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Home My WebLink About3625 Moore Streeti 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: 3U ),s ,nr-rL:C_ Permit Number: , r) ❑ No one available for inspection: Timef }}`€ L = % AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date:— > �' ` Inspector: 1. ~ DO NOT REMOVE THIS NOTICE e, i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ® (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: �� re--,uu,, c_ Permit Number: Z_ C.1 `)` ❑ No one available for inspection: Time AM/PM Re -Inspection required: iYds No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' 1 q Inspector: `J-' DO NOT REMOVE THIS NOTICE 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: Yr 4 (0 f 6(� ) J Job Address: U 2 $ Vy`)r� u Permit Number: u r c ❑ No one available for inspection: Time ' ', AM/PM Re -Inspection required: Yes No,., When corrections have been made, call for re -inspection at 303-234-5933 Date: inspector: 19 DO NOT REMOVE THIS NOTICE ®1 r s_ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'n-\ ` n y bG V- Job Address: _1k_P `r rg� Permit Number: D U k `i C) r L C i ❑ No one available for inspection: Time A110 AM/ Re -Inspection required: /Ve p No When corrections have been made, call for re -inspection at 303-234-5933 Date:' t Inspector DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201802908 PERMIT NO: 201802908 ISSUED: 11/01/2018 JOB ADDRESS: 3625 Moore St EXPIRES: 11/01/2019 JOB DESCRIPTION: Reroof house only with Malarkey Vista asphalt shingle, 5/12 pitch, 24 squares *** CONTACTS *** OWNER (918)720-7222 MALMIN JAY D & SUSAN SUB (303)794-4919 Jed Sybrowsky 130259 Dynamic Roofing & Constr. LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,425.00 FEES Total Valuation 0.00 Use Tax 134.93 Permit Fee 156.75 ** TOTAL ** 291.68 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201802908 PERMIT NO: 201802908 ISSUED: 11/01/2018 JOB ADDRESS: 3625 Moore St EXPIRES: 11/01/2019 JOB DESCRIPTION: Reroof house only with Malarkey Vista asphalt shingle, 5/12 pitch, 24 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 It ermrt. I further attest that I am le lly authorized to include alI entities named within this docum nt as parties to the work to be performed an ata work to p r me is �s losed in this document and/or its' a co pa yi proved plans and specifications. Signature of OVf*TER or CONTRACTOR (Circle one) Date f 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 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 ordinancie or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Cf i`ffMiT ONEQ 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: Thursday, November 1, 2018 10:06 AM To: CommDev Permits Subject: Categories: Online Form Submittal: Residential Roofing Permit Application Kim 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) 3625 Moore Street Susan Malmin 918-720-7222 -1 )_qp, ot Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract susanmalmin@yahoo.com Yes Susan Malmin Contract.pdf 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) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Dynamic Roofing & Construction LLC 130259 303-794-4919 2305 E Arapahoe Rd #220, Centennial, CO 80122 info@dynamiccolorado.com info@dynamiccolorado.com TOTAL SQUARES of 25 the entire scope of wo Project Value (contract g value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No Pitched roof (2:12 pitch or greater) z both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: 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) 5:12 24 Malarkey Vista Shingle Asphalt house only 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 3 owner of the property to submit this application 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 Alyssa Erdmann Permit Email not displaying correctly? View it in your browser. 4 4 City of Wheat Ridge Residential Mechanic PERMIT - 201708501 PERMIT NO: 201708501 ISSUED: 10%23/2017 JOB ADDRESS: 3625 Moore ST EXPIRES: 10/23/2019 JOB DESCRIPTION: Residential mechanical for replacement of existing boiler w/ 1iKa model -Slant Fin Century 105 BTUs. *** CONTACTS *** OWNER (918)720-7222 MALMIN JAY D/SUSAN SUB (303)233-7007 Torrey Cosgrove 017885 Lakewood Plumbing L..' *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: '.JA i sr SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: ?,055.00 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 148.16 ** TOTAL ** 188.16 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable', -�: r,...., adopted by the City of Wheat Ridge. Work is subject to field inspections.w,_rK with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required t_ be in every sleeping room, in hallways outside of sleeping rooms, and on every structure. I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and speci hcations. 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 thispermit and perform the work described and approved in conjunction "ith 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 pertc ed and that all work to be o %ai disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOV (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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew 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 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 ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. .'""""9( <6 aA�q Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat 40ge 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: permits(a)-ci.wheatridge.co.us FOR OFFICE SE ONLY Date: Plan/Permit _ // l l o s0/ Plan Review Fee: 12 ry •' Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: S Property Owner Emai Mailing Address: (if different than property address) Address: City, State, Zip: Arch itectlEnaineer: Architect/Engineer E-mail: Phone: Contractors City License #: 11 "d Phone:�G�j Contractor E-mail Address: 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 91 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 ❑ 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.) 0',F [a, U,/ -n R1, LA kl W k-1 Sq. Ft./LF Btu's f J 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZE PRESENTATIVE) of (OWNER) CONTRACTOR,! Electronic Signature (first and last name): DATE:C ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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: : 17 �f i (v, ,1 ('c),a <.r c) Job Address: 2,,5- nA Permit Number: 2oi o 10 �1 PG' 0 No one available for inspection: Time AM7M� Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: ) 1- 9 - i 1�1 Inspector: �g' DO NOT REMOVE THIS NOTICE IN4PiCTION RECORD OccupancyTm� INSPECTION REQUEST LINE: (303)2345933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector iials Comments Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing/Stemwall P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Celow / In -slab) Heating (Below / fn -slab) Do Not Cover Underground or Below/In-Slab Work Prior To Appoyal VT I ne faoove ins ec.� Rough Inspections Date Inspector Initials Comments Wail Sheathing Roof Sheathing Lath /Wall Tie_— _ Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above, Rough Framing Insulation Drywall Screw / Nail Final InspectionsI Date I Inspector I Initials Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame ot" t 1 /(--5-1 t o1 4heai Ridge 1361'/2016 @7:24 keolace 3 wircows an CDD013610 bf-SP 3625 Moore ST APPL/PERI4IT NU: 20t;01266 PAY101 RECENED hS / 6103 WTH CODE: 035559 7'rlTA- Landscaping & Parking / Planning Dept. Inspections from these entities should be requeste one week in advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project. "Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate Df Occupancy is issued. Approval of the Final Building inspection does not constltute authorization of occupancy. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather " i CITY OF WHEAT RIDGE ��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax 3�'4 INSPECTION NOTICE Inspection Type: F, W • a Job Address: 3 (' of V eL Permit Number: O) (.0 d / a �� L< o,.)ca C.11QA nlw ) f cyu� g � -�. R- Y,N�, (_ e, -A L -,Y,3 5) e W tKAo,0 - Lo Q ❑ No one available for inspection: Time 6 (A)/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 K___ ' --T Date:) //6 Inspect l DO NOT REMOVE THIS NOTICE City of d tp W'i6a ':��MUWTY DEVELOPN WNTj--g�e Plan1permit# Building Permit Application 3625 Moore St usan Malmin 918-720-7222 Ij 1 11 INI 11 1 11 Ili III I Address:3625 Moore St City, State, Zip:— Wheat Ridge, CO 80033 044fikt& Champion Windows 20146 kparkman@getchampion.com uses= Electrical: I &L UIX Licetsa!w Clity License # Plumbing: di6a'"6'ffid 21"011"Mi "11 Mechanicat Licetseq- NEW COMMERCIAL STRUCTURE ELECTRICAL NEW RESIDENTIAL ROOFINGCOMMERCIAL RESIDENTIALCOMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ACCESSORY ..MM STRUCTURE (Garage, MECHANICAL SYSTEM/APPLIANCE r1•A .. w • REPLACEMENT PLUMBING F « R SYSTEM/APPLIANCE #1 NY A • ..111 x NI # or Xk#.; ♦ i CMENT ELECTRICAL SYSTEM/APPLIANCE i1!A. ♦. M i REPLACEMENT Y R # � � W * � � # '.1R � � ! � ✓ i � * � :Yf.. ,w w #. 11.,..1' � � � w w. � •. #FULF Gallons Amps Squares '"F 26.00 accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance # N N 3150002758 Aw 4� 7 HOUSE DtAG M 7(3 tit 'Al rw x s xr fi I Aw 4� 7 HOUSE DtAG M 7(3 tit 'Al rw x s xr Aw 4� 7 HOUSE DtAG M 7(3 ,qmiN * HOUSIE DIAGRAM ME RM x ORDE x VI RM x ORDE x CHAM>;' ra r Series Vinyl Frame Double • Argon x WIE PatioDoor U-Factor.SOlar o iHeat Ilpl IIII RI h NSI n Coefficient offc 0.300.22 Visible • 'III Transmittance 1i ILII iMpIIIIII�I��1� III I�M�IIIIpIIII II IIIIpR IfC�MI IUB, IIn Resistance ;istB ffil IIIIIIpI llgl 0151 56 w OWN ` 1 City of Wheat Ridge Residential Roofing PERMIT - 120410 PERMIT NO: 120410 ISSUED: 04/11/2012 JOB ADDRESS: 3625 MOORE ST EXPIRES: 04/11/2013 DESCRIPTION: Tearoff shingle to deck, install Owens Corning (25 sqs) * ** CONTACTS * ** owner 303/271 -9244 Mildred Tucker gc 303/734 -1867 Mark A. Silva 09 -0033 Advanced Roofing Systems, Inc ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0638 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,430.00 FEES Permit Fee 172.60 Total Valuation .00 Use Tax 133.74 ** TOTAL ** 306.34 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 this cu nt ing approved plans and specifications. r it accompany `, 0t-1 -((- lZ Signature of OWNER or CONT (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 c de or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildi Off al Date INSPECTION REQUES LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heatRidgc COMMUNITY D EVELOPMENT Building & Inspection Services Division 7500 W. 29`' Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 ` Fax: 303 - 237 -8929 Inspection Request Line: 303 - 234 -5933 Building Permit Application (Complete all highlighted areas) Property Address: 3 (0 2.S IMoo, e S W�, e4A f'U Date: C)4 - L1 - IZ Plan # Permit # I� c) iiim eCo c 60033 Property Owner (please print): MA As eS vc,� @v Phone: 3 03 Z - Ct Zti y Mailing Address: (if different than property address) Address: �j e City, State, Zip: Contractor ko c*-�c R-S Il t�O� �..�q S •� Sews 7K L Contractors City License #: (D 9 Ob 33 Phone: 5i (J7 Sub Contractors: Electrical: Plumbing: Mechanical. City License # City License # City License # Description of work: (Fully describe work to be performed - Attach additional sheet if necessary) to A «�- Contract Value of all work: l<S $_ 7`-130 00 Review Fee (due at time of submittal): Squares ? BTU's Gallons Amps Sq Ft _ $ OWNER/CONTRACTOR SIGNATt RE: 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 awenants. casements or restrictions of record; that all measurements shown and allegations made are accurate; that I have rind 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 w ork under any pemtit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perforni 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 OAE. (OWNER) OA7R.9CT �r (.4L'THOR /ZED REPRESE:YTAT /t E) of (0111 ER) (COA'TRACTOR) PRINT NAME: me--k `V Q SIGNATURE: DA 04 - l ZONING COMMENTS Zoning: Reviewer BUILDING DEPARTMENT COMMENTS Reviewer. PUBLIC WORKS COMMENTS: Reviewer DEPARTMENT USE ONLY OCCUPANCY FIRE DEPARTMENT:: C approved w/ comments C disapproved ` no review required I Bldg Valuation: $