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Home My WebLink About4540 Upham StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Monday, July 5, 2021 1:36:26 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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 residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4560 Upham St, Wheat Ridge Co 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Wade Weinell 303-919-0667 wadeweinell@hotmail.com CONTRACTOR INFORMATION Contractor Business Tipping Hat Name Contractor's License 160081 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-799-8018 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permit@tippinghat.com Address Retype Contractor permit@tippinghat.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 50000 What is the efficiency 80 (%) of the unit? Is the unit GAS or electric ELECTRIC? Where is the furnace or crawl space boiler located (for example, basement, crawlspace, etc)? Project Value (contract 3000 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 Erin Eastwood Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202101227 PERMIT NO: 202101227 ISSUED: 06/09/2021 JOB ADDRESS: 4540 Upham St EXPIRES: 06/09/2022 JOB DESCRIPTION: Replace gas furnace in basement with 60K BTU / 96% efficiency unit. *** CONTACTS *** OWNER ( 7 2 0) 898-1834 THUERK ERIC V SUB (303) 933-5333 LUKE ORTGESSEN 170351 888 HEATING, 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: 31500.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 73.50 ** TOTAL ** 113.50 *** 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 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 E -Res. Furnace Replacement PERMIT - 202101227 202101227 ISSUED: 06/09/2021 4540 Upham St EXPIRES: 06/09/2022 Replace gas furnace in basement with 60K BTU / 96% efficiency unit. 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. 06/09/2021 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: Furnace/Boiler Replacement Permit Application Date: Tuesday, May 25, 20218:19:04 AM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - 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 residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4540 Upham St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Eric Thuerk 720-898-1834 ethuerk@gmail.com CONTRACTOR INFORMATION Contractor Business 888Heating Name Contractor's License 170351 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-770-2776 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Jodi@aaaheating.com Address Retype Contractor Jodi@aaaheating.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 60000 What is the efficiency 96% (%) of the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or Basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 3500 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 Jodi Arcese Permit Email not displaying correctly? View it in your browser. 1* � � i City of Wheat Ridge -.A Residential Mechanical PERMIT - 202101105 PERMIT NO: 202101105 ISSUED: 05/25/2021 JOB ADDRESS: 4540 Upham St EXPIRES: 05/25/2022 JOB DESCRIPTION: New AC unit installation in backyard - 14 SEER 2 Tons Electrical is needed on separate permit. *** CONTACTS *** OWNER (7 2 0) 898-1834 THUERK ERIC V SUB (303)770-2776 GARRETT WEILER 170351 888 HEATING, 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: 51600.00 FEES Total Valuation 0.00 Use Tax 117.60 Permit Fee 140.90 ** TOTAL ** 258.50 *** 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. I by m si nature do hereby attest that the work to be performed shall comply with all accompanyin approved plans and specifications applica le uilding codes, and all applicable municipal codes, policies and procedures, and that I am t e legal owner or have been authorized by the legal owner of theproperty and am authorize to obtain this ermit and perform the work described and approved in conjunction with this,permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be per ormed and that all work to be per ormed 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. 05/25/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-renlv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Date: Tuesday, May 25, 20218:25:41 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 4540 Upham St Property Owner Name Eric Thuerk Property Owner Phone 720-898-1834 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email ethuerk@gmail.com Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Epson 05252021070340.pdf CONTRACTOR INFORMATION Contractor Business 888Heating Name Contractor's License 170351 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-770-2776 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Jodi@aaaheating.com Address Retype Contractor jodi@aaaheating.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 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit Ground in backyard located (for example, rooftop, backyard on ground etc)? Is electrical needed for Yes, No re -hook? Provide Electrical 210100 Contractor's Wheat Ridge License No. Project Value (contract 5600 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 Jodi Arcese Permit Email not displaying correctly? View it in your browser. 1* � � i City of Wheat Ridge �� Residential Electric PERMIT - 202100904 PERMIT NO: 202100904 ISSUED: 05/06/2021 JOB ADDRESS: 4540 Upham St EXPIRES: 05/06/2022 JOB DESCRIPTION: Electrical Service Upgrade - Update to wire new AC, 200 Amps, back of the house *** CONTACTS *** OWNER (7 2 0) 898-1834 THUERK ERIC V SUB (303)518-2874 CHAD BERTANZETTI 210100 BERTANZETTI 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: 21250.00 FEES Total Valuation 0.00 Use Tax 47.25 Permit Fee 93.35 ** TOTAL ** 140.60 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2018 IRC & 2020 NEC . 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, applicae building codes, and all applicable municpal 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. 05/06/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge E -Res. Electrical Service PERMIT - 202100882 PERMIT NO: 202100882 ISSUED: 05/05/2021 JOB ADDRESS: 4540 Upham St EXPIRES: 05/05/2022 JOB DESCRIPTION: Upgrade to 200 amp service at back of house. *** CONTACTS *** OWNER ( 7 2 0) 898-1834 THUERK ERIC V SUB (303)518-2874 CHAD BERTANZETTI 210100 BERTANZETTI 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: 21000.00 FEES Total Valuation 0.00 Use Tax 42.00 Permit Fee 77.50 ** TOTAL ** 119.50 *** 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 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 E -Res. Electrical Service PERMIT - 202100882 202100882 4540 Upham St Upgrade to 200 amp service ISSUED: EXPIRES: at back of house. 05/05/2021 05/05/2022 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 al entities 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 pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 05/05/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Good afternoon Chad Affachi d is the r wed for your permit fee payment I have also attached your job card and approved permit You may school nspecronisj on the tlry wehslte. Operator Cade: JBERRY an timixtbabir.hossi c.. CDAR2 = turned: RE Con". Earn Sirmorl a.m.1 ehartwrencered olwoupnnapublonm Atodi 202 1008824540 ran. St No. It bP Distributions '. unt,001 w, MASTERCARD. I632 /AUiH: 936 2021008824540 un. St Far Cri off Good afternoon Chad Affachi d is the r wed for your permit fee payment I have also attached your job card and approved permit You may school nspecronisj on the tlry wehslte. Operator Cade: JBERRY ®Money Received Receipt Cade: CDAR2 = Receipts te'. 05/0521 ❑ idM Distributions '. 119 So MASTERCARD. I632 /AUiH: 936 Money 11950 Change Due 000 CX Form'' Upgrademmo amps ❑caaenimRimnsacgan I Distributions 14 lenient I 119501PERMIT NO 202100382 4540 Uphan St 660 Tharrkyou and besafe) Justin Berry Building Emission Office Phone 303-235-2876 Office Hows: Pont Wheat lLdge CoMMURtTy DEvyrorMMrr From: norepN@clwheamdge cc us <no-reply@a version of, cc us, Sent Wednesday, May 5, 2021 70AM To: Commoev Permits <Perrmts@alwheamdgeao un Subject online Forth Submittal Elead rel Service Change/U pgade/Elead rel Work Permit Real cap on Electrical Service Chan geNpgrade/ElectriCal Work Permit Application This application Is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or Iess). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FORTH E PERMIT TO BE PROCESSED. Your Permit Sol I 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 electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4540 Upham st Property Owner Name Eric Thuerk Property Owner Phone 720-898-1834 Number (enter WITH dashes, eg 303-123-4567) Attach City of Wheat Ridge Wheatridge payment forum .pdf Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** CONTRACTOR INFORMATION Contractor Business Name BERTANZETTI ELECTRIC Contractor's License 0006944 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number 3035182874 (enter WITH dashes, eg 303-123-4567) Contractor Email Address chad®b Retype Contractor Email chad®b Address DESCRIPTION OF WORK Is this an electrical service Upgrade upgrade or change? Number of Amps 200 Location of work (garage, back of house house, etc) Provide additional details, if Update to wire new AC needed. Project Value (contract 2000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes 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 Yes 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. 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 Permit Chad Andrew Bertanzetti Email not displaying correctly? View it in your browser. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Wednesday, May 5, 20212:51:05 PM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). 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 electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4540 Upham st Property Owner Name Eric Thuerk Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 720-898-1834 CONTRACTOR INFORMATION Contractor Business BERTANZETTI ELECTRIC Name Contractor's License 210100 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3035182874 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email chad@bertanzettielectric.com Address Retype Contractor chad@bertanzettielectric.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 200 Location of work back of house (garage, house, etc) Provide additional Update to wire new AC details, if needed. Project Value (contract 2000 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 Chad Andrew Bertanzetti Permit Email not displaying correctly? View it in your browser. 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 C' L } Job Address: 14L V n P^ 5 - Permit Number: i ❑ No one available for inspection: Time / 53 C) AM/PM Re -Inspection required: Yes No) When corrections have been made, call for re -inspection at 303-234-5933 Date:_ U Inspector: DO NOT REMOVE THIS NOTICE A 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ® (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:. Permit Number: ;L C} J No one available for inspection: Time AM/PM Re -inspection required: Yes INO' When corrections have been made, call for re -inspection at 303 -234 - Date: _'-4 " � Inspector:— DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201901112 PERMIT NO: 201901112 ISSUED: 05/30/2019 JOB ADDRESS: •4540 Upham St EXPIRES: 05/29/2020 JOB DESCRIPTION: Redeck and reroof with mod bit/torchdown rolled roofing, 1/12 pitch, 1 square; IKO nordic IR asphalt shingles, 3/12 & 4/12 pitch, 24 squares; 25 squares total (house only) *** CONTACTS *** OWNER (720)898-1834 THUERK ERIC V SUB (303)425-7531 CAROLYN DYKHOUSE, RANDY JAMES 019983 J & K ROOFING INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,504.00 FEES Total Valuation 0.00 Use Tax 283.58 Permit Fee 267.70 ** TOTAL ** 551.28 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-750 of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75% of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201901112 PERMIT NO: 201901112 ISSUED: 05/30/2019 JOB ADDRESS: 4540 Upham.St EXPIRES: 05/29/2020 JOB DESCRIPTION: Redeck and reroof with mod bit/torchdown rolled roofing, 1/12 pitch, 1 square; IKO nordic IR asphalt shingles, 3/12 & 4/12 pitch, 24 squares; 25 squares total (house only) 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 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, po Flans and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildirfg Official "— ' Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Thursday, May 30, 2019 12:31 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 4540 Upham St Eric Thuerk 720-898-1834 kathyv@jkroofing.com Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business J&K Roofing Name Contractor's License 019983 Number Contractor Phone 303-425-7531 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address kathyv@jkroofing.com Retype Contractor Email kathyv@jkroofing.com Address Credit Card Authorization WR CC AUTH.pdf Form DESCRIPTION OF WORK TOTAL SQUARES of 25 the entire scope of work: Project Value (contract 13504 value or cost of ALL materials and labor) Are you re -decking the Yes roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) both? (check all that apply) What is the pitch of the 1/12 FLAT roof? How many squares are 1 part of the FLAT roof? Describe the roofing Modified Bituman/Torchdown material for the FLAT roof: 2 Type of material for the FLAT roof- If oof If "Other" is selected above, describe here: What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) Rolled, Other (specify below) Modified Bituman/Thorchdown 3&4/12 24 IKO Nordic IR Asphalt House 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 this 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 3 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 Kathy Vendegna Permit Email not displaying correctly? View it in your browser. 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 � � � G1 n n, <4, . , i/ .'SS I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic S 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) Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof - Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw I VS TO BE SIGNED PRIOR TO PROCEEDING FINALS . Electrical Plumbing Mechanical Roof S 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 CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL 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 Type: Job Address: Permit Number: N NOTICE— El No one available for inspection: Time A Re- Inspection required: Yes * When p corrections have been made, call for re- inspection at 303- 234 -5933 Date: f Inspector: 1 DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: l o b Job Address: f t L) Pal 51- Permit Number: z n ❑ No one available for inspection: Time AM/PM Re-Inspection required` Yes No When corrections have been made, call for re-inspection at 303-234-5933 ' . , Date: 1,T) " c? 4 Inspector ~1EIFl~, M DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division roooor (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Far INSPECTION NOTICE Inspection Type: 11) 1 } Job Address: L4 q4 a Permit Number:', ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call ),re-inspection at 303-234-5933 Date: Inspector v- DO NOT REMOVE THIS NOTICE City of Wheat Ridge .0 Faxed Roof Permit PERMIT - 092238 f-PERMIT NO: 092238 ISSUED: 09/11/2009 JOB ADDRESS: 4540 UPHAM ST EXPIRES: 03/10/2010 DESCRIPTION: Reroof 27.6 sqs CONTACTS {owner 720/898-1834 Eric Thuerk ?sub 303/804-0303 Tom Brown 07-0055 North West Roofing PARCEL INFO '-ZONE CODE: UA USE: UA I: SUBDIVISION: 0009 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 11,926.48 FEES Permit Fee 272.10 Total Valuation .00 Use Tax 214.68 TOTAL 486.78 - Conditions: -Both front and back of permit need to be posted on job site. If one or the other !r is not present, INSPECTION WILL NOT BE PERFORMED. ~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 gave edge to 2' inside exterior walls. S 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 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. C2. 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 review is ~sopject to field inspections. P. date N REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 MUST BE MADE BY. 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Permit Office: 303-235-2855' Fax: 303-237-8929 Inspection Line: 303.234-5933 MWOMEMME Property Owner (plea Mailing Address: (if different than property address) Address; ',~RN Yak n #AV wes-r t';IoOFIN!~ Contractor License Phone: 303 e0q- 03 03 company ame License# Expiration Date: Trade/Profession., Approval: use of space (description : r4 - r0 o F Tear ofra n o ers rep! a.c; wr-h!, eye ! 4'Or- 6A-F/EIK 3 o Plan Review (due et lime of submtllap: $ Sq. Ft,/L,Ft added: Square LQ BTU'a Gallons Amps are of C/RLCeONE:: ~(OWNER) (CONTRACTOR) or JPERSONAL,REF PRINT NAME:/aQ 1U.1 SIGNATURE: Date: /'.Q j Bldg Valuation: $ Credit Card P~ment: Use credit card listed on fi Print name: _ oM B yzovv nj Signature: tion are accurate, and do not violate applicable ordinances, or restrictions of record; that all measurements shown, and conditions printed w his applieappon and that I assume full and all other appllca Is Wheat Ridge Ordinances, for work 6/9 0000000000 6ui~oou jsamy;jou wd l9'Zo 0L-da5-600Z Facsimile Building Permit Application "D&ARTAdENT OF PL.ANNING AND DEVELOPMENT Building Permit Number : 6149 BUILCytNG tNSPECTION DIWISION - 235-2855 CITY dF VYHEAT RIDGE Date : 10/30/97 7500 WEST 28TH AVENUE WFIEAT RIDGE, CO 80215 Property Owner : Property Address : 4540 UPHAM ST Phone : 431-8493 Contractor Llcense No. : 17082 Company : Rod MaA Co Phone : 777-7700 OWMEWCONTRACTQR SIGNAT.URE OF UNDERSTANDING ANDAGREEMENT CpnSttUCtiOn V81U8 : $700.00 I berebycert met uro sem.ek atscanoes v~sea ny mls Permn apPikatbn are acwrece. ~y oe ~ PertnM Fee $27.50 and do not v'iolMe a Ie ordMemces, rubs or regulations cTMe Cfty M VlRieat.Rfdge or R covmnams, easemew ie:trfctwna oi record; tnet all m.asurements snoxm, and enepauons Plan Review Fee : $0.00 matle are accuraM; di9t l have raad andag roa to ab&!eyy all condifionsp~ Med on this appAcstbn, and theR I ptume fUtl riesponsibi~dy fort~► Aance wNh tha Wheat Ridge BuiMing Ior wak under this pamdt ) etid eN oti{9f eppHoAiEjle SM1llreat RWge ordMancos Coda (U B C . USC T27C $8.40 . . , . . (OWNERxCONTRAGTOR)SIGNED.. . . . . . pq7~ . TOT81: . $35.90 Descriptlon c GAS LOGS, STUB GAS LINE T0 2ND FtREPLACE BUILDING DEPARTMENTUSE ONLY SIC : Sq. Ft. : Approval : Zoning : Approval: Approval: Occupancy : Wails : Roof : Stories : Residential Units : ElectricalLicense No Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : m 0 a (1) rnts axmt vas ieauea m aabrtlanw wnn uro qovuwns eet f«m m yopur appucauon andis eubiea a me hwa a ms sha a ca«ado and a tno zadiq Repulatbru and 6uNdug Cede olVNi6au RMae~CObiatlo w arn/ other applkable adinancm W tlm Cily. . (2) Thk Pa~ atbll..mryin R(/~y M~s wmk a Uro~z k~rot commenced wkNn aticly (80) deys hom iseue daEe a(6) the buiWinp auNOr¢e0 is wepeMed or . ebenEansd fat a p8riotl a(120 (3) N tl+ia pwrNt "rat, a qew . my' bs ac4Wratl fDr a/e5 ot one-heM the amdmt tamielly iequiretl.provWeU rw dumVes Mve b9M1 or wid W metle Nn Ure oripirref {laru and s and anY aueponabn a a6endonment hae nol.exceedetl one (1) Ye9r. N changes are made a M wapensbn or aEandonmmtezceeds ane (1) Yeer, fuN tbae eheH 6e WW fa a nawpem~. (4 No wuk MaM matmer WWI be tlane M~wiM d~an0eihe naWral lbw of watx caualnB a Mainage Pmdem• (s~ comwcror snaW rwqN a+e 9auatne ~ns[iec~r twaMy'tour (24) houn in advence fa all Inapections and ahtll recUVe wrtllEen aPProval on InepecUOn cerd ENOre (e) ac,~ n peimp « ~ar~ ~'al Nawi~ and spedBaationa slqll nW oe mnenuad ro be a pamdt tor. nor an epprovel d, enY violatlon athe pmNaWns the SYmY otlrer adlna9oe, taw, rule w re9uletion. THIS PEItMiT VALiD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5833 24 HOURS PRIOR TO INSPEC710N Mar-14-96 02:38P WHEAT RIDGE SECOND FLOOR 2352857 1F.3 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CiTY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 i~l ~D wavc~P (~urri ; r7 5~'iv`p/o c,o Property Owner :/}ji1(, 59~1 n n 2 k' Property Address :~{5'~D l>PhQ h'1 whec-'i4U5e l"Jo g-0033 Phone : 4131-?0 93 Contractor Llcense No. : 17062 Company : Rob y~j /l C v 25,2;-~ Phone : 7 J 7 2,700 f?V,2-a3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANbING ANO AGREEMENT ! bareoy cetlily fhat tha utDadi distancea proposad ~ is Construction Value c~e~ and do not violtla appticaDle ordinances. rukf or regul mslions ol fhe Cty of Whsat fi Oge or a,7~~ Pe~~t Fee : cove^+^b• eassmenb or roatnctlons of reeord: Ihat all measurcmems shown. and aneqations mstle aro aceurats; that 1 haw road and aqree lo abide by all contli6ona pnmeC on 1hia appliptwn, and ths11 assume full reapontibilM' for wmphance wrth the Wheat Ritlge Building Use Tax : Cotla (U B.C.) and all other applicable 1M~aat Rk a or inan a/, fonr work unGer thie permrt. 9 (OWNER)(CONTRqCTOR) SIGNED/ X OATE/D -43-9 J T0121 Descriptian ~Ty~-)~q 6-fi s Approval : Zoning ~ Approval : QqbliC:y~l~l@~11hNf1ib;+ 1 Approval: Occupancy Walls BUILDING DEPARTMENT USE ONIY Date i3-q 7 -~Cr3o135y ov~ Roof : Stones : Residential Units : Elecvical License No : Plumbmg License No Company Company : Mechanical License No : Company : Expvation Date : Expiration Oate : Ex ira Approval : Approval: p tion Date Approval: Pians Riqulrod I I -1 Plans Required J ! PAhs itlQuici= (1) This perml wat qiyep m SUqrESntj witf, Ihe Dmmronf fal iprth m yo0ur ao0liulion and n su Rtpublwn5 antl Bwbmp CoW ol Whe~1 qbpe. Colowao 0F any othef apObraou orOm.n ~oaroonpcS olq~ ~H h~ IPwf pl ~ha $liif pl C010r1E0 ~!y ~0 N~ jOMnq ~]I Tny armnso ro. a~w ~ u wnoa pn~ n w ~~~~so m~ eay. we,w auinonzae if noI cdn~y~p wqhm myry 1601 tlaYa hcm nwS Oate pr (B) lhe CwMmq sulMnxeE Ie sufMrqeE pr . (7) u tnis perml upint a 'yw perm„ mly 00 8011uveE la I fee ol one-nart me amoam normaro onr q~~al dan. and spwnu~qn~ ana anv lufpenswn a aoanaonrrKnt nas rq1 e~uetled ang ~Mu'rW. crovbed nO cnangea navs bean or wiN Oe matlem Ine e.ueCS one 011 YeS[ lue leef SnsM Oe paio In a new permn I Yeu. u cnanqee are maoe or d suSpeniion u aWnupnmenl (41 No wOrk ot any nynnM M&11 pp Qona Nat will Charpe the naluql Ilow of walsr yusing 2 tlq:ni9e V(ODIOm (5) comraciw •nan Iry me Buibnq msoeaor nvonN.low (2q rwuri ,n Oo.ance io( au InSwcaons Snd snan.eca,ro wnnen aaorovai on rnsoecuon cara eerore wae~a~~^9 w4 'uGGitM pfiIflf ol lh! 100 m) *ne ns w~ce a oer d Ine IODrOV0I O! 0liwmy3 ind SDCb6f2ponf fhall nOi b! ConSiNeO 10 D! ! DQfTq lor nol an sov~o~ai or any v1012iw11 oi me orovIsIons Ina Owq~ sany othance law. rulg or re9u4iion Chief ullding Inspector P.O1 Building Permit Number : Q7`U q For Mayor THIS PERMIT VAIID ONLY WHEN SIGNED 6Y THE CHIEF BUILDING INSPECTOR ANO MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION