HomeMy WebLinkAbout4145 Upham Street7: s0
i CITY OF WHEAT RIDGE
Building Inspection Division ,.
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: F
Job Address: `/S Sf
Permit Number:
❑ No one available for inspection: Time es M/ M
Re -Inspection require• Ye No
*When corrections have bee ade, schedule for re -inspection online at:
http://www.ci. wheatridge.co. uslinspection
Date: % ��®1 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office t
INSPECTION NOTICE
Inspection Type: 14 /tel
Job Address: e -/--s-
Permit Number: 097 ?_0 /
❑ No one available for inspection: Time/
Re -Inspection required: ;`Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. us4nspection
Date: 7l ZS Z�' Inspector: 's
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Water Heater Replemnt PERMIT - 201902197
PERMIT NO: 201902197 ISSUED: 10/15/2019
JOB ADDRESS: 4145 Upham St EXPIRES: 10/14/2020
JOB DESCRIPTION: Replace 40 gallon, 36k BTUs gas water heater in crawlspace
*** CONTACTS ***
OWNER (720)320-2141 COX KLAUS D
SUB (303)280-5765 LARRY BENAVIDEZ 100318 SQUEAKS SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,200.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 46.20
** TOTAL ** 86.20
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by n signature, do hereby attest that the work to be per
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 al[ entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a pen -nit sliall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or ani; ordinance or ref 4ation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
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From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, October 15, 2019 11:01 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address (Leave blank if
not known)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
4145 Upham St
Cox Klaus
720-320-2141
Larry@squeaksservices.com
cc auth form wheatfride.pdf
CONTRACTOR INFORMATION
Contractor Business Squeaks services
Name
I
Contractor's License 10038
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3032805765
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address Larry@squeaksservices.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
Is the water heater GAS
or ELECTRIC?
If GAS, enter # of BTUs.
If electric, enter n/a
Where is the water heater
located (for example,
basement, crawlspace,
etc)?
Project Value (contract
value or cost of ALL
materials and labor)
Larry@squeaksservices.com
40
gas
36,000
crawl space
2200.00
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
i
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.
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 Larry Benavidez
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Roofing PERi1✓IIT - 201701500
PERMIT NO: 201701500 ISSUED: 06/05/2017
JOB ADDRESS: 4145 Upham ST EXPIRES: 06/05/2018
JOB DESCRIPTION: Reroof with laminate/composite shingle; 33 squares
*** CONTACTS ***
OWNER (720)320-2101 COX KLAUS D
SUB (720)201-7933 Tanner Grass 170144 Colorado's Finest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,500.00
FEES
Total Valuation 0.00
Use Tax 178.50
Permit Fee 188.45
** TOTAL ** 366.95
*** 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 k/2 -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€ms 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.
C)
I � 5 0
Occupancy/Type
(� RECORD
INSPECTION -�
INSPECTION REQUEST LINE: (303) 234-5933
yJ f.
Inspections will not be perforined unless this card is posted on the pt�o�esite.
Call the inspection request line before 11:59 p.m. to receive an inspection the following Du 1
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections __FDate ctorT
Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
. I__.__
Do Not Pour
Concrete Prior 10 Approval VT I heAbove InspetAlo is
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
M_ u_a ^ .......w..—A Werk Wrinr i n onnrnvni uT i ne Anove Insiueutlun5
Rough Inspections
Date
Inspector
CommentsInitials
Wall 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 CommentsInitials
Landscaping & Parking / Planning Dept.
ROW &Drainage /Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
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.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
-For pow vortage permits — r -lease oe sure alai iUuyii 111�PMA U IO 01V �N_-_�-
by the Building Division.
"For Inspection Time Window — Please email inSptimerequest@Ci.Wileatridge.Co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
F
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201701500
201701500 ISSUED: 06/05/2017
4145 Upham ST EXPIRES: 06/05/2018
Reroof with laminate/composite shingle; 33 squares
*** CONTACTS ***
OWNER (720)320-2101 COX KLAUS D
SUB (720)201-7933 Tanner Grass
170144 Colorado's Finest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,500.00
FEES
Total Valuation 0.00
Use Tax 178.50
Permit Fee 188.45
** TOTAL ** 366.95
*** 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 A1/2 -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 ms 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701500
201701500 ISSUED: 06/05/2017
4145 Upham ST EXPIRES: 06/05/2018
Reroof with laminate/composite shingle; 33 squares
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 autho�rrti'zed to obtain this permit and perform the work described and approved in conjunction with
this pen -nit. I cher attest that I am e 1'Ily autlforized to include all entities named within this document as parties to the work to be
performed an That all work to be performed is disclosed in this document and/or it�..,accompanying approved plans and specifications.
Signature of -OWNI or CONTRACTOR (Circle one) Date
I. 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. - J
6. The issuance or granting of. 1 not q to be a permit for, or an approval of, any violation of any provision of any
applicable code or any orcfp, a
at o is luri ction. Approval of work is subject to geld inspection.
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.
City of
wheat�ge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2e Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(c-)ci wheatridae.co.us
FOR OFFICE USE ONLY
Dater LJ i
pia01Permit #
CA'U/
3j
Plan Review Fee:
Building Permit APPlication
Please complete all highlighted areas both sides of this form- Incomplete app�t
l�ions may not be processed -
Please
)
Property Address: / ^� Phone:
Property Owner (please print):
Property Owner Email: GCS `3
Mailing Address: (if different than property address)
phone:
Architect/Engineer E-mail:
�� .��
Contractor'. Phone!!:
n (�
1 � �
:Rikw_�
Contractors City License #:r
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
Plumtas-in9: W.R. City License #
W R_ amity License #
Other City Licer'-Ised Sub:
City License #
Complete all information on BOTH sill=es of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTUREOMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
F]RESDENTIAL ADDITION WINDOW REPLACEMENT
F1COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
F1RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
F1PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
F1ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
ElOTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) rhn J) pz)
Sq. Ft./LF
Amps
Btu's
Gallons
Squares '73 Other
IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or ( THORIZED REP ENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Sienature (first and last name). — DACE:
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
6 23�- evca� r+
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PLOT PLAN PR FOR EPARED
Cea romite Your Driam
LOT: 7 , BLOCK: 2 , ADDRESS: 5236 PIERSON COURT ,
SUBDIVISION: QUAIL RIDGE ESTATES RESUBDIVISION ,
CITY OF WHEAT RIDGE , COUNTY OF JEFFERSON , STATE OF COLORADO.
PIERSON COURT
6" 6•
POSSIBLE CURB HEAD
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JOB NUMBER: 1211-905
EET: 1 OF 1
A 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: A OF
Job Address:
Permit Number: -70/ ri2G
❑ No one available for ins tion: Time f� AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re-Awpctipl'o 3 -234-59:
Date: (0/ / " / // / Inspector:
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: MD
Job Address: L-+ 1 i-1 � V ppn m s T
Permit Number: Zo a 150o
❑ No one available for inspection: Time-/ Z 3 AMC
PM)
required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: PDA -4
DO NOT REMOVE THIS NOTICE
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14416
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner:
Property Address : 4145 UPHAM ST
Contractor License No. : 17152
Date : 8129/02
Phone: 423-0977
Company : Precise Plumbing Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restridions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all condifions 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)(CONTR4CTOR) SIGNED DATE
Construction Value :
$499.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$23.50
Use:
Description : REPLACE WATER HEATER, READY FOR INSPECTION
Electrical License No : Plumbing License No :17152 Mechanical License No :
Company : Company : Precise Plumbing Company :
Expiration Date : 9/13/02
Expiration Date : Approval : OKIKS Expiration Date :
Approval: Approval:
(1) This permit was issued in accortlance with the pmvisions sef forth in yopur application and is subjecl to the laws of the State of Colorado and to the Zoning
Regulations antl BuilOing Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authonzed is not commenced within sixry (60) tlays finm issue date or (B) ihe builtling authorized is suspendetl or
abandoned for a period of 120 tlays.
(3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, providetl no changes have been or will be made in the
original plans antl specifications antl any suspension or aDandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment
exceetls one (1) year, full fees shall be paid far a new permit.
(4) No work oF any manner shall be done ihat will change Ihe naNral Oow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-(our (24) hours in advance for all inspections antl shall receive written approval on inspeclion card beFOre
ptoceediing with successive phases of the job.
(6) The it a permil he approval of tlrawings antl specifcations shall not be wnstrued to be a permit for, nor an approval of, any violation of lhe
provies or any other ortlinance, law, rule or regulation.
Chief Building Ins ctor
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILOING INSPECTION DIVISION - 235-2855 .
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address :
ConVactor License No. :
Y/ y s v,o 41,0.-, s -t
Phone : q9--3 -D 99;'
/ 7/ f-:2,
Company : Pe P cis c~/~" C--
~ 04VNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I he/eDy ceruy tnat tne seiback Oistances proposea oy Nis pertrnt aPGlicatlon ars axurats.
an0 tlo not nolate apDliable oroinancss. rubs or rcgwuoro of Ne City af WASat Ridgs or
covanaMS. easemenrs w mstnGions af raCOrtl: Wt all meawrsmentf fhpWn. ano adspatans
rrtiW41111 sro aCeuntR: Mat 1 have rlaa anQ aqm to abq! Oy an COnCroDni PNHOC an thif
appucatwn. ana mrt 1 assums fu11 roapor~s yfortoort~pp~np wkn yie VYMn RWye Buildirg
CoOe (U.B.C.) ana a0 oNer app~cabk NRieat Ridp aamances. for work un0ar Mis pemet.
(OWNER)(CONTRACTOR)SIGNEDI~ ,~~L~-.iC~6~ pA7g
r" 3 e j~
Phone
Construction value : y rj y-
Pertnit Fee : 2 1 So
USe T2X :.1zP's^.$ YC3•a1. .
Total : 2 ~ S D
Descnption: rcP/wce u': ilYa~•.- ~ ~r~~ F'oi- i`n~.~a/,o•~
BUILDING DEPARTMENT USE ONLY
I~fB~L'dtlERfi~
Approvaf :
Zoning :
~(dtlia•3~1!
Approval _
PQbIC lidtCa)tnn*nts~
Approval :
Occupancy : Walls
Roof : Stories : Residential Units :
Electncal License No : Plumbing License No : Mechanical License No :
Company :
Expiration Date :
Approval :
~ .-PJIrns'R3qu(red^'~J
Company:'
Expiration Date :
Approval:
3 : P" R~Rju(rod:"
Company :
Expiration Date :
Approval :
a rfflftml
(i) Thu pamm was uweG n aomn7anq wrm tlta ppvypnt sN AorM n yopyr iOpYCa00n in0 6 3u0Nf2 b IM 4ws W I!N Stab Ot COIOr700 W b IM ZOnnq
RepWauons ana Bwla~n9 Coad of WMat Rqqo, Coanao or aM anN aoOUr~ON oramanns el tne CMy.
(2) Th~a M~ snLl u Wa o( fAI iM waa auNdnaa o nrn eomnmneea wnwn iuty (60) CaYS hom usw W0l a(B) tlN dWCUl9 wtMn2sa n wtOMeed af
aWMOnao lor a ceiqo W 730 CaYs.
(3) u ws oem+n a:ans. & naw oartm m+v w acwna ier a W W on~ ak amoum nomuW reaww. ponow m awq~~ nw~ owf w vNl W maa n ew
u+qw~ dana sna ao~r+oon+ ana +M s++aaoan a aw~oonmenc nss na excwew one (1) rer. q elrnpp ~n m~w a n waponswn a aummrnrn
aosas one 111 vw. tux hn anw w ouo br a ne. wmYt
(4) NO work Of an1' minnet fMtl Df OOf1f ONt MnM Wnqo M MNN IIOw 0f waIM tlu3m9 7 OmYYqo 0~7DWn.
(5) Cono-anor snan nouN me BwWUg Insoeap nvamy.lprc (24) nwrs n awanee ror an mspeeoons ana iw raam wntten aPprovsi on mspnmon uia Wbn
Dro[ee0unq wiln SuClJSfnf W~asN of Ne p0.
(el n+e usuance ot a xmxt or tnt aOWwa d arawmqs ana soea(KiWns snail not Oe mnsuuaC W Da a pemn lor. npr m aOPrpnl ol. arry ndaCOn W Ck pwuianf
or me Dummnq oooes a any omer orainanca, uw. ro:e a reqwtwn.
Chief 8udtling Inspector For Mayor
THIS ?ERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRIOR TO IN3PECTION