HomeMy WebLinkAbout3630 Gray Street`�0�70 6 Q di
36 0 6r(Ay S4. INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
5� 12
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 Approval Of The Above Inspections
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
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.
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
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.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath /Wall Tie
Final Plumbing
Rough Electric
Final Mechanical
Rough Plumbing/Gas Line
Roof
Rough Mechanical
Final Building
Rough Framing
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 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 Plumbing
Final Mechanical
Roof
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
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: L/ e `j - �7- .',, n I
Job Address: �,, r-ez !:3
Permit Number: a o f-7 0& 9 9
P U
C_om�IJJ �_ ►� QS /7
❑ No one available for inspection: Time 10 5-5 -bpm
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 )/C Inspector:
DO NOT REMOVE THIS NOTICE
8
City of Wheat Ridge
A Residential Roofing PERMIT - 201706999
PERMIT NO: 201706999 ISSUED: 09/07/2017
JOB ADDRESS: 3630 Gray ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning duration asphalt shingles - 18
sq (16.2 sq pitched / 1.8 sq flat) 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 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 innjunction with
this permit. I further atles�that I am legally authorized to include all entities named within this document as parties to the work to be
per e , d ha `a `w o be performed is disclosed in this documen nd/or its' accom anying approved plans and specifications.
Si p' at re of R or CONTRACTOR (Circle one) Date
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, 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.
Signature of @P�iffici�l Date
REQUESTS MUST MADE BY 11:591M ANY BU NESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
► City of Wheat Ridge
.. r
Residential Roofing PERMIT - 201706999
PERMIT NO: 201706999 ISSUED: 09/07/2017
JOB ADDRESS: 3630 Gray ST EXPIRES: 09/07/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning duration asphalt shingles - 18
sq (16.2 sq pitched / 1.8 sq flat) Pitch = 5/12
*** CONTACTS ***
OWNER (720)413-6597 GIBBONS RESIDENTIAL TRUST
SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc.
*** 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 ***
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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
•
CONTRACTORS
ROOFING SYSTEMS
Agreement
"Doing it right matters"
Property Owner Effective Date
Cathy Ribbons/ Patty Gibbons 07/03/2017
Property Address
3630 Gray st
4501 Logan St,
Denver, CO 80216
303.997.1559
City/State Zip
Wheat ridge 80212
Primary Phone number Secondary Phone Number
720-413-6597
Email Address
rakublue@msn.com
Terms:
By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as
agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor
and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the
replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or
CORE in any way, unless the damage is approved by homeowner's insurance carrier.
Roofing Scope:
The roofing system replacement includes all shingles,
underlayment, valley linings, and miscellaneous flashing,
per local applicable municipal code. This also includes full
clean-up of the property and a 5 year Roof Workmanship
Warranty (on full roof replacement only). A one year
workmanship warranty is included on all non -roof work
Additional Roofing Scope Notes
Patricia is billing contact
patio covering and awnings (polycarbonate panels)
performed by CORE.
Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system.
8500
Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this
contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE.
Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with
that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you
authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the
primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You,
the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and
profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to
the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a
scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the
deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work,
must be requested in writing, by the property owner.
If, you, the property owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1
of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING
CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART
OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR
ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY.
PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON
DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK
IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION
FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE
ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE
OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY.
All estimates or contract amounts include a 3.5% discount for cash or check transactions.
Property Owner's Initials
Right to Cancel
You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours
after entering the agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the
roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your
claim has been denied in whole or in part.
Property Owner Date
Cathy and Patricia Gibbons 07/03/2017
Property Owner Signature Insurance Company
Liberty Mutual
Cr)n
CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that:
(a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR
PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID
FOR THE CONTRIBUTIONS.
1. All contracts are subject to approval of our credit department and office without exception. The person
executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this
contract to be effective under any conditions.
2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE
ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 ''/z) PERCENT PER
MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN
THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL
BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT.
3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or
other perils, as is normally contemplated to be covered by home owners risk insurance or business risk
insurance, or unless a specified written agreement is made therefore prior to commencement of the work.
4. Should legal action be necessary, because of any act that might arise during the course of this agreement,
CORE shall be entitled to all costs incurred in connection with such action, including a reasonable
attorney's fee.
5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be
tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of
Colorado.
6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or
other materials) not covered by insurance, discovered during construction and required by governing code or
necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and
materials basis unless STATED IN THIS CONTRACT.
7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes,
fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the
control of CORE Contractors, Ins. whether of a similar or dissimilar nature.
8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner,
the owner shall be financially responsible for all work performed based on the following milestones
(percentages are additive).
a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of
total bid.
b. Substantial agreement or scope confirmation with insurer — 5% of total bid.
c. Ordering and scheduling of work — 2% of total bid.
d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if
the owner terminates this agreement while physical work is ongoing, they shall be responsible for all
costs related to that line item, plus general contractor overhead and profit.
9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to
termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors,
subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work
that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid
..;: i9vrJ..r
by the owner within 30 days of invoice date.
10. If material has to be reordered or restocked because of a cancellation by the customer; customer will
have to pay the restocking fee assessed to CORE by the supplier.
11. If any provision of this contract should be held to be invalid or unenforceable, the availability and
enforce -ability of the remaining provisions of this contract shall not be affected thereby.
12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN
ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do
not survive the execution of this contract.
13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for
the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE
Contractors, Inc. herein.
14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible
for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof
and siding during the repair of the roof.
15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. if
pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems
on a time and material basis.
16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE
AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES.
By
nnn,= I r%waf+ Zo l7o 6 qtj
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 6, 2017 9:17 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
n
Follow Up Flag: Follow up Q
Flag Status: Completed..
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 SL
Property Address 3630 GRAY ST WHEAT RIDGE
Property Owner Name Cathy Gibbons
Property Owner Phone (720) 413-6597
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email docs@coredoes.com
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 Gibbons Contract.pdf
Contract
►7 7"I_� ew
Contractor Business
Core Contractors
Name
J�
Contractor's License
110052
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)
3032952220
4049 St Paul Street
Contractor Email Address docs@coredoes.com
Retype Contractor Email docs@coredoes.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 18
the entire scope of work:
Project Value (contract 5100
value or cost of ALL
materials and labor) "'
Are you re -decking the No
roof?
2
Does the scope of the Yes /
project include a flat roof
(less than 2:12 pitch)?
What is the pitch of the 1
flat roof?
How many squares are 1.8
part of the flat roof?
Describe the roofing Owens Corning Duration
material for the flat roof:
Type of material for the Other (specify below)
flat roof-
If
oof
If "Other" is selected Owens Corning Duration
above, describe here:
Does the scope of the Yes
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch? 5:12
How many squares are 16.2
part of the pitched roof?
Describe the roofing Owens Corning
materials for the pitched
roof:
Type of material for the Asphalt
pitched roof-
Provide
oofProvide any additional house and shed
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
3
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.
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 Karen Tobin
Email not displaying correctly? View it in your browser.
FOR OF141CF USE ONLY
C'ity of pate:
e m
Building & inspection Services Division .` C)
(40
7500 W. 29h Ave., Wheat Ride, CO 80033 Purr Review
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building lir it Application
**• Please complete all highlighted areas on both ai' of this form, Incomplete applications may not be Processed.**
Property Address:
Property n r (please prl Phone:
Property Owner Email:___ ' t ftp
----
Mailing Address: (if different than properly address)
Address:
City, State, Zip
- ginger;
Architee nglr r E-mail:
Contractors Clay License .__ � Phone-
Contractor E-mail Address: b� fµ . " -P Ap
Sub Contractors:
Electrical Plumbing: Mechanical:
WR City License # WR City License# W R. City License
Other City Licensed Sub: Other City Licensed Sub:
City License # City License
Complete all information on BOTH sides of this for
0 NEW COMMERCIAL STRUCTURE 0 ELECTRI AL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE r-1 COMMERCIAL ROOFING
COMMERCIAL ADDITION ESIDENTIAL ROOFING
RESDENTIAL ADDITION rwINDOW REPLACEMENT
COMMERCIAL xR
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE!a . REPLACEMENT
: • a
SYSTEM/APPLIANCE PLUMBING ..a
.x r s •....x
or
CMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT r a
OTHER (Describe)
U
Sq. UL __. _ _ _..w _ .me._..w. +' _.. Gallons
Amps __ . _ w_ _ Square _.�.:�._�� Other
D Elec.
o Other
Job Address:
oRe-inspection fee of $ must be paid prior to re-inspection.
o Blocked Access
o No one available for inspection: Time AM/PM
.When co tions have been made, call ,for re-Inspection at 303-234-5933
Date: qJD, 01 Inspector: )fZ;
DO NOT REMOVE THIS NOTICE
"____~_............;~-'~.."'_.....~__"'_..__....~".'~..,,c~__""""'_.._=~'_~__~~~~_~,~.~______+ '"_._~'-",",~..~~__'~"",_~..~'~ .
"\"
"" , '
CittJqf Wheat, Rldge
. ' ' ' , . ,
Resi"enUal Plumbing PEftMIT .;. 071006
PERMI'X' 'NO,
JOB.ADI>RIlSS:
OE$CR;l:PTf'ON:
, ,J,
071006
3630 GRAY ST
emergency .ewer line r~ir
ISsUED:
EXPIRES:
09/19/2007
03/J. 7 /2008
'I';
***'
cOilTAe'ts * * *
303/696-9599
303/358-0054
Ste~e
CaJ.eb
Wakeham
Baron
.0J.-9921 Pltpeline
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Industx':Les"
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owner'
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** . PllRonIINFO
ZOI!t! CODE:
S\lBIltVISlmi:
**
,
UA
0458
usll: , tJA
BL~K/LOT#: 0/
',il'
:'l'
t'
** FU SU\l!MARY
Pe:rm1t' Fee
Total Valuation
USe Tax
** TOTAL * *
..r*
ES;rIMATED PROJt~T VALUAT~ON:
FEES '
30,55
.00
5.40
35.95
300'.00:
, ,','
.Ii
1f~i;
Ccitnt!lenta,
Subject to field inspection
"(:1
,I'
I '_her~::ceftify $at the setb..dt':diiJUrtces proposeCl by hh:l.s permit appli'eiition are aceurate, and do not Vl~lat~ ~Pi:>UCU)l~:
Ord~c.II." .rulee :ot ,regulation, Qf t~ City of Wheat Ridge or covenants':'1 ~asementB: or :rellt~ictiOn$: ot:, r4l!C~k~: tj~t;,ai,~'~' ",::
trte4Isur,~t.,-'~wn, ,:.n,d, ~U~gat.ions ~<1e are' accurate; that I have read a~~'a9ree to ~ide by all c~OdhJ:01t. printed cii~,:~;t.
.~lie't~~,:~ tMl;' ;.1 a8~i;Ufte: ~till re*l>Onsibility t!or c()~liance with the::1W&eat Rid~ aUi,lding Code (!:'.9.:C)' ~ all 'otl'l~ ;,.'i,
appU !lOUtat 'ces" fo~ work under th:is ~rmit. Plans subje~t to field !inspection. ' '
'. . 'f-f -c? '7
date
1. ~. ~ridt was,' issued' in ,a<:,<:ordiince with the p:ljQvisipns set forth in ~ur applicat~on and is subject to the la~ ()f! 'the
State :Qf:901orado and to, the ,ZOning R.egulations and Building Codell of wneat Ridge. qolora40 or any othe-=- applieabl'l'
1Jrti1niiric:ew':_,9f ':the: :City,~ ' '" ,'). ,:: ,::
2'. ThiS ~e~ft slial~ exp~re" 180 .d~ys {tom the iaeu. date:. Requests for an. ~xtension: mu.t l)e received priQ%', tQ :Qp~J:,d~
,~te. : ,1Jt,,~t.~ton may: be! ~aJit~~,ilt the dis~r~t1on hf the Building Cfticial. " " " :, " "
~3'. ':U '~ht.a',,~Pu~U: 'eXplre:s. it ,.new, PePoit may be a~~ired for a fee ,of one-:M'lf the altlO~t no:tm;llly r~iJ:eq~ :'lr'JtOVided. Il10 ;
"cMnge,Ill."tiaV. been o. wj.,;L1 b.- ~e 1p- the origi~l pla~s and BpeciUcati~ns and any suspension or ~4t .'J?a.,i:llQt ,:
~ed.d;,~e (1) year. If chartSes have been or if suSpension or aband(!)~ment exceeds one (1) year, 'rul!: h.. ,silll'
,:be,:~~d'..c)'r .'new ,Pet1l\l-t. , ,,':,: , ' ,: : ;',' '
4. No; ,1tIOi!'k _Of', ~y ~ Bh4U, _be ,don,: that will change the natural flOW;Qf water causing ,a :dr.;linage -~roi:A~.,. ' ,,'
S. contt4ct~ 8~U 5iOtif;r 'the_ Btt$,lCl1~_ tnspector trwenty~four (24) hours ;1:1:1 advance' fo~ all inspection-Ill' U14;' ,hall rtletlti.ft
wri~ten':..pprQ1(al,_On ',ihpct1On card:-bef6re prdc~eding; with successive ':phasee of the ~job. , : ;, ,J :, ,,', .
6" The i'8uanCe of '._ permit, or th~ appJ'-ova+ of drawings find specificatio~~';liha.ll not be' c~trued to,~ a. ,~,~it: tpx:, ,~' i:,
an, a~l 0(, 'any -violation Qf ,th~ provisions ,of the building cOdes o~ any other ordiMnce. law,,' ,X11le: ~r,~.regul~titm:.
All, pl~ review ~8 sUbject to ~ield inspeCtions; , ' ,',i'-
. I , . -,
91~e.m:e, 'of, Chief ,B9Ud~ng' Of;
%lJiI~ RiQuS'1' 10
RE\iltlllST$ 1oIliS'1' ll'S MAD'
date
. .
" :l~3l234-5!l33 ,. BUILDING OF~ICE: (303l235-2855. ,:. . ..
3PM ANY BUSINESS, DAY FOR_INSPECTION,~ FOLLOWING, BUSnlES$DAtl:.
j .-
,
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~:--"""",__,,""___._~__--J.. :."..~.
City of Wheat Ridge Building Permit Number:
Community D~velopment Department Date:
COMMERCIAL & MULTI-FAMILY
BUILDING PElWIT APPUCATlON,
l'rdpertyqwn~r: Ceo/lob fJ-ITIn
ProperiyAddTess::;"3o GrCit.';I st-
Cont:ractorLicense No.:
Coinpany:
, "e I
OWN!;fi/cO~CTOR' Sl,GloIATURE OF UloIDERSTANDING AND AGREEMENr
Phone; 3- .)'S'8'~~
PhClne;
~
Buifd/na Deat. lIalUld/dn Figure: $.
c:r
t~er$bYC8rlilx !ha1 the s~1back distances proposed by this pe""'! application are
a<;ollhlte, and de nptv!oIate'applicable ordihances, rules or regulations, 01 the City 01
Wheat RldgeJ)r-coV$"nants, ,easements or restrlctidns of record; that all measurements
shown, and .liegatlens ma<k> are eccurate;that I have read and agree to abide by all
cbnd1ttens, print<\<! on this application and that I assume full responsibility lor
compliance with the Vl(heat Ridge Building Code (I.B.C) and all other applicable Wheat
R,ldgf!,Ordlnances, for work 'Unde' permit. Pans s b ct to field Insp~ctlon.
DATE.3-1~
DATE q-,"f
I
I
Value:
Permit Fee;$
Plan Review Fee:$
Use T~:$ ,
To.tal:$
(OWNER)(CONTRACTOR): SIG"EO
(OWNER)(CoNTRACTOR):PRIHTE
Use of Space (description):
Descrlptlcllof work:!' ft)-tr9"< ncy $~""'r' ,'". "'.... .\.-
~". "t. added
ONI~ CoMM!:NTs:
Approval;
Zoning:
:BUILDING DEP ARI:MENT USE ONLY
.Sq.Ft.:
SIC:
UI3UC WOI<KS COMMENTS:
.' Approval:
IRE DEPARThIENT COMMENTS:
Approval:
ecupancy:
Roof:
ResidentialU nits;
Walls:
Stories:
Eleqtric!ll License No:
Company:
Expiration Date:
Approval:
Plumbing License No:
Company:
Mechanical L~$n$eNo:
Company:: .
Expiiat10n pale:
ApprQval: ..
EXpiration Date:
A~proval:
(1)
ThlspermJtwas issued In accordance with the provisions set fO~h In your application and I.s subject to'Uje"law$:oUh~ Slate(,f
Colorado'13nd to the ZOIlmg.ReguJatiof1s-and Building Codes of Wheat Ridge, Colorado or any othsr appli!i:ai;)l~orctirJant;;es,Or;
~~'" ", " .
This permit shall~xpkelf (A) the work authorized fs not commenced within sixty. (60) days from is~ue date or (8) ltlll!~ building
authonzed Is suspended or abandoned for a period of 180 days. , ' , . ,; _,' ,_:'
If this permit,6Xpifl!s, a new permit maybe acquired for a fee of one-half the amount normally ~qu!red',Provided n~chaf;lges~'
have been or will. be made in the original plans and specifications and any suspensio(lor abandonment ha~:not~x9~d~q:one:
(1}year.. If cha~~s have been or if suspension or abandonment exceeds one (1) year, fullfeessha;II'b~,P~ld~ora,ti~wp~lt.
Nowark"f any manner shall be done that wlll change the natural flow of water causing a drainage prol)l,m~ ;. .':
Contractorshall notify the Building Inspector twenty-four (24) hours In advance for all inspectiorys andsha,1 receiltewritten
ap'provalQninspectlon card before proc~eding with successive"phases of the jQb., ., ....,'.;..; _;'
Th~ issuance ora pennit or the approval of drawings and sp~cjflcations shall not be construed to bf;l.ia p:!,rtnit~r.nor an';
approval of,anyviolation of the provisions oftha bUilding cod~s or any other ordlnanc8,law, rule ofreg\UatiQn~,AII plan reVieW,
is subjeclt" ~.I~ Inspections..
(2)
(3)
(4)
(5)
(6)
Chief Building Official