HomeMy WebLinkAbout3235 Dudley StreetA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time /P,Y'C AM/PM
.............
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. usfinspection
Date
Inspector:
DO NOT REMOVE THIS NOTICE
I
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time /P,Y'C AM/PM
.............
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. usfinspection
Date
Inspector:
DO NOT REMOVE THIS NOTICE
I
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202001784
PERMIT NO: 202001784 ISSUED: 09/04/2020
JOB ADDRESS: 3235 Dudley St EXPIRES: 09/04/2021
JOB DESCRIPTION: Replace 5 windows (Living Room, Kitchen, Bedrooms), u -value = .24
*** CONTACTS ***
OWNER (303)681-7060 ROMAN CHARLES A
SUB (303)936-7023 LARRY GRAVINA 022369 GRAVINA SIDING AND WINDOWS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,278.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 68.84
** TOTAL ** 118.84
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
. � i s City of Wheat Ridge
s
E -Res. Window Replacement PERMIT - 202001784
PERMIT NO: 202001784 ISSUED: 09/04/2020
JOB ADDRESS: 3235 Dudley St EXPIRES: 09/04/2021
JOB DESCRIPTION: Replace 5 windows (Living Room, Kitchen, Bedrooms), u -value = .24
I, by my Si
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 attes{ 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, po -;cies 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 changeof 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Sign; B u ifd1#VVMial Date
REQUESTS MUSTPE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 4, 2020 9:49 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Payment Issue, Kim
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
3235 Dudley Street Wheat Ridge, Co 80033
Charles Roman
303 681-7060
dondenverroman@gmail.com
Attach City of Wheat Electronic Payment Form - Revised 5-1-20
Ridge Electronic Payment Fillable 202005011620013849 202006081141368198.pdf
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Gravina's Siding and Const
022369
303-936-7023
Contractor Email Address theresa@gravinawindows.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of window
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .30 or
better on windows..
Attach copy of
window/door cut sheets
showing sizes and u -value
Project Value (contract
value or cost of ALL
materials and labor)
theresa@gravinawindows.com
5
Living Room, Kitchen, Bedrooms
0.24
SQ Roman Charles.pdf
3278.40
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
2
under any permit
issued based on this
application.
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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Theresa Pacheco
Permit
Email not displaying correctly? View it in your browser.
To: CommDev Permits <Permits@ci.wheatridge.co.us>
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
3235 Dudley Street Wheat Ridge, Co 80033
Charles Roman
303 681-7060
dondenverroman(aD-gmail.com
Attach City of Wheat Electronic Payment Form - Revised 5-1-20
Ridge Electronic Payment Fillable 202005011620013849 202006081141368198.odf
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Gravina's Siding and Const
022369
Kimberly Cook
From: Theresa Pacheco <theresa@gravinawindows.com>
Sent: Friday, September 4, 2020 10:33 AM
To: CommDev Permits
Subject: RE: Online Form Submittal: Residential Window/Door Replacement Permit Application
Attachments: Electronic Payment Form - Revised 5-1-20 FiIla ble_202005011620013849_
202006081141368198.pdf
Categories:
Kim
From: CommDev Permits <Permits@ci.wheatridge.co.us>
Sent: Friday, September 4, 2020 10:28 AM
To: Theresa Pacheco <theresa@gravinawindows.com>
Subject: FW: Online Form Submittal: Residential Window/Door Replacement Permit Application
Importance: High
Hello,
The payment form is blank. Please send a completed form.
Thanks!
Kim Cook
Permit Technician
Office Phone: 303-235-2876
l il' ui
W heat. J is i_yc
(',+siwc till-, DItIi++i ml%I �
CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are
not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received
this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original message from your computer, and any
network to which your computer is connected. Thank you.
From: no-reply@ci.wheatridge.co.us <no-reply@ci.wheatridge.co.us>
Sent: Friday, September 4, 2020 9:49 AM
Contractor Phone 303-936-7023
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address theresaCWgravinawindows.corn
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of window
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the a -value to be .30 or
better on windows..
Attach copy of
window/door cut sheets
showing sizes and a -value
Project Value (contract
value or cost of ALL
materials and labor)
theresa(aD-gravinawindows.com
i
Living Room, Kitchen, Bedrooms
0.24
SQ Roman Charles.pdf
3278.40
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 work Yes
may not begin on this
property until a permit
3
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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Theresa Pacheco
Permit
Email not displaying correctly? View it in your browser.
✓ �� ✓'l f; S—r I
1NSP CT GN RECORD
'..l
INSPECTION REQUEST LINE: (303) 234-5933
Occupa- /T e
--
l `-iL -'
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Sewer Service
Foundation Inspections Date
Inspector
Initials
Comments
Mid -Roof
Lath / Wall Tie
Pier
Rough Electric "
Concrete Encased Ground (CEG)
Rough Plumbing/Gas Line
Foundation / P.E. Letter
Rough Mechanical
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector Comments
Initials
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 / Mail
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 W sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window - Fuse email insptimereguest@ci.Wheatridge.co.US by 8:OOA.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
r-
.� City of Wheat Ridge
11
DI� G
0
Residential Roofing PERMIT - 201701667
PERMIT NO: 201701667 ISSUED: 06/07/2017
JOB ADDRESS: 3235 Dudley ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Remove existing roof and replace with OC Duration storm - 5/12 pitch; 49
squares house; 5 squares garage; 1 square shed - total squares 55
*** CONTACTS ***
OWNER (303)681-7060 ROMAN CHARLES A
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,520.41
FEES
Total Valuation 0.00
Use Tax 388.93
Permit Fee 346.95
** TOTAL ** 735.88
*** 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 manufacturera€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.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspectlon line
�t_:�9� (303) 235-2855,?0ff1ce • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: , , l J:�
Job Address: 3 G kvs
Permit Number:
❑ No one available for inspection: Time t Am /
Re -Inspection required: Yes o
When corrections have been made, call or re -inspection at 303 2 4- 933
1
Date: r,)/ f � � � Inspector: �)6 � �
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701667
PERMIT NO: 201701667 ISSUED: 06/07/2017
JOB ADDRESS: 3235 Dudley ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Remove existing roof and replace with OC Duration storm - 5/12 pitch; 49
squares house; 5 squares garage; 1 square shed - total squares 55
*** CONTACTS ***
OWNER (303)681-7060 ROMAN CHARLES A
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,520.41
FEES
Total Valuation 0.00
Use Tax 388.93
Permit Fee 346.95
** TOTAL ** 735.88
*** 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 manufacturerieRs 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 - 201701667
PERMIT NO: 201701667 ISSUED: 06/07/2017
JOB ADDRESS: 3235 Dudley ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Remove existing roof and replace with OC Duration storm - 5/12 pitch; 49
squares house; 5 squares garage; 1 square shed - total squares 55
1, 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 le ally 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.
k ' " I ._ i. -t
Signature of OWNER or CONTRACTOk (Circle one) Date
I . This permit was issued ba h�,_fblrrmation provided in thepermit 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 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 of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to Held inspection.
w
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 insptimerequestgci.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.
City of
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # 1 oi
r
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 Email
Mailing Address: (if different than property address)
1-_.i.Ff- 1 .1 -
Architect/Engineer E-mail:
Contractor: l
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 24_7 t t2L 4qCV.-�1
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ,.RESIDENTIAL ROOFING
❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ 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.)
Do S� vtn
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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 1 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 en the application.
CIRCLE ONE: (OWNER)
of (OWNER) (CONTRACTOR)
Electronic Signature (fust and last name):
ZONING COMMMENTS.
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
DATE:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $