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HomeMy WebLinkAbout2633 Newland Street! i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 1 �`'��? `l� 1- '• Job Address: d" "u ,. P, G C 1 Permit Number: ;'__ fl )G1Cl ❑ No one available for inspection: Time 1 u AM/PM Re -Inspection required: Yes (Nb When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usfinspection Date:(r_ _� Inspector: C ;e ` DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE � f Inspection Type: Job Address:; a Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: h ttp✓/www. ci. wheatridge. co. uslinspection Date: `"� --��' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Siding PERMIT - 201902015 PERMIT NO: 201902015 ISSUED: 09/20/2019 JOB ADDRESS: 2633 Newland St EXPIRES: 09/19/2020 JOB DESCRIPTION: SWO Replace 20 windows, demo deck, replace 14 squares of LP smart siding, close off patio door, replace front door *** CONTACTS *** OWNER (720)232-7427 MACIOLEK MICHAEL A *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00 FEES Total Valuation 0.00 Use Tax 315.00 Permit Fee 283.55 Investigative Fees 283.55 ** TOTAL ** 882.10 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. **A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION. A final inspection is required at completion. Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. A mid -inspection is required for house wrap prior to siding installation. A final inspection is required at completion. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. City of Wheat Ridge Homeowner Siding PERMIT - 201902015 PERMIT NO: 201902015 ISSUED: 09/20/2019 JOB ADDRESS: 2633 Newland St EXPIRES: 09/19/2020 JOB DESCRIPTION: SWO Replace 20 windows, demo deck, replace 14 squares of LP smart siding, close off patio door, replace front door 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this pe it. I further attesthat I am legally authorized to include all entities named within this document as parties to the work to be per for e n that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. U, 119, 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, 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 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 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 6. the issuance or applicable code% shall not be construed to be a permit for, or an approval of, anviolation of any provision of any 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 W h6at p,--,�dgi COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: %y X16 Plan/Permit # '„ j � l � Plan Review Fee: �f Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Z qtr j� c.�rav�CJ 31 �,,,1 t`� 4� � � t ; (� 2(-1 Property Owner (please print): ckN Y /La(k-old Phone: -7•Z© 132 - -7 Property Owner Email: rlx : c k A e /_ "4 N C "C It k n CLIn oa Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: '2 (r- 5 � 'V e'-U%'J City, State, Zi Ini c C� r- , ILt Arch itect/Eng1neer E-mail: Contractor Name: City of Wheat Ridge License #: Phone: Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): 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, if applicable. [-]COMMERCIAL R] 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. ffe" 1c) rip ��'A, h� �(G V r` G 00v, r'.eeW"- li �'(�"rt A Gel f Sq. FULF 1i'10 �i�� `� BTUs Gallons Amps Squares For Solar: Kw 9 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) $ 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) Signature (first and last last name): Y'ti_ DATE: t Printed Name: • 4 A ii DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: Clty Of Wheat i e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s):_ j+ b I ` C � Project Property: 2 (a 5 �eJlo;ViL 14 CoziY Project Type: �` 7 • �c( . �' )r iw 1.-6/(,ti -1- Notarized signature of Applicant State of Colorado } County of , S� c s } ss wA-. IJ The foregoin instrument was acknowledged by me this o20 day 20JI by LTAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MISSION WIRES APRIL 22, 2020 My Commission Expires __622/20a) Notary Public U, x vIn 1'Q C - v l tie L W City f�t C�^"MUM�7'1' DEVEIAi'ME APPROVED Reviewed for Code Compliance C� r 2 u 1 S Plans Ixaminer ----- Date MAW-dcoKLol n rmitii.., Th, issuancc of o prrmr( or oPProval of plans sPecificotions and computations shall not be a permit /or, ur on approves! of, any to ion to any Of Me provisions of Ue DwNing code or of on y City ord,,onces. Permits presuming to give authority to violate o/ cancel rhe provision, of the budding codes or other ordinances of the City $hall not 8e valid. ,&L ktivl� T -T � scoev- e6 — � e-V1ti0 A"Ic �4LC C, 4f ,---f (t o ,' 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: f `t` ' 10 Job Address: Permit Number:�7 ❑ No one available for inspection: TimeFP Re -Inspection required: Y'� No ,;, When corrections have been made, call f r re -inspection at 303-234-5933 Date: (,�, Cl' Inspector: 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: Job Address: r t,-) Permit Number: ❑ No one available for inspection: I A /PM Re -Inspection required: Ye _No When corrections have been made, ca or re -inspection at 303-234-5933 Date:i �s r inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge `, Homeowner Roof PERMIT - 201801997 PERMIT NO: 201801997 ISSUED: 07/13/2018 JOB ADDRESS: 2633 Newland ST EXPIRES: 07/13/2019 JOB DESCRIPTION: Remove and replace with hail resistant asphalt shingles, 4/12 pitch, 14.04 squares *** CONTACTS *** OWNER (720)232-7427 MACIOLEK MICHAEL A *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / EARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,608.28 FEES Total Valuation 0.00 Use Tax 75.77 Permit Fee 109.20 ** TOTAL ** 184.97 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. 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. City of Wheat Ridge Homeowner Roof PERMIT - 201801997 PERMIT NO: 201801997 ISSUED: 07/13/2018 JOB ADDRESS: 2633 Newland ST EXPIRES: 07/13/2019 JOB DESCRIPTION: Remove and replace with hail resistant asphalt shingles, 4/12 pitch, 14.04 squares 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. I further attest that I am legally authorized to include all entities named within this document as partes 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 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 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, an violation of any provision of any applicable code or any ordinaVice or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of` fTfefBuilc(ngOfficial Date REQUESTS MUST BE MAA BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heatR dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: -)/),3 / r- j Plan/Permit # go qq 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: /4 33 k'14,U14vt tJ Property Owner (please print): /�?�'c �►i ' f �ZZ c (� 1< Phone: ?Z c Z � z -7112 7 Property Owner Email:'�*� Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Arch itectlEng1neer E-mail: Contractor Name: City of Wheat Ridge License M Phone: Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): �'� 1' Is�c�tct iii!` Phone: —/ Z,0 -7-3Z- 7-'IZ7 CONTACT EMAIL(please print): Sub Contractors (Must provide Wheat Ridge License No.): 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 # ❑ COMMERCIAL 0 RESIDENTIAL 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. Sq. FULF I 0 S BTUs Amps Squares W/ Ao'/ Gallons Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) Z ,s-5-7. -17 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CO/NnTRACT,OR)/or (AU/THORWE�D REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): G' L/trG 1//�—.��C/� DATE: Printed Name: 111cc t a/ -Mkc, r (vim ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS. Reviewer: PUBLIC WORKS COMMENTS. Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION. CONSTRUCTION TYPE: Building Division Valuation ko s City of Wheat ild e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): C/lq "6 tCA Project Property: Project Type: Notarized signature of Applicant State of Colorado } County of Ze��'arsrX, } ss The fore oing instrument was acknowledged by me this day of J 20_�k by TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires Notary Public lsl PERMIT_- ADDRESS.Z3� C JOB CODE. 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 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 f . I ' . , -7 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 f . I ' . , -7 307 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 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS 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 I ! - '} _ 1 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 I ! - '} _ 1 410 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 I 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. 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: C40 9 - ;= a 1r, c% 1 Job Address: 2& 3 3 lye will n dS Permit Number: 'a 0 f -7 o —7 c� L-) -7 r' n a ► 0"T P e! M ve C4 ❑ No one available for inspection: Time i ©=-33 A�M Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 1 IF/ -J I '7 Inspector: —TIS DO NOT REMOVE THIS NOTICE GQI'Q9 1G A 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: le -; :3 n/e 4✓ IQ, Sf Permit Number: �D o r -7 0 -7 -,3 L) -7 l ! 1 ' d - 20 0 7" J� tb t n- ci ❑ No one available for inspection: Time ID AMkP_w_ Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: to f -7 17 Inspector: -T--b DO NOT REMOVE THIS NOTICE 6ari' < A 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: b iY 1 , d Job Address: '9 & 3 3 AJ& tv a d 34 Permit Number: a 1-7 V -2 -7 •7 ❑ No one available for inspection: Time 1 1 AM Re -Inspection required:Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: / c 1 1, 1-7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Roof PERMIT - 201707247 PERMIT NO: 201707247 ISSUED: 09/14/2017 JOB ADDRESS: 2633 Newland ST EXPIRES: 09/14/2018 JOB DESCRIPTION: Homeowner residential re -roof detached garage owens corning storm duration asphalt shingle with 9.84 sq pitch 6/12 *** CONTACTS *** OWNER (720)232-7427 MACIOLEK MICHAEL A *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,528.88 FEES Total Valuation 0.00 Use Tax 53.11 Permit Fee 93.35 ** TOTAL ** 146.46 *** 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) 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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.I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Homeowner Roof PERMIT - 201707247 PERMIT NO: 201707247 ISSUED: 09/14/2017 JOB ADDRESS: 2633 Newland ST EXPIRES: 09/14/2018 JOB DESCRIPTION: Homeowner residential re -roof detached garage owens corning storm dura -L'.01_1 asphalt shingle with 9.84 sq pitch 6/12 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 ermit. 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 docwnent and/or its' accompanying approved plans and specitications. Signature of ;'6WN or CONTRACTOR (Circle one) Date I'This perm`' as 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 writingand received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief B"Iding 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding 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 issua))Se 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 cb e or any ordinance or regulation of this jurisdiction. Approval of work is subject to geld 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 W heatMidge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(c-)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: q11 / j / 7 Plan/Permit # Z I 7� Plan Review Fee: l41", Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "* Property Address: 2�053 Net,.f !a, ,,� Jl � f f2, baa C C �O zl y 9 Property Owner (please print): `M ,'& t_,cLe ( 6VV kc , c k4�. Phone: Property Owner Email:_ tic ( c �, e l wi c 4�, Mailing Address: (if different than property address) Address: ` ' NA State, Zi Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: 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: 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 ❑ RESDENTIAL 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.) \ L2 S� �lC Gel fzic N2 t q 4 rriGy� v Sq. FULF Btu's Gallons �J � Amps Squares ! ' 0' 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 assn ne 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) SilInature (first and last name): ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY DATE: OCCUPANCY CLASSIFICATION: Building Division Valuation: $ �City of `` Wh6atfk_ilde COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): r " L ' JkAJ Project Property: D, 3 S (�t . CO �' 62 -(LI . S%liJ�/' r"V"4 4 --� Notarized signature of Applicant State of Colorado } County of ss The foregoing instrument was acknowledged by me this ILL day of 'S912kn2kr, 20-11 by JAYMESUE MCRIMMON NOTARY PUBLIC STATE OF COLORADO NOTARY ID # 20154009457 MY COMMISSION EXPIRES MARCH 06. 2019 Commission Expires _J X2019 Permit#:201500974 Issued: 11/16/2015 Stipulations: Replace existing concrete patio with wood deck and pergola, replace window with sliding glass door. This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. qqff��� Owner: MACIOLEK MICHAEL A 2633 NEWLAND ST WHEAT RIDGE CO 80214 Contractor: For the Following Purpose: Residential Deck C U Editions NO change shall be made in the SE of Co `Editions ICC/2014 NEC this building without prior notice — 2006 ICC/2011 NEC and a new Certificate Of Completion — 2006 ICC/2005 NEC from the City of Wheat Ridge. COMMERCIAL OCCUPANCIES ROME= rFOR FF CE US NLYCity cif .at k*d le S 09 O UNI ° LOPM T � ..� Buildings & Inspection Services Division 7500 W. 29`h Ave., Whet Ridge, CO 80033 Plan Review Offl : 303-235-2855 * Fax: 303«237-8920 Inspection Line: 303-234-5933 Building r it Application plle plete'Itl alghll h a '"s on both I sides of l fo. InamvIelte aWlestions snag not be p R Mailing Address: (if different than property address) Address. Ci!y, State, r Y"iY ArchlItect/EnalnaerE-mail.- Phone.- 720-7-12-7427 Contractor: Contractors, C4 License* Phone: ContractorE-mail Address: Sub Contractors!, Electrical: Plumbing: Mechanical: W.R. City License W.R. City License # W„l ,tarty License # Other City Licensed Stab. Other City Licensed Scab: City License # City License # Complete plete all information on BOTH sides of this far d A A•• Y w WNA i r# w! mount of Materials to be used, etc. *". Oe Sq. FULF Amps Squares Other Ll."I'ment for additional requireff eents. h .J uv W. Work sl) ornply with the "ref a: wing codes: 26 IR,C, ', 2( 2 an woe requirements or nunity Deveiogirrieitt �a�r atiias aro�si Stairs mesal' alf rj(,I tdiv°e risers t % £t exceed 7 r's'Y ill height or treads that re less fl,ian 10" rneasur d -or tiosing to nosing PfAe 0 r A as y , P " a s { t e � A It • ■ M G. ��"' III �I���� ♦:. f �k.. y y �y w pl e`p s f I i v •• b•i • • t>+. a y e slt t '! trz a- iter. � � � .. .. Ll."I'ment for additional requireff eents. h .J uv W. Work sl) ornply with the "ref a: wing codes: 26 IR,C, ', 2( 2 an woe requirements or nunity Deveiogirrieitt �a�r atiias aro�si Stairs mesal' alf rj(,I tdiv°e risers t % £t exceed 7 r's'Y ill height or treads that re less fl,ian 10" rneasur d -or tiosing to nosing PfAe 0 Sint -vie Family Residential Uncovered Decks and Porches Deck Sectioll Pas bees to oc I 1w am 661 w nion como 0 D"all 8 Wall al DeUR 82 1A Ck one Slingle Family Residential Uncovered and or e I Alternate ate l coil III N tern a c Dcmail B2 Ci City of cWh6ats.,�, om muNiTy DrvuopmEpNT� City of Wheat Ridge Municipal Building 7500 W. 29h Ave. Wheat Ridge, CO 80033-8001 P: 303,2351846 F: 301235,2857 Sec. 26-206. Residential -One District e incompaurite witn the low-density residential character. 8- Development standards: Notes: (a) Front setback reductions may be allowed in accordance with Section 26-611, (b) Any side or rear yard which abuts a public street shall have a minimum -setback of thirty (30) feet for all structures. (c) Front setbacks for structures on lots or portions Of lots which abut cul-de-sacs may be reduced to ten (10) feet for those portions of lots which abut a cul-de-sac bulb, (See Figure 26-123.3 at the end of section 26,123) (d) See Section 26-625 for additional regulations Pertaining to accessory buildings, (e) Fifteen -foot setback for the first story and five (5) feet for each additional story, (Ord, No, 2001-12 15, § 1 2-26-01 1 Ord, No, 1313, § 1, 10-27-03; Ord, No. 1448, § 2, 8-24-09) Wheat Ridge, }dg, CO 80211 Home Owner-, Michael M d }o }*\ < ZO"-Z:z`-74»0 . \ © /\fid?\?\\ E 0 133HS M d I B I I 9 E 'A E co 9 El pppp- hkil 9AA pppppp- h6l lm� 'AA at M ». # M M i ' n is 3. Tread,' NOTE*Com MCI.M Y rM. k c r s M ## u Baluster The vertical pieces of a rathing spaced at regular 0.: 'w between posts, seam A horizontal training place,~ mate on posts andsupperis joists. Decking The boardsused to rimike } ! #surlaceof # :. de(k Joist + hmIrontal franiepiece 1supports the decking andspreadsthe • Y: over i. Y' affm Ledger A horizontal strip that connects the deck to to tvxm. Post Footer Concrete Ned hole that itie post is attactied to. Post A vertical ImmkV Piece, used to support a beam or joist Riser A board attadied to it* vertical cut suftoe of a stair sb*Wr. Stringer The# a: i M «. board used Md : Msupport treads and +.*erS 'on 'on a 'M ... a". y. Tread Ttw hoftontal surface of a stair. Bottom '^ ,..: The 4 .. ' horizontal place that 4. !-. ; posts !.'andsupports balusters, Top " M:6:" hortzentell piece tconneMragposte and 4 4 M'h° M: $ -So jaw "WvOr Structural Connector Hardware Guide 'MMIA 9 gm RII PF W Typtal C TZ Ins flon LSH15-TZ by'' Structural Connector Hardware Guide 'MMIA 9 gm RII PF W Typtal C TZ Ins flon LSH15-TZ i * N. #" • ARM#. ! . If unsm about attaching a ledger board, consult a protessioriat. Use batterboards and masm's string to met* off de(* area and locale fw*tg� Footing ♦requirements FoOdng(posthole depth and location Is dktaled by local codes and by-laws. ;. +.. 1, . ,. •.. Ai +:.fid 1 f.... s.. l ss _: postsOVEM Attach beams to Determine the desired deck flom height: on the posts. Dotemdne height for securing the top of the beam to the post. Attach joists Joists are attached to ledger board with Joist hangers or by itf Determino where blocking will go and snap a chalk line, but make sure to siagger places for ease of Lay decking Aftach boards 'bark side up" to ndrdmize cupping arra warping. The dock boards can be trimmed atter they area Railings Railings must be firmly attached to the frarning members of the dock. Check local codes and by-laws for twitimments on railings. ! ♦# # «. t # #:. # ...:gip aml INSTALLATION CHECKLIST Post bracing Brace posts as dictated by local codes and by-laws, BRACE AT JOIST T- 6' 5/8'x 8"THRU BOLTS BEAM PER P 6x6 KNEEBRACE 5/8* x 8'THRU SOLTJ DE PC 6x6 POST (LOCATION PER PLAN) -1 lkiwa -A .. - POST CAP BEAM NOTCHED POST MIN DECK, POST Pn*ct 10: 115020687 Pam 7 m # # f Carpenters level Heating protection Ruler Carpenter's square Hammer Safety s Chalk Om Hard saw Screwdrivers Chisel Hoe and hose (to ffdx concrete) Shims or spacers Circularsaw Ladder Shovel Claws hafftmer Line Socket wrench Combination square Mallet Stakes or better boards Crescent wrench Nall set String Drills and bits Pencils, Tamper Dust mask Plat Tripe measure Extension cord Plumb Tmnslt Framing square Post hole digger Toot belt Gloves Rafter square Two foot level . 2. . 4. 5. 6. . g�8. Or 10. #* # materialWhen cutting or drilling wood, always mar eye protection to PrOvent irgury from ifying wood particle$ When cultZ.1wnber, a fabric breathing mask will help to avoid ingestion of the &,at Wear qkyves as the surface is and can cause splinters. For outdoor poJects, nalls and other hardware should be hot -dipped zirunioated or equally well -protected to Weo them frornrusting. f' To help prevent SPI101% drill PRO holes In each plow of lumber before naft or screwlng Make sure to treat your deck to prolong Its Illespan. tot Is dry enough for treattront will quickly sed Wei penetrate deeper Into the wood, hi damp conditions: When applying fWsh or cleaner to your decK protect surrounding vegetation by wetting with a hose and coverind with plastic. Invest In a pair of kneepads N you are doing twor jobs or working on a deck. Dispose of scraps, In the regular trash or take to a lani - never bum Omm , y, 111111111111i 11' a' ar ,io Zi that you -a for your deck. Number of r• . Depth Total a4 .... a Load- 1f. s MI, r Esfinisted materials cost wfth your ns: $54 5LAt s U-5 Your Custom Selections Decking Type: Pressure Treated Moist Spacing: 16" Decking Size: 2x6 Joist Wood Type: Tap Choke Treated Decking Color: Pressure Treated Moist Size: 2x6 Railing Material: seam Size: 2x10 Railing Style: Past Wood Type: Top Choice Treated Railing Color: Past Size: 04 A detailed materials LV, which Includes the item numbers of products to purchase, can be found , page 10. Joist Wood Type: Top Choice Treated Joist SIM- Beam Size: 2x8 ! .. :: .::.. !t ':� # :..* .. # 1. ..: ♦ !M• Wl.: " ,.., x .. .: .. Ar.. availability,M: •: and other BEAM LABEL. A 8 C 6!'731f" 18,101, am Materials Cut List: Level LABEL NAME CITY LENGTH BEVELS LABEL NAME A Meader 1 18'7" 0, 0 G Interml Joist B Rim Joist 1 9-21/2" 0,0 M Intemat Joist G Mtn Joist 1 It's 1/2" 0,0 1 Irdemal Joist Meader 1 13" 91/2" 0,0 1 Interml Joist E Film Joist 1 12' Iii" 0,0 is I I Joist Meader 1 6'11 1/2" 0,0 L Intemal Joist E,11..., a w::. • N ?, • 1 14' 0,45 1 15' 4" 0,45 1 13' 3"' 0,45 1 6' S" 0,45 11 W 1 "° 0,0 11 8'5" 0,0 Analysis mage: Level 1 • ► AND Yow dock will ««« a 42 PSF live load. .. gmund support DECK • POST HEIGHT - You .. from o dec" the ground level. 9 top of the do(* support posts win ftrilbre be 16" above ground level. Set Joists on top of beams, 16'4, center to center. INSPECTION RECORD Occupancy/T ype m'INSPECTION LINE: (303) 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. l9 ,0 1 7 INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Building Final Sewer Service Lines Fire Department Water Service Lines 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 CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. 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 CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY 15 155UtU PROTECT THIS CARD FROM THE WEATHER 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax IN�IPECTION NOTICE Inspection Type Job Address W-33 Permit Number Ej No one available for inspection: Time _7PM Re-Inspection required: Yes When corrections have been made, call P f , re-i or I eation at, 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: a4 33�rifi�o sF Permit Number: it /�A °f� 17tJs 72> rrs;�%1{ -7pSr2 ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call f or re at 303 Date: Inspector DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line " (303) 235 -2855 Office " (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type 7 Job Address je eti.s.1 Permit Number PpU as" " ' City of Wheat Ridge 1 Homeowner Roof PERMIT - 110449 PERMIT NO: 110449 ISSUED: 04/26/2011 JOB ADDRESS: 2633 NEWLAND ST EXPIRES: 04/25/2012 DESCRIPTION: Reroof and redeck 14 sqs with asphalt shingles * ** CONTACTS * ** owner 720/232 -7427 Michael Maciolek ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0508 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,691.75 FEES Permit Fee 125.05 Total Valuation .00 Use Tax 84.45 ** TOTAL ** 209.50 Conditions: - I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, except electrical, without the assistance of hired or professional workers. Consultation and courtesy inspections will only be performed with the homeowner of record. 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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. 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 work to be performed is disclosed in this,�io meat and /or its' accompanying approved plans and specifications. ( /// '/ - Z4 -/1 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, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension at 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 field inspection. - Offical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 13vilczinrg c' inspection S=ervices DivisiotI / 75001N. 29" Ave.; Wheat Ridge, CO 8003:1 Office: 303- 235 - 2855' Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Perniii s= pplicatiult Properzy -kdld ass- 3 J Property Owner (please print):,GILc�C �2r�c r`U�eG� Phone: N tailing Addrr�esss:. (if different than property address) Address: City, State, Zip- G �e /t Zf q Coneraata. Contractors City License #: Phorrw Sub1,otttraet rsi Electrical: Plumbing: Mechanical. City License # City License # City license # C3es,� r� `rat v,6r,k: Q q / �A J �. -- /�C —d—t c, 7 � f/P, vUfYS 2 $ Contract Value. t / / Review Fee (due at time of submitml)j Squa ✓ BTU's Gallons Am p s S q Ft. $ 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 ofWheat 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 'fuli responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that lam 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. CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINTNAME: y"teJVkQ( V "U� -ta` : SIGNATURE: DATE: Bldg Valuation: $_'