HomeMy WebLinkAbout3620 Ward RoadINSPECTION RECORD OccuDancvlTvDe
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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Heating (Underground)
Stemwall / (CEG) Concrete
Encased Ground
DO NOT
Reinforcing or Monolithic
ROUGHS
Sheathing
Weatherproof / French Drain
"
Lath /Wall tie
Sewer Service Lines
Mid -Roof
-
Water Service Lines
Electrical Service
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
YOUR NO 40NCRETE UNTIL ABOVE HAS I]EEN JIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Electrical
Plumbing (Underground)
Plumbing
Heating (Underground)
Mechanical
DO NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Building Final
"
Lath /Wall tie
Fire Department
Mid -Roof
�p
R.O.W & Drainage
Electrical Service
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
Rough Electric
"NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDINGAND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY 7S ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFIC OF O CCUPANCY NOR PER MISSION FOR 0 I NC Yt' : "
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
JCF--
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, BUILDINGAND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY 7S ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFIC OF O CCUPANCY NOR PER MISSION FOR 0 I NC Yt' : "
Off' -UPANCY NOT PERMITTED UNTIL CERTIFICATF OF tC°` CUPANCY IS ISSUED
THI ^; CAP'S f r
♦ s CITY OF WHEAT RIDGE
f � , Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: r24 F
Job Address: 36 �Lo
Permit Number: 072975
AMOV ✓
❑ No one available for inspection: Time 2 0 5 AM/i'..
Re- Inspection required: Yes, E'N
When corrections have been made, call for re-inspection at 303 - 234 -5933
Date: 4 11'12'110 Inspector: r
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: Yf l� /t
Job Address: 362 1 12d
Permit Number: 09- 2W --
I ,-; 7 <-,. A- /(,4 A4 SilAe of
❑ No one available for inspection: Time 1.15" Alvl/
Re0nsp - ection required: Yes No
"When corrections have been made, call for re- inspection at 303- 234 -5933
Dater /� Inspector./
i
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
INbI't(; I IUN NU I lt;t
Inspection Type: rrio�F
Job Address: .3G, bel,HWo lC
Permit Number: r52c7,9 j 7S
r
❑ No one available for inspection: Time
Re- Inspection required: Yes (itL `
* When corrections have been made, call for r e - inspection , at 303 - 234 - 5933
Date: /V fD Inspector
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r4000'r Residential Roofing PERMIT - 092975
PERMIT NO: 092975 'ISSUED:. 10/05/2009
JOB ADDRESS: 3620 WARD RD EXPIRES: 04/03/2010
DESCRIPTION:f Reroof 26 sqs
CONTACTS
owner 303./907 7929 Sarah Shetterly
sub 303/274-0670 Sam Jones 02-0939 Sam 'Jones Roofing
**.`PARCEL INFO
ZONE CODE: UA :USE: UA
SUBDIVISION: 0682 .BLOCK/LOT#: 0/.`.
' FEE SUMMARY ESTIMATED PROJECT VALUATION:: 6,000.00`
FEES
Permit Fee 162.90
Total Valuation ,00
Use °Tax 108.00 r~Y.iU.,>' J(SJya e
TOTAL 27.0.90.
Conditions:
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 2'-. inside exterior:.walls.
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
Ili applic e Wheat edge Ordinances, for work under this permit. Plans subject to field inspection.
s !O-S - o
Signature of ontractor/owner date
~r
1 This permit was issued in accordance with the .provisionsset forth in your application and is suhj ect to the caws 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.
2. This permit shall expire 180 days from the issue date. Requests for an extension mush be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
S~ 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 Tshall
be. paid for anew permit.
' 4. No work of any manner shall be done. that will change thenatural 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
a~ written approval on inspection card before proceeding with successive phases of the job.'
o, 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 revie is subject to field' inspections.
r
~ Signet ur of Building Official date
INSP TION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
c, REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY.
roe
r„
City of Wheat Ridge Building Division Date:
m 7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
°O<oRto° Inspection Line: 303-234-5933 Permit
Building Permit Application
PropertyAddress 3;20: ~CL~i~ K_~itJC~3 S°779'9
Property Owner (please print): S a-, k y, i~~/-
t'/ Phone:
Mailing Address: (if different than property address)
Address: ss w-c~
State,
Contractor:
Contractor License 0 2,- (D 13 9 Phone: 30_3 2 71~ 0(;-7,1)
Sufi 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): Construction value: $ 15Pop
Description of work; (as calculated per the Buildinq Valuation Data sheet)
i (
/
-j-- Q ~-(f'!~-- Plan Review (due at time of submittal): $
1.r^6 =tom I ~ / .x(v~t l~(t~
Sq. Ft./L.Ft added: Squares 2 ~y e- BTU's 3O Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 PpXleldi ction.
CIRLCE ONE:: (OWNER) CONTRACTOR or PERSONAL REPRESS TATIVE of NER) (CONTRATOR)
PRINT NAME: y li.V•'~o h SIGNATURE: Date:
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City of Wheat Ridge
Residential Mechanic PERMIT - 070789
PERMIT.NO: 070789 ISSUED: .07/31/2007 SOS ADDRESS: 3620 WARLIRDEXPIR&S! 01/27/2008 .
DESCAIPTION: water heater inetalled w/o permit, XCel repaired gas leak
~
w.• CONTACTS
owner .303/423-2842 Jane/Sarah Shetterly . PARCEL INFO - . . . .
ZONE CODE: UAUSE: UA .
SUBDIVISION: 0682. BLOCK/LOT#=0/ **FEE SUMMARY ESTIMATEDPROJECT VALUATION: 750.00
FEES Permit :Fee . . 42.46 . .
Total Valuation .00 Use Tax 13.50 ' ~pr`■~+~D
.
r* T07'AL 55.96
commeutsc
subject to field in8pectios
I herebycertify that,the aetback dietancee PraPoeed by thia permit application are accurate, and do cwt violate applicable
ordinancee, rulee or xegulatiorie of trie City oE Wheat Ridge or covenante, eaeemente or zestrictions of record; that all
measuaementeehown,~anflallegaLSime made are accurate; that I have read and agree to abidc by all canditione printed on thie
application and [hat Iaeeume'full reeponaibility for compliance with the Wheat Aidge euilding Code .(I.B.C) and all other
8pplicatile Whead Ridge Ordinancee,: forworkunder thie permit. Plane eubject to field inapection.
-5-J'aiw:~ sh P_Te. 2l3do
1. Thia permit was iesued Sn aCCOrQance with the provleione eet forth in your application and is eubject to the lawe ot the
State of Colorado:and tp the Zoning Regulatione and Building Codee of Wheat Ridge,.COlorado oz anyother applicable ' ordinaacea of the Gity. 2. Ttlic pezmit ahall expire 180 days from Che isaue date. Requeete for an exteneion muet be received prior to expirationdate., An exteneion may be giazlted at the diecretion of the Building Offlcial.
3. IL thio pexmit expireo, a newpermit may be acqulred for a fee of one-half the amount,normally seguired,providedno changee hdve been or vill De maflein the original plane and epecificatione and any auepenaion or abandonment haenot
exceededone (1) year. Sf ohaeigee have been or if auepeneion or abandonment exceede one (1) yeat, fnll feeeehall
be paid fcz a new pernit ' .
4.No wrkof any mAnne= edall be 8one triaG will chan9e the natural flow of watar caueiag a drainage problem. .
5.Con[=actorehall noti$y thg euSl¢ing Inepector tweney-four (24) houze in advance for all inapectione and ehall receive
written approval on inepeetion card efore proceeding with eucceeeive phaeee of the job. .6. The leauance of a pexml.E ar th ap al ofdrawinga and epecificatione ehall not be conetrued Eo be a pezmit for, nor an approval of,any viola?fit'ial e. provielone of the building codee or any other ordinance, law, rulq or regulation.
A1l plan review.ie eub]ecd inepectione. Signatureof Chief Bu#lding date . 22tSP8CTI0N RSQLJSSTLiNBs (303)234.-5933 BUILDING OFFICE: (303)235-2855 .
REQUESTS M[75T BE.MADEBY3PMANY BUSINESS DAY FOR INSPECTZON THE FOLLOWING BUSINESS.DAY. .
• PRESCFtIPTiVE ENER4CODE
R609cement boilersl(umaoss - MMnum at U0l6 AF[JE
6pbrslfuroacea in oew consUudbn , U1Nnwm Of 40'l611FLlB
$elback T nermostat requirod (ExNpt ta Fly&Wie FiNU
Gas Water Heaters - Minimum at .80 EnaW F#cW
Electnc VYater Hesters - MinimuN o( .$9 Enrrgy FeolO►
Inwlation reouirements: f R•21 YlWk ■R-38 CeilMlyP
11R-19 Crawl SpacOS DR-i99MW►MK w*Nt
~
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number. oFw"E°'P gUILDINGINSPECTIONLINE-303-234-5933 Date:
~ a CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE PLf~ #
WHEAT RIDGE, CO 80033 - (303-235-2855)
~~CORAO~ . 5,Vf/lK -J [G.IIL 1"QR AFPLI4ATl ON .
Property Owner: i5 ,
PropertyAddress:~~ pFT,2I GkqC Phone:30 3'LJ9- 3'a-$4~-'
Conlractor License No.:
Company: Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildinv Dent. Valuation Figure: $
I hereby ceAify that Ihe setback distances pmposed by this permit application are
accurete, and do nol violate applicable ordinances, rules or regulalions of the City of
W heat Ridge or covenants, easemenls or restrictions of record; that all measurements
shown, and allegations made are acwrate; 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 W heat Ridge Building Code (I.B.C) and all other applica6le W heat
Ridge Ordinances, for work under this permit. Pians sub]ect to field inspection.
(O W NER)(GONiRACTOR):
(OWNER)(CONTRACTOm:PRINTED DATE
Use of Space (description):
Description of work: 7-- N~~~
coY+,~e}Dtz- d;d No`F
Sq. Ft. added ~hiLs
COMMENTS:
Approval:
Zoning:
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total: $
oF7 uniT zni d.(,-J '7/a,-la-
Ev-m 41
JCc~(, Lvt2rzr_c~ cjl~s
0ic'1 ,
ARTME, NT USE ONLY
71NGCOMMENTS:
Approval:
IC WORKS COMMENTS:
Approval:
DEPARTMENT COMMENTS: Approval:
;uoancv: Walls Roof:
Electrical License No:
Company:
-.3/'
Stories
Plumbing License No:
Company:
Residential Units:
Mechanical License No:
Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: ApprovaC ApprovaC
(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 o/
Coiorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Cobrado or any other applicable ordinances of
the City.
This permit shall expire if (A) the work authonzed is nol commenced within sixty (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days. If this permit expires, a new permit may be acquired (or a(ee of one-half lhe amounl normally required, provided no changes
have been or will be made in the originai plans and speciflcations and any suspension or abandonment has not exceeded one
(1) year. It 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 lhat will change the natural Flow of water causing a drainage problem.
Contractor shalt notify the Building Inspeclor twenry-four (24) hours in advance for all inspections and shall receive wrilten
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 ot, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review
lo -6ine-h fr. ficld incnacffnns_
Chief Building Official
~
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DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
Twe DLRMIT vALID ONIY WNEN SIGNED BY THE CNIEF BWLDING MSPECTOR AND REC EIPocoBuT W
JOB ADDRESS CONTRACTOR '
ADDRESS 5 a ^ @"D6 V N
CITYWIT'liaA ZIP CODE a Q~'~3
PHONE - LICENSE NO. i _
r~
I. TYPE GrounE❑ WoliU r
2. MATERIAL
SIGNS 3. ILLUMINATION Yas❑ No~ TYp°
4. SET BACK FROM PROPERTY IINE N__ 5 O E(
(SOetify which is froM ) ❑ .
I. TVPE SolidEl Mon Thon 80% ODenLJ
MATERIAL
FENCES 3 SET BACK FROM PROPERTY LINE N-- S- E-
(Specity wnich is }ront) ❑ ❑ I
i.
OTHER 2
3.
pRAW SKETCH OR SHOW BTx'LiNS INCLUDED)E,SIGN,OR 01HER STRUCT'
(SETBACKS OR PRO.
WASH
PERM ITA
WASHER
N2 DRFIN
TYPE OF INSP.
BLDG. CONTR. °~~"''~'"'--SUBCONTRACTOR 'M
DATE INSP. REO.
PERMIT N0.M MY a"'31
OWNER
ADDRESS
PHONE T.~L~ - ZIP CODE~-
3~ . C3 C~
CONTRACT PFICE $
DATE J ~N )"v , Q' -
Other 5 a D Fau
70101 Squan Feet
Elect. Pamit No.
Zoro_._. ApDrowd, Zone Inspeata
Len Thon 80% OW^
/Y
INSPECTION TICKET
Joa 36.~0 4Jn~~ ~
ADDRESS
0 " °l 6 BLDG. PERMITN 3 cF 3(
DATE:
INSPECTION
STREET NP.ME__------
D$ AINCE N TO SPROPERTV LINES, NO DIMAX MUMJOR IA ERAGE EDIS T11
ppPLICATION FOR PLUMBING; ELEI
THISAPPLICATION EWILL RMIB WIOLME PIREMSODAYSFROMT EEDATE OF II
E-_LECTRCAL pERM1T PLUMBIN
STATE LICENSE NO
STATE LICENSE NO.. T
:TER
~ p
•c-c
9
tMERS S SEWERS
TO OLD WORK OTHER
)VER I HP TOTAL F
PERMIT FEE
I hsreDy acknowledQe that this applica"
fion ie correct and understond tnat I USE TAX
eonnot start tnis Droject until this 0DDI1- TOTAL FEE
ppfion is aPOroved. I sholl compiy wifh fhs lows ot the State o1 Colorado and 10
ths Zoninp Repulations ond Buildina DISAAPPROVE
PPROVE
Code of t~e City o1 Wneoi RidQe. Any
viololion of tne obove terme wdi cause GHIEF BUILC
immediate revotauon of this permit
REMARKS ~
L
W.R. FORM &19
~
$ C'5~3. Ga-d
INSPECTOR,City of Wheat Ridqe
Date Issued / a o #-i
SION.
/ ~Q 7Q
CALL 297-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTMENT OF GOMMUNITY DEVELOPMENT
7500 WEST29thAVENUE BUILDWG INSPECTION DIVISION PERMIT N0.1W91-F#17VE%
237-6944 ExT. 255 P.O. sOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLY WHEN SiGNED BY THE CNiEF BWLDING INSPECTOR AND RECEIPTED BELOW.
~ ' PPLI 10 FOR MISCELLANEOUS PERMY~ .
~
JOB ADDRESS 2(~ /
~ - OWNER J-
CONTRACTOR ADDRESS '
ADDRESS PHONE . - ~ _IP CODE
CITY ZIP CODE CONTRACT P PEJS , 3, ~ i ircticF tin ~~7 l DATE T V
d ❑
Woll❑
ProitctinQ❑
Orhsr
S or D Faa
1. TYPE Groun
2. MATERIAL
❑ T
❑
Total Squore F»t
Permit No
Eleef
SIGNS
No
1 ILLUMINA710N Ya
4 SET BACK FROM PROPERTY LINE
(Speeify whicn is fronl)
ype
N-
❑
5._ E
❑
_ W
❑ ❑
.
Zone_
.
ADDroved,Zone Inapeotor
Disappraed
1. TVPE Solid❑ Mon
MATERIAL
?
Thon BO% ODenE]
.
Less Than 80% OMn
Heipht
FENCES
.
3. SET BACK FROM PROPERTY LINE
N_
❑
S_. E
❑
_ W
❑ ❑
Zmm_
Apprwed,Zom Inspecfa
roved
Diso
(Spacify whiel+ is fr
DO
~
I.
~
2
`
OTHER
.
3.
DRAW SKETCN OR SHOW BELOW,THE FENCE, SIGN, OR OTHER STRUCTURE,GIVING DISTaNGES FROm ~,PHoreniT unes.
(SETBACNS OR PROJECTIONS IN0.UDED)
INSPECTION TICKET
7
JOB ~6~o CeJo~,~ °I~.~
ADDRESS J
DATE: I -O~G BLDG. PERMITM,'
/ PERMITM
BLDG. CONTR. !ky~
STREET NAME
SIiOW DISTANCES FROM THE MAIN BUILDING To-ADJ01NING HOUSES, STRF SUBCONTRACTOR
DISTANCE TO PROPERTY lINES, NOT MAXIMUM OR pVERAGE OISTAN
DATE INSP. REQ.
APPLICATION FOR PLUMBING; ELECI
THIS APPLICATION WILL BECOME A PERMIT TO PERPORM THE INDICATED ~N~
7ERMIT WILL EXPIRE 180 DAYS FflOM THE DATE OF ISS TYPE OF INSP.
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING INSPECTION MADE Z ~
STA7E LICENSE NO.
I
S
'
AWMtNUM WIRE UNDERSIZE 8 ILLEGAL
FLOOR
BSM
x
dar
REMAfiKS
v
~
WATER CIASET
WASH BOWL
TEMPORARY METER
NEW SERVICE AMPS
BATH TUB
AMPS
C
SHOWER
CHANGE SERVI
E-
LIGHTING
SINK
W.R. FORM &19
HEATING
GARBAGE DISP
PpWER SUB-CIFCUI7S
WATER HEATER
I
UTILITY (RANGE, DISPOSER, ETC )
AUTO. WASHER
FIxTURES
DISH WASHER
WIRING MOTOf25 9 CONTROLS
FLD017 DRAIN
-
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OI.D WORK
MOTORS OVER I HP
OTHER
TOTAL FI%TURES
REMARKS
I hsreby acknowledae that this apDlica-
li0n u correct and understand thot I
tonnot starl this Drojett until this aD01i-
cotion is oDOroved. I shall compty with
the laws of Ihe Sta1e o1 Colorado ond to
ihe Zoninp Requlation Buildina
Code ofthe Ci1y of 7hig RidqeAny
violotion of fhe abov e willcaose
immediate revocahon permit ~
PERMIT FEE ~ v~ "
USE TAX c'9 6n
TOTAL FEE
PROVE
DISA
CHIEF BUILDING I SPECTOR,Ci}y of W at Ridqe
) / J `tit Dote Issued
NOT VAIID UNLES
oe f& "F43 3
/O--;'7/
ft
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS