HomeMy WebLinkAbout6105 W 47th PlaceCity of WheatRiuge
y Residential Roofing PERMIT - 201701781
PERMIT NO: 201701781
JOB ADDRESS: 6105 W 47th PL EXPISSUED: 06/08/2017
JOB DESCRIPTION: Residential Re -roof: Tear off and replaceroofon house 0with14/12 pitch,
IKO Cambridge IR 22.67 squares
*** CONTACTS ***
OWNER (303)718-6700 SANDERS STEPHANIE
SUB (303)210-1327 Ron Ladd 170218 Crown Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISIONCODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: OUA ' Unassigned
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 7,843.00
Total Valuation FEES
Use Tax 0.00
Permit Fee 164.70
** TOTAL **
172.60
337.30
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding kh-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufactureraems 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's 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.
Occupanfjy-/!Np!�
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-593
Inspections will not be performed unless this card is posted on the project site. y **
Call the inspection request line before 11:59 p.m. to receive an inspection the following business da
Inspector Must Sign ALL Spaces pertinent to t4is project
Date Inspector--_�m��-
Foundation Inspections Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Inspector Comments
Underground/Slab Inspections Date 1nitials
Electrical
Sewer Service
Plumbing
Do Not Cover Und
Rough Inspections
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
round or Below/In-Slab Work Prior To
Date Inspector
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Date I Inspector
Initials
Of The Above Ins
Comments
Comments
ons
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.
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.
For notification of your assigned inspection time window please email insptinicrc u�,t a ci.�� hc�ttrid, c.co.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: G S w -) 7 L
Permit Number: Z 4 L70 177? )
❑ No one available for inspection: Time AK6
Re -Inspection required: Qss 66
When corrections have been made, call for re -inspection at 303-234-5933
Date: 6120i l'9 Inspector: GAP
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
d
Residential Roofing PERMIT - 201701781
PERMIT NO: 201701781 ISSUED: 06/08/2017
JOB ADDRESS: 6105 W 47th PL EXPIRES: 06/08/2018
JOB DESCRIPTION: Residential Re -roof: Tear off and replace roof on house with 4/12 pitch,
IKO Cambridge IR 22.67 squares
*** CONTACTS ***
OWNER (303)718-6700 SANDERS STEPHANIE
SUB (303)210-1327 Ron Ladd
170218 Crown Roofing & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,843-00.
FEES y
Total Valuation 0.00
Use Tax 164.70 -
Permit Fee 172.60 ---
** TOTAL ** 337.30
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&€lms 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's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201701781
PERMIT NO: 201701781 ISSUED: 06/08/2017
JOB ADDRESS: 6105 W 47th PL EXPIRES: 06/08/2018
JOB DESCRIPTION: Residential Re -roof: Tear off and replace roof on house with 4/12 pitch,
IKO Cambridge IR 22.67 squares
I, by mkga
signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicae building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the l owner of theproperty and am authorized to obtain thisthispeit. 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 . ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date'
I. 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 an 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 s b� pct to field inspection.
77aL44
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
I
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 7, 2017 11:28 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
C"
Residential Roofing Permit Applicationt
3'
This application is exclusively for new permits for residential roofs and for licensed a
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address 6115 W. 47th Place
Property Owner Name Stephanie Sanders
Property Owner Phone 303-718-6700
Number
Property Owner Email Field not completed.
r�
v 1
Address
Do you have a signed Yes
contract to reroof this
_41 -
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Crown Roofing & Exteriors
170218
303-210-1327
Contractor Email Address rdladd1979@yahoo.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing IKO Cambridge IR
Material
How many squares of 22.67
material?
Provide additional detail Tear off & replace roof on house with 6/12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7843
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
K
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 Ron Ladd
Email not displaying correctly? View it in your browser.
You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after
entering the contract. If you plan to use the proceeds of a property and casualty insurance policy to pay for
the roofing work, you may rescind this contract within 72 hours after you receive written notice from the
property and casualty insurer that your claim has been denied in whole or in part. However, contractor is
entitled to retain payments or deposits to compensate contractor for roofing work actually performed in a
workmanlike manner consistent with standard roofing industry practices.
I/we agree to retain Crown Roofing & Exteriors, Inc. to replace and/or repair the roof with like material on the
property listed on the front of this contract, contingent upon obtaining my insurance company's approval. I
understand and agree that Crown Roofing & Exteriors, Inc. is to contact my insurance carrier and meet with
it's representative in order to discuss the repair or replacement work to be done. Upon agreement between
my insurance carrier and Crown Roofing & Exteriors, Inc. as to the extent of the damages and the cost to fix
them, Crown Roofing & Exteriors, Inc. may begin to work on said property. I agree to provide all necessary
documentation for the claim (including all pertinent documentation to facilitate the payment from my insur-
ance carrier/mortgage company). I agree and understand that Crown Roofing & Exteriors, Inc. reserves the
right to file for a supplemental claim due to material or labor increases, incorrect measurements, or for any
standard cost that is relative and reasonable to the industry standards at the time.
It is hereby understood and agreed: Homeowner shall furnish any required electricity; all surplus materials
not used shall remain as the property of Crown Roofing & Exteriors, Inc.; homeowner understands that
roofing work can cause vibrations to the interior walls and sheetrock of the property and homeowner shall
remove any items from the property walls and secure lighting fixtures prior to work in order to eliminate
damages as the contractor shall not be liable for such damage(s). Any alteration or deviation from the above
specifications involving extra costs will be executed only upon written work orders and will become an extra
charge over and above the estimate and incorporated into this agreement.
All labor and material is guaranteed to be as specified. All work is to be completed in a workmanlike manner
according to industry standards and practices. One year Labor Warranty covers roof only and is limited to
roof leaks and replacement of missing shingles, but does not include repair or reimbursement for ice
damming or water damage to the interior of the property. Contractor is not responsible for mold or mildew,
damage to concrete or driveways. Contractor is not responsible for making any aesthetic changes to the
property or surrounding areas as a result of the completed roofing work. Contractor will provide
homeowner(s) with copies of all manufacturers material warranty documents. Failure of payment by the
homeowner(s) of the contract price shall void contractor's one year labor warranty and material warranties.
Upon substantial completion of the roofing work final payment will be due. It not paid within 30 days a
finance charge of 1.5% per month will be charged on my account balance not paid in full. I agree to pay all
expenses of collection, including reasonable attorney fees and court costs and $50.00 for any check
returned from my bank unpaid.
If any provision(s) of this agreement should be held to be invalid or unenforceable, the validity and
enforceability of the remaining provisions of this agreement shall not be affected thereby.
This contract shall become binding only upon written acceptance hereof by the contractor or it's authorized
Agent of the company or upon commencement of the work.
By sigpffifia"below I acknowledge that I have read the above agreement and that I understand all of the provi-
sios t re outlined in the agreement and agree to the terms as written. I further acknowledge that 1 have
Zaleowner
e' copy of this agreement.
y
Date
Homeowner Date
CrownFtyofing & Ex hors I By
t t
Date
SERVING THE DENVER METRO AREA
ROOFING &EXTERIORS
Yo
341 Primrose Drive`
Loveland, CAD 80537,1- Lcf K f / , I �<?-�1- 7
303-210-1327 r t��- OL
01
Representative: J`-
p P �� E-Mail:-:�I�D19T`' ` Fax: 1-970-667-2544 �
Property Owner: LU ,rr'I I' �1iImi 4" Phone: '?+! �- -)-1 ' E -Mail:
Property Address: f City:
Property Owner's Insurance Company:
, CO Zip Code:
Policy Number:
Contractor's General Liability Insurance: United Specialty Insurance, 970-267-2224, Policy #: 0113504B
Crown Roofing & Exterior, Inc. submits the following labor and material specifications, please read carefully:
vim
Shingles: rrr� Brand: 1. [3 3 Tab n Dimensional
1
Color: -1: Remove: Layers:
❑ Install Decking: ❑ Replace Rotten Decking at per S.F.
s
❑ Install ❑ 15# ❑ 30# Base underlayment to all removed areas Other: JG
❑ Install Drip Edge at all rakes ❑ Install Gutter Apron at all eaves Color: y
❑ Replace Plumbing Pipe Boots at all plumbing vents and vent jacks as needed Other: ? .•,f �f ��
❑ Closed Valley System Color:
❑ Install Step Flashing as needed
❑ Ice & Water Shield Around Chimney
❑ Step Flash Chimney ❑ Counter Flash Chimney
❑ Remove Debris and Haul Off ❑ Magnetically Sweep Property ❑ Other:
�j
❑ Ventilation: 11 � Y e Q) # Turtle Vents
❑ SIDING: Brand:
❑ Capping:
❑ GUTTERS & DOWNSPOUTS:
❑ Extra Work:
Style:
- # Ft. Ridge Vent
Size:
Color:'
Other:
Color:
ADDITIONAL TERMS AND CONDITIONS ON REVERSE SIDE ARE INCORPORATED HEREINcccar;
AND ARE PART OF THIS AGREEMENT. Crown Roofing & Exteriors, Inc. proposes to furnish all materials and
labor as specified in the final insurance company scope of repairs for the sum paid by the homeowner's insurance
company, including overhead and profit paid by the insurance company plus any supplements associated with the
work performed by Crown Roofing & Exteriors, Inc. By Colorado Law the homeowner is required to pay the insurance
policy deductible amount. Crown Roofing & Exteriors, Inc. cannot pay, waive or rebate the homeowner's insurance
deductible in whole or part. The homeowner is responsible only for the deductible and any extras requested by
Homeowner that are not paid from insurance proceeds. All labor and materials will be provided for final insurance
proceeds for known damages and such supplementary unknown damage claims as may be discovered.
Total estimated price for labor and materials described above for all known damage(s), excluding any extras or
supplements: $ Payments due upon completion of each phase: Roof $
Siding $
Other:
Gutters $
CROWN ROOFINGLqXTERIORS, INC. shall hold in trust any payment received from you
Crown Roofing & Exriors, Inc. has delivered roofing materials at the site or has performed a
of the roofing work on your property.
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax f
INSPECTION NOTICE
Inspection Type: AqF_
Job Address:
Permit Number: 7
❑ No one available for inspection: Time I t. / '-?AMPM
Re -Inspection required: YeY No
When corrections have been made, call for re -inspection at 303-234-5933
Date:- • Inspector: / (7 / /4 � -
DO NOT REMOVE THIS NOTICE
«^tEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4777
BUILDING fNSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 3/25/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 6105 47TH PL
Contractor License No. : 17152
Company : Precise Plumbing
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurete,
and do not violaEe appliCable ordinances, rules or reyulations aF the City of Wheat Ridge or
covenants, easetrtents or restdctions of record; Mat all measurements ahown, and alkgetlons
made are accurate; that I have raed and sgree to abide by all coadklons printed on this
applicatfon, and that I assume.tull responsitiiliry forcompliance with the W11eat Ridge BuiMing
Code (U.B.CJ and all otM1er appNcable Wheat Ridge ordinances, for work undar thia pertnN. .
(OWNER)(CONTRACTOR)
Description : REPLACE WATER HEATER
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Phone : 467-1662
Phone : 534 0881
Constrvction Value :
$363.00
Permit Fee :
$22•00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$22.00
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Company :
Company :
Expiration Date :
Approvai :
Expiration Date :
Approval:
Expiration Date :
Approval :
~ ~ ~ , ■
(1) This pertnN wae issuetl In acwtUance with Ne provislons sel twth in yopur epplicadon and ia sub1'ecl to fhe laws of the State of Cobratlo and to tlce Zoning
RegWatlons and:8ulldir~ Code of Wheat Ridge, Cobredo or any aQher appllCable ottlinances oT Me Cily. (2) Thia permR shaN axpire d_(Aj the vrork auNOnzed is rwl commence0wiMin sUQy (60) days from issue date or (B) Me buiWing authorized is suspended a
(3) if this permit e7ryiies, anow permk may be acquiretl ror a fee of on"aN the amount mrmely required, provided no aherges heve been a wiu be made in tlre
original pWns and specl0catlons and any suspenslon or abantlonment has not ezceaded one (1) yaec 1/ changes aro mede w if susperreion w abantlonmeM
exceeds one (1) year, full ~fees shaN 6e paW tor e newpe imit.
(4)- No work oi any manner shall be drne Ihat will ahenge the natural Bow of water causing a drainaga problem.
(5) Cont shall naHy Ne Bulltling Inspectw twenty-four (24) hours In atlvance for ell mapeclions and shell receive writlen approval on inapeclion cartl before
g with sua~..easive hasea of Ma'ob.
(e) M1 iltliryl coetlea omrierry~odiee oN'ina d eW rga en~tlupecitka8ons shall nM be wnstrued to ba a pertnit for, nw an approval ot, any violation M the provisions
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pertnit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property owner: .-c-,lrlr Go-ELc•.~ %~'J -
. Property Address : Phone:
Contractor License No. :
Company: /,~<,,s~_ Phone:
M OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify tnat the setbatlc distances proposeC ey thls pertnrt appueation arc accurzte.
antl tlo not vlolate aophp0le oramances. rules or reguntwns of the Cdy of Wheat Ritlge or
covenants. easements or resmalons of rccord: Mat atl measurcments shown, ana allegations
ma0e are accurete: Ni[ I have roatl antl agree t0 ibWe Cy all contlrtions pnnted on this
appdCalion, ana that I assume full fesponSDdity for cpmpuanee wiM the Whqt Ridge Building
CoOe (U.B.C.) ana al1 other appucable Wheat i ge ommanees. for work u Mis pertnrt.
(ONMER)(CONTRAC70R) SIGNED pq7E
Descnption : C ,
Approval :
Zoning :
~ dliiURMH~
Approval :
Ptro1raweMaECahmsnm~
Approval:
Occupancy : Walls
Conswcoon Value : -
Pertnit Fee : .2 Q-
Use Tax : S:p~s St-,_
TOtal : ; Z .
BUILDING DEPARTMENT USE ONLY
Roof : Stories : Residential Units :
Eiectncal License No : Plumbing License No : Mechanical License No :
Company
Expiration Date :
Approval:
~ : Plans K~qi
Company:
Company:
Expiratlon Date :
Approval:
I = Fhhs Re~uUed
Expiratlon Date :
Approval :
2 ~~uir3tl--
(t ) Thrs permrt was uweE m armraanee wrm me pro~sans sei Imn m yopur anMinoon arb h, wq~U to tM laws e/ the yyaq pf Ccbrayo anp tp the ZpMp
RequWUOns ana 8uilainq CoCe o( Wheat HWge. Cotaaao oraM otnar AvOUCaDIe oroinancas o/ ine Cily.
(2) TTis permrt snali ex0arc rt(A) the wau autnonzeo is not eommencso mwn siny (60) Oays hom issw (1ala or (8) Ne DuilWrg autMnzep a susprW W or
aEYfi00nl0 ior a pen00 of 120 Aays.
(J) I/ ttub plrtnrt exDiroi, a naw pefmh mey Oe 000uirs0 lOr a f!! O/ onMotl f71e amDUnf Mm1eIN R'OwMC. DlOvIWE n0 Chanplf MW OMn Of Wi4 W IIIe" n If1g
orqiMl vlans ana speafin0ons ana arry w3Danfan ar a0an0onmMt naa not excae0etl one (1) Yeu. 11 Changn 6, rtuos W If wipanfqn a sWtqonmMl
G(taeCS on! (1) y!!f. lull f!!! atlall De Wq bI a nM pptmR.
(4) No worx of any manner snsn ce aone mat vnll enarqe me nawoi now o1 watx ausinq a anmage pro0lem.
(5) ConvaCOr snan nouN tne BwiCmg insoeqw nvenylow (34) nours m aavance tor an mapecuons ana anaP recnve wntlen SpDtimal on mspxoon nm Delm
prxeeanng wim surrsssne onases ot me pD.
(6) 7ne issuance oi a permn or tne aoDrovai ot arnvmqs ano soeaficauons snau not Oe aonstruea to oe a pertm Ier, nor gn apDrovai ol. any ndaoon of Me prwiaiont
of the oummng oooes or any otner ormnancx. iaw. ru,e oi reguuuon.
Chief Builtling Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION