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Home My WebLink About4000 Field Drivei CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:\�- Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http.IA4,ww.ci.wheatridge.co.us4nspection Date: • CV 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: Cr, I r cJ v t " Job Address: Dy' Permit Number: it "F 1 7 ❑ No one available for inspection: Time YiT� AM/PM Re -Inspection required: Yes Ns When corrections have been made, call for re -inspection at 303-234- Date:- 3 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201803192 PERMIT NO: 201803192 ISSUED: 12/11/2018 JOB ADDRESS: 4000 Field Dr EXPIRES: 12/11/2019 JOB DESCRIPTION: Reroof remove and install composition asphalt shingles with 45 squares. Pitch 5/12. Main Residence. *** CONTACTS *** OWNER (303)264-7137 BIZARRO JUVENTINO H SUB (720)684-5500 Scott Brasington 170091 GreenPoint Roofing, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,985.00 FEES Total Valuation 0.00 Use Tax 272.69 Permit Fee 251.85 ** TOTAL ** 524.54 *** 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% 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% 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 Residential Roofing PERMIT - 201803192 PERMIT NO: 201803192 ISSUED: 12/11/2018 JOB ADDRESS: 4000 Field Dr EXPIRES: 12/11/2019 JOB DESCRIPTION: Reroof remove and install composition asphalt shingles with 45 squares. Pitch 5/12. Main Residence. 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 alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 or�granting pf a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any 3e or any o ance 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. From: no-reply@ci.wheatridge.co.us Sent: Monday, December 10, 2018 4:09 PM To: CommDev Permits Subject: Online Form Submittal: Roofing Permit Application Roofing Permit Application This application is exclusively for new roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. ti THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes reroof permit? 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 4000 Field Dr, Wheat Ridge CO 80033 Juve Bizarro 303-264-7137 juvebizarro@msn.com 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 Bizarro Contract Wheat Ridge.pdf Contract CONTRACTOR INFORMATION Contractor Business GreenPoint Roofing Name Contractor's License 170091 Number Contractor Phone 720-289-5863 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address info@greenpointroofing.com Retype Contractor Email info@greenpointroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 45 the entire scope of work: Project Value (contract 12985 value or cost of ALL materials and labor) Are you re-decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific pitch 5:12 of the PITCHED roof? How many squares are 45 part of the PITCHED roof? Describe the roofing Composition asphalt materials for the PITCHED roof: PJ Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) Credit Card Authorization Form Asphalt main residence CC authorization - Bizarro.pdf SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of Yes Yes Yes Yes Yes 3 fraud and may be punishable by fine, imprisonment, or both. Person Applying for Lisa Underhill Permit Email not displaying correctly? View it in your browser. pft�1 � ?rcl -► � U� INSPEC.J.O�1-RSCA OR ;an S E TION ONLINE FOR - http://www.ci.wheatridge.co.us/inspect INSPECTION -cellations must be submitted via the online form before 8 a.m. the day of the inspect Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Aaproval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing nn Nnt Cnver Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final � /f s Final Mechanical y` " Roof r Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge 5 Homeowner Plumbing PERMIT - 201706448 PERMIT NO: 201706448 ISSUED: 08/23/2017 JOB ADDRESS: 4000 Field DR EXPIRES: 08/23/2018 JOB DESCRIPTION: Permit for a gas test, related to Xcel replacing faulty gas meter. *** CONTACTS *** OWNER (303)264-7137 BIZARRO JUVENTINO H *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 40.00 FEES Total Valuation 0.00 Use Tax 0.84 Permit Fee 26.50 ** TOTAL ** 27.34 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 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. 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 Plumbing PERMIT - 201706448 PERMIT NO: 201706448 ISSUED: 08/23/2017 JOB ADDRESS: 4000 Field DR EXPIRES: 08/23/2018 JOB DESCRIPTION: Permit for a gas test, related to Xcel replacing faulty gas meter. I, by my signature, do hereby attest that the work to be e rformed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am tie 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 ermrt yfurthher attest that 1 am legally authorized to include all entities named within this document as parties to the work to be performers �rfd than 'all work #b be performed is disclosed in this document ander its' accompanying approved plans and specifications. Signature.of OWNER dr NA� TRTOR (Circle one) ate 1. This permit was issued basd 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 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 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 appra ?ao an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is sufield insp Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheatl�, COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Fl ZS Plan/Permit # -0-fl 1-7� fog{ 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: Y600 x -/8e Property Owner (please print): '1) V en � � � Q �� C f"O Phone: :k �3 266 7 113 � Property Owner Email: j Uye4 Inn yt0 - yna co /in Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: 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 XRESIDENTIAL 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.) Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 4 a c OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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(A(AUTHORIZED REPRESENTATIVE) of (OWNER') (CONTRACTOR) Signature (first and last name): N DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of W h6 atPj-.de 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."' V -04(n o Tlo Project Property: Cyc, 5 re5l "(rzy-r-0 signature of Applicant State of Colorado } County of ss The foregoing instrument was acknowledged by me this 23 day ofAL) e U .r 20/ :� by er-\A C) Q �q <rG TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires Z Z/20 Zo Notary Public S \f V CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax '' INSPECTION NOTICE ❑ No one available for inspection: Time ' AM/PM Re -Inspection required: Yes J When corrections have been made, call for re -inspection a ,303-234-5933 L U 2UjFf Date: Anspector: / / DO NOT REMOVE THIS NOTICE q a f �d F�� INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234 -5933 Occu pancy/Ty pe _ _ _rr. - Inspector Initials 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 Initials Comments Monolithic Slab Reinforcement ice (Underground) Caissons Inspector Comments omments elow / In -slab) Concrete Encased Ground (CEG) low / In -slab) Do Not Cover Underground ections Footing /Stemwall P.E. Letter A_.._i -S lab Work Prior Inspector Initials To Approval Of The Above Inspections Comments n g und /Slab Inspections P Date _ _ _rr. - Inspector Initials - .a Comments nderground) ice (Underground) pHeating ice (Underground) Date Inspector Comments omments elow / In -slab) low / In -slab) Do Not Cover Underground ections or Below /In Date -S lab Work Prior Inspector Initials To Approval Of The Above Inspections Comments n g ®Rough ng 1_yItiI tM Final Building / Frame e ic Landscaping & Parking / Planning Dept. ouglumbing 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. Rough Mechanical Fire Inspection / Fire Protection Dist. Gas Piping * *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. Rough Framing Insulation Drywall Screw / Nail Final Inspections Date Inspector Comments omments 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. vua.uNanuy is Nut rerunitLea until A liertiticate Ot Occupancy Is Issued Protect This Card From The Weather ♦ CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type onn Job Address LINO C, P lk Ae: Permit Number OCR co / ( j pp^ n 'T "CR R�/t 6.! �OdV 45Q PN P'"�cd�M l�l^� $qv PF�Fi N No one available for inspection Time fM Re- Inspection required: Yes ' No When corrections have been made, call Torre inspection at 303 234 - 5933 ` b Date: '/�P Inspector: DO NOT REMOVE THIS NOTICE { 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 Job Address jJV00 Permit Number ❑ No one available for inspection: Time r AM U /rte Re- Inspection required: Yes / No� When corrections have been made,, call for re- inspeetion at 303- 234 -5933 Date: �i A 611 1 1 Inspector DO NOT REMOVE THIS NOTICE INSPECTION § inspection .gip a w w�.rr- � . \ y :Jo Address � �z F ei/ D\\ � x . . &m! Number / /«9 $p one a v «iep t a_ � Re -Inspect ion / »7« » w «rs .« � \\ \ / \ \�� \ When r A have been ma de, c f » 303 -23 4-5 933 ,. , . —: . w Date � \ Ins pector: \ ? \ 60 NOT REMOVE THIS NO #C " 1 City of Wheat Ridge ]�� Residential Roofing PERMIT - 111286 PERMIT NO: 111286 ISSUED: 10/20/2011 JOB ADDRESS: 4000 FIELD DR EXPIRES: 10/19/2012 DESCRIPTION: Reroof and redeck 44 sqs * ** CONTACTS * ** owner 720/210 -4110 Juventinao Bizarro sub 303/697 -8550 George Gibson 09 -0088 Frontier Restoration ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0284 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 19,500.00 FEES.- -- Permit Fee 362.80 Total Valuation .00 7� a�jjy Use Tax 351.00 ** TOTAL ** 713.80 - -- 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. 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 r approved in conjunction with this permit. I further attest that I am legally authorized to include all entit' na withi this document as parties to the work to be performed and that all work to be performed is disclosed in th' an r its' accompanying approved plans and specifications. gn re OWNER o CCn TRACTO (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 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. S. 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 ro ai f any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to ection. Sign re of Chief Building 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. i Cit of 7 heat 1 Date: ' ,mmuNITY DEVELOPMENT Plan # Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Permit l Dth Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Property Address: �m , sw' / Property Owner (please print) t/pw/tt/{'*,p e/ Z.4440 Phonela &— Z Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractors -V z fl. License #: Phone: * O - i Z � Electrical: Plumbing: Mechanical: City License # City License # City License # bescriptiott'of W'Orka llp /eta 2oc'r Contract Value: G[ e 49 `X - Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq 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 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... CIRCLE ONE: (OWNER) (CONTRACTOR) o UTHORIZED REPRESS (OWNER) (CONTRACTOR) PRINT PRINT NAME: % 4C/ SIGNATURE: DAT / Bldg Valuation: