HomeMy WebLinkAbout3001 Chase Street3wr ClA.s-F, t -P- INSPECTION RECORD Occ!ipanCy/TVpe
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
/
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Ins ections
Rough Inspections
Date
Inspector
Initials
Comments
heathing z,
/
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201705776
PERMIT NO: 201705776 ISSUED: 08/09/2017
JOB ADDRESS: 3001 Chase ST EXPIRES: 08/09/20L8
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge Laminate asphalt
shingles with 14 sq. (10 sq. pitched, 4 sq. flat)
*** CONTACTS ***
OWNER (303)725-9530 HILL JESSE
SUB (303)895-7968 Lousberg Roofing
120073 Lousberg Roofing and Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,200.00
FEES
Total Valuation 0.00
Use Tax 88.20
Permit Fee 125.05
** TOTAL ** 213.25
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
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City of Wheat Ridge
Residential Roofing PERMIT - 201705776
PERMIT NO: 201705776 ISSUED: 08/09/2017
JOB ADDRESS: 3001 Chase ST EXPIRES: 08/09/2018
JOB DESCRIPTION: REVISION; Add decking to existing permit. 10 squares
Residential Re -roof to install Owens Corning Oakridge Laminate asphalt
shingles with 14 sq. (10 sq. pitched, 4 sq. flat)
*** CONTACTS ***
OWNER (303)725-9530 HILL JESSE
SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION
FEES
Total Valuation 0.00
Use Tax 104.61
Permit Fee 125.05
** TOTAL ** 229.66
*** COMMENTS ***
4,981.25
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201705776
PERMIT NO: 201705776 ISSUED: 08/09/2017
JOB ADDRESS: 3001 Chase ST EXPIRES: 08/09/2018
JOB DESCRIPTION: REVISION; Add decking to existing permit. 10 squares
Residential Re -roof to install Owens Corning Oakridge Laminate asphalt
shingles with 14 sq. (10 sq. pitched, 4 sq. flat)
I, by my signature, do hereby attest that xh work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all appficabl municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am au horize7 to obtain this permit and perform the work described and approved in conjunction with
thispermit. I furth attest that I am legally a thorized to include all entities named within this document as parties to the work to be
performed and g all work to be performed s disclo m this d ment and/or ' accompanying approved plans and specifications.
V
Signature of WNE or -CONTRACTOR (Circle one) ✓" Date
1. This permit was issued based on the information provided in the p rmit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all app I icablel statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Bilding
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be retired to be obtained. Issuance of a new permit shall be subject to the standard
m
requireents, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all repired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approvark is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat Oge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29'" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit #
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: —1bl ibkne Y��x
Owner (please print):�y�' ( Phone: L<�j--��2�-
Property Owner Email:
Mailing Address: (if different than property address)
Address: Jj � ! �
City, State, Zi
Contact Person: l-411 t P
Contractor:
Contractors City License #:
Contractor E-mail Address:
Phone• `�� "-���- ���
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work:
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
6
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRA CTOR))or (A UTHORIZED REPRESEN TI VE) (OWNER) (CONTRACTOR)
PRINT NAME, SIGNATURE: _tr - f Cis" DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer
1
BUILDING DEPARTMENT COMMENTS: �`� �/
Reviewer: 1 V A I
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
" 7�
���`�
Building Division Valuation: $ � I � I t -��s
A . City of Wheat Ridge
.$
Residential Roofing PERMIT - 201705776
PERMIT NO: 201705776 ISSUED: 08/09/2017
JOB ADDRESS: 3001 Chase ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge Laminate asphalt
shingles with 14 sq. (10 sq. pitched, 4 sq. flat)
*** CONTACTS ***
OWNER (303)725-9530 HILL JESSE
SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,200.00
FEES
Total Valuation 0.00
Use Tax 88.20
Permit Fee 125.05 r.
** TOTAL ** 213.25
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
r City of Wheat Ridge
Residential Roofing PERMIT - 201705776
PERMIT NO: 201705776 ISSUED: 08/09/2017
JOB ADDRESS: 3001 Chase ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Oakridge Laminate asphalt
shingles with 14 sq. (10 sq. pitched, 4 sq. flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner oft erty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further a Iri� a'lly authorized to include alI entities named within this document as parties to the work to be
performed and that to erformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER Ir CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Mf Building Official 'm ' Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz C7*W
From: no-reply@ci.wheatridge.co.us
Sent: Friday, August 4, 2017 10:27 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3001 Chase Street
Property Owner Name Jesse Hill
Property Owner Phone 303-725-9530
Number
Property Owner Email Field not completed.
Address
Do you have a signed
Yes
contract to reroof this
Asphalt
property?
Field not completed.
It will need to be
provided at the time of
10
permit pick-up.
Attached Copy of
Hill contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Lousberg Roofing & Exteriors
Name
on the flat roof?
Contractor's License
120073
Number (for the City of
(pitched + flat) of all
Wheat Ridge)
Contractor Phone
7207243213
Number
Contractor Email Address
jose@lousbergcontracting.com
Retype Contractor Email
jose@lousbergcontracting.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No✓
roof?
Description of Roofing Owens Corning Oakridge laminate shingle
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
10
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
4
on the flat roof?
TOTAL SQUARES
/
14 V
(pitched + flat) of all
PkI
roofing material for this
proj ect
Provide additional detail Main house has both shingle and flat. Garage has only shingle
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 4200
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Jose Silva
Email not displaying correctly? View it in your browser.
3
jk
PREFERRED
(ONiRAfTOR LOUSBERG
ROOFING &EXTERIORS
CONTRACT SUBMITTED TO:
ADDRESS:
EMAIL:
DATE: /3 ,
CITY: l j _wl1a(ae STATE: _ ) ZIP: �f
PHONE: 3 77-t— 9,,c�, ,2) 0 WORK PHONE:
INSURANCE COMPANY: __m4%5 fT CLAIM NUMBER:
SCOPE OF WORK AND MATERIALS TO BE PROVIDED: THE SCOPE OF WORK RECOMMENDED BY LOUSBERG ROOFING & EXTERIORS. INC. ARE IDENTIFIED BELOW; HOWEVER. ANY
ADDITIONAL WORK NOT APPROVED BY THE INSURANCE COMPANY WILL NOT BE PERFORMED BY LOUSBERG ROOFING & EXTERIORS, UNLESS IT IS APPROVED BY AND PAID FOR BY
THE HOMEOWNER. LOUSBERG ROOFING & EXTERIORS IS NOT OBLIGATED TO PERFORM ANY PART OF THE SCOPE OF WORK.
f/TEAR OFF Alc LAYER(S) OF {-U _�SHIIINGLLEES
,v/,IrNSTALL DECKING (7/16" OSB) TO CODE T-( Ae �l e ` SPECIAL INSTRUCTIONS:
INSTALL ICE & WATER SHIELD TO CODE
IN/STALL _X 2" 2"X 4" DRIP EDGE COLOR
✓ INSTALL NEW FELT � �rl4kA C
_ RECOVER ROOF WITH T oI;_kriv6.e In c
EAR MANUFACTURER WARRANY COLOR e,�(G
v 6 NAILS PER SHINGLE (NO STAPLES)
v CLOSED VALLEYS _ CLASS 4 RIDGE Y ROOFUTTERS PAINT - WINDOWS i.. OTHER WORK:
STANDARD RIDGE _ HIGH PROFILE RIDGE / ' \
/INSTALL _ L. FT OF RIDGE VENT CU G 1 '' W • �j
�/ P PE JACKS 3-N-1 _4" 6" _ (�,� /�/� 1 l f 1
AINT ROOF STACKS/TJ? MATCH SHINGLES j� 0 C'c ' c A L U vl W l `` be ou ,T O 1` ,6C f' �`
LOW PROFILE " SLANT BACK _ PAINT TO MATCH pc--(cA `l. po A CQ 1M? (� j j{ r]
_ R* -FLASH CHIMNEYS AND ALL SIDE WALLS IF POSSIBLE J 111 j
+� GENERAL LIABILITY INSURANCE COVERAGE OF $2,000,000, GENERAL AGGREGAT WORKMANS COMP CARRIED ON ALL CREWS
__7 CLEAN UPI HAUL OFF TRASH " PROTECT LANDSCAPING 16 SUPPLY PERMIT CLEAN OUT GUTTERS�� ROLL YARD WITH MAGNETIC ROLLER
�;7 45qQt Min �S.
B MAGES KNOWN AT THE TIME OF OUR INPECTION ON THE DATE ABOVE THE APPROXIMATE AMOUNT OF WORK AND MATERIALS UNDER THIS CONTRACT IS: $
_ SCOPE OF WORK APPROVED BY THE INSURANCE COMPANY WILL BE PERFORMED BY LOUSBERG ROOFING & EXTERIORS, INC. FOR THE AMOUNT OF
TH S RANCEA PROVED PROCEEDS, WITH NO ADDITIONAL COSTS TO YOU, WITH THE EXCEPTION OF YOUR DEDUCTIBLE, UNLESS AUTHORIZED AND PAID FOR BY THE
HOMEOWNER AS AN UPGRADE. ALL UPGRADES MUST BE AGREED TO IN WRITING SIGNED BY BOTH PARTIES. HOMEOWNER AUTHORIZES PAMELA S LOUSBERG ENTERPRISES, INC.:
,ba "LOUSBERG ROOFING & EXTERIORS, INC." ("CONTRACTOR") TO ACCOMPLISH THE WORK SUMMARIZED HEREIN, BY SIGNING THIS AGREEMENT. THIS CONTRACT IS CONTINGENT
UPON THE APPROVAL OF THE INSURANCE COMPANY. ONCE APPROVED BY THE INSURANCE COMPANY & CONFIRMATION OF A REPLACEMENT COST POLICY, LOUSBERG ROOFING
& EXTERIORS. INC. WILL COMPLETE SPECIFIED WORK AT THE PRICE AGREEABLE TO HE INSURANCE COMPANY AND TO THE CONTRACTOR. THE HOMEOWNER IS ONLY
RESPONSIBLE FOR HIS OR HER DEDUCTIBLE AND REPLACEMENT COST IF AN ACTUAL CASH POLICY IS IN PLACE. BY REFERENCE. THE ADJUSTERS REPORT AND ESTIMATE THEN
BECOMES PART OF THIS CONTRACT, AND THE PRICE HEREIN WILL BECOME FINAL CONTRACT PRICE AND CONTRACTOR WILL RECEIVE ALL INSURANCE PROCEEDS FOR THE WORK
COMPLETED_ THE WORK WILL BE COMPLETED IN ACCORDANCE WITH THE ABOVE SPECIFIED TERMS AND CONDITIONS CONTAINED HEREIN. THE PROPERTY OWNER MAY RESCIND
CONTRACT FOR SERVICES. THE PAYMENT FOR WHICH SHALL BE MADE FROM THE PROCEEDS OF A PROPERTY INSURANCE CLAIM. WITHIN 72 HOURS AFTER RECEIVING NOTICE
FROM THEIR INSURER THAT THE CLAIM IS DENIED IN WHOLE OR PART.
THE BUYER IS RESPONSIBLE FOR HIS OR HER DEDUCTIBLE AT THE SUM, $ VERIFICATION OF REPLACEMENT COST POLIO 4�/
THE PROPERTY OWNER MAY RESCIND THE CONTRACT FOR ROOFING SERVICES TO BE PROVIDED BY LOUSBERG ROOFING AND EXTERIORS AND OBTAIN A FULL REFUND OYANY
DEPOSIT WITHIN 72 HOURS AFTER ENTERING THE CONTRACT.
LOUSBERG ROOFING AND EXTERIORS SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE CONTRACTOR HAS DELIVERED THE ROOFING MATERIALS TO
THE JOBSITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE PROPERTY.
IT IS UNDERSTOOD THAT DATES OF SERVICE ARE SUBJECT TO CONTRACTOR'S SCHEDULING, ANY CHANGE DUE'TO UNSUAL DELAYS IN TRANSPORTATION OF MATERIALS,'
ORDINAR .WEj�ATTHERDELAYS, OR BY ANY OTHER CAUSES BEYOND THE RESONABLE CONTROL OF CONTRACTOR. ESTIMATED DATES OF SERVICE ARE
NOTICE: IF THE HOMEOWNER PLANS TO USE THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY ISSUED TO PART 1 OR ARTICLE 4 OF THE TITLE 10, C.R.S., TO PAY
=0R THE ROOFING WORK, PURSUANT TO SECTION 6-22-105, THE ROOFING CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART OF
ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR THE WORK ON THE COVERED RESIDENTIAL PROPERTY
ACCEPTANCE OF PROPOSAL - THE ABOVE TERMS AND CONDITIONS ARE SATISFACTORY AND ARE HEREIN ACCEPTED.
A City of Wheat Ridge
I
Residential Roofing PERMIT - 201704323
PERMIT NO: 201704323 ISSUED: 07/18/2017
JOB ADDRESS: 3001 Chase ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm Laminate
asphalt shingles with ROOF DECKING - 25 sq (17 sq pitched / 8 sq flat)
*** CONTACTS ***
OWNER (303)725-9530 HILL JESSE
SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,378.13
FEES
Total Valuation 0.00 =,
Use Tax 175.94
Permit Fee 188.45 -
** TOTAL ** 364.39
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
1* � 4 4 City of Wheat Ridge
Residential Roofing PERMIT -201704323
PERMIT NO: 201704323 ISSUED: 07/18/2017
JOB ADDRESS: 3001 Chase ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm Laminate
asphalt shingles with ROOF DECKING - 25 sq (17 sq pitched / 8 sq flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the rope and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further att am legally authorized to include all entities named within this document as parties to the work to be
performed and that al performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CJOXfRACTORCircle one) Date
I. This permit was issued based OR Tt e'i'n ormation provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of anmanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holdy er shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chiefs lding Official ar► Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
of 70S-2�
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, July 10, 2017 10:06 AM
to City Hall to submit an application in person. Permits are processed and issued in
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
�
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
1
Categories: Danny
v
Residential Roofing Permit Application
C
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
2995 Chase Street
Jesse Hill
303-725-9530
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name rlase_&ihra els [ � �Cf �l't C'X. rl?rl T
J
Contractor's License 120073
Number (for the City of
Wheat Ridge)
Contractor Phone 7207243213
Number
Contractor Email Address jose@lousbergcontracting.com
Retype Contractor Email jose@lousbergcontracting.com
Address
DESCRIPTION OF WORK
i
Are you re -decking the Yes %
roof? t
Description of Roofing Owens corning Duration Storm Laminate shingle
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 17
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 8
on the flat roof?
TOTAL SQUARES of all 25
roofing material for this
project
Provide additional detail Main house is single story with predominant 8/12 pitch and a
here on the description of flat roof on the single story garage
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract -4H ag,
value or cost of ALL
materials and labor)] _s 0, 1 -
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Jose Silva
Email not displaying correctly? View it in your browser.
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ROOFING & EXTERIORS
CONTRACT SiISVBFTED
to .-.. M1 _.... DATE
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ICXI: TK1NAL WORK ftO' AtTP,"tC0FO QY THE AI4A4kA1KXC0WANY WILL NOT BE PERFORwa BY LQU511EA-140a &EXPERIM, UNLM IT IS AVVROVEDBY AAM P*10 FOR 8T
14C - L R i ROO 'i3 t F. i? a^ TO "-RF `ft# AW PART OF 11* S DPE 400 WOW
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' AT T�T9�F,F C W - i4iE GATE AaCNe'E SeiE TE MSfAI,-!., ;'i .rya,AfS AhCi 4lATEfYaA:.5 LttER?1NQ.s C4XiFliAL'T FS 4
SY".A]MtE Ow ekiW2A: FA::*uF4 BY' T MY WN.L Mt- :;4,",IFiERr R^PSwii t EXTER4C1.. P4C. FOR TW AUtiMtHIE' OF
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gq ROOF'NG 5 :.�'L4 ;u=i.. ' [• "1TPAi?,CR.? TQ A�,C:.^az?2 sz rH£ SG;.'�4',i�. 5`. x^fiAR2E0+'T€3%£:i:i. E'i �„5�,.Kt^Vv T?f;S+4:>.4EE: HT. Ths 60NTRACT S COtiM nEN'
UPON THE APPROVAL OF THE 09SURANCE OOSVAMY. ONCE APPROVED BY THE DOSURANCE COIMPAWYA CONFOU"TSOM OFA REPtAGMENT COAT VMSCY, L069"w ROOFING
S F.7tTTEMORS, WIC WS,L COMPLETE SPIZIRM WORK AT THE PWCIE AGREEABLE TO HC INSURANCE COMPANY AMO TO THE CONTRACTOR. TME FWMMSOWNSR iS MY
REIPONSAKA FOR H{ OR HER OEDUCTAILS AND RM ACEWNT COST P Aid ACTUAL CASH POLICY CS IN PLACE €Y REFERENCE T14E AD,iIIBT M REPORT A,1Z ESiAWE THEN
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? CONTRACT FOR SER%IMM,. TLE PAYMENT FOR WTBCH SHALL RE ^E FROM TW PROC "D5 OF A ER?Y PISLRANCE CLAW W TK41'4
"ROM TWA I.7REii TFkA?Tiff CEAl161S LtEA�O Si fGi.E #<. PART'W E:+ Tff 3RES RIC F -W HIS OT KIR DEOXTWdE. AT T &Ws ,� .`FZATIQ%OF REPLACEMENT OW
oL
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:df:POyiT Mn" 72 NOVAS AFTER ENTERING THE CONTRACT.
ROOFING AND EXTERIORS SHALL HOLD W TRUP ANY R#YYIE i TM PROPIRTY R UNM THE CONTRACTOR HM OELNYERED THE R0040040 MATERIALS TO
T4ffi.M WTE. OR A" PEWOOM A W"ORITY OF THE ROOFING WOWWQTY.
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3745 W. 73'$ Avenin, WestminstsT, CO $0030, Ptvone: 343.895.795$ . 888.841.4377
e-mail: mfo@tousbergOontraeting.eorn
i CITY OF WHEAT RIDGE
91
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 12 b U) f
Permit Number: .-T C �'?' iJT -7 14
❑ No one available for inspection: Time >' ( AM/PM
Re -Inspection required: Yes Nva'
When corrections have been made, call for re -inspection at 303-234-5933
Date: ! ` �P-7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE _
Inspection Type: %4 1 )?/
/j �,
Job Address: uo 1 C 4 a 1 e
Permit Number: ` 0 7U T776
❑ No one available for inspection: Time AM/PNS
Re -Inspection required: Yes Iv
When corrections have been made, call for re -inspection at 303-234-5933
Date: `.l_ Inspector:
DO NOT REMOVE THIS NOTICE
11:59 P.M.
I; 111�111 111111 iiiiiiiiiiijiiiiiiii iiiiiiii
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•
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Add ress: '2111 c' T
city state, zip: M .�� a h d
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Contractor. OWWF A.
Contractors City License #: Phone:
Contractor E-mail #.
• k
Complete all Informati
R .- MOM • . 1•
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std. FmF Btu's
Squares AMPS
•
Project Value* (Contract value or the cost of IdLmaterials and labor included in the #aft project)
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1 / f itv of WhPat RirlaP
o~ NIarR City of Wheat Ridge Building Division Date: o' /
f lD -axt .
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan L1(11,-(nq(?
eoraRpoa Inspection Line: 303-234-5933 Permit#:
Building Permit Application
m Soot C-k cL&r- St-.1 i-4J Le n , c.o 1i021y
Property Owner (please print): S mcC its R- S Ga-rclyctu Phone: 305 -5S -L - $`Lc
Mailing Address: (if different than
property address)
Address: So mei
City, State, Zip:
WMINI: Se.L~
Contractor License
Phone:
A nt w ,
Electrical City License
Plumbing City License Mechanical City License
G
Company:
Company Company:
n
Exp. Date:
Exp. Date: Exp. Date:
Approval:
Approval: Approval:
Use of space (descri tion): -kA&r t- i K S}atLo.4ter Construction Value: $ S2$, o0
fttO
(as calculated per the Building Valuation Data sheet)
t .(•-Q.ytLC. 'ice cvrj~lvu
t, Plan Review due at time otsubmittal:
LtJ,\.V- w/ UJ0&a&vt ~S+s.
Sq. Ft./L.Ft added: 1414 Squares
BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT.
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE.,:< 1 (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: S4aceq Sco, fc ye-tA.l SIGNATURE: z"ua/ "V ICi Date: T 1 S CdJ
I
I
wo,
r
l~PARTMENT OF PLANNING AND DEVELOPMENT
-BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Jilding Permit Number: 8459
Date: 1/28/99
Property Owner:
Property Address: 3001 CHASE ST
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 908-4678
Phone:
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$1,500.00
$54.00
$0.00
$37,50
$91,50
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (V. B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Use:
Description:
Tear off 2 layers and add 1 layer of T-Ioc to entire residential roof
BUILDING DEPARTMENT USE ONLY
---
Approval:
Zoning:
SIC:
Sq. Ft
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty~four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job. . . . . . . .
(6) The issuance of a permit or the approval of drawings and speCIfications shall not be construed to be a permIt for, nor an approval of, any violation of the provIsions
:p,Uil ' es or any othec ocdlnance, law, cule oc regulation,
Chief Building Inspector
THIS PERMITVAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234.593324 HOURS PRIOR TO INSPECTION
D':PARTMENT OF PLANNING AND DEVELOPMENT lilding Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 A PPl \ C.(\, I D N
Property Owner: L-~A;-J:> \+U~rV:.I\-
Property Address: -;>00 l~S~ 6
Contractor License No.: Lu ~^"z.~) ~. '{; 0 'J-\;
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone :q 0'-( J.-~ Co l ?5
Phone:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe~. idge ordinances, for work under this permit.
Construction Value: t SO-c::" (J"D
Permit Fee: S'-{. DD
Use Tax: 37, s-o
Total: SO
(OWNER)(CONTRACTOR) SIGNED
Description : ~
(\.~ /\1.. '
~
DATE Use:
1-:J.'i;--i'1
\~fYY,Q _./ ~ curcj d
add (
J- LaJ '
BUILDING DEPARTMENT USE ONLY
?:~~
Approval:
Zoning:
f!I!!.!iI!f!mYomments:l
Approval:
SIC:
Sq, Ft.:
~qm...R:lW~~ommelJlSiI
Approval:
Occu pancy :
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date :
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued In accordance with the provisions set forth in yapur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Rjd~e. Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 da):s.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made In the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building 'nsfector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases 0 thel'Ob.
The issuance of a permit or the approval 0 drawings and specificaUons shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
(1)
(2)
(3)
Chief Building Inspector