HomeMy WebLinkAbout4684 Dudley StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201704810
PERMIT NO: 201704810 ISSUED: 07/25/2017
JOB ADDRESS: 4684 Dudley ST EXPIRES: 07/25/2018
JOB DESCRIPTION: Residential Re -roof to TEAR OFF 1 OF 1 LAYER AND INSTALL 17SQ OF TAMIKO
HERITAGE asphalt shingles & 4 SQ OF PEEL AND STICK ON LOW AND SLOW with
21SQ (4SQ=FLAT)
5/12 PITCH -HOUSE
*** CONTACTS ***
OWNER (303)210-4972 SMITH ELAINE A
SUB (303)296-8551 Production 019898 AVI, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION:
FEES
Total Valuation 0.00
Use Tax 113.34
Permit Fee 140.90
** TOTAL ** 254.24
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
� City of Wheat Ridge
Residential Roofing PERMIT - 201704810
PERMIT NO: 201704810 ISSUED: 07/25/2017
JOB ADDRESS: 4684 Dudley ST EXPIRES: 07/25/2018
JOB DESCRIPTION: Residential Re—roof to TEAR OFF 1 OF 1 LAYER AND INSTALL 17SQ OF TAMIKO
HERITAGE asphalt shingles & 4 SQ OF PEEL AND STICK ON LOW AND SLOW with
21SQ (4SQ=FLAT)
5/12 PITCH—HOUSE
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 le�ally authorized to include all entities named within this document as parties to the work to be
perf� rmed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
S'gnature o R or CONTRACTOR (Circle one) Date
This pe was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 and_procedures 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, an violation of any provision of any
applicab or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
y
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz iA (/ / / U `_/ 6 / U1`
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 17, 2017 9:21 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
4684 Dudley St
Elaine Smith
3032104972
Property Owner Email Field not completed.
Address �sq, a/
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
Cara Meyer
Contractor's License
19898
Number (for the City of
Wheat Ridge)
Contractor Phone
3032968551
Number
Contractor Email Address
production@aviroofing.com
Retype Contractor Email
production@aviroofing.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
Tear off 1 of 1 layers and install 17 sq. of Tamiko Heritage.
Material
Install 4 sq. of peel and stick on low and slow
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
21
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
4
on the flat roof?
TOTAL SQUARES of all
21
roofing material for this
project
Provide additional detail
5/12- House
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Cara Meyer
Email not displaying correctly? View it in your browser.
3
PROPOSAL AND AGREEMENT
Job Address:
,.CO ZIP:
AVI Roofing, Inc. (-Contractor-) agrees, subject to the Additional Terms and Conditions on the reverse side of this Proposal £f Agreement, to furnish all
material, labor and equipment necessary for the work specified below located at the address stated above:
ROOFING WORK TO BE PERFORMED:
A. SHINGLETYPE
J /J
fiver, CO 80216
WIN
r
PHONE: (3303) 296-855 tAV�R00FG
E-MAIL: offi aviroofng.com
2
FAX: (303) 296-8557
www.w.aviroofng.com
B. RIDGETYPE:`.
BNDL COLOR:
ICE ICEGUARD VALLEYS:
Name: j . ` i ,
Cell Phone:
Work Phone:
Billing Address: _ l'L -
— g.
Ci.`r.i .cam Vit... 1J s
CO ZIP: n,
` ` ✓
C. MANUFACTURER WARRANTY:
IL INSTALL 2 X 2 RAKE FLASHING:
Job Address:
,.CO ZIP:
AVI Roofing, Inc. (-Contractor-) agrees, subject to the Additional Terms and Conditions on the reverse side of this Proposal £f Agreement, to furnish all
material, labor and equipment necessary for the work specified below located at the address stated above:
ROOFING WORK TO BE PERFORMED:
A. SHINGLETYPE
J /J
SQS COLOR:
J. ICE GUARD EAVES:
r
B. RIDGETYPE:`.
BNDL COLOR:
ICE ICEGUARD VALLEYS:
r> L
` ` ✓
C. MANUFACTURER WARRANTY:
IL INSTALL 2 X 2 RAKE FLASHING:
FEET COLOR E J r
f�
5/ C1
D. WORKMANSHIP WARRANTY:
YEARS
L INSTALL 2 X 4 EAVE FLASHING:
FEEr COLOR
, �
E. REMOVE AND HAUL AWAY:
LAYER
M. STEP FLASHING:
BUNDLE COLOR:
F. BASEFELT: tj�L:!{ftpfi'E
ROLL CERT OR ASTM
N. HJACK, CAP &COLLAR:
EACH
V
(/'
/ j
G. R & R PLUMBING FLASHINGS
EACH
0. SWAMP COOLER:
FLASHING KR
H. VENTALATION: RV 51
EACH
P. CHIMNEYS:
,'2
FLASHING KIT
r�
1. VALLEY MATERIAL: 90 lb
ROLL
Q. PERMIT FURNISHED BY:
GUTTER WORK TO BE PERFORMED:
GUTTER SIZE:r `t C". !! 1
GUTTER TYPE: S�._ /{
l
TEAR OFF: 5
COLOR: !�
DOWNSPOUT SIZE: Z-
DOWNSPOUTTYPE:
TEAR OFF: ,
COLOR:
✓
OTHER WORK TO BE PERFORMED:
SIDING:
i
WINDOWS:
SCREENS:
OTHER: l t
SPECIAL INSTRUCTIONS:
1 THE HOMEOWNER HAS A 3 DAY RIGHT OF RECISION TO CANCEL THIS CONTRACT WITHIN 72 HOURS OF THE DATE SIGNED ON THIS CONTRACT IN WRITING.
2 THE APPROXIMATE WORK START DATE IS THE JOB SHOULD TAKE APPROXIMATELY DAYS.
3 ALL MONEY COLLECTED PRIOR TO THE JOB STARTING WILL BE HELD INA SEPARATE ACCOUNT UNTIL THE JOB IS 50% COMPLETE.
4 THE PRICE OF THIS CONTRACT DOES NOT INCLUDE LEAD MITAGATION.
PAYMENT OPTIONS:
Work to be completed according to the above specifications in the amnount of:
$
(not to include insurance supplements permit costs or any unforseen construction costs.)
Balance due upon completion CASH SALE
i
Q' INSURANCE AGREEMENT. The homeowner authorizes AVI Roofing, Inc. to represent their best interest in pursuit of full replacement costs for damages believed to be
covered under homeowner's insurance and allows AVI Roofing, Inc. to deal directly with the insurance company regarding this claim. This contract does not obligate the
homeowner or AVI Roofing, Inc. until the claim is approved by the insurance company, and accepted by AVI Roofing, Inc. Upon approval of claim, AVI Roofing, Inc. will
complete all specified work at a price agreeable to the insurance company (RVC only) and AVI Roofing, Inc., with no additional cost to the homeowner except for the
deductible. Final agreed upon price will become the final contract price, regardless of estimated contract price above, and we request that all payments also be made
payable to AVI Roofing, Inc.
H payment is made by credit card a 5% service charge will apply.
Replacement of deteriorated decking, fascia boards, roof jacks, ventilators, flashing or other materials, unless otherwise stated in this Proposal & Agreement are not included and will be charged as an extra on a time and
material basis. Owner is responsible for removal of all outdoor furniture, awnings, or other outdoor fixtures prior to the start of the Work. Owner to prime and paint any replaced wood and / or metal. The contractor she% not
be required to perform work relating to asbestos or polychlorinated biphenyl (PCB). Owner will be responsible for the additional cost of removal or cost to render harmless this material in the event that such material is
discovered. This Proposal & Agreement will expire in ten (10) days from date unless accepted in writing within that time by Owner, or unless the expiration date is extended in writing by the contractor and this Proposal &
Agreement is thereafter accepted by Owner before the extended expiation date. Also, after 10 days from the date below, Contractor reserves the right to revise its price in accordance with costs in effect at that time. All
proposals are subject to approval of Contractor's Management.
ACCEPTANCE OF PROPOSAL
By signing thisa m I have fead and derstand the dditional Terms and Conditions on the back side are part of this Proposal & Agreement.
Custo 5`rgriaiq Date
Salesmen Sign a `iDate
♦ = CITY OF WHEAT RIDGE
Building Inspection Division 1
(303) 234-5933 Inspection line !�
(303) 235-2855 Office - (303) 237-8929 Fax ;{� {
INSPECTION NOTICE
Inspection Type: "� /1kms 1 /
Job Address: l 61&
Permit Number: / Q
❑ No one available for inspection:.Time A. lP
Re -Inspection required: Yes rN_
When corrections have been made, call for re -inspection at 303-234-5933
Date:,��! °-3'7 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: f'` 1
Job Address: '141Kgl D"Che"i 'f
Permit Number: fol 31 C)y �-It)
9
T
a e
❑ No one available for inspection: Time 1 = r!,--AM/PMI
Re -Inspection required: YesNo/�
When corrections have been made, call for re -inspection at 303-234-5933
Date: /i Inspector:
I
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: vi b
Job Address: 4 L R 4 r
Permit Number: tti/ -7 6 U 3 G^
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re-' pection -3Q3-234-5933
Date: -17 Inspector:
DO NOT REMOVE T IS NOTICE
INSPECTION RECORD Occupancy/Type
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
� •�_C_lel*�•llll<�i�3![yia{��7'[•7t[�1�1��+1'i•l�fa#iii.�iT�'llr7�I�T•.]I(�3'iT.-7.3:
Underground/Slab inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
M01.1C[•]."wn$1'1=J.iVJIis[=] Co Ito] ;IIIIsm #Ia.111.1'.'Jla1CN1 F:1+1'.a'L7 d'MUiT•T 'i•T7 \T1TT.7
Rough Inspections
Date
Inspector
Initials
Comments
Wail Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final inspections Date Inspector
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
Inspections from ,FCity C `e�` G E,
'a
one week in var C.. # Y` - _11, 7"
inspections call 30: g e - ac -c- 5ndc� �!s -
inspections call 30:
contact the Fire Pr( W P 41!_ 24aY--
€A ML
t iia & 3: F. mE Lq!
[i ,H! 095116"
`°r- k. L u
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a i:ertiricate
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
y the Building Division.
*For Inspection Time Window Requests — Please email insotimereauest@ci.wheatrid eg co.us by 8:00 A.M. the day of the
nspection with the property address in the subject line of the email.
Occupancy • •: Until ' Certificate of •;
s it
Protect•; From
0 MUTT, —:ti
-----
6
FOR OFFICE USE ONLY
PlenlPenwit # f) i ��4(cq
Property Address: 4684 Dudley St Wheatridge 80033
Property Owner (please print): Elaine Smith Phone: 303-420-2861
City, State, Zip:
Arr,hitect/Enaineer:
=-MERGZ,U031=
Electrical:
W.R. City License
• I - .1
1331VA4414141021ri
9T. MW
303-945 1519
Mechanical:
W.R. City License#
Complete all information on BOTH sides of this form
NEW COMMERCIAL - c UPGRADE
NEW RESIDENTIAL COMMERCIAL rii
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL
a [:.r STRUCTURE
r _ .f: _• deck, _:.
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL a r r a REPAIR
r ar, i REPLACEMENT r a
PLUMBING SYSTEM/APPLIAINCE REPAIR or REPLACMENT
. SYSTEM/APPLIANCE
r r a or
REPLACEMENT
OTHER (Describe)
".i ALL projects, please provide . detailed }:- i • of ♦ to be performed, including current use of
proposed uses-squarellopAko W4
amount of materials to be used, etc.)
E
We will be replacing 1 kitchen, 2 living room and 2 master bedroom windows like for like . Egress requirements will be met and will have a u
factor of .30 or better. There will be no size modifications.
IM
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
9,014
t «. «.M SIGNATURE OFUNDERSTANDING AND A
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
N"NINliiiilllmmml S-11410-6, -ill 1-11 - I -M-111610
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.
RINT NAME: Matthew Seiler — - SIGNATURE: r art _ DATE: 3114117
DEPARTMENT USE ONLY
ZONING COMMMENTS OCCUPANCY CLASSIFICATION:
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer
PRQOF OF ♦ t-
Fire Department Received 0 Not Required
Water District
Building Division Valuation
I I I
DEPARTMENT OF PLANNING AND DEVELOPMENT
- BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number:
12339
Date: 6/15/2001
Property Owner:
Property Address: 4684 DUDLEY ST
Contractor License No, . 17152
Company: Precise Plumbing
OWNEH/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 420-2861
Phone: 534 0881
(OWNEH)(CONTRACTOR) SIGNED
DATE
Total:
$483,00
$23,50
$0,00
$0,00
$23.50
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made arl= accurate; that J have read and agree to abide by all conditions printed on this
applicaU::m, 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.
Use:
Zl
Des<:ri ptlon :
REPLACE WATER HEATER, READY FOR INSPECTION
BUILDING DEPARTMENT USE ONLY
-....
Approval:
Zoning:
SIC:
Sq, Ft.:
fIlIlIIIIIIIBII
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuan a permit or e approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the b . e ther ordinance, law, rule or regulation.
(4)
(5)
(6)
DEPARTMENT 01= PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION. 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE. CO 80215
Building Pennit Number@
. \
, Date.
Property Owner:
Property Address:
Contractor License No.: I 7/ r2-
CompanY:jJr~c./.s-e.. //.-.'" (/',." ~c:...-
i/ 6 7'1 .iJcn/t&7
sr
Phone: I().O- ~ '("(./
/ 3.3)
Phone: 5".11"-(:) i-lr /
-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: '/'Y3. 'CU
Permit Fee: .:t 3. S" 0
Use Tax: JpA/'S l'c>-o,.
I hereby certIfy that tt1e setb_dc: liistances Dreposed by this permrt application are accurate.
ancl do not vIolate applicable oram.nees. rule, or regUlabOns of the City at Vv'h..t Ridge or
covenants. easements Of I'1!IsU1dlona of 1'8COtd: that au measwemems shown. ana .negatlOns
rm_ Ire accurate: lIIall have rela Ind agree 10 ablcle Dy 10 COnclilions pnnted on this
IllIlllCation. Ina 1Il111 IUuma full ,.sponsQlily lor complllnce WIllI lI1e WIle.. Ridge BulldJng
Code (U.B.C.) ana IU olller IPPllCItile ~ Ridge _minces. tor _ under IIlIS "'/mIl.
(OWNER)(CONTRACTOR) ~IGNEO~ .~__./"~ DATE .
Descnption: r.e/,~ce. u1. -('~r 4"4>- ~r / r1''''o)- f!C''''r- 1'-" ~..e -C:'OY'
Total: ;22 :)0
BUILDING DEPARTMENT USE ONLY
:..r',',ll' -., "..- .,.
Approval:
Zoning:
~ [ojlJ.;.....'1::r~Ll!.4.:lJl~l-..
Approval:
'. fI1:r.)ntZ"~;'!'-~~...$i''''~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Plumbing License No :
Company:
Mechanical License No :
Company:
Electncal License No :
Company:
Expiration Date:
Approval:
.:J (PJm18RR1ulrecl~
Expiration Date:
Approval:
jJ .. P!Ili.R.8lIulnld.- .:J
Expiration Dale :
Approval:
. ~ullR~
111
This permn wn ISSUed ." aa::ctUllnce \InU"I me ~ HlIDrrn lit yoour lOI*C8bOn and IS SUOfeClIlO the Iawa of the Stale of Coknoo ana 10 .. Zoning
R!OUf,auons ana BuddlftO COCI. of 'M'\n1 FbdQe. COlcnao or any ocn., IDptlCI* oralnance' of U'le City.
This pennlt snaJI exove" (AI tn. WOO( autnClnZecllS not c::ommenc::ea 'MU\dt taaty (60) cs.yl Irom 1$$.... all Of' (8) !he builChng IUU'alZ1CI1S IUIQenCIeCI Of
abancJonea tor I oenoa 01 120 cSaya.
II :thtI pennn 1X0Ult.. . new '*'"" ""-Y De KQUnG tot . '" ot on...,.." en. .mounl normauy reQund. PRMGId no d'W1ge. nave DMn ", will 1M ".,. I'lIhe
ongNl plans and specdtc:aoons ana any IUSC*\IIOn Of IDanCIOnmetn nil not 'xCHOed one (1 J year. "cnanoa are maGI or d IUIC*'IIOn Of aa.anCD.nI..1l
exceecJS one 11) yeat. MI fees INIII be DllJa lor. new Dem'IIl
Nel wonc 0' any manner sna" De dOni Nt WIll Chanqe me natural ftow of WII., -=-US'"9 I dlaNgl Pf'Ob'em.
Connaot snail noli"" tne BUilding InsDeCZOt twenty.lout 124) hOul'1ln lov.nee tor Illln,pecDOnl lOCI .naI tecerve wnaen approwl on Inspec:DOn cara DeIDta
.croceeallng w.tn suc:c:essrve ONIH. of the ,00.
Th.e ISsuance of a oermrt or tI'Ie 'DprDY.1 or drawl"9s ana soeol\eatlOns snail nor be ccnSlruea 10 De I Pll'lTIIt for. nor .n IpptOVlll of. any 'nOCaDon of lie ~
ot l1'le Duuo'"q coaes or any Olne' aralnlnee. taw. I\l;e Of regUlation. .
(2)
(3)
(')
151
1'1
Chief Bui/Cling Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION