HomeMy WebLinkAbout6600 W. 32nd Avenueff 3
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: �A`l V /
Job Address: 64 100 `AZ -30-
Permit
30-
Permit Number: , -,z- 0 /
X
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. uslinspection
Date: �' ' y Zr<?ry Inspector:
DO NOT REMOVE THIS NOTICE
The City of Wheat Ridge
Third Party Form Check List
Property Address 4
Permit Number
Permit Issued Date I i.-, 1 C
Owner Information X
Property Owner Information
Property Owner Address 'G l ` t q�p > fW rT
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth;Travis Stanforth
Inspector Contact info. 720-940-1180 TStanforthCBC(a_gmail.com
Inspector Statement of Acknowledgement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby acknowledge the roofing system for the referenced building has been
inspected and found to be in compliance with thg minimum requirements of the 2012
IRC and 2012 IBC as well a the City of Whea idge Policies and Procedures and
manufacturer's recaa°rffi.sge ' i ati2A&
Inspecto Date:
P o rt wrier Statement of Acknowledgement
*1 hereby ac owledge that l am_the_owner of the building referenced above and I give
my consent for the listed third -party inspection�any to perform my roof inspection
in lieu of the City of Whea)idge Buildin Divi 'on insp ion. q
Property Owner/Agent: �(,� ! Date:
This original document, as well as the roofing checkli st be submitted to the Chief
o e Ina inspection.
Drop off in person
Permit Counter 2nd Floor
7500 W. 291" Ave
Wheat Ridge, CO 80033
Submit via Email
Kcook(a).ci.wheatridge.co.us
CBC Wheat Ridge Roof Inspection Packet Page 2 of
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
AN/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
YN/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of
6
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Roof Inspection
❑ N/A
2 Pass
❑
Fail
Structural roof components
❑ N/A
Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
XPass
❑
Fail
Flashing for roof and walls
XN/A
❑ Pass
❑
Fail
If new sheathing is installed, verify that it is listed in the permit
description (Valuation must be adjusted)
AKN/A
❑ Pass
❑
Fail
Verify sheathing nail pattern (see Policy and Procedures)
N/A
❑ Pass
❑
Fail
Crickets and saddles where needed
❑ N/A
'�j Pass
❑
Fail
Verify vent must have boot same gauge as pipe
❑ N/A
Pass
❑
Fail
Verify vent caps
❑ N/A
Pass
❑
Fail
Verify no flashings are damaged or rusted
XN/A
❑ Pass
❑
Fail
Step flashing shall be min. of 4x4 piece per shingle
N/A
❑ Pass
❑
Fail
Verify scuppers allow for proper drainage
❑ N/A
,p / Pass
❑
Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
! Pass
❑
Fail
Underlayments must follow 2012 IRC/2012 IBC
❑ N/A
All' Pass
❑
Fail
Verify roof slope for proper damage
❑ N/A
f Pass
❑
Fail
Dripedge shall have min. of 2" overlap
❑ N/A-
ass
❑
Fail
Dripedge should extend down min. 2" past roof deck
E] N/A
Pass
❑
Fail
Dripedge shall be mechanically fastened 12" OC
N/A
❑ Pass
❑
Fail
90 LB roof roofing shall not be applied to roof slopes less than
2:12 slope. Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
N/A
❑ Pass
❑
Fail
Above roof insulation R-25
N/A
❑ Pass
❑
Fail
Below roof residential R-38
N/A
❑ Pass
❑
Fail
Below roof commercial R -32
i N/A
❑ Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's specifications.
Must have manufacturer's letter of warranty with the address
on the letter for final inspection
Metal Roof Shingles Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
AN/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
YN/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of
6
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
Company Name: Certified Building Co n s
Inspector Signature:
Date of Inspection: -—
CBC Wheat Ridge Roof Inspection Packet Page 4 of
6
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
❑ N/A
KPass
❑
Fail
Structural roof components
❑ N/A
X Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
X
❑
Fail
Flashing for roof and walls
❑ N/A
^Pass
❑
Fail
Structural roof components
N/A
/❑� Pass
❑
Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑
Fail
Verify sheathing nail pattern (See Policy and Procedures)
;A57N/A
❑ Pass
❑
Fail
Crickets and saddles where needed
❑ N/A
Pass
❑
Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
owl Pass
/
❑
Fail
Verify vent caps
❑ N/A
Pass
❑
Fail
Verify no flashings are damaged or rusted
N/A
❑ Pass
❑
Fail
Step flashing shall be min. of 4x4 piece per shingle
N/A
❑ Pass
❑
Fail
Verify scuppers allow for proper drainage
❑ N/A
�i Pass
❑
Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
l�Pass
❑
Fail
Underlayments must follow 2012 IRC/2012 IBC
❑ N/A
fml Pass
❑
Fail
Verify roof slope for proper drainage
❑ N/A
XPass
❑
Fail
Dripedge shall have min. 2" of overlap
❑ N/A
Pass
❑
Fail
Dripedge should extend down min. 2" past roof deck
❑ N/A
Pass
❑
Fail
Dripedge shall be mechanically fastened 12" OC
N/A
❑ Pass
❑
Fail
90 LB roll roofing shall not be applied to roof slopes less than
2:12 slope: Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
Rr-111A
❑ Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
ls� N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 5 of
6
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
CBC Wheat Ridge Roof Inspection Packet Page 6 of
6
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: ADDRESS: (,ko 0 1J , ,�� JOB CODE:U1_z__
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
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: ADDRESS: 0112JOB CODE:At
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
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
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
Request inspections from these entities one week
in advance:
*For Zoning, landscaping and parking inspections
please call 303-235-2846
**For Public Works, ROW and drainage inspections
please call 303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
410 Final Window/Door
412 PW Field Inspection"
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: 3 0 &- M ,- d
Job Address: (PIP 0 0 (A) '�� y�v,e
Permit Number: '3 r) ) S 0 }
❑ No one available for inspection: Time 9 = 0 S- "ypm
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:_9 c4 I Inspector:
DO NOT REMOVE THIS NOTICE
w A,
)9
City of Wheat Ridge
F p Residential Roofing PERMIT - 201802281
PERMIT NO:
201802281
ISSUED:
08/16/2018
JOB ADDRESS:
6600 W 32nd Ave
EXPIRES:
08/16/2019
JOB DESCRIPTION:
Reroof with synthetic asphalt
shingles, house only,
7:12 pitch, 15 squares
total
*** CONTACTS ***
OWNER (970)237-1960
MCINTYRE NATHAN
SUB (303)757-5555
Brian Cung
100121 Rocky Mountain Roofing & Rest.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2405 / BARTHS, COULEHAN GRANGE,
WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 3,855.00
FEES
Total Valuation
0.00
Use Tax
80.96
Permit Fee
109.20
** TOTAL **
190.16
*** 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201802281
201802281
6600 W 32nd
Reroof with
total
Ave
ISSUED: 08/16/2018
EXPIRES: 08/16/2019
synthetic asphalt shingles, house only, 7:12 pitch, 15 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 parties to the work to be
performed and.1hat all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CON R ACTOR (Qircle 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 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 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, an violation of any provision of any
applicable code or any ordinanceyor regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of ChiPME i, _9Pfficial Date
REQUESTS MUST BE MADE Sgg 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From:
Sent:
To:
Subject:
no-reply@ci.wheatridge.co.us
Thursday, August 16, 2018 9:51 AM
CommDev Permits
ao�roaaF�
Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
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
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
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
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. The Building Division permit counter is open from
7:30 am to 3:30 pm, 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)
Property Owner Email
Address
6600 W 32nd Ave Wheatridge, CO 80033
Nathan McIntyre
970-237-1960
ESPERANZA@RKYMTNROOFING.COM
U
t
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 6600 W. 32ND AVE CUSTOMER AGREEMENT.pdf
Contract
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)
Contractor Address
(Primary address of your
business)
Rocky Mountain Roofing and Restoration
100121
303-757-5555
1685 S COLORADO BLVD UNIT S176
Contractor Email Address abby@rkymtnroofing.com
Retype Contractor Email abby@rkymtnroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 15
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
Pitched roof (2:12 pitch or greater)
What is the specific pitch 7:12
of the PITCHED roof?
How many squares are 15
part of the PITCHED
roof?
Describe the roofing Synthetic
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional House
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
owner of the property to
submit this application
3
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 Brian Cung
Permit
Email not displaying correctly? View it in your browser.
4z AdW.19
, Ell k I I
ROOFING sat RESTORATION
CUSTOMER AGREEMENT
1685 S. Colorado Blvd. Unit S-176 Denver, CO 80222 3578 Hartsel tar. Unit E-122 Colorado Springs, CO 8o920
Office 303-757-5555 Fax 303-757-0027 Office 719-792-4245
RkYWRQofing.com - Licensed & Insured
Property' Meer
Street Address RMRR Estimator
ir� -e [.� 003 Inswance any
HomeVhone Work Phone claim #
- b JP/4-76121 S' 7'
[jrN° Deposit RequinW Ur3 year Roof Labor Wartrardy
Rtit7F FRAME: ,
W Repair
Dannage i O ,
]
GARAGE
te
gs
► « ♦ ,k
&rClean Up & Remove Trash
9
[late
T-13 -
Gen. i-iaWlityJ Workers' Consp. MO"BM
Full Partial Repair/
Damage: yes no
5Tt1CCQ� — WOOD OTHER:
Color.
FullPortia Repair
6" - Comm. Alum- Steel
Lt. c_ Colter:
"Payment Options
it t5 °completed according to the above specif imhom in the amount
to mor �� �3 6/ 67, 26
"ante tine upon completion CASH SALE
INSURANCE AGREEMENT. The horneovvner authorizes Rocky Mountain Roofing & Restombon to represent their
best interest in pursuit of lull replacement costs for dames believed to be covered under homeowner's insurance and
allows Rocky Mountain Roasting & Restoration to deal directly with the insurance c o mparry regarding this maim_ This
contract does not obligate the homeowner or Rocky Mountain Rooting & Restoration until the daim is approved by the
insurance company, and accepted by Rocky Mountain Roofing & Restoration. Upon approval of Maim. Rocky Mountain
Roofing & Restoratim wig complete ae specified work at a price agreeable to the insurance company (RCv only) and
Rocky Mountain Roofing & Restoration, with no additional cost to the homeowner except for the deductible. Final agreed
upon price will became the final contract price, regardleass sof estimated contract price above, and we request that all
p also be made payable to Rocky Mountain Roofing & Restoration.
w9ninu uveowy to all 17i@ con tSi%namon's on Dm Troia and
Horneownees
of this agreenrent
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
PERMITy&� 0 �� ADDRESS: , D) B CODE: r U
IV
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
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:2-�� ADDRESS: � C),n /,D 3,2—'` Ifc OB 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
1322 Rough Grading
323 Miscellaneous
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
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.
City of Wheat Ridge
Residential Plumbing PERMIT - 201708559
PERMIT NO: 201708559 ISSUED: 10/24/2017
JOB ADDRESS: 6600 W 32nd AVE EXPIRES: 10/24/2018
JOB DESCRIPTION: Residential plumbing sewer line repair 10ft and installation of lset of
clean outs, front yard.
*** CONTACTS ***
OWNER (720)226-1717 JESSE LAWER
SUB (303)981-0079 Carlo Sais 110007 Payless Rooter/Mato Plumbing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 800.00
FEES
Total Valuation 0.00
Use Tax 16.80
Permit Fee 36.70
** TOTAL ** 53.50
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.—Al:
work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
r
City of Wheat Ridge
Residential Plumbing PERMIT - 201708559
PERMIT NO: 201708559 ISSUED: 10/24/2017
JOB ADDRESS: 6600 W 32nd AVE EXPIRES: 10/24/2018
JOB DESCRIPTION: Residential plumbing sewer line repair 10ft and installation of lset of
clean outs, front yard.
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 [ 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 that aAll,erk CC'ybe performed is disclosed in this document and/qr its' accompanying approved plans and specifications.
Signature of OWNE7—or('CONhRACT9f� 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. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writinguiland
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Bding
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 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 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 ani
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official .r Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Midge
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(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: � /� �) /
Plan/Permit # _
�d�5/7 O
Plan Review Fee:� . -To
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: L (v vC- vv' --.': :, 2 ti d 4,aj '�_
Property Owner (please print): i5S 'p, L c, ,v V- Phone: - (-� l_�_
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/E Ing 1 neer:
Architect/Engineer E-mail:
Phone:
Contractor: y 1 Sj t -cc Z V
Contractors City License #: 000 Phone:
Contractor E-mail Address: ���, ��5 ��yc� e.✓� ,,,,� eve 21'�Cx; (,
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
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
0 OTHER (Describe) S,e ✓ k ; t.,, .Z
(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.)
Sq. Ft./LF
Btu's
Gallons
Amps Squares 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 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) or1�UTHORIZED REPRESENTATIVEof (OWNER) (CONTRACTOR)
Signature (first and last name): �(/�� �C \ DATE: � 0/ / 1 )—
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTICE
C/o 1",/ ,12
❑ No one available for inspectiow—Time
Re -Inspection required: Yes No
When corrections have been made, call for re#
Date: Inspector: lk/
1 /a
ANI/PM
at 303-234-
e City of Wheat Ridge
Residential Roofing PERMIT - 201704067
PERMIT NO: 201704067 ISSUED: 07/15/2017
JOB ADDRESS: 6600 W 32nd AVE EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Stormmaster asphalt shingles - 14 sq
*** CONTACTS ***
OWNER (970)237-1960 MCINTYRE NATHAN AND JESSICA
SUB (303)757-5555 Brian Cung 100121 Rocky Mountain Roofing & Rest.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,598.00
FEES
Total Valuation 0.00
Use Tax 75.56 IL
Permit Fee 109.20
** TOTAL ** 184.76
*** 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 one half 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 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
o A s City of Wheat Ridge
Residential Roofing PERMIT - 201704067
PERMIT NO: 201704067 ISSUED: 07/15/2017
JOB ADDRESS: 6600 W 32nd AVE EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Stormmaster asphalt shingles - 14 sq
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�erformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of/ OWNER or 60IGTRACTOR (Circle one) Dao ✓
I . This permit was issued based on the information provided in the permit application and accompanying Flans 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 Budding
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 Budding 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 r granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicabl , o r�an�y�JoYrd�inance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett `?t �/7o �W
From: no-reply@ci.wheatridge.co.us
---5
Sent: Thursday, July 6, 2017 6:29 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
d
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
sl
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
Q
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
fi
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
{ S
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
r -o
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
Property Owner Email
Address
6600 W 32nd Ave.
Nathan & Jessica McIntyre
970-237-1960
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Rocky Mountain Roofing & Restoration
Contractor's License 100121
Number (for the City of
Field not completed
Wheat Ridge)
Contractor Phone
720-490-5747
Number
Contractor Email Address
edith@rkymtnroofing.com
Retype Contractor Email
edith@rkymtnroofing.com
Address
DESCRIPTION OF WORK
Field not completed
Are you re -decking the
No
roof?
14
Description of Roofing
remove & replace comp. shingle with Atlas Stormaster shake
Material
Select Type of Material: Asphalt
If "Other" is selected
Field not completed
above, describe here:
How many squares of the
14
material selected above?
Does any portion of the
No /
property include a flat
!
roof?
If yes, how many squares
Field not completed
on the flat roof?
TOTAL SQUARES of all
14
roofing material for this
project
Provide additional detail House roof Pitch 7:12
here on the description of
N
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
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
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Brian Cung
Email not displaying correctly? View it in your browser.
3
1685 S. Colorado Blvd. Unit S-176
Denver, CO 80222
Customer: Je SSirCA M('�A\Kf Insurance Co,:
Address: I.Atn )A Claim No:
.__.1 W g -
City, ST, Zip: 01kit Titin Policy No.
Phone:• -0 Adjuster -
E -Mail: Phone:
1. In the event that the Customer's insurance carrier fails to approve payment for the work covered by this contract or otherwise
denies the claim this contract shall terminate on its own terms unless Customer and Rocky Mountain Roofing & Restoration
(hereinafter refered to as "RMRR") mutually agree to an extension.
2. RMRR shall complete the work for the project Identified as follows;
Specifications and pricing for the project shall be provided by Customer's insurance company and may include:
Re-roofing/roof repair, ceiling repair, gutters, siding, painting, fencing, a/c units, windows, window screens, garage
doors, pool dock, outbuildings, etc.
RMRR. shall assist Customer's insurance company in obtaining an agreed-upon scope of work and payment for
the project.
Customer agrees to provide RMRR with the insurance company's adjuster report and release all payments to
RMRR upon receipt from Customer's Insurance company.
Work shall begin within 45 calendar days after the insurance company approval and acceptance by RMRR. Work shall be completed
within a reasonable amount of time necessary for the scope of work and consistent with the schedule of the Customer, RMRR
and the insurance policy provisions for recovery of depreciation,
4. In the event Customer terminates this contract after any applicable statutory waiting period for any reason other than the denial of
coverage by Customer's insurance carrier, Customer shall pay to RMRR 30% of the current Replacement Cost Coverage
specified by your insurance company, not as a penalty, but rather as liquidated damages.
N_QTICE!QfF CANCELLATION
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF
THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.
This agreement is entered into as of this date written below and is !egad and binding,
This contract is governed by State law and the venue for any action to enforce this contract shaft be the jurisdiction for which this contract was executed,
AS Lance
torner Date RMRRDate
Phone: (303) 757-5555 E -Mail: documents@rkymmmfing.com Fax: (303) 757-0027
0
=1 et till ! Ai ii i el N l
INSPECTION REQUEST LINE: (303) 234 -5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
Footing /Stemwall P.E. Letter
Do Not Pour Concrete Prior To Ap royal Of The Above Inspections
Underground /Slab Inspections Date Inspector Comments
Initials
Electrical (underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below/ In -slab)
Heating (Below / In -slab) - -- - -- - --
Do Not Cover Underaround or Below /In -Slah Work Prinr Tn Annrnvnl rlf Thu Ahn,.n
Rough Inspections
Date
Inspector
Comments
omments
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
Date
Inspector
Initials
Comments
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
uo rvor rrncven vvrrnniff nnnrnval r iT annum iw^II h In ►i...,�
Rough Framing
Insulation
Drywall screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
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.
Fire Inspection / Fire Protection Dist.
* *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.
occupancy Is Not vermlttea until A uertlticate of occupancy Is Issued
Protect This Card From The Weather
(.:_
t -'
DGE
ivision
❑ No one available for inspection: Time <CM / M
Re- Inspection required: No
When corrections have been made, call for re- inspection at 303 - 234 -5933
I ,.. Date: I nspector : s .e
DO NOT REMOVE THIS NOTICE
V
rcr�.�ua..��au we
❑ No one available for inspection: Time /47
Re- Inspection required: es No
When corrections have been made, call for r "s
Date: rr Inspecto
F` DO NOT REMOVE THIS Nl
♦16 4r
r CITY OF WHEAT RIDGE
1 Building Inspection Division
(303)234- 59331nspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address fi e? w Zw--O
Permit Number dJa c�b�3
d 11tP PO f Prz . <F
o �LSa .is✓�'Fn. /.�,r.��= r <ss'rv � E� : a�.�r�Fi:� is , ��=
q
4
n`.
No one available for inspection: Time d° Yr AM /RM 1
D
r CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type e&' -
Job Address w Z2 "9
Permit Number fhl
.� °a
lable
to
1/E THIS NOTICE
" ' City of Wheat Ridge
r4 000 r-
Residential Roofing PERMIT - 111083
PERMIT NO: 111083 ISSUED: 09/09/2011
JOB ADDRESS: 6600 W 32ND AVE EXPIRES: 09/08/2012
DESCRIPTION: Reroof 14 sqs with Owens Corning 30 yr
* ** CONTACTS * **
owner 970/237 -1960 Jessica Wade
sub 303/757 -5555 Brian To
10 -0121 Rocky Mountain Roofing & Rest.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0514
USE: UA
BLOCK /LOT #• 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,598.00
FEES
Permit Fee 109.20
Total Valuation .00
Use Tax 64.76
** TOTAL ** 173.96
Conditions:
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.
- - - - -- - - - -- - -- - - - -- -- -- -, -- r « -- -- ° ----- ----
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 des i ed and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities d w'thim this document as parties to the work to be performed and that all work to be performed is disclosed in
this do mAn a r its' accompanying approved plans and specifications. f
Signature
1.
2.
3.
4.
5.
6.
CONTRACTOR /,Circle one)
This permit was issued l� a information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
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.
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.
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.
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.
of Building Offical Date
N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235-2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY