HomeMy WebLinkAbout7265 W. 34th Avenue� ► � i City of Wheat Ridge
-.A Residential Mechanical PERMIT - 202101193
PERMIT NO: 202101193 ISSUED: 06/04/2021
JOB ADDRESS: 7265 W 34th Ave EXPIRES: 06/04/2022
JOB DESCRIPTION: New 2 Ton AC unit installation in backyard - 14 SEER
Electrical need for re -hook
*** CONTACTS ***
OWNER (303)232-4734
LANE ELIZABETH
A
SUB (303)421-3572
WILLIAM BURAS
017865 LAKESIDE
HEATING & A/C
SUB (303)885-8555
MIKE VINCENT
202103 PERFECTION ELECTRIC LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS,
COULEHAN GRANGE,
WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
21600.00
FEES
Total Valuation
0.00
Use Tax
54.60
Permit Fee
93.35
** TOTAL **
147.95
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Mechanical PERMIT - 202101193
202101193
7265 W 34th Ave
ISSUED: 06/04/2021
EXPIRES: 06/04/2022
New 2 Ton AC unit installation in backyard - 14 SEER
Electrical need for re -hook
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�permrt. I further attest that I am leg 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
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 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 requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/04/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Date: Friday, June 4, 20217:02:37 AM
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT 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
Is this a new install or New Unit Installation
replacement for an
existing AC unit?
Is this Residential or Residential
Commercial?
Property Address 7265 W 34th Ave.
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Margee Feehan
Property Owner Email Field not completed.
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Credit Card Authorization Form .odf
CONTRACTOR INFORMATION
Contractor Business Lakeside Heating & AC
Name
Contractor's License
017865
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-421-3572
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
becky.b@lakesideheating.com
Address
Retype Contractor
becky.b@lakesideheating.com
Email Address
DESCRIPTION OF WORK
What type of
Air Conditioner
replacement unit are
you installing?
How many tons is the
2
unit?
For AC - what is the
14
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit backyard
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for Yes
re -hook?
Provide Electrical E202103
Contractor's Wheat
Ridge License No.
Project Value (contract 2600
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 Rebecca Buras
Permit
Email not displaying correctly? View it in your browser.
14
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
—%� (303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type �si��r7�vavG
Job Address 4!u9
Permit Number
❑ No one available for inspection: Time
Re- Inspection required: Yes No
F
When corrections have been made. call for re- insnection at 303- 234 -5933 '-
IS NOTICE
City of Wheat Ridge
j�
Residential Roofing PERMIT - 102247
PERMIT NO: 102247 ISSUED: 09/23/2010
JOB ADDRESS: 7265 W 34TH AVE EXPIRES: 09/23/2011
DESCRIPTION: Reroof and redeck 26 sqs with 30 yr GAF /ELK shingles
* ** CONTACTS * **
owner Beth & Jon Lane
sub 303/548 -5000
02 -1001 Roof Corp.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0548
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 15,300.00
FEES
Permit Fee 299.40
Total Valuation .00
Use Tax 275.40
** TOTAL ** 574.80
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. 6 nails per shingle is
required. Ice dam membrane is required from eave edge to 2' inside exterior
walls. Board sheathing with any gap greater than 1/2" requires panel sheathing
overlay on entire roof. Sheathing inspection is required prior to covering.
Midroof inspection is not required on permits purchased after 4/18/10.
Contractor shall provide ladder for inspections. Scheduled inspections that
cannot be performed due to inclement weather must be cancelled prior to 8:30
a.m. on the day of inspection or a re- inspection fee will be assessed.
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 permit. Plans subject to field inspection.
Signature of contractor /owner date
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 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 a new permit.
4. No work of any manner shall be done that 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
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the 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 building codes or any other ordinance, law, rule or regulation.
All plan vi 's subject to field inspections.
Signatur o ief Building Official date
INSP TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
INSPECTION RECORD Occupancy /Type
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.
NSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB
TION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Caissons
102247
l / (CEG) Concrete
Ground
WLIne
Permit Fee
299.40
ng or Monolithic
275.40
INSPECTIONS TO BE SIGNED PRIOR TO PRO( CITY OF WHEAT RIME
09/23/10 2:04 PM cdba
Alan Parkes
-
roof / French Drain
Rough Plumbing
PAYMENT RECEIVED
Gas Piping
rvice Lines
Rough Mechanical
574.80
ABOVE
rvice Lines
Insulation
02965D
L H6V VC 11HJ bttlV JlliNtU
CONCRETE S LAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
RNUUNI
FINALS
BPSP Reroof and redeck 26
Lath / Wall tie
102247
Mid -Roof
Permit Fee
299.40
Electrical Service
275.40
INSPECTIONS TO BE SIGNED PRIOR TO PRO( CITY OF WHEAT RIME
09/23/10 2:04 PM cdba
Alan Parkes
Rough Electric
Rough Plumbing
PAYMENT RECEIVED
Gas Piping
Mechanical
Rough Mechanical
574.80
ABOVE
Framing
Insulation
02965D
Drywall Screw
Building Final
Fire Department -- --
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
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
KtLtLPI NUMI)HUODU U
RNUUNI
FINALS
BPSP Reroof and redeck 26
574.80
102247
Electrical
Permit Fee
299.40
Use Tax
275.40
Plumbing
PAYMENT RECEIVED
AMOUNT
Mechanical
MC 4321
574.80
Roof
Aoth Code:
02965D
Building Final
TOTAL
574.80
Fire Department -- --
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
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City Of
Wheat f4-d e [7m
C ITV DEVEtOPM�NT g `1 r
Building Dlv/sion
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855' Fax: 303 - 237 -8929
Inspection Line; 303 - 2345933
Facsimile Building Permit Application
Property Address: 7A65 kv 3 K Pk
Property Owner (please prin jj ije s vi + �oli L. ..
Phone:
Mailing Addrass: ptditferent than praperry address)
Address:
Contractor:
Use of Bpace (deacrlpoon):
DescNptlon of work:
Tact O ��ruslas iie., M14-n C1G� Co -4rr
1 1t•�, Zt, d + Plan Review fdueat H i ma oraubruftb:
O WNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGPOEMENT
1 heresy cenity that Me setback distance$ ppr�oposed by this permB application are accurate, and do not vioisM appicabte ardlnancea,
allegations rdee or ns rnaaade o o oaths 4Ny that I have e Q* or covenania, easements or rosbicttona of record; that all meeeuromer" shown, and
p g o a n tions m are accurate; that l have read and apran to abide ppyy all oondmcrrs printed On INS eppllcatlon and that I assume full
t Ifty for compllarroe with the Wheat Ridge Building Code (1.8.C) and all other applicable Whaat Rldga OW Inancea, for work
rMar t parmlt. Ptaral subject to Yard tnspaoleon,
CMLCEONE:: (OWNER) (CO TRA� or PERSONAL REPRESr TATIVE of (OWNER) (CONTRATOR)
PRI ,Y NAME: _ /�I;C _ SIGNATURE:
Dale:
2 ONgta COMMENrar DEPARTMENT USE ONLY
Zoning:
Revie
PuHLIC WORK$ COMMENTS:
Reviewer,
e1k1.DING DEPARTMENT OOMaENTS:
Reviewer. OCCUPANCY:
FIRe "PARTWkrr -: 0 ■pproved w/ oonrmeMa ❑ disapproved 0 M review required Bldg Valuation: S
Credit Card Pay ent: L listed an Credlt card on file. pate:
m
Print nae: Aa P / 4 es Signature:
! 2'd LL0099LEOE dH00jDDH WULS:11 O102 62 dos
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4741
' BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 3/20197
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address: 7265 34TH AV Phone: 232-4734
Contractor License No. :
Company: Phone:
4,.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
$1,618.00
I hereby certify that the setback distances proposed by this permit application are accurate,
PBfillit FB2 :
$55.00
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
plan RevleW Fee :
$0.00
made are accurete; 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
Use Tax :
$32.36
Code (U.B.C.) and all other applira eat idge ordma .for work under this ermit.
~ ~
(OWNER)(CONTRACTOR) SIGNE DAT
Total:
$87.36
Description : INSTALL
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Appro,val : Approval :
(1) This pertnit was issued in accordance wi[h the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zonin9
Regulations and Buildin~ Code of Wheat Ritlge, Coloredo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within siMy (60) days from issue da[e or (B) the builtling authorizetl is suspended or
abandoned for a period of 720 days.
(3) If this permit expires, a new permi[ may be acquired for a fee of onrhalf the amount normally requiretl, pmvitled no changes have been or will be'matle in the
ori9inal plans and specifications antl any suspension or abandonment has not exceeded one (7) year. 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 he done thatwill change the natural flow oFwater causing a tlreinage problem (5) Contrector shall notiry the Builtling Inspecror hvenry-four (24) hours in advance for all inspections and shall receive written approval on inspectign card before
proceediing with successrve phases oFthejob. ;
(6) The iuance of a permit or the approval of tlrawings and specifcafions shall not be consVUed to be a pertnit for, nor an approval of, any violation of the provisions
of th uiltli y codes or ~yo ther ordin ce, law, ru e or regulalion. -
I CJ /
l l!N `
i Building Inspector
HIS 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 INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Dete :
Property Owner : j-, , 1,,
PropertyAddress:7z65S iiJ
Contractor License No.
Company : -
Phone : 3 ,33-~7 3:.>,°Y73 y
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
f 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGN D ~ DATE'~
Description S~c~ l C~~ ~ N\
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Bu~~ingY,~omments:
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
~Pla~" s B~'q~tre In ~PI~n~Re~ified WWRW~
.(1) . This pertni[ was issued in accordance wilh the provisions set forth in yopur application and is sub'ecl to the laws of the Slate of Colo2do antl to the Zoning
Regulations and Buildiny Code of Wheat Ridge, Cobrado or any olher applica6le ordinances of t~e City. (2) This pertnit shall expire if (A) the work authonzed is not commencetl within sizry (60) days Gom issue date or (B) the buildin9 authonzed is suspended or
abandonetl for a penod of 720 daya (3) If this permit expires, a new permit may be acquired for a fee o( one-half the amount normally required, provitletl no changes have been or will be made in the
original plans and specificalions and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or a6andonment
exceetls one (1) year, NII tees shall be paid for a new permit.
(4) No work of any manner shall be tlone that will change the naWral Flow of water causing a tlreina9e problem.
(5) ConVactor shall nolify the Building Inspedor lwenty-tour (24) hours in atlvance For all inspections and shall receive written approval on inspeclion card 6efore
proceediing wilh successive phases of the job.
(6) The issuance of a pertnit or ihe approval of d2wings and specificalions shall not be wnstrued to be a permit for, nor an approval of, any violation of the provisions
of the builtling codes or any other ordinance, law, rule or regulaUoa .
Construction value : j g 00
0
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
Chief Building Inspector For Mayor
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 : 95-1216
3UILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :6/14/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner
Property Address
Contractor License No.
Company
FARLEY JON L
7265 34TH AV
18023
Schroeder Roofing Metro
Phone: 232-9734
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 rewrd; 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 applirable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNE DATE/a
Description : REROOF
Phone: 444 3538
Construction Value :
$2,800.00
Permit Fee :
$54.00
Use Tax :
$42.00
Total:
$96.00
(1) This permitwas issued in accordance with the provisions set forth in yopur application and is sub7'ect to the laws of the State of Coloratlo and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any o[her applicable ordinances of ihe City.
(2) This permit shall expire if (A) the work au[horized is not commenced within sizTy (60) tlays from issue date or (B) the building authorized is suspended or
abandoned for a periotl oF 720 days.
(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 matle in the
original plans and specifcations and any suspension or abandonment has not exceeded one (i) year. If chan9es are made or if suspension or abandonment
exceetls one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a tlraina9e problem.
(5) Contractor shall notify the Building Inspecior hventy-four (24) hours in advance for all inspedions and shall receive written approval on inspection card before
pmceediing with successive phases of the job.
(6) The issuance of permit or the approval of drdwin95 and specifcations shall not be construed to he a permit for, nor an approval of, any violation of the provisions
of ihe buildindes or any other ordinance, law, rule or regula[ion.
Chief @Lilding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
S
SUN-12-45 MON 02:53 PM SCHROEDER 303 344 0922 P.05
Propnity Owner :
t'roperty Address :
Gantrocior ur.ense No. :
Company :
Bu1LCING
OWNEIt40NT1tAC1 Oli SIGNATURE OF UNDERSTANDIN6 AND AGRE6MFNT
~ ~..w...~w.~, w.n. e aia..c emoo:eA bv 1MS acimil iOWkoti°^_ ue KCutall.
oswme
WMt ip
Yoning,
Approval•
Approval
Nncne : 2.37 - _ q 70
r
Phone :
Conskucti0n Velu*'~Cj
Permit F00 : 5 c~, rrv
Use Tpx c ~Fd o-~✓
Tolat:
USE ONLY
Wails : Roof
Liconsc No' Plumbinq li
GOmpdnV ~
pale
Staies :
No:_
4
Expuatwn Date ~ .
qpproval. ~
J 5P!a2!5V1R!qu~k2M
aasidentiW uNts:
bleclwnWLioemie No
Company:.,
~XpfiWn DilO' •
Approval :
A rammoom
n+s PMmq ri) ~t{YM n K,(.pG
RlyMild~i aM tlmkhnp Goda t
Tns prn~w yyu r~pnd d(A) Vr
w
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n ~A1 p"mq e,a~es. a new pdn
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No Mb4 ~8 dM nu~wi a!W Ir
{:14111.II IIM y1A11'uYO,fir (ly*lo
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awm~.cr +~aMlpl~~^~dmeorRllKp~i~Yrrpxd~av
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b•yre.~d.e rod~s OcenNY~0~
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tperawNaM tqYCK Y~'ri~ed.~w~MI~IMarWMdwmOd
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ca n1mi a~Ov~~ce w N~1P~1°~ K~~yyp~A Irc arwisa~s
~.....,,~,i~ ~w mr w m~cwod a oe a cM~+b.np n ~fi~M
Clw' IludA~n;q InspnctOr a--..~ FCf MayO( Y CHIEF
BUIL ' ^ t►1{5 Pi kMi r VnuD ONLYAI L W734 t9i] 24 1 c~URs PRIOR TO INSPECTION FCTORANOMAYOR
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