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Home My WebLink About10023 W 30th AvenueINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an ins ec ion before MIDNIGHT (11:59 PM) to receiv an inspecti n the following business da PERMIT: ADDRESS: �_ ) WL SOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation i I Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. i I 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: L ADDRESS: lclo�53wwqe-JOB CODE: �5 5 A Rough Inspection (continued) Date Inspector Initials Comments 4 /W 4T 316 Rough Mechanical Residential 317 Rough Mechanical Commercial r 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading •O! ► 408 Final Plumbing Commercial 323 Miscellaneous 409 Final Roof wo Final Inspections Date Inspector Initials Comments 401 Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial '407 f=inal 1-'lumbir-ig Residential •O! ► 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 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: 4/0;;X'1 "6 Job Address: /G .3 G ,36-t l aJ,,e,. Permit Number: %Q 133 ❑ No one available for inspection: Time % �P►M/ M Re -Inspection required: Yes IVo� When corrections have been made, call for re -inspection at 303 -234 - Date: '&Z- /T Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201800633 PERMIT NO: 201800633 ISSUED: 03/07/2018 JOB ADDRESS: 10023 W 30th AVE EXPIRES: 03/07/2019 JOB DESCRIPTION: Residential Plumbing permit remove and install a water heater with 40gallons, 40,000 BTUs A.0 Smith Unit. *** CONTACTS *** OWNER (303)594-6418 BRUNSON THAYER R SUB (303)421-2161 Stephen Lanyon 017835 Blue Sky Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,680.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 35.28 ** TOTAL ** 75.28 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. 1, by myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable tuilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this mit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pe rmed andjhat„dll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of =asissued or CONTRACTOR (Circle one) Date I. This permibased on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off tial and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or�regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat fjdge COMMN uNiTY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a cimheatridge.co.us FOR OFFICE USE ONLY Date:4� / Plan/Permit #b!� Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): T, � ��U 1� Phone: 3U__)_ 13 Property Owner Email: Mailing Address: (if different than property address) Address: State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: ` C Contractors City License #: Contractor E-mail Address:(��1 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIALESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ R IDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT LJ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) cid Bran Sq. FtJLF Amps Btu's � �. l� Gallons �4 Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) S hnIP OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided IaLthe application. CIRCLE ONE: (OWNER) ONTRAC or (RATHZ�REPRESENTATIVE) of(OWNER) (CONTRACTOR) Electronic Sienature (first and last name): -� DATE: DE ARTM SE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION - Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ' City of Wheat Ridge .. Residential Roofing PERMIT - 201705709 f PERMIT NO: 201705709 ISSUED: 08/08/2017 JOB ADDRESS: 10023 W 30th AVE EXPIRES: 08/08/2018 JOB DESCRIPTION: Residential Re -roof to install OC Duration Storm IR4 asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)594-6418 BRUNSON THAYER R SUB (303)274-1111 Manuel Rocha 021129 Horn Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,682.00 FEES Total Valuation 0.00 Use Tax 140.32 Permit Fee 156.75 ** TOTAL ** 297.07 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. 'Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. 0 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: '-/ -) C - T, ,, a f Job Address: 10 c a 3 t,+/ 3 a' ' 4, Permit Number: -- 0 r-7 0 s-7 c 9 ,l a 1 /-4 t, rD T-0 Uwe ❑ No one available for inspection: Time$= aS- AM M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 1 1 1/I 1/1 // -7 Inspector: -T-b DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705709 PERMIT NO: 201705709 ISSUED: 08/08/2017 JOB ADDRESS: 10023 W 30th AVE EXPIRES: 08/08/2018 JOB DESCRIPTION: Residential Re -roof to install OC Duration Storm IR4 asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)594-6418 BRUNSON THAYER R SUB (303)274-1111 Manuel Rocha 021129 Horn Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,682.00 FEES Total Valuation 0.00 Use Tax 140.32 — ---- Permit Fee 156.75 --------- ** TOTAL ** 297.07 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. A 4' City of Wheat Ridge Residential Roofing PERMIT - 201705709 PERMIT NO: 201705709 ISSUED: 08/08/2017 JOB ADDRESS: 10023 W 30th AVE EXPIRES: 08/08/2018 JOB DESCRIPTION: Residential Re—roof to install OC Duration Storm IR4 asphalt shingles — 26 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not roceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantin ermif sha o r e construed to be a permit for, or an approval of, an violation of any provision of any applicable c e or any u ati f thi jur' diction. Approval of work is subject to field inspection. ( r � � Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 2, 2017 7:12 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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 Property Address 10023 W 30th Ave Property Owner Name Thayer Brunson Property Owner Phone 3035946418 Number 1/1 ey'res pit 0/17 Property Owner Email humberto@hornbrothersroofing.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. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Horn Brothers Roofing Name Contractor's License 0 enver Number (for the City of07 11� G� Wheat Ridge) l 1 L Contractor Phone 7203912444 Number Contractor Email Address humberto@hornbrothersroofing.com Retype Contractor Email humberto@hornbrothersroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing OC TruDefinition Duration Storm IR4 Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the No / property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 26 J (pitched + flat) of all I 2 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) Remove asphalt shingles and install asphalt shingles pitch 4:12 garage and house. 6,6CZ 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 Humberto Cruz Email not displaying correctly? View it in your browser. 3 HORN BROTHERS ROOFING A COLORADO COMPANY In Business Since 1984 OWNER Thayer Brunson STREET 10023 W 30th Ave CITY, STATE, ZIP Wheat ridge, CO 80215 PHONE: 303-594-6418 PHONE: EMAIL: I�7 n I7 " 2 3. SPECIFICATIONS 2325 S. JASON STREET DENVER, COLORADO 80223 303-274-1111 ROOFING AGREEMENT DATE 7/25/2017 EXISTING SPECIAL ATTENTION AREAS COVER POOUDECK ® PROTECT LANDSCAPE TEAR OFF one (1) LAYER (additional lavers extra $) GUTTERS (ANY OLD DAMAGE) replacing REPLACE WITH OC TruDefinition Duration STORM IR4. , COLOR OF SHINGLE } e-YV7.k (' �/ y PITCH: AINY AREAS UNDER 4/12 MANUFACTURER'S LIMITED WARRANTY Lifetime .. >YEAR(S► FLAT AREAS:, QYFS NO HORN BROTHERS WORKMANSHIP WARRANTY fhreee 3 YLEAKS WERE •C( VALLEY SOFFITS boxed iUj INTERIOR OAMA E' INHERE RIDGE MATERIAL TYPE DOES DRIVEWAY WAVE CR S DRIP EDGE ® EAVES ® RAKES HW/SW FLASHINGS In HEADWALL ® SIDEWALL REPLACE PIPE JACK BOOTS 0 PAINT ROOF STACKS COLOR match I & W ® EAVES [3 VALLEY ® PENETRATIONSCHIMNEY(S) 8 SKYLIGHT(S) INSTALL SYNTHETIC UNDERLAYMENT EXTRA WORK CLEAN-UP & HAUL OFF ROOFING TRASH CLEAN OUT GUTTERS ROLL MAGNET AROUND HOUSE PERIMETER REPLACE FURNACE VENT RAIN CAP AND STORM COLLAR SPECIAL INSTRUCTIONS ® YES ® NO ACK ®TES LJ NO NOTES EXISTING TYPE 460F �sbhalt . , AGE > 5+ PITCH 4:12 ACCESS 0.00 STEEP 0.00 2 -STORY 0.00 Homeowner agrees to pay horn brothers roofing the sum of contract plus any additional supplements and overhead/profit secured from insurance company in order to complete the needed repairs. Swamp cooler will be removed and re -decked for $150 Cv eir Mesh :9 Qc- Approximate date of installation: Deposit amount received: Payment type: TERMS 6t WE HEREBY PROPOSE to furnish labor and materials in accordance with the specifications, set out herein, for the sum of ..4— `Contract Price." When fully executed by Company and Owner, this Roofing Agreement becomes a binding contract subject to the scope of work specified herein and the terms on the attached Buyer's Rights and Homeowner Protection Agreement. This Agreement does not include any hidden structural issues uncovered during the tear -off of your roof, such as bad/rotted decking, fascia, trusses, skip sheathing issues or additional layers of shingles. BILLING AGREEMENT: ACCEPTED BY Thayer Brunson DATE 7/25/2017 Insurance Carrier: Policy # Phone # & Fax #: ACCEPTED BY SALESMAN Erik Munoz DATE 7/25/2017 erik@hornbrothersroofing.com cell: 720-250-7065: office: 303-274-1111 i 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: f t of Job Address: 1 n 0 Permit Number: a p 17 O S-7 p aI O O i ❑ No one available for inspection: Time 1 f = 1O AiVYPM Re -Inspection required: Yes �I When corrections have been made, call for re -inspection at 303-234-5933 Date: o %& Inspector: TD DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705709 PERMIT NO: 201705709 ISSUED: 08/08/2017 JOB ADDRESS: 10023 W 30th AVE EXPIRES: 08/08/2018 JOB DESCRIPTION: Residential Re -roof to install OC Duration Storm IR4 asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)594-6418 BRUNSON THAYER R SUB (303)274-1111 Manuel Rocha 021129 Horn Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,682.00 FEES Total Valuation 0.00 Use Tax 140.32 — ---- Permit Fee 156.75 --------- ** TOTAL ** 297.07 *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. A 4' City of Wheat Ridge Residential Roofing PERMIT - 201705709 PERMIT NO: 201705709 ISSUED: 08/08/2017 JOB ADDRESS: 10023 W 30th AVE EXPIRES: 08/08/2018 JOB DESCRIPTION: Residential Re—roof to install OC Duration Storm IR4 asphalt shingles — 26 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not roceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantin ermif sha o r e construed to be a permit for, or an approval of, an violation of any provision of any applicable c e or any u ati f thi jur' diction. Approval of work is subject to field inspection. ( r � � Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 2, 2017 7:12 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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 Property Address 10023 W 30th Ave Property Owner Name Thayer Brunson Property Owner Phone 3035946418 Number 1/1 ey'res pit 0/17 Property Owner Email humberto@hornbrothersroofing.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. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Horn Brothers Roofing Name Contractor's License 0 enver Number (for the City of07 11� G� Wheat Ridge) l 1 L Contractor Phone 7203912444 Number Contractor Email Address humberto@hornbrothersroofing.com Retype Contractor Email humberto@hornbrothersroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing OC TruDefinition Duration Storm IR4 Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the No / property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 26 J (pitched + flat) of all I 2 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) Remove asphalt shingles and install asphalt shingles pitch 4:12 garage and house. 6,6CZ 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 Humberto Cruz Email not displaying correctly? View it in your browser. 3 HORN BROTHERS ROOFING A COLORADO COMPANY In Business Since 1984 OWNER Thayer Brunson STREET 10023 W 30th Ave CITY, STATE, ZIP Wheat ridge, CO 80215 PHONE: 303-594-6418 PHONE: EMAIL: I�7 n I7 " 2 3. SPECIFICATIONS 2325 S. JASON STREET DENVER, COLORADO 80223 303-274-1111 ROOFING AGREEMENT DATE 7/25/2017 EXISTING SPECIAL ATTENTION AREAS COVER POOUDECK ® PROTECT LANDSCAPE TEAR OFF one (1) LAYER (additional lavers extra $) GUTTERS (ANY OLD DAMAGE) replacing REPLACE WITH OC TruDefinition Duration STORM IR4. , COLOR OF SHINGLE } e-YV7.k (' �/ y PITCH: AINY AREAS UNDER 4/12 MANUFACTURER'S LIMITED WARRANTY Lifetime .. >YEAR(S► FLAT AREAS:, QYFS NO HORN BROTHERS WORKMANSHIP WARRANTY fhreee 3 YLEAKS WERE •C( VALLEY SOFFITS boxed iUj INTERIOR OAMA E' INHERE RIDGE MATERIAL TYPE DOES DRIVEWAY WAVE CR S DRIP EDGE ® EAVES ® RAKES HW/SW FLASHINGS In HEADWALL ® SIDEWALL REPLACE PIPE JACK BOOTS 0 PAINT ROOF STACKS COLOR match I & W ® EAVES [3 VALLEY ® PENETRATIONSCHIMNEY(S) 8 SKYLIGHT(S) INSTALL SYNTHETIC UNDERLAYMENT EXTRA WORK CLEAN-UP & HAUL OFF ROOFING TRASH CLEAN OUT GUTTERS ROLL MAGNET AROUND HOUSE PERIMETER REPLACE FURNACE VENT RAIN CAP AND STORM COLLAR SPECIAL INSTRUCTIONS ® YES ® NO ACK ®TES LJ NO NOTES EXISTING TYPE 460F �sbhalt . , AGE > 5+ PITCH 4:12 ACCESS 0.00 STEEP 0.00 2 -STORY 0.00 Homeowner agrees to pay horn brothers roofing the sum of contract plus any additional supplements and overhead/profit secured from insurance company in order to complete the needed repairs. Swamp cooler will be removed and re -decked for $150 Cv eir Mesh :9 Qc- Approximate date of installation: Deposit amount received: Payment type: TERMS 6t WE HEREBY PROPOSE to furnish labor and materials in accordance with the specifications, set out herein, for the sum of ..4— `Contract Price." When fully executed by Company and Owner, this Roofing Agreement becomes a binding contract subject to the scope of work specified herein and the terms on the attached Buyer's Rights and Homeowner Protection Agreement. This Agreement does not include any hidden structural issues uncovered during the tear -off of your roof, such as bad/rotted decking, fascia, trusses, skip sheathing issues or additional layers of shingles. BILLING AGREEMENT: ACCEPTED BY Thayer Brunson DATE 7/25/2017 Insurance Carrier: Policy # Phone # & Fax #: ACCEPTED BY SALESMAN Erik Munoz DATE 7/25/2017 erik@hornbrothersroofing.com cell: 720-250-7065: office: 303-274-1111 J 12 - JWT r f MAMIN WT r f Mar ;1I J M L MARIM � "MaOMMULMRSIMM2 0 Property Address: L,-> & � , & � ;q \/ L Property Owner (please print): Phone: . 70 2, 33 - K E��« Address: City, State, Zip: Contrador: Contractors City License Phone. &j6L ractors: • Electricat Plumbing: Mechanical: BIDS= Fft DEPARTWW:: 0 &WOVOd %W WMMOM C2 ftapproved C no review reqt�red INSPECTION RECORD Occupancv/TVpe 'V 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. 11 .o a ;Z� INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB TION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Caissons Mid -Roof / (CEG) Concrete Ground Electrical Service W INSPECTIONS ng or Monolithic Rough Electric roof / French Drain Rough Plumbing rvice Lines Gas Piping INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. rvice Lines Rough Mechanical "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. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS W111 :9cm IIIIim Sheathing Electrical - Lath /Wall tie Plumbing Mid -Roof Mechanical Electrical Service Roof Rough Electric Building Final Rough Plumbing Fire Department R.O.W & Drainage Gas Piping INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping Rough Mechanical "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. 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 ♦ 1 4' CITY OF WHEAT RIDGE nop- Building Inspection Division (303) 234-5933 Inspectionline (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE { P W Inspection Type: Z rt at ftu~F Job Address: /9,0 ~2 ?o ,~/ice Permit Number: f., No one available for inspection: Time AM Re-Inspection required: Yes N6 When corrections have been made, call for re-inspection at 303-234,5933 Date`s L/ Inspector: < DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Bung Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Mr1'~!'sley+ Job Address: l t'a'r 3 ?C , 1 v ~r Permit Number: L>3c{ ❑ No one available for inspections Time l `S A 1PM Re-Inspection required: Yes o When corrections have been made, call for, re-inspection at 303-2345933 Date: Inspector: ik 1 DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge r4000or Residential Roofing PERMIT - 093945 PERMIT NO: `093945ISSUED;. 11/09/2009 JOB ADDRESS: 10023 W 30TH AVE ..'.EXPIRES.: 05/08/2010 DESCRIPTION: Reroof 34 sqs CONTACTS owner 303./921-6259 TR :Brunson ? sub 303/425-7531 John Borfitz 01-9983 J &'.K Roofing Inc.' PARCEL INFO ZONE CODE: UA `USE: UA SUBDIVISION:. 0675 . BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,800.00 FEES Permit Fee 199.30 - Total Valuation .00 rnfi-;`rvc~~7 Use Tax 140.40 p **-TOTAL >339.70 - Conditions: 6 nail installation mid-roof inspection required. Board sheathing spaced more thana 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.:. ***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 abide by all conditions: printed on this application and that Iassume full responsibility for compliance with the Wheat Ridge. Building Code '(I.B.C). and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature o contracto owner -date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the zoning Regulations and Building Codes of Wheat. Ridge, Colorado or any other applicable ordinances of the city. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received (prior to expiration date. An extension maybe granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or 'abandonmenthas not exceeded one '.:(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for anew permit. ENESS DAY.1 City of Wheat Ridge Building Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-2345933 Date: Plan ?ennit Building Permit Application Property Owner (please print): Phone: -a/ j 9 Mailing Address: (if different than property address) Address: can City, State, Contractor License Electrical City License Company: Phone:-~~~- Plumbing City License Company I Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): h t J Construction Value $ I (as calculated per the Building Valuation Data sheet) ~2D SAC I, - Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares 6 BTU Gallons Amps 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 measurement§z•shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that'( assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: WNER) CONT CTOR) or PERSONA RES TATIVEo O TRATOR) PRINT NAME: SIGNATURE: G'Jf6i ate: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9861 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 12/2/99 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 10023 W. 30th Ave Phone : 303-233-6698 Contractor License No. : 20185 Company : Drury Bros Roofing Phone : 303-722-2213 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposetl 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 bX 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)(CONTR4CTOR) SIGNED DATE Description : Reroof Construction Value : $4,999.30 Permit Fee : $111.25 Plan Review Fee : $0.00 Use Tax : $74.99 Total: $18624 Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : Approval : Approval Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (i) This permit was issuetl in accortlance with the provisions set forth in yopur application antl is subject to the laws of the State of Coloratlo antl to the Zoning Regulations and Builtlin~ Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City. (2) 7his permit shall expire if (A) the work authorized is not commenced within sirTj (60) days trom issue date or (B) the building authonzed is suspended or abantlonetl for a periotl of 120 tlays. (3) If this permit expires, a new permd may be acquiretl for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifcations antl any suspension or abandonment has no[ exceetletl one (1) year. If changes are matle or iF suspension or abandonment exceeds one (1) year, full /ees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the natural tlow of water wusing a drainage problem. (5) Contrec[or shall notify the Building Inspector twenry-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phasesotthejob. (6) The issuance of a pertnit or the approval of drewings and specifcations shall not be construed to 6e a permit for, nor an approval ot, any violation oF ihe provisions of the builtling codes or any other ordinance, law, nile or regula[ion. Chie i I ~~eQlBpjy,~.~ , - 303 235 2857 P'O2 Dec-02-99 09:04A DEVREVFAX DEPARTMENT OF PLANNING AND DEVELOPMENT Building Fermit Ni,-rCer BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 API►LtCATION Proper^. Owrer : -FAC~1 ~`~M~ ~ ~ °ropem/ Address.( 0 Us)- Pnor_ 1 3 5 Contracror License No.. a O/Q,S , Ccmpany : pVlNER/CONTRACTOR S'GNATURE OF UNDERdTANDiNG ANO AGRE! M Phcne I nereDy ceRiN tnat tre aaroacM cutances prapoeeC oy tnia pernrt appi•atun ve ac< +raro. aia ao -ot +roiate aac,rc,.:.:e ordinances, ruiea or rc9watrons of tne Ciry of Aneac Poa ie er covemn's. easemen;s or restnctron! of roCOld: Ihat all m¢A0uxmenn Shi anC a i ga[ions caae a•e accurate; tha: I i1ave r-ad and agiee to aode by all cord;6ons Orinktl oM In ; appilonci. antl lnat 1 asmme !w. reaooroibdiry lor corrp112nce wth :re Wheat R:tlge 3wA'ng CodefU 9C.ianEallo:ha2pFl!UO1e'N atFidg rC~oanCes.~orwor%untlertAisO t(CNINER.(CON'. RACTOR) SiGhED ~ATEi~ Descnpticn ZbTtT~_i~G'6_m~71~ Approval : Zonirg : Approvai: Approval Oceupancy : Walis Construction Vawe : Perrrit Pee Use Tax . Tctal 3a Use BUILDING DEPARTMEN7 i iSE ONLY SIC : Sq. Ft Roof : S xies . Residenfiai Units Eleetncal Lieense No : Company : Expiration Date : Approval: Plumoing License No : Company : Expiration Date : Approval: Mechanical Licensz No : Company: Expication Date : Approval : ) Tin oemn waa luum ir aecxE8n4111 witli wo Oroifunns stl taM1i 0 YoW+t+PO~w +^d s aub~oct to Ns bws of rtie Staia of CowraEO ana to ~ne .'anup Rpul:liana anC BuYtllnq CJC, d Wnpt Nidps. CobtfCO or any cihef applifJE1~ ortlnanC 4 d IM Gq (2) T1va pertnrt aMn e.0in if (A) he wone ouCdil is not cammencrJ wrtnm aody (OC) Arya' wn baw Eale or (B) U:e dubing autnanssE ia wso+nEW w i:andanW 1ar l pMaC of 730 Eays. (J) if !tb psnnt ixpm. a Mw pamxt mry M +cquvN for a M of CnMail tM amwnt mrm+ 7mOuvaO. 02vWa0 no Uaiqes nave Men or wY 7e mme in Ne orrytYl p!ans u'E tptGM1rJpons NW onY fuspnfbn Of a0an4~t I1as nat qMCNME a a(t) yau. V Marlqu xe rtaCs a if susF*nH'Jfl a aENEOnrtp; i exc,eaa xie (1) vea!, vll faee anall Oa DM la a new vormiL (q Np'nOeN 07 sery TanMf NM N 4GM M»t wiA UY'9d q* nitUfit flOw 01 WiflH dWi11Q I 0 I3"1191 Qr00NT. (5) Cw4aCtw MaB nenN Me, 9uAainq Impoetp nvenq-Iwr (241 "Lin in aavanxw far Su inf~ tona tra tnsll num wrilten apOmvsl on impecuon ord Uefom procnG ifpwitlt auCyfLVe tS.axa of QIe pb TTe ~aau aMw oeoO~m ~tv aYi~ rd~qn~. 4w.~ ruN W nq~u ,j po^tons anWi mt 0e mnar. a0 m bs a Gemu: b. nw Sn aPCnval of. ~nY vNSIron of 0-0 orowanf ~ Chiaf Building Inspector