HomeMy WebLinkAbout3945 Ingalls StreetPage I of 2
The City of Wheat Ridge
Third Party Form Check List
Property Address Vim'
Permit Number 20
Permit Issued Date lre�l - za
Owner Informabon
Property Owner Information
Property Owner Address_
InseRctor Information
Inspection Company
—,_ crMania"
Name 1
Inspector Contact info.
C4.0 M"191=
lnsriectnr Statement and Acknowledgement
" 1 Nearby acknoowtedge the roof I am inspecting is 6112 or over. All roofs
that are under 6112 must be inspected by the City of Wheat Ridge Butding Dept.
=1 hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 20121RC and 2012
IBC as well as all of Wheat idge P licies and Procedure and Manufacturer's
recommendation a d spe
Inspector. Date:
Prove& caner Statement of Acknowledoement
"I hearby acknowledge that I am the owner of the building referenced above and 1 give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat i ge uildin Derision inspection.
Propery OwnerlAgent: Date ij
l� f 17
This original document and permit card, as well as ttie roofing check list. must be submitted tc
the Chief Building Official w,iffiri seven days of the final inspection
Drop off in person
Permit counter 2nd floor
7500 W_ 29th Ave
Wheat Ridge CO 80033
Draft Date_ 7/26117
Page 2 of 2
The City of Wheat Ridge The City of Wheat Ridge
inspection Checklist Notes Inspection Checklist Notes
MID -ROOF FINAL
Yn
Cnmnanv Name,.
Inspector Signatt
Date of MID-RO(
C-elmnanv Namp- JRA CONSULTING,
Inspector Signature: 'eL INV -
Date of FINAL Inspection: 4-i- 6 - / ?-
Rog% Inspection
t *-vA
�#+—
D Fall
[I Fad
Structural roof components
r I rail
Verify that no more than 2 layers of shingles exist
t I
Flashing for roof and walls
E]
If new sheathing is installed v" that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathings nail pattern (See Policy & PTocedures)
,-7- NJA
lj mass
Ll r'J
Crickets and saddles where needed
F1 KjA
Verify 9 vent must have boot same gauge as pipe
Verify vent caps
Verify no flashings are damaged or rusted
LJ Fad
Step flashing shall be min. of 4x4 piece per shingle
F_J r.,i;
Verify scuppers allow for proper drainage
f_J l`4!A
El F&I
Ice and water shield Zin heated wall spaces
C] U..' A
C rjo
Underlayments must follow 2012 IRC 12012-14�C
El .41-k
F -1 Fail
Verify roof slope for proper drainage
EJ KJA
LI r.ii
Dripedge shatl have min of 2" overlap
L I WA
Dripedge should extend dovm min 2- past roorf deck
K -'A
nay.
El Fivil
Dripedge shaH be mechanicaly fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min, slope of
1-12
F1
Modified Bitumen. EPDM, TPO min slope 1/4--12 slope
i�
raft
Above root insulation R-25
FaiP
Below roof residential R-38
[7� r.a
Below roof commercial R-32
pavs
F411if
Modified Bitumen, EPDM, TPO min slope 11*12 slope
must be installed in accordance vdM the manufacturers
specifications- Must have manufactures letter of
�Met&l �Ro
warranty with the address on the letter for final inspection
f Shin
les Requirements
ra's
fa''
Metal roof shingles shall not be installed on slope less
3:12
El wA
F.'z
Metal valley flashing shall be the same material as roof
F-1
1 f'o
Metal valley flashing shall extend a min of 8" from the
centerline with a min- of 314 - high splash diverter
rib buiK-in at the flow line with se4--t"s overlapping a
�ofs
a min- of 4"
Tithe R Reg ug
rail
Clay and concrete tile shall have a min 2-112-12 stopp.
Siopes 4:12 and under require double underlayment
Cnmnanv Name,.
Inspector Signatt
Date of MID-RO(
C-elmnanv Namp- JRA CONSULTING,
Inspector Signature: 'eL INV -
Date of FINAL Inspection: 4-i- 6 - / ?-
INSPECTION RECORD
Inspection online form: http://www.cl.wheatridge.co.us/inspection
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 MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT:- &&/q6gge`�/ ADDRESS: `;�S nQ�.l(c JOB CODE: _r -P- -
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
,
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
,
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: o?Lly ADDRESS:`1f��c JOB CODE: rgtS:
C
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
p
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
p
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works"
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection'
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
City of Wheat Ridge
Residential Roofing PERMIT - 201708484
PERMIT NO: 201708484 ISSUED: 10/20/2017
JOB ADDRESS: 3945 Ingalls ST EXPIRES: 10/20/2018
JOB DESCRIPTION: Residential Re -roof to install IKO asphalt shingles - 27 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)424-4731 SANDUSKY LYNN
SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,939.00
FEES
Total Valuation 0.00
Use Tax 145.72
Permit Fee 156.75
** TOTAL ** 302.47
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
" Residential Roofing PERMIT - 201708484
PERMIT NO: 201708484 ISSUED: 10/20/2017
JOB ADDRESS: 3945 Ingalls ST EXPIRES: 10/20/2018
JOB DESCRIPTION: Residential Re -roof to install IKO asphalt shingles - 27 sq Pitch = 4/12
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 property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that a11work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
t0
Signature of OWNERS CONTRACT ircle one) Date
I . This permit was issued ba on t e mormation provided in the permit 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 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 changeof 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 grantingQLa 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 r in ce or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
BEST!
44M.�r.
7332 South Alton Way, Suite 13K
Centennial, CO 80112
Office: 303-691-5035
Fax: 303-265-9725
Customer
&N,4
N44
Ziptic
ROOFUNG CONSULTANTS
APEXDENVERROOFING.COM
Street �Li 1'L�_P Y VkJW
city t. ' r * i • :ir
• I l/.i7�I11ell
SPECIFICATION
❑ Mfg. of Shingle-- h Q
❑ Style / Color C1 b e_ - K
❑ Warranty 'm
❑ Valley a B Vents
❑ Drip Edge 2x2 1A Color h6 -j
❑ Drip Edge. 2x4 Color 1
❑ Layers 2 Story J
❑ Chimney FlaPipe Boots i
L1 Bath Vents sh Stepflash
❑ Ice & Water Shieldbi,Rows
e
L1 Modified Bit Colors -_
❑ Decking 1/2b SBS 1�4
❑ Skylights: How many? a A Size t
❑ Permit Furnished: [A Y ❑ N
PAYMENT SCHEUDLE
% Contract Price Due Upon Signing
Balance Due Upon Completion of Each Trade
BEST
Date
Consultant
Estimated Start Date &'O Finish
Number of Squares
Agent
SPECIAL INSTRUCTIONS
dez*14,,- 1�
Tax 4, /d }
Permit !�
Overhead/Profit
TOTAL �✓
*PLUS PERMIT AND SUPPLEMENTS
INITIAL
Terms: This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and is subject to insurance company approval. This does not
obligate client or Apex Roofing Consultants, unless repairs are approved by homeowner's insurance company. By signing this agreement the
homeowner authorizes Apex Roofing Consultants to pursue homeowners best interest for all repairs at a price agreeable to the insurance
company and Apex Roofing Consultants at NO COST TO THE CLIENT, EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price L4 V
agreed on between the insurance company and Apex Roofing Consultants shall become the final contract price. The specifications TNITIAL
are set out herein and on the reverse side hereof to accomplish the replacement or repair. Apex Roofing Consultants is hereby authorized to
perform at their discretion all insurance prescribed repairs for the price of full scope of insurance proceeds agreed upon by my insurance
company and Apex Roofing Consultants. The terms and specifications stated and special conditions are accepted.
THREE DAY RIGHT OF RESCISSION:
I have hereby been notified that I may cancel this agreement at any time prior to midnight of the third business day after the
date of this agreement.
ACCEPTED BY DATE:1'T CONSULTANT: --��" DATE: ——`
VERBAL COMMITMENTS WILL NOT BE HONORED AND MAKE ALL PAYMENTS TO APEX ROOFING CONSULTANTS.
THIS AGREEMENT CONSISTS OF THE FRONT AND BACKSIDE OF THIS DOCUMENT. CLIENTS RESPONSIBLE FOR
H.O.A. OR COVENANT APPROVAL FOR SHINGLES.
*Insured by Pinnacol, Policy #4165472
W`�
Dane Lovett 2 o ) 70
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, October 19, 2017 4:12 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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
L
Property Address 3945 Ingalls Street
Property Owner Name Lynn Sandusky
Property Owner Phone 303-424-4731
Number (enter WITH
dashes, eg 303-123-4567)
37
N
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Contract Sanduskv.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Apex Roofing Consultants
100355
303-691-5035
Contractor Address 7332 S ALTON WAY ST 13K
(Primary address of your
business)
Contractor Email Address apexdenveroffice@gmail.com
Retype Contractor Email apexdenveroffice@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 27
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
5940
No
Pitched roof (2:12 pitch or greater)
38
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof.
Type of material for the
PITCHED roof.
4/12
27
IKO Cambridge asphalt shingles
Asphalt
Provide any additional Tear off to decking replace 27 squares with IKO Cambridge
detail here on the asphalt shingles
description of work. (Is
this for a house or
garage? Etc)
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
39
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Catherine Porter
Email not displaying correctly? View it in your browser.
40
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 10 - 12,7 , r�
Job Address: 9 N S::: Tn 4 -
Permit Number: a o r 19 R N t -I
r
❑ No one available for inspection: Time VD: = Sl AM/M
Re -Inspection required: Q No
When corrections have been made, call for re -inspection at 303-234-5933
Date: n -a q //-7 Inspector: -1—b
DO NOT REMOVE THIS NOTICE
JIMM,
(Completed highlighted areas)
111 lip !I, piqpIppillip I@ ppi�ii
Plumbing:
City License # City License #
WE=
(Fully describe work to be perfOMOd . Attach additional sheet If necessary)
•
M
MEMO
I SUILDO
Q.
Date:
Plan #
UEM�
MMPQ��
M3
Building Permit
CITY OF WHEAT RIDGE
7500 Wesl29TIl Avenue
Wheatridge, CO 80033
303-235-2855
Permit Number
19269
9/28/2005
Inspection Line
303-234-5833
Residential Mechanical
PROPERTY 3945 Ingalls St
OWNER: Lynn Sandusky
Unit:
(303) 947-2260
Description
Replace existing boiler with an 80K BTU 92% uui!.
I
IPaid
1$53.10
1$108.30
1$161.40
1
1
IPhone
1000431-8015
IFEES
IFees
IUse Tax
IPermit Fee
ITotal Fees
I
ICONTRACTORS
IName
IAaark Heatin{:1 & Air Conditioni
I
IDue
1$53.10
1$108.30
1$161.40
1
I
ILicense #
119402
f'
\ BOILERS I FURNACES/!. MINIMUM OF
...WAT!;R HEATERS A MINIMUM OF .60 ENE
...._~WATERH~.:.!..~RS.... ,.A. M. INIMUMOR. t~.Q'
.-.-".. THERMOSIATREQUIR/:D(I;l<CEP ..
R-2t WALLS -,,48 CEIClNGS' ;,. 'it.D
Units:
Occupancy:
Walls:
Roof:
Stories:
Sq Feet:
I hereby certify tbat theset,back distances proposed by thl!i permit applieationare ae<:urnte, and do not Violate appllcableordinances, rules or regu1i1ii~n5, ofthe City of
Wheat Ridge or covenants, easements or restrictions of record; that all measurements shoWJl, and allegations made are accurate; that I bave read and agree to abide by
. all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat RldgeBuilding Code (U.B.C.) and aU other applicable
Wheat Ridge ordinances, for work under this permit.
SIGNED DATE
(OWNER)(CONTRACTOR)
2
ThispeniIit was issued in accordance with the provisions set forthiD your application andlssubjeCt to the laws of the' StateofColoradoaud totbeZoning
Regulations and BuildingCode of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This pewlt shall expire if (A) the work authorized is not ciJmmenced within siXty (60) days from issue dateor (B) thebuflding authorized iHusp'endedor
abandoned for a period of 120 days.
If this pennlt expIres, anew permit may he acquired for a_fecof omi..halfthe amount nonnally required, provided no clUmgt's have been orwill be inade in the
original plans and specifications and auy suspension or abandonment hasnote~~eeded one (1) year. If changes arc made or ifsuspension or,a~andonment
exceeds one (1) year, full fees shall be paid for a new pennit. '
3
4
,
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 Inspector twenty.four (24) hours in advance for all inspections and shall receivewritteuapproval on inspection canlbefore
proceeding with successive phases of the job.
The issuance ora pennlt or the approval of drawings and specifications shall not be constnied tobe a penriit for, noranapproval of, any violation of the
provlslonsofth odes or eror law,ruleorrcgulatiou.
SIGNED DATE
6
Chief
Wednesday,September 28,2005
Pagelof 1
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: ~.rIltt ltM
Property Address: '3'llf)' i~ ~ Phone: CJ(L{11J.1,O
Contractor license No.: ~1t&.1 f,(QI.{IJZ
Company: kvoII;... ~1.:r M [ Phone: Lj~l Y Vi)'
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee :
7J1
ilOZ'30
Use Tax: --.i23 ~{)
Total: ~JhlL.ff)
I hereby certify that the setback distaneel proposed by this p.,rmitappllcation are accurate.
and do not violale applicable ordinaneel. 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
SllIlIIcatIon. and that I assume full responsibility for compliance with the Wheat Ridoe Buiiding
---. COde (U.B.C.) jjJ\d sll other applicable Wheat Ridge ardinaneel. for work under thii po,,"i!.
(OWNER)(CONTRACTOR) SIGNED ,r c~ DATE3/ZZ/(J(
Description: 10
c.a UI5/t?, . WUIW vi Cl ~e.-('L1 tjL f, u.1-h
BUILDING DEPARTMENT USE ONLY
Approval :
, .' 1'- < j' i "~ ~ , ,', "II! 11" .l.!J.:;.r
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential Units: .
'i n" :!?iumbing License No :
Company:
Mechanical license No :
Company:
Electrical license No :
Company:
l:lwilJltio_n .Oale :
Approval:
.
~irqtiQILOate.:. .
Approval:
.
1~-i[J.H :"{.f>tlj'\ '",' ,
Expiration Date:
Approval:
.
:~
.'
(1) 1bia parmit _ _ In _ with the ~ III forth In yopur oj>pIi<:stlon and is IU_ to the IawI of the Stale of CoIo<ado and to lhe Zoning
RoguJallons and IluIIdIna Coda 01_ Ridaa. CoIo<ado '" ony _ sppllcable onllnancu of the City.
(2) 1bia parmit _ Olqlira W (A) the WOItt au1hofIiad is not_ within IIx\y (80) dayl from iIIue dale '" (B) the building authorized is IUlponded '"
_ lor a period 01120 days.
(3) U lhiI parmit axpIiM. s _ parmit may ba acquIrad lor aIM of_the amount nonnaUy roquirad. provldad no chang.. have boon '" will ba made In lhe
orlgInaI plana and opocIl\catiollland ony __ '" IIbsndonnwd haI not_ ona (1) yaar. If changaI ore made '" n _ '" _ment
__(I))'OW.ruu__bapsldfora__
. {4.l He WOlk of IlfI manner IhaU be done tMt wIU ching. the nIIbJtaJ flow of water caullng . drainage problem.
.. ( Connctar IhiI notify the BulIdUIg In&pICIOI' Iwenty..four (24) houra in advance for In Inapedlona and ,hall receive written approval on inspection card before
_with_p/laIOI 01 the lob. .' . . .
(6) The IIIulri:e of I permit or the ~ of dtlwingl and specifications shaD not be construed to be a permit for, nor an approval of. any Violation of the proVISIOnS
01 the building codal '" any _ onl_.Iaw. rule '" regulation. .
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
I
i