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Home My WebLink AboutApplication- Permit, Garfield County Building & Sanitation Department 108 8`h Street, Suite #201 Glenwood Springs, Co. 81601 Office- 945-8212 Inspection Line- 384-5003 NO. q(_445' Job Address 0;63 1_\ktitai CAALets aGorreP G R6o / Nature of Work Building Permit o..A col�- 02.1)36-C� / 3-( -0 11 % Use of Building �� .,t- Owner ' v� k " v -at Contractor ^--' Amount of Permit $ 5bCD .9(0 Date wf 02C Clerk' Permit No: GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 8th Street, Suite 201, Glenwood Springs, CO 81601 Phone: 99700-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003 94Y5I I ParailSchedule No: C3—..T--15---0/3-06 o /l AGREEMENT PERMISSION IS 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 BUILDING 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 AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH 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 OFA 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 WHEN 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 RESPONSIBILITILS OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Gar0ou.003 _ r A . 4 - -.x«.,_..,.:n..._ :wx :+:4,`, :;'_,j�a .'3T'# �•7f®i.. . - /I e�wcm �Irnl,� Job Address: 0 sn to -3 Do to 2-e4 l_.Q c c -) /'- f _ 3 x`�-'J ,ga s vSuubb 1 Lot No: n 4 1 Block No: fS1 / Exeurtion: `_ Skbait. �I Qre `1' 2 Owner: 1/I • t Packet, Address,. P ?ea &0 WkPh: � 3 Contractor: 4"1 Address:s Ph: 948 ...-67 '7 Lic. No. 4 Architect/Engineer: KLtCkZ l Address: ��e�0 01a Ph: gust_&"so C Lic. No. 5 Sq. Ft. of Building: I Ca b Sq. Ft. of Lot: �`_ SLY-- �A.7 Height: No. of Floors: , 6 Use of Building 1 AGARS° , p, may. 7 Describe Work: 8 Class of Work: Al New o Alteration ❑ Remove o Addition o Move 9 10 Garage: Carport: o Single o Double o Single e1,0_, o Double Driveway Permit o On -Site Sewage Disposal Site Plan r) I } ` (Septic) 11 Valuation of Work: $ 4 2 iY c�LJ, Adjusted Valuations: $ a `,tali 1 12 Special Conditions: NOTICE A SEPARATE ELECTRICAL PERMIT IS REQUIRED AND MUST BE ISSUED BY THE STATE OF COLORADO. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED I5 NOT COMMENCED WITHIN 180 DAYS, OR, IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 15 COMMENCED. 1 HEREBY CERTIFY THAT I 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 RECULA NG CONSTRUCTION OR THE PERFORMANCE OFC�'i. U ON. � � 4 J �1W1� \ 18-0J Plan Check Fee: 9i 7/ /94? Permit Fee: 307 25 Total Fee: Dated Permit Issued: ((//��I OCC Group: Const. Type: �y�( Zoning: Setbacks: Manu. Horne: ISDS No. & Fee: \ rWN • 4 1i, Dq E -D5 1r -5-I I _ f :Ai - - e F PLN�.DEPT.� APPttOV ' 'ATE APPROVAL/DATE AGREEMENT PERMISSION IS 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 BUILDING 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 AUTHORITY GIVEN IN 30.28.201 CRS AS AMENDED. THE SIGNER FURTHER AGREES THAT IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH 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 OFA 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 WHEN 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 RESPONSIBILITILS OR LIABLITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Gar0ou.003 _ r A . 4 - -.x«.,_..,.:n..._ :wx :+:4,`, :;'_,j�a .'3T'# �•7f®i.. . - /I e�wcm �Irnl,� 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, and/or 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 occupant pp f�use and the issuance of a Certificate of Occupancy for the dwelling under building permit # 't '{ S . Signature BpcontOct2004 Date FEE ESTIMATE V 0 FINISHED LIVING SPACE: X 74.68 = UNFINISHED BASEMENT: X 41.00 = CRAWL SPACE: X 9.00 = GARAGE: /61 -?:)'&1 X18.00 = /F / UNCOVERED PATIO/DECK: X12.00 = COVERED PATIO/DECK: X 24.00 = MISC. MISC. TOTAL VALUATION: / / V V PLAN REVIEW FEE: / 99,7 / PERMIT FEE: « ?D7, "" TOTAL: MANUFACTURED HOME SET UP FEE: SEPTIC - PERMIT: PERK: 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. 1 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 thvelope. 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 corner lot. Special setbacks/'o apply. Yes ,/ 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/properties), streams or water courses? Yes 2 4. Does the site plan indicate the location and direction of the County or private road accessing the propw? Yes 5. Do the plans include a foundation plan indicating the size, location and spacing of all reinforesteel 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 an Yes e clearances required between wood and earth? 7. Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces and softs? 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 )%ind loads? Yes V 9. Does the plan include a building section drawing indicating foundation, wall, floor, and roof constructiop? Yes V 10. Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists, roof falters or joists or trusses? Yes 11. Does the building section drawing or other detail include the method of positive connection of all col and beams? Yes 12. Does the elevation plan indicate the height of the building or proposed addition from the undistarb grade to the midpoint between the ridge and eave of a gable or shed roof or the top of a fljroof? (Building height measurement usually not to exceed 25 feet) Yes r 13. Does the plan include any stove o zero clearance fireplace planned for installation including make and model and Colorado II certifications or phase 11 EPA certification? Yes No 3 14. Does the plan include a masonry fireplace including a fireplace section indicating design to comply with the IRC? Yes No 15. Does the plan include a ndow schedule or other verification that egress/rescue windows from sleeping rooms and/or nts comply with the requirements of the IRC? Yes No 16. Does the plan include a w schedule or other verification that windows provide natural light and ventilation for all habt a 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 surfac , iding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety glazt or these areas? Yes No 18. Is the location of3H.atural and liquid petroleum gas furnaces, boilers and water heaters indicated on the plan? Yes No 19. Do you understand that if you are building on a parcel of land created by the exemption process or the s4division process, are building plans incompliance with all plat notes and/or covenants? Yes 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 n application for a building permit? The building permit application will not be acceptewithout it. Yes 21. Will this be th Yes cture on the parcel? If no -Explain: Hostas_ Lu &t J 22. Have tw$2) complete sets of construction drawings been submitted with the application? Yes �( 23. Do you un erstand that the minimum dimension a home can be on a lot is 20ft.wide and 20ft. long? Yes No 4 24. Have you designed or had this plan designed while considering building and other constructioJ' code requirements? Yes �/ No 25. Do your plans comply with all zoning rules and regulations in the County related to your properties zgtfe district? Yes �/ No 26. Does the plan accurately indicate what you intend to construct and what will receive a final inspection the Garfield County Building Department? Yes No 27. Do you understand that approval for design and/or construction changes are required prior to the applica ' n of these changes? Yes 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 " oad Impact" or "Septic System" fees required, at the time you pick up your building pe t? 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 84-5003. Yes No 30. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $)0.00 re -inspection fee? Yes �/ 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 occupant g'thebuilding? Yes V 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 IR7 Yes No 5 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 9625-8601. Yes V 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 tin 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 ptrmit application? Your attention in this is appreciated. Yes No 36. Do you know that the local fire istrict may require you to submit 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 pest?" Yes I hereby acknowledge that I have read, understand and answered these questions to the best of my�ybility. "S- LP --0 Si Signature of��Owner Date gee - �e Z Z CO0 (days); (evenings) Project Name: Project Address: 0-6,3 Gbloee.s /rat ��I` 1�• Notes: If you have answered "No" on any of the questions, yo ,ay be required to provide information at the request of the Building Official prior to beginnr 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 March 18, 2005 Rich and Deanne Rochellli 0263 Dolores Cr. Glenwood Springs, CO 81601 RE: PLANS FOR GARAGE - LOT 11 Rich and Deannq The Westbank Mesa Homeowner's Board of Directors, along with the input of the ACC committee, are providing approval to the following requests: The dimensions of the garage The roof pitch of 6/12 (altered verbally by the homeowner) The roof color and material to match the house The fascia color of green to match the house The stucco color to match the house The option of a 3' x 3' window on the south side of the garage Pop -out stucco surrounding all garage doors and optional window 4 exterior lanterns to match (as closely as possible) those on the house (verbally by homeowner) Retaining walls (2) on either side elevation held in place by appropriate landscape block (verbally by homeowner) No "lites" (windows) in the garage doors (altered verbally by homeowner) The Board rejected the request to leave the new garage doors white. The Board also rejects the request to paint the existing garage doors white. The Board feels that stark white would draw attention to the large surface area of the garage doors (new and existing) and white is not used in the color scheme of the house (window true, fascia, other doors, etc.). Please submit a color that you plan to use. The Board requests that you provide a scale of the elevation drawings and indicate drainage and runoff. Due to the elevation behind the house (and garage) this is a very important matter. Please submit the requested items and any other change in plans to the ACC. If you have any questions, please do not hesitate to call myself (928-9034) or Nancy Crenshaw (945- 6470). Sine ely, Ro President - estbank Mesa Homeowner's Assoc. PLAN REVIEW CHECKLIST^ Applicant ekOC4g(... Date ' %�') Building Engineered Foundation C i4Driveway Permit Suu.. d -Site P13n ijrn4t44 r4441nwj 11-4 Flood Plain Planning/Zoning Property Line Setbacks Al i4.30ft Stream Setbacks j.1.14Septic Permit and Setbacks Grade/Topography 30% ✓7�{ttz�rh Residential Plan Review List Minimum Application Questionnaire A Subdivision Plat Notes /(f J,Fire Department Review ,Valuation Determination/Fees d A Line Plans/Stamps/Sticker a 1 Attach Conditions 4plication Signed ` cin Reviewer To Sign Application LZel/Schedule No. 40# Snowload Letter- Manf. Hms. GENERAL NOTES: ,---Building Height Zoning Sign -off liARoad Impact Fees HOA/DRC Approval '-‘-ade/Topography 40% NttPlanning Issues k ubdivision Plat Notes No (Y-`5 Job Address �0263 IQ -SU° CA -tee- (MY 1,624c.wtut+c 4µc- ' �A`-f'e 4%4_4,14 cru-cr�glba� Owner /1_ CYJ�+� C Address c °-in�`� Phone # 9 � IS as 6c Contractor MdvUA_- Address `Scr-ite &4O Phone # qct -96-7 2 Assessor's Parcel No BUILDING PERMIT CARD -1395-013-06-D11 Date 8/LF, Setbacks: Front Rear Soils Test Footing C -Z% dd— Foundation -5--/-04-17,-- Grout Underground Plumbing Rough Plumbing Framing Insulation Roofing Drywall Gas Piping RH INSPECTIONS NOTES LH Zoning Weatherproofing Mechanical Electrical Rough (State) Electrical Final (State) Final/A^�1_ Tr iChecklist Completed? Certificate Occupancy # Date Septic System # /Op° Date ' Final Otherl�[Mi'�`rI/ - ?kVA (continue on back) 1 INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24xo NOTICE REQUIRED FOR INSPECTIONS HOURS INSPECTIONS BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued..114°5 Zoned Area Permit No9.. AGREEMENT In consideration of the issuance of this permit, the applicant hereby agrees to comply with all laws and regulations related to the zoning, 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 jT�,�CL_ and Q1�iMTELT BECOME NULL AND VOID. dl` a e raja Add r I D ptioo,r t reit S 4 Own ��l Contractor D ce0 Mrs. Saharks Front Side Side Rear This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection. INSPECTION RECORD -__-- - - - - -1 air \ Footing 17,7-- Driveway Foundation 5:3-,2 Underground Plumbing Insulation Rough Plumbing Drywall r Chimney & Vent Electric Final (by State Impeetor) t' 1wg WI Gas Piping Final /a -y -0r7,, - Electric Rough (By State Inspector) Septic Final Framing (To include Roof in place sod Windows 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 -111694401/4, C IF PLACED OUTSIDE - COVtR H CLEAR PLASTIC