Laserfiche WebLink
KA 82801 Youngfield St., Suite 171 <br />Matheson Golden, CO <br />303 --456 --563563 <br />Mining Toll Fax 3003 456 -5639 <br />Eansultants , Inc. www.mathesonmining.com <br />CONDITION IN §PECTION <br />CLIENT: A45 XV-W FJV-" 00 LOCATION: ®y�'I �°%7�01]� L- <br />INSPECTOR: JOB NO.: ..� INSPECTION NO.:. -*3D <br />DATE OF INSPECTION: ,P Z. & //,r ------ TIME OF INSPECTION: //,00 <br />INSPECTION TYPE: COMPLETE( INTERIOR ONLY[] EXTERIOR ONLY[-] REFUSAL[] <br />OCCUPANT: /i✓e?.L. UR OWNER ❑TENANT] <br />INSPECTION ADDRESS:: 067-01M. /1/I�CCI? _ iu� '�yeo" C0Gtm9 60 <br />OWNER & ADDRESS: <br />PUMP NDus� <br />GENERAL INFORMATION: <br />FOUNDATION TYPE: She&CrU S/ /r OAACOMMENTS: L,& S1-1W O/V f 9ZW I� <br />SIDING TYPE: /�nri�?_11 -A/- Q�I'/T COMMENTS: Z&&Ve 470e, 10017" <br />ROOFING MATERIAL: G'd f1 COMMENTS: 602a0 COAAd- <br />CHIMNEY TYPE: /1/ COMMENTS: <br />E OF STRUCTURE: H r uL - NUMBER OF STORIES: <br />1 ,,ACH/DECK LOCATIONS & MATERIALS: <br />BASEMENT /CELLAR: YES[-] NOp STRUCTURE FRONT FACES: No <br />BROKEN GLASS: N NIA} E-NA S�V� W- M- t' &pOQ C lr%l Scll-2Y9 <br />OUTS 1j0 L A)L-S % a 1-- da&- <br />DRAINAGE: <br />ROOF DRAINAGE ADEQUATE: YESM NOQ <br />RAIN GUTTERS: YES[] NOR DOWNSPOUTS: YESO NOg <br />LOT: FLAT HILLYQ FILLQ LOT DRAINAGE FLOWS: /tU, 212t,2a Mt3 LS <br />EROSION NEAR FOUNDATION WALL: YES[] NO COMMENT IF YES: <br />WALL ALIGNMENT STRAIGHT: YESRNOn COMMENT IF NO: <br />SETTLEMENT: YES[] NOX COMMENT IF YES: <br />UTILITIES: <br />WATER: CTTYD WELL&d OTHER[] WATER PRESSURE: HIGH[] MEDIUM$ LOWO <br />HEATING: ELECTRICRf NATURAL GAS OR LPGQ STOVEQ <br />i al Signature: <br />Inspector's Signature: <br />