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City License # City License #
Complete all information can BOTH sides of this form
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Project Value: (Contact value or the cost of all materials and labor included in the ntire project)
4 4' City of Wheat Ridge
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Residential Roofing PERMIT - 111416
PERMIT NO: 111416 ISSUED: 11/18/2011
JOB ADDRESS: 4752 ESTES ST EXPIRES: 11/17/2012
DESCRIPTION: Reroof 20 sqs with 30 yr laminate shingles.
* ** CONTACTS * **
owner Garrett Giann
sub 303/451 -1970 Mark Brady 02 -2048 MB Roofing, Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0215 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,140.00
FEES }
Permit Fee 140.90,
Total Valuation .00� -
Use Tax 92.52
** TOTAL ** 233.42u
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 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
ti's 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 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.
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.
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.
WHEgT COMMUNITY DEVELOPMENT DEPARTMENT
j of y BUILDING INSPECTION LINE .303-234-5933
° CITY OF WHEAT RIDGE
m 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303 - 235 -2855)
OOGORA00 APPLICA.
Property Owner: Garrett Giann
Property Address: 4752 Estes Street
Contractor License No.: 22048
Company: MB Roofing, Inc.
Building Permit Number:
Date:
IWIAN ,
Phone:
Phone: 303- 451 -1970
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I Buildina Dept. Valua F $ J. ":-
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
_ Value:$ 4,066.00
shown, and allegations made are accurate: that I have read and agree to abide by all
Permit Fee:$
conditions printed on this application and that I assume full responsibility for
compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat
Plan Review Fee:$
Ridge Ordinances, for work under this permit. Plans subject to field inspection.
UAe — TAXI
(OWNER)(CONTR CTOR): SIGNED DATE 11
total:$
(OWNER)(CONTRACrOR)[PRWED Mark Brady DATE 11/17/
Use of Space (description): Re -roof 20 squares
Description of work:
Remove existing shingles and re -roof with 30 year
asphalt laminated shingles
Sq. Ft. added
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one
(1) year. if changes have been of if suspension or abandonment exceeds one(1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written
approval on inspection card before proceeding with successive phases of thejob.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan .
review is subject to field inspections.
Chief Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company: