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4 Il �!_ Y � Y J �4�y�fa�fY • -- ; „' •- w•t. mw *"! , etPi'n'r'v..; . nm'* w—w+P.s aynw.,*/ •^fv,y - N. Q47?7 I d it GAflFlELO COUNTY' BUILDING, SANITATION end PLANNING DEPARTMENT 103 mil Street Suite 303 ' ,I Glenwood SiirlitOs,, Colorado 81601 \ ( &B21R' - ' Job Address 10879 Road 311, Silt �{ Nature of Work ' ' Building Permit Use of BUileing. Addition _ • ' Owner` Hill Hawkins Contractor .Matthew McQoinn Amount of Permit $ 74 - - Date April. 23, 1993'jl Fermlt, 45.00 'Plan t 29.25 S,Ar chuleta Clerk White- Trees. V Canary- ,011ice Pink- Applicant : Gold - Duplicate • E . i 7 . • • • GARFIELD COUNTY APPLICATION FOR BUILDING PERMIT /�� — PERMIT NUMBER C / please print or type DATE 1 7 1 - 6g3 . --93 Assessor's Parcel # TO BE FILLED OUT BY APPLICANT PLOT PLAN ADDRESS 10 g79 RA all, S i It CO NOTE: Show easements, property line dimensions, .a SUBDIVISION all other structures, specify north, and street 6 FILING # LOT # BLOCK # name. For odd shaped lots, or if space is 4' TAX SCHEDULE # p too small, provide separate plot plan. LEGAL (SEC /TWN /RNG) Set. 2.9 I T75 / 1� 92.W - # OF BUILDINGS NOW ON PARCEL USE OF BUILDINGS NOW ON PARCEL R(, NAME g 1,1�,Qlt!ti' [rI /� 4A_ W i oR 79 Ka G e{7CP 4r1 hn.wr YJi) u� t9�c ; MA ILING ADDRESS r p CITY s; 1 C_, 1 PHONE 876 22301 NAME Mt CC1 1 iew IA t a tank z iADDRESS %C'H MAN_ 3 CITY S (.0 � / i z NAME Ii oat ,. w C, !r yN /V° C4. GL 1 1/ e..... In Sant . KS�,nA- o ADDRESS i o 9q6 Ra 33 J J(� E , (CITY S; it G O g 16' 2. / \ u PHONE 876'2943 LICENSE # CLASS OF '7ORK NEW ALTERATION s— _ ADDITION DEMOLISH REPAIR MOVE MOBILE HOME (make /model) S.F. OF BUILDING 3 S.F. OF LOT # OF FLOORS 9 HEIGHT age # OF FAMILY UNITS j # OF BEDROOMS Li INTENDED USE OF BUILDING G c0.M%ly GARAGE: SINGLE_ DBL_ CARPORT: SINGLE_'DBL FRONT PROPERTY LINE FIREPLACE LO an f to VC'. DOCUMENTS ATTACHED STREET NAME/ROAD NUMBER WATER SUPPLY . X / jt r� CHECK IF CORNER LOT _ DRIVEWAY PERMIT U J DESCR • ON OF WORK PLANNED + r SITE PLAN A ✓ , `„ - 4, e /T i if z / a Allor - i s r BUILDING PLANS SANITARY SEWER CLEARANCE I hereby acknowledge that I have read this ON SITE SEWAGE DISPOSAL PERMIT ES ,trtjj �/ application and the above is correct and I OTHER DOCUMENTS (specify) J agree to comply with all county ordinances and state laws regulating building construction '1 `— SIGNATURE FOR OFFICE USE ONLY VALUATION p p p, o o FLOOD HAZARD PERMIT FEE $ , 7 o N CHECK FEE �!• Q Zr CERTIFIED BLDG ELEVATION TOTAL FEE $'7¢z,(' SCHOOL IMPACT FEE $ 4/i.1_. SPECIAL CONDITIONS - DATE PERMIT ISSUED ZONING DISTRICT ? //.Z b PROBLEMS WITH PERMIT TYPE OF OCCUPANCY [ [ TYPE OF CONSTRUCTION 11. ADDITIONAL INFORMATION NEEDED S.F. OF BUILDING N6 CH44FS.F. OF LOT MAX. HEIGHT ROAD CLASS. CERTIFIED BY COLORADO REGISTERED LAND SURVE. SETBACKS FROM PROPERTY LINE: FRONT442_01 eE OR ENGINEER REAR RIGHT LEFT OFF STREET PARKING SPACES REQUIRED � -• � /'" Of APPROVED: C APPROVED: Or.9 11 I -L �� ��.� � �Qr � lIllhla // ILDING EPAR MENT DA "E PLANNING DEPARTMENT L 1 1 Su/4 g max/ sr' r. _ I ') 1 . di • + PERMIT 4 OWNER B/L L NAWK /A' LOCATION /O 87, 6;,12r14.311 CONTRACTOR THE FOLLOWING ITEMS MAY HAVE BEEN OMITTED FROM YOUR PLANS OR MAY NOT COMPLY WITH 1 " • I, THE PROVISIONS OF THE UNIFORM BUILDING CODES. PLEASE CHECK ALL CIRCLED ITEMS ( N I BEFORE BEGINNING CONSTRUCTION. - ALL REFERENCES ARE 1988 EDITIONS OF THE CODES ,I['I U„ " ! THESE ITEMS ARE REQUIREMENTS FOR R-3 OCCUPANCIES ONLY (ONE _ AND TWO FAMILY I i l ( ! ' ,i DWELLINGS) AND ARE NOT ALL INCLUSIVE OF THE CODE REQUIREMENTS, BUT ARE MEANT AS i , l I A GUIDE TO SOME OF THE MOST OFTEN ENCOUNTERED QUESTIONS RELATED TO CODE , ll REQUIREMENTS. THE APPROVED PLANS RETURNED TO YOU SHALL BE KEPT AT THE BUILDING I I- SITE DURING CONSTRUCTION. FOR ANY REQUIREMENTS OF THE NATIONAL ELECTRICAL CODE �,4i 1 ii CONTACT THE COLORADO ELECTRICAL INSPECTOR. 1 � THERE SHALL BE A FINAL INSPECTION AND APPROVAL OF ALL BUILDINGS AND STRUCTURES I , 1 1 WHEN COMPJ�..ETED AND READY FOR O CUPANC AND USE - UB SEC. 305 d). E'G • / - 'I I . // i ?P/n)S M44 1 _96ncl d / /eo hefting 9_ feVittslen i f f 4o ti ref 1 ' I 1. Concrete for To nda ions and load being slabs s required to be 3000 psi I I S' in 28 days - UBC Chapter 26. Mortar and grout shall be in accordance with UBC Chapter 24 & Table 24 -A and 24 -B. '.1 2. Masonry units, mortar, and grout shall be protected during cold weather in accordance with UBC Sec. 2404 (c). Concrete shall be protected during cold ,1 l i or hot weather in accordance with UBC Sec. 2605 (f) 'and (g). I 3. Minimum concrete and /or masonry foundation reinforcement requirements are ?I, shown on the attachment. (Notes these minimums apply only if a foundation I II i - soils investigation is not performed and the soils are assumed to have an sl expansion index of 20 or less and footing loads less than 2000 lbs /linear ri {) ; foot - UBC Sec. 2904 (a) and (b) and Sec. 2906. 1 'i 4. Foundation frost protection is 30" from finished grade to top of footing - �,., ;I UBC 2907 (a). ., 5. Foundations shall extend a min. of 6" above finished grade - UBC 2907 (d). r 6. Provide for the control and drainage of surface water.away from the building ,c - UBC 2907 (f) .. l 7. Foundation walls enclosing a basement below grade shall be damp - proofed on §I I)y'.r. .�, the exterior with approved materials - UBC Sec. 1707 (d).. I" :' ,. 8. Foundation plates or sills shall be redwood or pressure treated wood (UBC !' ' , 2516 (c)), and shall be bolted to the foundation with not less than 1/2" dia q 4 ". � bolts embedded at least 7" into concrete or masonry, spaced not more than ) 4 ' , , 6 feet apart, min.. of 2 bolts per piece and within 12" of each end of piece ,+ - UBC 2907 (f). 1 9. Exterior concrete or masonry piers shall extend 8" min:.above grade unless .;; the posts or columns which they support are treated or decay resistant wood. Columns and posts located in basements shall be supported by concrete piers or metal pedestals extending 6" min. above earth and 1" min. above floor I it unless treated or decay resistant wood - UBC Sec. 2516 (c) 4. . 1t, 10. Manufactured trusses, and manufactured joists and beams (i.e. TJI /Micro- 'j', Lams, BCI /Versa -Lams, Glu -Lams, etc.), shall be sized and installed in J = accordance with the manufacturers requirements. I 11. Wood joists or floor beams located closer than 18" or wood girders closer than 12" to the ground in crawl spaces shall be treated or decay resistant wood - UBC Sec. 2516 (c) 2. 12. Girders supported by masonry or concrete shall have 1/2" air space at top, sides, and ends unless treated or decay resistant wood - UBC Sec. 2516 (c) 9 i l l ' , i.� ' 5. Ends of beams and girders shall have min. 3" of bearing on masonry or concrete - UBC Sec. 2517 (c). H © Floor joists under and parallel to bearing partitions shall be doubled UBC .I 2517 (d) 5. j, 14. Floor joists require full depth solid blocking and must lap a min. of 3" es^ over bearing supports - UBC 2517 (d) 3. ' Q. Beams, roof rafters, and ceiling and floor joists shall be supported laterally in accordance with UBC 2506 (h). 1 . 0 Columns, posts, beams, and girders shall have positive connections provided to ensure against both uplift and lateral displacement - UBC Sec. 2516 (m). 17. Ends of floor joists shall have 1 1/2" min. bearing on wood or metal and no B less than 3" on concrete or masonry UBC Sec. 2517 (c) and (d) 2. 18. Notches on the ends of floor joists - max. 1/4 joist depth. Bored holes not 1 within 2" of top or bottom of joist and hole diameter no larger than 1/3 depth of joist. Notches at top or bottom shall not exceed 1/6 depth and not { located in middle 1/3 span - UBC Sec. 2517 (d) 3. ,ii � 19. Floor joists and /or roof rafters are insufficient for the span - UBC Table • 25 -V -J -1 and UBC Standards. Roof live load (snow load) shall be 40 psf below 7,000 feet elevation -UBC Sec. 2305 (d) -dead loads shall be as required in UBC Sec. 2305. i C (b-r.Y I . Q Floor live load shall be 40 psf - UBC Sec.2304 (a) and Table 23 -A -1 - dead �I i 1• loads shall be as required in UBC Sec. 2304. 'I Y� 22. Basic wind speed shall be 80 mph - UBC Sec. 2311. Headers over wall openings 4' wide or less shall be doubled 2" framing I° I . I lumber on edge. Over 4' wide the header shall be sized for the span - UBC 'Sec. 2517 (g) 5. 24 Bearing walls supporting two floor loads are required to be a min. of 3" x 1 4 "or 2 "x 6" studs with a max. spacing of 16" on center -UBC Sec. 2517 (g) 1 H, , 25. Wood studs may be cut or notched to a depth not exceeding 25% of width in exterior walls and bearing partitions and not exceeding 40% of width in non- , 1111 bearing partitions - UBC Sec. 2517 (g) 8. 26. Wood studs may have bored holes no greater in diameter than 40% of stud width, 60% of width of doubled studs (but not more than 2,successive doubled . studs). No holes shall be bored nearer than 5/8" to edge of stud - UBC Sec .,1 i lu 2517 (g) 9 . 27. Wall bracing required, both sides of each corner and every 25 lineal feet ,• the braced panel must be a min. of 48" in width perpendicular to studs - UBC S ec. 2517 (g) 3. ' ©8 d R 11 Approximate min. insulation values are R -19 walls, R -25 roofs, an , floors over unheated space - see P heated s plans for more specific requirements - "Colorado Energy: Conservation Standards." 29. Foam plastic insulation shall be separated from the building interior, ' including attics and crawl spaces, in accordance with UBC Sec. 1712. Other insulation (including duct and plenum insulation and coverings per UMC H ' Chapter 10) including facings shall meet the requirements of UBC Sec. 1713 -. 30. Masonry and ,stone veneer units (5" max. in thickness) shall have min. size '' I y 1 of No. 22 gauge by 1" galv. metal ties or No. 9 gauge galv. wire ties and , 1 spaced to support not more than 2 sq. ft. of wall area but not more than 24 1 on center horizontally. When applied over stud construction, the studs ; II shall be max. of 16" on center. Approved building paper must be applied ',' ii, , PI ., i over the sheathing or studs - UBC Sec. 3006 (d). r '•l 1 �1 31. Ceiling height is required to be 7'6" in all rooms exceptkitc hens, halls, bathrooms, and storage areas which may be 7'0" min. - UBC Sec. 1207 (a) I :, ,,. Min. stairway headroom clearance is 6'8" - UBC Sec. 3306 (p). �, Min. stairway width is 36" - UBC Sec. 3306 (b) and min landing dimension ' :1 in the direction of travel must also be 36" - UBC Sec. 3306 (g). 1,! 1 0 Stairways min. ren 9 "; max. rise 8 "; max. variation in rise and run 3/8' - I� ' UBC Sec. 3306 (c). i ®. Enclosed usable space under interior and exterior stairways shall be PI protected on the enclosed side as required for one -hour fire- resistive I II i, construction - UBC Sec. 3306 (m). Fire stops shall be provided in HI .' 1 accordance with UBC Sec. 2516 (f) 2c. 6' :1 Fab Stairway handrails: min. height 34 "; max. height 38 "; handgrip portion shall .�, be not less than 1 1/2" nor more than 2" in x- section dimension. Min. of 61 { 4 ' 1 r1 one handrail required on all stairways with more than three risers. Min. 'I 1 1 1 1/2" space required between wall and handrail - UBC Sec. 3306 (1). i . . Guardrails of 36" min. height shall be installed at unenclosed floor openings and open sides of stairways, landings, ramps, decks or porches more 1� than 30" above grade or floor below. Open guardrails shall have a pattern { J i such that a sphere 6" in dia. cannot pass through - UBC Sec. 1711. P' ii,: 38. Under -floor (crawl space) cross ventilation is required equal to 1 sq. ft. (, for each 150 sq. ft. of under -floor area - UBC Sec. 2516 (c) 6. ri 39. Under -floor areas shall be provided with a min. 18" by 24" access opening - ''i UBC Sec. 2516 (c) 2. 30" by 30" min. if mechanical equip. in under -floor i I! area - UMC Seca 709. ®0. All sleeping rooms below the fourth story without a door opening to the ' exterior shall have at least one operable window that meets the following ;i, requirements: MINIMUM clear opening: 5.7 sq. ft. MAXIMUM sill height: 44" �i MINIMUM net clear opening height: - 24" (x34 1/4" = 5.7 sq.ft.) ( 1 -',I MINIMUM net clear opening width: 20" (x41" = 5.7 sq. ft.) This also applies to basement sleeping rooms - UBC Sec. 1204.- Glazing in hazardous locations as defined in UBC Sec. 5406 (glazing in doors and adjacent to doorways, and glazing in windows located within 18" ,,- vertically of a walking surface) shall be safety glazed or protected. 42. Glass in sloped glazing (more than 15 from the vertical) and skylights shall meet the requirements of UBC Chapter 34. Skylights and roof and wall '' ' panels of light- transmitting plastics shall meet the requirements of UBC ! 1,r Chapter 52. , 43. Provide combustion air for fuel burning equipment per UMC Chapter 6. I1' li 44. Pressure relief valves and /or combination pressure /temperature relief valves r shall be provided with a drain line to a floor drain with min. 1" air gap + r ".. r I ! I a or extended to the exterior of the building - UPC Sec. 1007. .{ ■ 'I 45. Domestic dishwashing machines shall not be directly connected to a drain or j i ' waste disposer without the use of an approved airgap - UPC Sec. 608 (d) , I I , - 46. Fuel burning appliances shall not be located in any room used or designed i } to be used as a sleeping room, bathroom, or closet or any enclosed space i!� I i ' ' I', opening into such room or space* UPC Sec. 1309 and UMC Sec. 704 (unless t1 -� ,1,'_ listed for such use). � 47. Appliances (including space heating and water heating equipment) shall be 'd' accessible for repair and removal in accordance with the UMC. 1 14 'rl I 48. LPG fueled appliances shall not be installed in a pit, under -floor (crawl) space, or basement - UMC Sec. 504 (f). I1 1 49. Appliances located in a garage (or in an enclosure opening into a garage) shall be located out of the normal path of vehicles or protected from damage. Any portion of the appliance creating a flame, spark or glow shall 11 be installed a min. of 18" above the garage floor - UMC Sec. 508. 50. Each water closet stool shall be located in a clear space not less than 30 ' I in width and 24" in front of stool - UBC Sec. 511 (a).' - ��''. 11 :.': i;' 51. Toilet rooms without operable windows shall be equipped with an exhaust I IH i system ducted to the exterior - UBC Sec. 1205 (c). ij 52. Showers and Tub /Shower enclosures shall have a smooth, hard, nonabsorbent '' surface to a height of 70" min. above the drain inlet UBC Sec. 510 (b). li Water - resistent gypsum board shall not be used over vapor barriers, in 1� saunas or steam rooms, or on ceilings - UBC Sec. 4712. 53. Attic access opening of not less than 22" by 30" is required - UBC Sec. 3205 � ' (a). 30" by 30" if mechanical equip. in attic space - UMC Sec. 708. :;,. L., lli 54. Enclosed attic and rafter spaces shall have cross ventilation of min. 1/150 -; of the area of the space ventilated. The area may be 1/300 if provided equally at lower_ and upper portions of the space with min. 3' vertical `j'( separation of locations - UBC Sec. 3205 (c). '..',,i + 55. Garage side of cofnmon wall between living space and garage shall be finished :I with materials approved for one -hour fire - resistive construdtion. This also .t(is applies to ceilings and bearing walls if living space` above the garage. i�` 1 Self closing min. 1 3/8" solid ,' tight fitting door is required between house and he Ij sleepil p,arage UIIC 503 (d) 3. . . ,'1 / wisfa0 Electrically wired, interconnected smoke detectors are required in all use darer sleeping room access areas, near the top of stairways in upper levels, and near the bottom of stairways to basements - UBC Sec. 1210 (a). �I operufed. 57. Wood stoves and factory built chimneys, and manufactured fireplace units and I' 1 , venting systems shall be installed in accordance with the manufacturers ' listin requirements and inspected during installation UMC Chapter 9 and UBC k. Chapter 37. 58. Masonry and concrete fireplaces and barbecues shall meet the requirements ', of UBC Chapters. 23, 24, 26, 27 and 29. A chimney shall not support any (i,, structural load other than its own weight unless designed as a supporting ' ' member - UBC Sec. 3703 (a). 5 . ec //PS(vearts) in acct./pig ) spates s4 / / 6t enc./ re /o 4Yoi l I ' ° U ' peesona/ rontf ern c/aMtvye 7 vent - UMC see. 9'04 • COPIES OF THE ITEM(S) CHECKED BELOW ARE ATTACHED (Copies of any of the items I . above or below are available upon request). i,.:i Excavations, fills, foundations, and retaining walls - UBC Chapters 23 and 29. .i Retaining walls - UBC Sec. 2308 (b) and 2907 (g) 4. II, Roof coverings and drainage - UBC Chapter 32 (Roof drains sized in I,. accordance with UPC Appendix D). I j Roof sheathing - UBC Sec. 2516 (i). . 11,11 .. Wood combined with (supporting) masonry or concrete - UBC Sec. 2515. 1 t Floor sheathing - UBC Sec. 2516 (h). ‘,Li � — Wiring in plenums - UMC Chapter 10 and NEC. 4'. Fire and draft stops - UBC Sec. 2516 (f). 4. Nailing requirements for connecting wood members - UBC Sec. 2516 (j). _ Enclosure of elevator, vent, and dumbwaiter shafts, and clothes and rubbish, chutes - UBC Sec. 1706. I I Exterior wall coverings and exterior weather protection - UBC Sec. 1707 (d) 1, and 2516 (g). 1 , + Interior application of gypsum wallboard and interior and exterior application of lath and plaster - UBC Chapter 47. Manufactured wall and j$ ceiling covering systems (simulated stucco, etc.) shall be installed in i ' ,I '.` accordance with manufacturers requirements. .4 ' H i r ' 1 Landings and floor level at doors - UBC Sec. 3304 (i). Fi- - Cross connection control and back flow prevention - UPC Sec. 1002 and 1003. h HI Treated Wood Foundation Systems - UBC Standard 29-3. , . 0 t • 3 0 H 1 1, T H , I ' I ! 1 : . 1 ; 1 1 1 1 , I . , i ! tri 1 I o 1 1 i . , I 1 : 0 I . , , ,- M -PR 1 , I , i,, I ' ' •--i ../ -- rn - 0 , - Z , -- 0 z rn r , L I tu / , 6 1 _i / oc 0 0 ...0 > Erj lr ' - Z r- OG I I - t0 I - - E9- - -1 I t ln r 0 i C i , Z : -0 -- 0 0 V) . . M ln . CO 0 I 1 k , I \ • 1 ! 1 0 / )01.- , ..,,, 0 I ■ \ ! ! -1‘, t %- ! ! ! • ,. 4. ; : 1 ct i .0 41- . ' 1 , I „. . . I . ■ ■ 1 , , 1 . ., . , 1 ,/ 1 4 1 ° 3 ° i 9 0 3 0 1" .•, —7 / I 1 ‘K / 1 ,, / / 22' i \\ HAWKINS RES. - 3 RD R..00R I- ROOF PLAN scALE 'Ar--To" • a i L. j 6' 12 1111 fink4' N \ \ , lit I -t , \ )&1 i � ■ / j 6 ' � Merl ' / ; -/ iU 7, N z; M laal // 0 / / / HAW K1NS RE.S. - SECT ON 5 i� "_1'p" --- . , • , , , . 12- // „., .../ . \\It- v FRAMING 51-1ALL BE NI NEVI F1 R NO 2. or %ETTEr\ - 2-24 , ' „.. / . EX TRIm DETA1L- z \ To MATCH EXISTING \ . \ \ \ ' ' 1 ! / I \ . '\\ \ \ , ±(gLiliC- I , `,243160C , \ / ,.• II i Ili \ \ , ' • 1 1 1 II \ \ \ • \ \ , / ' 11 I i 1 . , rl \ " \ - ti / / •i \ \ \ \ I / / / / I / / 2x8's 16 i 1 ; 1 I , , . ; 1 , ; I , . 1 2K5V5 167oc, I , 1 !I 1 I I , , 1 ' I , • ' 1 : I , I I ; f ; 1 i !I I 1 8"coNc.8 HAWKINS REs. — SEc_ ‘0N I 7 - \ CP 0 I j \, i z I 'o rn w , 1 1 LI N 0 x = i N� A 7 , . z j- — _ - - --- 1 A : , , , , , , 0, , , > . , , ___, !I ! co i F • i • i , HAWKI NS RES. - 2 ND FLOOR PLAN �� I- I II INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB 24 HOURS NOTICE REQUIRED FOR INSPECTIONS' BUILDING PERMIT ARFIELD COUNTY, .COLORADO AP Date Issued ... 'Zoned Area !- '^' Permit No._ 7 AG E . t ENT 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 struc uie, the permit may then be revoked by notice from r l , t - 7 d il d i - I s • ecto nd TELY BECOME NULL AND VOID, Use `> ` , e , Add egal Desipt�y°- �° • f O wner Zit 9 I 1 F �iiIS - Contractor � -. # unit al Ai' Setbacks Front Side Side Rear - ! This Card Must Be Posted So It Is Plainly Visible From the Street Until Final Inspection. INSPECTION RECORD . Zoning Roof Covering Electric -Final (by S'fATE inspectorP/'t/ 'S I Footing , 4/4 5l - g �r Foundation// MASTER PLUMBER'S LICENSE If Plumbing- Underground ' - Gas Piping y/ Heating Ventilation 4 1 Frame o � -g/ J/ i Insulation Z S 76 S2.LG Plumbing -Rough 424" Drywall 2. -7 76 ■.7:;/ 'Electric -Rough (by STATE inspector) �� Final -7 --76 ALL. LISTED ITEMS MUST BE INSPECTED AND APPROVED BEFORE COVERING — WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. THIS PERMIT IS NOT TRANSFERABLE Phone 945 -8212 109 8th Street, County Courthouse, Glenwood Springs, Colo. APP 0 ED DO NOT DESTROY THIS CARD \ i Date • JYBY F PLACED OUTSIDE - CO ER WITH CLEAR PLASTIC