permit on prior to submittal
of a building pe pplication? Your attention in this is appreciated.
Yes 6 /, ' No
36. Do you know that the local fire district may require you to bruit plans for their review of
fire safety issues? Yes No (please check with the
building department about this requirement)
37. Do you understand that if you are planning on doing any excavating or grading to the
property prior to issuance of a building permit that you will be required to obtain a grading
permit?
Yes
I hereby acknowledge that I have read, understand and answered these questions to the
best of my ability.
6- )b -aS
Signature of Owner Date
Phone: 945- b 1 dZ. (days); 940 -- 7) (evenings)
Project Name: C 1403
Project Address:
Notes: If you have answered "No" on any of the questions, you may be required to provide this
information at the request of the Building Official prior to beginning the plan review process. Delays
in issuing the permit are to be expected. Work may not proceed without the issuance of a permit. If
it is determined by the Building Official that additional information is necessary to review the
application and plans to determine minimum compliance with the adopted codes, the application
6
may be placed behind more recent applications for building permits in the review process and not
reviewed until required information has been provided and the application rotates again to first
position for review, delay in issuance of the permit or delay in proceeding with construction.
BpminreqFeb2005
Message Page 1 of 1
Cathi Edinger
To: Hans Raaflaub
Subject: RE: CRMS NOTE
Yes, I would say this will work!
Thanks, Cathi
-----Original Message ----
From: Hans Raaflaub [mailto:hans@bhgencon.com]
Sent: Thursday, June 16, 2005 5:21 PM
To: Cathi Edinger
Subject: FW: CRMS NOTE
Cathi,
Olivia is the Head of the Buildings and Grounds Committee and sits on the Board of Trustees for the
School. Please confirm that this note shall suffice as the authority you need.
Thanks Again,
Hans Raaflaub
Original Message
From: Olivia Emery [mailto:oemery@a4arc.com]
Sent: Thursday, June 16, 2005 4:03 PM
To: Hans Raaflaub
Cc: jeff leahy
Subject: CRMS NOTE
To whom it may concern:
I authorize Hans Raaflaub of B&H Construction to sign for the owner,
Colorado Rocky Mountain School, for a building permit on the new Head's
House.
Olivia Emery
Trustee
Chairman of Buildings and Grounds Committee
Page 1 of 1
Cathi% Edinger
From: Hans Raaflaub [hans@bhgencon.com]
Sent: Thursday, June 16, 2005 3:51 PM
To: Cathi Edinger
Cc: Brad Faber
Subject: CRMS Heads House Permit Application
Cathy,
Thank you for accepting our submittal on the Headmasters House at Colorado Rocky Mtn School.
The address is 1493 County Road 106, Carbondale, CO 81623
The parcel number is 2393-331-00-012
Their phone number is 963-2562
will follow up with you with the agent authorization letter very shortly.
Hans Raaflaub
B&H General Contractors, Inc.
945-0102
6/16/2005
PLAN REVIEW CHECKLIST
Applicant OR S' Date 7-(&).5.--
z
"(&)5
/ Building Planning/Zoning
I./
Engineered Foundation Property Line Setbacks
0 Driveway Permit/l30ft Stream Setbacks
‘Zuayed Site Plan '? SO r Hil. Flood Plain
...Septic Permit and Setbacks11c/ Build' ng Height
Gra rade/Topography 30%a Zoning Sign -off
✓Attach Residential Plan Review ListAd � , Road Impact Fees
p
L/Minimum Application Questionnaire #4411-10A/DRC Approval
ij, a Subdivision Plat Notes rade/Topography 40%
P! .,4 F' a Department Review
/At -Manning Issues
Valuation Determination/Fees laSubdivision Plat Notes
Line Plans/Stamps/Sticker
Attach Conditions
�C plication Signed
Plan Reviewer To Sign Application
P cel/Schedule No.
40# Snowload Letter- Manf. Hms.
GENERAL NOTES:
COUNT! OF GARFIELD - BUILDING DEPARTMENT
CORRECTION NOTICE
108 8th St., Suite 201 Glenwood Springs, Colorado
Phone (970) 945-8212
Job located at /4-ir 3 Ci' i(%?
Permit No. 1553;1
I have this day inspected this structure and these
premises and found the following corrections
needed: /(lag
'POT OQ.44.L1/44.
14`9'
) L4--7C-4--/e. S
-e-
PcXkcii_
((-1
R
You are hereby notified that the above correction must be inspected
before covering.
When correction(s) have been made, call for inspection at 970-384-5003.
Date i 3` ®'S-
P-4-
BuildingInspector
Phone (970) 945-8212
No. ` 5 -
Assessor's Parcel No 593-33/ a
Date i- 1v -
BUIILDI G PERMIT CARD
Job Addr ssLACIt f2._ U M{o
.
Ownery , Address Cl s — ` M • 'hone #C11.03�6
Contractor rte' t r �ddress53 1 • .:z:[o Phone #94*- b10
cks: Fron Rear RH LH Zoning 6114-.5775
� � c. P- /c INSPECTIONS 7$7
Soils Test
Footing -7-{'1-oS7-4,
Foundation 7 - 2 >r `O
Weatherproofing
Mechanical
Electrical Rough (State) .�
Grout Electrical Final ( tate} ✓
Underground Plumbin. n°'r�J�' 41Electrical
- 8 4 Checklist ompleted?
Rough Plumb, g ' d.•• 14:) Certificate Occupancy # SS?73
Framing 1111 1 ' Alotla Date 1Z-106- eCe
Insulation 1/- i. li S ! . Septic System #
RoofingDate
Drywall /f /-571, Final
Gas Piping J/ 3-05 14-"A Other
cii111- ? 1 . g
NOTES
(continue on back)
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
Date IssuedVabar Zoned Area Permit No i 5
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with all
laws and regulations related to the inning, location; construction and erection of the proposed
structure for which this permit is granted, and further agrees that if the above said regulations
are not fully complied with in the zoning, location, erection and construction of the above
described structure, the permit may then be revoked by notice from the County Building
Inspector and IMMEDIATELY BECOME NULL AND VOID,
Use / Pc r 0 s uJ cosS�JG 5.1
Address o Desc ' tion
Owner
Setbacks Front
Contractarf.
Side
Side
vQd
Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
INSPECTION
RECORD
Footing -7—(q —0 y .
Driveway
Foundation — . —• �
Underground Plumbing d
Insulation . y'_ Qj i
Rough Plumbing /r��irleM
Drywall _ /Soy ., IL t .
Chimney & Vent _ _ f _
Electric Final (by State Inspector) i jic►,'1,
Gas Piping whowaggirs
Final —J D -ts4
Electric Rough (By State Inspect, E' `e
Septic Final
Framing //_ 3— DS Nigri,
(To include Roof in place and inflows
and Doors installed).
Notes:
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
THIS PERMIT IS NOT TRANSFERABLE
For Inspections Call 384-5003 108 8th Street Glenwood Springs, Colorado
APPROVEDDO NOT DESTROY THIS CARD
Date
By
IF PLACED OUTSIDE - C.11;t WITH CLEAR PLASTIC