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Home My WebLink About3170 Gray StreetINSPECTION 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 insp ctionfore MIDNIGHT (11:59 PM) to recei a an inspection the following business b PERMIT: , ADDRESS: C , JOB CODE: % 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 Dlf imhinu Underground Fxt. 206 Water Underground�� '3 _ d . /g _Ft 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 '3 _ d . /g _Ft 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.�'KUUI�L ADDRESS: J�Z JOB CODE: K2F 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 I 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 .401 Final Plumhing Residential I 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. 0 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: y 0 - r`;/7 0, / Job Address: 3/70 (21-O S1, Permit Number: 2VIO00� Z 0 ❑ No one available for inspection: Time iW/7 AWPM Re -Inspection required: Yes (09 When corrections have been made, call for re -inspection at 303-234-5933 Date: +I / Z / i`, Inspector: �s . LavF7�- 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: qDa_ P;r41 P06—C Job Address: 3170 tPI Permit Number: ?0100093 r/ r7f /?oo-� Yif � h�� /0 vto i J ra (J 1 �4j t'l / � I 1 h:7,-` d (-)/?/iF�?f-1'�n Yr07 /- {"4e (i 4 l(KJ `` � C �O�{�?-'fin C�G-f,' fly t��l✓'b �-� is`^t,� at�;f -f �l/.S� '✓,'l -'!Or'l h9LI64 %f—a _POSki;;V iS leS4,'1714 017 if e Ira fs-.mcl Ct( ❑ No one available for inspection: Time 17,00 A P Re -Inspection required:Y� No When corrections have been made, call for re -inspection at 303-234-5933 Date: q /3/f0 Inspector: Noe, Love 77 DO NOT REMOVE THIS NOTICE I � A i CITY OF WHEAT RIDGE _:�9rBuilding Inspection *Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ') b - 1I I " N Job Address: 3 )70 � r,t y S'f Permit Number: -D c I'S 0 0 g 3 a J ! � d - (JP -0 VCO J � r1 ❑ No one available for inspection: Time AMkw Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 bo be Inspector: T L) DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201800832 PERMIT NO: 201800832 ISSUED: 03/26/2018 JOB ADDRESS: 3170 Gray ST EXPIRES: 03/26/2019 JOB DESCRIPTION: Residential reroof permit remove and install 30 yr laminated asphalt shingles with 17 squares. Pitch=5/12. *** CONTACTS *** OWNER (720)371-9411 SANDOVAL ANGELIQUE ESTELLE SUB (720)922-3058 Gregory & Virginia Hanebuth 130203 Deluxe Roofing & Exteriors LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,100.00 FEES Total Valuation 0.00 Use Tax 107.10 Permit Fee 140.90 ** TOTAL ** 248.00 *** 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 -201800832 PERMIT NO: 201800832 ISSUED: 03/26/2018 JOB ADDRESS: 3170 Gray ST EXPIRES: 03/26/2019 JOB DESCRIPTION: Residential reroof permit remove and install 30 yr laminated asphalt shingles with 17 squares. Pitch=5/12. i, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable uildin codes, an all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal own of the pro rty and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I fu er attest th t I am legally authorized to include all entities named within this document as partes to the work to be performed and�l tall work o b�+pe�formed is disclosed in this document and/or its' accompanying approved plans and specifications. N Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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. ;. 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 appli�e code or anytriinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chi4f Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Laaenia Reimer From: no-reply@ci.wheatridge.co.us Sent: Monday, March 26, 2018 2:3S PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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. 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 3170 Gray St Property Owner Name Angela Sandoval Property Owner Phone 720-371-9411 Number (enter WITH dashes, eg 303-123-4567) 1 Property Owner Email Field not completed. Address 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 IMG 5090.JPG 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) Deluxe Roofing & Exteriors LLC 130203 720-922-3094 8156 S wadsworth Blvd #E185 Contractor Email Address deluxeroof@gmail.com Retype Contractor Email deluxeroof@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 1 the entire scope of work: Project Value (contract 5100 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or bNo Pitched roof (2:12 pitch or greater) 2 both? (check all that apply) What is the specific pitch 5:12 of the PITCHED roof? How many squares are 1� part of the PITCHED roof? Describe the roofing 30yr laminated OC Duration materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof. Provide any additional Remove 3 layers of shingles and replace with 1 layer 30yr / detail here on the asphalt laminate shingles 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 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. Name of Applicant Greg Hanebuth Email not displaying correctly? View it in your browser. Signature(s) Date e. AUTHORIZATIONS & INSURANCE ADDENDUM: I/We, the Property Owner(s), have given permission for Deluxe Roofing & Exteriors, LLC, (DRE) to inspect the above de- scribed property and have reason to conclude the property has sustained damage. DRE agrees to the removal, installation and completion of he project(s) named above, in exchange for either A) B) fro the Property Owner(s): A) the contracted amount of $ +`f" , with advance payment of 50% down me materials are ordered, and 50% upon project completion;or B e authorize DRE to document the damage; and obtain an Agreed Price" to be approved by my insurance carrier an The "Agreed Price" will be the amount paid to DRE to complete the project(s). INVE hereby grant to DRE the right to complete the project(s) described above, acknowledging this contract is con- tingent upon DRE obtaining an approved "Agreed Price." Additionally, this contract is valid only if full replacement cost insurance (less deductible) applies. Thus, my out of pocket expense will not exceed my deductible, unless, Itwe choose upgrades or addi- tional work to be performed that is not approved by my insurance carrier. INVe hereby assign the amounts due from my insurer(s) and mortgage holder(s) to DRE for work to be performed. In any event, final payment is due at time of completion of each project. INVE, the Property Owner(s), of the premises described above hereby give authorization for DRE to furnish all permits, labor, materials, equipment, apparatus, tools, transportation and services necessary for, and incidental to, the installation and completion of the project(s) described above. INVe agree to the terms and conditions of this Agreement, including all terms and conditions on the reverse side. This contract contains all representations, warranties, and agreements of the parties. Any changes or additions to this contract must be in writ- ing and signed by both parties. DRE management reserves the right to reject a contract for any reason. / CLAIM # (if known//) NAME OF INSURANCE OMPANY� 1 RO ERTY OWNER (SIG L TURE) DATE Delux oofing, ExIRriors, LLC, Representative (PRINT) rs PROPERTY OWNER (SIGNATURE) DATE Deluxe Rocifing Exteriors, LLC, Rep. (SIGNATURE) DELUXE ROOFING Residential Contract No. & EXTERIORS, LLC 001907 8156 S. Wadsworth Blvd, Ste185 Littleton, CO 80128 * P:720-922-3058 & 303-656-3094 * DeluxeRoof@gmail.com Pro erty Owner's Name(s): 'C41, Owner's Contact Phone. e_.. --A 1-9L411 Owner's Oroject Street Address: City, State Zip �- 71,,-i 1"70 C rct I JA -' Owner's Email:' Date: PROJECTa. DESCRIPTION: REMOVAL OF EXISTING SHINGLES: p2- VENTILATION: (Paint to match) tear off s,A. 11 layers RWRidge vent LF; DECKING: (remove & replace if damaged) p�Low Profile each; $ - i "i- per sheet of 7/7 6 �' g Exhaust (size) [� FELT: ❑ 15#; ❑ 30#; othe c,r�,��.1� `FLASHING: o auto caulk each; IJ METAL EDGING: (aka Drip Edge) ❑ chimney(s) each; r/ 1'/z" x 1%": Color L�`Lff �c ❑ skylights) each ❑ Other: Color UTTER DOWNSPOUTS: clean or ply ac , SHINGLES: (Manufacturer/Color) LF; Color'W ( _ t;U (15 ilyy\t'-c .1 Lo V c c� p DETACHED STRUCTURES: (Roofing) ❑ 3 -Tab; iyArchitectural; o Other: ❑ same as dwelling; ❑ other Y_30 -yr; ❑ 40 -yr; ❑ 50 -yr; ❑ LimitedLifetime OTHER ITEMS:_ RIDGE: matching/other t' PJ ,,,_ ll..' ti 11 r. ?w-!! o j VALLEYS: ❑ W -Form Metal: Color ❑ 20" Metal; Arlosed Valley: (Mod. Bit) ❑ CLEAN GROUNDS & HAUL OFF DEBRIS INSTRUCTIONS:b. SPECIAL c. •- :•- WARRANTY: d. NOTICE OF • 5 year (Deluxe Roofing &Exteriors, LLC) Property Owner(s), may cancel this agreement. Mail a copy of this signed notice, postmarked prior to midnight of the third El Other business day after the date above. If contract is canceled after the third day, liquidated damages due DRE will be 10% of the contract price. INVe hereby cancel this agreement. Signature(s) Date e. AUTHORIZATIONS & INSURANCE ADDENDUM: I/We, the Property Owner(s), have given permission for Deluxe Roofing & Exteriors, LLC, (DRE) to inspect the above de- scribed property and have reason to conclude the property has sustained damage. DRE agrees to the removal, installation and completion of he project(s) named above, in exchange for either A) B) fro the Property Owner(s): A) the contracted amount of $ +`f" , with advance payment of 50% down me materials are ordered, and 50% upon project completion;or B e authorize DRE to document the damage; and obtain an Agreed Price" to be approved by my insurance carrier an The "Agreed Price" will be the amount paid to DRE to complete the project(s). INVE hereby grant to DRE the right to complete the project(s) described above, acknowledging this contract is con- tingent upon DRE obtaining an approved "Agreed Price." Additionally, this contract is valid only if full replacement cost insurance (less deductible) applies. Thus, my out of pocket expense will not exceed my deductible, unless, Itwe choose upgrades or addi- tional work to be performed that is not approved by my insurance carrier. INVe hereby assign the amounts due from my insurer(s) and mortgage holder(s) to DRE for work to be performed. In any event, final payment is due at time of completion of each project. INVE, the Property Owner(s), of the premises described above hereby give authorization for DRE to furnish all permits, labor, materials, equipment, apparatus, tools, transportation and services necessary for, and incidental to, the installation and completion of the project(s) described above. INVe agree to the terms and conditions of this Agreement, including all terms and conditions on the reverse side. This contract contains all representations, warranties, and agreements of the parties. Any changes or additions to this contract must be in writ- ing and signed by both parties. DRE management reserves the right to reject a contract for any reason. / CLAIM # (if known//) NAME OF INSURANCE OMPANY� 1 RO ERTY OWNER (SIG L TURE) DATE Delux oofing, ExIRriors, LLC, Representative (PRINT) rs PROPERTY OWNER (SIGNATURE) DATE Deluxe Rocifing Exteriors, LLC, Rep. (SIGNATURE) City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: February 15, 2017 Reason: Contractor pulled duplicate permits for 3170 Gray Street, permit #201703856 is closed out. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 100.04 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100% use tax: $ 97.15 (acct 01-500-02-505) Total: $ 197.19 TO: Deluxe Roofing & Exteriors LLC 8156 S. Wadsworth Boulevard #E185 Littleton CO 80128 Thank You! " CM4 Permit Technician 4 $ City of `'Co�Theat�dge MMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. /'1V)r0�5JlS,' os iro,y 117 U9` 0/ 7 1 1 ��_ Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033. /J Company Name/Name (to whom check should be made out to): � Ppo ar," f� [-A r , LL e— Address: U t S & _S, wo.�4 S W b t, ( jej &5 City: Lr /14 /' , Phone:30S - 6 5 6 -3 0 Q gFax: Permit #: 2d 1-70 _> S- S State: CC) Zip: 0 (2— 8 Email: C �G< i- Cha (Gt �' / , C� k -i Permit Address: �j C % d �� y 4 4A el 70 7 - Reason for request: /k/0 c0 Orf ag /4-e i m[.e- rytahC� i Printed Name: re &�AR 104K Signature: Date: For office use only This request has been: oved Denied Refund Amount: $ Iq Approved by: Date:- www.d.wheatridge.co.us City of Wheat Ridge Residential Roofing PERMIT - 201703856 PERMIT NO: 201703856 ISSUED: 07/13/2017 JOB ADDRESS: 3170 Gray ST EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Tru Def asphalt shingles with 18 sq. *** CONTACTS *** OWNER (720)371-9411 SANDOVAL ANGELIQUE ESTELLE SUB (720)922-3058 Gregory & Virginia Hanebuth 130203 Deluxe Roofing & Exteriors LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,626.00 FEES Total Valuation 0.00 Use Tax 97.15 Permit Fee 125.05 _ ** TOTAL ** 222.20 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703856 PERMIT NO: 201703856 ISSUED: 07/13/2017 JOB ADDRESS: 3170 Gray ST EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Tru Def asphalt shingles with 18 sq. I, by m signature, do hereby attest that the work to be performed shall comply withal I accompany in approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 am tt e 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 `ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. i -` -7( -7! Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 an 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Appr val 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 ;-CJI 6 a� From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 4, 2017 6:04 PM To: Permits CommDev Subject: 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. 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 3170 Gray St., Wheat Ridge, CO 80214 Property Owner Name Angelique Sandoval Property Owner Phone 720-371-9411 Number Property Owner Email Field not completed. Address 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 Deluxe Roofing & Exteriors, LLC Contractor's License 130203 Number (for the City of Wheat Ridge) Contractor Phone 720-922-3058 Number Contractor Email Address DeluxeRoof@gmaii.com Retype Contractor Email DeluxeRoof@gmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing OC TruDef Duration asphalt shingles, and all new accessory Material materials Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 18 material selected above? Does any portion of the No V/ property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 18 V/ roofing material for this project Provide additional detail house and attached garage, 4:12 pitch, 1 story here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract wog -ea- c�(o 24(SZ) 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 Deluxe Roofing & Exteriors, LLC Email not displaying correctly? View it in your browser. 3 CLAIM #: AUTHORIZATION FOR REPAIRS AND DIRECTION OF PAYMENT 5002985395-1-1 Date of Loss: 5/8/17 INSURED:Angelique Sandoval ADDRESS: 3170 Gray St., Wheat Ridge, CO 80214-8128 Farmers Insurance Group has made available direct repair services provided by contractors that are members of the CCA Global Partners, Inc. cooperative organization. CCA members are represented in the networks of Lionsbridge Contractor Group (LCG), Carpet One Floor & Home and Flooring America. For the above noted insurance claim, I/we have agreed to hire (contractor name): Deluxe Roofing & Exteriors, LLC (print contractor name) I understand the use of the repair program and the program contractor is voluntary as 1 may choose any independent contractor, that using a program contractor for my repairs may provide special labor warranties, and that the program contractor may coordinate other repair vendors including flooring, textile or furniture repair vendors to complete my repair process. I/We: • authorize the program contractor to perform covered repairs to be detailed on an estimate which must be approved by Farmers. • understand Farmers will pay for approved repairs subject to any applicable insurance deductible and my policy's terms and conditions. • will timely sign a Certificate of Satisfaction when repairs are satisfactorily completed so that payment can be made directly to the program contractor for covered repairs. • understand that the deductible, if not already satisfied, is my/our responsibility, as are the cost of any upgrades and additional services not covered under my policy, and that the applicable deductible may not yet be calculated by Farmers. Date. Oil tnsured: ` Date: Insured: Deductible Amount Applicable for direct repairs: $1,500.00 + $3,864.51 (if available) To be completed by program contractor - coordinated repairs under this claim may include: Structural Rcpairs F-] Flooring El Textiles/Clothing Roofing Other a Repair Start Date: / / Time: am pm Estimated Completion Date: I The CCA 0 famiAl of companies iL clu n�u`� I O N S B R I D G E CCA Global Partners' �� .hr� «11w4 �� «� ��,.�P�;; � CONTRACTOR �` f CARPET ONE` FLOOR S NOME Flood 4 Cit} of d WMUNrn DEVELOPMENT _�ge co 7 Bullcling & Mspectiof Service s Dlvisior7 7500 W, 29"' Ave,, Wheat Ridge, CO 80033 Off ice= 303-235-"855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Date: 4� Plan V pertnit Building Permit Application Property Address P ropert y Owner (please print). ? _6 �C_ Phone. �_37�/-W�// ,,,P (- Mailing Address (if different then property address) Address* 1 5 176) City, State, Zip: F62 City License # City License # City License # J';. L�_ F4_ /4 UL; I V(/V'f—1 VV11— S VPC-IUiV65' 4 -A /V ,A)b C'14 Review Fee (due at time of submittat): SqUares BTU's Gallons __ Amps Sq Ft, $_____ IIIIINTNANNIE SIGNATURE: DA k n r English Oak DO Bark Oak CH Cherry IA COLOR CODE LEGEND W Wh�te "# Tan AC38 Adobe BR Brick Red BRZ Rronae EG Emeratd Green C Cottage Gray CB Cotaneai ORDER CODE LEGEND: OH Double Hung P-0 2 -Pane( Ode HP Hopper R i-6 de CS t wt rcght Ven DH-0 L7ouble Hung Oriel 3P 3- Parcel P -F Piz Window Frame E L i - LtteCs€»t ! Sett Vent E2L 2P 2 - Panel 3P•E 3 - Panet E uat t dte AW Anin 2-L Csmt WINDOW SCREENS LOC INSIDE MSRMT OUTSIDE MSRMT STYLE CLR ORDER SIZE FULL W X H W X H W Y/N 1 x x x x x 3 t x _ x x 4 x x 3� 5 x x xe , & ! x x x 8 x x }; x x t x � 10 x x ' , x 11 x x x 12 x x x 13 x x t x j 14 x x x 1 x x x r English Oak DO Bark Oak CH Cherry •" IA i iP l 4 • w } •" A00 (303) 376 rR CH -0 Double Hung Or est 13P 3 -Pane! PW -F Plx Window Frame Only J1CL-L 1 -Lite CSmt wt left Vent 4LC 4 Casement 2PE 2 Panel Egress 2P -Panel 3P -E 3 -panel uaP Lite AW Awnin 2LC 2 -Lite Csmt 5LC 5-Lite C SHE Sn I ti n F rESs WINDOW SCREENS G S LOC INSIDE MS T OUTSIDE MSRMT STYLE LR ORDER SIZE FULL GRIDS OBS TP W H W X H W X H YIN STYLE LOC LOC LOC COMMENTS 1 x x , I x 2 x x z - zz__ 5 x x I xx & x x 7 x x x 4 +J " 8 x x x 8 x x x °I x x x x x 4i .x 12 x x / / x 13 x x }w x ' +6 j 14 x x x ___�... ...W. Property Owner: ! Property Address: 3170 GRAY ~T Contractor License No. : 18057 r , , Company: Modelco EI c ric, Inc. OWNER/CONTRACTOR SIGNATURE OF UNDER ANDING AND AGREEMENT I hereby certify that the setback distances proposed by thi ermit application are accurate, and do not violate applicable ordinances, rules or regulati n of the City of Wheat Ridge or covenants, easements or restrictions of record; that all m urements shown, and allegations made are accurate; that I have read and agree to a 'de b onditions printed on this application, and that I assume full responsibili .f comp!" ith the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe j e or . , for work under this permit. DATEP-?JrCj (OWNER)(CONTRACTOR) SIGNED DEPARTMENT OF PLANNING A D DEVELOPMENT Building Permit Number: 11930 aUILDING INSPECTION UN - 303-234-5933 CITY OF WHEAT IDGE Date: 3/23/2001 7500 WEST 29TH A ENUE WHEAT RIDGE, CO 80215 - 03-235-2855) Phone: 303-202-6645 Phone: 451 6236 Construction Value: Permit Fee: Plan Review Fee: Use Tax: $1,000.00 $38.75 $0.00 $15.00 $53.75 Total: Use: Description: , 100 AMP S'ERVICE ONLY I BUlL NG DEPARTMENT USE ONLY SIC: Sq. Ft.: ~ Approval: 111 iT ......., -.--_ Approval: Occupancy: Roof: Residential Units: Stories: Walls: Electrical License No : Company: Plumb Comp g License No : Mechanicai License No : Company: y: i Expira i?n Date: Appro ~I : Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provision t forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorad r any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not menced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 da)'s. If this permit expires, a new permit may be acquired for f e 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 b ndonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pe it. No work. of any manner shall be done that will change th ;atural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four ) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. The issuan~ emmit or th pproval of draw. ings an pecifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the build... 0 s r ordinance, law, rule or r gulation. ~ U Chief Building Inspe6for i I I I ! (4) (5) (6) DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) J14/~~~C~~:tr "1/70 &1f14y 5J; lq-051/J Company ( ~w.--e4 c/er2-. Property Owner: Property Address: Contractor License No. : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pe it application are accurate, and do not violate applicable ordinances, rules or regulation . f the City of Wheat Ridge or covenants, easements or restrictions of record; tha all m .sllrements shown, and allegations made are accurate; that I have read and agree t ide I conditions printed on this application, and that I assume full responsibilit r co with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe nces, for work under this permit. DATE ~2-.Jo, (OWNER)(CONTRACTOR) SIGNED Description: / {J t:l ~5,uu(~ Building Permit Number: Date: 11899 3/19/2001 Phone?O;; -207--t6 /; s Mr. Phone: }C!] t,L5/- {;2}i Construction Value: /t:fl?1 / Permit Fee: Use Tax: Total: Use: ~ BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: . llil~H>>~~li:IIm~ i:_ Approval: Zoning: : (ij[tf!-:'~ Approval: ~'[f,,~'j~(~iJ.i..\lW 'j: Approval: Occupancy: Walls: Roof: Stories. Residential Units: Electrical License No : Company: Plumbing License No : Company: Expiration Date: Approval: Expiration Date: Approval: Mechanical License No : Company: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of VVheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within Sixty (50) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. 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 are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit.. . No work of any manner shall be done that will change the natural flow of water causmg a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the Job. , _ , . The Issuance of a perm't 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 ordjnan~, law, rufe or regulation. (4) (5) (6) Chief Building Inspector -.-----.---- ---------:i ., BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice CAd h(/ P411?'~ )? '-"1'''p! hVtJ<:;o 1//; /1. ,-,u-r- j 1 I i ~ i ~ , I j ,', /r,..se,J41;c1 I 1 , ., I Job Located at <: /70 ;,;",... c,;t / I have this day inspected this structure and these premises and have found the following violations of City anellor State laws gov- erning same: . '1 4 j You are hereby notified to correct the foregoing violations. J When corrections have been made, call for inspection. 1 I j j Date .. / U/:? I ;:7/ /h~'/' In.p;.ctor I aulldlng Dept. DO NOT REMOVE THIS TAG FORM WR6-22 _...."~"........._...~~....,~._~."--"'-'-.:~.....)"'-'-~.~>'........._".;_."'""""-_,_.~~,~.....!...o. ;-'-..;.......-._'..~"---'-~.~._._,__'" '- 1 j j j '1 .~ , j . 1 j 1 t - DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION UNE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215. (303-235-2855) Building Permit Number: Date: 11905 3/20/2001 Property Owner: ~1'fO Property Address: a'Hlt'J GRAY ST Contractor License No. : 20955 Company: Pen a's Heating & A1C Phone: Phone: 303-665-7471 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: 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 89ree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR)SIGNE~ . ~ DATE3-2o-CV Total: $3,507.00 $97.25 $0.00 $52.61 $149.85 Use: Description: BOILER CHANGE OUT BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : 20955 Company: Pena's Heating & A1C Expiration Date: 3/20/2002 Approval: OKlKS Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. 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 are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building tnsfector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases 0 the job. The issuance f 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 buil . g des or an ther ordinance, law, rule or regulation. (1) (2) (3) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION UNE - 303-234-5933 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~\ON Property Owner: Property Address: Contractor License No. : Company: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT '17.\ \:{O 0 ;J.-rl'V &f-e'l '57 Phone: Jo.....( l:"h:('>- Phone: I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rutes 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work: under this permit. Construction Value: 3.5'07 - Permit Fee: Use Tax: Total: (OWNER)(CONTRACTOR) SIGNED DATE Use: Description: Sl>~//'1t chAP,'&" 0<<-1 BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: Approval: Zoning: au,rmg- ---i:QftIBuUB1I Approval: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Buildin~ Code of Wheat Rid~e, Colorado or any other applicable ordinances of the City, This permit shall expire If (A) the work authonzed IS not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. 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 are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will Change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of thel'Ob. The issuance of a permit or the approval 0 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. (4) (5) (6) Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: 95-418 Date : 2/24/95 If::}:~] Property Owner: BRAZIL ANN LINDEMAN Property Address: 3170 GRAY ST Contractor License No. : Company: Phone: 233-3989 Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: $1,800.00 $41.00 $0.00 $45.00 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 8;!ree to abide by aU conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED c.vY>-< 07 ,ctJJJ DATE dk~)56 Description: REROOF Total: $86.00 BUILDING DEPARTMENT USE ONLY Approval: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: . Expiration Date: Approval: Expiration Date: Approval : . . This pennit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of VVheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire jf (A) the work authonzed is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or abandoned for a period of 120 days. 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 are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be ~one that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. 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 buHding J:Jer ~~ce, law, rule or regulation. Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (1) (2) (3) (4) (5) (6) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: a)c34/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: f\ n(\ ~LEO{lc\cl bee? \ \ Property Address: '3 \1 0 C, ''"'-1 ::=, t Contractor License No. : Company: Phone 23'3 - :J11:J9 Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: t 15 00 ' DO Permit Fee: Use Tax: 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit (OWNER)(CONTRACTOR) SIGNED (;n~- e~, " c'9 J DATE:3Ic")LI/95 Descnption: fI e \.I.) ~O Q~ Total: BUILDING DEPARTMENT USE ONLY Approval: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: II Expiration Date: Approval: Expiration Date: Approval: II~'':: . (1) (2) (3) This permit was issued in accordance with the provisions set forth in yopur application and is suoject to the laws of the State of Colorado and to the Zoning Regulations and Buildin9 Code of Wheat Ridge, Colorado or any other applicable ordmances of the City. This permit shall expire If (A) the work authorized is not commenced within sixty (60) days from ISSue date or (B) the building authorized is suspended or abandoned for a penod of 120 days. 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 onginal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causin~ a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of thel'Ob. The Issuance of a permit or the approval 0 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. (4) (5) (6) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION