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Home My WebLink About3645 Miller StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Residential Interior Remodel Date: Monday, July 26, 20219:05:41 AM Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. 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. PROPERTY INFORMATION Property Address 3645 Miller Street Property Owner Name Rock Island Partners, Inc Property Owner Phone 7202994378 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email jokienitz@gmail.com Address Attach City of Wheat Electron ic-Payment-Form.odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" APPLICANT INFORMATION Applicant Name Josephine A Kienitz What is your role in the Property Owner project? Are you performing the No work yourself, live in the home and will be living in the home 1 year after completion? Contact Phone Number 7202994378 (enter WITH dashes, eg 303-123-4567) Contact Email Address jokienitz@gmail.com for Plan Review Comments Retype Contractor jokienitz@gmail.com Email Address 0]:K16]CII91M0N]MYLO]M:/ Detailed Scope of Updating two restrooms upstairs. Finishing and updating pre - Work - In the space existing basement layout. New toilets, new vanities, new shower below (not as an base. Plumbing updates due to age of house. Electrical updates attachment), Provide a in basement. New exhaust fan in bathroom and laundry room. detailed description of Egress window update in bedroom #2(separate permit to be work Including pulled by contractor). New drywall and finishes. mechanical, electrical, plumbing work occurring, adding/removing walls, etc I, the applicant, I have entered a detailed scope of work. understand my application will be rejected if I do not include a Detailed Scope of Work. Location of Work Basement and main floor bathrooms. Square Footage Area 92865 of Work Being Performed Asbestos Report Field not completed Upload letter size Field not completed documents here Construction Plans CamScanner 07-26-2021 08 591`20993 lans ndf scanned on 11'x17" or larger Project Value (contract $12,000.00 value or cost of ALL materials and labor) Valuation adjusted to $41,252.5 2- baths at 6500.00 = $13,000 777 sq ft basement x 32.50 = $25,252.50 Basement full bath = $3000.00 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. Person Applying for Permit I attest that everything 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. Josephine A Kienitz Yes Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Roofing PERMIT - 201702913 PERMIT NO: 2.01702913 ISSUED: 06/29/2017 JOB ADDRESS: 3645 Miller ST EXPIRES: 06/29/2018 JOB DESCRIPTION: Residential Re -roof to install architectural asphalt shingles - 22 sq. *** CONTACTS *** OWNER PERRY ALBERT J JR SUB (720)838-8341 Clinton D. Camp 140192 Talon Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,654.00 FEES Total Valuation 0.00 Use Tax 118.73 Permit Fee 140.90 ** TOTAL ** 259.63 i *** COMMENTS *** *x* 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 Alz-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&€'ms's installation instructions, whichever is more stringent. In order to pass a final inspection of elastomer_ic 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. 7,v/ 70Y13 1// 305 -Al INSPECTION RECORD anc /T e INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933--' Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie rough Electric " Rough Plumbing/Gas Line _ ^ Mechanical h.,)ugh Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 9 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. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: i N4* Job Address: SU45 I LIL a � Permit Number: '2O 1_707i�j j ❑ No one available for inspection: Time AM PM Re -Inspection required: Yes e When corrections have been made, call for -inspection at 303-234-5933 Date: -0 I01 Inspector: DO NOT REMOVE THIS NOTICE r" i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: _ ' `- Job Address: Permit Number: F `-' Z) /- P-2 ❑ No one available for inspection: Time l' / s/ldl/PM Re -Inspection required:. �No ` When correction have been made, call for re -inspection at 303-234-5933 t ())/ , Date. Inspector. \, DO NOT REMOVE THIS NOTICE b4 City of Wheat Ridge Residential Roofing PERMIT - 201702913 PERMIT NO: 201702913 ISSUED: 06/29/2017 JOB ADDRESS: 3645 Miller ST EXPIRES: 06/29/2018 JOB DESCRIPTION: Residential Re -roof to install architectural asphalt shingles - 22 sq. *** CONTACTS *** OWNER PERRY ALBERT J JR SUB (720)838-8341 Clinton D. Camp 140192 Talon Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,654.00 FEES Total Valuation 0.00 Use Tax 118.73 Permit Fee 140.90 ' ** TOTAL ** 259.63_.___._ *** 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 Al --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€TMs 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 - 201702913 PERMIT NO: 201702913 ISSUED: 06/29/2017 JOB ADDRESS: 3645 Miller ST EXPIRES: 06/29/2018 JOB DESCRIPTION: Residential Re -roof to install architectural asphalt shingles - 22 sq. I, byy myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst a pplicableTuilding 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-Iam legally authorized to include all entities named within this document as parties to the work to be performed d that al work tobe p formed�is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or-ONTRACTOR (Gircle one) Dat 1. This permit was issued baseed 'on -the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original 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 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 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 any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. v 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 Kulick vL'r 7 C� E From: no- reply@c i.wheatridge.co.us Sent: Monday, June 19, 2017 12:15 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette 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 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3645 Miller Street Wheat Ridge CO 80033 Property Owner Name Perry, Al Property Owner Phone (303) 422-9225 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Talon Restoration 140192 3038088660 Contractor Email Address info@talonre.com (permit pick-up instructions will be sent to this email) Retype Contractor Email info@talonre.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: i Yes Architectural Shingle Asphalt Field not completed. How many squares of the 22 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. Pj i TOTAL SQUARES of all 22 roofing material for this ` project Provide additional detail Re -roof here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or 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 Marcos del Rio Email not displaying correctly? View it in your browser. 3 CLIENT/ CUSTOMER INF MATION IL "Al Owner: Y' f z� _ Address: ` 12354 E. Calep Ave. Unit lily City, State, ij3: Centennial, CO 80111 Tel: 303-1108-11660 E -Fax: Phone/ Email; www.TalanRE.cam It is understood that Talon Restoration and property owners) are entering into an agreement that authorizes Talon Restoration to represent owner(s) and pursue Insurance carrier to recover property damages storm related or otherwise. Talon Restoration represents and warrants all work will be completed to approved insurance company specifications and to local city, county and state codes. Owner(s) Is financially responsible for labor and materials for code items not covered by ordinance and law endorsements on policy unless otherwise stated In additional provisions below on this contract. Any upgrades in materials or accessories will be addressed in the additional provisions section of the contract and will require owner(s) intials for approved increase in price if applicable. Agreed upon price will become the final contract price and Talon Restoration will receive ail Insurance proceeds for work completed by Talon Restoration. Owner(s) further understand and agree to pay any supplements approved by insurance company arrising during construction or not initially known or covered by insurance company at intitial Inspection. Owner(s) agree to pay policy deductible per Part 1 Article 4 of title pursuant to section 6-Z1-105 and warrants Talon Restoration has not offered to pay, waive, or rebate any portion of the deductible applicable to claim. Any insurance proceeds authorized for work not completed by Talon Restoration will be retained by owner(s). If Insurance company denies coverage ason, this contract will terminate and neither Talon Restoration nor owner(s) will be obligated to one another. Initials Additional Provisions: ave I layer roof material duct OSB (if required by code) ior 0ayment 151b Felt over 7/12 301b alleys closed FHA Open Barrier (if required by code) Clean out gutters Replace gutters e/Save Drip edge metal agnetic sweep of nails/metal debris plumbing jacks as. required move all debris from site roof vents as requiredP i and clear permit with city ash wail/ chimney transitions year workmanship warranty Owner and/or agent represents and warrants that any defect or weakness in the premises, structure, sub -structure, super -structure or points of attachment that might affect performance by contractor has been specifically and fully disclosed to contractor. Talon Restoration only guarantees work provided by it. Any pre-existing defects or other condition discovered by Talon Restoration in the course of performing its work, which may affect the performance of Talon Restoration, will be promptly disclosed to owner and/or agent with repair recommendations and estimate of additional costs. As with any construction work, It is impossible to estimate everything that may be damaged, especially in areas we cannot see before beginning work. It anywhere along our progress unforeseen work needs to be done, we will communicate up front and wait for your approval before continuing work. Payment Schedule:"The initial payment will be due upon material delivery and the final payment will be due upon completion of construction. Talon Restoration will require payment of the ACV amount prior to start of construction. Any payments received from the customer before materials have been delivered will be in held in trust. INITIAL PAYMENT $ T- Approx Start Date: l) FINAL PAYMENT $ l i A014. Completion Date: TOTAL PROJECT PRICE $ Insurance Company Mortgage Company Claim# Loan ## Owner hereby authorizes Talon Restoration to speak with mortgage company pertaining to claim processing only. If this fine is not signed, authorization is not accepted. ACCEPTANCE OF PROPOSAL -The above sped icatio and conditions are satisfactory and hexrby accepted. Owner SignatureX IYA9 Date: Talon Restoration: X Date: i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M 1 Q Job Address: ?)(o,4.!5 N1 L l,L 6 Permit Number: I 01-7e) 2°i I ❑ No one available for inspection: Time I►VA I Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: I Inspector: 00-, DO NOT REMOVE THIS NOTICE ` 1 , 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235-2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE r^ Inspection Type: /�,`j Mo Job Address /Permit Number: Y6 L6 Mffer L 7(1701-,7 F f � k: F. 3 f ❑ No one available for inspection: Time Re- Inspection required: Yes No / When corrections have been made, call gr a -in pection at 303 - 234 -5933 Date: 1174�'�(' Inspector: !I DO NOT REMOVE THIS NOTICE X114' V, CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ~JJ (303) 235-2855 Office - (303) 235-2857 Fax INSPECTIONPoor- NOTICE Inspection Type: r fi/Q,4- Job Address/Permit Number, 33 M CU--Ek!- 57- l d q ❑ No one available for inspection: Time AM/PM ` Re-Inspection required: Yes ~No 1 y When corrections have been made, calfrire-ins ection at 303-234-5933 31 Date: I ~7"09 Inspector: $ DO NOT REMOVE THIS NOTICE r City of Wheat Ridge Residential Roofing PERMIT - 091979 PERMIT NO: 091979 - ISSUED: 09/03/2009 JOB ADDRESS: 3645 MILLER ST 'EXPIRES: '-03/02/2010 DESCRIPTION:: Reroof 22.66.sgs ***CONTACTS owner 303/422-9225 Albert Perry sub 303/242-8444 Jerod Raisch 09-0053 :Metro Construction Inc PARCEL INFO ZONE 'CODE: UA -.USE: UA SUBDIVISION:; 0637 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT: VALUATION: 8,868.46'. FEES Permit Fee 217.50 .5 Total Valuation .00 Use Tax 159.99 **.TOTAL 377.49 Conditions: 6 nail installation mid roof inspection required. Board. sheathing spaced more than a 1/2 of an inch apart 'requires plywood overlay on entire roof. Ice and water shield 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 areaccurate; 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 a licab W eat Ridge Ordinances, for work under this permit. Plans subject to field inspection. /g Signature of contractor owner to I~. 1. This permit was issued in accordance with the provisions set forth in your :application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building 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 r: original plans and specifications and any suspension or abandonment has not ,D exceeded one `.(1) year. If changes''. have been or if suspension or abandonment exceeds one (1) year;.. full feesshall G' be paid for a: new permit. - 'r: 4. No :work of any manner shall be done that will.. change the natural flow of water causing a drainage problem. S. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive , 0 written approval on inspection card before proceeding with successive phases of the lobs ' 6. The. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit. for, nor anapproval of, any .Violation of the provisions of the building codes or any (other ordinance, law, rule or regulation. K All plan re o.; 's Sect to field inspections. F, ef. ildmg:Official date Signature o1. er, INSPECTI EQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 ~E REQUESTS MUST BE MADE BY 3:PM ANY BUSINESS DAY FOR INSPECTION THE 'FOLLOWING BUSINESS DAY. aR 09/03/2009 11:11._. 3039352606 METRO CONSTRUCTION I yoE Wt+kgr~ City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax; 303-235-2857 Inspection Line: 303-234-5933 °<oR o0 Building Permit Application Property Address: r111Y'1 5 (l~e~ Property Owner (please print): Mailing Address: (if different than property address) Address; PAGE /03/04 Date: 6 Q~~~71 Plan a Permit q (CI q Phone: 4a2-9=5' State, Contractor: 1"~1'f 1 U ly ~mrxoprt~r tv+2~ vin r e_, Contractor License "W ✓ Phone: Sub Contractors: Electrical City License Company, Plumbing City License Company Exp. Date: Exp. Date: •2422,- 0q Mechanical City License #f: Company: Exp. Date: Use of space (description): Ye - Construction Value: s Deseript n of work: (as colculaicd per Ure Building Valuation Dafa sheet) IiP plan Review (due at time of Submittal): $ b .CA ~~ww1Yf''~~ ( "CJ Sq. Ft./L.Ft added: , Squaresav. (0I BTU's Gallons _ Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do nol violate applicable ordinances, rides 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 asree 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 permit. Plans subject t n• C/RLCEONE:: (Ow ER) C NT CTO or PERSONAL REP -NTATIVE o (0NE (CpONTRATOR) p~ PRINT NAME; SIGNATURE; Date: ✓J DEPARTMENT USE ONLY ZONING COMMENTS: Zoning; Reviewer: PU$LIC WORKS COMMENTS: Reviewer: SOLDING DEPARTMENT COMMENTS: OCCUPANCY; Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved 0 no review required Bldg Valuation: