HomeMy WebLinkAbout4060 Simms StreetINSPECTION RECORD LOccupancy/TVDe
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.
nl o n i mrne f 7 a-\
/ 4
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
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.
YOUR NO CONCRETE UNTIL ABOVE HAS 13EEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie - - -
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
Inspection Type
Job Address Cc
Permit Number
p
t :
Eu
a. ❑iNo one available for inspecti
Re- Inspection required: Yes`
When corrections have been maci
Date: Inspect
;' DO NOT REM
City of Wheat Ridge
Residential Mechanic PERMIT - 102157
PERMIT NO: 102157 ISSUED: 09/13/2010
JOB ADDRESS: 4060 SIMMS ST EXPIRES: 09/13/2011
DESCRIPTION: Install 111,000 btu furnace, 4ton A /C, water heater, humidif
* ** CONTACTS * **
owner 303/421 -3303 Jim Flowers
sub 303/466 -4209 Rosalie Cooper 01 -8111 Cooper Heating & Cooling
** PARCEL INFO **
ZONE CODE: UA +. USE: UA
SUBDIVISION: 0125 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIM4:TEDIPROJECT VALUATION: 7,385.00
FEES `
Permit Fee 140 00
Total Valuation 9 1
_
1
Use Tax 132. 93 < - -.-
** TOTAL ** 272.93,'.. '
Conditions:
Must comply w/ 2006 IRC & 2005 NEC
Subject to field inspections.
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 O�dinaoces, for work under this permit. Plans subject to field inspection.
dace
1
2.
3.
4.
5.
6.
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.
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.
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.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
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.
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 subject to field inspections.
Signature 97LCAW Building Official
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.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7600 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
Property Owner:1 I Vy'_ ookficirs
Property Address : Y D � 0 & V&"" S p 3
Contractor License No. 8111
Company 6coposr Ueo_� q jljzttk-
Phone 3-(tv-3363
Phone 363— Wol- —LIZ65;
OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
I hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee :
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.S.C.) and all other applicable go or inances, for k under IN it .
(OWNER)(CONTRACTOR) PIGNED DATE L
I
Description �—St I , h ( fob
or— fiR. - - i I " '_L_ 4
[40 1"
Plan Review Fee:
Use Tax: 3
Total: 2- a cl
BUILDING DEPARTMENT USE ONLY
SIC Sq. Ft.
Approval:
Zoning
Building Com meet s . ;
Approval
Pub Iid xWdfKs
Approval:
Occupancy: Walls: Roof: Stories Residential Units
Electrical License No ( 0 (57 – Plumbing License No Mechanical License No: Of
Company: ►06LOCO UeCti c Company: Company: G60 p
/if
Expiration Date Expiration Date Expiration Date :
Approval : Approval: Approval :
:ig gplamm"WWO I'M
(1) This permit was issued In accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 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
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections a=receive written approval on inspection card before
proceedling 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.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
10/14/2009 WED 12:01 FAX 303 237 8929 303 Best Way
2002/006
INSPECTION RECORD [OccupancV/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.
A�&O 'S�4 =W Aq-31 16
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INMALS
COMMENTS:
Footings/Caissons
Electrical Service
Rough Electric
Sternwall / (CEG) Concrete
Encased G round
Rough Plumbing
Gas Piping
Reinforcing or Monolithic
Rough Mechanical
IIPSP Reroof 42.67 stis
Weatherproof French Drain
. . ........
Sewer Service Lines
Permit Fee
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating (Underground) I I I
r)0 NOT P011RF1nnRUNT.1 AnnvPI4aqRFFm.qirNFn
ROUGHS
Sheathing
Lath / Wall tie
10/14/09 9:14 An edba
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
CITY-DF NEAT RIDGE ---
10/14/09 9:14 An edba
Timothy J,
__-RECEIRT-1100111102851
&_At_I0
IIPSP Reroof 42.67 stis
659.65
. . ........
Permit Fee
363.16
Code. R.O.W & Drainage INSPECTIONS V-:, 'Q a - . '. , ,
W V8 "6736 AtlBUNT
Parking & Landscaping
SHOULD BE GAi- I I t , ,
It 11 1. - i
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND
X33886 ' -
CERTIFICATE oF0ccuPANcY is ISSUED. FINAL lNspEcuotv By THE BUILDIN(,.
OFA CERTIFICATE OF OCCUPANCY NOR PERMIS"da"..
OCCUPANCY, NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
e I e CITY OF WHEAT RIDGE
Building Inspection Division
j (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSP CTION NOTICE
r.,
Inspection Type: vor~e , K K~'
Job Address: C) trnS
Permit Number: <~)_~aI 6_1
❑ No one available for inspection: Time A
Re-Inspection required: Yes Wo1
*When corrections have been made, cafl for ra-Inspection at 303-234-5933
Date: Inspector: Svc
L
DO NOT REMOVE THIS ~ QTICE
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: svyii~r~ai=
Job Address: V6c~ e7 S,mws s
Permit Number: rpV35/Z>
f6 r` A0,oy'E-tD
❑ No one available for inspection: Time AM/P~VI
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: I /J 3ftr~ Inspector:
DO NOT REMOVE THIS NOTICE
INSR~CTI04*-REQUESCikX:0(f0Whe393'3yv`:' tDING OFFICE: (303)235-2855
:
RE BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Faxed Roof Permit PERMIT - 093210
PERMIT NO: 093210 iISSUED:P 10/12/2008
JOB ADDRESS::. 4060 SIMMS ST - EXPIRES: 04/10/2010
DESCRIPTION:' Reroof 42.67 sqs
CONTACTS
owner 303/421-3303 Jim Flowers'
sub 303'/394-2802 Tim O'Connell 01-7590 C J Roofing Co.
**.PARCEL,INFO
ZONE zCODE: UA USE: UA
SUBDIVISION: 0125 BLOCK/LOT#: 0/.
FEE SUMMARY ESTIMATED PROJECT VALUATION: 16,475.23
FEES t
Permit Fee 363.10
Total Valuation ,p0GU~.~Gj~ i
Use Tax-
296.55
:TOTAL 659.65
Conditions: -
Both front and back : of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED.
6 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.eave edge to 21 inside exterior walls.
***Contractor/Property owner shall :provide ladder(s) secured in place for
inpsections.`
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 abideby 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 thia ne.mir PI.-'c„hicrr rn `.fi.,in ,n=.... i,,..
date
INSPECTION RECORD Occupancy/Type
'INSPECTION LINE: (303) 234-5933
I 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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS DATE
I
INSPECTOR
INITIALS
I
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid-Root
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
UNTIL ABOVE HAS BEEN SIGNED
BEEN SIGNED
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO
Framing
Insulation
Drywall Screw
FINALS CITY OF MUCAT RI00
Electrical
Mechanical
Roof
W
W
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONSF:
Parking & Landscaping
SHOULD BE CA=
18/14/09 9:14 AN
odba
Timothy J OConnell
_
RECEIPT HKIN1802851
- --AMOUNT
BPSP Reroof 42.67 sqs
659.65
11
893218
Permit Fee
363.10
Use Tax
296.55
PAYMENT RECEIVER
-AMOUNT,,
VS" 6736
659
65
Auth Code:"
,
1
**NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND.:, , 033886 - ; "
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDIN, TOTAL _ 659.,65 .
OF A CERTIFICATE OF OCCUPANCY NOR PERMIS.,...... ~:!i _ _
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
From:Cd Roofing 3033942808 10/09/2009 16:28 $917 P.0041005
08/24/2009 MON 16:13 FAX 303 237 0929 303 Best Nay Q1001/001
NP
City,Of.. .
Date.,
Ld.g
MMUN11 Y DEVELQPMENT. P®rmat'I: } l ~Z)
Suilding DMS16n
7500 W. 29" Ave:, Wheat Ridge, CO `00033.
Offi6e: 303-235-2855- Pax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Owner (piease pdnt)`, v- 1 i-, U-.arc Phone: (=3
' Wiling A dress; (if different than properly address)
Address: D L. 7'i 111 try c' Zz
. City. State- 7_1n•10^abn~-,-L X7_: A, .n /F . 1ti =.7^. :R
FORM (F) 41f{-02_5147
OWNER I~ I 7ENAN7 ❑ I qGENi ❑
7 Xce/Enerqy-
O7HER ❑
FIXIND.ASSFpMg - wYARIYIIYG ~
~ NAZARD. ~pECIIONS uIS NOf NEpAy~ yy~IH QIR
AND PERMR R[QUIRFMINIS PRIOR 70 PFRFORMIQlWI1Flm CpryTF
EPP1R NORK
,
poa 122784 i
NPi NO. !
ION TAKEN ~
~ "V I OFF ~
71PPLIANCE OFF
B07H APpL 8 MkTER OFF
MEfER5HU70FF ~
Kl1CF5 AND PRpCEpUR6 AND I ~10UR lDG7L BUILDING DFPART- ~
_7
City of Wheat Ridge
°'82 R~o°
Residential Roofing
PERMIT -
080143
PERMIT NO:
080143
ISSUED:
02/15/2008
JOB ADDRESS:
4060 SIhIINS ST
EXPIRES:
08/13/2008
DESCRIPTION:
re-roof 42 squares trilaminate
***CONTACTS owner 303/421-3303 James R. Flowers
PARCEL INFO
ZONE CODE: UA USE: UA SUBDIVISION: 0125 BLOCK/LOT#: 0/ FEE SUMMARY.** ESTIMATED PROJECT VALUATION: 7,434.00 . .
FEES
Permit Fee 199.30 Total Valuation .00
Q~a53p'Q
Use Tax 133.81
TOTAL 333.11
Commente:' ' . all shingles must be 6 nailed
midxoof and final inspections required
if any decking is replaced, a sheeting inspection will be required
I hereby certify that the setback dietances propoaed by thie permit application are accurate, and do not violate.applicable
ordinancee, rulee or regulations of the Ci[y oE Wheat Rid9e or covenan[s, easementa or restrictions of record; that all
meaauremente ehown, andalle9ations made are accurate; that I have read and agree Co abide by all conditions printed on Chieapplicationand that I aseume full responsibility f r compl'ance with the Wheat Ridge Building Code Q.B.C) and all oeher
appl'cabl R~inances, fo rk under t ie per[.OPkjns subject to field inepection.
E3~ ~b
1. Thie tSexmit wae iaeued in accordance with the proviaiona aet forth in your applica[ion and ie aubject to the lawa of.trieStateofCOlorado and Co the Zoning Regulatione and Building Codes of Wheat Ridge, Colorado or any other applicablt ordinancee of the City.
2. This permit ehall espire 180 days from the isaue date. Requests for an extenaion muet be received prior to erzpiration
date. An exteneion may be 9ranted at the diacretion of the Building Official. . 3. It this permitexpirea, a new permit may be acquired for a fee of one-half the amount nozmally required, provided no changea have been or will be made in the original plana and epecificatione and any suspension or abandonment Aaa not
exceeded one (1) year. If changee have been or if euspension or abandonment exceeds one (1) year, full feee ehall
be paid for a new permit. 4. No work of any manner shall be done that will change the naiural flow of water causing a drainage problem.
5. Contractor.ahall notify the Building Inapector twenty-four (24) hours in advance for all inapectiona and ahall receive
writtertapproval on lnspection card befoze proceeding with successive phasea of the job.
6. The ieauance of a pexmit or the approval oE drawings and specificationa ahall mt be construed to be a permit for, nor
an apptoval oE, any violation of th% provieione of the building codes or any other ordinance, law, rule or regulation.
All plan review is subject ^ f~elepectione. /L §-~rb
Signature of'Chief 8uilding
aate
INSPSCTION REQUBST LrN8: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINES$DAY.
pFWHEqrq City of Wheat Ridge Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
o Inspection Line: 303-234-5933
d~ORP~
Building Permit Application
PropertyAddress:
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
City, State,
Contractor: vW,N~
11
Contractor License Phone:
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
DeSCFiption of wofk: (as calculated per the Building Va uation Data sheeQ
LA~- ~ ~ n n1 ~ A e Plan Review (due at time o(submiffal): $
~e WV C/~
~
Sq. Ft/LFt added: Squares BTU's Galions Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit applicafion are accurate, and do nol violale applicable ordinances,
rules or re9ulahons of ihe City of Wheat Ridge or covenants, easements or reslrictions of record; that alt measuremenls shown, and
allegations made are accurafe; lhat I have read and agree to abide 6y all conditions prinled on lhis appliwtion and thal I assume full
responsibiliry for compiiance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
underthispe i. 'ecttofieldinspection.
CIRLCE NE:: (OWNER) ONTRACTOR) or PERSONALR AENT\A f~(OWNER) (CONTRATOR) 1 (x~~
PRINTNAM ' 1 SIGNATUREB?!~`"' Date:~?v
ZONING COMMENTS'.
Zoning:
Reviewen
PUBLIC WORKS COMMENTS'
Reviewec
DEPARTMENT USE ONLY
BUILDING OEPARTMENT COMMENTS: OCCUPANCY: _
Reviewer.
Date:
Plan
Permit
FIRE DEPARTMENr:: 0 approved w/ comments ❑ disapproved ❑ no review required I Bldg Valuation:
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RETU e
DEPARTMENT OF PLANNING & DEVELOPMENT
REQUEST FOR PUBLIC WORKS REVIEW
Date:
Case/Building Permit No.
Location: -:5~t
Please review the attached materials submitted in application for approval
of a 5~'a„„~ ~x . , and indicate your decision on those items
ctieck~w, and please add any other comments which you may have under
number 16.
1. i-D Boundary CL
2. CI Area:
3. OXDrainage:
a. Drainage
b. Drainage
c. Drainage
be:
:)sure:(-::IOK C7Not
Acres
plan (and report) ne
Plan not needed ro~
provisions have been
C7 OK O Not
OK; refer to Stipulations
_ Square Feet
aded Q
reviewed and are found to
OK; refer to Stipulations
4. L-3 Legal Description: 1:30K M Not OK; refer to Stipulations
Sf not okay, please explain:
5
YUD11C lmprovemencs:
a. Street Paving needed Y b. Curb & Gutter needed Y N
c. Sidewalk needed Y d. Street Lights needed Y
e. Storm Sewer needed Y N f. Escrow required Y N If
Escrow required, for what improvements? In what amount?
6.i-1 Development Agreement required Y N
If Yes, for
7. C1 All necessary documents have been initiated by Public Works and are
attached hereto:
8. i::1 Is a traffic impact analysis and report required? Y N
9. i7 New roadway or alley R.O.W. dedication is recommended:
If yes, what is recommended:
10.t=l All existing dedicated roadways and alleys meet the standards of
the City:
If no, which do not and what is requested:
11.1=1 All existing and proposed ded'ications have been reviewed and found
to be: 0 OK C7 Not OK; refer to numbers 8& 9.
12.FEf Approval: The Public Works Department has reviewed this request
and hereby gives its approval, subject to the above and/or attached
stipulations.
*/z q i
SCi~gnbr-Eure ' ~Date
13. M The Public Works Department has reviewed th3s request and does not
approve for the reasons stated:
Signature Date
14. o Stipulations attached: Yes No
15. O DEADLINE DATE FOR PUHLIC WORKS DEPARTMENT REPLY:
16. Summary Comments:
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Jefftrson CoLwty bet2ta Dtparrment
Certtficate of Mater and Serer Servlee AvatlahtZity
Jab 1►ddresa Aate duilding Permit No.
4060 Simms St. 37 McLauahlin's Aoplewood
LgaI Descriptian Iot Block blubdiviston ^
Dse of Building
ibte Lo-applicant: Buildtng permit vi11 not be tssved rithoat this Certificate of Sever and
Mater Service AvailabiIity styned by tbe Dtstrict or agency svpplytng services.
Orner 1lddreas T+elephone
Jiame of Suu{SaLion Disirict or Agency
~ ShTPER SERVSCE AVAIIABLE SEWER SERVICE NOT AVAILABLE
IXDSVZDUAL SEWAGE PERPlIT NO.
Cbmments or Conditians:
Z bereby certtfy that avaiIability of sezvice ia as indicated above.
c° -c- , U4-!:e Da-t-_~_ 3- ~,2 - 9 /
Signa re of Auftoria~M Ageni Dete
County Health Dept.:
Signatiue Date
NATER
THE CONSOLIDATED MUTUAL WATER COMPANY
Bame of Water District or 1lgency
(Yj) iATER SERVSCE AVAILABLE NATER SERVICE NOT AVASIABLE
COLORADO NELL PERISIT NO-
Conments or Condlticns: SUBJECT TO COMPLIANCE WITH THE COMPANY'S RULES
REGULATIONS AND REQUIREMENTS FOR DOMESTIC WATER SERVICE.
I bereby certify that nei 'Iity of service ia as tndicsted nbove.
Signatu e .jjrAut1Zk7-9&d Agent Date
RG91CW:
Jefferson Couniy Bea1Lh Dept.:
Signature
Late
ADDRESS I
4860 Simms Stroet I
Wheatridqe. Colorado
Lot 37 I
MCLAUGHUN'S APPLEWOOD SUBDMSION AMMENDEJ
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Ownen Un Campbell
Bullard Concepts
1555e w. ai.wo►tn
coiaen, co e0401
(303) 279-7268
Builder:
Stevs BullaM
Bullard Concepts
15534 W. ai..ortn
Golden. CO 80401
(303) 274-726E
Proparod by: HARDIN ENGINEERING
1480 J" SR
Golden, CO 80401
ADDRESS i
4060 Simma Stroet I
Wheatridqe. Colorado
Lot 37 I
MCLAUGHLIN'S APPLEWOOD SUBDMSION AMMENDE
F=FMMTIGN 1.S' ABOUE 11R BACI! OF WILK
f9-`Z-11,7~T-iu~Tn-Y VeMert. !
$ea/t: / "i 30'
SIMMS STREET
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PLOT PLAN
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Ownen Un Campbell
Bullard Concepb
1555e w. ai.wo►tn
Golden. CO 80401
(303) 279-7288
Buflder:
Stevs Bullord
Bullord Concepb
15538 W. ai.wo►tn
Goldsn. CO 80401
(303) 279-7268
Prepared by: HARDIN ENGINEERING
1480 Joyco SC I
Goiden, CO 80401
Recorded a[ o'clock M.,
Recen'ion No. _
WARRANTY DLED
TIQS DHED, Made [his 22°d day of March
1991 , between
bfIDWHST BUILDERS, INC.
a corporation duly organized and existing under and by virtue of
the laws of the Scate oC COLOItAllO uf Uiz firs[ part, and
L. E. CAMPBELL
15559 S•' t tlccor h Drive Golden, Colorado 80401
Recordcr's S[amp
of the County oC Jefferson , and State ol' Colorado , of the second parr.
WITNI3SSL'TIi: 1'hat the said party of the 1'int part, I'or and in consideration of the sum of -
SEVENTY FIVE THOUSAND AND N01100 - - - - - - - - - - - to the mid party oC the fint
par[ in hand paid by the said parties of the second p:irt, the receipt whereof is heceby confessed and
acknowledged, hath granted, bargained, sold and cunveyeJ, and by these presen[s do[h gran[, bargain, sell,
convey and confirm unto the saiJ parties of Uie second part, tlieir heirs and assigns fnrever, all the following
described lot(s) or pamel(s) of land, situatc, lying snd bcing in the County oC JLFPERSON and State oC
Colorado, to wit:
LOT
MC LAUGILLIN APPLEWOOD SUllDIVISION, AMGNllI:U,
COUNTY OP JErFH12S'ON,
STATE OPCOLORAllO
also known by s[ree[ and numbcr as:Vacant Land
TOCET}18R with all and singular the hcreditamen[s and appurrenances [hereunro bclonging, or in anywisc
appertaining, and the mversion or reversions, remaindcrs, ren[s, issucs and profiu thercof; and aLL the estate,
right, title, interest, cluim and Jertand whatsocvcr ol' the snid party of the 1'irst par[, either in law or eqwty,
of, in and to the above bargained premises, with the Lereditamen[s and appur[enances.
TO HAVL' AND 'PO IIOLll the said premises above barguined and described, wi[h the appurtenances, unto
the said parties of the second par[, their heirs and assigns forevcr. And the said party of thc first part, for itself,
and i[s successors and assigns, doth covenan[, gr.mc, bargain and agrue to and , ili the said parties of the second
par[, thein ceirs and assigns, Uiat a[ the [imc ol' the enscaling and delivery ol i i~ese presen[s it is wcll seized oF
the premises above wnveyed, ;u of a good, swe, perfeci, aUSOlate and indefeasible es[a[e of inheritance, in law,
in fve simple, and hath good right, full puwcr and lawCul uuthority to gran[, bargain, sell and convcy the sanic
in vunner and 1'orm aforesaid, anti that the same are free and clear from ull former und other grants, bargains,
sales, liens, taxes, assessmen[s and incumbrances of whatever kind or nature soever; exmpt fur wrLs Ibr tlm
current yrrr, a lien bu[ nut yc[ Juc or payable, caicmcuts, rewtrictions, reservatiuus anJ righU-of-way ol'
rceorJ, if any, mid exmpt .
andthe above bargained premises in the quiet and peaceable possession of the said parties of the second par[,
their heirs and assigns, against all and every person or persons lawfully claiming ur to claim the whole or any
part [hemof, the said par[y of the fint part shall and will WARIIAN'P ANll 1'OREVHR Dl?ITNll.
IN WITNESS WHERLOF, The said party of the first part hath caused its corpora[e name to be hereun[o
subscribed by its Presidcnt, and its corporate seal to be hereunto affixed, attested by its
Secretary, the day and year I'irst above written.
A[[est: .
C-
ue M. 1Taag Scoretary
MIDWEST BUILDERS, IMC.
A COLORADO CORPORATIOti
by n ~
Rex L. g Presiden[
STATE OF COLORADO )
) SS.
COUNTY OF JEFFF.RSON )
The foregoing instrununt was acknowledged before me this
by Eunice M. HaaQ as Secr
a5 P
MIllWL'S'1' llU1LllE1 S, INC. , a COLORADO corporation.
My notacial commission expims: June 20, 1994 ~T
Witness my hand and OCCicial x;al.
day of March . 1991
and
„ n uf
Notary Public
Nu.JOLL WARRANTV DFEU-•Curpurmlm~.
DATE: October 31, 1991
A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR:
4060 Simms Street
PURPOSE OF STRUCTURE: single family dwelling
Suilding Dept. Approval:
Remarks:
,
Zoning Approval:
Remarks:
/
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TYPE OF INSP.
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REMARKS A-
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W.R. FORM 619
BUILDING DEPARTMEN'
237-6944 Ext. 255
CITY OF WHEAT RIDGE
. .
Correction Notice
Job Located at ..ir:.`..:...' ::.:.::...........'..:.i............................
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I have this day inspected this structure and these premises and ~
have found the following violations of City and/or State laws
governing same:
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You are hereby notified to correct the foregoing violations. ~
;
When corrections have been made, call for inspection. ;
Da te
Inspector for 8uilding Dept.
DO NOT REMOVE THIS TAG ;
FORM WR{-2i
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I-
ESCROW AGREEMENT
LANDSCAPING
TO: City of Wheat Ridge
P.O. Box 638
Wheat Ridge, Colorado 80034
The Sum Of Two Hundred and twenty five and no/
(OPTION D or E)
DOLLARS
($225.00 ) to be held in escrow with City of wheat Ridge
(City of Wheat Ridge, Option D)
(Bank, Option E)
until landscaping is completed at 4060 simms Street
front yard sod
(Description)
Wheat Ridge, Colorado by
(Contractor/Developer/Owner)
The City of Wheat Ridge shall have the absolute right to withdraw the
Escrow £unds for the purpose of completing the landscaping of
should
(Contractor/Developer/Owner)
fail to complete or provide said landscaping prior to the date of
The oniy requirement to withdraw the Escrow funds in behalf of the City
of Wheat Ridge shall be a letter from the Planning & Development Department
of the City, executed by the Director of said Department and witnessed by
the Mayor of the City of Wheat Ridge. Said letter shall state that the
landscaping, as above set forth, have not been completed or provided by
(Contractor/Developer/Owner)
and that the date of
has expired.
(over)
(OPTION D or E)
ESCROW
-2-
ACCEPTED:
i
(Director of Planning & Develr6~ment Department - City of Wheat Ridge)
(Hank - Option E)
Address Phone Number
(C7c tor/D veloper/Owner) i ~
J~ lC t t ~C~L seC~ -~6/- -3
Address Phone Number
Date
Temporary Certificates of Occupancy for structures covered by this
agreement may be issued by the Mayor of the City of Wheat Ridge for a time
period not to exceed six (6) months upon acceptance of this agreement by
the City.
P.O. BOX 638 TELEPHONE: 303/237-6944 ThB Cliy 0f
7500 WEST 29TH AVENUE • WHEAT RIDGE, COLOHADO 80033 cWheat
GRidge
DATE: August 31, 1992
TO: Accounting
FROM: Director of Planning & Development
SUBJECT: ESCROW REFUND
Reimbursement requested for escrow funds being held for:
4060 Simms Street
Wheat Ridge, CO 80033
The Landscaping has been completed to the City's satisfaction.
RELEASE TO: Sheryl L. Flowers
LOCATION: 4060 Simms Street
Wheat Ridge, CO 80033
AMOUNT: $225.00
Glen Gidley
Director of P1
& Development
"The Carnation City"
iERYIf NUYNII
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INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED, ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR IiVSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE (303)235-2855
IfVSPECTION RECORD
JOB ADDRESS 4060 Simirs Street -
1391#6509 DATEISSUED 4-4-91 n'PE OCCUPANCY
BUILDING PERMIT N0.
L.
OWNER R. Campbell
CONTRACTOR _ Rnl l ^rd ['onranrc _
- l
SOUTH EPST West
SETBACKS FROM PRGPERTY LINES: NORTH -4
INSPECTOR MUST SIGN ALL SPACES PER?AINING TO THIS JOB ~
I NSPECTION
DA i E
I NSPECTOR
Foundations
,
Footin
Caissons
Reinforcin or Monolithic
waafhamroofina ~L-
~ i
D~,~ Aln rn1.ICRFTF IINTiI AeOV'~E HAS BEEN SIGNED
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Electrica'. (Ground Work
Plumbin Ground Work ~
-
Heatin Ground Work) ~
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Final
-
Electrical Fixtures O Cr -
Plumbin Fixtures
Heatin 8 Vantilatien
n t
Landsca e & Parking
R.C.W. 8 Draina e
Fire De artment
Job Completed
OCCUPANCY NOT PERMITTED UNTIL CERTIFiCRTE OF
OCCUPANCY IS lSSUED
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DEPARTMENT OF COMMUNITY DEVELAPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. Mp921k3282
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
_ APPLICATION FOR MISCELLANEOUS PERIAIT
JOB ADDRESS
CONTRACTOR
ADDRESS
GTY4v'". ZIP CODE-
PHONE (5 l77 121 r"~ LICENSE NO.
PERMIT FEE
1. TYPE Ground❑
Wall❑
Proieefinp❑
O1Mr SaDFee@
2. MATERIAL
Tofal Squan F"1
SIGNS
3. ILIUMINATION Ya❑ No❑
7yps
Eteet. Permit No.
4 SET BACK FROM PROPERTY LINE N
_
S- E
_ W
Zons_ Apprwed,ZOne Inspwtor
(Speoify whieh is front)
❑
❑
❑ ❑
Diaopprwsd
I, TYPE Solid❑ Mon Thon 80% OpsnO
Leu Than 80% Opon
2• MATERIAL
Hdphf
FENCE$
3. SET BACK FROM PROPERTY LINE N
_
5_ E
_ W
Zons_ Apprwed,Zorn Impecta
(SDecify whieA is fron )
❑
❑
❑ ❑
Diaopproved
I
OTHER
.
Z'
3.
_
INSPECTION TICKET
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTFiER STRUCTUR
(SETBACKS OR FROJECTpNS INCLUDED)
OWNER
PHONE '
CONTRAGT PRICE $
JOB
ADDRESS 4.IJ(0I ) -~SMMCJ ~I -
DATE: ~BLDG. PERMITfl
STREET N4ME
SF10W DISTANCES PROM TFE M41N BUIIDING TPAWOINING HOUSES, STREI
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANC
' APPLICATION FOR PLUMBING; ELECI
THIS APPIiCATION WILL BECOME A PERMIT TO PERFORM THE iNqCATED
PERMIT WILL EXMRE 60 DAYS FROM DATE OF ISSUANC
PERMITN
BL'JG. CONTR. I •I, nj MG
J ~
Sl'9CONTRACTOR
~
DATE INSP. REO.
'
TYPE OF INSP. ~
INSPECTION MADE
REMARKS MON.
n -
ELECTRICAL PERMIT
STATE UCENSE N0.
PLUMBING
STATE LICENSE N0._
ALUMINUM WIRE UNDER SIZE 8 IILEGAL
FLOOR
BSM
Ix Solm
pJp.
WATER CIASET
W.R. FORM 6-19
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
LIGHTIN6
SINK
HEATING
GARBAGE DISP
REFRIGERATqN SYSTEM
POWER SUB-CIRCUITS
UTILITY (RANGE, DISPOSER, ETC)
FI%TURES
WATER HEATER
AUTO. WASHER
DISH WASMER
Ref rent GrouO
Pounds Ch°f •
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
EIEVATOR
SIGNS
URINAL
-
RANSFORMERS 9 RECTFIERS
SEWERS
DOITION TO OI.D WORK
I
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I hsreby ocknowledpe fAot this npplica-
tion is torrect and underafand that I
connot tfarf this Drolect untit this oppli-
oation is oDproved. I shoil comply with
fhe lawf ot the Sfote oi Colorodo ond to
ths Zoninp Repufations and Buildinq
Code of the Cify of Wheai Ridqe. Any
violation of the above termn will couse
immsdiafe ravoeotiyn ot thia permit.
~
USE TAX
TOTAI. FEE
ZIP CODE
3G-oo
$ c>d.d--J
APPROVED
-°A ~ G'~ i.~,C ~ . .
CHIEF BUILDIN INSPECTOR,CiTyo heat Ridge ~
Date Issued ~ 2 7 L
NOT VALID UNLE55 REGEII
7 as sa
~
~
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
y
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST zstn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M92/I18316
237-6944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL`JW.
ArNUCqt ioN FOR MISC
JOB ADDRESS
c~f MdY~S
ELLANEOU PERMITr
- 11 rS
OWNER
~ ~
~
c,,
CONTRACTOR
-
~
ADDRESS
ADDRESS S
PHONE
ZIP C
CITY
ZIP CODE
=ONTRAC7 PRICE $ p QC~
PHONEH'y-~ ~ S2 ,)Q : LICENSE NO.
1. TYPE Ground❑ Wall❑ Proiectinp❑ 01nsr SaDFace
SIGNS
2. MATERIAL Total Squara Faaf
3. ILLUMINATION Yss❑ No❑ 7
e
yp
Eleet. Pe.mit No.
4. SET BACH FROM PROPERTY LINE N_ S_ E_ W Zons_ ApqweE, Zona Inepeator
(Spxify which is fronl l ❑ ❑ ❑ ❑ DiwpDroved
I. TYPE Solid[:] Mon Tlwn BO% OpenO Leu Thon 80% Open
FENCES
MATERIAL H
i
ht
e
p
3. SET BACK FROM PROPER7Y LINE N_ S_ E_ W Zone_ ApprwW,Zona lnspaeta
, (Spsci}y whieh ie tront) ❑ ❑ ❑ DiaopDrovad
OTHER
1
2
1
3.
DRAW SKETCH Of
(SETBACKS OR
BELOW, THE FENCE,SIGN,OR OTMER STRUCTURE, GIVIN'o DISTANCES FROM PROPERTY LINES.
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STREET NAME-.46L) rr /r
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SHOW DISTANCES FROM THE MAIN BUILDIN6 TUADJOINING HOUSES, STREETS,AND PROPERTV LINESiON IRREGULAq
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
~"17 ye-
LATSffHpW~LEAST~~JJ~j ~
Ir\.
Vth\
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT v v 4
THIS APPIICAT10N WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON u4LIDATION BV THE BUILDING INSPECTION DIVISION.
PERMIT WILL E%%RE 60 DAYS FROM MTE OF I$$UANCE !F WORK IS NOT STARTED WITHlN THA1 TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUMNryREUNDER51ZE81LLEGAL
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM tST 2ND 3RD 4TH
MECHANICAL PERMIT
N0. FUE4ChcieOrnCw~qlROporr ElaeSola
NO.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
IpT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CANDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBACE DISP
REFRIGERATION SYSTEM
POWER SUB-GRCUITS
WATER HEATER
Re}ri eront Goup
UTILITY(RANGE,DISPOSER,ETC.)
AUTO.WASHER
Poundt CAar s
fl%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS B CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I Aareby acknowledqe that this applico-
fion ia eorrect ond undersiond tAOt I
cannoi ttorf fhis projett unfil thia appli-
eation ie approved. I shall comply wifh
the lowa of the 51ate of Colorado and fo
the Zonina ReQulotions ond Buildinp
Code of the City of Wheat Ridpe. Any
violofion of the above terma will couse
immediote revocation of ihis permil
prea~r. s~oeam~~
PERMIT FEE
2, otr
NOT VALID UNLESS RECEIpTED
USE TAX
i~#~ielz y~iq
TOTAL FEE
,:Q
APPROVED
D~SAPPROVED
CHIEF BUILDIN
INSPECTOR,Cify of Wheot Ridqe
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
Dafe Issued
(~2 ~ ~2
FOR INSPECTIONS
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£3`;.,,.~ . . .r.~~
ci~` Wheat Ridge
~;±a,ntial Rooffng PERMIT - 080143
ISSUED: 02/15/2008
;~ST'...EXPIRES: 08/13/2008
4`i6nuares trilaminate
sneeR. Flowers
USE: UA
k ~ BLOCK/LOT#: 0I
Tl~ .
ESTIMATED PROJECT VALUATION:
FEES
199.30
.00
133.81
333.11
ons required
a sheeting inspection will be required
7,434.00
viol
eqyect~ dietancee p=oPosed by thie permSt applicationaze accurate, and do not ate applicable
tipn9 of~the City of Wheat xidge or covenante, easemente or reetsictions of record; that all ~ayiqne,made are accurate; that I have read and agree to abide by all conditione printed on thig
md:,,£u3Yieeponaibility for compliance with the Wheat Rid9e Buildin9 Code (I.B.C) and all 6thet
nancea;Yor work under this permit. Plans eubject to field inepection.
ner . ~o~~ . . .
appl
1n.SCCOTdance with the provieions set forth in your ication and ie eubject to the lawa oE the
o~pe Zbning xe9ulatione and Huilding Codee of wheat Ridge, Colorado or any other applicable e ygQ dayeErom the Seeue date. Requeets for an exteneion muat be zeceived pzior to ezpiration~ :
~ be ysanpetl at the dieczetion of the Huilding Official. rovidedno .
x t~it may be acquired for a fee of one-half the amount normally requlied, p
°new n peY. ori9inal plans and epecificatione and any euepeneion or ~uldl nfeea etaall
c
p~e Ynde: in the .
...nsion oi abandonment exceeda one (1) year,
Li ctlangea have been or iL auepe
Lt, :
ihall bCdQnctha[ will chan9e the natuzal flow of water cauaing a drainage problem.
r khE 8u11din9 Inapector twenty-four (24) houra in advance for all inepectione and ehall recelvebplctiancard tiefore pzoceeding with 9¢CCeeeive phaee9 of the jOb.
ehall not be conetrued
it pr,rtpe:approva~~iedrawin9sand epecificatione law, rvle o~regulaUonr
nR rfilqn~iione of the buildin9 codee o= any other ordinance,
. u
~(363)234-5933 BUILDING OFFICE: (303)235-2855
3PM~ANY BUSINESS DAY FOR INSPECTZON THE FOLLOWING BUSINESS~DAY..
, . . . .
- -