HomeMy WebLinkAbout3972 Moore Streeti CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ��_j�-er�
JobAddress:
Permit Number:
V X
❑ No one available for inspection: Time t?`AM/ M
Re -Inspection required: Yes ;NoV
When corrections have been made, ca I& re -inspection at 303-234-5933
Z
Date: Inspector:
DO NOT REMOVE THIS NOTICE
x City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 201901918
PERMIT NO: 201901918 ISSUED: 09/11/2019
JOB ADDRESS: 3972 Moore St EXPIRES: 09/10/2020
JOB DESCRIPTION: Replace 50 gallon, 40K BTU gas water heater in basement
*** CONTACTS ***
OWNER (303)319-1760 DIANE M HARVEY TRUST
SUB (303)573-7300 SHANNON MONAHAN 160018 SERVICE EXPERTS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,527.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 32.07
** TOTAL ** 72.07
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications=
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or 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 the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 arzny ordinance �r}regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Buildin/Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
ov�qclq�y
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 11, 2019 6:14 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Categories: Kim
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address (Leave blank if
not known)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
3972 Moore St
Diane Harvey
303-319-1760
Field not completed.
3972 Moore St cc auth.pdf
CONTRACTOR INFORMATION
Contractor Business Service Experts
Name
Contractor's License 160018
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-573-7300
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address denver@serviceexperts.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
Is the water heater GAS
or ELECTRIC?
denver@serviceexperts.com
GAS
If GAS, enter # of BTUs. 40
If electric, enter n/a
Where is the water heater basement
located (for example,
basement, crawlspace,
etc)?
Project Value (contract 1527.00
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 work Yes
may not begin on this
property until a permit
2
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.
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.
Person Applying for Robin Cole
Permit
Email not displaying correctly? View it in your browser.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701
903
201701903
3972 Moore ST ISSUED;
Residential reroof: 06/11/2017
Install Owens Corning
06/11/2018
low slope 4/12 & 3/12 g Duration Storm double felt on
25.33 squares
*** CONTACTS ***
OWNER (303)319-1760 DIANE M HARVEY TRUST
SUB (303)660-9394 GUY Smith
*** PARCEL
INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES,
*** FEE SUMMARY ***
Total Valuation
Use Tax
Permit Fee
** TOTAL **
*** COMMENTS ***
090201 GBS Enterprises Inc
USE:
PROSPECT V BLOCK/LOT#: UA / Unassigned
0 /
ESTIMATED PROJECT VALUATION:
FEES 11,407.00
0.00
239.55
236.00
475.55
*** CONDITIONS ***
December 1, 2014, asphalt shin7—
Effective
le
inspection, conducted when 25_75 g installations re
insapppection,
Installation of roof sheathing of the roof covering
an approved for to
Prior to installation of (new or overla g is installed, prior to final
or board sheathing ANY roof coverings i') requires an approved ins
with ANY gs and is require on the entire roof inspection
be fastened to the roof deck with
A1/z-inch exists. when s
with a minimum of Asphalt shingles are re Paced
required. Eave and rake metal is re 6 nails required to
and secured in required. A ladder extendinhingle. Ice and water shield is
Place is required to be provided for all roof extending above
is required to Place
1 the roof eave
instructions, COMP1Y with applicable codes and/or manufacturer&emstions. Roof ventilation
elastomeric orwsichev rt is more stringent. installation
manufacturer's �'Pe roof coverings, In order to pass a final inspection of
technical re g a letter of inspection and a
(project address Presentative stating that approval from the
(roof material brand name) en applied nt accordance "the application of the
roof with the installation instruction ofort
inspection. covering,, is required to be on
site at the time of final
INSPECTION RECOAD
34Min
INSPECTION REQUEST LINE: (303) � .�
Inspections will not be performed unless this card is posted on -the projey
inspection request line before 11:59 p.m. to receive an inspection the following b m
Call the project
Inspector Must Sign ALL Spaces pertinent to this
Inspector Comments
undation Inspections Date Initials
ncto�
Ground (CEG)
unLetter royal Of The Above Inst
Do Not Pour Concrete Prior To Ap
Inspector Comments
ndergroundlSlab Inspections Date Initials
lectrical
ewer Service
dumbing
Do Not Cover Unde
tough Inspections
Nall Sheathing
Mid -Roof
Lath 1 Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Scream
Final Inspections
and or Belowlln-Slab Work Prior To
Inspector
Date Initials
/.� �
Landscaping & Parking I Planning Dept.
ROW &Drainage 1 Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection I Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
dowlDoors
Occup rYpe
ions
Of hTe Above
Comments
ons
Inspector Comments
Date Initials
Inspections from these entities should bd paakingte
rl
one week in advance. For landscaping
inspections call 303-235-2846. For ROW and
age
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Final Win
Final Building public Works, Fire and Building before a Certificate
NOTE: All items must be completed and approved by Planning,
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
— Please be sure that rough inspections are completed from the Fire District and electrical low voltage
For low voltage permits _
b the Building Division. inspection time window please email inslotil equeSt indows are assigned bas d oOnA. .
Y Time
For notification of your assigned insp address in the subject line of the email.
the day of the inspection with the property anC Is Issued
inspection routing.of
Occupancy Is Not Permitted UThis CardCertificatentil A From TheWeatheroccupancyProtect
i
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N* i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8828 Fax
INSPECTION NOTICE
Inspection Type:'
Ro P—
Job Address:
Permit Number: c40170 % U
❑ No one available for inspection: Time
M
Re -Inspection required: Yes No�
When corrections have been made, call for re -inspection at303-234-593
Date: A9/_/7_Inspector: IV 61 1
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701903
PERMIT NO: 201701903 ISSUED: 06/11/2017
JOB ADDRESS: 3972 Moore ST EXPIRES: 06/11/2018
JOB DESCRIPTION: Residential reroof: Install Owens Corning Duration Storm double felt on
low slope 4/12 & 3/12 25.33 squares
*** CONTACTS ***
OWNER (303)319-1760 DIANE M HARVEY TRUST
SUB (303)660-9394 Guy Smith 090201 GBS Enterprises Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,407.00
FEES
Total Valuation 0.00
Use Tax 239.55
Permit Fee 236.00
** TOTAL ** 475.55
*** 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 k/2 -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 manufacturera€rms 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's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
} Residential Roofing PERMIT - 201701903
PERMIT NO: 201701903 ISSUED: 06/11/2017
JOB ADDRESS: 3972 Moore ST EXPIRES: 06/11/2018
JOB DESCRIPTION: Residential reroof: Install Owens Corning Duration Storm double felt on
low slope 4/12 & 3/12 25.33 squares
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 1 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 alt entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying )Tans 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 Budding
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 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
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.
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.
Antoinette Wick
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 8, 2017 9:58 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
i
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 24-48 hours, 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. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address 3972 Moore St
Property Owner Name Diane Harvey
Property Owner Phone 303191760
Number
Property Owner Email Field not completed.
Address
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 Guy Smtih
Contractor's License 090201
Number (for the City of
Wheat Ridge)
Contractor Phone 3036609394
Number
Contractor Email Address info@gbsroofing.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Yes
No
Owens Corning Duration storm
25.33
Provide additional detail double felt on low slope 4/12 & 3/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 11407.00
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
2
P
M.
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 Guy Smith
Email not displaying correctly? View it in Vour browser.
6801 S. Emporia St. #103 Email: info@gbsroofing.com
Greenwood Village, CO 80112 Phone: 303-660-9394
tivww.gbsroofing.com GBS Fax: 303-660-1405
ENTERPRISES
SUBMITTED TO: PHONE/EMAIL:
STREET: INSURANCE COMPANY/CLAIM #:
CITY, STATE, ZIP CODE: LIEN HOLDER/ACCOUNT #:
W ' 60 '
DESCRIPTION _ — A - is /4 rr
K' Existing roof type %' 0 V j-
A
Vents 14V - '
Existing number of layers Tear Off es No
9
Galvanized nails 6 er shin le
�j
Install felt �c7 *-
Patio or Flat Roof Z =ALT t) 1,0W 5LOM—
Replace with: 6g"S (y/Zf�! ij'4(,, CVf-gio(.1 51-(
Color of shingle 'T W
Z
Protect landsca a where needed
Gutters cleaned of roofing debris �Ll' fv'"
Manufacturer's limited warrant 'r;6% l7.
Clean up and haul off all trash from roof
C�1
Impact Resistant es No Class
Roll yard with magnetic roller
Valley type GZ_arZrpl
Replace plumbing jacks A L,(_.,
91
Year guarantee on labor
Permit furnished by GBS Roofing e&J?A')% P
Metal edge size 7-y Color w6j
Fav€ orae
�
Insurance papers provided
SPECIAL INSTRUCTIONS
�0/'
/PI V f A T-)7AC cog✓ . 1J
lir- xoin, �i<Y� / T /l� f�v�r , �57C)
Ild''i74 f EINT-5 Y�' ! / "cL q
iJ FA TIO —7
- I (we) hereby authorize and/or instruct the insurance company and all lien holders to communicate with and include the name GBS Enterprises, Inc. as Co -Payee
on any subsequent loss draft checks after today's date as indicated below _
• I (we) hereby authorize and/or instruct any legal representative and/or agent of GBS Enterprises, Inc. to obtain any and all information necessary to negotiate
the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number listed above
NOTICE:
If the property owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to part 1 of articl e 4 of title 10, C.R.S., to pay for the
roofing work, pursuant to section 6-22-105 it is unlawful for the contractor to pay, waive, rebate all or part of any insurance deductable applicable to the insurance
claim for payment for work on the covered residential property.
We Propose to furnish all materials and labor required to complete in accordance with the above stated specificatZZ
for the sum of:
Deposit $ '— Due upon completion $ �[ �VL L = TOTAL $
UPON COMPLETION OF WORK THE UNDERSIGNED PURCHASER AGREES TO MAKE PAYMENT IN FULL THE AMOUNT SHOWN ABOVE.
GBS shall hold in trust, any deposit from the property owner until material delivery to the jobsite or a majority of the roofing work has been completed on the above property
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard All proposals are subject to approval by Management.
practices. All intenor damage to buildings is excluded 90 days after completion date and the owner is notified that any
damage to contents will be the responsibility of the owner and his insurance company. All agreements contingent upon APPROXIMATE START/FINISH DATES
strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Scheduling
will be done based upon date signed but limited to availability for materials, crews and weather conditions. f
ACCEPTANCE OF PROPOSAL: This proposal becomes a legal binding contract 72 hours from date of acceptance.
Cancellation of this contract can be made with written notice within 72 hours of date of acceptance and will allow the
property owner to rescind the contract for roofing services and obtain a full refund of any deposit. The property owner
may also rescind this contract within 72 hours of notice from the insurance company for a claim that is denied in whole
or part if the work being contracted for is to be funded from the proceeds of a property and casualty insurance claim.
Interest at the rate of 1-1/2% per month (18% per annum) will be added on to all accounts 30 days past due. In addition,
costs and reasonable attorney's fees for collections may be charged on any account past due over 30 days. Payment
will be made as outlined above. Failure to pay can constitute a mechanics lien filed against properly. Cancellation of the
contract may be achieved by paying a cancellation fee in the amount of 5% of the contract price. All returned checks are
subject to a returned check charge fee.
o.` ` %
Customer App val Date
Note: This pr posal nn fy be withdrawn by us if not accepted
within ays., /,
/fr
GEISApproval Date
S Enterprises is a Registered Corporation in Colorado and is insured by. Colony Ins CO & Pinnacol Assurance p 41190,
Denver Agency 210 University Blvd, ste 600 Denver, CO 80206-4661 303-892-6900
RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be perfonned unless this card is posted on the project site.
FCall �the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Foundation Inspections
C Concrete
oncrete ncased Ground (CEG)
Underground/Slab Inspectioni
Comments
} Rmum�Nmm�m*��mv� | Date | `n�p=tawr |
� __~ } / Initials I CommentWall Sheathing
s
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
_
Fire Inspection / Fire Protection Dist,
City of Wheal, Ridap
10/05/2016
14:54 CDB?
BUILDINQ �BMTTS
CDB013778
Inspector FMSD 8QlLQIN6 PERMITS
Date Initials PAYMENT REC[[V�8
'^ ^ ` VS / 5O15
AUTH COD[: 742307
TOTAL
_____________________
Insomc�om$f�m�these m����
��hmwbm requested
one
^week imadvance. For landscaping and parking
inspections call 303-235-2048.For ROW and drainage
inspections call 3O3'235~2861.For fire inspections
contact the Fire Protection District for your project.
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
Occupancy Is Not Permitted Until A Certificate of occupancy Is Issued
Protect This Card From The Weather
A4()UNT
NO. 65
A 000HT
209. 65
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: C n" 2 I CF I
Job Address: 39? 2- ' 's
Permit Number:
❑ No one available for inspection: Time �� AM/PM
Re -Inspection required: Ye�°N/0 J
* When corrections have been mad' call for re -inspection at 303-234-5933
` c7
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: E F I rn/ Z
Job Address: 3e172 otoo,2 E= $T
Permit Number: 2c, 16 0 15 `0
l PP fo 1 eri1DPrl.r r Iii 1 Zj
❑ No one available for inspection: Time 1 05 A/PM i
Re -Inspection required: ge
No
When corrections have been made, call for re -inspection at 303-234-5933
,I
Date: 12 2� 1 Inspector: _j '
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Electric PERMIT - 201601549
PERMIT NO: 201601549 ISSUED: 10/05/2016
JOB ADDRESS: 3972 Moore ST EXPIRES: 10/05/2017
JOB DESCRIPTION: 200 amp overhead service change.
*** CONTACTS ***
OWNER (303)319-1760 DIANE M HARVEY TRUST
GC (303)340-3400 Stephen Jusseaume 120169 Doctor Fix -It
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#:
_ PA44 Amp,
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: Coe 00.
FEES
Total Valuation 0.00
Use Tax 75.60 a
Permit Fee 125.05
** TOTAL ** 200.65
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply with applicable codes and ordinances and is subject to field
inspections.Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by in 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 ermit and perform the work described and approved in conjunction with
this permit. I further attest that I am Ie_aII authorized to include alPentities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
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 cies 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 originalppennit fee.
3. If this permit expires, a new permit may be required to be obtained. rssuance 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The pen -nit holy
der 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 perm it shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cow or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
MSS
Signature ol'Chief BuilBing Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
S1 PP-2,0/(�
a/'L/9
3
�'�°°�� INSPECTION RECORD Occupancy
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. 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
Underground/Slab Inspections Date Inspector
Initials
roval Of The Above Inspections
Comments
Electrical
Sewer Service
Plumbing
Do Not Cover Underaround or Below/in-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath /Wall Tie
City of Wheat Ridge
18/85/2016 14:54 CDBB
BUILDING PERMITS
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Insulation
Drywall Screw/ Nail
Final Inspections
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window / Doors
Final Building
Inspector l.M5urolor is nnuum
Date p FD BUILDING PERMITS 2�J0.65
Initials
PAYMENT RECEIVED AMOUNT
V5 / 5815 200.65
AUTH CODE: 742307
TOTAL 200.65
----------------------------------------
Landscaping & Parking / Planning Dept. Inspections from these entities should be requested
one week in advance. For landscaping and parking
ROW & Drainage / Public Works Dept. inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project.
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.
"For Inspection Time Window Requests — Please email ins ptimereguest(cilci wheatridae.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
OCT/05/2016/WED 02:17 PM FAX No. P. 001/002
City of
WheatFk
id_ge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29'�' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its@ci.wheatridge.co.us
FOR OFFICE USE ONLY I
Data:
CCDgo 13`77
Plan/r
as i(' o
Plan Ravlaw Faa:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): f� }Lj Yi �, ��PrPhon'003',58 r t 740()
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer-
Architect/Engineer E-mail:
Phone:
Contractor: 't�'C)Cuy-p \�_ (--t
Contractors City License #: 12 D1 �A Phone: �4 D �QCO
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
e
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
OCT/05/2016/WED 02:17 PM FAX No, P. 002/002
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
8 NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
[� COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
P P411)
Sq, FULF
Btu's
Amps Squares
Gallons
Other
Project � VVa�allu��e: (Contract value or the cost of all materials and labor included in the entire project)
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations trade are
accurate., that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Midge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application,
CIRCLE ONE.- (OWNER) (CONT,iLSICTOR) o (AUTSORUZED REPRESEBNI.AITIVE) of (0WNE CONI'R,�CT0;
Electronic 5ieneture (first and last �aame): DATE! q_2 H
DEPAR SE ON •. ;
ZONWQ COMMMENT$: QCCUPAIVCY CLASSIFICATION:
BUILDtNG DEPARTMENT COMMENTS: t'
iii:~,'': r,• ,,,��.., .. ��'';,�;'%r:..tti:;+'sf;e+•;:;ly,.'.,i;:•.4''�+^.11r�,i;�.':''rn'.J'.
Building Division Valuation: $
Address:
City, State, Zip:
EM
Electric*
City License # City License # City License #
(Fully describe work to be performed - Attach additional sheet if necessary)
fN
Review Fee (due at time of submittal).
In,.♦ *: • •
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
r _
Inspection Type:
Job Address:
Permit Number: :=4- tg E
No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-2345933
Date:_ "f g Inspector:
DO NOT REMOVE IS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 091977
PERMIT NO: 091977 ISSUED:. 09/03/2009.
JOB ADDRESS: 3972 MOORE ST EXPIRES: 03/02/2010
DESCRIPTION:Reroof '..26.33 sqs
***.'CONTACTS
owner 303/319-1760 Diane Harvey
sub 303/464-7050 Frank Overy' 09-0220 Affordable Gutter
:PARCEL INFO
ZONE CODE: UA 'FUSE: UA
SUBDIVISION:- 0207. ;BLOCK/LOT#: 0/..
FEE SUMMARY ESTIMATED PROJECT VALUATION: .::8.,700.00
FEES
Permit Fee ! 217.50
Total Valuation 00..ff~....~5
Use Tax 156.60 rtRA 60
1
* * TOTAL * * 374.10 Comments:
Conditions:
6 nail installation mid roof inspection required. Board sheathing spaced more
thana 1/2 of an inch apart :requires plywood overlay on entire roof. Ice and
water lshield required from eave edge to 2' inside exterior walls.
Subject to field inspection.
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 '(I.S.C) and all other
appli a a `Ridge Ordinances, for work under this permit. Plans i subject to >field inspection.
Signatu, .contractor/owner .:date
3. This it 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.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted'. at the discretion of the Building Official'.
3. If this permit expires, a new permit may be acquired for .:a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for anew permit.
k. No work of any manner shall be done that will change the natural flow of water causing a drainage :problem.
o. 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 of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor -
an approval ofppqq; an violation of the provisions of the building codes or any. other ordinance, law,P rule or regulation.
All :plan revi/f i ubject to field inspections.
Signature o ie uilding -Official rdate
CNSPECTI N REQUEST LINE: (303)234-5933 BUILDING' OFFICE: (303)235-2855-'.
REQUESTS MUST.. BE .I MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWINGi BUSINESS DAY.
1oF W"c ? ~o City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 e Fax: 303-237-8929
c - o Inspection Line: 303-234-5933
Building Permit Application
Date:
plan l
Permit#:
Prd'~;`:*es: 22, (A Doke 6-&
Property Owner (please print) ®i0. ttte~i Phone: 323.-319--/Wz?
Mailing Address: (if different than property address)
Address:
City, State, Zip;
k:3~iitr~ctor: _C'i~PnllLt~~r?. Gu A-ci^
Contractor License M L2 Phone: 3p - L/Gy-7 05 f~
gub Contractoni
Electrical City License Plumbing City License Mechanical City License*
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval Approval:
Use of space (description). Construction Value: $ 'F7E0_.r
+ ;iir4rk (as calculated per the Building Valuation Data sheet)
0*6
aQYiar.~ / ~ 2
1 t, `Q z, YA V/&S~ Plan Review (due at time of submittap: $
Sq. FtJL.Ft added: 7 Squares 221 BTU's Gallons Amps
OWNERMONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code and all other applicable Wheat Ridge Ordinances, for work
under this permit: Plans subject to field inspection.
CIRLCE ONE: (OWNER) (CONTRACTOR) or PERSONAL REP SEN WE of (OWNS (CONTRATOR)
PRINT NAME: r/
f/Pjt~ SIGNATURE: Date;! ! .20-17
+ ¢ 1 y M. Y N A i. I ,li ^r~+q~ , i ~ y ,up~F S}t ~ c 1~'.. .
$ r 1~~y q~, S!?tiiRS~'~y/JP)pl' P':C ','2 H p ~i l I
L°oNIN1E~dT5+
Zoning . 4 (Y~ a t 1 s r v 45 a~6"v R ar
Revrev)eY )a "`r ° + • '~E ? ai a
,~y~ypp•• 6 r a 1, a eq'f+f 5`it tl «r~
44
'YS 1 AlY Yx9"3' f.+~ 5 'M ~n cyk 'A.SMikp"ri`Ai.}f+rli Ara lt'L F"'~) '%A fiY L1b1 IYY" IrLpyJ' LAY ~',xit?.'Arc.
tY~iC rtl~~ r ~1
yy~y,,c yyL~~~^~ <
11 { .9~ ' TIN . ~lyv~yA _ fs (lI t
r ° r r.
x++alL tikf£t'~)i,'Jt'~" ~'v ~~~~'P h* ~NF 4"k: 'IW amY rn.,}r» + m.. ev I'.a m +Rw ep~ It~ ~pv ~G "Ei
1 itC rr ~If.] SY.gp ti qP I~ye "i .d 1 P Ail.. Wsv rt41?'% t
til9 vawi rt c~(i~ .rip: Bidg Valuation: $
.f r < @
t
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 18442
BUILDING fNSPECTION LINE -(303-254-59SS) Date : 3/10/2005
_ CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO' 80033 - (303-235-2855)
Property Owner: ANDREW KORDZIEL
Property Address: 3972 MOORE ST
Contractor License No. : 77152
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 fiereby ceNfy that the setback distancas proposed by lhis pertnit application are accurate, and
do not violata applicabk ordinanees, rules or regulations of the City of Wheat Ridgeor
covenants, easements or restrictlons of reoord; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions pdnted on fhis
applicaGoo,:anC that I assume PoII responsibiUty for compliance With lhe Wheat Ridge Building
Code p.B.C.J and ail otber applicable Wheat Ridge ordinances, for work under this permit.
Phone : 422-1850
Company : Precise Plumbing Phone : 534 0881
(OWNER)(CON7RACTOR) SIGNED DATE
Description : REPLACE WATER HEATER
Valuation :
$495.
00
Permit Fee :
$30.
55
Plan Review Fee :
$0.
00
Use Tax :
$0.
00
Total:
$30.55
Use:
laa
SIC : Sq: Ft. :
-PRES IFTIYE ENER Y O
~kNACES A MK,MUM OF 90% AFUE
.A7EkS A G: NIMUM Gf .80 ENERGY FACTpp
ELF :?RIC Nf/,rER yEATERS A MINIMUM Of.93 ENERGYFACTpR
SC rBACK THERMOSTAT REQUIRED (EXCEPT HYpRONIC HFAn
fi-21 WALLS • R-38 CEIWNN . Rd9 CRAW{,gPACEB
Approval :
Occupancy : ; W alls
BUILDING DEPARTMENT USE ONLY
Roof
Electrical License No :
Company ;
Expiration Date :
Approval
Plumbing License No :
Company :
Expiration Date :
ApprovaF :
Stories : Residential Units :
Mechanical License No ;
Company :
Expiration Date :
Approval :
(1) TMa pertnit waa IssueG in aaordance v+ith Ure provisions set /oM in yopur applicatian and is subjecl to the laws of the State M Cdorado and to the Zonin9
Repulation6 end BuiWinB Cotle of W heat Ridpe, Colorado or any other applicable ordinances o( ihe City.
(2) Thia permit Shall ezqre if (A) the work euthorized is not commenced within sizty (80) days from issue dale m(B) ihe builOing autMrized is suspended ar
abandoned for a periotl of 180 tlays. (3) If this pertnN expires, a new pertnit may be acquired for a fee of one-halt the amount rrormally required, provitletl no chanpe6 have bean or wNl be made in the
. originafplans and apecificatbns aM any suspension w abandonment has not exceeded om (1) year. If chanpea are made or H suspensbn ar abantlonmenl
exceedS one (1) yeaf, lull fBe6 6he11 be,.peld for 9 new permit (4) No work of any manner shall be dane that will change the natu2l flow of water causing a dreinage problem.
(5) Contractor Shell notify tlre BWldkg Inspector twenty-four (24) houre in advance for all inspeclions and shall receive writlen apprwal on inspeclion cartl before
proceetlifig wiN successive phases of the job. .
(6) . Tha issuan rtnit or f drewings and specifiwtians shall not be construed to 6e a pertnR for, nor an epprwat of, any violation of the
provi ' bui catlea or any othe inance, law, rule or regulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933 B~lding Permit Number:
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENiTE
WHEAT RIDGE, CO 80215 - (303-235-2555)
~~01V
Property Owner: 47 kv,-./~
Property Address: g 97:1. //-)o ~>R s r
Contractor License No.: / '7 / _r y
.:Th G
OWNER/CONTRACTOA SIGCIATURE OF UNJ7EgSTANDINC AND pV`ggg[KENT
I heuby certify that the se[back distances proposed by thie pemu( application ere
accuratq and Ao not violate applicxble ordinancav, niley ormgulatipnq affho CiTy
of Wheat RiAge or covenants, easements or testrictions of rocord; Nat aII
meuuremen4 shown, and allegations made are aceurate; that I hnve road and
agee to abiAe by aII conditions piinted on this applicationa and thnt I aasume tull
responsibiliTy for complianca witt~ the Wheat Ridge Buifding Code (U,B.C) arid
xll other applicable Wheat Ridge Otdinances, for work updefthis petmjt
~zyGRXCGN7RACtOR)_S]GNHD v AT8
Descriptios
' t"o /J[ e ~%r~
Zanuig Comftletits:
Approval:
Zoning:
Bu6lr7ing 06
mMents:
Approval:
Publie WMks L:4~Ctt6UtS:
Approval:
Occupancy:
ElecVical License No:
Company:
Expiration Date
Phone: y22-1~'5r
Phone: S3 5! o
Construction Value: y9S~ ~
Permit Fee: 30
Plan Review Fee:
T ica Ta -Silc c y
Total: 30 575~-
BUILDING DEPA,RTMENT USE ONLY
Plumbing License No: Mechanical License No
Company: Company:
Expiration Date: Expiration Date:
n.,.........,.
This pemut was jnued in attorAence with the pmviaionf set torth in yow appliution md is mbject to the laws of Ne SGte of Cobrado anA to the Zomng
Regula4onu anA $uilding Code of Wheet Ridge, Colondo or my oNer eppliceble ordi+uncm o{the City.
'~=1 i7us permie shell wepue d(A) the work authonzed is nol cortunencul wityin sirzly (60) deys ¢om iuue Mm ar (B) the bvilding evthonzcd is auspcndM or
abandoneA for a period of 120 days.
If Qhis pemut expau, a new pemut mny be acqulrod fot a fee of ono-half the mowt notmelty requited, prwideA no chengu hrve been or wi11 be maAe in
:he ortginel plans and specsca4ons end arry sufpentiw or ebmdwunert Ass not wcceeded one (1) year I(chmqes have been or if ruvpension or abenAorunent
cxceeAs one (1) year, fWl [eas rhe11 be pdd for a new pemup.
-Na work of any marucy shall be done tLat will c6enge the mNrel flow oCweter cenving e dreinege problem
~5 1, Conhacror shall notify the HuilNng Iaepeemr twenry.{our (24) houn in aMenro for ell inryxtionu end sMll rueive written apprwal on inspection cuA before
yrocccding with succvsivo p7wm of the job.
The ismance of a pcmut or the apprwel of drawings end specificetions .ilufl not be comtrved W be a pmnrt for, nor an appmval of, any vlol alion ef thc
provisions of the bwlding codes or eny othw ordinencq lew, rvle or regWa4on.
SIC: Sq.Ft.:
Walls: Roof: Stories: Residential Units:
Chief Building Inspector
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Date : 10/11/2004
Property Owner:
BILL ECK
Property Address :
3565 MOORE CT
Contractor License No. :
21236
Company : O'CONNOR ROOFING CO, LLC
Phone : 245-4376
Phone : 303-462-3745
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the selback distances proposed by this permit application are accurate, and
do not violale applicable ordinances, rules or regulations of the City of W heat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are acwrate; that I have read and agree to abide by all conditions printed on this
applicalion, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE i%~-~
Description : REROOF 30SQ.
BUILDING DEPARTMENT USE ONLY
Zoning Comments:
Approval:
Zoning :
Building COmments
Approval:
Pub11c Works Commenls:;
Approval:
Occupancy: Walls
SIC : Sq. Ft. :
Documents frone the mattuf°°turer shatl be
onsite for final roof t„spection which specify
roofing materials have been installed to meet
110 MPH three-second wind gust-IBC (90
MPH wind load--UBC).
Roof
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval :
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This permit was issued in accortlance with the provisions set foAh in yopur application and is subjed to ihe laws of ihe State of Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of ihe Cily.
(2) This permit shall ezpire if (A) the work authorize0 is not commencetl within sixty (60) days from issue tlate or (B) the building aulhorizetl is suspended or
abandoned for a period of 120 days.
(3) If lhis permit expires, a naw permit may be acquired (or a fee of one-half the amount normally required, provided no changes have been orwill be made in the
original plans and specifications antl any suspension or abandonment has not ezcaeded one (1) year. It changes are made or if suspension or abandonment
exceeds one (1) year, full fees shail be paid for a new pertnit.
(4) No work of any manner shall be done ihat will change the natural Flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before
pmcaediing wilh s sive phas9s ofthe job,_
(6) The issua it r-approval of dra~s and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provi s codes~pr aay 8inance, law, rule or regulation.
A/
Building Permit Number : 77865
Valuation :
$6,326.25
Permit Fee :
$181.10
Plan Review Fee :
$0.00
Use Tax :
$75.92
Total:
$257.01
Use:
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
w~E COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933 Date:
` CITY OF WHEAT RIDGE
° - 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 • (303-235-2855)
APPLICATION
Property Owner. I?% fx'K
PropertyAddress: 3565 M«+ra Cl-t Phone: >y.5 y374b
Contractor License No.:
Company: a'C.*0~T- VE!6y'41I Phone: Sq j( \155
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity that the setback distances proposed by this permit application are
accurate, and do not violate applicable ordinances, rules or regulations of the City ot
W heat Ridge or covenants, easements or restrictions of record; ihat all measurements
shown, and allegations made are accurate; that I have read and agree to abide by all
conditions printed on Nis application and that I assume tull responsibiliry for
wmpliance with the Wheat Ritlge Building Code (U.B.C) and all oNer applicable
Wheat Ridge Ordinances, forwork under this permit.
(OWNERHCONTRACTOR):
Description: r-u.m-F 3D6%-
Sq. Ft. added
Value:$ 1.1t1t,•35
Permit Fee:$
Plan Review Fee:$
Use Tax:
TOial:$
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) 7his pemit was issued in accordance with Ue provisions set forth in your appliption and is subjec[ to [he laws of Ne Stale ot
Colorado and to the Zoning Regulations and Building Codes oi Wheat Ridge. Colorado or any other applicable ordinances of
Ne Ciry.
(2) This pemit shall expire if (A) the work auNOrized is not commenced within sixty (60) days hom issue date or (B) the building
authonzed is suspended or abandoned for a period of 120 days.
(3) If this pemit expires, a new pemit may be acquired for a fee of one-half the amowt normalty requireC, provided no changes
have been or will be made in the original plans and spedfiwtions and anysuspension orabandonment has not exceetled one
(1) year. Ii changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change the nalural flow ot water causing a drainage problem.
(5) ConVactor shall notify the Building Inspedor twenty-four (24) hours in advance for all inspecMions and shall receive written
approval on inspecfion card before proceeding with successive phases of Me job.
(6) The issuance of a pemit or the approval of drawings and specifications shail not be wnsWed lo be a pemit for, nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Date
77849
10/7/2004
Property Owner: DIANE HARVEY
Property Address : 3972 MOORE STREET
Contractor License No. : 20185
Company : Drury Bros Roofing
Building Permit Number
Phone : 3-422-1830
Phone: 303-722-2213
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurale; that I have read and agree to abide by all conditions printed on this
appiication, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable t Ridge ordinances, f~iork under this~ p~er[mit.
(OWNER)(CONTRACTOR)SIGN~ DATE /p
Description : T/O 3 OF 3, INSTALL 25 YEAR GAF 3-TAB
Zoning Comments:
Approval:
Zoning :
Building Co"rriments: ~
Approval:
Publie Works Cqmments:
Approval:
Occupancy: Walls
Electrical License No :
Company:
Expiration Date :
Approval :
Valuation :
$2,100.00
Permit Fee :
$108.90
Plan Review Fee :
$0.00
Use Tax :
$25.20
Total:
$134.10
Use :
BUILDING DEPARTMENT USE ONL'
SIC
Dxuments,fr»m the mamrfacturer shall be
ortsite for fuwt roof inspectio►+ which specify
roofir+g materials have been installed to meet
110 MPH tirree-second wind gust---IBC (90
MPH wind load--ilBC).
Roof
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accortlance wilh the provisions set forth in yopur application and is subject to the laws of the State of Coloado and to the Zoning
Regulations and euilding Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This pertnit shall expire if (A) the work authorized is not commenced wilhin sixty (60) days from issue date or (B) the building aulhorized is suspended or
abandoned for a period o! 120 days.
(3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount normalty required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) yeac If changes are made or if suspension or abandonment
exceeds one (i) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone Ihat will change the naturel Flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspeclor twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
pmceediing with successive phases o( the job.
(6) The issuance of a permit or the a proval of drawings and specifcations shall not be consirued to be a permit for, nor an approval of, any violation of the
provisions of the buiV ' r anypWe rrtrdin~lic w, rule or regulation.
Chief Building Inspecto ~
Sq. Ft. :
Stories : Residential Units :
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Builtling Permit Number:
d""E'" q 8U1lDING INSPECTION IINf - 303-234-5933 Date:
=~g, CITY OF WHEAT RIDGE
" ^ 7500 WEST 28TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
QTOpem own«.
Phone:
Property Address: 3Cl -7 ~ m
Conaactor Liccnse No.: '_)U1
pyYNEp/CpN7RAC7pR SIGNATURE OF UNOERSTANDING AND
1 heiepy pertiN vwt Cw sNbatlk tlisUnxs Woposetl by this pemiil appiotwn are
acarate, antl do not vida4 aVPicable adinanoes, nAes a repulatia+s of tne City of
wneat Riepe a crnenanu. easemmts «resaicc«,s m reoai7: mat aA mwswanents
stawn. anA aMDation+ ma0e are acarau: tlqt I have resA and apree b abitle by ae
conAiGpns printeA on tlus appfwation aiW tt~at I assume fuN responsibiliry fa
tt
ppnpliance wi1h fie WPeat RMpe BuiWinp Cotle (V.B.C) antl all oCro1 applipbk
W heat Ritlpe Ordinances, lor wrk unOr t7+is G~yi
Description: 7--/0
C~16. 33 ~ .
Sp. Ft. sOAW
Phone: 303-?7</- g (00 i
Construction Value:5 alOrj
Permit Fee:S \ Q%.'
Plan Review Fee:S
i Ise Tax-e
TOI2l:$
3 C~ 3 , dnOG-OQ '~1(5 wo'q GAF E-TQ}
Ecpiration Date: Expration Oate: Expiration Date:
P^^roval: ADD►wal: MWoval:
(t) This pemil wn bsuW in aoooi0r+w wM tlr Drovi+cris aet krll+ n yar aOPkabo^ and b aubj W b 1M bws d Ihe Stme of
CdasOo anA b Ihe Za'r~C RsqYsborn and BuYd^D CoOSS d Whssl RiOpa. Cdaado a srry a0w appicaOM adina'wes of
vw oty-
(y) This pwmYt shaY expirs il (A) ft wak wlhorizse k na mmme+osA wiUMin sirty (60) tlar+ hom iswe eate p(8) Vm build'u+o
aNOArsd'a wspwWW Or ib~rWOiNd b! P«w0 W 120 diys.
(3) M 9tls Dw ;'K. a rww Demi noy W ac0uiliisid for s M d one-MII Os rnwM nwmYY rp, ed. povids0 no dunDK
I+M bwn vvrE be n. In b oriP~al DYu an0 vpodGalws rW +M uxspwm^ a aMnOwnW hw nd e:osedsd ar
(1)yqr. qdwVKhMbwiaNaapwaionoraDrWomwd eaossCSans(1)Yew.IUd leasaW bePaidloranewDSmdl
(4) No wak of airy mrrw NY W Oar Mol wd Wnpe IM'WSaI llow d rnMr ous:q s dra.naW Vobim^-
(5) Calratb 000 rwYfY Ow A,+I Ikapecim WmMY4oiff (24) Iqus n a0vanw br dl inspsc0ons an0 ahaR rouive writlen
yppuvsl on vqpsction crd ONorisproceedrq wilh sutonwmPhieses d IM joD.
(6) , anviob~bon ot~ the provisbns o1 1ne buiWi~+D co0es adnanx. Ww. n~ a repWation. tor. nor an
pproval of
Eleetrical license No: Plumbing license No: Mechanical License No:
Compmy. ComPe^y. C°mpa^y.
DEPARTNIENT 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
13133
11 /15/01
Property Owner: DIANA HARVEY
Property Address : 3972 MOORE ST
Contractor License No. : 18505
Company : BARTELS HEATING & A/C
Phone:
Phone : 422-3589
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this permit application are acwrate, and
do not violate applicahle ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easemencs 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.
Construction Value :
$4,953.00
Permit Fee :
$111.25
Plan Review Fee :
$0.00
Use Tax :
$74.30
Total:
$185.55
(OWNER)(CONTRACTOR) SIGNED DATE US8 :
Description : INSTALL 75,000 BTU FURNACE
59
BUILDING DEPARTMENT USE ONLY
W " R.mi^ents:; SIC : Sq. Ft. :
J
.
Appraval :
Zoc~ra :
. MM-7Pm ~tentS'!~.,'.
Approval
RA"~ks Com~!~ d0AN1e"
~ S?.., ntszv
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Eiectrical Licen- No : Plumbing License No : Mechanical License No : 18505
Company : Company : Company : BARTELS HEATING &
A/C
Expiration Date : Expiration Date Expiration Date: 10/25/02
: Approval : OKIKS
Approval: Approval:
(i) This permit wr,,:. ir:;ocd in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloratlo and to the Zoning
Regulations antl Builaing Cotle of Wheat Ridge, Coloratlo or any other applicable ordinances of the City.
(2) This permit sn:dq ~xpire if (A) the work authorizetl is not wmmenced within sizry (60) tlays fmm issue tlate or (B) the building authorized is suspended or
abandoned (or a period of 120 tlays.
(3) If this permit expires, a new permit may be acquired for a tee of one-hali the amount normally required, provided no changes have been or will be matle in the
original plans ancf specifications antl any suspension or abantlonmenl has not exceeded one (1) year. If changes are matle or iF suspension or a6andonment
exCeeas one (1) year, full fees shall be paitl for a new permi[.
(4) No work of ac, mnrner shall be done that will change ihe natural Flow otwater causing a tlrainage problem.
(5) Contrador sr- i.,cIity the Building Inspec[or twenty-four (24) hours in advance for all inspedions and shall receive written approval on inspection card before
proceedling wnn successive phases of the job.
(8) The issuance ef a permit or ihe approval of tlrawings and specifcations shall not be construetl to be a permit Por, nor an approval oF, any violation of the
provis f t!ldin codes or any other ordinance, law, mle or regulallon.
Mf $uilding'i ect
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permi[ Number
BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2555)
APPLICATION
Propertp Owner: Diana Harvey
Property Address: 3972 Moore St Phone :
Contractor License No.: 18505
Company: Bartels Heating & A/C Phone:303-422-3589
OWNER/CON'IRACTOR S[GNATURE OF ONDERSTANDING AIVD AGREEMENT
I hearby certify thal the setback distances proposed by this pemnil application are
acwratz, and do nut violate applicable ordinances, rules or regulalions of the City
of Wheat Ridge or covenunts, easements or cestriotions of cecord: lhal all
meuuremenlc showq and allegalions made aze acewate; that I have read and
agree tu ahide by all wnditions printed on this applications and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (U.B.C) snd
all offier applicable Wheat Ridge Qrdin@rwes, foj~k undarlhis pertnit.~
) (
(OWNER)(CONTI'RP.C70R).SIGNnLl~DATE/F/ 4/
Construction Valoe: 4953.00
Permit Fee: 111.25
Plan Review Fee:
1 ica Tax 74.30
TOt2I: 18$.55
Description: Install 75,000btu furnace
Electrical License No: Plumbing License No: Mechanical License No: 18505
Company: Company: Compan}:gartels Heating & A/C
Expiration Date: Expiration Date: Expiration Date:
Approval: Approvai: Approval:
(1) 'Chis permil wav issued in accordance wiN the prwisions sel Sorih in your application and is subjecl lo the laws ofthe Su[z ofColorndo end m the Zonfnb
Regulationa and Building Code o( Wheal Ridgq ColoreAo or ony oNu applicableordmances ofihe City
(2) This parmit shall expve ff (A) the work aathodzad is not commenwd within sixty (60) days tiom issue dete or (B) the building aulhonzed is suspendad or
abandoned (or a penod o! 120 days.
(3) I( [his pertvit expims, a new permit may be acquireA for a@e of onehalf the amwnt wrmnllV requimd pmviAed no changes have been or will be made in
the original plartv and spuifications end any suspension or ebendotunent haz nut ucaeded one (1) year_ lf ohanges heve bean or i( suspension or abxndonment
exveads ona (1) yeer, fall faes shall be pxid for a new permit.
(4) No work of any manner shull be done tha[ will change the natwal tlow of water causin6 a drainage pmblem.
(5) Convactor shall mlify the Building Inspector twenty-four (24) hours in aManm for all inspectioas and shall receive wrinen approvat on inspection card before
proceeding wilh muusive phazes of lhejob_
(6) The ismence of a perzurt or the apprwal uf drawings md specifcatio2s shall not be oonstrued to be a pertnit for, mr an appmval of, anyvfolation ofthe
provisions of the bvildivg codes or any oNer ordinance, law, rule or regvlation.
Chief Building Inspectar
,DEPARTMENT OF PLANtNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
6646
2/23/98
Property Owner :
Property Address : 3972 Moore Street
Contractor License No. : 17152
Company : Precise Plumbing
Phone : 279-9823
Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of recortl; that all measurements showq and allegations
made are accurate; that I have read and ayree 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.
(OWNER)(CONTRACTOR)
Description : Replace water heater, ready for inspection
Construction Value :
$440.00
Permit Fee :
$22.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$22.00
Use:
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permk was issued in accordance with the provisions set foAh in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations antl Builtling CoOe of Wheat Ridge, Colorado or any other applicable ordinances otthe Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within siMy (60) days from issue date or (8) the building authorized Is suspendetl or
abandoned (or 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 requiretl, provitletl no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) yeac If chanqes are made or if suspension or abandonment
ezceeds one (1) year, WII fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the naWral Oow of water causin9 a drainage problem.
(5) Contrectof 5hall notify the Building Inspector twenty-four (24) hours in advance for all inspeCtionS and 5hall feceive written approval on inspettion cartl before
proceetliing with suaessive phases oF the job.
(8) The issuance of a permit or the approval of tlrawings and specifcations shall not be construed to be a permi[ for, nor an approval of, any violalion of the provisions
,-,ot the builGing cotles or any other ortlinance, law, rule or regulation.
Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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 :
• Property Address : Phone: 7/-- ~ Ss z3
Contractor License No. 7/ S'Z
CompanY : Pe e cis t~~~~ c- Phone : 5-Yy o P'sr'/
~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
'I bsrsby certiy that tbe selbadc distances proDOSed by this pertnrt sppuption are acwrate.
antl Co not vloiate aoplwabb ommances. ruMS or reguvtlons W the City of VMeat Ridge or
covenanu. easements ar iestncdons of roeortl: that aY meuumrtqnts shwm. isno allegaUOns
i'ma0s arc aeeurne: tnat I have rcaa and ayrse w aDiCe by aU mntlhions pnntetl on lhis
appYption. ana mat 1 asaume lull respons6dqytw comgmqnee wtth the Whaat Ritlge 8uiltliqg
CoOe (U.B.C.) anO all oMx appucabk WAeat Ridps oramancas, tor work under Mia peimR.
(OWNER)(CONTRACTOR)SIGNED/O~~ DATE
Constrvction Value : v ve -
Pertnit Fee : z z
Use Tax : Spa^s
Total : 2 1
Descnp6on : relo/ ce ~ d../IYa i4,o-
BUILDING DEPARTMENT USE ONLY
ZAzL2'L'Ob"R4A
ApProval :
Zoning :
HNlldltia~~li~
Approval .
. PGbi "
Approval :
Occupancy : Walis : Roaf : Stories : Residential Units :
Electncal License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiradon Date : Expiration Date : Expirabon Date :
Approval : Approval : Approval :
_I rPlfts:Rdqufred;;n, a _ Plnns Rdtlut►ed':" '1 .6 rAImAdmuiritJ~
(1) ihu pertnn was iswaa n armraanee wFm tne ponsans sn hrm n yoqu aoWnoon am u suqsa m tM uws W ma Stau M Cobwao ana m me 7.mirq
Raqulsuons ara BuiWng Coaa ol Wneat RWqa. Co:onae p aM oNw aoWnele orainanos ol tna Cily.
(2) a~won~ aan M~r aeDen~oa of(i20 CaYwont auoanzaa w noc mmmen~za wnwn u~nY (60) OaY+ Irom iuus Wu ar (B) tlha OuilWnq auYanzao o suspxW W a
(a) if ws permrt ezaros. a naw parmt may w awursa br af" W on"Mn the Amount nwmeiy mouas4 povqstl no Curpes naw psen a wio ee mdft n ft
orqinal pans ana sDeafiu0aia anC any suapanapn m swrqonmMC nu not axanaatl ona (1) Year. If CJIUIpsf aro mwe or Hsuspsnfqn p aWnCOrullNq
CxCO00f O!1! 11) YGY. h!N hQS fMll E! Oiq f0f i IIM OM11R.
(4) No work of sM mnMr fMll De Cona mat will Manqe oN nalural Ilow W walp uusinq a EqiM9a podMn.
(5) Lonvactor snsn nouN Ine BwlEng insoeuor nvamy.four (21) nours in awance lor au mapxnons an0 Map racarvs wntten aPPrml on mspsmon uiu Delon
prxeeonnq wnn successne onassa of tne pb.
(6) TTe wsuance Of a Dettnn or tne apprwai ol tlnwrtqs ana soealcauons inall not De ConSWeC t0 De s pemut for, npr an spproval ol. airy vwlaoan of UIa pMwqna
Of CI! Duil0in9 CpplS Or 2fly 0111lr OICIniI1R, 12W. N:! OI fC9YliWl1.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR ANO MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION