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Home My WebLink About3785 Hoyt StreetINSPECTION RECORD 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 j Occupancy/Type 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 Annroval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service 11 Plumbing no Not Cover Underaround or Below/In-Slab Work Prior To Aaaroval Of The Above Inspections Rough Inspections Date Inspector Initials Comments I Sheathing �g F 11 ?� Mid -Roof 7/11 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 rougn inspections are compietea trom the rare uistnct ana eiectncat iow voitaye by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i „CITV CfF*HEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 2.O/'-70 ❑ No one available for inspection: Time/ AM/PM Re -Inspection required: Yes,,,/,,No When corrections have been made, call for re -inspection at 303-234-5933 Date: r-lz ` % Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax IN PECTION NOTICE Inspection Type: ) O Job Address: 3 I-16 K7 -S Permit Number: _ (�/`� Q C/KZ14' Li No one available' for inspection: Time AM/PM Re -Inspection requiredf-` Yes,,,, -,/'No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' Inspector: I,..� "1" , DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time �� J J AMM Re -Inspection required: Yes (No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: � DO NOT REMOVE THIS NOTICE ► s City of Wheat Ridge �( Residential Roofing PERMIT - 201704899 PERMIT NO: 201704899 ISSUED: 07/26/2017 JOB ADDRESS: 3785 Hoyt ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install oWENS CORNING TRU-DEFasphalt shingles with re -decking 17 SQ REROOFING THE HOUSE 4/12 PITCH *** CONTACTS *** OWNER (303)467-9762 MAYO CASEY E SUB (303)937-7000 William Brown 160142 Colorado Superior RFG & Const. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: , 7.a,3 FEES' Total Valuation 0.00 Use Tax 119.64 q� Permit Fee 140.90 ** TOTAL ** 260.54 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201704899 PERMIT NO: 201704899 ISSUED: 07/26/2017 JOB ADDRESS: 3785 Hoyt ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install oWENS CORNING TRU-DEFasphalt shingles with re -decking 17 SQ REROOFING THE HOUSE 4/12 PITCH 1, 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 o operty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I er attest t at I am legally authorized to include all entities named within this document as parties to the work to be performed that all wsr per 0r disclosed in this document and/or its' accompanying approved plans and specifications. -7 Z i Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information 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, po Flans 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 Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 18, 2017 2:00 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 3785 Hoyt Street Casey Mayo 3039377000 jessicat@coloradosuperiorroofing.com 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 Colorado Superior Roofing Contractor's License Lakewood Number (for the City of Wheat Ridge) Contractor Phone 3039377000 Number Contractor Email Address JessicaT@ColoradoSuperiorRoofing.com Retype Contractor Email JessicaT@ColoradoSuperiorRoofing.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing Owens Corning TruDef Shingles 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 No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 17�\ roofing material for this project Provide additional detail Re -roofing the house, 4.12 pitch, 17 squares. here on the description of i work. (Is this for a house or garage? What is the roof pitch? Etc) r Project Value (contract 6 .0� 0 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 Jessica Thornton Email not displaying correctly? View it in your browser. 3 INSURANCE Colorado Superior Roofing & Construction, Inc. INSURANCE OWNER ADDRESS HOME PHONI CSR REP NAME 950 Wadsworth Blvd., Suite 306, Lakewood, CO 80214 PHONE SCOPE OF DAMAGE — INFORMATION IN BOX FOR INSURANCE PURPOSES ONLY Approx Start Date: W4 SCOPE OF LOSS ADDITIONAL DESCRIPTION (if necessary) QUANTITY Tear Off Shingles (include # of layers) Tear Off Shake Roofing Re -sheathing (OSB) Shingle Manufacturer Shingle Color Ice & Water Shield (if pre-existing) Drip Edge (color) Turtle Vents Broan Vents (4", 8") Pipe Jacks Skylights (#, style, length, & width) Chimney Flashing (length & width) R&R Gutters (color, LF) R&R Downspouts (color, LF) Siding Type & Color Fascia Type (wood, metal) Antenna/Satellite Paint (type and color) Windows Window Screens Soffit Overhang (LF) " q Additional Info or Instructions:ram �, t7, The price for work contemplated in this Agreement, based on the damage known as of the date of this Agreement, is estimated to be $ 9 � ,?tom>f J Any payments made by credit card will be subject to a 3% convenience charge. Regardless of the amount written above, this contract is for the FULL SCOPE OF INSURANCE PROCEEDS FOR THE WORK ACTUALLY PERFORMED by Colorado Superior Roofing & Construction, Inc. ("CSR&C) and includes items related to such work like dump fees and material taxes. Neither you nor CSR&C is obligated hereunder unless your insurance company approves the work at a price acceptable to CSR&C. By signing this contract, you authorize CSR&C to pursue all repairs at a price agreeable to the insurance company and CSR&C at NO COST TO YOU EXCEPT FOR THE INSURANCE DEDUCTIBLE (subject to the paragraph below)_ The final price agreed to by the insurance company (including any supplements and overhead and profit related to work performed by CSR&C) will become the final contract price. PLEASE NOTE: If you have an ACV policy or do not have code upgrade, then you may be responsible for paying out of pocket for certain items like replacement of decking, fascia boards, soffits, or other items. Also be aware that if you have non-recoverable depreciation in your insurance scope you will be responsible for paying that amount in addition to your deductible. Please talk to your insurance agent about your policy coverage. CSR&C js happy to assist with this- just ask. Roof (and gutters if applicable) ACV + Deductible Deposit Due at Material Delivery: $ 1 ? C� UE' Initial 1&245`7'8 For each of the other trades (windows, siding, painting, stucco, etc.) a deposit equal to the ACV amount for that trade is due when that trade is scheduled. The balance of the total contract amount (plus any supplements related to roof, gutters or any other trades performed) is due once all work is substantially complete. A(, \ ADate of Current Insurance Scope: , Line items to be performed: t f You have the right to rescind this Agreement and receive a full refund of any deposit within 72 hours after the later of (i) entering into this Agreement or (ii) receiving written notice trom your insurance carrier that your claim has been denied in whole or in part. Colorado SB 38 and CRS 18.13.119.5 prohibit CSR&C from paying, waiving or rebating any portion of your insurance deductible. It the roof does not pass inspection, CSR&C will promptly;fik any problems to ensure the roof does pass inspection. However payment is due at the time the work is complete and is NOT contingent on final inspection schedule. Initial` You agree to provide CSR&C with all information related to this claim, including any updated insurance scopes or approvals. You hereby grant CSR&C and its agents authorization to speak with your insurance company and mortgage company about this claim and authorize your insurance company to share all documentation with CSR&C related to this claim. These terms and those on the reverse sifie hereof are accepted. Ap pa ents by you for work perfor d a e to be made directly to CSR&C. ACCEPTANCE BY HOMEOWNER/BUYER ! j' -t =fix`_ g CSR REP: A✓ City of Wheat Ridge Residential Electric PERMIT - 060117 PERMIT NO: JOB ADDRESS, DESCRIPTION: 060117 3785 HOYT ST Service upgrade 125 Amp 240V ISSUED, EXPIRES, single phase 03/21/2006 09/21/2007 *** CONTACTS *** gc 303/692-9663 owner 303/514-3536 01-9970 Destiny Electric Service Larry Colley ** PARCEL INFO ** ZONE CODE, UA SUBDIVISION: UA USE: BLOCK/LOT#: r-3 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION, FEES 54.37 .00 19.80 74.17 1,100.00 ** FEE SUMMARY ** Comments: Must comply w/ 2002 NEC 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 (l.B.C) and all other ap ,Ie Wheat R r~inance8, or work under this permit. Pans subject to field inspection. - ~ ( ....-. c .'l 6, This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 180 days. 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 have been or if suspension or abandonment exceeds one (l) 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 Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. The issuance 0 a perm~pproval of ,drawings and specifications shall not be construed to be a permit for, nor an ~lation of~ prov~s~ons of the bu~ld~ng codes or any other ordinance, law, rule or regulation. w ?7!~ in'pection', 1. 2, 3, 4, 5. Signature of Chief Building Offical date INSPECTION REQUEST LINE: (303) 234-5933 BUILDING OFFICE: (303) 235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY, COMMUN'TY DEVELOPMENT DEPARTMENT BU'LDING INSPECTION LINE - :j03-234-5933 CITY OF WHEAT RIDGE. 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPUCATION Property Owner: /....CW'r;::{ C.e Ii €'1... ' Property Address: 37'?v Hey f 8 f, (.Uw...,fyl~O,j<- g'cm3, Contractor License No,: I ere; 70 Company: '{;'k'Ohf/. y Zbc.';-yt'c [h./VIDl_ Building Permit Number: Date: Phone363--af4- .35"3(c Phone: gog-fo'}Z~9(P&7:> OWNER/CONTRACTOR SIGNATURE 'OF UNDERSTANDING AND AGREEMENT BuildinCl Dept. Valuation Figure: $ II m ~ . 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ord,inances, 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. (OWNER)(CONTRACTOR) SIGNE~f~..,MAItd J>f,.TE 3!Z.J,0b (OWNER)(CO~CTOR}:PRINTED vJ ct.C(.rcfR~ATE'. USe of Space (description): S{~'3&- h'rl1/Iy~jfr"!3 Description of work: <7 U fL 125~ --J l{O I Iff oeYlIi'CL 'fI9Yutxe- 'A ^ v r Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ Sq. Ft. added () BUILDING DEPARTMENT USE ONLY SIC: Sq,Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: kJRE DEPARTMENT COMMENTS: Approval: . Occupancy: Wails: Roof: Stories: Residential Units: Electrical License No: '~9 7D Company: flehft~ 'iR.l fr'lc- -YV t' <:R.. Expiration Date: Approvai: Piumbing License No: Company: Mechanicai License No: Company: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was issued in accordance with the provisions set forth in yciur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. '. This permit shall expire if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. If this permit expires, a new permitmay be acquired for a fee of one~half the amount normally required, provided no changes have been orwill be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1)year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora 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 Inspector twentywfour (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successIve phases of the job. 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 ofthe bullding.codes or any other ordinance, law, rule or regulation. All plan review Is subject to field inspections: (1) (2) (3) Chief Buiiding Official DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-875 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :5/2/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: RONNING LISA Property Address: 3785 HOYT ST Phone: 467-9762 Contractor License No. : 18023 Company: Schroeder Roofing Metro Phone: 444 3538 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Use Tax: I hereby certify that the setback distances proposed by this pannit 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 a9ree 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 Wheat Ridge ordinance, or WO~ er this permit. (OWNER)(CONTRACTOR) SIGNED DA Total: $1,495.00 $35.00 $22.42 $57.42 Description: REROOF BUILDING DEPARTMENT USE ONLY Approval: Occupancy: Walls: Roof: Stories : Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: . Expiration Date: Approval: II Expiration Date: Approval: Expiration Date: Approval: II (4) (5) (6) 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. 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. If this permit expires, a new permit may be acquired for a fee of one-hatfthe 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 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. 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 of the building codes or any other ordinance, law. rule or regulation. 6L'&r/f Chief Building Inspecto THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (1) (2) (3) 1fB~~] ~AY-e2-95,TUE 106.-57 AM SCHROEDER 3e3 344 0922 P.05 /}'-l1B Properly Owner: Property Addr." : ConllilClor License No. : CoMpany: L.LJ~\~ rpll~oI!otfCI7_9&-r- 3"786:. ~1~ ..s:-r- /6023 '5C,. "Ro.eLUr- (l.t:n~ I~Gr PhOne: 4~J ~97([,7. Phone : .!::I t./ l,.{ - -~,,~ eMEN'r COIl,INdion Value : I 'f9,s- I -... Permit Fee : 35co-t/ IlRldolOl ...~ u.e Tex : ;1':;2'J d- 8ulll"" ... permit. ToIIl: -:, '1.l(d- 5" /-Qr t:i OWNEoHIC()NI HACl Oft $IGNATUFlE OF UNDERstANDING AND AGAE '1Ie11lby CMI,1y I~ 'Ile $<lIb.ok ditllllCCt ptGflCl'Od Ily l~" ..,",il .~.... ..... do "'" \110"" apploCJble O/don',,"o. ._ or lC1lul."o~' 01 'he Ct\J 0' WIll C6Vtf\I"'''. t:ilUmtl"" Of n!'IttiC=-~ of rl!conI. ""t ... N,nui'emems ,hcNm. MIl IMdt fl'1 Iccur~lt. 11\111 t\ave r.... and q~ to abidt ... .11 condiliOn\ Drin1H on , , C~I""bOl', ."" Ihll I ...ume "'" reopon.iOlIIy ... compIlOnc.e w~~ 'Ile w....Il\ldlIO lIdO 1Il11,C lond all "'.,.. .pplU.... _.. FliclGO """~.nc..., 10' W.r'< u'- /.v.fl tZ DATI' . IOWNER)(CONTRACT()1I1 SIGNEO - OOSCflpllOn ~ ,- BUILDING DEPARTMENT USE ONl-Y "''''.~!J'tI~ Approval: Zoning , BmllllllfliROSJlOlfnl&'ji Approval' ~i1'.P:!liilfI-qJ*':! Appooval I OccUjlilncy. Walls: Eleclrlcall.c:enso No ' Company' Rool: StorieS: R8$idenIIII UflII5 : Plumbing Licenao No : Company: Mec/lIfIIcII LIoenII No : .~: ExpirallOll Oil. ExptlilllOt'I Dale: ElqIiratiOn D8 : APprcwal Appro.al . ~a1 ; ~ lI::..ns{Uq1l1re.ll'- .J ~'lal,1s Rarl'U\rc-" · I" .......""....,......,"'aoo:.ClO_IIIilI1...............,....."fVIl\I:. _.....=...""'....._t1~........""*" ~.....,""'.""."'..'"IlGIlOO..YI'lO.,Riloj< cooor-....,.....~~_.. c;ey. . m ,... .....N1..... ...... . !A) ......... AUI_.... "'" ___....... ~ ""'.... """- doII.II\...-........................ ;II'*"dOned IOf I "flOCl 011 '~~. 1'1 ..........,....,..,."'" .....,..._......".oI..................._......"...-...___....._il... "''9'............ '1''',....,........... __'" ...."..........."" ~ ...111.... . -- lit -.... . .......-1lI II!'KCcoed'Otltf1)yca, 1ul1aatllllMptldWI Mwt'PCIlI'lll (') ~Q WClI\ tll NW Ill.:a.'II~1 s.twllbl' dont I\M'" CI\angt 1M "ill\ll~ ncwtof"~. ~ ~ 1" .....".,w....",.."...,..._..'- _........',.,'''..'''.-.-....-.........----.......''''''- po'lCiIC'lIolll\l ""tlfl SUCC.tll'lowl pllHlrt ol"_ . . 101 T.............'.... f~'..'N ,.. ......... ",..__ ............. ........"'_.... ..........NII ..--"'..,-............... I>>Ilh,.I-'I.II',IoII' tIIJ(.~Ql a"'l"'I"CIf~ IIW 'w.. 1l~1"'1I' . -.." .-- Chi' '1'\lIll1mn Ir"5pc.~~'--- ---- ForM"yor IIl1!lI'IIlMII VALID ONLY Will N SIClNI1l8Y THE CHIEF 8UILDING INSPfCTOR AND MAYOR CAI L: 234.S9J3 24 IIC1URS PRIOR TO INSPECTION