HomeMy WebLinkAbout11650 W. 40th Circlei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 711)':3
Job Address: 5
Permit Number: �� �%ujv✓
❑ No one available for inspection: Time
Re -Inspection required: Yes( ?
*When corrections have been mad , all for re -in ectio 393 2,34-5933
Date2_ 5_ Ins t
DO NOT VE THIS NOTICE
City of Wheat Ridge
Residential Electric PERMIT - 201900065
PERMIT NO:
201900065
ISSUED:
01/14/2019
JOB ADDRESS:
11650 W 40th Cir
EXPIRES:
01/14/2020
JOB DESCRIPTION:
Installation of Electric Car
charger located in
the backside of the garage.
*** CONTACTS ***
OWNER (303)422-5656 GOODWIN TIMOTHY J
SUB (888)765-2489 Jared A Miller
110035 Tesla Energy
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,000.00
FEES
Total Valuation 0.00
Use Tax 21.00
Permit Fee 43.50
** TOTAL ** 64.50
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection.
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. rther attest that I amlegally authorized to include all entities named within this document as parties to the work to be
performed: n th t I work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature,of O N or CONTRACT (Circle one) ate
I . This Xermit was issued based -on e 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.
?. 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 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 proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting f a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applica ode or any o Hance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY
City of
"(i `1`I heat P,
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(c)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee. �q,
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
w5-0 " - q�' C' (^' ���� k
//�
Property Owner (please print): % ;ISO �4 6��ookill\
Property Owner Email: 7i"NO4 ) ` Oee W)A D/ ° oAd ,
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: Same as above
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail: Phone:
Contractor Name: Tesla Energy Operations Inc.
City of Wheat Ridge License #:
110035
Contractor E-mail Address:Tylward@Tesla.com
For Plan Review Questions & Comments (please print):
co SOOv 5
Phone:
Phone: (253)720-4461
CONTACT NAME (please print): Tyler Ward Phone: (253)720-4461
CONTACT EMAIL(please print):.Tylward@Tesla.com
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
❑COMMERCIAL ✓❑ RESIDENTIAL
Provide description of work: For ALL projects, 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.
Install a 0
Sq. FULF
KW Roof -
F -7L/ c"V-
BTUs
unt,Grid-Tied Solar PV S smote
e
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$'6 /, 060. ")
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 on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Daniel LICC18CdeI10 Digitally signed by Daniel Licciardello
Signature (first and last name): Date: 2019.01.11 09:47:43 -07100 DATE: 1/11/2019
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
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FOR OFFICE USE ONLY
PlanlPermil#
R i1q, riggill jqi�iiig i I
Address: v-
City, State, Zip:
Contractors City License #: C C
Contractor E-mail Address:
1' t A, <JOTY
39 ,�
Electrical:
W.R City License #
Plumbing: Mechanical: C — CVrO�6
W.R. City License W.R. City License# 1 ' 4 -6� , ) ,
40-A.—
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
I LOS D
a(
Sq. FULF Btu's Gallons
Amps Squares Other
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
r' (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type.
>~,~~1 ~?F
Job Address: <~p Uj w, w 6-14
Permit Number: /,np.736
❑ No one available for inspection: Time , ?o AM PM
Re-Inspection required: Yes
When corrections have been made, call for re-inspection at 303-234-5933
Date:. ew Inspector: o
DO NOT REMOVE THIS NOTICE
i
INSPECTION RECORD Occupancy/Type
INSPECTION LINE: 1303) 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.
//)U 23�
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS DATE INSPECTOR NITIALS
I
COtAMENTS:
Footings /Caissons
Plumbing
Stemwall / (CEG) Concrete
Encased Ground
Lath / Wall tie
Reinforcing or Monolithic
- --
Weatherproof/ French Drain.
rf.J AI
Oi L /C
Sewer Service Lines
Rough Electric
Water Service Lines
1
Sic �� ye, -y�^ ( rdr
c �n i i� nawe nns oeery altirvtu
CONCRETE SLAB FLOOR
Electrical (Undergrounl
Plumbing ( Undergroun,
Heating (Underground)
ROUGHS
Electrical
Sheathing
Plumbing
Lath / Wall tie
Mechanical -
- --
Mid -Roof
Electrical Service
rf.J AI
Oi L /C
EO iC / 7L U¢/,!' •. G• ^ ^ ' t'
r rat " Ze , ;,t:a�t�
Rough Electric
F
1
Sic �� ye, -y�^ ( rdr
Rough Plumbing
Fire Department
Gas Piping
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Rough Mechanical
BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
-
FINALS
Electrical
Plumbing
Mechanical -
-
-
Roof
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"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.
vt,l,lirf-\tVG Y INU I r ERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
fj Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax.
INSPECTION NOTICE
Inspection Type: 2-
Job Address: 11&5c A)
Permit Number: 1009361
❑ No one available for inspection: Time /PM
Re-Inspection required: Ye No
When corrections have been made, call for re-inspection at 303-234-5933
Date: 1,52
Illy Inspector: Yrf))iv
D& 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: A)/a &0/,
Job Address: I165-0 l✓Gsf yc~d i~GLe
Permit Number: /00;1 3(,
ddel-
❑ No one available for inspection: Time 2. /4 ANVtKU~
Re-Inspection required: Yes ad
When corrections have been made, call for re-inspection at 303-234-5933
Date: /-24-P0 Inspector: /,e/
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: _ ti~us~L F
Job Address: //,/Sb 4e_~ Yl,~ ~is2
Permit Number:
7V
T_
❑ No one available for inspection: Time / y O AM/Fg~
Re-Inspection required: ties -No
"When corrections have been made, call for re-inspection at 303-2345933
Date: I- Inspector
DO NOT REMOVE THIS NOTICE
~oF W"E?T9o City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
oo<olxro° Inspection Line: 303-234-5933
Date:
Plan
Permit din Z
Building Permit Application
Property Address: S-O W r D-t:~ e t r
Property Owner (please print): Gj p V d w fV111 Phone: 3
Mailing Address: (if different than property address)
Address:
6-
City, State, Zip: CJ C, ~
Contractor: -j(;; -S a- rL1 -c
Contractor License#: / _g00. Phone 3 67o 3p~
Stib Contractors: i
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date:
AmExp. Date: Exp. Date:
Use of space (description): Construction Value: $ /D DOD
Description Of-work: (as calculated per the Building a(uat on Data sheet)
1` ' tsQc~ ~aDCQ 'S
Plan Review (due at 6me otsubmittal): b
Sq. Ft./L.Ftadded: Squares -2- BTU's 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 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 to field inspection.
CIRLCE ONE:: (OWNER) - (CONTRACTOR) or PERSONAL REPRESEN of (OWNER) (CONTRATOR)
PRINT NAME:. M& Cmn SIGNATURE: Date: ® O
'VI-P
OF W HEgT
v~ ~ ~ m
oO<oHnoo
City of Wheat Ridge Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Plumbing City License
Company
Building Permit Application
Property Address
Property Owner (please print): Z-a i e_0. y03ywl Phone:. 2-7
Mailing Address: (if different than property address)
Address:
State, Zip:
Contractor:
Contractor License Phone: j C2 3 , L4 Z-~4 /QY
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Approval:
Use of space (description):
Description of work:
e.VtC-P-- W r t'Vl.
Sq. Ft./L:Ft added: Squares
Date:
Plan
Permit
Mechanical City License
Company:
Exp. Date: Exp. Date:
( Approval: Approval:
l~E:~ - 05 -d rlI Construction Value: $c~lM 0 U
)r' ✓l, (as calculated per the Building Valuation Data sheet)
tyyr Plan Review (due at time or submittal): $
S~ 4b fork
BTU's Gallons Amps
OWNER/ CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are 2
rules or regulations of the City of Wheat Ridge or covenants, easements or restrid
allegations made are accurate; that 1 have read and agree to abide by all condition
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all of
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (O ER) ( IJT ~T, or PERS ONAL REPRES V
PRINT NG u - SIGNATURE: -
and do not violate applicable ordinances,
acord; that all measurements shown, and
on this application and that I assume full
cable Wheat Ridge Ordinances, for work
(CONTRATOR)
-Q
Date/ : ( _ S
Bldg Valuation:
Property Line
51ec Setback
51DEWALK
NOKTH
Scale: V=_
~C
lj~
N 5TKEET Ylessehtotee
1 - - - - - - - - - 'oWnet f contractor isresponsible-for 1098ting Property
lines and constructing improvement' according to the
f l t approved plan and required development standards.
c r The City is not responsible for inaccurate information
submitted within the plan set and any construction
errors resulting from inaccurate info rLtion.
_ ,6 ~13 y7'j'3
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INSPECTION TICKET
JOB
ADDRESS / t ( 0 S-0 w"VQ vL
~
DATE: BLDG. PERMITN~/7_~'
PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
DATE INS
TYPE OF
INSPECTIi
REMARK;
- ~
~
INSPECTION TICKET
dos
ADDRESS
~
~
DATE: ~-BLDG. P RMITR q 73
61
/
,
INSPECTION TICKET
JOB
ADDRESS G~J C{ 0~ C
DqTE: cF" ~I BLDG PERMITa Z$3
PERMITq
BLDG. CONTR. 1-V-el.-j
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSR INSPECTION MADE
REMARKS
W.R. FOflM F1g
1
PERMIT#
~~~a
BLDG. CONTR.
SUBCONTRACTOR ,
DATE INSP. REQ. TYPE OF INSP.
r-'-26 '0~ 3
INSPECTION MADE
REMARKS
W.R. FORM 619
J
7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXT. 255 P.O. Box 638 BUILDING INSPECTION DIVISION PERMIT N0. g93#4783
CITY OF WHEAT RIDGE, COLQ
THIS PERMIT VALID ONIY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCOMPANY THIS APPI.ICATION
BUSINESS NAME Bu112.Y(1 COnCEptS ADDRESS 15558 W. Ellsworth Dr.
COPY OF DEED AND IMPROVEMENT SURVEY REQUIRED
FRONT PROPERN
~
SPECIFY NORTH
STREET NAME 11650 W. 40th Cr. (CIRCLE FRONT) N E S W
SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
OWNERS NAME R. Lucas
CONTRACTOR Bll118Id CORC2ptS Lic. No. 16474
ADDRESS 15558W. Ellswoerth Dr.PHONE 279-726$
LEGAL DESCRIPTION
METES AND ,B/OU~NDS DESCRIPTION ATTcA.C~HE
ADDRESS SIS ~QV~"' ~
CITY (+olden ZIP CODE 80401 *LAT N0. BLACK
LOT WIDTH DEPTH AREA SUBDIVISION FILING.
INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTIN6: Curb 8 GutTer X Sfreet Pov(ng X Water X Sewer X Storm Drainage X
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES_NO-
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NOX
OCCUPANCY Single family EXTERIOR MATERIALS+ WALLS FY2.1¢e ROOF WOOCLRllf
STORIES 2 UNITS 1 rtEhtaRKS: Por*ch roof addition OWNER / CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT PERMIT FEE q7 d-d T
~
I hereby certify ihat ihe above setback distances shown on }his permit application are accurate, and do not violute
USE TAX
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applicable ordinonces, rules or regulations of the City of Wheat Ridge or covenonts, easements or restrictions of re-
_
.
cord; that all measuremenis shown, and allegations made are accurate; ihat I have read and agree to abide by all
TOTAL FEE ~
conditions prinfed on fhis application, and that I assume full responsibility for compli with the Wheat Ridge
NO ED
~
Building Code (U.B.C.) and all ofher applicable Ridge ordi
for ypr unda ihi
r
T
'~JS~
~
,~~2 ne E
(OWNER) (CONTRACTOR) SIGNED-
BUILDING DEPARTMENT USE ONLY
SQ.FT. COST
~
.c
BASEMENT-ROUGH THE PROPERTY LOCATED AT
'W
BASEMENT-FINISHED IS PRESENTLY ZO
NED
'
~
~
GROUND FLOOR THE PROPOSED USE (±~IS) (_IS NOT) ALLOWED UNDER THE ZONIN6 ORDINANCE.
SECOND FLOOR
COMMENTS
~
GARAGE
OTHER
0~• aO
~
OTHER BUILDING COST $
~
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RICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
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STATE NO.~ CITY N0.
STATE NO. CITY N0.
CITY NO.
PLANSREVIEWED (-OK)(_NOTOK)
PLANSREVIEWED (-OK)(-NOTOK)
PLANSREVIEWED_(_OK)(_NOTOK)
NO PLANS NEEDED
NO PLANS NEEDED
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
ewJ`
PERMIT ISSUED TO el'P LC'
PERMIT ISSUED t0
PERMIT ISSUEO TO
PER REOUEST AS
PER PLANS O.
PER REQUEST AS PER PIANS N0.
PER REQUEST AS PER PLpNS N0.
AS APPROVED AND ON FILE IN Y OFFICE
AS APPROVED AND ON FILE IN MY OFFfCE
AS APPROVED AND ON FtCE IM1f MYOFFICE
DO NOT ISSUE PERMIT UNTIL CIEARED BY
DO NOT ISSUE PERMIT UNTIL CLEARED BY
DO NOT ISSUE PERMIT UNTIt CLEARED BY
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
CHIEF BUILDING WSPECTOR
DATE CLEARED BY
DATE CLEARED BY
DATE CLEARED BY
CHfEF BUILDING INSPECTOR
CHIEF BUILDING INSPECTOR
CHIEF BUILDING INSPEC?OR
BY
BY
BY
DATE
DATE
DATE
CONDITtONS~
(1) THIS PERMtT WAS ISSUED IN ACCOflDANCE WITH THE PRDVISIONS SET FORTH IN YOUR APPLICATION AND IS SUBJECT TO THE LAWS OF THE STATE OF COCORADO
ANQ T0THE ZONING REGULATIONS AND BUILDING COOE OF WHEAT RIDGE, COLOR0.0Q OR ANY QTHER RPPLfCABLE ORD[NANCES OF THE C4TY. -
(2) THIS PERMIT SHALL E%PIRE IF (0.) THE WORK AUTHORIZEplS NOT COMMENCED WITHIN SI%TY(60) DAtlS PROM ISSUE OATE OR TME BUILDING 0.UTHORIZED IS
SUSPENOEO OR ABANODNEp FOR A PERIOD OF 120 OAYS.
(3) IF TH4S PERMIT E%PIRES, A NEW PERMtT MAY 8E ACOUIRED FOR A FEE OF ONEHALF TXE AMOUNT NORMALLY NEQl11RED, PROVIDEd N0CHpNGES HAVE BEEN OR WILL
BE M4DE IN THE ORIGINAL PLANS ANDSPEGIFlCATIONS AND ANY SUSPENSION OR ABANUONMENT H0.S NOT E%~EEDED ONE(t) YEAR. iF CWANGES kRE MADE OR IF
SUSPENSION OR pBAN00NMENT EXCEEOS ONE (1)YEAR, FULL FEES SN0.LL BE P0.1D FOR A NEW PERMIT,
(4) NQ WORK F ANr MANNER SHALL BE DONE THAT WILL OBSTRUCT THE NAFIIRpL F OF W0.TEft C0.U51 R NAGE PR09lEM.
(S) WNTR 1 RSHALLNOTfFYTHE8UIL01NGIN5PECTORTWENTY-FOUR(24jH0 SNADVANCEFORAf 5 C f ANDSHALLRECENEWRITTERAPPROVAL
ON I PE TION LA ~0 BEFORE P CEEDI G WIiH SUGCESSIVE PH45ES OF TH J
~ _ PROV
. CHIEF BUILDING INSPECTOR FOR AY
~
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16
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PLANNING & DEVELOPMENT
BUILDING PERMIT REVIEW CHECK LIST
Address:
Zoning:
Existing use:
Permit is for:
Deed:
Survey: ✓
Plot Plan: ✓
STANDARDS
Setbacks/Height:
Required
Proposed
Front: 6---
-5d
~
siae:
Side_ ~
Rear.
Structure Height:
Coverages:
Building Coverage:
y1
157AP1\
r;~
Lot Coverage:
,
7-4
Area and Width
Lot Area;
Lot Width:
Landscaping Requirements:
Landscaping Percentage:
Number oE Street Trees:
Number oP Trees/Shrubs:
Parking Requirements:
Required Parking Ratio:
Number of Spaces:
Number o£ Handicap:
Signs: Location Size/
Free Standing:
Wall:
Other:
Lighting shown:
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