HomeMy WebLinkAbout2696 Newland Streete3� 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: -M I n
Job Address: 'Zt 14 4 _4/tv l V i S P
Permit Number: 1—t Z --q,jU
r
e
❑ 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
1
Date: � Inspector:
DO NOT REMOVE THIS NOTICE
zer2oNY
7,686 INSPECTION RECORD---- Occupanc�ype
INSPECTION ONLINE FORM. http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Mid -Roof.(
Do Not Pour Concrete Prior To ADDroval Of The Above Insnectinns
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
--- - ---- - - ---- --------
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To ADDroval Of The Ahove Incnpr-tinnc
Rough Inspections
Date
Inspector
Initials
--- - ---- - - ---- --------
Comments
Wall Sheathing
Mid -Roof.(
Lath / Wall Tie
J
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 trom 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
O ''
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.
ror iow voltage permits — mease De sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
The City of Wheat Ridge
Third Party Form Check List
Property Address c[ �77
Permit Number
Permit Issued Date
Owner Information
Property Owner Information J��►�'% C%l
Property Owner Addressf
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth
Inspector Contact info. 720-940-1180 KStanforthCBC a[)gmail com
Inspector Statement of Acknowledgement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby acknowledge the roofing system for the referenced building has been
inspected and found to be in compliance with the minimum requirements of the 2012
IRC and 2012 IBC as well as the City of Wheat Ridge Policies and Procedures and
manufacturer's recommendations and specifications.
Inspector:
Date: 1,1177
Property Owner Statemenf of Acknowledgement
*1 hereby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridg Building Division inspection.
Property Owner/Agent: ' . - Date:����
This original document, as well as the- roofing checklist, must be submitted to the Chief
Building Official within seven days of the final inspection.
Drop off in person
Permit Counter 2nd Floor
7500 W. 29th Ave
Wheat Ridge, CO 80033
CBC Wheat Ridge Roof Inspection Packet
Submit via Email
KcookC7a ci.wheatridge co us
Page 2 of
6
The City of Wheat Ridge
inspection Check List notes
Mid -Roof
Roof tnsoeotton
rA a Pass 0 Fail
(A Pass 0 Fail
Structural roof components
Verify that no more than 2 layers of shingles exist
,A Pass ca Fail
/A l p a Fail
Flashing for roof and malls
new sheathing is installed verify that it is listed in the
X a Pass Fall
permit description (Valuation must be adjusted)
permit
0
Verify sheathing nail pattern ( See policy & Proceedures)
Cl Pass Fall
Crickets and saddles where needed
Aa Pass o Fall
�I Pass Ci Fail
Verify B vent must have boot same gauge as pipe
I/A
I/A f"`1Pass o Fall
a Fall
Verify vent caps
Verify no flashings are damaged or rusted
VA 1Pass
Pass E2 Fail
Step flashing shall be min. of 4x4 piece per shingle
IIA
to Fail
Verify scuppers allow for proper drainage
1/A Pass
0 Fail
ice and water shield Tin heated wall spaces
I/A Pass
Underlayments must follow 2012 IRC 12012 IBC
I/A Pass a fail
I/A Pass 0 Fall
Verify roof slope for proper drainage
11;e_.
!/A Pass a Fail
Dripedge shall have min of 2" overlap
Pass 0 Fall
Dripedge should extend down min 2 pass roof deck
a/A )_�
a Fail
Dripedge shall be mechanicaly fastened 12" CC
VA .Pass
90 LB roll roofing shall not be applied to root sloes
QA 13 Pass a Fail
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
ca Fall
Modified Bitumen, EPDM, TPC min slope 1/4:12 slope
v/A o Pass
a Fail
Above roof insulation R-25
SI/A o Pass
0 Fall
Below roof residential R-38
WA Q Pass
Below roof commercial R-32
N/A 0 Pass 0 Fall
Modified Bitumen, EPDM, TPC min slope 114:12 slope
NIA Q Pass 0 Fail
be installed in accordance with the manufacturers
must
specifications- dust have manufactures letter of
warranty with the address on the letter for final inspection
tVtetal Roof __ h_ 1_ Ctgi"
R@ga#r$iYtefi$S
Metall root ShIngles shall not be installed Ori slope less
N/A Q Pass o Fats
3:12
Metal valley flashing shall be the same material as roof
N/A a Pass R Fall
Metal valley flashing shall extend a min of 8" from the
N/A a Pass a Fall
centerline with a min. of 314 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
'lite Roofs
a Fail
ints
Clay and concrete the shall have a min. 2-1/2:12 slope
N/A a Pass
Slopes 4.12 and under require double underlayrnent
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
S
:ompany Name:
ispector signature:
►ate of inspection:
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
❑
N/A
Pass
❑
Fail
Structural roof components
❑
N/A
,
Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
❑
N/A
1d,'
Pass
❑
Fail
Flashing for roof and walls
❑
N/A
Pass
❑
Fail
Structural roof components
b1
N/A
❑
Pass
❑
Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑
Pass
❑
Fail
Verify sheathing nail pattern (See Policy and Procedures)
N/A
❑
Pass
❑
Fait
Crickets and saddles where needed
❑
N/A
Pass
❑
Fail
Verify B vent must have boot same gauge as pipe
❑
N/A
Pass
❑
Fail
Verify vent caps
❑
N/A
-:
Pass
❑
Fail
Verify no flashings are damaged or rusted
❑
N/A
Pass
❑
Fail
Step flashing shall be min. of 44 piece per shingle
❑
N/A
Pass
❑
Fail
Verify scuppers allow for proper drainage
❑
N/A
vrl
Pass
❑
Fail
ice and water shield 2' in heated wall spaces
❑
N/A
Pass
C3
Fail
Underlayments must follow 2012 IRC/2012 IBC
[3
N/A
�`1
Pass
❑
Fail
Verify roof slope for proper drainage
❑
N/A
-
Pass
❑
Fail
Dripedge shall have min. 2" of overlap
❑
N/A
Pass
❑
Fail
Dripedge should extend down min. 2" past roof deck
❑
N/A
Pass
❑
Fail
Dripedge shall be mechanically fastened 12" OC
A N/A
❑
Pass
❑
Fail
90 L8 roil roofing shall not be applied to roof slopes less than
�XI
2:12 slope: Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
rg'
N/A
❑
Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
'be, N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min, of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
�j N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
*�? N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 5 of
6
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
r/ l
Company Name: 71
inspector signature: �- E
Date of inspection:
/r.
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: 3 0 G - '1 . d
Job Address: 'a t- 9 4, ji e %t/ a ,, c S
Permit Number: -3 V 1-7 o 4� 4-111 (_l
cot c -e Ii -ed
❑ 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:1 r ff )-7 Inspector: -'7—b
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201706464
PERMIT NO: 201706464 ISSUED: 08/23/2017
JOB ADDRESS: 2696 Newland ST EXPIRES: 08/23/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 25.62 sq
*** CONTACTS ***
OWNER (303)710-2567 SHIVELY CHARLES B
SUB (720)569-6764 Daniel Berkowitz 150075 Alimar Construction 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: 19,286.00
FEES
Total Valuation 0.00 E Is
Use Tax 405.01PA - I NUF
----_____
Permit Fee 362.80
** TOTAL ** 767.81 -
*** 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.
A r City of Wheat Ridge
_1�9
Residential Roofing PERMIT - 201706464
PERMIT NO: 201706464 ISSUED: 08/23/2017
JOB ADDRESS: 2696 Newland ST EXPIRES: 08/23/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 25.62 sq
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 ovynner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I her attest that I am le al y authorized to include alI entities named within this document as partes to the work to be
performed anhatll work peyr ed is disclosed in this document and/oy its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original ermit 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 amanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit ho
lnyder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
app, 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.
Antoinette Kulick 2017W6
6
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 21, 2017 5:28 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 fir✓r��
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION � /
Property Address 2696 Newland st
Property Owner Name CHARLES SHIVELY
Property Owner Phone 303-710-2567
Number (enter WITH
dashes, eg 303-123-4567)
33
NON
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed EPSON002.PDF
Contract
CONTRACTOR INFORMATION
Contractor Business ALIMAR CONSTRUCTION
Name bL
Contractor's License 150075
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)
Contractor Address
(Primary address of your
business)
720-569-6764
3665 Lee st., Wheat Ridge 80033
Contractor Email Address danielj233@yahoo.com
Retype Contractor Email danielj233@yahoo.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
25.62
the entire scope of work:
Project Value (contract
19,286.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
34
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No
Yes
25.62
GAF, color to be determined
Asphalt
Two story house, 8/12 pitch, reroof shed in back yard
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
35
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.
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 Daniel Berkowitz
Email not displaying correctly? View it in your browser.
36
eM AIL ' C 6 AZID4 J V --bl o 3 rM1Z 11-. " M
ALIMAR CONSTRUCTION IIc
3665 Lee St., Wheat Ridge CO 80033 (720) 569-6764
Homeowner's Name AAR �� �Z-
Address 2.(Iq(P NJ&V4t A,N 1)
City W14 GAT State CO Zip Code 9C'-7 1
SCOPE of Work Agreement
RL� R00F 14QUS� .- SraP-AG E ARg-A
�a►�pt,t�'Tt� C��rr� �uP�M� �r
3v
The contract price and scope of work is : $ a0,uo Payment schedule is as follows:
Down Payment $ i�; 82�� �� upon signing of contract.
Additional: $ - &- the day of starting work, delivery of materials.
Balance: $-45%'� payable upon completion. Initials
The Homeowner (s) may cancel this agreement at any time before midnight of the 3rd business day (72
hour right of rescission) after the date of signing this agreement by mailing a notice of cancellation to the
above address, emailing Alimar Construction @ Daniel i233(a yahoo.com
By signing this agreement below, ME acknowledge that ME have read the agreement, understand and
agree to all term d conditions and no other conditions apply unless stated o this reement.
H ow r Agent Date ALIMAR Construction
Homeowner or Agent Date
Date
e3� 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: -M I n
Job Address: 'Zt 14 4 _4/tv l V i S P
Permit Number: 1—t Z --q,jU
r
e
❑ 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
1
Date: � Inspector:
DO NOT REMOVE THIS NOTICE
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
9228
7/26/99
Property Owner :
Property Address : 2696 NEWLAND ST
Contractor License No. : 17152
Company : Precise Plumbing
Phane : 238-7411
Phone: 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurale,
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 t have read and agree to abide by all conditions pnnted 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.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Replace water heater
Construction Value :
$432.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$23.50
Use:
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permi[ was issued in acwrtlance with the provisions se[ forth in yopur application antl is subject to the laws of the State o( Colorado and to the Zoning
Regulations antl Building Code of Wheat Ritlge, Coloredo or any other applicable oMinances of the Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commenced within sixty (60) days from issue date or (B) the builtling au[horized is suspendetl or
abandoned for a periotl of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally requireQ provided no changes have been or will be made in the
original plans and specifcations antl any suspension or abandonment has not exceetletl one (1) year. If changes are matle or iF suspension or abantlonment
exceetls one (1) year, full iees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the naturel Flow of water causing a drainage problem.
(5) Contrector shall notiry ihe Builtling Inspector twenry-four (24) hours in advance for all inspeclions and shall receive written approval on inspection card bePore
proceediingwithsuccessive phasesotlhejob.
(6) The issuance of a pertnit or the approval oF tlrawings and specifcalions shall not be wnsUued to be a pertnit for, nor an approval of, any violation of the provisions
of the bluiltliAflco,dOr, any o[her ordinance, law, rule or regulation.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
- BUILDING 1NSPECTION DN1310N - 23Q-2866
ClTY OF YVHEA7 RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
ProPerty Owner TT</~ jG o
Property Address :;2 6 9~ NPw c. .q N D 3 o 3
Phone : a3,p- 7vl/
Convactor License No. 7/ S'z
Company
P~PUSC Phone:S~'f~ o8sr/
M OWNER/CONTRACTOR SIGNATI.&E OF UNDERSTANDING AND AGREEMENT
1 hareby ceroly Nat Ne setbatlt Oisbntes prpppsed py Wy ponM a~lication afe aCWf7ts.
ana ao not vroute acouqDie oromanoss. nup amyutanons aft CilyofWheat
cownams. easamanb a roav~xipns of nppry: qut ay rteayu~ shown. ano aNpqqm
rmaW aro aGwnu: fhit 1 hiw roa0 an0 f0 aWOr Dy stl eWpiOpro Wtnhd on thb -
aG04CadWn. ana Ih7t 1 IltiYm! h!M ' fOr pyipynp wNfl tlN W/"
cads (u.9.c.) ana au atlror apprapM yVlN~t p9~~q. ~~~~~^9
q
(OWNER)(CONTRACTOR) SIGNED 0.1
l/ .
Descnption • c.A .E if z!
UseTax:.5-P.arAs rao%/y
_Totai : 2 3 5' o
cC /
r{ACK7 F o/' SAP e L'~p N
Ap~fl
Zoning :
Approval
PQ6I~
Apprcval:
Occupancy : Walls
au1LDING DEPARTMENT USE ONLY
Roof : Stories : Residential UniLs :
Etectncal License No :
Company :
Plumbing License No : Mocha~icai L1CenSe Na :
Company: Company:
Expiration Date : Expiradon Date :
Approval : Expiratlon Date :
ApProval : Approval :
~ : Pltns:Riqufrei! ~ ~ - PJMs R~uirW':"
.9 ~&IammC
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ReqWauonf ano Buiwmq Coae ol wnaat Rbqe . Co,oraoo cr arry oU~x soWnON oroinanps of Ma Ci(y.
R) rnis o«r++a snmi a:wa e a) me war■ auvanzw u rot wmm.noea mwn " (eo) ar, hom usw au a (s) nie
aovaoneo ror a porau or 120 aars. da1CU+0 autnmxw s swprqW a
(7) u uut oermrt sscvss. a naw vemvt ~san aa ruroaon~~MM Oie +moum ^ormaW roauuW. prarqb'q ~~s nM Dw~ or will W m~E~ n M
WgYW Winf ~M 3WHIifJOMs an0 IINnt Mf nol o1tON0~tl oM 111 YeV. II
Q%GMlOI On! 11) YQ!!. IU111N! 711~tl De Glq ~Df a nOM 0lRNL ~ N IIY010/ A W~yp~ p/ ~pybpyry~
(4) NO WOlk OI i/ry rt1tnllQf 3fUll 00 dpll! p"If MMI WII" Qy nJ1Ul71 OpW p/ wi1N faYLl19 i Ola4w9o qp(yMn.
f5! Conpaqor snan nouN tne BwWug insosepr iwenry.fqur (2s) rqun in awanea la an inspecnons ana tMtl rkyw "pM approHton mSpoeypnerp pip~
P/~[ee0nnq wiin utcaum OMSOs of Me p0.
(6) TTe uswnce ofasoermrt or Ne aDOrovai el anw~nqs ana sceaficauonf snan not os mnsweo to pe s pemvf lpr. np an liPProrrii a. arry vipappn ol0u pipvyqn=
or tne ounainq mees or any oNer wamanee, ww, ru:e a rcquuuon.
Ghie( Bwidinq Inspecror For Mayor
THIS. PERMIT VALID ONLY WHEN SIGNED BY THf~CH1EF8UiLDING MSPECTOR AND NIAYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTlON
Construction Value :
Pertnit Fee : ;t R SO