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HomeMy WebLinkAboutApplication- PermitGarfield County Building & Sanitation Department 108 8`" Street, Suite #201 Glenwood Springs, Co. 81601 Office- 945-8212 Inspection Line- 384-5003 NO. cf 1C{ Job Address affr C. ? . 228 3l C,l a. o !`e, 52_, Nature of Work Building Permit c)1 D-5— .33 a - - 121 Use of Building S1,_ (LA 1c, 7fXLUr1L (L 60 Owner C $01 431 f L7L Contractor tu)t-j-1-9-- Amount of Permit $ Date 7-9-C4 Clerk ,L 3 .cle' Permit No: GARFIELD COUNTY BUILDING PERMIT APPLICATION 108 81h Street, Suite 20t, Glenwood Springs, CO 81601 Phone: 970-945-82121 Fax: 970-384-3470 / inspection Line: 970-384-5003 cp.. (As - 3 3a oo - fly ParceUSchedule No: 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 THAI IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED STRICTURE, 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 JLRISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DIRING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND 1 NER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Garfom.003 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): 01s1o‘t\gx_R-.=fit--65(gs �r7a.yr r�-q-o4 � «s4 �1,or5.zs Job Address: I t/U]y 4eillp 3r t � 611164- 51Cc t S Z i Lot No: �L / Block No: Subd. / Exemption: `7� I ZEL 1/ 19 Sy830Yl'iSIOAd eXtaliat Rze g99s-q / 2 1 i er:e fr ,• C C - rid .a°° q j04l��dlg I �I41S P '17 -1 -CS S Ph: S- 3 Contractor: .... Address: Ph: Lic. No. 4 Architect/Engineer: Address: Ph: Lic. No. 5 Sq. Ft. of Building: /70+'-' Sva7 Sq. Ft. of Lot: o9,LSCS eLgES Height: 1 ,f ( -b No. of Floors: !/z 6 Use of Building: e /54 - /2 0017711-L Hee/54- Describe Work: — Describe f25rrzLfr17a)t' 0,E ,vtu) /91Ub uI.H7L _rJ 'm GA-' F /L' 0fr1-77 on) 8 Class of Work: New o Alteration o Remove o Addition o Move 9 10 Garage: o Single 4,1Citit ❑ Double Carport:❑ Single L`' ❑ Double ❑ Driveway Permit U '[ `fit; n -Site Sewage Disposal Site Plan Pi 2` f ,u iemo r \ I /7 0,- /(Septic) Valuation of Work: S l , GYJ /� � ! p O • OD Adjusted Valuations: S i 1IE r k004.14 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 1S COMMENCED. 1 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. THEZoning GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCA W REGULATING CONSTRUCTION OR THE PERFORMANCE OF N ' 1 • ION 77 A/. / - _G Plan Check Fee: M . � Permit Fee: /�� �� S ! Total Fee: Dated Permit Issued: /: 7 a d OCC Gun. Coast. Type: y r/ v IA W.-, U Setbacks: Manu. Home: ISDS No. & Fee: A 86 y�• V ce66---- 1 378/ NA .... i.SPA BLDG 'APPROVAL/DATE 1rO NER �� "7 A�1:rEfTz:!/4//i ® , . D PT. /1 _) 1 PT. - PLN APPROVAL 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 THAI IF THE ABOVE SAID ORDINANCES ARE NOT FULLY COMPILED WITH IN THE LCOATION, ERECTION, CONSTRUCTION, AND USE OF THE ABOVE DESCRIBED STRICTURE, 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 JLRISDICTION. THE REVIEW OF SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABLITIES BY GARFIEID COUNTY FOR ERRORS, OMISSIONS OR DISCREPENCIES. THE RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DIRING CONSTRUCTION RESTS SPECIFICIALLY WITH THE ARTICTECT, DESIGNER, BUILDER, AND 1 NER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND IN SUPPORT OF THE OWNERS INTEREST. Garfom.003 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE (INITIAL): 01s1o‘t\gx_R-.=fit--65(gs �r7a.yr r�-q-o4 � «s4 �1,or5.zs 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. A complete bathroom, 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 1997 UBC 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, 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 # Y 193 Signature Bpcont03/2004 /iL/ Date PLAN REVIEW CHECKLIST Applicant A`,,1 e"f-Off Building /Engineered Foundation Driveway Permit /U'/F Surveyed Site Plan *-Septic Permit and Setbacks v7- Grade/Topography 30% +' Attach Residential Plan Review List Minimum Application Questionnaire 7- Subdivision Plat Notes /k Fire Department Review 'Valuation Determination/Fees V' Red Line Plans/Stamps/Sticker Attach Conditions ✓ Application Signed V Plan Reviewer To Sign Application /Parcel/Schedule No. 404 Snowload Letter- Manf. Hms. GENERAL NOTES: ?°44i4t-C711 Date Planning/Zoning Property Line Setbacks 30ft Stream Setbacks Flood Plain Building Height Zoning Sign -off Road Impact Fees HOA/DRC Approval Grade/Topography 40% Planning Issues Subdivision Plat Notes so ),(,c1, “ordiJ .t�9 = /S, -/z0 GARFIELD COUNTY BUILDING AND PLANNING 970-945-8212 MINIMUM APPLICATION REQUIREMENTS for MANUFACTURED HOMES 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. Adequate and complete information will prevent delays in the plan review process. Reviewing a plan and the discovery that required information has not been provided by the applicant may result in the delay of the permit issuance and in proceeding with building construction. The owner or contractor may be required to provide this information before the plan review may proceed. This causes delays because 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. If you do not, it may be helpful to obtain a book titled "Dwelling Construction under the Uniform Building Code". This book is available to you through this department at our cost. Also, please consider using a design professional for assistance in your design and a construction professional for construction of your project. 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. All plans submitted must be incompliance with the 1997 UBC, UMC, and 1997 UPC. 1 4 r 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 prepared by a licensed surveyor and has the surveyors signature and professional stamp on the drawing? Properties with slopes of 30% or more must be shown on site plan. NOTE: 106.3.1(7.) 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 surveyors 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 X 2. Does the site plan when applicable include 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? This information must be certified by a licensed surveyor with their signature and professional stamp on the design. Yes X 3. Does the site plan include any other buildings, 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 apply. Yes 4. Does the site plan indicate the location and direction of the County or private road accessing the property? Yes X 5. Do the plans include a foundation plan indicating the size, Location and spacing of all reinforcing steel in accordance with the uniform building code or per stamped engineered design? A Floor Plan of the Modula Unit showing exterior doors is required. Yes X 6. 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 applicat.n for a building permit? The building permit application will not be accepted without it. Yes V No 7. Will this be the only residential structure on the parcel? Yes y No If no -Explain: 8. Have two (2) complete sets of construction drawings been submitted with the application? Yes X 9. For the placement of a manufactured home, have the following been specified? The size of the unit (min. 20ft. x 20ft.); live roof load (min. 40# could be more depending on elevation ofproperty); wind design (min. wind speed of 80 mph & 15 Ib. wind load); foundation design; method of anchoring? Yes 2 10. Have you designed or had this plan designed while considering building and other construction code require ents? Yes No 11. Do your plans comply with all zoning rules and regulations in the County related to your zone district? Yes No 12. Does the plan accurately indicate what you intend to construct and what will receive a final inspection by the Garfield County Building Department? Yes N,C No 13. Do you understand that approval for design and/or construction changes are required prior to the application of these changes? Yes No 14. Do you understand that the Building Department will collect a "Plan Review" fee from you at the time of application 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 permit? Yes i No 15. Are you aware that twenty-four (24) hour notice is required for all inspections? Inspections will be made from Battlement Mesa to West Glenwood in the mornings and from Glenwood Springs to Carbondale in the afternoon. All inspections must be called in by 3:30 p.m. the day before. Failure to give twenty-four (24) hour notice for inspections will delay your inspection one (1) day. Inspections are to be called in to 384-5003. Yes No 16. Are you aware that requesting inspections on work that is not ready or not accessible will result in a $47.00 re -inspection fee? Yes f No 17. Are you aware that you are required to call for all inspections required under the Uniform Building Code including approval on a final inspection prior to receiving a Certificate of Occupancy and occupancy of the building? Yes No 18. Are you aware as part of the submittal for a building permit you are required to show proof of a driveway access permit from Garfield County Road & Bridge Department or if applicable the State Highway Department? If a permit is not necessary, then a letter stating that information is required. You can contact the Garfield County Road & Bridge Department at 625-8601 or refer to the phone book for the State Highway Departments number if applicable. Yes No 19. 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 time of applicable inspection. Yes No 3 20. 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 the submittal of a building e it application? Your attention in this is appreciated. Yes No 21. Are you aware that you will need to call the State Division of Housing to have your modular inspected prior to the County building department doing their final inspection? The State will charge a fee for this inspection. Yes No 22. Are you aware that the Permit Application must be signed by the Owner or a written authority be given for an Agent and that the party responsible for the project must comply with the Uniform Building Code? Yes 1\/ No 23. Are you aware, that if you receive your water and/or sewer from an Association, a District or Municipality, you will be required to provide the County with a copy of the Tap Permit (or evidence of an exemption) at the time of the building permit application submittal? Yes No 24. If you are within five (5) miles of the City of Rifle or the Town of Parachute, have you checked with them conceming water shed protection zo e errnit requirements for ISDS and other activities? Yes No X N/A I hereby acknowledge that I have read, understand and answered these questions to the best of my abil' one: Owner 6-7/56, Project Name: 07/ Date (days); 9/7 93-3S---- (evenings) Project Address: c,236P S4ey U�``J j ( 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 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. bpminregmh04/2004 4 4 ) 2 r e.4 tz 6 . & A i6 6 5 2 - ` 7 1 1 (// - - 31.14-07-28214 11% iso June 3, 2004 Modular Housing 2440 Airport Rd Rifle, Co 31650 %111. •... AlbeeN SUMMIT CREST Division Qf OP mpron xlunurboattre Compoi 1' Geld County Building Dem Customer. Cluia a Becky Lee, TBD. Slaughter Gulch Rd, Silt, Co 31652 To Whom It May Concern: The home, model 334. ro be built for meow Les, will be built to the DRC code with a 401b snow load, 90wpb wind bads at esposure C, and Zane 3 thanaah requirements with a 10!12 Cape Cod rood Mesas feel free to call if you have any quesdons 1400-818- 2632. Sincerely, Michelle Anderson Summit Creat Homes 2n21 tlatligl taste • Kt sox 10 • Berthoud, Wonau 00513 C970j 532.2652 • Fox (970) 53244352 TOTAL P. e2 CAN rouAki'LL -5 -3t , 44, 1,0 tk rl5 APPROVEO SUBJEcTTt) N[7'TT,D A*IvTno$s INSFE('TIUN` AFIELD COUNTY 10 -0 By FIELD COPY V ND,paricnom WirHOU? piO ON sr /6 ? -2_ 5 .4). ....,,c• 7. , 7, -1, -c,T N,% ---N 5 iv'f/V. /71:rCX E1 CC. t •'-..e.://1-.<1c /f7E!'/ / f - .� 1 ' A' " !cam Tr / C 77',x/ 'w /r - _ /T C /,/ raj. , '//z 7 s^.: /r " rT� at;7 /:=Jr /I />7.. 4 - %3''Ae6G'fr or /--'1-(c.^)'4ira .^ci4 , • 72." re,ro'r 4,2-6" ' /X, spacina x, enols c 1/71A, J r' /' A4?2. 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Ito lf • J S ii 4 I� I � S �F E 2 4 1 jCf 0 W XI w snm pco er 99 vg r0 1Y 1 rr In! it 1 ur 1 uu�,yf�f'1W L Jl NIP ONI EOM, ■■■� 1111111111, • .uII ' j_.8111111 's: Ov0 121:o --IN. INI IN IN 1111:' ....r1■ J tion t!4 im a • is C >,4 1. .tr 7 0 rem ag w 5ci;"__ kitm.ch_ 7 f rJ JJt `+J.7G -~7»I0`( f ' f5G.w GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit - 3981 109 Bth Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Oyvner's Namr#2/yT ? p ? u C, System Location r ✓ Present Address ED 3.5`J 3/Lr 03. Assessor's Parcel No. 33a- 0) - This ) - This does not constitute a building or use permit. Phone 45: 2i 3 Le;al Description of Assessor's Parcel No 2! 25— 3 i SYSTEM DESIGN d a /000 Septic Tank Capacity (gallon) Other Loft Zele4kg 5Lklaf , evsev *O,) Percolation Rate (minuteslinch) Number of Bedrooms (or other) 3 Required Absorption Area - See Attached Special Setback Requirements Date / ` D v 350 0-67 Z14( = i i 14,4.4 32. 1 07 14. he a/ =a 3 'w,wto •3 ,�a17 ,.,i,, c / 2>>` Inspector 2!-1h 4/ ' > jJ �-�r 2.4f, FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer (7'-/ Septic Tank Capacity 1 L 70 Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface - Absorption Area s") yr irC) + Absorption Area Type and/or Manufacturer or Trade Name f Adequate compliance with County and State regulations/requirements Other Date 5` 0 Ci Inspector�`--- r RETAIN WITH RECEIPT RECORDS AT.�ONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board otHealth Individual Sewage Disposal Systems Chapter 25, Article 10 C R.S. 1973. Revised 1984. 2 This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. 3 Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine —6 months in fail or both). White - APPLICANT Yellow - DEPARTMENT ar 1 INSPECTIONS WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR ALL INSPECTIONS MANUFACTURED HOME BUILDING PERMIT GARFIELD COUNTY, COLORADO Date Issued C .Zoned Area Permit No... 9 AGREEMENT In consideration of the issuance of this permit the applicant hereby agrees to comply with all laws and regulations related to zoning, location, construction and erection of the proposed structure for which this permit is granted, and further agrees that lithe 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 Official and IMMEDIATELY BECOMES NULL AND VOID. Use nl,ua, (L) it. MabiLLAA. Address Legal Description /02-/6a Owne Contractor INSPECTION RECORD Footing : % ..t _ of/Ac._ Foundation or Blocking : ,.. 2.1_,,o to Driveway : ExviApr Rough Plumbing : dg'. up ...0(( .„ Gas Piping : 3.../,/,..0 #0Y Electrical Final : State Inspector) 4) Septic Final : 51— �(•� f(by Final :' ,2O - Q if 12751 Notes: Snowlo.d VQ lbs ! Mei )X7 Serial 0 of Unit: 220 1' .Sy THIS PERMIT IS NOT TRANSFERABLE Phone 384-5003 108 8th Street, Suite 201. County Courthouse Plaza Glenwood Springs,Colorado DO NOT DESTROY THIS CARD APPROVED 04 Date 7 -qua (IF PLACED OUTSIDE, COVER WITH CLEAR PLASTIC)