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HomeMy WebLinkAbout3401 Kendall StreetMILLS ROOFING CO. 2221 GRAY ST DENVER COLORADO 80214 PHONE # 303-232-0324 April 26, 2018 To whom it may concern, This is to verify that the Certainteed modified bitumen roofing has been installed in accordance with the manufacturers specifications. 3-101 A �� �� i CITY OF WHEAT RIDGE _1�9�Builditg Inspection DIVision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: y'D 9 ` F + 1r,,- i Job Address: 3ya 1 Ke 11Nr- 1/ 5* Permit Number: 5-- r__1 t- r l 7 ct e-4 c rece,rueG[ ❑ No one available for inspection: Time 9 = _S3 (RPM Re -Inspection required: Yes 0 When corrections have been made, call for re -inspection at 303-234-5933 Date: —'—Jl 4,6 Inspector: _T__b DO NOT REMOVE THIS NOTICE City of Wheat Ridge i Residential Roofing PERMIT - 201801115 PERMIT NO: 201801115 ISSUED: 04/19/2018 JOB ADDRESS: 3401 Kendall ST EXPIRES: 04/19/2019 JOB DESCRIPTION: Reroof remove and install Modified Bitumen and Owens Corning Asphalt Shingles with 16 squares. Pitch 1/12,4/12. House and Garage. *** CONTACTS *** OWNER (720)289-3835 DOHA LOIS SHIRLEEN/KOI SUB (303)232-0324 Bill Lynn 019976 Mills Roofing Co./Decker Lane *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,587.00 FEES Total Valuation 0.00 Use Tax 159.33 Permit Fee 172.60 ** TOTAL ** 331.93 *** 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. le 91 City of Wheat Ridge Residential Roofing PERMIT - 201801115 PERMIT NO: 201801115 ISSUED: 04/19/2018 JOB ADDRESS: 3401 Kendall ST EXPIRES: 04/19/2019 JOB DESCRIPTION: Reroof remove and install Modified Bitumen and Owens Corning Asphalt Shingles with 16 squares. Pitch 1/12,4/12. House and Garage. 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 rther attest�that I am le ally authorized to include all entities named within this document as parties to the work to be p _ med a at all w ed is disclosed in this document and/or its' accompanying approved plans and specifications. // ,2 0 7) !P-9 Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 ermit 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 anmanner 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. -*—IV* 11 Signature of Chief Buildm�fficAVM9GW1 Date REQUESTS MUST BE MADE Y 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Lagenia Reimer From: no-reply@ci.wheatridge.co.us Sent: Thursday, April 19, 2018 12:55 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application c� 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 r 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 3401 Kendall st Property Owner Name Koi Toha Property Owner Phone 720-289-3835 Number (enter WITH dashes, eg 303-123-4567) I Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed IMG 3506.JPG Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Mills Roofing Company 019976 303-232-0324 2221 Gray St Edgewater Co 80214 Contractor Email Address millsroofingcompany@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or millsr000fingcompany@gmail.com 16 r 7587 'No t_..i Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or greater) 2 both? (check all that apply) What is the pitch of the 1/12 FLAT roof? --- How many squares are 3 part of the FLAT roof? Describe the roofing Modified bitumen material for the FLAT roof: Type of material for the Other (specify below) FLAT roof: If "Other" is selected Modified bitumen above, describe here: What is the specific pitch 4/12 of the PITCHED roof? How many squares are 13 part of the PITCHED .---- roof'? Describe the roofing Owens corning materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional House & Garage 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. 3 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 Robert Lynn Email not displaying correctly? View it in your browser. 4 0 :EK m r- Z O U 3 fl. n y `5. o to a' 4 m r+ _ 0 (DD 3. int m m m m v' O N O� _ y �• r'' Z o s M ° 0• C O 0 m O ` 0 0� cn ctq c , c o 3 3 ,`u N t0 CL c4k,1 c ` •� <-� O O �, C\ `_ y n O O r r fD to �+ m ol m r ••v j O C � D m `v ° t - .Z N y ^\ < O � O m y v QG O. z', t m INy~ g �•r m N r � mo (D 3 O ` �� m L w m n =` n o m Q NO 33 Vi O® m (Oj 3 m m D co C A® f5I zz a -n m o 2 11° ID f ` S (1 i CITY OF WHEAT RIDGE Vf Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE' ^ Inspection Type: 3o6J Ui Job Address: 1017da Permit Number: 2 0) 1 1 6' ❑ No one available for inspection: :Time t AN& Re -Inspection required: Yes Noj When corrections have been made, call for re -inspection at 303 -234 - Date: -q/ 03-234- Date:q7. Z / b Inspector: 4)rf,- LUVC DO NOT REMOVE THIS NOTICE City of h6 at djge- _j comx4UNiTy DEVELOMENT I I I * I *- is - - 0 I MAMIUM. 11HERM967I1 =15M 117,11,111KI 1111 FOR OFFICE USE ONLY M Plenmennit # !'III! I 11111111 1, In! 111 11!111 1111 111 1 19=1111111�il! =��M Property Owner (please pfinfl* Shirleen Joha Phone, 303-915-0848 • Address. Same as Above City, State, Zip: h1teCVE0_qjn"r, NIA Contractor-Thd at Home Services, Inc Contractor E-mail Address: copermits@gmaii.com Plumbing: W-112- Citv LicertSe 9 Phone: Phone: 1-855-712-8899 Complete all information on BOTH sides of this form I ■ I. C� fc� CCS 0 C, 1= C-1 € C9 y.0 C> CC> C� kPk Iq fIq W W1 (Al tIq 6q 10 4A C:l 1A �5 C> JC� C, (14 -It C14 N ?14 N r4 C> t— N rq m m m m C! 0 10 C� C> ;7 �o lo C� 10 fo. 61� 0 6A, r- iA 6#q C4r4 t-4 r,4 C> C> C> e,4 i cv t -i C> 10 z i z z 40 4o u u 44 40 r z v lw z % z 0 4.0 to ft C4 E Q 40 C-4 ca r�A ar to 140 cs ♦ i CITY OF WHEAT RIDGE fj Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE S ❑ No one available for inspection: Time AM/PM Re-Inspection required: Ye No _ "When corrections have been made, call for re-inspection at 303-234-5933 Date: • Inspector: DO NOT REMOVE THIS NOTICE Inspection Type: l~flT1Y/~l1Gj 0117 ILi~Qroxvrj Job Address: ~IrG~ll Permit Number: L)= 70 City of Wheat Ridge .r v Residential Plumbing PERMIT - 090170 PERMIT NO: 090170 ISSUED: 03./04/2009 JOB ADDRESS:. 3401 KENDALL ST (EXPIRES: 0.8/31/2009 DESCRIPTION:. 55 if of sewerline repair in front yard ***CONTACTS go 303/696-959.9 Steve Wakeham 01-9921 Pipeline Industries', Inc. PARCEL INFO ZONECODE: UA 1. -USE: UA SUBDIVISION:' 0490 ,BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED (PROJECT VALUATION: 16,500.00: FEES Permit Fee ? 363.10 Total Valuation .00 Use Tax 297.00 ✓~~JLZ?,:~<% TOTAL 660.10 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 l(I.B C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans 'subject to field inspection. Signature :of contractor/owner date 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 anysuspension 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. j. 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 fob. 5. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor a-J.---- I _f am. vr. nl~h.nv of lt' e. ~~n -1 w1- A --a.... Stv..... a eW"EAr City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 Plan o Inspection Line: 303-234-5933 Permit Building Permit Application Property Address: xe io j/ -s--A Property Owner (please print): W; -rhiyMc-s- Phone: '707 - 9'f 5-'Oox.? Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: 2 i zd Contractor License Phone: Am 963-6W-ff 9 Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $i~6~ Description of work: 5.~s(- xewe-)-Lire ,.e~j (as calculated perfheBUildingValuationData sheet) 14 ~ YOn / Y0.Y~ Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: .~jsf Squares 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 permit. Plans subject to. field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: Irti.r 1~Iyy 4/22'g, SIGNATURE: 444if U Date: 3-YoS DEPARTMENT USE ONLY ZONING COMMENTS Zoning: Reviewer: PUBLIC WORKS COMMENTS' Reviewer BUILDING DEPARTMENT COMMENTS OCCUPANCY K--~ Reviewer FIRE, DEPARTMENT.. ❑ approved w/ comments ❑ disapproved ❑no review required Bldg Valuation: $ " , City of Wheat Ridge Residential Plumbing PERMIT - 090170 PERMIT NO: 090170" ;ISSUED:. 03/04/2009 JOB:ADDRESS: ` 3401 KENDALL ST : EXPIRES: 08/31/200.9 DESCRIPTION: 55 if of sewerline repair in front yard ***.CONTACTS gc 303/696-9599 Steve Wakeham 01-9921 Pipeline Industries., Inc. **;PARCEL INFO ZONE `CODE: UA 'r. USE: UA SUBDIVISION:; 0490 BLOCK/LOT#: 0/ **FEE SUMMARY ESTIMATED : PROJECT VALUATION: 2,860.00 FEES Permit Fee 108.30 Total Valuation .00i Use Tax 51.48 P TOTAL 159.78 s 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 she., 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 permit. Plans subject to field inspection. 4&1_f CJ 3- Signature . o£:contractor/owner -.date 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 anew 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 review is subject to f' Id inspections. I Signature o Chief BuiId in al :date INSPECTION REQUES INE: (303)234-5933 BUILDING OFFICE: (303)235-2855 < REQUESTS MUST BE E BY '3PM ANY 'BUSINESS 'DAY'FOR INSPECTION THE FOLLOWING >BUSINESS DAY... / I INVOICE# DATE F 23359 INDUSTRIES INC. PO. Box 370 • Watkins CCO 80137 3103109 PO # , (303) 696-9599 ESTIMATOR Trevor CALL ORIGIN Wheat Ridge Fax(303)671-6871 SERVICEMAN JOB INFORMATION BILLING INFORMATION NAME Shirlene Joha NAME ADDRESS 3401 Kendall St. ADDRESS CITY Wheat Ride STACO TE ZIP 80033 CITY STATE ZIP PHONE 303-915-0848 PHONE DESCRIPTION OF SERVICES ESTIMATE Excavate and replace 4" main drain from house up to the asphalt street. Approx. $ 2,860.00 55' Ion and 8' deep. *Includes: Excavation, Plumbers, Laborers, Pipe & Fittings, C/O's, Bedding, Backfill, Compaction, Clean up, Haul Away, Inspection & City permit. * All Items included if needed. Excludes: Utility conflicts, Box shoring, Any other unforseen problems. XWARRANTY Terms of Warranty: 5 Year - Parts & Labor Excludes: Roots & Ground Movement (Acts of Nature) APPROVAL X COMMENTS SIGNATURE : SUBTOTAL THANK TAX YOU / PLEASE PAY a THIS AMOUNT $ ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins or any other unforeseen complications. TERMS: Invoices are payable, in full, upon completion of work performed. Any invoice not ACCEPTANCE OF INVOICE X SIGNATURE paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc, shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law. SIGNATURE ❑ VISA ❑ M/C ❑ AMEX CARD # EXP APPROVAL # ❑ CASH ❑ CHECK # CHARGE A/R ACCOUNT # 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: 16373 Date: 10/23/2003 Property Owner: THOMAS Property Address: 3401 KENDALL ST Contractor License No. : 21164 Company: Buren Electric Co Phone: 233.2535 Phone: 303-432-8463 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Total: $1,000.00 $50AO $0,00 $12.00 $62AO 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 compli ce wi~ Wheat Ridge Building Code (U.B.C.) and all other apPlicable~. ../ t ,~!dge ordi, nces, orwo under this permit ., I (OWNER)(CONTRACTOR) SIGNED (([(L,' / ATE /c' 7-:i 2'~ Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: NEW ELCTRIC SERVICE BUILDING DEPARTMENT USE ONLY ~iilIii\(jiillllllm:i!~ Approval: Zoning: ~1lIIiIlmi~ Approval: OM p-:O"i_"~~ _!,y!;!...<!Ill. _. Approval: Occupancy: SIC: Sq. Ft: OKAY Walls: Roof: Stories: Residential Units: Electrical License No : 21164 Company :Buren Electric Co Expiration Date: 2/28/2005 Approval: OM Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: 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 10 the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City, (2) This permit shall expire if (A) 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 issuance of a permi e 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 e 0 er ordinance, law, rule or regulation. Chief Building Inspector v Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Po LL. TIkn->.4S 3../0 I kE.t--J cl4LL- Property Owner: Property Address: Contractor License No.: Company: /3t,;Zi': U Z/Ec<- -nzIC cZ, Phone: ::w '3 ..f- '3 'J,-J YG'3 Building Permit Number:) iJ?:3 73 Date: (1I12>{P,g Phone: ~?_ .:r33-~f"5) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ,bf)6.oD Construction Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules oTregulations 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 BUlldmg Code (U B C) and all other appl!c~ble WheaI~ Ordm , for work under th"penmt /' J ~ ' ');;' , (OV'lNER)(CONTRACTOR).SIGNED~~ ! - '1,} AT /e' (~..?i" " '. DATE (Q'WNERXCONTRACTOR): PRINTED DESCRIPTION: 4'? _ /'. -1-'--'= P r:rc=-. :!-I E--L-./:e-I ~ <-.''':/'/'l<-':'':; c:.=:::')~ =/"- v '--- BUILDING DEPARTMENT USE ONLY ZONING COMMI!NTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plumbing License No: Company: Expiration Date: Approval: Expiration Date: Approval: SIC: Sq,Ft.: Mechanical License No: Company: Expiration Date: Approval: (I) This permit was; issued in accordance with the provisions set forth in your application and is subject to the laws of the State ofCoJorado 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 if(A) 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 (I) year, If changes have been or if suspension or abandonment exceeds one (I) year, full fees shall be paid for a new pennit (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 Chief Building Inspector