HomeMy WebLinkAboutApplication- Permitni- 1
No. 6624
GARFIELD GOUIVTY
BUILDING, SANITATION arid PLANNING DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
(303) 945-8212
Job Address (74)�
Nature of Work Building Permit
Use of Buildind .�C { r�yL, /1/1A.:1--e-rt P ,L C
Owner a74t7Q2 y ) �1tt.t l
Contractor
Amount of Permit S l 5q. 1 Date 1, Xe) r 99 X'
-6'.7 C, EL/
5V:57 Clerk
BUILDING PERMIT APPLICATION 1
GARFIELD COUNTY, COLORADO
Applicant to complete numbered spaces only. PERMIT NO.1V PARCELISCHED NO.
JOB ADDRESS 0 0 Z O frr1{.�1 0"
1
LEGAL
DESCR
LOT NO.4��T/
r
r�
BLOCK 4/.....
SUBDISION r�C
f lCifC) 51-i. J F % LAG F-'12-4,77...) 1%-)
2
OWNER/X43.4 22124„IiK41Ii1DDRESS
00,,'7po.fji-E5
PH9O3"l A
WK. PH, g -e,,q0
3
CONTRACTOR pi prinlibc,LtaI iLp"
ADDRESS 6,091D RAJri, sr-
Phi. 163._ celf G
LICENSE NO. /3 Cr r
O
4
ARCHITECT OR DESIGNER
ADDRESS
PH.
LICENSE NO.
5
ENGINEERbIZi ICU/2.T�
ADDRESS cures GC:Uc, i 5�
Ca L47....,....1 u....., ,c., s� tzt�.%c��
PH. q4j5--6305
LICENSE NO.
6
S, F OF BUILDING ,,E2S-et tj Q Fr. r.
S.F OF LOT fl
HEIGHT
NO. OF FLOORS
7
-7-----D
USE OF BUILDING reci 7 I/�'6r �r� �.,, ",. _
-
8
CL SS Of WORK: G NEW �YADDITION D ALTERATION ❑ REPAR o MOVE ❑ REMOVE
9
DESCRIBE WORK' jtj(LftuNt Yom. Fof2- /=��
fid �r�5+%Mlra•v� iti-1C-71-e-.s 6 T►rz-�T j'Go042..
L1✓ttQ(:.. (2_0Cri DtutUif66 r2a3utt 1- IL( id --(411/3
10
GARAGE SINGLE DO UBL T�Lr� RPORT SINGLE DOUBLE
&4I A f 1a i -I
DRIVEWAY PERMIT ON SITE SEWAGE DISPOSAL PERMIT SITE PLAN
1 1
VALUATCN op WoRA: S ADJUSTED VAL_$
PLAN CHECK FEE �7% 57514.(f
Y
PERMIT FEE ff
vig� 79 75
/ /
SPECIAL CONDITIONS/6 J r 4 fv cc .0 z c,9 7 /7 / /
r
SCHOOL IMPACT FEE
NO. OF BUILDINGS ON
PARCEL
USE OFF BUILDINGS NOW ON
PARCEL
L.=EE �
TOTA/, i�7. itXq
G OCGR. R 3
J�
CNST. TYPE V
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL PLUMBING,
VENTILATING OR AR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION AUTHORIZED
NOT COMMENCED WITHIN 180 DAYS, CR 1F CONSTRUCTION OR WORK 1S SUSPENDED
OR ABANDONED FOR A PERIOD CF 180 DAYS AT ANY TIME AFTER
COMMENCED.
I HEREBY CERTIFY THAT I HAVE RED AND EXAMINED THIS APPLICATION AND
THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE ,OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
(HEREIN OR NOT. THE GRANTING OF A PERMIT COES NOT PRESUME
.AUTHORITY TO b1OLATE CR CANCEL THE PROVISIONS OF ANY OTHER STATE
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE
WATER SUPPLY
DATE PERMIT ISSUED
HEATING,
SPECIAL APPRCVALS
REeultEo
RECENE]
Nor REquraffl
IS
WORK IS
ZONING
HEALTH DEPT
KNOW
FRE DEPT
TO GIVE
SOIL REPORT
OR
OF
SETBACKS
FLOOD HAZARD
Signature of Own Contractor
�orauthonzed agent haul - .d and •n• --. . notice
— }�` ' -� 25 ` o&div /P !r', isi.
a...Ye,
/
MA.NUF. HOME
Bulidrng Cparirnent Aoprova/date Tanning Depart ent ApprovaA1ate
OTHER
AGREEMENT
PERMISSION 45 HEREBY GRANTED TO THE APPLICANT AS OWNER, CONTRACTOR AND/OR THE AGENT OF THE CONTRACTOR CR OWNER TO
CONSTRUCT THE STRUCTURE AS DETAILED ON PLANS AND SPECIFICATIONS SUBMITTED TO AND REVIEWED BY THE BUILDING DEPARTMENT
iN CONSIDERATION OF THE ISSUANCE OF THIS PERMIT THE SIGNER HEREBY AGREES TO COMPLY WITH ALL BUILDING CODES AND LAND USE
PEGULATfONS 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 COMPLIED WITH IN THE LOCATION, ERECTION, CONSTRUCTION AND USE OF
THE ABOVE DESCRIBED STRUCTURE. THE PERMIT MAY THEN BE REVOKED BY NOTICE FROM THE COUNTY AND THAT THEN AND THERE IT
SHALL BECOME NULL AND VOID.
THE ISSUANCE OF A PERMIT 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 THIS CODE OR ANY OTHER ORDINANCE CR REGULATION OF THIS
JURISDICTION.
THE REVIEW OF THE SUBMITTED PLANS AND SPECIFICATIONS AND INSPECTIONS CONDUCTED THEREAFTER DOES NOT CONSTITUTE AN
ACCEPTANCE OF ANY RESPONSIBILITIES OR LIABILITIES BY GARFIELD COUNTY FOR ERRORS, OMISSIONS OR DISCREPANCIES. THE
RESPONSIBILITY FOR THESE ITEMS AND IMPLEMENTATION DURING CONSTRUCTION RESTS SPECIFICALLY WITH THE ARCHITECT, DESIGNER,
BUILDER AND OWNER. COMMENTS ARE INTENDED TO BE CONSERVATIVE AND iN SUPPORT OF THE OWNERS INTEREST.
Cariorm.003 I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE AGREEMENT ABOVE jiNITIAL
crVccir
eV a^ /7 -9
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 wash bowl, 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 1994 T_TBC 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.
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.Q. 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 #
/2,1L -X
Signature
2'
7 -
Date
GARFILLD COUNTY BUILDING A -\D PLANNING
970-945-8212
MINIMUM APPLICATION REQUIREMENTS
for
SINGLE FAMILY DWELLING CONSTRUCTION
including.
NEW CONSTRUCTION
MANUFACTURED HOMES
ADDITIONS
AI TERAT I ON,S
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. 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 check list prior
to and during design. Applicants are require to indicate appropriately and to submit the
completed check list at time of application for a permit.
For the placement of a manufactured home, questions numbers 1-4 and 19-28 are the only
questions that need to be addressed:
6
is a site plan included that indicates the distances of the proposed building or addition to property
lines, other buildings, set back easements and utility easements?
Yes a'
2 Does the site plan include the location of the l.S.l).S. (Individual Sewage Disposal System) and
the distances to property lines, wells (on subject property and adjacent properties), streams or
water courses?
Yes
Does the site plan indicate the location and direction of the County or private road accessing the
propert
Yes
4. 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?
Yes ✓
Do the plans indicate the location and size of ventilation openings for under floor craws spaces and
the clearances required between wood and earth?
Yes .4,)//. -
Do the plans indicate the size and location of ventilation openings for the attic, roof joist spaces
and soffits'
Yes `l','.
7 Do the plans include design loads as required under the Uniform Budding Code for roof snow
loads, (a minimum of 40 pounds per square foot in Garfield County), floor loads and wind loads?
Yes
Does the plan include a building section drawing indicating foundation, wall, floor and roof
construction?
Yes
Does the building section drawing include size and spacing of floor joists, wall studs, ceiling joists,
roof rafters or joists or trusses?
Yes
10. Does the building section drawing or other detail include the method of positive connection of all
columns and beams?
Yes
2
Does the plan indicate the height of the building or proposed addition from the highest point of
the building or addition measured at mid span between the ridge and the eave down to existing
grade contoyrs?
Yes
12. Does the plan include any stove or zero clearance fireplace planned for installation including make
and model and Colorado PhaseIIcertifications or phase II EPA certification?
Yes No
13 Does the plan include a masonry fireplace including a fireplace section indicating design to comply
with the Uniform Building Code Chapter 37?
Yes No
l4. Does the plan include a window schedule or other verification that egress/rescue windows from
sleeping royrns and/or basements comply with the requirements of the Uniform Building Code?
Yes ✓ No
15 Does the plan include a window schedule or other verification that windows provide natural light
and ventilation for all habitable rooms`'
Yes 4,07- No
16. Do the plans indicate the location of glazing subject to human impact such as glass doors, glazing
immediately adjacent to such doors; `lazing adjacent to any surface normally used as a walking
surface; sliding glass doors; fixed glass panels; shower doors and tub enclosures and specify safety
glazing for these areas?
Yes No
17. Is the location of all natural and liquid petroleum gas furnaces, boilers and water heaters indicated
on the plan?
Yes
No
18. .Do you understand that if you belong to a homeowners association, it is your responsibility to
obtain written permission fro the association, if required by that association, prior to submitting
an application for a building permit?
Yes ✓ No
19. Will this be the only residential structure on the parcel?
Yes ✓ No If no -Explain;
20. 1-Iave two (2) complete sets of construction drawings been submitted with the application?
Yes ✓
3
21 Is this an application for the pla,cen ent of a manufactured home?
Yes No
If yes, have you specified the size of the unit (min. 20ft. x 20ft); live roof load (min. 40#); wind
design (min_ wind speed of 80 mph & 15 ]b. wind load); foundation design; method of anchoring?
Yes
27. Have you designed or had this plan designed while considering building and other construction
code requirements?
Yes ✓ No
23. Does the plan accurately indicate what you intend to construct and what will receive a final
inspection f the Garfield CountyBuilding Department?
Yes ,/ No
24. Do you understand that approval for design andior construction changes are required prior to the
application ofthese changes''
Yes No
25. 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 "School
Impact" or Septic. System" fees required, at the time you pick up your building permit?
Yes ✓ No
26. .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. Morning inspections must be called in by 12:00
p.m. the day before; afternoon inspections must be called in by 5:00 p.m. the day before.
Failure to give twenty four (24) hour notice for inspections will delay your inspection one
(1) day?
Yes L/ No
27. 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 t/ • No
2b. Are you aware that the person signing the Permit Application, whether the "Owner", "Agent of
the Owner" "General Contractor", "Contractor" or otherwise, is the party responsible for the
project cam jly ing with the Uniform Building Code?
Yes No
4
1 hereby acknowledge that 1 have read, understand and answered these questions to the best of my
ability.
si nature
date
Phone: go, - 0 59 - (days); ‘1Cct3 -7490 (evenings)
CLa, Pi/ �9 C, �iqc�
Prt..oject Name: 0 1/2-i u y El b, l ore.%
Project Address: CO020 Pi!itit SI-. e/472 -36.A.) A-ci / g/Cry
Notes:
if 'ou have answered "No" 01111111' of the queStieuls, you anal' 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 1f it is determined bv the Building Official that additional information is necessary to review
the application and plans to determine miuininttt compliance NVith tl►e adopted codes. the application may be placed behind more
regent applications for building permits in the review process and not reviewed until required information has been provided and
the application rotates again 10 first position for review. delay in issuance of file permit or delay in proceeding with construction
PerAPpO2.95 Effective August 15, 1995
5
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Garage
7.{ 32.4'
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Note: The real property described hereon does not lie within the limits of a
100 Year Flood Hazard Boundary.
'i
1 hereby certify that this Improvement Location Certificate of Lots
25, 26 and 27, Block 12, Amended Plat of the Townsite of Cooperton,
Garfield County, Colorado, was prepared
under my direct supervision, that it is not a land survey plat or im-
provement survey plat, and that it is not to be relied upon for the
establishment of fence, bui14ling, or other future improvement lines.
I further certify that the improvements on the above described parcel
on this date, 18 March 1980, except utility connections, are entirely
Within the boundaries of the parcel, except as shown, that there are
o encroachments. Upon t -he -described-premi�es by improvements ori any ��
adjoining prernisoc, except as indicated, and that there is no apparent
evidence or sign of any easement crossing or burdening any part of said
parcel, except as noted.
L.S. 14111.
431 .7, 7i,
f ri: s �'.•a�4 y
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4 '1 '1 M1 i4
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ra
Street Address: 0020 So. Pine Street
Carbondale, Colorado
iv-5:004/e^A2.1.4LoLaftWv,, Ce4-t . cc
lz
Loks 25, 27,YCocS+2- 12 ,7ouitt,SL cc
er-4,,,C1C30.'rf542foot. ccs. C0(.04-culD
L/NES IN SPACE
SYDNEY L/NC/COME (L.S /4111)
kg v. 4.2/6 90 oBOX 121 CARBON0ALE, COLD. 303-963-3852
Rev, WI 474 18 31/4-N-cdn— -080 J SCALE:r° 3�,.....�.
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art•
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32.4'
43` !-5- L09
Garage
N.._ . 32.4
27
CBc" 22' oo
Note: The real property described Hereon does not lie within the limits of a
100 Year Flood Hazard Boundary.
4
tci
Q �?
I hereby certify that this Improvement. Location Certificate of Lots
25, 26 and 27, Block 12, Amended Plat of the Townsite of Cooperton,
Garfield' CounIy, Colorado, was prepared
under my direct supervision, that it is not a land survey plat or im-
provement survey plat, and that it isnot to be relied upon for the
establishment of fence, buil4ing, or other future improvement limes.
I further certify that the improvements on the above described parcel
on this date, 18 March 1980, except utility connections, are entirely
_-wi whin- the- =b:our-.claries__Q ± r�arr�P1,__e-xcept 2R—Shaw n., --that. there.__ar_e------
no encroachments upon the described premises by improvements on any
adjoining. premises, except as indicated, and that there is no apparent
•evidence or sign of any easement crossing or burdening any part of said
parcel, except as noted.
L.S. 14111
S "-.0
r''''''''
S
... ''',!:`,/
/-s/8 z/ I/
Street Address: 0020 So. Pine Street
Carbondale, Colorado
'C_cpik 25 ,26, 2?' G- • i 2 70wA,t-5,(. ,
CE7
LINES /N SPACE
SYDNEY LINC/COME (L.S.1411/)
£ V. /2/ qo
Re v, /D/9 90
BOX 121 CARBONDALE, COLO. 303-963-3852
18 3vGairdiu ig80 1 SCALE:1'1=3d
PRODUCER
Colorado Compensation Insurance
720 South Colorado Boulevard
Ste. 100-N
Denver CO 80246-1938
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
AND CONFERS NO RIGHTS UPON TI -1E CERTIFICATE 'HOLDER. THIS
CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
DiSURED
COURTNEY CONSTRUCTION INC
0020 PINE ST
CARBONDALE CO 81623
A Colorado Compensation Insurance
COMPANY
B
COMPANY
COMPANY
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ISURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM AND CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OP INSURANCE
LTR
POLICY NUMBER
POLICY EPPECTPIP
DATE(rnerlddlyy)y)
POLICY EXPIRATION
DATE(fmnirlefyyyy)
LIMITS
GENERAL LTABILTTY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 11 OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRER AUTOS
NON -OWNED AUTOS
GENERAL AGGREGATE
PRODUCTSTCOMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any ore file)
MED EXP (Any cre Lenten)
COBINED SDIGLE LEM'
BODILY INJURY
(per pererin)
BODILY INJURY
(per occident)
PROPERTY DAMAGE
1
GARAGE cuisEirrY
ANY AUTO
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACIDENT
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABGiTY
EACH OCCURRENCE
AGGREGATE
THE PROPRIETOR/PARTNERS/
EXECUTIVE OFFICERS ARE: X
INCL
BXCL
3164431
10/0111997
10701/1998
X
WC STATU-
TORY UMflS
OTHEIt
EL EACH ACCIDENT
$100,000
EL DESEASE - POLICY LIMIT
EL DISEASE EA EMPLOYEE
$500,000
$100,000
OTHER
DESCRIPTION OF OFERATIONSILOCATIONSWEERCLES/SPECLAL ITEMS
326613
GARFIELD COUNTY BUILDING DEPARTMENT
109 STH ST
GLENWOOD SPRINGS CO 81601
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
MARIMCSO CSR &von (13/1.0/98 IL:25:35 3164431 Updaed: 12/15/1.946 12:00:00 UW13S
INSPECTION WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE JOB
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
Date Issue
BUILDING PERMIT
GARFIELD COUNTY, COLORADO
5196°.Zoned Area Permit No
AGREEMENT
In consideration of the issuance of this permit, the applicant hereby agrees to comply with all
laws and regulations related to the zoning, location; construction and erection of the proposed
structure for which this permit is granted, and further agrees that if the above said regulations
are not fully complied with in the zoning, location, erection and construction of the above
described structure, the permit may then be revoked by notice from the County Building
Inspecr nd IMMEDIATI LY BE OM; L AND VOID.
Use
Addres r Legal
Setbacks Fro g Side Side Rear
This Card Must Be Posted So It is Plainly Visible From The Street Until Final Inspection.
Numminam INSPECTION RECORD
.,� ,t 1 !''H.,.
Footing z, '‘I'" -A-
rr 1
Foundation :` ; : , :• F,- =-. /�j - /9- ,S,
Underground Plumbing
1
Insulation 7 --C) /4,7,
Rough Plumbing e- LG 41$ 4. n, Itft
Drywall f'rr'ti[ 0 _„3 � i ,,''• I,
Chimney & Vent
Electric Final (by State Inspector) -.
Gas Piping
Final '3...1_0.-L, 4-S
Electric Rough (By State Inspector) ,z-
Septic Final
Framing )5 -I_ C -Z a A ��cy-
(To include Roof in place and Windows
and Doors installed).
I
Notes:
1
ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING -
WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND.
(/C9 f Cfj THIS PERMIT IS NOT TRANSFERABLE
Phone 945-8212- 109 8th Street County Courthouse Glenwood Springs, Colorado.
A P P R O V E DDO NOT DESTROY THIS CARD
Dat
•:y_At
IF PLACED OUT' • D - COV WITH CLEAR PLASTIC