HomeMy WebLinkAbout8025 W. 45th Avenue-451-4 At
PERMITJO/:�o9S2 ADDRESS: �CZS�,L?` -fes JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
C) _
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
C) _
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.
INSPECTION 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 inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: Li -'`f
��''�(� �S2-� ,ADDRESS: ���` �-� G�,�I JOB 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
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.
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
31=4Rgh Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
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: I I��l, e�I"
Job Address: 25 i 4-51-�A C_-
Permit Number: 2d 1'1 O � 5 2b
❑ No one available for inspection: Time(,y'�` AM M
Re -Inspection required: Yes No
When corrections have been made, call fore -inspection at 303 -234 -
Date: i2 i�A 1 --inspector: FhWVD�-"
DO NOT REMOVE THIS NOTICE
IV � 4 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:
Job Address:�
Permit Number: �% j D q "=w b
❑ No one available for inspection: Time UM/M
DoRe -Inspection required: Yes
When corrections have been made, call f -Inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201709528
PERMIT NO: 201709528 ISSUED: 12/11/2017
JOB ADDRESS: 8025 W 45th AVE EXPIRES: 12/11/2018
JOB DESCRIPTION: Residential reroof remove and install GAF Timberline Charcoal Asphalt
shingles with 17 sq Pitch=4/12.
*** CONTACTS ***
OWNER (720)935-3993 LAYNE DAVID
SUB (720)600-7236 Christopher Gonzales/Clayton P 170209 Colorado Roofing Solutions
*** 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: 6,800.00
FEES
Total Valuation 0.00
Use Tax 142.80
Permit Fee 156.75
** TOTAL ** 299.55
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
1*► d �( City of Wheat Ridge
-V V-
L
Residential Roofing PERMIT - 201709528
PERMIT NO: 201709528 ISSUED: 12/11/2017
JOB ADDRESS: 8025 W 45th AVE EXPIRES: 12/11/2018
JOB DESCRIPTION: Residential reroof remove and install GAF Timberline Charcoal Asphalt
shingles with 17 sq Pitch=4/12.
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�ppermit. I further attest that I am legally authorized to include all entiti s named within this document as parties to the work to be
perfof med and that wor fie perfor_ ed is disclosed in this do . n and/or its' accompanying approved plans and specifications.
�,
7 -117 -
Signature of OWNER or `eONTRACTOR (Circle one) Date
I . This permit was issued based on the information 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 originalermit 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 issuap"Rr 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 cod4 or any ordinance or rn 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.
Lagenia Reimer (bl7�)9
From: no-reply@ci.wheatridge.co.us
Sent: Monday, December 11, 2017 11:43 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
�S
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
G
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
C'
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
V
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
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
8025 W 45th Ave
David Layne
(720) 935-3993
Property Owner Email
Chris@303Roofs.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
8025 W 45th Ave Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Colorado Roofing Solutions
Name
Contractor's License
170209
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
7202751702
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
3091 S Jamaica Ct #220
(Primary address of your
business)
Contractor Email Address
Chris@303Roofs.com
Retype Contractor Email
Chris@303Roofs.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
17
the entire scope of work:
Project Value (contract
6800
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
2
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
17
GAF Timberline Charcoal
Asphalt
R&R laminated camp shingles on house
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
3
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.
Name of Applicant Chris Gonzales
Email not displaying correctly? View it in your browser.
'Colorado
ROOFING SOLUTIONS
12 -S- / 7
DATE
CUSTOMER go
ADDRESS
4fi6 . r0 00TY
CITY
720-600-7236
info@ColoradoRoofingSolutions.com
www.ColoradoRoofingSolutions.com
HOME#
WORK #
-7 Zd S- xciu
CELL #
EMAIL
SCOPE OF WORK
61gF Td�1��/lve C���e ML
MANUFACTURER TYPE OF ROOF COLOR
REMOVE 1 LAYERS OF ROOFING DOWN TO THE DECKING
' ❑ RE -DECK ❑ RE -DECK, IF REQUIRED, PER CODE
kICE & WATER SHIELD: ❑ EAVES ❑ VALLEYS P�TO CODE
N�STALL DRIP EDGE:AVES RF]AKES TO CODE
INSTALL NEW VALLEYS OPEN CLOSED ❑ TO CODE
❑ RE -FLASH: ❑ SKYLIGHT t`❑ CHIMNEY [_1SIDEWALLS
�UNDERLAYMENT 5 fihu THE F K
NEW PLUMBING BOOTS—2
VENTILATION: LOW PROFILE RIDGEVENT LF
NAIL SHINGLES USING 6GALVANIZED NAILS PER SHINGLE
RIDGE: 64E SEA -1111066 — /J*/KM
(
MANUFACTURER'S WARRANTY: t[WITE-0 EE —4
16
[LIEN WAIVER
COLORADO ROOFING SOLUTIONS' `— YEAR INSTALLATION GUARANTEE
.VISUALLY INSPECT INTERIOR FOR E4ISTING WATER DAMAGE
MATERIAL DROP LOCATION:
W -APPROXIMATE START DATE: IZ— /L/—f7
(From the date deposit funds are confirmed as readily available to Colorado Roofing Solutions)
WINDOWS:
SCREENS:_
BEAD: —
RE -GLAZE
EA GUTTERS: � . L'3 LF
EA DOWN SPOUTS: j LF
LF COLOR: b/CIS K
EA
LOW SLOPE (ifapplicable)
❑ PEEL AND STICK MEMBRANE
❑ ROLLED ROOFING
❑ EPDM .45 MIL
.60 MIL
FULLY ADHERED
BALLASTED
❑ TPO .45 MIL
60 MIL
FULLY ADHERED
BALLASTED
❑ UNDERLAYMENT
❑ DECKING
❑ INSULATION —
❑ TAPER
11
ORIGINAL SALE PRICE -71 ��• LI J
(NOT INCLUDING ADDITIONAL INSURANCE LEMENTSRECEIVED, UPG OR
ADDITIONAL WORK MED INITIALS
*SUPPLEMENTS:���/ INITIALS
*DEDUCTIBLES: INITIALS
Please refer to the back of this agreement for the definitions of supplements, overhead & profit and
taxes & base charges. By initialing above, property owner agrees to have read and understands the
definitions of items 13 and 14 on the back of this agreement.
PAINT
LOC: QTY
LOC: QTY
LOC: QTY
DETAILS: PROTECT LANDSCAPING CLEAN SITE DAILY REMOVE ROOFING DEBRIS AND HAUL AWAY ROLL LAWN AND DRIVE WITH MAGNETIC SWEEPER
A HIxJJ.SC lWEE 6VE117 HIIAS EITEZIIYI &,,P6 E-A (507TFF4 NtfA 0-fiff HIT -c- TD 41EIA STIRL
IST CHECK
DUE: DAY W04K BEGINS `
AMOUNT- $ • O(J
CHECK #:
DATE: —
PAYMENT SCHEDULE
FINAL CHECK
DUE: AT COMPLETION
AMOUNT: $
CHECK #:
DATE:
OTHER: OTHER:
DUE: (IF APPLICABLE) DUE: (IF APPLICABLE)
AMOUNT $
CHECK #:
DATE:
AMOUNT: $
CHECK #:
DATE:
COLORADO ROOFING SOLUTIONS, LLC SHALL HOLD IN TRUSTANY PAYMENT RECEIVED FROM PROPERTY OWNER UNTIL ROOFING MATERIALS ARE ONSITE AND WORK HAS BEGUN.
YOU THE BUYER WILL NOT ENGAGE ANOTHER ROOFING SPECIALIST, OR OTHER CONTRACT OR, TO REMEDIATE THE WORK COMPLETED DURING THE FIRST VISIT UNTIL
COLORADO ROOFING SOLUTIONS IS GIVEN THE OPPORTUNITY TO ADDRESS ANY CONCERNS. AS THE BUYER, YOU HAVE READ AND UNDERSTAND THE TERMS AND
CONDITIONS ON THE BACK OF THIS AGREEMENT.
PROPERTY OWNER
COMPANY REPRESENTATIVE
TO VERIFY OUR GENERAL LIABILITY AND WORKERS COMP COVERAGE PLEASE CONTACT CHERRY CREEK INSURANCE GROUP AT 303-799-0110
TERMS AND CONDITIONS
1. ENTIRE AGREEMENT, GOVERNING LAW. This Agreement is the entire agreement between the parties concerning services to be provided to Client by Colorado Roofing
Solutions, LLC, and replaces and supersedes any prior or contemporaneous negotiations, oral representations, agreements or understandings among or attributable to the
parties hereto. This agreement and all performance under it shall be governed by and construed in accordance with the laws of the State of Colorado.
2. CONTROLLING LAW. Colorado Roofing Solutions, LLC, and Client hereby expressly agree that any and all claims arising from Colorado Roofing Solutions, LLC, work shall
be subject to the rights remedies, and procedures provided in the Construction Defect Reform Act, C.R.S. ss 13-20-802 et seq.
3. STANDARD OF CARE. Colorado Roofing Solutions, LLC's, services as defined in this Agreement shall be performed in accordance with generally accepted principles and
procedures, consistent with a level of care and skill ordinarily practiced by roofing specialists currently providing similar services under similar circumstances at the time
Colorado Roofing Solutions, LLC's, services were provided. Client shall provide Colorado Roofing Solutions, LLC, written notice of any claim or default under this Agreement
in accordance with the Construction Defect Reform Act. Colorado Roofing Solutions, LLC, shall be afforded the opportunity to inspect the premises and respond to the claim
either by making a monetary settlement offer or offering to remedy the construction defect in accordance with the Construction Defect Reform Act.
4. OBLIGATION OF CLIENT. Client warrants that all information provided to Colorado Roofing Solutions, LLC, is complete and accurate to the best of Client's knowledge, and
Client understands that Colorado Roofing Solutions, LLC, is relying upon Client's information to do its work.
S. WARRANTY. Colorado Roofing Solutions, LLC, is not a manufacturer. If any equipment is used or purchased by Colorado Roofing Solutions, LLC, for use on site the
manufacturer's warranties if any of the equipment are solely those of the manufacturer. Colorado Roofing Solutions, LLC, makes no other representation, guarantee, or warranty,
express or implied, in fact or by law, whether of merchantability, fitness for a particular purpose, or otherwise concerning any of the goods or services used or purchased by
Colorado Roofing Solutions, LLC, that may be furnished by Colorado Roofing Solutions, LLC, to Client.
6. Any change orders requested by the property owner post signing this agreement must be agreed upon between the property owner and Colorado Roofing Solutions in writing
and will be an addendum to this agreement.
DUE TO THE AGE AND CONDITION OF YOUR HOUSE, AND THE NEED TO REPLACE THE ROOF OF YOUR HOME, DURING THE PROCESS OF REPLACING YOUR ROOF,
OTHER DAMAGE TO YOUR HOME MAY BE CAUSED. THESE ISSUES ARE NOT READILY ASCERTAINABLE PRIOR TO THE BEGINNING OF CONSTRUCTION ON YOUR
ROOF. COLORADO ROOFING SOLUTIONS, LLC, CARRIES BOTH GENERAL LIABILITY AND WORKER'S COMPENSATION INSURANCE. INSURANCE CERTIFICATES ARE
READILY AVAILABLE UPON REQUEST. INSURER AND POLICY VERIFICATION CAN BE OBTAINED THROUGH JOHN THOMAS AT APCO INSURANCE 720-344-4004.
7. It is the homeowners' responsibility to make sure all ventilation pipes in the attic are protruding through the roof and are properly connected after the roofing work is
completed. Colorado Roofing Solutions is not responsible for the unconnected ventilation pipes after roofing work is complete.
8. Colorado Roofing Solutions is not responsible for interior sheet rock damage due to loading and hammering of roofing materials.
9. Properly installing a new roof may (and frequently does) require removal and replacement of existing flashing. During installation, siding adjacent to the flashing that is old,
worn or deteriorated, may break, crack or tear. Colorado Roofing Solutions is not responsible for any consequential damage to worn or deteriorated siding resulting from
replacing flashing.
10. You agree to provide Colorado Roofing Solutions and material distributors unobstructed access to your driveway while work is in progress. The equipment and materials used
in replacing a roof are heavy. Colorado Roofing Solutions is not responsible for driveway and curb damage that results from settling, compression, or inadequate support
of your driveway and curbs.
11. Building Codes and good building practices require that air conditioning, water and electric line and pipes'be located a safe distance below roof decking. Colorado Roofing
Solutions is not responsible for nail penetrations to air conditioning, water or electric lines or pipes that are located less than 3" below the bottom surface of the roof
deck or any resulting damages.
12. Additional materials are generally ordered for each joL. Any and all materials delivered to your job site remain the property of Colorado Roofing Solutions.
13. SUPPLEMENTS. Any and all additional work required that is absent on the original insurance scope of work, whether required by city/county code or overlooked during the
insurance adjustment, will require a submission for supplemental funds to the insurance provider of the said property. Any additional funds, pertaining to the work performed by
Colorado Roofing Solutions, released by the insurance provider are intended for, and will be allotted to, Colorado Roofing Solutions for the additional required work performed.
(Supplements include items such as: building permit, code upgrades, additional work performed, taxes, base service charges, overhead and profit etc)
14. DEDUCTIBLE. Your deductible is the portion of your claim that is not covered by your insurance company. You, the insured, are responsible for paying your deductible amount
to Colorado Roofing Solutions. Ex: Your claim equals sio,000. If your deductible is $Soo, the insurance provider will release S9500 in total. Leaving you, the insured, to pay the
difference to Colorado Roofing Solutions.
15. RESCISSION. You the buyer may cancel this transaction and receive a full refund of any amounts paid at buyer's sole discretion at anytime prior to midnight of the third
business day after the date of execution of this contract. In witness whereof purchaser(s) each acknowledge receipt of a completed copy of this contract, and all disclosures on
the day and year written below. 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 part. However, Colorado Roofing Solutions, LLC
is entitled to retain payments or deposits to compensate Colorado Roofing Solutions for roofing work actually performed in a workmanlike manner consistent with standard
roofing industry practices.
16. Colorado Roofing Solutions, LLC cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for
payment of roofing work on your property.
17. OTHE R. In addition, finance charges of 1 v per month will be added after forty five (45) days of completion. Colorado Roofing Solutions will not be held liable for any structural
movement, settling, cracks in drywall, or driveway due to the roofing or loading processes. In the event of collection, and/or legal action is taken by Colorado Roofing Solutions,
Colorado Roofing Solutions is entitled to reasonable attorney fees and costs. This proposal may be withdrawn by Colorado Roofing Solutions within thirty days. Any fees & costs
occurred to Colorado Roofing Solutions and its partners due to non-payment will be paid by owner.
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:
Job Address:
Permit Number: 12 ( 09 5 "Zb
F
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call fo e-inspecC
tionat 303-234-5933
Date: `2- I4 Inspector: '�- 0�
DO NOT REMOVE THIS NOTICE