HomeMy WebLinkAbout4050 Field DriveC _'61f 103 364
z�iosc �-'kfco I N S P E to a '?=CORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
V rW Sheathing
Mid -Roof
T
-
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.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
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.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Cuilding
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 Frnm Thp Wp;pthopr
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:
Job Address: o j- 0 - ' P
Permit Number: ?C, 7 0331,
❑ No one available for inspection: Time J j .+ l� /PM
Re -Inspection required: C* No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 7/Ir Inspector: rfl
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 201703364
PERMIT NO: 201703364 ISSUED: 07/06/2017
JOB ADDRESS: 4050 Field DR EXPIRES: 07/06/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Northgate Impact Resistant
Resawn Shake asphalt shingles with ROOF DECKING - 49 sq. (41 sq. pitched, 8
sq. flat)
*** CONTACTS ***
OWNER (303)421-1491 FRANK ALFRED J
SUB (720)446-7692 Erick Vera/Jonathan Feltwell 170266 Company Roofing & Exteriors
*** 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: 46,841.00
FEES
Total Valuation 0.00
Use Tax 983.66
Permit Fee 695.05
** TOTAL ** 1,678.71
*** 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.
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 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 all Work to be performed-is-disclos6d in this document and/or its' accompanying approved plans and specifications.
-7/)0))_7
Signat e .OWNER or CONTRACTOR (Circle one) Date
1. 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, 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 originalppermit fee.
3. If this permit expires, a new permit may be required to be obtained. [ssuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new pen -nit. 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
_
applicde or any ordnance 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of Wheat Ridge
Residential Roofing PERMIT -
201703364
PERMIT NO:
201703364
ISSUED:•
07/06/2017
JOB ADDRESS:
4050 Field DR
EXPIRES:
07/06/2018
JOB DESCRIPTION:
Residential Re—roof to install CertainTeed
Northgate
Impact Resistant
Resawn Shake asphalt shingles with
ROOF DECKING — 49
sq. (41 sq. pitched,
sq. flat)
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 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 all Work to be performed-is-disclos6d in this document and/or its' accompanying approved plans and specifications.
-7/)0))_7
Signat e .OWNER or CONTRACTOR (Circle one) Date
1. 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, 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 originalppermit fee.
3. If this permit expires, a new permit may be required to be obtained. [ssuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new pen -nit. 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 granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
_
applicde or any ordnance 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Kimberly Cook
?o3
From: no-reply@ci.wheatridge.co.us
Sent: Saturday, June 24, 2017 5:27 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
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 Jl
residential roof? V v � W ` hw'
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
4050 Field Dr. Wheat Ridge, Co
Alfred Frank
303-421-1491
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 Erick Vera
Contractor's License 170266
Number (for the City of
Wheat Ridge)
Contractor Phone 720-466-0066
Number
Contractor Email Address erick@companyroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
erick@companyroofing.com
Yes
CertainTeed Northgate IR color Resawn Shake
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 41
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✓
roofing material for this 4-1project
P]
Provide additional detail Complete Re -Roof for house 4/12 pitch.
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract $46,841
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 Erick Vera
Email not displaying correctly? View it in your browser.
3
8120 Sheridan Blvd. Suite C-320 Westminster, CO 80003
OFFICE: 720.446.7692
FAX: 303-427-5352
EMAIL: info@companyroofmg.com BE
WEBSITE: www.companyroofmg.com
DATE: 6
CUSTOMER: A L 'F2 A,tj b=
ADDRESS: A0.2D :ida v .
CITY \Ov aA OAv . Chi
F Ir�N
MANUFACTURER
HOME# 303 42
WORK#
CELL#.
EMAIL:
PROTECT LANDSCAPING, CLEAN SITE DAILY
® REMOVES t LAYERS OF ROOFING DOWN TO DECKING
a:s
REPLACE ROTTEN DECK AREAAT $ j 4 PER SHEET
�RE-DECK, IF REQUIRED, PER CODE
(ICE & WATER SHIELD'
.INSTALL DRIP EDGE: ®EAVES ®RAKES FITO CODE
Q INSTALL NEW VALLEYS: ;MOPEN WLOSED ❑TO CODE
mpNan y
Roofing & Exteriors
OF OF p(4V\(Cfgo .,`ruJ11�l MAx �`P
ter n e -" E-eSQw K
TYPE OFROOF
'/ COLOR
IM NAIL SHINGLES USING 6 GALVANIZED NAILSHINGLE
&RIDGE: �C) kA V I}Y-A,.-- E!
Q ROLL LAWN AND DRIVE WITH MAGNETIC SWEEPER
❑,RE-FLASHH:SKY.,LIGHT CHIMNEY RSIDEWALLS
LM` FELT_ 5,) h e -k f' C
NEW PLUMBING BOOTS I h
VENTILATION W Wyr0 CA
LOW SLOPE
❑ PEEL AND STICK MEMBRANE ,� A (�
®ROLLED ROOFING h U iif�, } G 6 ` ✓ w. -e, ✓t.
❑ EPDM ❑.45 ML (PULLYASH ) 6.60 ML (BALLASTED)
❑ rP0 ❑.45 ML (FULLYAsmmED) ❑.60 ML (BALLAs—)
❑ DECKING
❑ INSULATION
❑ TAPER SYSTEM
®REMOVE ROOFING DEBRIS AND HAUL i W�
MANUFACTURER'S WARRANTY: 1/�
LIEN WAIVER
COMPANY'S e 4 YEAR INSTALLATION GUARANTEE
R VISUALLY INSPECT INTERIOR FOR EXISTING WATER DAMAGE
49 NEW FLU CAP WILL NOT BE INSTALLED
iS DROP MATERIAL:
ORIGINAL SALE PRICE
(NOT INCLUDING ADDITIONAL INSURANCE SUPPLEMENTS RECEIVED. UPGRADES
OR ADDITIONAL WORK PERFORMED)
* SUPPLEMENTS:
* OVERHEAD/PROFIT:
* TAXES/BASE CHARGES: _
*DEDUCTIBLE:
INITIALS
INITIALS
INITIALS
INITIALS C -2 1V
INITIALS 4
*PLEASE REFER TO THE BACK OF THIS AGREEMENT FOR THE DEFINITIONS
NHSCELLANEOUS ,, l t' OF SUPPLEMENTS. OVERHEAD & PROFIT AND TAXES & BASE CHARGES. BY
®(�GUTTERS rr! 111 -Avv v A w N to N U)14Ve "kV -0 INITIALING ABOVE, PROPERTY OWNER AGREES TO HAVE READ AND
PAINTING V �� I'i) Vbt wit -A UNDERSTANDS THE DEFINITIONS OF ITEMS 13, 14, 15 AND 16 ON THE BACK
[]WINDOWS OF THIS AGREEMENT.
[]SIDING
PAYMENT SCHEDULE
DOWN PAYMENT
lsT CHECK
FINAL CHECK
OTHER FORM OF PAYMENT
DUE: AT CONTRACT SIGNING
DUE: DAY WORK BEGINGS
DUE: AT COMPLETION & SATISFACTION
DUE: (IF APPLICABLE)
AMOUNT: $
AMOUNT: $
AMOUNT: $
AMOUNT: $
CHECK #:
CHECK #:
CHECK #:
CHECK #:
DATE:
DATE:
DATE:
DATE:
DETAILS:
COMPANY ROOFING AND EXTERIORS LLC. WILL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING MATERIALS HAVE BEEN
DELIVERED TO THE JOB SIDE OR UNTIL THE MAJORrrY OF THE ROOFING WORK HAS BEEN PERFORMED.YOU THE BUYER WILL NOT ENGAGE ANOTHER
ROOFING SPECIALIST, OR OTHER CONTRACTOR TQ,REMEDIATE THE WORK COMPLETED DURING THE IRST VISIT UNTIL- MPANY ROOFING AND
EXTERIO
THE RS IS THIS � TQ�i�RESS ANY CONCERS. AS THE BUYER, YOU HAVE RE AND UND j ')'IM TERMS AND CONDITIONS
117
R DATE
COMAqY ENTATIVE DTE P PE
r
l j 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 o%
Job Address: C)
_f /' r
-'e l�
Permit Number: 2 1) 7 u3)bq
❑ No one available for inspection: Time (' V I/PM
Re -Inspection required: Yes to
When corrections have been made, call for re -inspection at 303-234-5933
Date: � W17Inspector: if /C
DO NOT REMOVE THIS NOTICE
i yj CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: (.dr _
Job Address: G1 L�5,C> ri C (b Ort
Permit Number: Z_01 (4
❑ No one available for inspection: Time AM M
Re -Inspection required: YesNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: J I ! Inspector:`,�!A
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: o% _f��
Job Address: U T -(_
Permit Number: Z X17 u3)&!:(
- / T=
❑ No one available for inspection: Time ` &I/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: 7?11/,/ r Inspector: h/c
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
18061
Date: 11/17/2004
Property Owner: AL FRANK
Property Address: 4050 FIELD DRIVE
Contractor License No.: 18464
Company: B & F Heating & AlC
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 3-421-1491
Phone: 431 8914
(OWNER)(CONTRACTOR) SIGNEO
DATE
Totai:
$8,593.00
$217.50
$0.00
$0.00
$217.50
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 Wheat Ridge ordinances, for work under this permit.
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
INSTALL 78,000 BTU FURNACE, INSTALL 21/2 TON AlC, INSTALL 40 GALLON WATEDR
HEATER, COFMAN ELECTRIC TO DO AlC HOOK-UP
ZQJIlQ'tQl)'l.lifS:
Approval:
Zoning:
Ifll:l~~
Approval:
JlllllllVi~""
SIC:
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:
Expiration Date:
Approval:
Expiration Date:
Approvai :
(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-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 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 issu ermitpr.,tha'approva~a. .f.draWingS and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
pr . on e bu. !1 codes or any ott1~Lordinance. law, rule or regulation.
~.- ~ <7~...
..,. "",.-
(1)
(2)
(3)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
18061
Date: 11/17/2004
-1\V
ZX?/\r~,) .:
CF\\\O
Phone: 3-421-1491
-~'----'
__ \..J,
Property Owner: AL FRANK
Property Address: 4050 FIELD DRIVE
Contractor License No. : 18464
Company: B & F Heating & NC
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 431 8914
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 Wheat Ridge ordinances, for ark under this permit.
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
$8,593.00
$217.50
$0.00
$188.12
(OWNER)(CONTRACTOR) SIGNE
e4' DATE
Total :-;AII"d3213.62
Use:
Description:
INSTALL 78,000 BTU FURNACE, INSTALL 21/2 TON NC, INSTALL 40 GALLON WATEDR
HEATER, COFMAN ELECTRIC TO DO NC HOOK-UP
BUILDING DEPARTMENT USE ONLY
~1Ifii1~tl;,
Approval:
Zoning:
.r~~
SIC:
Sq. Ft.:
Approval:
-U~'-'6YkSf-'::-""~
l'r' 'illlll!:uut _'JIIl._
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:
(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 10 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 (8) 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-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 n01 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 Build' spector 4 hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with succes . s of ob.
The issuance of a i e p: ~a' speCifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of th Y ~~' , law, rule or regulation.
(11
(2)
(3)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
Nov 17 04
10: 51a __ __ .._0" _'W.""'\.II1I" ".)~".l1S:'5
CITY OF WHE4T RIDGE
7500 WEST 29TH AVENUE
WHEATRIDGE,CO 80215 APPL\Ct\TION
p.2
Dale: /jI7~i/
Property Owner: III lid/? k .;j
Property Address: fJ 7y HeY VI
Contractor License No. : /<0 ?/?'f
Company: 13 J ~ N eoJi ()~ ~ID# 01../ 110)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
P,10ne;Jc:1} fZ/lf9/
Phone: :503 4-31 ~ I '-I
I hereby certify that the .etback distancea proposed by thl. permit application are accurate,
and do not violate applicable ordinances, rules or regulation, of the City of Wheat Ridge or
CDvenants. easements or restrictions of record: that all measurements shown. Ind allegations
made are accurate; that I have read and agre.e to abide ~ all co~dltions printed On this
appliCiltlon, and lnat I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and ali other applicable Whe .dge olOinan!>>., for wor!< undor Utis pe It.
(OWNER)(CONTRACTOR) SIGNE (J. 'A...i f DATE If, 'I Use:
r I r7 spll :? I ?Joo #1'& ~ trl1C2..CJL . /1
Description: --b7sk II . ;;? k hr; ,f/ c.. .7M 9-IrL11 /ftJr/~ /tiller 1f&Je'r
t af'~~ G-!cclr: c. -/vao' 4;t /ot7 ,eu~
Construction Value:
Perrrit Fee:
Use Tax:
879312-
,,::/7. 50
gr
? , ;5.::J
Total:
BUILDING DEPARTMENT USE ONLY
~~!!I.me~
Approval:
Zoning :
SIC:
Sq. Ft.:
: ~ :!.UL['~~wJ:lUil0':
Approval:
. I . "'~:.a;.ttA:~J.ul.u.,;,j.t~
Approval:
Occupancy :
Walls:
Roof:
Stories:
Resident;!11 Units:
'"
Electrical License No: /7!?75 Plumbing License No :
companrb~t0'7 E/eclr';c Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval ;
(I) This permit was isaued In ICCOldInce wtth the provisions set toM in yopurilPPlh::atlon end It IUb;edto me laws of the StMeof C?Iorado and to the Zoning
Regulalionsano Buikll"p' Code of Wheat RIdge, COknda Of any other applicable ordinance. or the CIty,
(2) This permit shall 8ltpire it (A) In. work authoN:ed is not torMlenced within sixty (60) d8Y' rn:wn issue dBte 0( (8) the building euthor1Zed is suspended Of
abandoned tor iI. peliod of 120 OIll.
(3) If Utis petmit expll1tS. · new permit may be lOQulred for. fee of onHla/f lhe amount ncrmally required, provided no changes tt.vt' bMn or will be mede in the
onglllal plans ana spedftc::ations Ind Iny MpenUon or lbandonment has not exceeded one (1) year. If ChIng" Ife ""de Cf If suspension or abandonment
exceed, one (1) V.. full left ,hall be ~Id for. new perm/l
(.) No work of any II'IInntr shall be done thll wftI change Ihe natural flow of water eausinp I drilin8g8 probI,tm,
(5) Conllildot .hall notify the Building lnaoectDr twenty-four (2.) hours in i!Idvanee for Illflapections .nd than receiYe written approv:11 on inspection card be'Ql1!:
proc:eediing WiltllUCCeUlYt ptl.HI of the Job.
(6) The iuuance of a permit or (hit aPPfUYII of drawing, and apeclftcafions shall net be CDnUued to be a pennit rot. nor an aPP'OYlI of, any violation of the ptOYislol\s
of Ihe: bulllSlnQ COde.s or lIC't'f othItr ordInatc:e. n. Nil or regulation.
Chief BUilding Inspector
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.O. BOX 638
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPLICATION
PERMIT NO. B92I/4696
BUSINESS NAME ADDRESS
COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED
REAR PROPERTY LINE
w
z
:J
>-
>-
'"
w
"-
o
'"
"-
w
o
in
w
z
:J
>-
>-
'"
w
"-
lE
"-
w
o
in
+
SPECIFY NORTH
FRONT PROPERTY LINE
STREET NAME (CIRCLE FRONT) N E S W
SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
LEGAL DESCRIPTION
OWNERS NAME
CONTRACTOR L1C. NO. /j-?nI q METES AND 80UNDS DESCRIPTION ATTACHED
ADDRESS 9.; PHONE 5/-7/-196;;""- ADDRESS ~4..J-" ,r;;.LcI' ,;)~-
CITY ~e",~,<orf L, CA> _ ZIP CODE .F#OY.:T LOT NO. .J a BLOCK NO.
LOT WIDTH DEPTH AREA SUBDIVISION Be.4-f/R e.- FILING
INDICATE THOSE OF THE FOLLOWING OFF. SITE IMPROVEMENTS NOW EXISTING: Curb a Gutter_ Street Paving Wot.rL sewer ~torm DrQinoO'~
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING' YES_NO_
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY' YES_NO~
EXTERIOR MATERIALS. WALLS
UNITS / REMARKS' ~
OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify thot the above setback distances shown on this permit application ore accurate. and do not violot.
applicable ordinances, rules or regulations of the City of Wheat Rijge or covenants, easements or restrictions of re-
cordj that 011 meosurements shown, and allegations made are accurate; that 1 hove read and ogree to abide by 011
conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridoe
Building Code (U.S.C) and 011 other applicable Wheat Ridge ordinances,ior work under this permit.
10WNER)(CONTRACTOR) SIGNED >M . DATE
/
Bit'.
ROOF JMA! e-
OCCUPANCY
STORIES
PERMIT FEE
USE TAX
TOTAL FEE
NOT
'i'l:
q:,[:f.
'vi
~.-.r
....'"
fJ.:::
SQ. FT
BASEMENT-ROUGH
BASEMENT -FINISHED
GROUND FLOOR
SECOND FLOOR
GARAGE
OTHER P/fTIt)
OTHER
/jERY
$
PLUMBING PERMIT
t"
<P"C)
--
ELECTRICAL PERMIT
STATE NO. CITY NO.
PLANS REVIEWED_ (_OK) 1_ NOT OK)
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEARED BY
CHIEF BUILDING INSPECTOR
STATE NO. CITY NO.
PLANS REVIEWED_ I_OK)(_NOT OK)
NO PLANS NEEDED_
PLANS NEEDED PRIOR TO ISSUANCE OF
PLUM81NG PERMIT
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEARED BY
CHIEF BUILDING INSPECTOR
MECHANICAL PERMIT
CITY NO.
PLANS REVIEWED_ (_OK) (_NOT OK)
NO PLANS NEEDED_
PLANS NEEDED PRIOR TO ISSUANCE OF
MECHANICAL PERMIT
PERMIT ISSUED TO
PER REQUEST AS PER PLANS NO.
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEARED BY
CHIEF BUILDING INSPECTOR
BY
DATE
CONDITIONS'
0) 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 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 (SO) DAYS FROhl ISSUE DATE OR (8) 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 E EEDED ONE O)YEAA. IF CHANGES ARE MADE OR IF
SUSPENSION OR ABANDONMENT EXCEEDS ONE (I) YEAR, FULL FEES SHALL BE 10 FOR A NEW PERMIT.
NO W RK OF ANY MANNER SHALL BE DONE THAT WILL OBSTRUCT THE NATU FLOW OF WATER CAUSI
C T ACTOR SHALL NOTIFY ING INSPECTOR TWENTY-FOUR (24) 0 RS IN ADVANCE FOR A
N I SPECTION CA BEF NG WITH SUCC SSIVE PHASES OF H JOB
BY
DATE
BY
DATE
ORA AGE PROBLEM.
I SPE T ON AND SHALL RECEIVE WRITTEN APPROVAL
D~PR~~
1
S 'ec t i
2
P~l-a:n::l
~ _. '~ ,'_ >,,- >A.,"..r-" ....''''''''.-.,.'.;yT'
S~t1ti~
r"~-'-'---'-- ---..
APPROVED
Suhject to Field rnspections
Wheat Ridge Building Dap&.
Da~~1
--...Pl_ OifttJJI~
":.,;,...:;:,','
.".~{:"-"
om 22 Mar 77
CERT. NO. 77COO 241
CUST. NO. 7(-'3-406
oma em 21 Mar 77
BUYER Fran.k
LENDER World 3&1;.
* 4050 P'1eld St.
* $25.00
..1,
"T FiE
SURVEYOR"
12375 W. Texas Drive
Lakewood, Colo. 80228
986-3251
~.' t
L.ar iZ.'l
. ...,,\0,"0
"~$1 .
t''''"''' ..e "-30'
, {J~ ~
,._ \ "'~l
,'~ .
'. ~. /6\.
, ,I>' . 0
, . .:'>t"r):-l'
, " .
-' "
~
~('
<-Q
....."'\\
~ ,
-
"6 .."",,"
\'" ..........
Lc.,. '30
a~e.K. .....O.....Q4 a~'
1.W<;:.&Q~c:M..'" a,,-,""r"Q
... '
;11- \j"t''%.i...:fo''(. kS",,"'.
1-
~I
;;
'f'o
"-
.1
~
-
'3~ 'T':. ,..
'''Io!.
- -
."",'1".
7..
0,.
L.o-r 31
;0"\0"\0
Scale: l~' . .011\0'
~
IMPROVEMENT LOCATION CERTIPICATE
I horeby certify that on 22 .Maroh , 197 L. this improvomont l.ocation
-certificato W&s made by me or under my supervision of that property described as:
Lot :30.> Bel-A1re,
County of Jefferson... State of Colorado.
Tho improvomont location i. ba.ed upon existina control as .hown horeon, and this certificate
is not to be relied upon. for establi.hment of fence, buildina or any other future improvement
.._.._..1 .._ lo.... .....4,._'v within the
lines. The improvements, except utility connections, aTe l;OUJ\U l.U uS> .......---,
boundari.s of the d.scribed p.rcel, exc.pt .s shown. Furthermore, there .re no encro.chments
upon s.id p.rc.l by improv.m.nt. from .ny .djoining premises, except .s indic.ted, and there
is no .vidence or Knowledge of ....m.ntS or rights-of-w.y upon s.id p.rc.l, except .s not.d.
This certificate is fOT loan purposes only and is not intended to establish the boundary
lines of the described parcel.
"The Surveyor"
I;i_~ \\ \"'>_ :\..' :.c.-=..x
--- - ......--... --
) ,
.
. .
. .
-~..,-~ -----...
'. ~
.".,:;t/,.,';
"THE
SURVEYOR"
DATE 22 Mar 77
tERT. NO. 77000241
tUST. NO. 77- 3-496
ORDER CATE 21 Mar 77
BUYER Frank
LENDER World S&L
* 4050 P1eld St.
* $25.00
12375 W. Texas Drive
Lakewood, Colo. 80228
986-3251
l.aT' z. ~
....""0'"'0
lOll
~
"'"
R-
~~
'6
-'~
,)
, -
4",""
-,-
e~.':.~ ~~atI.AQ.lL &~.
'I.~"~.. QNT10
S:'\,)"I''%.~.."....,..
L.c.,. 30
rl
....
<'\
Y-
o.,
fo
~
.1
~
3"r"'"' '%.
\,oll.
.,.
-
.....,..
l..a-r g I
#-'1<>-IQ
Scaler lH....qOf
~ I
IMPROVEMENT LOCATION CERTIFICATE
I hereby certify that on 22 Maroh . 197 L.. thh i"llrov...ent location
~'Ttificate was made by me or under my supervision of that property described as:
Lot :30" Bel-Alre,
County of Jeffersorr,. Sta.te of Colorado.
The improvement location is based upon existing cofttfol a5 shawn
is not to be relied upon. far establishment of fence, building or
hereon, and this certlfi~at.
any other futuro i..llfov....nt
__.~__,.. ,,,~~"~1'\ t''h.
lines. The impT'ovements, exclIpt utility connections, are touna ~g ua CIlI"'.~""'; .........-.. ----
boundaries of the de!cribed pareel, except as shown. furthermore, there are no encroachments
upon said parcel by improvements from any adjoining premise., exc~pt as indicated, and there
is no evidence or knowledge of easements or right5-of~way upon said parcel, except as noted.
This certificate is fOT loan purposes only and is not intended to establish the boundary
lines of the described parcel.
"The Surveyor"
I:i_~ ':\ \"".. ~.:TI::.),
r-..... - ....... --
I .
...-_.~_._-~_._..-
.
.
,
~
>.
~
<U
:::\
.-:)'1
~ f't'l'"
C,
Cl t,
'.J
()
()
)
(U
.....
(J)
tjb~-, "If.)
,::t'''G '.1 .
. ':!J 1'1; Recorded a~rtc8ck_M.,~f.tff II'P 3\ ','I '10. "llL
.. Reception No. " 1 .! iI.\ /,1 . ) "'Recorder
.--'--'~-'----~-~- --.--- .. . ,.. n, '-"~L',T/IJf ~emT~ofi . -fneolli~~,.d~r's StaIllP
!.c_ ,,.... I 1" '.t>8 "8A
/w{~NE..A~..LESLlE, .......... ~oJ '<;"'1
an unmarried person
u. .....,
whose address is ,
County of Jefferson and State of
Co lor ado for the consideration of
---SEVENTY TWO THOUSAND FIVE HUNDRED AND NO/100---
------------------------------------------ Dollars,
.-
,.,
llII
.,..
....
=:in hand paid, hereby sell(s) and convey(s) to
ALFRED J. FRANK and VICTORIA R. FRANK
4050 Field Drive
Colorado
.............., whose address Is
County of .Jefferson and State of
the following real property situate
and State of Colorado, to-wit:
In the
,
, .In joint tenancy.,
County of Jefferson
\,
''1
~,I
Lot 30,
BEL-AIRE,
Jefferson County, Colorado
CCJ~WNI
" J
with all its appurtenances and warrant(s) the title to the same, subject to
restrictions of record; and except for the general taxes for
subsequent years.
easements and
1977 and all
Signed thi~ 28th day of
March
,19~
1)",,1,11
;: c?i.:/
Maxine A. Leslie, an unmarried pers n
d'!I:'
.11'
".
/~'~'>.\...."."
!,,:,(\"~DL
~ .... I' -, '"
~ (:): \__1',.... ~ ': .. .~-
V':. r....,'I," ..:s.}.....A;J:. ,~OF COLORADO }
I,", L '..' ...... t~ :~ 55
.~. " . (C'c., t f Jefferson
..'.......' ',": ouny 0
. .,/1'hejo~going instrument was acknowledged before me this
197: bY" Maxine A. Leslie, an unmarried person
My commission expires My c,"",,~":m' p'p1,,', 1,". :lj j~(1119
Witness my hand and official seal.
28th day of
March
~...
.' l //?./..
/;;:c.-/;/c C. ,/ t:;f;1 ,::)
- , Notd~1 I'bblf -
/'
//'
STATE OF COLORADO
} ss
19
and
The
hy
County of
foregoing instrument
day of
as P~dent
as Secretary of
a corporation.
was acknowledged before me this
.. . My, Commission expires Jan. 3, 198119
My commIssIon expIres . " .. ,
Witness my hand and official seal.
No'"" T.bI'o ~982 2 4
.,.=.."..-..-'.,~:.--:.,...........,-.~=~~~.~.--,-.~_.~-,-,-~,_.._-- - -.,..........."
Sllutory Deed with wllrranUes-jolnt tenancy (Section tt9-t.t3 and 118-'.1 Colorado RevlJM
St.tulet! 1953. as amended 1981).
-U Joint tenllncy Is not de~lred. mrlke tlle phrase between the astt-risks.
oeM '0"" 'umlshed by
COLORADO TiTlE OFFICE
CHICAGO TITLE INSURANCE COMPANY
JOB
ADDRESS
INSPECTION TICKET
C/o S~ ~ ~-T'
DATE:
o~ (I
BLDG. PERMITS V(,96
PERMITS
BLDG. CONTR. ~~jctz.-
SUBCONTRACTOR
DATE INSP. REO. !i ~ I~
TYPE OF INSP. ~-0--1;:~
,~,,~'O, .{" N 2-
REMARKS t:tC....t:l~-
W.A. FORM 6-19
----
;3 t cUI </09 {,
0;
rQt= ~"'NNlNGANb DEVELOPMENT
..~ei1QNDIVISION - 235-2855
. CITY OF WHeAT RIDGE
1$OO'WE$T 29TH AVENUE
WHEAT RIDGE. CO 80215
Owner: FRANK ALFRED J
Address: 4050 FIELD DR
No. : 17557
company: Ted's Sheds
Phonfl 423-1050
phon. 421 2022
,
OR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Val
Permit ~
Plan RevieW ~
Uset
BUILDING DEPARTMENT USE ONLY
Wafts:
Roof:
Stories:
Plumbing License No :
Company :
MechanicatL' nee No:
Company: i i
, ,
'I
I,
! i
Expllation Date :
Approval:
.
"
II
'::
I'
i!
"
I
Inspector
f>ERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDlNG_
CALL: 234-6933 24 HOURS PRIOR TO INSPECTION ,! ,
$1,100.00
$27.00
$0.00
$16.50
$43.50
ond 10 the ZonIng
,
'Io.--or
orwllbo_lnthe
or_Idol......
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 A L Pi'. fb'l Ie
Property Address: '-( G']-a Fie [l) 0'- Phone: 'l-J.3 --I D57)
Contractor License No.: 175":)7
Company: /Cd;:) <'pc cb Phone: LIJ-l -0/.0-;).;)-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: /1 ro. cD '
Permit 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 b~conditions printed on this
application, and that I assume full responsibility for compli n with the Wheat Ridge Building
Code (U.B.C.) and all other applicable WhOSORidge ordi 5, for work under this permIt.
(OWNER)(CONTRACTOR) SIGN~r M/u ~\ '-f:; JZ;;J" "- DATE/d'f l, -9f
tI
Description: / c y..., C Y- 1/J1Y-M(c- ~
BUILDING DEPARTMENT USE ONLY
Total:
Approval : ~
Zoning: ]2--)
-I<I'Prl-oV"L- a""""~ ",' f"iz.-o"^ ~~ wr-l<<=-
Approval :
. !E u. htM..e:.~l!ljlH >.
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electncal License No :
Company:
Plumbing license No '
Company:
Mechanical license No :
Company:
Expiration Date:
Approval:
.-J P~s'R'q!J!te(t;'f,l
Expiration Date:
Approval:
~ PJI'ns,Required
I
Expiration Date:
Approval:
:I ,.PJI"':twqyj....~1<,
(11
(21
131
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
ReguJatJons and Building Code of lNheat Ridge, Colorado or any other applicable ordinances of. the City.
This permit shall expire If (A) the work authOrized IS not commenced wlthm SIXty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days,
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. pro....ided no changes have been or will be made in the
onglnal 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 shaH receive written approval on inspection card before
proceedllng 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
(41
(51
(6)
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
\ JO'l.l uo PiJ~Uld
S~U!rl!~~ .I0lS Po~,Al!Iun(')
i(/ I
Ii
'I ~ \'\
...+
~0
j -;::::.
<...
"'-t ,..,
,."
It:/ ~,'
"" /~
I
II
I
/~,'
f
,
-
"
i-
)
~=
'\
- ~
~
~'
'-...'~...,
,
,
( ~/~~tt_\ ~
! i ~,
IS,
t.::
VJ
Q.
11\
,"-
"'--
~
<;"
..:::::. <::::>--
=
,
\'~:~,,',',""',', I
\~
~
\
,'f;
/ , -,
"'l.....-----.....'--- ,--
-
<.
"
,----J,
tW08 OJ 'iJjJpl~ Il!iJqM,
J I!Uf1 'pI!O~ pJl!M, OtO~
ZZOZ-H:t> :auoqd
~
~ ~~~
S(]3HS SG3l
1
JOB
ADDRESS
INSPECTION TICKET
va S7! ~ U-r-
aC;:J
DATE: 9~(~7:2 BLDG. PER~# L,L& 7'<:::
PERMIT#
BLDG. CONTR. /?~
SUBCONTRACTOR
DATE INSP. REO. 7' -(-'7 ~
TYPE OF INSP.~<~ u~<f ~
INSPECTION MADE t1!. PYJ!h,-, efk
1-17:(
/
REMARKS
JOB
ADDRESS
INSPECTION TICKET
...-/flJJ Fit) ct D ,/",
DATE: D12!!J'
efY)...-- A! r h.
BLDG. PERMIT# -'1111
PERMIT#
BLDG. CONTR. ;JOhn vV' Z;Sk (/
SUBCONTRACTOR
DATE INSP. REO. Q12t, . 11" ,
j I "(-J " ea u V
TYPE OF INSP. u f; " ,r 0 ',If? \
INSPECTION MADE if / l-- i It ...z:.---
,,"^,~;:@1r' 4HM
() ;C.- W
CtJ ~ .__o'~ ",,1--
W.R. FORM 6-19
/
13 Cf:J # c{070
VI