HomeMy WebLinkAbout3724 Fenton Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: `-)0C-),C
Job Address: �4-;--) `�V e. �� �r, 5 �^
Permit Number: :) (> ?'1 ;.
❑ No one available for inspection: Time -% AM/PM
Re -Inspection required: Yes '\No)
When corrections have been made, call for re -inspection at 303-234-5933
Date.~ ' � J� u Inspector 1
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702420
PERMIT NO: 201702420 ISSUED: 06/23/2017
JOB ADDRESS: 3724 Fenton ST EXPIRES: 06/23/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles 28 sq.
*** CONTACTS ***
OWNER 303-725-3602 EUGENE PONTIOUS
SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,196.00
FEES
Total Valuation 0.00
Use Tax 151.12
Permit Fee 172.60
Misc. Fee 25.00
** TOTAL ** 348.72
*** 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 Alt -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 manufactureracTMS 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 t.�e
manufacturer's 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 - 201702420
PERMIT NO: 201702420 ISSUED: 06/23/2017
JOB ADDRESS: 3724 Fenton ST EXPIRES: 06/23/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles 28 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
thisermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfo ed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O R or CONTRACTOR (Circle one) Date
I. This petmit 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 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. Approval of work is subject to field inspection.
0
Signature of afftug Offic al°..`..6 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT - 201702420
PERMIT NO: 201702420 ISSUED: 06/23/2017
JOB ADDRESS: 3724 Fenton ST EXPIRES: 06/23/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles 28 sq.
*** CONTACTS ***
OWNER 303-725-3602 EUGENE PONTIOUS
SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing
*** PARCEL INFO ***
ZONE CODE: UA
/ Unassigned
USE: UA / Unassigned
SUBDIVISION CODE: UA
/ Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,196.00
FEES
Total Valuation 0.00
k.
Use Tax 151.12
Permit Fee 172.60
* * TOTAL * * 323.72
--- ---
*** 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 Af-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 manufacturera€`"s 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's 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 - 201702420
PERMIT NO: 201702420 ISSUED: 06/23/2017
JOB ADDRESS: 3724 Fenton ST EXPIRES: 06/23/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles 28 sq.
11 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 tie 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
perf�ned and that all work o be performed is isclosed in this document its' accompanying approved plans and specifications.
X ! �%
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 pen -nit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The pen -nit 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. 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
X017 n,�g��
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 13, 2017 10:54 AM
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume. 1 le"_
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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
3724-3734 Fenton St.
Eugene Pontious
303-725-3602
Field not completed.
Yes
!A)Mv etz,
�y
O
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
T. Hackbarth Roofing
020443
303-433-6762
Contractor Email Address thackbarth@comcast.net
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email thackbarth@corncast.net
Address
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing Tamko Heritage
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 28
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
M
Field not completed.
TOTAL SQUARES of all 28
roofing material for this
project
i
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
4/12
62-5e' *7 0 (,
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 Todd Hackbarth
Email not displaying correctly? View it in your browser.
3
4961 S. Olive Rd.
Evergreen, CO 80439
Customer Name: -EL'
T. Hackbarth Roofing
Residential & Commercial
Since 1990
Office: 303.433.6762
Fax: 303.679.3072
ThackbarthRoofing.com
Date: l 7
Contact Info: Phone #:� 3 Z _ -�� C II E-mail:
Property Address: Street#. 7�� ,ty. 3 l State: Zip:
��V'k U
Insurance Company: claim #:
Date of Loss: r, f Type of Loss: t G� LI -L2
! / /r 2�Il
Company Rep: Phone #:
I authorize T. Hackbarth Roofing to work directly with my insurance company on my behalf and to furnish all material and labor as listed below
Total Amount of Estimate $ �-12, c,v
(Agreed upon price with the Insurance Compari )
The owners out of pocket expenses will not exceed their insurance deductible in the amount of $ L
(Unless upgrades are added)
Process
shall be made as follows: °+CT
Policy Specifications: II
—Non -Recoverable Depreciation Recoverable Depreciation Initial Code Up -Grade Coverage Initial
Four project will begin once T. Hackbarth Roofing receives the initial down payment check. Final payment is due to T. Hackbarth Roofing
ince received from Insurance Company. All insurance supplement payments invoiced to insurance company to correct shortages in
)riginal estimate will be paid to T. Hackbarth Roofing.
Ne will furnish the following materials and labor as listed below:
ear off all layers of existing roof material: (layers) Fa cia color:
Jew Shingle: __ Initial t�'�"
Protect all landscaping, pools, a/c units
'Ohingle Color: wry Initial fes_ Paint vents to match roofing material
nstall felt paper to match existing: 151b 301b
nstall Pipe Jacks '}caul off trash/debris and magnetic sweep
3/1 4/1
nstall Furnace Vents 30x5° 50x7° 70x9° Other
special Instructions:111T) 4-a
dS i l C i>LiX'
)0
125,
/e4- r 'I
ss - C"" mA� , P�
2 r fit' l; ,:. 0-(" L -t /�
/'
erms and Conditions:3
deductible is more than stated above, customer agrees to pay the difference. r
i the event that Insurance Company only agrees to pay for repairs, neither party is bound by this contract.
ustomer agrees to provide a copy of Insurance Claim Report to T. Hackbarth Roofing upon receipt.
cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof.
F IF FOR ANY REASON THIS CLAIM IS DENIED THIS AGREEMENT SHALL BE VOID**
signing this contract you are authorizing T. Hackbarth Roofing and their affiliates to do the work as specified, and payments will be made
outlined above.
ease read the reverse for additional Terms.
Prope Owner or Authorized Rep. Signature Datd 1&14H�ackbarth Ro " ng ep�Signat�ure�
4 0,11 W , City of
- . alp:
pie
Bu ilding is es Division Pen
7500 W. " Ave Wheat Ridge, 80033
O ffice: 303 55 Fax: 303-237-892
Inspection Line; 303 - 234 -5933
Building it Application
8
A ddress- Property Owner (please print) n �; -"-S Ph (ii 1 q5 5 -
r rtw'ro
Bldg Valuation:
of
D ate:
�,4x
Pla
Building Inspection Serv dv o
err s
7533 .2 Ave., W heat Fridge, CO 800133
Office: 303- 235 -2855 * Fax: 303-237-892
Inspection Litre. 303- 234 -5933
Bu ilding r It Application
Property Adcdre
Propert O wner lease print �
y ) _n�,.l,car
Ma iling Address: (if different than property address)
Address;
City, Mete, Zip:
Contractor: r7c
Contractors City License : Phone:
Iff Bl d g Valuation:,_ I
~~z~t® ~ Ls~~~'~ OccupancVlTVs
tSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic.
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
n., u... o..~m oIIuT~~ A.- uAC Pa .11 m11 o
ROUGHS
Sheathing -
Lath /Wall tie
Mid-Roof
A-" . w,,
U
-
Electrical Service
! "'+r
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
-
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
t O~
t
Building Final
Fire Department
R.00 & Drainage
RT ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS
ST
Parking & Landscaping
.
A
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A.
CERTIFICATE OF OCCUPANCY /S ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦~~4'
~ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office * (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 6,#,a/ A:v)t-
Job Address/Permit Number: ~79SPniY~r~ tr.
~ ~~r?ELf~
❑ No one available for inspection: Time fa '.c AM/PM
Re-Inspection required: Yes ifQo f
When corrections have been made, call for re-inspection at 303-234-5933
Date: r Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
/ Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office " (303) 235-2857 Fax
INSPECTION NOTICE
i
Inspection Type: ~wrv~r
Job Address/Permit Number: 1~~5~~~TGrJ ST. r>~J3e~
bti-S1TF ~varh'1.~o>~/2 sfr-vvt' ro
❑ No one available for inspection: Time a~ SS AM/PM
Re-Inspection require Yes No
`When corrections have been made, call for re-inspection at 303-234-5933
Date: l ,23 7; 9" Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 081369
RMIT NO: 081369 ISSUED: 11/20/2008
)B ADDRESS: 3724 FENTON ST EXPIRES: 05/19/2009
:SCRIPTION: T/O reroof w/ 30 yr dimensional 26 sqs
CONTACTS
r 303/843-9850 Hal Seiler
303/663-5615 08-0141 All In One Contractors
PARCEL INFO
E CODE: UA USE: UA
DIVISION: UA - BLOCK/LOT##: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,200.00
FEES
ermit Fee 162.90
otal Valuation .00 DM
se Tax 93.60
* TOTAL 256.50
nditions:
nail installation & mid-roof inspection required. Board sheeting spaced more
en a 1/4 of an inch apart requires plywood overlay on entire roof
ect to field inspections.
hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
:dinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
:asurements shown, d allegations made are accurate; that I have read and agree to abide by all conditions printed on this
~plic ion a 'fume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
rcable B t Rid e 0 finances, for work under this permit. Plans subject to field inspection,
data
Th~rmit 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..
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.
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.
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 proceeding 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 building codes or any other ordinance, law, rule or regulation.
All plan review is subject /field inspections.
of Chief Buij(~fing"ficial - date
~N REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
MUST BE MADE BY 3.PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
pF W"EgT,p City of Wheat Ridge Building Division Date:
*r, 7500 W. 29th Ave., Wheat Ridge, CO 80033
_ Office: 303-235-2855 * Fax: 303-235-2857 Plan
e o Inspection Line: 303-234-5933 Permit
O<ORPp
p
Building Permit Application
Property Address: 322-,,( ~iv✓ 7z /J
Property Owner (please print): LkA-L <Yc&4, Phone:3 yce3 f y5 U
Mailing Address: (if different than property address)
Address: 53 0 F, N ez"p
City, State,
Contractor: 1411
Contractor License
Phone: I -
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Mechanical City License
Company:
Exp. Date:
Use of space (description): p e, - 00 Construction Value: $ ~lNy
Description of work: / . J/..)n (as calculated per the Building aluat"a Data sheet)
o~
~~YJ-(lam f Plan Review (due at time of submittal): $
~/'h/t.(~✓flG/✓d/LLL~
Sq. Ft./L.Ft added: Squares 2-16 _ BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this penult. PI ject to field inspection.
CIRLCE ONE: /(CONTRACTOR) or PERSONAL REP SE ONTRATOR)
PRINT NAME: -Sbdk- 71'l SIGNA R Date: DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning: -
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
OCCUPANCY:
Bld Valuation: $
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved El no review required g
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 16295
Date: 10/1/2003
Property Owner: HAL SEILER
Property Address: 3724 FENTON ST
Contractor License No. : 21161
Company: Rugged Enterprises Inc.
Phone: 843-9850
Phone: 426-1019
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all C 10 nted on this
application, and that I assume full responsibility for compli w' heat Ridge Buildi
Code (U.B.C.) and all other applicable Wheat 0 anc, fa (this permi
DATE
Total:
$2,605.50
$108.30
$0.00
$31.27
$139.57
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
REPLACE EXISTING FURNACE W/60K BTU 80%
Ifi~~
BUILDING DEPARTMENT USE ONLY
~C;o~
Approval:
Zoning:
~~:
Approval:
pIJ",~~~ntl!~
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No : 20724
Company :WESTCO ELECTRIC,
INC.
Expiration Date: 2/28/2005
Approval: OKlKS
Plumbing License No :
Company:
Mechanical License No: 21161
Company: Rugged Enterprises Inc.
Expiration Date: 9/4/2004
Approval: OKlKS
Expiration Date:
Approval:
(1) 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.
(2) This permit shall expire if (Al the work authorized 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.
(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 are made 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
proceediing with successive phases of the job.
(6) The iss e 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
ns f th il' codes or any other ordinance, law, rule or regulation.
pector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECfiON LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
9PUC47.lON
Building Permit Number:
Date:
Property Owner: .~ S~ \-e.y'
PropertyAddress:31~'-1 ~,,~S*.
Contractor License No.: z.. \ \~, t
Company: fZ-,^-"p)~ e~h::.e6 ~<'
OWNlllillCONTRACTOII.SIGNATURB OltUNDIlIISI'ANDING AND A.GRJ!3IMBNT
Phone: 30"3 - 8l.f 3 - '1!?5?>
Phone: :303-'1 ZJc-1.2L 'f
1 horoby ccrIi&' 1llIIl: 1110 _ _ pn>pod by.- pc:mdt oppII_... .
8CCIIIIlD, md do DOt vioIaIIl ~ ..-...... .........'""'- oflboCilJ' of
WhcatRidp:OI'~ ~15 ---"'.nb'orl.~.t.J:I."'l"'ofn:axd;1IuIlall.---6
showu. md aIIegaIions _.... _: _I ban nood ODd _1IIi lIbldo by III
oondiliom priDI1:d on _ ~ ODd _ 1 _ lbI1 ._ihiIl9" 1ilr
comp1imco with 11>0 Whaotllidp BulIdiug Code (U.B.C) ODd III otborll{lPllcoble
_Ridp(ftdlnan=. fbr~peamit.
(O~NmA~'~'~~ .DA11iJ&b3
Construction Value: .::2 tc 05 .51:'>
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
Description:
U~~ "-~\ ~ ~ ~'c""''<-''- uS."",; v.i'L f3 TlA ~ Of 0
.'
. BUILDING DEPARTMENT USE ONLY
SiC:
Sq.Ft.:
ZON.....--...:
Approval:
Zoning:
BUILDING CO_IlNTS:
Approval:
PUIIUC WORKS CoIIMBNnI:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Z61V(
Electrica1 License No: S'3<!t'"2-, I Plumbing License No:
Company: ~~=e\~Q:<l..l Company:
Mechanical License No:
Company:
Expiration Date: Expiration Date: Expiration Date:
. Approval: . Approval: Approval:
(1) This permit was iauodin accordance with tho provisions set forth in your application and is subJeettothe laws oCtile State of Colorado and to the Zoning
Rogulad... aDd Buildlng Code4 of Wheat Rid... Colorado or "'" other opp&able _... of the City.
(2) 'Ibis permit shall expire if(A) thewark authorized is not commenced within sixty (60) days from issue date or (B) tho building authorized is snspcoded or
abmdonod for a pcrlad of 120 days. .
(3) Ir_ pomUl apIreo. ............_... ....,o.dh. foe ot_...._-...IIT.......... ....-.........._........";O........m
tbcariaiulplasad, ... .- ....ha;y , . .....4.-. .....DOtcalll:OCdlld_(1),...lfdlat&a~bemotif..".....;...ot ': . ...
exceeds oae (1):pw. fbIlfees..... _plidtilr ...~
(4) No_of...._sbaIl... _...._ .......... __af_...............(OObIem.
(5) eo.o.-sbaIllUllil;>....IlalIdlaa................-(2A).....m_hlll....... ....sbaIl__~.... ..-....--
(I<OCCCIIioll___piIaSCIof....jab.
(6) The issuDce of. permit Cl'1be....-. of...... -. I 'P .' sb8IlllDl be CIDIInIr:d tD be . pemlitfbr..... m ~ at:. my 1IiobdioIl oftbe
..- of.... baDdiog...... ....,.-._Iaw, _.............
Chief Building Inspector