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HomeMy WebLinkAbout3978 Harlan StreetINSPECTION RECORD Inspection online form: http:/A-www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m -day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: v �'ADDRESS:` f _ JOB CODE: " Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 305 Insulation 106 Foundation wall Insulation Amak go low- 06 Mid -Roof;, 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. 305 Insulation 205 Plumbing Underground Ext. Amak go low- 06 Mid -Roof;, 206 Water Underground Lath / Stucco 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 Amak go low- 06 Mid -Roof;, 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: ADDRESS: JOB CODE: 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 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 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. Property Address Permit Number Permit Issued Date The City of Wheat Ridge Third Party Form Check List /v 3 3-1 7 Owner Information Property Owner Information Property Owner Address 7 Inspector Information Inspection Company t'`'l U(162 C (:f Inspector Name Inspector Contact info. 76,(F}Ca e 7 Inspector Statement and Acknowledgement " I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations and specifications. Inspector: '® A'7 1,q 1Z t Date: %C' - s / - / Property Owner Statement of Acknowledgement *1 Nearby acknowledge that i am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat Ri�ge Building Division inspection. Propery Owner/Agent: &L/22,221 Date: This original document and permit card, as well as the roofing check list, must be submitted tt the Chief Building Official within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof _Roof insoeci:ion N/A ❑ Pass ❑ Fail ❑ N/A Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A Pass ❑ Fail Flashing for roof and walls Pass] l ❑ Fail If new sheathing is installed verify that it is listed in the [ANDA ❑ pass ❑ Fail permit description (Valuation must be adjusted) Verify sheathing nail pattem (Soo P©liey X Procedures) ❑ N/A Pd Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A [ Pass ❑ Fail Verify ventcaps F-1 N/A [ Pass El Fail Verify no flashings are damaged or rusted ❑ N/A E NIA [ Pass ❑ Pass ❑ Fail Step flashing shall be min_ of 4x4 piece per shingle ❑ Fail Verify scuppers allow for proper drainage ❑ N/A ❑ N/A Pass ( Pass ❑ Fail [] Fail Ice and water shield 2` in heated wall spaces Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A P1Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A I Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" QC N/A ❑ Pass ❑ Fail 90 LB roil roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, Patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass [] Fail Modified Bitumen, EPDM, TPO min slope 9/4:12 slope wA ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-33 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metall Roof shiingfes Reauirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 N/A NIA ❑ Pass ❑ Pass ❑ Fait ❑ Metal valley flashing shall be the same material as roof Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tele Roofs Reguirements N/A ❑ pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:92 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name: _ LLG inspector signature: Date of inspection: The City of Wheat Ridge Inspection Check List notes Final Roof Roof Insoecdon NIA ❑ Pass Q Fail of /A ❑ Pass Q Fai( �Pws-- Q Fail Structural roof components Verity that no more than 2 layers of shingles exist UWA ❑ Pass Q Fail Flashing for roof and wafts y ❑ Pass ❑ Fall If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) OZIA ❑ Pass Q Fail Verify sheathing nail pattern (See Polieu & Pmeodureg) A ❑ Pass Q Fall Crickets and saddles where needed ❑ N/A ss ❑ Fail Verify B vent must have boot sameau 9 as Pipe ❑ N/A Pass Q Fait Verify vent caps ❑ N/A 'Pass Q Fail Verify no flashings are damaged or rusted NIA ass Q Fail Ste flashing shall P g a t be mm. of 4x4 piece per shingle PN/A ❑ Pass Q Fail Q NZA O Q Verify scuppers allow for proper drainage -Pass Fail ❑ N/A W.,Pass ❑ Fail Ice and water shield 2' in heated wail spaces tlnderlayments must follow 2012 IRG / 2012 IBC ❑ N/A Pass ❑ Fal Verify roof slope for proper drainage ❑ N/A ass Q Fall Dripedge shall have min of 2" overlap Q NiA ass Q Fail Dripedge should extend down min 2" past roof eck Q N/A Pass Q Fail Dripedge shall be mechanicaly fastened 12" OC 1 ❑ Pass Q Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass Q Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope N/A ❑ Paw Q Fail Above roof insulation R-25 N/A Q Pass Q Fail Below roof residential R-38 N/A ❑ Pass ❑ Fall Below roof commercial R-32 N/A Q Pass Q Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof ShlnSlles Resaullrements N/A ❑ Pass Q Fail Metal roof shingles shall not be installed on slope less 3:12 WA ❑ Pass Q Fall Metal valley flashing shall be the same material as roof WA ❑ Pass Q Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4u 'Tale Rooas Reauirements WA ❑ pass Q Fail Clay and concrete file shall have a min_ 2-1/2:92 slope Slopes 4:12 and under require double underiayment C The City of Wheat Ridge Inspection Check List notes Final Roof Company Name. inspector signature: Date of inspection:. j q 9 � 1-�K �0�, ---� , 410/, -� o ► ' , City of Wheat Ridge '�. Residential Roofing PERMIT - 201708538 PERMIT NO: 201708538 ISSUED: 10/23/2017 JOB ADDRESS: 3978 Harlan ST EXPIRES: 10/23/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 30.48 sq (23.67 sq pitched / 6.81 sq flat) Pitch = 6/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)757-4404 SHAW SCOTT SUB (303)804-0303 Tom Brown 070055 Northwest Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 0430 / HARTUNG AMD BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,330.38 FEES Total Valuation 0.00 Use Tax 258.94 Permit Fee 251.85 ** TOTAL ** 510.79 *** 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. ► A City of Wheat Ridge � r "( Residential Roofing PERMIT - 201708538 PERMIT NO: 201708538 ISSUED: JOB ADDRESS: 3978 Harlan ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles pitched / 6.81 sq flat) Pitch = 6/12 (3rd party 10/23/2017 10/23/2018 - 30.48 sq (23.67 sq inspector required) I, by my signature, do hereby attest that the wor • e performed shall comply with all accompanying approved plans and specifications, applicable building codes d all applicabl t al codes, policies and procedures, and that I am the legal owner or have been authorized by the legal o 0 operty and a zed to obtain this permit and perform the work described and approved in conjunction with this e r st that I a orized to include all entities named within this document as parties to the work to be perfp e th 1 work to ed ' sclosed in this document and/or its' accompanying approved plans and specifications. SignatiMapf OWNEW-6-r 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, po Flans 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 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial 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 Dlvlsion in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building fie REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. North WestSince 1963 2425 S. Colorado Boulevard, Suite 280 J Denver, CO 80222 ( (303) 804-0303 ( Fax (888) 846-5545 3630 Sinton Road, Suite 100 J Colorado Springs, CO 80907 ( (719) 632-618S J fax (888) 846.5545 roposii submitted c-....._. North WeU4gJqln snma Street" _ 1'!'tiL(� �i.` W ,gtat ' 2 p �-�� �1J Insura�n Crpany S t J marl �-- — _— -- -} — -1f f i Co 04I Adjuster Scope of W -ark and ---••r tit evvvria t Pt Provided: r o sc ;bcl•,0 A,'J l -e er work and materials identified mo;atY- b i North West Roofing. 4nstait ;rg 7 ?r 16 in. %)Sal CHECK DECKING nst 90 lb or ice & Water Shield r.; Valie;s e4t")e--� rn.s•;ali ? x 4 in. "'et3l Drip Edge Calx Initials ' iat! eJr S �r` ` ' •'L�f i�� ,K-I� r,i 7 /Yilf� t! oaf with t fit .I� (3813 Rating: A+ /40 ` aA V 1 fob Locationl.4mmunity Policy 0 Cuirn is 8y sigrirg this agreement the liomtowner authorizes Varth West Roofing to repreient the homeowner's best interest in pursuit of roof replacement or repair due to storm damage. This cert.ract do -2s not obligate the 9ameowner or North West Rooting untii the ciaini is approved by the !nsurance Company and accepted by North West Roaring. Vpor. Approvai of the claim; North West Roofing will complete specific work at the price agreeable to the Insurance company and to North West Roofing. There is no additional cosr to the homeowner inept for their deductib!e. The agreed upon price wits became the final contract price and North West Roofing will receive all insurance proceeds and sapplaments for the .vork /i completed b4 North West Roofing. A 4 pp � - fZ 11- cNear Manufacturer's Warranty Approximate Costs of the Services $ 40, �� Colorh a initials �! Stall Be he Agreed Upon Cost Between North West Roofing and s. Your ranee Carrier Their RCV C t PI Valleys - With Ire and Water Shield Underfaymenl E;i n v With P3lnted Metal Ridges .color coatdinated shirgtes epi - -Rubber Pipe Jacks Pai cof Stacks To Match Shingle Color ALL u �epf Law Profile Vents Turbine Vents North W ring 3 year tabor Warranty eta ep Flashing �nhlngimney North st Roofing will Provide General Liability Insurance of at least $1,000,000,ea FCIea.n an aulOffall?ash nd Clean Up Landscaping her and shrubs r div fi� op netic roller by North West Roofing I agree, by signing below, to all the contract conditions, both front & back of this agreement • OS us Supplements. NOTICE If the Property Owner Plans to use The Proceeds Of a Property and Causar4 Insurance Policy, Part 1 of Article 4 of Title 10, C.R,S., in accordance to Title 10 C ILS., section 6.22-105, the roofing contractor cannot pay waive rebate, promise to pay or waive rebate or any part of insurance deductible applicable to the insuranc m for payment for the work on the covered property Qeposit Amount $ Date: North West Roofing shat) hold in trust any payment from the property owner until materials are delivered or have performed a majority of the roofing work on the property. "May not include any additional taxes, base service fees and or supplements that pertain to the claim%,, - �ilt.� pproximate Dates of Service: 10 DAYS Eff-It AGREEMENT These dates of service are subject to change due to unusual delays in transportation of materials. ordinary weather delays, or by any other pauses beyond the reasonable control of Contractor. SPECIAL INSTRUCTIONS *resen Date of cceplance nature (800) 333-1704 PUEBLO DENVER (719) 633-7773 (303) 604.0303 j fax (888( 846-SS4S FORT COLONS 4970) 484-x%30 (� 051 9 Dane Lovett Lt�70M3 From: no-reply@ci.wheatridge.co.us Sent: Monday, October 23, 2017 6:41 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed C� c-, 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 a� �� 7 residential roof? �. f , / 17 How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3978 HARLAN ST Property Owner Name SCOTT SHAW Property Owner Phone 303-757-4404 Number (enter WITH dashes, eg 303-123-4567) 121 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 170519 - Contract.pdf 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) NORTHWEST ROOFING 070055 303-804-0303 2425 S Colorado Blvd Suite 280 Contractor Email Address Ihammons@northwest-roofing.com Retype Contractor Email Ihammons@northwest-roofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 30.48 the entire scope of work: Project Value (contract 12330.38 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) 122 both? (check all that apply) What is the pitch of the 1/12 FLAT root? How many squares are 6.81 part of the FLAT roof? Describe the roofing MODIFIED BITIMAN material for the FLAT roof: Type of material for the TPO/EPDM FLAT roof: What is the specific pitch 6/12 of the PITCHED roof? How many squares are 23.67 part of the PITCHED roof? Describe the roofing OC STORM materials for the PITCHED roof. Type of material for the Asphalt PITCHED roof: Provide any additional HOUSE /GARAGE / FLAT 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 issued based on this application. I understand that this Yes application is NOT a permit. I understand I will 123 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 Leila Hammons Email not displaying correctly? View it in your browser. 124 M7.2 Credit Card Payment: Use credit card listed on file. Date: Print name: Signature: ♦ 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: PFT Job Address: ,x'978 IlAe. l sT Permit Number: soalc05 ❑ No one available for inspection: Time _3;3a AM PM Re- Inspection required: Yes When corrections have been made, call for re-inspection at 303 -234 -5933 Date: cd/9%io Inspector °mac DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge ]�� Residential Plumbing PERMIT - 102105 PERMIT NO: 102105 ISSUED: 09/07/2010 JOB ADDRESS: 3978 HARLAN ST EXPIRES: 09/07/2011 DESCRIPTION: Rough for hair sink * ** CONTACTS * ** owner 303/877 -5952 Scott Shaw sub 303/433 -0598 Will Bowen 01 -8974 WILL BOWEN INC ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0764 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 385.00 FEES Permit Fee Total Valuation 26.50 .00 _ 0 M Use Tax 6.93 100 C? * * TOTAL * * 33.43 Conditions: Subject to field inspections. 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 an ati n and that I assume full responsibility for complipce / with the Wheat Ridge Building Code (I.B.C) and all other a Wheat Ridge Ordinances, for work under this perm' {t. Plans subject to field inspection. of 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan revi aw is subject to field inspections. ire of Building Official date TIOI$ REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 ,STS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Iii >ut i t .rh411 v11, IS i�.tl, 7k ,W4 @tJl '� Building 8 Inspection Services Division 7500 K 29" Ave., Wheat Ridge, CO 80033 Date: p)ati M permit # `NI DF5, Office: 303- 235 -2855 Fax` 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address �� Q Property Owner (please print): 0� Pho ne: 87 G�� Mailing Address: (if different than property address) Address: City, State, Zip: Contractors City License #: Phone: Sub ;;+ 041*t to rs s Electrical: Plumbing: Mechanical: City License # City License # City License #, l s _crlrstioin of-work" �} lA)� $ ontract Valuer Od Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations . of the City Wheat Ridge or covenants, easements or restrictions of record;. that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) CONTRACTOR) or (AUTHORIZED REP ! TNE) of (OWNER) (CONTRACTOR) PRINT NAME: O /v yY( S � IG } N � AT �p URE: ± � I - DATE: / 1 ✓'-! ! �', n�ttaTiwt:iu USE 03�iLY ! W v ✓t ✓,£ i r v' d"i ZONING COMMENTS i / ��U ✓ ✓�lr /x 1 i r l' ✓� j !�''£ ! F �ym r yi` s t ✓ ! �,�� M r 1 zD117g i < . rl i f6 �"' ns C`sr � "�,?✓'�„' ��?� /r��f rK�F�'✓Ft,f�s�.r ✓� n, y�eVleWer 1 !. r,,. ar1M Fr 1 e ! y ✓f, r '2 �:" �� ^`ls r s .�.'��i'- r .'�"'l �'. ✓ x ! " , � �?✓' i u' 1� `' , r�. r , ✓ :.� �'" ✓ � ��'�r."' �c� ��,�,� �f � ✓..����i r. K ''r ?`,. ,` aU1Lb)N6DEPARTt51EJii Cl�fylNlliNTS 1 ✓ r, "'�- '"` ✓"Y 1�y 1 -. "T...;.�„ �r i„r ,: r r � 7jev elder � �" * ' r F ' r t� .M9e i g �r �>r ��, : ✓ n✓ Jz ✓Cr-�.� ✓ y � ^�'u✓r 1 .. � � .1 ��vr t J Et r'r1 i ^` � f � 4 t : ! i` �� ���,� i• e'r'r ��,��� r ��� �GT��,...�. ��,� .e;:a:� N' Bldg Valuation: $ '<~'~'"'''''~'''_m_w',"'''~''''H'''~'''N''''"'"''' ,n~" ,"~-,t,>"'"'' T~'''''''.''I"''''''''''''' <'''''', , qJ;PARTMENT OF PLANNING AND DEVEbOPMENT ,f BUILDING INSPECTION DIVISION - 23~-2855 (, CITY OF WHEAT RIDGE ' 7500 WEST 29TH AVENUE I WHEAT RIDGE, CO 80215 ! i I "~"'~"'7"" '''''"'''''9"",~.Q!~S''',?",",~""".""?,,,,,,,",,, Building Permit Number: 5296 Date: 6/18/97 Property Owner: Property Address: 3978 HARLAN ST Contractor License No.: 19524 ! , Company: Underground Specialtier Phone: Phone: 9869180 i , OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING -f-ND AGREEMENT I hereby certify that It>eseiback dlSl$nCes proposed by this permtt ap~l. tion are accurate. an<;! do no! violsle applk:llbleonlitlance~. rules or Algulallons of the CIly of Whoat Rkfge or covenanl~. easements or, "'~lricllon$of rscold; thl all maa~uremenls ~ n, and allegations macle a", aCClll'al&: thall have ",acI an<;! agree loabld<l by all con<;!iti,on printed on thi~ appRcaliQn, and that I a~~ume fIJ~_n~iIl" for compUance with the at Ridge Building COde (U.B.C,) an<;! all other appIIl:ableWhe onl. n , for w under this permtt. (OWNER)(CONTRACTOR) SIGNED DATE "-~-t? Construction Value: ' " Permit Fee: Plan Review Fee: Use Tax: Total: $1.200.00 $41.25 $0,00 $14.40 , $55.65 Description: , , i BUILDING DEP4RTMENT USE ONLY SIC: Sq, Fl : Approval: Occupancy: Walls: Roof: Stories : Residential Units : E\eclriCaI License No : . Company: Plumbing License! No : Company: Mechanical Licen$e No : Company: Expiration Date: Approval: . Expiration Date: Approval: . Expiration Date: Approval: . (1) Thispennll_lsauedlna~ with !he provlslons set forth In yap aPJ1llcatlon and is _ to !he laws of !he Slaleol COIonldo and to !he Zoning Regulations and Buikllnll COde oIWheat RkIge, c_ or any other ICObIe ordlna.- of tho CIty, (2) This ponnIl ""-I ..piro W (Al!he WOll< authoriZo<ll$ not commenco<l with n _(60) cloys from Issue date or (8) the buldlng a_, 1$ ousponded, or abondOne<l for a pOtjod 01120 dayS" ' (3) U tnl$ pennIlO)<plros, a nllW pennlt may ba acquired for a 100 of one-half !he amount normally raquIre<I, provldad no __ have b8eh orwIH ba mo<Io In tho original plans and ~ end any suspension or abandonment ha.:not exceeded. one (1) year. If changes are made or tf IUspilnIIon or abandonment ox08eda!)nO jll yaoir.IUU"... shall ba poid for a now pennll i (45l No work 01 any _ sllBII ba <lOne. tIiOl wIH change tne natunll now ofiNaler caualnga drainage problem. ( ~~~.'rSlv8ec."~Iob~Iy.four (24) houra In adranco for.n rnspoctlons and shel racoIve wrtl\en approval onJnapeOtIon card bolore (6) _ of "pennIl or, apj>lQVBl of draWings and specIllcallona ~hall not ba conatruod to ba a panni! for, nor an epproval 01, any viOlation 01 the provisions 01 !he <>;Ides or a ca, rula or ragulatlon. i i C . nSpec;lor i HIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AN., MAYOR CALL: 234-5933 24 HO~RS PRIOR TO INSPECTION ' DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: , BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Phone: Contractor License No. : Company: VOI't/- t')ltltlQI) -:teed/ ;;~<: Phone: 76'6' 'l/~ u 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 t 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 . g~fordi?fnce ,for work under this permit. (OWNER)(CONTRACTOR) SIGNED -1/ " oATe6"11-9 Total: /zaY L{I- ",,--S- /4-- V (J na:; F SS 6:::;- Description: 15,- / L- ~Vl >."\.-e IV <;:e/v/ce:....- /c:~ BUILDING DEPARTMENT USE ONLY ZpllllllltColtll'l1!rll~ Approval: Zoning: BJ!.lllIlifm(;o.mments~ Approval: p.olfl~~mJ!JJJB!l::l Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: ," '<I:I~ Expiration Date: Approval: . .~llmJtIJl- Expiration Date: Approval: Expiration Date: Approval: III . ~l. :; rll ~ , (4) (5) (6) This permit was issued in accordance with the provisions set forth in yapur application and Is subject to the laws of the State of Colorado and to the Zoning Re,gulatlOns and BuildinQ Gode of Wheat RIdge. Colorado or any other applicable ordinances of the City. This permit shall expire If (A) the wort. authonzed is not commenced within sixty (60) days from issue dale or (8) the building authorized is suspended or abandoned tor 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, tull 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 proceedllng WIth successIVe phases of thelob, 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 ofthe building co~ any ott10rdinance, law. rule or regulation, U ~ ~~4JH Chief Buildrng Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (1) (2) (3)