HomeMy WebLinkAbout2872 Fenton StreetINSPECTION RECORD
N 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 insnertinn
Occupancy;
212
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
Underground/Slab Inspections Date Inspector
Comments
Initials
- ••-- -- -' .....an. — ...G /"�6/v YC 111.7 C{. LIVI15
Comments
Electrical
Sewer Service
Plumbing
ugh I pections
Date
---- ---'-- ------
Inspector
Initials
- ••-- -- -' .....an. — ...G /"�6/v YC 111.7 C{. LIVI15
Comments
X4aheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
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
Roofn
_
r..
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.
*Fnr Inw vnl4minc normif. - DI—_ k- .. „ a1._4 ..,.. ... �.:_
-- -- -----..__._-...........,......��.,a.��..,v��•r�caou 11 vin LI IV 1-11G LiauILA dllu electrical iowvoitage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
�City of Wheat Ridge
Residential Roofing PERMIT - 201706282
PERMIT NO: 201706282 ISSUED: 08/17/2017
JOB ADDRESS: 2872 Fenton ST EXPIRES: 08/17/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with ROOF
DECKING - 19 sq
*** CONTACTS ***
OWNER (303)981-5480 HERTNER THOMAS H
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA 1 Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,468.59
FEES
Total Valuation 0.00
Use Tax 177.84
Permit Fee 188.45
** TOTAL ** 366.29
*** 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" ks; 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.
iG
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: (-)0 '�7 - P-,',, r, /
Job Address: �9 S 731 Ec n-1 on S4
Permit Number: 'D 0 1-7 O 6 Z) Ga 9
7—.
r ;l (n / ft -n (Ile el
❑ No one available for inspection: Time I:-- S-3 AM/&M
Re -Inspection required: Yes &o
When corrections have been made, call for re -inspection at 303-234-5933
Date: I1 r 1-30 l7 Inspector:
DO NOT REMOVE THIS NOTICE
it
ci F'{N tAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
jE
Inspection Type: 1)], dks/L
Job Address: 219 7-2 f- - „ -s-)-
Permit
-)-
Permit Number: 1-7 0 &D D 4
( 6
a
.I
LJ'No one available for inspection: Time AM/PMj
Rd inspection required: Yes NoJ`t
*When corrections have been made, call o r re -inspection at 303-234-5933
Date: 17 / 1 -5 -
Inspector: - L's
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201706282
PERMIT NO: 201706282 ISSUED: 08/17/2017
JOB ADDRESS: 2872 Fenton ST EXPIRES: 08/17/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with ROOF
DECKING - 19 sq
*** CONTACTS ***
OWNER (303)981-5480 HERTNER THOMAS H
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, 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: 8,468.59
FEES �
Total Valuation 0.00
Use Tax 177.84
Permit Fee 188.45
** TOTAL ** 366.29
*** 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.
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 - 201706282
PERMIT NO: 201706282 ISSUED: 08/17/2017
JOB ADDRESS: 2872 Fenton ST EXPIRES: 08/17/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning asphalt shingles with ROOF
DECKING — 19 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this per t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
peri d and that all wor to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
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 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 anLordinance or regulation of this jurisdiction. Approval 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 -2,0 170 6 Z� Z -
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, August 15, 2017 5:18 PM
To: CommDev Permits (�
r
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up g
Flag Status: Completed ,h
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 2872 Fenton St
Property Owner Name Tom Hertner
Property Owner Phone 303-981-5480
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
SIGNED CONTRACT.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Excel Roofing, Inc
018118
3037616400
4510 S FEDERAL BLVD
Contractor Email Address excel@excelroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
excel@excelroofing.com
19`
Project Value (contract 8468.59
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
z
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
Yes
19
Owens Corning Duration Storm
Asphalt
house 12sq & Garage 7sq
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
3
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 James Bretz
Email not displaying correctly? View it in your browser.
,czt I=cili7r� ,� Excel Asphalt CES 2.1 Clay -As:
EXCEL. ROOFING.CC
4510 S FEDERAL BLVD ENGLEWOOD CO Bol
Proposal/Contract
Date: 81212017
Proposal submitted to: TOM HERTNER
Address: 2872 FENTON ST WHEAT RIDGE, CO 8021
Phone # :303-981-5480 Email: THHERTNER[
Job Style: SINGLE FAM W/ DETACHED GARAGE
We hereby propose to furnish materials and labor necessary for the completic
1. Installation of the; Owens Corning Duration Storrs
asphalt roof systern installed per the manufactures tecorrnmendatior. Initial here:
A. Provide Workman's (.pomp and Liability Insurance. (Acord Ins 303-76'
B. Obtain btuilding permit from can, or count),(cost not included)
C. Provide Carbon 141onoxtde Alarm at start of project.
D. Remove all layers of existing tooting. eurre•nrle has: j
E. Inspect Roof deeldng; $ 35 per sheet to .replace if needed. !
F. I~aisurc that all eaves and gahlt:s have mend drip edge. WHITE
G. Install Neal shingle underlaynicngs) that meet or exceed code:
K ISnsure all FIVAC vuirs are properly flushed & painted. Install & paint
I. Install asphalt shingles to manufacturer's recomn- ndations with I'!, i
J. _attic ventilation. Excel Roofing reccnrunends;
& Install matching ridge shingles.
L. I,inal inspection with Project Manager at completion of project and cal
II. Workmanship is guaranteed For Five (5) years. Free transfer to
It1. Excel Roofing will clean up, use nail maguet and haul all del -iris at co
III.
Excel Roofing a ll wash the roof at completion (if project.
Additional items:
)0- INSTALL 1f2" OSB SHEATHING IN HOUSE INCLUDED
INSTALL MATCHING SHINGLES ON BACK ADDITION $947.50
�O INSTALL GUTTER AND DOWNSPOUT ON ADDITION $207.00
Y INSTALL ICE AND WATER SHIELD TO CODE ON HOUSE INCLUDED
Any and all Unforeseen Code Upgrades, Supplemental items and permit fee
billed to the insurance company, if It is an insurance claim and the policy allc
Excel Project Manager: Clay Condon Email:
ExcelRoofing.conn
Excel Asphalt CES 2.1 Clay.xlix
£att°itl�t�firati.;:r�m
3
to
of:
:imited life - Class 4 impact rated
OR I 1,13 color:='SirO--T -rA0
7F) and Pinnacol ins.
C. co
Synthetic
,,cw neoprene flashing un all plumbing cent Ripe.--.
h galvanized nails, 6 nails per shingle
for final pen -nit inspection.
owner.
tion of project.
be
Phone #: 303-901-5761
Excn1 Roofing
We're on Tap of It
Pages 1 of
fxc -1 PoofwyExcel Asphalt CES 2.1 Ciay.xlsx r r,
r o, I Top 0J it
11". Home and Roof Options:
Cost for removal and replacement of Roof, including all labor and materials.
Replace 138 feet of 5 inch gutter 0 Feet of D/S Color. WHITE
Cost to upgrade to a Limited Lifetime Class 4 impact rated shingle
Cost for additional attic ventilation if needed;
Cost to replace flat roof area with: Color N/A
Cost to add 0 inches of blown in insulation on top of the existing attic insulation.
Cost for any additional items noted on the 1st page of the contract.
Payment Options, *Please initial next to the payment option of choice*
A: Payment using Financing.
*Payment plan options, WAC' Amount to be fmant-ed $ 10,913.93
1111case no e that Rxcel does not make ant• .addiriot-ial money on these fres Sc loan' 1)eatk r # It 545 ph # 8(16-393-,(X)33
12 Month 0% Deferred Interest 60 Months 7.99% interest 1.20 Months 7.99% interest
(5909.49)
(,W1.24)
Initials__„_,_ lnitlals .
8: Payment Using Credit Card:
Cost of Project if paid by credit card. This price reflects the 3% convenience fee
(W x.3+:.1
Initials
10 605.04 Initials
8,468.59
673.07
Free
1,154.50
C: Payment by cash, check or secured funds = $ 10,296.16
Initials - J _L_ plus permit fee
Terms: 100% Payment due upon completion of each phase of work
Total Cost does not include City/County Permit fee. According to Colorado law if the services provided are paid through an insurance claim it
is illegal for a Contractor to pay the homeowner's deductible in whole or part, also any deposit paid by the Homeowner must be held in trust.
The homeowner may cancel this contract at anytime prior to construction. If the material has been delivered or the permit has been
purchased then the homeowner shall be obligated to pay the delivery and permit costs. The homeowner may also cancel this contract if they
are notified that their claim is denied in whole or part. All work to be completed per standard industry practices according to specifications
submitted. The homeowner agrees that if any additional work is required to complete the' above specifications involving extra cost they will
pay these additional charges. All agreements are contingent upon strikes, accidents, or dejays beyond our control. Owner agrees to carry
regular homeowners insurance. Excel Roofing will not be held liable for any structural mo*ement, settling, cracks in drywall, damage to
driveway, or any damage to siding due to the roofing or loading process. finance charges Of 1 Ya percent per month will be added to any
unpaid balance. In the event collection action is taken to recover payment under this agreement, Excel Roofing, Inc., should be. entitled to
reasonable collection and attorney fees and costs incurred in such action. Excel Roofing's liability insurer is Cincinnati I nsurance Company,
6200 S. Gilmore Road, Fairfield, OH 45014-S141. This proposal may be withdrawn by Excel if not accepted within —7—days- The approximate
start date shall be within_.60_days of acceptance of this proposal.
Clay Condon Project Nfanager
Date: 8/2/2017 Cell Phone # 303-901-5761 303-761-6442 Fax
Acceptance ofContract
'f lie above Mce, spec:ifirari(nts and conditions are sat sfacton, and are hereby accepted. Fxcel W)oftng, Inc. is lw-reby authoti7ed
to do the -work as srxedfied olid paS•ment \t>yIl be made to I::scel Roofing. Inc., as o4dineti alxwe.
PP1nted NaX2 t _✓ , l } t % �i�1 1 "itle
Si,rmatrme Lf�YI"iI fTt �7s r tfit. --Dwt . zdL -
Excel Roofing
We're on Top of it
ExrelRoofing.corn Excel Asphalt CES 2.1 Clay.xlsx Pages 2 of 2
, '1-, "Il;I!IJ, .!;Ill! ~~.\,.,,]I ! 111:1 ,=" ,.""~,,, '. I",ij..~"._"" '~''''II'r"..,~J!~u.t~~ ~!j~!'_,.~._ ~, ""'''' .. ,""'_~ ',,,,,,", ~"_' ",,',," ,,,"'''''IJ.IlI,,.'''',,,,,..,....- J r~
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION'DIVISION - 235-2855
CITY OF WHEAT' ~IDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO' 80215
Building Permit Number:
Date:
6388
12/16/97
Property Owner:
. Property Address: 2872 Fenton St
Contractor License No.: 19793
Company: A & R Plumping Inc,
Phone: 238-0289
Phone: 427-7248
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setb.a< distances proposed bY ttlls permft application are accurata,
and do not violate applicable ordinances, rules or regu,-"ons of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all:ml&asurements shown, and allegations
made are accurate; that I have read and agree to abido! ~y aU condlllons printed on this
application, and that I a..ume full responsibiftlY for ~pliance with tha Whaat Ridge Building
Coda (U,B,C,) and all other applicable Wheatl'tldge ordinances, for work under this permft,
Construction Value:
Permit Fee :
Plan Review Fee :
Use Tax:
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$415.00
$22,00
$0,00
$4,98
$26,98
Description:
Replace water heater
BUILblNG DEPARTMENT USE ONLY
SIC: Sq, Ft. :
Approval:
Zoning:
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
.
Expil'lltion Date:
ApprqVal :
.
Expiration Date :
Approval :
.
(1) TIlts pemllI was _ tn accortlanco with 1I1e provIs!>n. set forth In yopur epptlcetlon and Is subject to 1I1elawl 01 the State 01 CotolBdo and to the Zontng
RegLilations end Building Code 01 Wheel Rldjle, c_ or eny _ epptlceblo ordinencee 01 the City.
(2) TIlls permit shott exptre W (A) the wort< eull10nzed Is nbl Commenced within stxty (80) days from Issue date or (B) the buildlng euthorized Is suspended or
abendoned for a peI10d of 120 daY.s, ,
(3) If this permit expires, 8 new pennit may be acquirecl fpr II fee of on...half the amount nonnally required. provided no changes have been antill be made In the
original plana and s~s_and any suspension 01' abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment
exceeds one (1) yeer, fuH roes shott be peld for s _ ~
(45) No work of any manner shall be done that wiH chang. the natural flow of water causing a dratnage problem.
() Con_ sh811 nollIy the Buildlng Insoector twanty.fOur (24) hours In edvanco for alllnspecttons snd shalt recelve written approvot on Inspection card before
_wlth_ohaseeofthelob, "
(6) The IssuariCe of a permit or the approval of drawingsiand specifications shan not be construed to be 8 pennlt for. nor an approval at. any violation of the provtsIons
of the building codeS or any other ordinance, taw. rul.or regulation.
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234.s933 24 HOURS PRIOR TO INSPECTION
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:
Date:
Ii).- 1(,'77
Property Owner: TOrV! !ld<rlYt-~
Property Address: J. 8 7 J, F i..-N /"ON S r
Contractor License No. :
Company: Ii+-R. (i.U-MI) ''''~ r,,/c'.
1rJ- 97.'>-- ,;U';' '7
Phone: 1/_ "lJJ'- 0;; &~7
Phone: t/J.7- 7,)'1i?
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: '\, L\ \ S-
Permit Fee:
Plan Review Fee:
Use Tax:
Cll_'
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 ~idge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED /!_ :1&1' I. cZ"""" - OATE 1.2 ,1{-"i7
Total:
Description:
Co tc
BUILDING DEPARTMENT USE ONLY
Zo~ommen~
Approval:
Zoning:
BiillClIng.\,;ommentS:1
Approval:
SIC:
Sq. Ft.:
R.Obl~I\"'.1.\jpmm~D~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Plumbing License No: /7~ /)
Company: f).f-1<? p~,,-,.., /JI ~ 'I/vc.
Mechanical license No :
Company:
Electrical License No :
Company:
Expiration Date:
Approval:
E IP.laJ'I!'.R8'flUlren
Expiration Date:
Approval:
. leJansjR~!."m
Expiration Date:
Approval:
.
la~i:_I':':_;
(1)
(2)
(3)
This permit WI! Issued in accordance with the provisions set forth in yopur application and Is subject to the 1aW$ of the Stale 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 wock authonzed is nol commenced within sixty (60) days from issue date or (B) the buikling authorized is suspended or
abandoned for a perlod of 120 days.
If this permit expires. a new perml 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 .nd 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 nalural flow of waler 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 ot thl!ll'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 pro....isions
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