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.
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i CITY OF WHEAT RIDGE
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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
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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
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♦ 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
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Phone: ::w '3 ..f- '3 'J,-J YG'3
Building Permit Number:) iJ?:3 73
Date: (1I12>{P,g
Phone:
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OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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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 ~
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(OV'lNER)(CONTRACTOR).SIGNED~~ ! - '1,} AT /e' (~..?i" "
'.
DATE
(Q'WNERXCONTRACTOR): PRINTED
DESCRIPTION: 4'? _ /'.
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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