HomeMy WebLinkAbout3293 Simms StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, September 22, 20218:43:51 AM
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 3293 Simms St
Property Owner Name DREW BROWN
Property Owner Phone 303-918-7178
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"
CONTRACTOR INFORMATION
Contractor Business Plumbline Services
Name
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 Carolyn Larson
Permit
Email not displaying correctly? View it in your browser.
Contractor's License
021818
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-549-5054
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@plumblineservices.com
Address
Retype Contractor
permits@plumblineservices.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200
Location of work
HOUSE
(garage, house, etc)
Provide additional
200 AMP OVERHEAD SERVICE PANEL UPGRADE
details, if needed.
Project Value (contract
6000
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
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Tuesday, August 17, 2021 12:11:09 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 3293 Simms 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"
DREW BROWN
303-918-7178
PERM ITS@P LU M BL I N ESERV ICES. CO M
CONTRACTOR INFORMATION
Contractor Business Plumbline Services
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 CAROLYN LARSON
Permit
Email not displaying correctly? View it in your browser.
Contractor's License
021818
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-549-5054
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
PERMITS@PLUMBLINESERVICES.COM
Address
Retype Contractor
PERMITS@PLUMBLINESERVICES.COM
Email Address
DESCRIPTION OF WORK
What type of
Air Conditioner
replacement unit are
you installing?
How many tons is the
2.5
unit?
For AC - what is the
16 SEER
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit
GROUND SIDE
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for
Yes
re -hook?
Provide Electrical
400.00
Contractor's Wheat
Ridge License No.
Project Value (contract
5162.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING
AND AGREEMENT
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Date: Tuesday, August 17, 2021 12:16:54 PM
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
Replacement of Existing Unit
replacement for an
existing AC unit?
Is this Residential or
Residential
Commercial?
Property Address
3293 Simms St
Property Owner Name
DREW BROWN
Property Owner Phone
303-918-7178
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
PERMITS@PLUMBLINESERVICES.COM
Address
Attach City of Wheat
3293 Simms St Auth form.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Plumbline Services
Name
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 CAROLYN LARSON
Permit
Email not displaying correctly? View it in your browser.
Name
Contractor's License 021818
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-549-5054
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
PERMITS@PLUMBLINESERVICES.COM
Address
Retype Contractor
PERMITS@PLUMBLINESERVICES.COM
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
90k
What is the efficiency
80
(%) of the unit?
Is the unit GAS or
Cas
ELECTRIC?
Where is the furnace or
Basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
5562
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
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) Jg f- )? -,:§-
Job Address: 3 Z 93 S , ri t, ;
Permit Number: a 3 ► -4 O 3 C-� w
-J
C
❑ No one available for inspection: Time I o ; S`'1 (,A�I/PM
Re -Inspection required: Yes0)
When corrections have been made, call for re -inspection at 303-234-5933
Date: -2 _,, �� Inspector _ ..-. ,
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703674
PERMIT NO: 201703674 ISSUED: 07/11/2017
JOB ADDRESS: 3293 Simms ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re -roof to install Dimensional 30 year asphalt shingles with
21.68 sq.
*** CONTACTS ***
OWNER (303)918-7178
BROWN ANDREW
SUB (303)778-8010
Scott Lawerance
019349 AquaDuct
Roof & Gutters
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD
VILLAGES, PROSPECT V BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
6,244.00
FEES
Total Valuation
0.00
Use Tax
131.12
D
Permit Fee
156.75
** TOTAL **
287.87
*** 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 one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703674
PERMIT NO: 201703674 ISSUED: 07/11/2017
JOB ADDRESS: 3293 Simms ST EXPIRES: 07/11/2018
JOB DESCRIPTION: Residential Re—roof to install Dimensional 30 year asphalt shingles with
21.68 sq.
I, by m si natdo hereby attest that the work to be perfonned shall comply with all accompanying approved plans and specifications,
applicable uil i g codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the, legal o � of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this p rmrt.€ I fur?t r attest that I am legally authorized to include all entities named within this document as parties to the work to be
perto d = .t all work to be perfonned is disclosed in this document and/or its' accompanying approved plans and specifications.
-17
Signet re f BR or CONTkACTOR (Citcle one) Date
This ennit was issued' .ased 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 pen -nit. 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!'ss rtca r granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
apphca le or any orda is e or r ulation of this jurisdiction. Approval of work is subject to Held 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 insptimerequestgci.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.
Dan Schultz
30(76 S 04 -
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 26, 2017 1:18 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
32g3 S t MMS
Property Address -931 Simms Street ISM IC -Ful/ &Anuxc_1_0{L
Property Owner Name Andrew Brown
Property Owner Phone 303-918-7178
Number
Property Owner Email drucifer55@gmail.com
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
AquaDcut Roof and Gutters
01-9349
303-778-7663
Contractor Email Address quotes@aquaductgutters.com
Retype Contractor Email quotes@aquaductgutters.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
No r
Replace existing 30 yr dimesional shingles
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 21.68
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Field not completed.
TOTAL SQUARES of all 21.68
roofing material for this
project
Provide additional detail House
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contra 6244.00
value or cost of AL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Scott Lawrence
Email not displaying correctly? View it in your browser.
3
Bid generated for Andrew Brown
Company Receipt Page
Owens Corning
Oakridge LLT
Brownwood
' 110 mph wind resistance warranty
' UL Class A Fire Rating
' Tough FiberglasO mat core
' Limited Lifetime warranty, 10 year Tru
PROtection@ Coverage
' Weathering grade asphalt
Owens Corning
Oakridge LLT
Total Cost: $ 7,484.14.
Brownwood
Authorized Signature:
Date: -7 2 f 1 -7
AquaDuct Roof & Gutters
Custom bid generated for
Andrew Brown
3293 Simms Street
Wheatridge, Colorado 80033
303-918-7178
-lob site address
3293 Simms Street
Wheatridge, Colorado 80033
000-000-000
Product Choice
Color Choice:
Customer Signature: C7
Date:
l
_ 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:C'l
❑ No one available for inspection: Time !� %' ANt#�l
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: �`�/ Inspector: -K. 1—I
DO NOT REMOVE THIS NOTICE
SPIRIT iTill ill ill •
Property Address:
W=
Mailing Address: if different than property address)
, ; 1 : e
Address: ' el N
of
City, State, Zip:
Contractor:
Contractor License L I XR Phone: z
Sub ContracWrs:
Plumbing City License #: Mechanical City License
Company Company:
Sq. Ii added: Squares - BTU's - Gallons - Amps
0,C,CuPANCY:
Bldg Valuation: $
R
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
- (303) 235-2855 Office+ (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: i<11 1
Job Address: ' Aa4 r, P{•
Permit Number: P~?=(t'?
❑ No one available for inspection: Time 20 AM/J~'M
Re-Inspection required: Yes VO j
When corrections have been made, call for re-Inspection at 303-234-5933
Date: (F Inspector:
v
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: _ew'e, ctrr~,,
Job Address:? r~cn✓ r
Permit Number: ~tfIl^
n
I10>
A
❑ No one available for inspection: Time AIV P
Re-Inspection required: Yes No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: If?-iQ-Cq inspector: )!Z,
Lo
(Z
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 093402
PERMIT NO: 093402 ISSUED:. 10/15/2009
JOB :ADDRESS:` 3293 SIMMS ST EXPIRES: 04/13/2010
DESCRIPTION:. Reroof s22 sqs
CONTACTS
Dwner 303/237-4961 Matulda
sub 303/778-8010 Scott Lawerance 01-9349 AquaDuct Roof & Gutters
**'PARCEL INFO
30NE CODE: UA USE: UA
SUBDIVISION:* 0659 'BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,358.00
FEES
Permit Fee 189.30 s r
Total Valuation .00
LC
Pax
JTAL *
tions:`
1 installation mid i
a 1/2 of an inch apart
shield required from
ntractor/Property owne
ctri ns..
cq to field inspect/or
.132 .44
331.74
Dof inspection required. Board sheathing spaced more
requires plywood overlay on entire roof. Ice and
_ave edge'to 2' inside exterior walls.'
r shall provide ladder(s) secured in place for:.
tances proposed by this permit application are accurate, and do not violate applicable
he City of Wheat Ridge or covenants, easements or restrictions of record; that all
ads are accurate; that I have read and agree to abide., by all conditions printed on this
sponsibility for compliance with the Wheat 'Ridge Building Code :(I.B.C) and all other
r work under this permit. Plana 'subject to field inspection.
date
~oFw"E'rp, City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
o~<oRaoo Inspection Line: 303-234-5933
Building Permi Application
Property , ddress E 2-q3 r+1\ s
Property Owner (please print):
Date:
Plan
Permit A v 01
Phone: 7
Mailing Address: (if different than property address)
Address:
127- /
Sub.Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval:
Approval:
Use of space (description): ~r J/ Construction value: $ -7 D"escr, ion of Work: (as calculated per the Building Valuation Data sheet)
ZZ~ Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares Z-Z--~
gTU's Gallons Amps
F CONTRACTOR SIGNATURE OFUNDERSTANDING AND AGREEMENT
certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
egulations of the City of Wheat Ridge or covenants, easements or rest ' tions of record; that all measurements shown, and
s made are accurate; that 1 have read and agree to abide by all cond s printed on this application and that I assume full
ility for compliance with the Wheat Ridge Building Code (I.B.C) and ther applicable Wheat Ridge Ordinances, for work
permit. Plans subjectt esoection. n
CIRLCE ONE::
PRINT NAME:
or PERSONAL
(CONTRATOR)
D-) S
Date:
Contractor License Phone: 3t73 7-7f~- Z67O
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13572
BUILDING INSPECTION LINE - 303-234-5933 Date : 3/19/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner:
Property Address : 3293 SIMMS ST Phone : 237-4961
Contractor License No. : 17152
Company : Precise Plumbing Phone : 534 0881
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 ro abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Construction Value :
$400.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total
$23.50
(OWNER)(CONTRACTOR) SIGNED DATE USB .
Description : REPLACE WATER HEATER
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
- z~
~rt Approval:
Zoning :
~ a~,.-
~
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No :17152 Mechanical License No :
Company : Company :Precise Plumbing Company :
Expiration Date : 9/13/02
Expiration Date : Approval : OKICH Expiration Date
Approval : Approval
(1) This permit was issued in accordance with the provisions set foAh in yopur application antl is subject m the laws of the State of Colorado and ro the Zonmg
Regulations and Builtling Code of Wheai Ridge, Colorado or any other applicable ortlinances of the Ciry.
(2) This permi[ shall expire if (A) the work authorized is not commenced within sixty (60) days from issue tlate or (6) the builtling authorizetl is suspendetl or
abandonetl for a periotl of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provitletl no changes have been or will be matle in the
original plans and specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are matle or if suspension or abandonment
exceetls one (1) year, full fees shail be paid for a new permit.
(4) No work of any manner shall be done thal will change the natural Flow of water causing a dreinage problem.
(5) Contraclor shall notify the Building Inspeclor hvenry-tour (24) hours in atlvance for all inspections and shall receive written approval on inspection cartl before
pr ediing with successive phases of the job.
(6) *,~Ffie i sua e o ermit or the approval of drawings and specifcations shall not be constmed to be a permit for, nor an approval of, any violation of the
y pro sion uiltling codes or any other ordinance, law, ruie or regulation.
Chief Buii ng Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2853
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 2 %'j 55,'-n m ;
Contractor License No. 7/ S'z
Company: P- PCise. X/,~, 1~~9 -;2`;f r
~
~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby eertAy Nat the setbatlc Oistanees proOOSeO q this permrt appiwtion are accurata.
and tlo not vioWte acpUnbb orainances. rubs or reguUUOns of Ne Ciry of YMeat Ridge or
covsnams. easements or restnaions W raeonC: Nat ail meuummems shawn. ana allsgatqns
l'ma01 0n! aCCUI'Jte: fltSt I IIivQ flYtl O/W 7gfOp W iDICQ bY 711 COIWIhpflf OriMed On (hlf
appuntion. ana mae I aaxums ruu roa ror wmpnarke wM the WMn Riogs 6u~ting
Cods (U.B.C.) and aU othx app~ubk~ys pcinancea. !or work unaer Mn psmmt
(OWNEPo(CONTRACTOR) SIGNED/O~vti pATE
Phone : Z 3 ~/Yu' /
, 3e3)
P h o n e : O g~' fr' /
ConsWction Value : Y&~,o
Pertnft Fee : 21 S' o
UB@ TeX :.5~-°~`.S FGO~.
- Total: 23 7 G
OescnpUOn : r-e~prpol ct t4v,*~...ilv.a. ~ rr14 d 1`4 5,,tso e t/,~o.~
EJuILDING CEPARTMENT USE ONLY
Approval :
Zoning :
~ldlria•~i
Approval :
-ftbwz-yyaW~drC6bnn*rft:!
Approval :
Occupancy : Walls
Roof : Stories : Residentlal Units :
Eiectncal license No : Plumbing License No : Mechanical License No :
Company :
Expiration Date :
Approval:
_3 : PI&"s:RFqufred=-
Company:
Expiretlon Date :
Approvai :
3 - Pplhs .Re1rylrod I
Company :
Expiradon Date :
Approval :
a rqq90&u4Htl=
(i) Tn-s xrmn was iswea in amoroance w"m eie avwOns aet
ReqWauons aM BuiWm brn n Yopu aoWinuon and u suoNet 0 me uws of tM Sbts W Cobraao and m Ne Zunrp
q Coea of Wneat RWqa. Co:eraoo w ury ynv goWnON aoinanas ol tna Cily.
;27 This D~~ snall uW! A UI Ta worK autnonzea u roi oomnNntaO wruun Nib (60) CaYt trOm W W CaM a(8) tM MtiWUq SuNOn2aa it wsD~b W
cal aw wonea ~or a oeraa or t2o wra u we oalmrt e:wro,. a naw namn m+v w+ca~ rar a r« a one-hae tne uroum norm.W rsawea. awaa no dw,"s nnr ewn a wdl a moa n aw
onguW Mans and apeaRraoau and ury wfpdnwn a aoanoonmern nas not exn~wy wy ri+r. q wnpy an rtiwi a d wspwspn or awrmvnrn
eawaas ona 111 yeu. 1u11 hn wN De uaq ior a nA psmyt
141 No worx of arry mannn fnan Oa Cona out wMl Wnqe py nawni Aow ol wanr puynq a Orauu9t proEYm.
(5) Conaaaor snmi rouN the BuiWUg msoeaw lWenry-iow (Za) nours m swance ia au mspacoons and tn" rscavs wntten approvai on mipecnon earp pefom
Oror<eannq wpm suvissrve onasas ol me po.
(6) Ti+e nsuanCe ol a DemM pr Ne aOWwat of OrJwmqf an0 SDeC/KaU0n3 inall nol 0! Cpn3Wetl b DO i p'mYl fy. np an aOWovaI al. iny vqlJppll d M pMfqns
Of CI! DWIOinq COOlS 0/ i0y OIriQf 0l01lIaIICe, mw. N:! 0I !!9W WII.
Chiet Bwldmg Inspecror For Mayor
THIS PERMIT VALID ONLY WHEN SIGNEO BY THE CHIEF BUILDINCa INSPECTOR AND MAYOR
CALL: 234S933 24 HOURS PRIOR TO INSPECTION
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at 3 .2 9 3 $ / cnirl c S ~
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
, I Date
FORM WRB-42
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
DO NOT REMOVE THIS TAG
, ; ._r . . . . ~ _ . w ~ , . r;
MRA ~,1F f~LAt~i~ f~1Q ~11FL11~NT' Buiiding Permlt Number : 95-1683
~t~.~~
~#'1Y ~3►F WF~A;T ~ttt~3iE. Date :8121795 T4~Qt1 ~T ~'N RV~~11~~ , 1~i~►~' Rit7~I~, ~t~ 80~""!6
~
Property Owner: AAATiJLiK R/iYMOND W JR
Propedy Addtess : 3293 81MaiiS ST Phone : 2374951
' GontracEor E(cense i+kj. : 18196
Cempar+y : Bear Greek RoofMg Phone : 278-4111 "
OWNERfCOWRACTQR &K3NATURE OF Uh10ERSTANDtEiC, AND AGREEMENT
Constrx:tion Volue : ,300,00
~ her~y' tm~aw~ , ~ok Q~t~nca ~pc~ed ~ W~~Upn us ~arats. Peurltit Fae :531.00 ind daf nat~b- Ir~rtp~ls~ute~W' ~ of qw ~Ny ofriM~t Wdps or
iK s a~ ~ecora; sha~i+, ww a~ P1an Review Fee : $0,00
MNk't lipt~±k Niatl uW ~a6 c~pexJlqbrol on fhia
U9e Tax : $19.50
6i~~W Wheat orn lorwork ~artlxthie penrdt.
(otl~Rj~coNTRncTOFt)S~IONED ~~-.Ye__..... ,l;~at ~ ~ TotaI: S50.60
DeSetipUoit : ' REROOF
BUILDtWG DEPART#AEN'f USE ONLY
Zotilltg; '
, ARPmv8f :
Appriovef :
pctupancy Walls : Roof; Stories : Residettdal Uaidi :
EleeUics1 Ucensa IVo : P~~'n6N~g LiCanse No : Ml~d►~1 Licenae No :
C°mpatry : Co"any ; Cov►timy =
Expirojcn bate r Expirstlon Date ; Expirsa6o t7aGa :
APProvai : APProvat ; MP►auai
(1) 'ft~hpwmit ~ aumar@btl~~s~~~~ *w~n ow is ~i q *ftse6 etaawpiwanesoft xmti+p
~NyM q+s+rqrk hdwttnknqd +M{Y1~drmmmWa+sdaba191tlisbapdrq~adb~wpa~Nra«
(g)
rw
~ ~a~rla~daaa~lul[tlaeWmc~M~Y~equY+d.p~ nodiw~,hMbarnarwttktmrMMtla a1piW~q~~i~q~ ~^Y a~hatnatNdapa(1)YaK 7teN~waii dr wprWanur~tlomm~t
(.t Nd~poYkM1NM i a~p~~ cZk+Adlow ofwwr . ~ dwlnpE~ . ry . .
(s~ , ca~`Nq~ 41w&~q ~ ~+dur0+)ha~ntlna~taax wtgw pohkntiahennaNww~IknpprwUonhovecua~Wd.Wore .
or~~orNofeMaxMtbttoM9uetllobesPWM tor.nalw*Mw* oReeq'vqNniNtlwpoYbkM.
. . G~*" , . . . . . . .
Huik~lg tt~~p4et~~
THtS POMtT YALUi ONY YI~IEN 81!~NED'8Y TMIE GH~F 881Li~i'INSPEGTOR
CALL: 833 24 MoUR9 PRtOR TO IN8PEC1tON
~
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
Property Address
Contractor License No.
Company
iZil
32'~73 5,%1~A117s
; ely,~
'82~~ C' xL-g se_)Zc'-'o r-i irJr.
Phone P7? C~ ~/ol
Phone:~7S--- Y/l- /
OWNER/CONTR,4CTOR 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 regulations of the Ciry of Wheat Ridge or
wvenants, easements or restridions of record: that all measurements shown. and allegaBOns
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED.1~- _-~---DATE -LI ' I
Description : 1?-& _ te G F-
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning :
Approval :
liegalumm
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issued in accortlance wilh the provisions set forih in yopur appliwtion antl is subject to the laws of the Sute of Colo2do and to the Zoning Regulations and euilding Cotle ot Wheat Ridge, Coloratlo or any other applicable ortlinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commencetl within sixry (60) tlays from issue tlale or (B) the building authorizetl is suspentled or
abantloned for a period of 120 days.
(3) If this permit expires, a new pertnit may be acquiretl for a fee of one-half the amount normalry requireQ providetl no changes have Oeen or will be matle in the
original plans and specifcations and any suspension or abantlonment has not exceetled one (1) year. If chan9e5 are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid kr a new permit.
(4) No work of any manner shall be tlone Nat will change the naNrel flow of water causing a tlreinage problem.
(5) Contractor shall no8fy the Building Inspxtor twenry-four (24) hours in atlvance for all inspections antl shall receive wrinen approval on inspection wrE before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of tlrawings antl specifcations shall not De constmetl to be a permit for, nor an approval of. any violation of the pmvisions
of the builtling codes or any other ortlinance, law, mle or regulation.
Chief Building Inspector
For Mayor
Construction Value 3Do
Permit Fee :
Use Tax :
Total :
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-974
Date :5/12/95
Property Owner
Property Address
Contractor License No.
Company
MATULIK RAYMOND W JR
3293 SIMMS ST
17661
Bartels Heating & AIC
Phone : 237-4961
Phone : 422 3589
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity that the setback distances proposed by this permit application are acwrete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
wvenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and a9ree lo 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 applicabl heat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED En7tL Q K DATE 1 I ~
Description : 100,000 BTU FURNAC AND 30,000 BTU A/C
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
m~
Construction Value :
$3,150.00
Permit Fee :
$63.00
Plan Review Fee :
$0.00
Use Tax :
$47.25
Total:
$110.25
Mechanical License No :
Company:
Expiration Date :
Approval :
~
(1) This permit was issued in accordance with the provisions set forth in yopur application antl is sub1~ect to the laws of the State of Colorado and to the Zoning
Regulations antl BuilGinp Code of Wheat Ridge, Coloratlo or any other applicable ortlinances of the Ciy.
(2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building authorized is suspen0etl or
abantloned for a period of 720 days.
(3) If this permit expires, a new permit may Oe acquired for a fee of one-half the amount normally requireG, proviAetl no changes have been or will be matle in the
original plans and speciflcations and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, tull fees shall be paitl for a new permit.
(4) No work of any manner shall be tlone ihat will change the natural flow of water causing a Arainage problem.
(5) Conhactor shall notify the Building Inspector hvenly-four (24) hours in advance tor all inspeclions and shall receive writlen approval on inspection wrd hefore
proceediing wiN successive phases of the job.
(6) The issuance of a permit or the approval of tl2wings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the bui ~tling codes Qr any ot er o inance, Jaw, rule or regulation.
C;
~r ~l_
ie Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
=3
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500wES729thAVENUE BUILDING INSPECTION DIVISION PERMIT N0.
234-5933 P.O. BOX838 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VACID ONLY WHEN SIGNED BY THE CNIEF BUILDING WSPECTOR ANC RELEIP7ED8EL^W.
APPUCATION FOR MISCELLANEOUS PERMIT
JOBADDRESS N ~ OWNER 14 t ~
~r ~ ADDRESS 2'-4" 3 _~i,i7m 5 ~ r
CONTRACTOR _,{'~A~~P~r N rf f ADDRESS PHONE 9 3 7'V qiI ZIPCODE 81k)3s
CITY U-J -5~7+'t /ll S ~ ✓ _ ZIP CODE L O) CONTRACT PRIC/E $ PHONE LICENSENO. DATE
1. TYPE Ground❑
Woll❑
Proieatinp❑
01her
SaDFeee
2. MATERIAL
Totol SQUOn FoN
SIGNS
3. ILLUMINATION YOs❑ No❑
TYDO
Eleel. Pormif No.
SE7 BACK FROM PROPERTY LINE N
4
_
5_ E
_ W
Zons_
AODrovd,ZOne lnapeata
.
(SOacily whichiafront)
❑
❑
❑ ❑
DisaDDroved
1. TYPE Solid[:] Mon Thon BO% Ope^❑
Logt Than BO
% Open
MATERIAL
?
Heidht
FENCES
.
3 SET BACN FROM PROPERTY LINE N
_
S_ E
_ W
Zo^e _
ADDra'b,Zone ImDee1a
(Soscitv whitA it }ront)
❑
❑
❑ ❑
DisapDroved
OTHER
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIVII:u DISTGNCES FROM PROPERTY LINES.
(SETBAGKS OR FROJECTqNS INCIUDEA)
~
SPECIFV NORTN
3.
STREET N4ME
$HOW DISTANCES FROM THE MAIN BUILDING TPAOJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGUTAR lAT5,5HOW LEAST
OISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERGGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE LICENSE N0,
STATE LICENSE N0.
ALUMtNUM WIRE UNDER SIZE 8 ILLE6AL
FLOOR
BSM
I ST
2ND
3RD
4TH
N0.
FLIEUCirW Qw Gw dl Propon4 God El~e Soler
iz
WATER CIASET
FORCED AIR - BTU U
TEMPORARY MFTER
WASH BOWL
MOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - 8TU
T
~ (J'
CHANGE SERVICE - AMPS
SHOWER
AIR CONDITIONING-B
U
LIGHTING
SINK
OTMIER
HEATING
GCRBAGE DISR
RiFRiGERATIUN S'fStEM
POWER SUB-CIFCUITS
WATER HECTER
Refri vanf Graup
Chm e
d
UTILITY(RANGE,DISPO5ER,ETC)
AUTO. WASHER
t
Poun
DISH WASMER
AUTOMATIC SPRINKIER SYSTEM
FIXTURES
WIRING MOTORS 9 CONTROLS
F11bR ORAIN
ELEVATOR
$IGNS
URINAL
TRANSFORMERS B RECTFIERS
$EWERS
ADDITION TO OLD WORK
OTHER
MOTOf75 OVER I HP
TOTAL FI%TURES
e
REMARKS / /I S 7`T'~~_IL P /"L f r~Y /'f7
I hereby ocknowlsdqe thot this ap0lite'
tion u CorroCt ond undantond ihaf I
connot ffart tAif prolbct until this appli-
eotion 11 opDrowd. I tholl eomply witn
tM lawf ot fhe Stote of Coloia0o and lo
ihe ZOninp Repulalionl ond Buiitlinp
COde 01 t~~'Cnly Of WMOf RidpeAny
vlolalion/61 I114 aben Inrni will aauu
PERMIT FEE
USE TAX
TOTAL FEE
1~ 3 .
q 7,aS_
APPROVED
DISAPPROVED
CHIEF BUILDING INSPECTOR,Cityof Whwf Ridpe
NOT VA110 UNLESS RECEIPTED
immedte r~.vocotol of tnis Germit CALL234-5933
~ 24 HOURS IN ADVANCE
~ . .K /n n , n FOR IN6PECTIONB
~~,7~
750o WESr 29tn AvENUE DEPARTMENT OF COMMUNITY DEVEIAPMENT
BUILDING INSPECTION DiVISiON PERMIT NQ ~
237-6944 ExT. 255 P.O. BoX 63e CITY OF WHEAT RIDGE, COLO. /11 7 5>fj
THIS PERMIT VA~ID ONLY WHEN SiGNED BY THE CHIEF BWLDING INSPECTOR AND RECEIPTED BELOW.
JOBADDRESS-% 1-t
-
v
~
OWNEF
/7
CONTRACTOR
ADDRES
qDDRESS
PHONE
ZIP CODE
CITY
ZIp CODE
PHONE
~
~
CONTRACT
P ICE $
LICENSE NO. T
DATE
1. TYPE Ground ❑ Woll❑
Proiettinp❑
OtMr
S Or D Face
2. MATERIAI
SIGN$
3, ILLUMINATION Ysa❑ No❑ 7yps
Total Squan Fat
4 SET BACK FROM PROPERTY LINE N
S
E
W
Eloet. Psr
mit No.
_
_
(SOecifywhich itfront) ❑ ❑
_
❑ ❑
Zon*_
Approvod,2om Ina"ctor
1. TYPE SolidO Mon Thon BO% Opan❑
Less Thon 80% Open
Disapproved
FENCES
MATERIAL
.
o^t
He
3. SET BACK FROM PROPER7Y LINE N_ 5_ E
_ W
Zono_
ADDra+ed,Zons Inspecta
(SpeNfy whieA is tront) ❑ ❑
❑ ❑
piaapprovad
1.
OTHER
2
a. 10
DRAW SKETCH Oit SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE, GIVII:.i DISTANCES FROM PROpERTY LINES.
(SETBACKS OR PROJECTqNS INCLUDED)
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE M41N BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW "eer
DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR evcqg31 DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOME A PERMITTO PEHFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NO7 STaaiFn wiTUiu ruer rIk.o
~
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE LICENSE N0.
STATE LICENSE N0.
ALU
MINUMWIREUNDERSIZE811.lEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
Fl1EL:CirtlsOn@GpyplPropona E gpy
WATER CLASET
~
FORCED AIR BTU
TEMPORARY METER
WASH BOWL
HpT WATER -
BTU
NEW SERVICE ° AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
AIR CONDITIONING-8TU
SINK
OTMER
HEATING
GARBAGE DISP
REFRIGERATpN SYSTEM
POWER SU9-GFCUITS
WATER HEATER
Retri arant Group
UTILITY(RANGE,DISPO5ER,ETC.)
AUTO
WASHER
.
Pounds Chor •
FIxTURES
DISH WASHER
AUTOMATIC SPRINKLER $YSTEM
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
1-1
MOTORS OVER I HP
TOTAL FIXTURES
1 hsreAy acknowledqe thot thia applico-
tion u eorrect ond understand thoi I
cannot srart tnis projecr unfil rnis appli-
cotion is opproved. I shall comply wltA
Me lows of 1be State ol Colorado and fo
the ZOninp Repulationa and Buiidinp
Code ofihe Cify of Wh RidQe. Any
violotion of the abov terme will couyft~
immediate revocofion ~p' ! inls permit
PERMIT FEE ct'b
USE TAX
TOTAL FEE $ ~j S ,7 y
APPROVED
DISAPPROVED
CHIEF BUILDIN SPECTOR,Cityof Wheaf Ridqe
Date Issued ! 37 ~
NOT VALID UNIESS RECE
L2. l'-+ y l 6 L.
/4'-
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
~/rlieanl. sipna~u,.