HomeMy WebLinkAbout4066 Upham StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Asbestos Abatement
Date: Monday, February 21, 2022 12:16:17 PM
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PERMIT APPLICATION Asbestos Abatement
This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT
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
residential asbestos
abatement?
Provide copy of
CDPHE State Permit or
Stamped Approved
CDPHE State Permit
Application
4000 4042 4062 4066 Upham St- aooroved SEK. odf
PROPERTY INFORMATION
Property Address 4066 Upham St
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Upham Development LLC
918191-WOMP181
Property Owner Email matt@epiphanydenver.com
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
uoham City ovmt.Ddf
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
D&K WORKS
Name
Wheat Ridge
180403
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
7202026948
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
admin@dnkworksasbestos.com
Address
Retype Contractor
admin@dnkworksasbestos.com
Email Address
DESCRIPTION OF WORK
State Permit No. or
2/16/22 SEK
Application Approval
Date with Initials of
CDPHE Employee
approving application.
Location of Abatement
Bathrooms, Hallway, basement
Square Footage Area
280 SF
of Abatement
Has the abatement
No
been completed
If abatement has been
Field not completed.
completed, upload the
clearance report.
Project Value (contract
4200
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.
Person Applying for Keila Lopez
Pe rm it
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.
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INSPECTION RECORD o ccupancv/Tvae
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.
Iva" - I'n l) Wn - I n '/) ! : �
w-
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (EEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
ROUGHS
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
UN I IL ACUVE HAS tlEEN SIGNED
TO PROCEEDING
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"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 RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
F.
INSPECTION NOTICE
Inspection Twe r"
Job Address llti4� i
Permit Number 14o3d'
3
F . ❑ No one available for inspection: Time : g f AM/ M
Re- Inspection required: Yes K
k.
City of Wheat Ridge
Residential Roofing PERMIT - 110307
PERMIT NO: 110307 ISSUED: 03/28/2011
JOB ADDRESS: 4066 UPHAM ST EXPIRES: 03/27/2012
DESCRIPTION: Reroof 13.5 sqs with 30 yr GAF shingles
* ** CONTACTS * **
owner 303/695 -5455 Susan Jacobson
sub 303/761 -2255 William White 02 -1749 White Roofing Inc.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0801
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,418.00
FEES
Permit Fee - 109.20 " \
Total Valuation .00
Use Tax 61.52
** TOTAL ** 170.72
Conditions:
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. 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. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities name wrthr this document as parties to the work to be performed and that all work to be performed is disclosed in
this documen and /or i ' accompanying approved plans and specifications.
� � ✓J/ l�J 1 A aJ;t�� X Z—g / I )
S' ature)of O"ER Jr 0' CTOR (Circle one) I Dat
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 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 r granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
a;,r o
t
sf £ any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
pection. e of Chief Building Offical Date
INSPECTION 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.
a "" T9 City of Wheat Ridge Building Division Date:
m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855' Fax: 303 - 235 -2857 Plan
#:
c o Inspection Line: 303 - 234 -5933
°LORAO Permit #:
Building Permit Application
Property Address: '10 aah✓ M S r
�
Property Owner (please print): &a I-n - abs ia'- Phone: 30,3 Z !5 -- S -
q
,s S f / Sr
Mailing Address: (if different than property address)
Address: gs O 1 L' . 1-� w a �/• __
City, State. Zip: 20
Contractor: /( ? h / ' J cf- )")' ( -f Z
Contractor License #: O d / 9 9 9 Phone: 30,3 - - 2&1- Z 2 S
Sub Contractors:
Electrical City License #: Plumbing City License #: Mechanical City License #:
Company: Company Company:
Exp. Date: Exp Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: f
Description of work: (as calculated Der the Building Valuation Data sheet)
Te aA c) r r x / S �/ nv fw �' Plan Review (due at time of submittal): $
(csh�ii 0/91 y2
Sq. FIJL.Ft added: Squares 13'1-1, B T U ' s Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate. and do not violate applicable ordinances.
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are 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.
CIRLCE ONE::. (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS.
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT:: E3 approved w/ comments 0 disapproved ❑ no review required
)ZSf~ARTMENT
BUILDING I
.
T
3 AND DEVELOPMENT
)IVISION - 235-2855
►T RtDGE
i AVENUE
CO 80275
Buiiding Perrttit Number : 5024
Date : 5/2/97
PropertyOwner :
Property Atldress : 4066 UPHAM ST Phone : 388-7941
Contractor Licerise No. :
Company : Rhone :
i
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDWG AND AGREEMENT
ConsiruCtion Value :
$0.00
t hereby certify Mat thesetbadc distances proposed by this permk appiicaGon are aaurete,
P8ftT11t FEC :
$22•00
and do not violate applicabla o(ilinances, rules or regulations of the City of Wheat Ridge or
covenants; easements or restqctioea ot recoru; that alt measurements ahown, and allegationa
Plan Review Fee :
$0.00
made are . accurate; that t have reitl and agree to abide by all wndBions printed on this
application, and that t asaume tult rB;pona~bdt~mr compiience wrtn me Wheat Rldge:8uildin9 .
: US@: T8X :
,$0:00
Code (U.B.C.) arxf alf other apblkabfe UVM1eat . i ge attLnancea, for rk under this permR.
4
hy
.
Total'
$22.00
(OWNER)(CONTRACTOR)SIGNED DATE4
-
Description : GEREMONiq SWEAT LODGEAND FIRE PIT
BUILDiNG DEPARTMENT USE QNLY
SIC : Sq. Ft. :
• Approval: SM 512i97 USE IS APPROVED. BE SURE A WATER HOSE IS NEARBY AT ALL
Zoning : R-3 TIMES
Approval:
ApProval :
Occupancy : ' Walls : Roof : Stories : Residentiai Units :
~ -
CIBGTlIGai LIG@FlSe.1VV1 rtuuiuniy uwnac nv
Company Company :
Company .
Expiration Date ExpiraHon Date : Expiration Date ;
Approval: , Approval: Approval:
(1). 1TIa permit waa lesued iq accordance vrith iha provlsiais aet forth inyopur apqkatlon entl is wea w tne iswa w n+s smm a caoraao ana. w me z«dna
aeguiaaons arw eww~r~gicode m v~c Rwye, ca«ado a am omera4pnceae adinences a cily.
(2) This parmit ahali.expire iP W.) Me work auNOnledis nol canmenced wM n sUCly (60) daysfrom iasue 7aM or (B) the twfltlkry euthor¢etl is suspenUetl a
abanCOnetl f6r apelbd qY 120 Ca~ ys.. (3)... If this permit exqaf~, a npw pernut maY b, acquirod fw e fee of oiro-heH the artaunt iromaly required provitlaC no dianges heve been a will tie mede In the .
wipmal plan and apeG11C8doris antlany au8penaan or aDaMOntt~enl hes nol e~ccaeEetl one (1) y~r. If ehanpes are made w N suspenebn or e0andunmenl
Bzc9Bde Of1e (1)Year, fWl fel6 i11eR be Peb tof e n6w pelmit. . . .
(4) No work of any menner qf~aN be+bne that wll charge the neturs~ tb,w ot water causinp e Greinage piobtem. .
(5) ConV2Ctor Sheli notlfy th~ BuiWMg InypeUor twenry-tour (24) hours m advence tor all inspections and ehall receive wrilten approvsl on Inspectlon rartl hefore
pThroceetlii ith su0cesqWe Mases of Me~ lob.
~6~ N b~~ e~ a~dM ~9P binar~. Iaw,nNle a and rep I~~ shall rwl be conatrued ro be a pemrit for, nor an approval of, airy violadon of the provisbns
of
THIS PERMIT VALID ONLY NIfHEN SIGNED BY THE CHIEF BUILDING IN3PECTOR AND MAYOR
' CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
P roperty Owner :NQ DF_ 5 U Sq n,Ja C o 6 5c)n
F LTp /n/e Re51 5terel1 Ay'-I~t 7'qy~
Property Address Phone :
Contractor License No. :
Company :
Phone :
9W-~537D
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete,
and do not violate applicable ordinances, rules or re9ulations 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 Ridgeg(dinances, (or work 4nder this pertnit.
(OWNER)(CONTRACTOR) SIGNED -Zll't L" 1dATE
~ 2a1~
DescPiption
Construction Value :
-Q
Permit Fee :
Plan Review Fee :
^ 0"
Use Tax
Total:
Z2
BUILDING DEPARTMENT USE ONLY
Zohing;C~mrtients~ Cj Z. ci-} SIC : Sq. Ft. :
_ qPProval:'`aY"' aSL W GLTVY1itvU~ •~i2 Su~~.C. c~ Wa-kU-
Zoning : ~j V '
Buifd~ ~ ~ tuu +WA" '
C'omrtie'"'nts~
Approval:
P ub
Approval :
Occupancy : Walls : Roof : S
V ~
Electrical License No : Plumbing License No :
Company :
Expiration Date :
Approval:
El vmhaRec~iie~
Company :
Expiration Date :
Approval:
(1) This permit was issueC in accordance with the provisions set lorth in yopur aDVlication and
Regulalions and BuilCing Code of Wheat Ridye, Colorado or any other appli[a01e ortlinano
(2) This permit shall eapire if (A) the work auMOnzeA is not commenced within sinty (60) tlays I
a0antlonetl for a penotl ot 120 days.
(7) 11 this permit e:pires, a new pertnit may be acquiretl tor a fee o( one-nali the amount nortna
original plans and specifications anC any suspension or abantlonment has not e:ceede0 or
ezceetls one (1) year, (ulllees shall be paid kr a new permit
(4) No work of any manner shall be Oone Nat will chan9e Ihe naWral Ilow of water wusing a d,
(5) Contractor shall notiy the Building In50ecror Iwenry-four (24) hours in advance for all inspet
G~ -33_7-D
~4~~ ' `~ZZ ~^FS -
pmceedirt~g wrth su essrve phases o( the 700.
(6) The rssuance ol a ermit or the approval of wings and specifcations shall not be construcv io oe a permit tor, nor an approval o( arry violation ol the provisions
of the huilding es or any olhej.6rtlina , iaw. rule or regulation. .
l
Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 60215-6713
(303) 2345900
City Admin. Fax # 234-5924
November 21, 1996
Susan Jacobson
4066 Upham St.
Wheat Ridge, Colo. 80033
Police DepL Fax n 235-2949
GWheat
GRidge
Re: The ceremonial sweat-lodge proposed by Jeff Swedlund, tenant.
Deaz Ms. Jacobson,
This letter is to inform you of a recent conversation with Mr. Swedlund, regazding the proposal
of a Native American ceremonial sweat lodge and fire pit to be located on your property. Mr.
Swedlund has informed the Planning Department and the Fire Department of his intentions with
this structure and has assured us that the utmost precautions would be administered during the
use of the lodge and fire pit.
Mr. Swedlund has assured us that there will not be any religious drugs used during these
ceremonies and that a water hose will be present during the ignition and buming of the fire pit.
He has spoken with the Chief Building Official, John Eckert, and was asked to move the
structure to have at least a 10' side yard setback. As long as Mr. Swedlund understands that no
drugs and or alcohol may be present during the ceremonies, and as long as on-site pazking is
available, the Wheat Ridge Planning Department approves of this proposed use. We request
your signature on the building permit, prior to it's issuance.
If you have any questions or comments, please contact me at 235-2852. Thank you for your
time.
Sin rely,
S McCartney, Planner
The Ciry of
t~ REGVCLED PPPER
K . . . . . ~ . . . , . . . . .
f9EPAR'1'MEN7 Of PLANNING AFID DEVELOPMEN7 Building Permk Number : 5681
BUILDFNG MtSPECTION DIVISION - 236-2855
CITY OF WFiEAT RIDGE Date : 8/18/97
75EI0 :WEST 29TW AYENUE
WHEAT RIDGE, GO 80215
Property thwmer :
Property Address : 4066 UPHAM ST
Phone : 388-7941
Contractur license No: : 19519
Company : Charles Lujan Roofing Co.
Phone : 2398910
OWNER/CONTRAGTQR SiGNATUfiE OF UNDERSTANDING AND AGREEh1ENT
ConSWctfon Value : $!1,540.00
i nereby oerury mat eM semedc aktenaes aroPase~d br we v~r acatwn are aca,ra~e.
se~
Wetiarn of the C of Wheat Ridge or
rules w re
bl
Nc
bk
ti
a
c
s
tl d
t
Permft Fee : $5225
g
s
x
n
e
,
an
o no
v
ate a
orc
covenaMs, eaaeman~s or restrictions of rewrd; tnat au meesuremems shown, and allegations
Plan Review Fee : $0.00
made areaceuram; tlfdt khava read snd rbm to aWde by ali conditions rinted on Ws aPWkaHon, arrtl that 1 asaume t~dt i'ian~ wRh t Ridge BuikMg
Use Tau :.$18.48
Code(U.6.C.)ernlsNaRMrapplie~tile~ . cea tor underthispermil. .
. . .
'
~
TOt21: . $70.73
FRACTOR) S(tiNEO pp7E.
(OWNER)(CON
Description : REROQF WI?H T-LOGK OVE 2 EXISTING LAYERS
BUfLDtNG DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approva► :
Zoning :
APProvat;
P`pproval;
Occupancy ; Wafts : Roof : Stories :
Residential Units :
ElecUical LicEnse No : Plumbing l.icense No :
Mechanical License No :
Company: Company:
Company:
Expiration Date i Expiration Date :
Expiration Date :
Approval : Approval :
Approval :
(2) Tt+is~Penrit shaR.exp*a ~F(A) Yie wak e
abanOon9Qbe a pMo9 a3130
(3) I(IM1iapOnfYle7~k9i14MY+
inalsWep ( ) ~maeeftp~iN (1) yser, fUN NM ttiBi be I
(5) C~worit Or~naWd'1~8WIdNq th
o~ac~wWf.euc~wdw_Q
(s> ~ ofapmMtameapvio
In yoPtir appYeaUcn an0 is eluyjey b tlfe hws Cf Ub.81tle M f:obYaOO and b the 7.ofdrp .
~ applfceW~60 ordimnm ftd~Glydtle a(8) the CuildlnG sukwAzedb eutpandetl m . .
rshW tlre maunf nurtnMb mWftd,rro carhgea Mw heen a wNF be mede In the
neM hn nd exceaCetl one(1)1lear. 7f dwnpei are made or ifsucpansWn M atiantlonriteM
Ibw of water eeuein6 a draMieOe pro0km.
a In advance M eq inapectl9na antl aMN~~e~re wA16en appoval an impaetlon eMd.befaeatbro shell not be construed Oo be a Permi«. tqr an appovd d. eiN'vblatla+ d ths Provhbns
n.
~4 _
Ch uilding Ins r
.
THiS PERMI'f YAItD OMLY WHEN SlGNED BY TNE GH1EF BUI !N&PEGTOR AND IHAYOR
CALL: 234-5933 24 HOURS PRIOR TO IN
. . . . . . rr~' . . ~ . .
w.~- j
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 :
Date :
Property Owner : 5V : a, `Property Address : ~Q~p ~y ~/~✓~G sf Contractor License No. y~ ~ l1
Company : cx~~'6Wf
3fk- 7 j
Phone :
Phone : ,~2 ,7`~_
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this permit application are accurete,
and do not violate applicable ordinances, rules or regulalions of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; thal I have read and agree to abide by all condilions printed on this
application, and that I assume full responsihilit for compliance with the eat Ridge Building
Code (U.B.C.) and all olher applicable Whee~ordi~ance~ for nder lhis pertnit.
(OWNER)(CONTRACTOR)
Description A.
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
Z74S -45;~ , .vc~
BUILDING DEPARTMENT USE ONLY
ZO~l-nWy~ ~5~ SIC : Sq. Ft. :
Approval:
Zoning :
BGIIHing Co en .
Approval:
P,@iliclWbY ~ICS`CO_t~'rl~fits'_•i
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
~ LPiaJIRmr~a~l m ~i~RSqy►ren~9 ~ ~1~xssRaamr.~a~
(7 ) TTis pertnit was Issued in aaortlance wifh the provisions sel lorth in yoWr a001iplbn aM is subI'ecl lo Ue laws o/ Ne State ol CobnEO and to Ne Zoning
Regulalions and Builtlinp Code ol NTeat RiCge, Colo2do ar any other appliwEle qtlinances o/ lhe Gty. (2) 7his permit snall e:Dire d(A) Ihe vrork aumonzed is not cammenceC wiNin sixy (60) Eays Gom iuue Eale or (8) Ne Wiltling auUarixeE is suspendeA or
abanOOneU for a petiod o1120 Eays.
(3) II Ihis pemll ezpires, a new permit may be acpuired for a lee ol one-hal( Ne amount normalty required, provlded no changes have Oeen or vrill Ee maEe in Ne
onginal plans anE specifiwtions antl any suspenslon ar abanAOnmenl tus nol ezceeOeE one (1) year. If changes are maAe w if suspensbn ar a0an0onment
exceeds one (1) year, lull tees shall Ce palC (or a new pertnil.
(a) No woAc ol any manner shall Oe tlone thal will change Ihe natural Oow of waler wusing a Eralnage problem.
(5) Contrador shall notiry ihe BuilEing Inspector twenry-four (24) hours in a0vance lor all inspectimns anE shall receive written apprwal on inspectian caN Oefore
oCeeCiing with suaessive hases ot t~e ~~ob. issunce (6) pr of tne EuiEg o cqtles o I any t pUe e~ord nalnc' tle aw~nr9u~e or dreg~r~a tians shall not De consW ed lo be a permit lor, nor an approval d, any violation ol Ne provisions
Chief uilding Insp tor For Mayor
THIS PERMI VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION