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Home My WebLink About4125 Marshall StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Wednesday, March 9, 2022 2:22:26 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). 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 Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4125 Marshall Street Wheat Ridge, CO 80033 Property Owner Name Richard Bassett Property Owner Phone 303-421-8364 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Wheat Ridae Payment Form 2022.Odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Blue Sky Plumbing & Heating Name Contractor's License 017835 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-421-8364 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email randyp@blueskyplumbing.com Address Retype Contractor randyp@blueskyplumbing.com Email Address DESCRIPTION OF WORK Is this an electrical change service upgrade or change? Number of Amps 200 Location of work main level hallway (garage, house, etc) Provide additional n/a details, if needed. Project Value (contract 8660.00 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 has been issued and posted on the property. I certify that I have Yes been 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 Randy Palato Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Thursday, March 3, 2022 11:22:29 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Furnace/Boiler Replacement This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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 residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4125 Marshall Street Wheat Ridge, CO 80033 Property Owner Name Richard Bassett Property Owner Phone 303-421-8364 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email n/a Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Wheat Ridae Payment Form 2022.Odf CONTRACTOR INFORMATION Contractor Business Blue Sky Plumbing & Heating Name Contractor's License 017835 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-407-7967 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email randyp@blueskyplumbing.com Address Retype Contractor randyp@blueskyplumbing.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 100,000 What is the efficiency 80 (%) of the unit? Is the unit GAS or GAS ELECTRIC? Where is the furnace or mechanical room boiler located (for example, basement, crawlspace, etc)? Project Value (contract 5625.00 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 has been issued and posted on the property. I certify that I have Yes been 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 Randy Palato Pe rm it Email not displaying correctly? View it in your browser. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: F �7 ' _ Job Address: FYI A n,$ k f I Permit Number: Z d 17 G O S S r�- w � ❑ No one available for inspection: Time ! S AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re-inspe tion 03-234-5933 Date: S 7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201700551 PERMIT NO: 201700551 ISSUED: 04/24/2017 JOB ADDRESS: 4125 Marshall ST EXPIRES: 04/24/2018 JOB DESCRIPTION: Replace 50 gallon hot water heater *** CONTACTS *** OWNER (303)421-8364 BASSETT RICHARD E SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,675.19 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 30.15 ** TOTAL ** 70.15 r *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 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. Per City of Wheat Ridge policy, carbon monoxide detectors are required to be installed in the same manner and locations as smoke alarms. [, 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 le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is 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 )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 Building Official and may be subject to a fee equal to one-half of the original permit 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, an violation of any provision of any applicable code or n rdinance or re tion fJh' jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11z59PM 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. I a f) i -i ✓1 n CC. f 'tI k 1 Y« P� °Gat Z(- 1 N S ,_/%-, C T 1 O N i RECORD f , I f9DC71P�&4Ykejj'-JINSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type 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 vo NOT rour "oncrere 10nnr I n wnnrnuni c jT I no onnuo �ncnnnti�r�� Underground/Slab Inspections Date Inspector Initials Comments Electrical TUTH OTALCC➢E. 097487 70.15 ---------------------------------------- Inspections iron one week in adv.... _. _ _ . .,. ,,., ,.+.avuru iy ai iu Pai nu ry 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. Sewer Service Plumbing ROW & Drainage / Public Works Dept. uo Not hover unaer round Or tseiowin-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials TUTH OTALCC➢E. 097487 70.15 ---------------------------------------- Inspections iron one week in adv.... _. _ _ . .,. ,,., ,.+.avuru iy ai iu Pai nu ry 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. Wall Sheathing ROW & Drainage / Public Works Dept. Mid -Roof Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection / Fire Protection Dist. Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail City of Wheat Rid&e 04/24,2017 13:23 CGBB Replace 50 uallon ho CDB014566 AMOUNT EPSP 4125 MaTshall 5T 70.15 APDL/PERMIT NO: 201700551 PAYMENT RECEIVED AMOUNT NP i 1,1a 7R_11� Final Inspections Date Inspector Initials TUTH OTALCC➢E. 097487 70.15 ---------------------------------------- Inspections iron one week in adv.... _. _ _ . .,. ,,., ,.+.avuru iy ai iu Pai nu ry 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. Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. . Wl wv wuayv Nc.nnw — ncaac uc aure uiai ivuyn 1IMPeLuuns are UUmPleleQ rrum ine rlre uisinci ana electrical low voltage by the Building Division. "For Inspection Time Window Requests — Please email insl)timereouest(cDci.wheatridge.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 4, - ..V, City of l� Wh6at005R le Date: . �.- CO(vtMUNmy DE•VCLoPmE f Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: 4125 .411nf'"11 �i✓^ li�or�� —� Property Owner (please print): l Z r� kNar �uFSG> Phone:' Mailing Address: (if different than property address) Address: City, State, Zip: Contractor. lj\Ltu `J PkLA 1b1'n Contractor License # �('�3' Phone: '73 Sub Contractors: Company Name License M Expiration Date: Trade/Profession Approval: Use of sppace (description): - Description of work: - / Plan Review (due at time of submd1tal):t— t4. dace- 5o rc l0 i W� �u-i� - Sq. Ft.)'l .Ft added: CI Squares t BTU'sy flattens Amps OWNERlCONTRACTOR 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 road and agree to abide by all conditions printed on this application and that t assume full responsibility for compliance with the Wheal Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances• for work under this permit. Pians subject to field Inspection. CIRLCE ONE::Szse_� R)ERSONAL REPR E (OW�ER)ONTRATOR) SIGNATUt2E PRINT NAME:.r+ - DEPARTMENT USE -ONLY -. _ ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: OCCUPANCY: BUILDING DEPARTMENT COMMENTS: —. -- Reviewer. gid VIIuation:5 FIRE DEPARTMENT:: O approved Wr comments O disapproved Ono review required Credit Card Payment: Use credit card listed on file. Print name:(- �� ! aL,��rS-in Signature: City of Wheat Ae COMMUNITY DEVELOPM[NT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us I FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: 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): 9,'ctiu.d i3u ssc l -t- v Phone: 303 - y2 l - eqW Property Owner Email: Mailing Address: (if different than property address) Address: City State Zip: Architect/Engineer E-mail: Contractor: / j /'c e Contractors City License #: 0/793S' j Contractor E-mail Address: Jan; cl d e tj/uc Sley?l u n.' 11 1 Sub Contractors: Electrical: Plumbing: W.R. City License # W.R. City License # Other City Licensed Sub: City License # Phone: Phone: ;°3 - q�_' i - a141 ON Mechanical: W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form 301ION SiH13AOW3FJ ION 00 aoloedsul o :ales 8$69-6EZ-80E le ugiloedsut -&j fo/ pea `epew ueeq eneq suq!pejjoo ueyM oN a,k :parnnbei uoiloodsul -aa Wd /WV awil :uogoedsui aol ajgeyene auo oN ❑ (2 j 0/ :AegwnN 3lwaad :ssaippV qop J o� :adAj, uolloodsul 33110N N01103dSN1 xe-4 6e68-ZCe (609) • eaNp ggge-3EZ (EOE) euil uoilo®dsul es69-PSZ (0999 lJ.� uolslnlo uoiloadsul 6uipline �A 3oam 1V3HM d0 A113 0 INSPECTION RECORD Occupancv/Tvpe cv'INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSP NITIALS ECTOR I COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain - Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical Heating (Underground) nn unr oni m n nno rani o...,~ ~.o oooa ROUGHS Sheathing - Lath / Wall-tie- Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRO( Framing CITY OF WHEAT RIDGE 05/03 Insulation 3 /10 cdba Drywall Screw Casey Colvin RECEIPT NNCDA004247 FINALS - - AMOUNT OPSP Reroof 22 sqs 366.00 101110 Electrical Permit Fee 217.50 Plumbing Use Tax 148.50 Mechanical PAYMENT RECEIVED MOUNT I V Roof S 5177 _ 366.00 Auth Code: Building Final 850812 TOTAL Fire Department - - 366.80 R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 05/03/2010 09:33 3032923387 PREMIER PAGE 02102 City of Wheat Date: Contnt>JnrixYDcornt~lvx Permit#:(t (I(1~. Building Division 7500 W. 29'h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property.Address: Property Owner (please print)_{<q!_ OtC:6 aTY Phone; 3~3• ~ Mailing Address: (if different than properly address) Address: City, State, Zip: QGptractoF ~j' `e~~~er 'fit Ana C'~D Contractor Licenselt: ]nl~j'7 Phone; -303, e?3A5 'AA-S Sub-Contractors: CoWngny Name: License 9: Expiration Date, Trade/Profession Aoproval Use of Space (description): Descrip9bn ofw rk: Py _ c r a~xa e~.'t ""rat;' a Plan Review (ripe at time ofsubmideq: $ Sq. Ft./L. Ft added: Souares!](OC RTt rc r-au.,.t~ A.,..... 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 made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this penult. Plans subject to-fold Insoaction. CIRLCE ONE% PRINT NAME( PERSONAL SIGNATURE; (CONTRATOR) t / - y Credit Card Payment: Use credit card listed on t Print name: Signature COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76954 BUILDING INSPECTION LINE -(803-254-5985) Date : 4/1412004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: RICHARD E. BASSETT Property Address : 4125 MARSHALL ST Phone : 421-8364 Contractor License No. : Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,200.00 I hereby certify that the setback disWnces proposed by this permit applicatlon are accurate, and permit Fee : $58.34 do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or reslrictions of record; that all measurements shown, and allegations Plan Review Fee : $0.00 made are accurate; that I have read and agree lo abide by all conditions prinled on this application, and that I assume full responsibilily for compliance with the Wheat Ridge Building Use Tax : $24.00 Code (U.B.C.) and all other applicable W h t Ridge rdinan ,es Jor k under this permit. (OWNER)(CONTRACTOR) SIGNED Total: $82.34 Use : Description : REROOF BACK PORCH. REPLACING OLD FELT & GRAVEL WITH METAL. , BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : B~ildf~t`g COrtt~1~~~ Approval : P~11itl~a'rl~~Com Approval : Occupancy: Electrical License No Company: Expiration Date : Approval : Walls : Roof Plumbing License No : Company: Expiration Date : Approval: Stories : Residential Units : Mechanical License No : Company: Expiration Date : Approval: (1) This permit was issued in accordance wifh the provisions set forth in yopur application and is subject to the laws ot the State of Coloredo and to the Zoning Regulations and Building Code of W heat Ridge, Colorado or any other appliwble ordinances of the City. (2) This pertnit shall expire if (A) the work aulhonzetl is not commenced within sixly (80) days from issue date or (B) the building authonzed is suspended or abandoned for a periotl of 120 days. (3) If this permit expires, a new permit may be acquired for a(ee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specilications and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, (ull fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow o(water causing a drainage problem. (5) Contraclor shall notiy the Building Inspeclor hventy-four (24) hours in atlvance for all inspections and shall receive written approval on inspeclion card before proceediing with successive phases of the job. (8) Tha issuance of a permit or the approval of drewings and specifcations shall not 6e construed to be a pertnit for, nor an approval of, any violation of the provisions of the Duilding codes or any other ordinance, law, rule or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. o WFqr COMMUNITY DEVELOPMENT DEPARTMENT , P BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) °~c oa~o° A ASPLy l~TJIOp~ / G Property Owner: Property Address: actor License No.: Corripany: Building Pemut A'umber. Date: Phone:~03 ~fZ/ -5~ 36 5-" Phone: O\l'!TER/CONTMC70R SICNATUNH OF L:RDERSTANDINC AND AGAEEMERT 1 hercby <crtify thni the xtback distanca proposcd by this permit application are aaurate, and do not violatc applicable adinmccs, ruia or rcgulaUOns of tht City o( Whcat Ridgc w covcnanu, easemmts or rcsuictions of rccwd; that all meuurcmcnls slwwn, and allcgations made ve accunle; thal 1 have rcad and agrtt to abide by nll conditions prinud on this application and that 1 assumc fuil rcsponsibiliry for compliance with thc Whcat Ridge Building Code (UB.C) and aII othcr appiiabl< Whcat Ridge Ordinantts, (or work unda is s pertnil. ION'NERJ(COMMCfOR): O`AIJERHCOh7MCTOR} PRI7: DESCRIPTI ON: r ZONIN6 COMMlNTE: Approval: Zoning: BuiLoiNtt torreNrs: Approval: PUOUt WOIU(S COMMENTa: Approval: :tion Value:$/zD 0 Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ BUILDING DEPARTMENT USE ONLY SIC: SqFt.: I Occupancy: Walls: Roof: Stories: Residcnaal Uniu: I Electrical License No: Plumbing Liccnse No: Mechanical Liceose No: Company: CompanY Company: Expvation Date: Expuation Date: Expiraaon Date: Approval: Approval: APProval: (1) This pemnit was issued in axpync< widi tM Drovisiwu sn fonfi in ywr applinupo aod ¢ subjat b the 6ws of Ne SuUolCobndo and b de Zoning Hegulauons and Bui)diny Coda of Nbot ltid'ge. Cobndo a any dhw applitabk ordinanca of the Ciry. This permit shall ezpirt if(A) iM work mUwrvd'u `w1 commrnced witAiv siary (60) dayy fipm issue yu m(0) th, buiWing mthorired is surycoded a abanda" fa a penod of 120 daya. (3) If ihis pcmiil upires. a n~,pcmiii may bc acquircd !a a fa of onchal! iM amoum nwmally roquirtd pmvidcd w chanyes hav<bttn w will Gc made io thc orieiiul pWs and spaificatio¢s uM any yuqpmtim or apaodpmmem hu od eucadN prt (I) ycar. If cAanpes Iuve bcen m if suspemioo w .bandonmem cxcttds one (I) yur. fuP kes Sluli be pid fa a Mw permiL (d) Ko wak of any manMr dWl h dooe Jut wi0 chanye the mwal 1bw of wncr uutin; a draiea{e probkm. (S) CmoacWr sW nodh dw BuiMin; lnVccnr twrnry-fav (21) houn io ad%inie tor a11 inspesuan aod shall rcnire xnoeo approval oo inryecoon c W bcfws proc«dinr ..ith suc<utivs phaxs of dK job. (6) 'IM istuaoce of a permit p ds qprovJ of Mrings aod spe<ificauons alull on, bc conavued u ye a pmnit for. oor an aypruval of, my vwiationn of fie pm~iswns of Ehe buiWing code amy ahtt ordi'unce, Iaw, ruk «regubum. 34 z--) '~.Q~ Chief Building Inspector