HomeMy WebLinkAbout3720 Chase StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201709529
PERMIT NO: 201709529 ISSUED: 12/11/2017
JOB ADDRESS: 3720 Chase ST EXPIRES: 12/11/2018
JOB DESCRIPTION: Residential reroof remove and install Architectural Dimensional asphalt
shingles with 17 squares pitch 4/12.
*** CONTACTS ***
OWNER (303)808-4859 MAGRINI ALISON A
SUB (303)758-7663 Jason Gillis 090242 d-7 Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00
FEES
Total Valuation 0.00
Use Tax 126.00
Permit Fee 140.90
** TOTAL ** 266.90
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201709529
PERMIT NO: 201709529 ISSUED: 12/11/2017
JOB ADDRESS: 3720 Chase ST EXPIRES: 12/11/2018
JOB DESCRIPTION: Residential reroof remove and install Architectural Dimensional asphalt
shingles with 17 squares pitch 4/12.
I, by my signature, reby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable builcii codes, and all a icable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal f6ner of the prope am authorized to obtain this permit and perform the work described and approved in conjunction with
thiserrin I further attest that a eggally authorized to include all entities named within this document as parties to the work to be
perforand that all wor be erlormed is disclosed in this document and/or its' accompanying approved plans and specifications.
f
�-- 1
/2, 12 :/ `7
Signature of OWNER o NTRACTOR (Circle one) Date
1. This permit was issu ed on the information provided in the permit application and accompanying plans and specifications and is
subject to the comp ' n e with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall a pir 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to t e date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may b 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 any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services 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 gran i, " of a permit shall not be co trued to be a permit for, or an approval of, an violation of any provision of any
applicable code o ce or reV do i°t jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
nia Reimer
00 C/
From: no-reply@ci.wheatridge.co.us
Sent: Monday, December 11, 2017 11:22 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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 3720 Chase St
Property Owner Name Alison Magrini
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
303-808-4859
1
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
Magrini Signed Proposal.pdf
CONTRACTOR INFORMATION
Contractor Business d-7 Roofing LLC
Name
Contractor's License 090242
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-758-7663
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 5470 Lincoln St
(Primary address of your
business)
Contractor Email Address vance@d-7roofing.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
vance@d-7roofing.com
17
No
Pitched roof (2:12 pitch or greater)
z
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
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? Etc)
4/12
17
Archetectual/Dimensional Shingles
Asphalt
Residential single family home
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
3
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 Vance Manzanares
Email not displaying correctly? View it in your browser.
4DCorporate:
Denver - 5470 Lincoln St, Denver, CO 80216 Office: 303-758-7663 Fax: 303-758-7667
Branches:
Colorado Springs - 3415 Chelton Loop S #A, Colorado Springs. CO 80909 - 719-445-2945
Fort Collins - 1415 N. College Ave. 2B, Fort Collins, CO 80524 - 970-797-4353
Salt Lake City - 3640 W 2100 S, Salt Lake City, UT 84120 - 801-590-7683 w«<«.d-7rootin_cgm
Customer Name:Date: Cz/
Job Location: :3_-74o, 0 , rrrt 5 4, City:
Contact Numbers Home:
Cell:,"`, -A' "-r1 ffice:
Sales Rep:
Insurance Carrier: -tom Claim Number:
Carrier Phone:
Zip: kD Z I -L
d-7 Roofing LLC proposes to provide all materials, labor and equipment necessary to perform the following at the Job
Location. Prices include all applicable sales taxes, clean-up and removal of roofing debris. ROOF PRICE IS FIGURED USING
DRIVEWAY ACCESS FOR UPLOADING ROOFING MATERIALS AND DOWNLOADING R O ING DEBRIS. Approximate Dates of Service
that require driveway access: to Customer Initials:
Customer to ***alall that apply: _
Tear off layers of existing roofing KInstall��If\of 5 inch 26 gauge steel gutter
l{ } Low pitch area Install— 2— fy 2x3 { } 3 4 downs outs ttach cawing
{ } Replace sheeting at $50.00 per sheet Gutter and downspout Color
{ } Overlay 7/16" OSB over exi ting decking c �r } Install `—
# felt j
Install open { } closed {valleys S} Shingle Sty 1 if )14
Install standard ridge shingles Shingle Color 5� ^
{ } Install "High Profile" ridge shingles Clean out gutters
{ } Install ft. of ridge vent { } Detached { } Garage { } Shed Attach drawing
e- as ney f V2 year Workmanship Warranty
et I
�{(%} Haul off all trash and magnetic sweep of the property L "
{ Owens Coming Platinum Limited Warranty additional fees apply
Replace all necessary wall, pipe and vent flashings to meet all applicable code requirements
Install ice and water shield at )10} eaves { } valleys { . } crickets if required
Install pre -painted metalateaves jt) gable ends (,)4omeetallapplicable code requirements Color: ��rctl�'/
Sub -Total: $ S (; z proposed insurance claim amount prior to supplements.
i
INSURANCE CLAIM AGREEMENT:
This Agreement authorizes d-7 Roofing LLC to represent your interests and negotiate insurance claims to ensure
that the scope of work will be repaired or replaced with NO ADDITIONAL COST beyond your deductible. Any items
not covered bythe customer's insurance carrier that the customer requests will be billed separately. This agreement Is for the FULL
SCOPE OF INSURANCE REPLACEMENT COST PROCEEDS, including supplements. The final price agreed upon between the
insurance company and d-7 Roofing LLC shall become the final contract amount which you, the Customer, will be
responsible tosegire payment to d-7 Roofing LLC upon installation of materials.
Property Owner is/is not intending to make payment from the proceeds of property and casualty insurance policy. �(� y�
**" d-7 Roofing LLC cannot pay, waive or rebate any portion of the insurance deductible in part or in whole*** Customer Initials: `1 t t "
THE HOMEOWNER MAY WITHDRAW THIS CONTRACT WITHIN 72 HOURS AFTER RECEIVING NOTICE THAT THE INSURANCE
CLAIM HAS BEEN DENIED.
d-7 Roofing LLC shall hold in trust any payment received from you until delivery of materials to the jobsite or performance of the work
on your property.
ACCEPTANCE:
THE PROPOSED -PRICES, SPECIFICATIONS AND TERMS AND CONDITIONS ARE DEEMED SATISFACTORY AND ACCEPTED
BY SIGNATURE BELOW. I, THE CUSTOMER, AUTHORIZE d-7 ROOFING LLC TO PROCEED WITH THE INSURACE CLAIM. g
PAYMENT WILL BE MADE AS INDICATED ABOVE. CUSTOMERAGREES WITI1 THE TERMS AND CONDITIONS PRINTED/ �-
BACKSIDE OFTHIS AGREEMENT. �, d Customer Initials:
CUSTOMER SIGNATURE: �"���� \ ; ��t;,�2%Y"L` DATE
SALES REP SIGNATURE: (1"1 `tel =- DATE
ACCEPTED BY:
PRINT: DATE
A BBB
�3
iCITY OF WHEAT RIDGE
Building Inspectiorti Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 7 r h - A ) , "I
Job Address: 3 -2'3 c C G Z__0 5--�
Permit Number: -9 o f-7 e g Sc— a q
❑ No one available for inspection: Time a --s-1 AM/&ll
Re -Inspection required: Yes IC&o
When corrections have been made, call for re -inspection at 303 -234 -
Date: a L4Inspector: --T-b
DO NOT REMOVE THIS NOTICE
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: 11 1
Job Address: 3 -7a C C S�
Permit Number: � o (7 p 9 s a 9
� - P ,-, ,-r Gly o 4-
❑ No one available for inspection: Time 13 S9 AM PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: la1IL-1 /1-7 Inspector:
DO NOT REMOVE THIS NOTICE
► 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:
Job Address:
Permit Number: t1 0�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call foe-inspe4).__
cttion at 303-234-5933
Date: 0- \511-7 Inspector: , W,41.
J
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Electric PERMIT - 060434
PERMIT NO,
JOB ADDRESS,
DESCRIPTION,
060434
3720 CHASE ST
200A servo upgrade.
ISSUED,
EXPIRES,
Install(4)120V ISA circuits
06/01/2006
12/01/2007
&(1) 20A cir
*** CONTACTS ***
gc 720/338-3398
owner
Michael J. Brandner
Lonna Harris
06-0078 Brandner Enterprises
** PARCEL INFO **
ZONE CODE, UA
SUBDIVISION, UA
USE,
BLOCK/LOT#,
R-3
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION,
FEES
108.30
.00
36.45
144.75
2,025.00
** FEE SUMMARY **
Comments:
Must comply w/ 2002 NEC.
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.B.C) and all other
applicable Wheat Ridge Ordinances, for rk under this permit. Plans subject to field inspection.
I>
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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (E) the
building authorized is suspended or abandoned for a period of 180 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 have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall recelve
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 field inspections.
Signature of Chief Building offieal
date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303}235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Community Development Department
MINOR
BUILDING PERMIT APPUCATION
Building Permit Number:
Date:
Property Owner: ~ 011 no-- I-Io.-r>" I 6
property Address: 37~c) CIf1:!5E 51"
Contractor License No.:
Company: 8;(~", DNu' C10reRPfe, $€S Lt...C-
Phone:
Phone: 72.0 --33~ - 33-'8
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Sui/dine/Deaf. Valuation Figure: $ .R. J 0::1.5,00
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.
"?V1.- I rJ ~ n ~III""
(QWNER)(CONTRACTOR): SIGNED / ~ fl- ~DATE
(OWNER)(CONTRACT~R):PRINTED DATE
Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Use of Space (description):
Description of work: ~t:>6 A4"'f S~v"CE. Uf'6,UI&JG I r',.J$n+L(..".J 6 q t-.It-r,J /;;1..0 1/ I~ ;'P'f'
(Ir<!C.J,'rS tJ.",d. 1 ,:J..a. It""f' {ZO v "'w.e..... ,-r -N /'-e....d. .,~..-J re.<=-~f'''''''''cJ~.5 '>'1 h<l0~
Sq. Fl. adde~
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.F\.:
:ZONING COMMENTS:
Approval:
Zoning.~.
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
IRE DEPARTMENT COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth tn your application and is subject tothe 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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the buitding
authorized is suspended or abandoned for a period of 180 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one
(1) year. If changes have been or tf suspension or abandonment exceeds one (1) year, full fees shall be patd 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 ofthe building codes or any other ordinance, law, rl:lle orregulation. All plan review
.is subject to field inspections.
(1)
(2)
(3)
Chief Building Officiai
,,'-'.
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at 37 Z D d1 ~ ~
I have this day inspected this structure and these premises and
have found the following violations of City anellor State laws gov-
erning same:
r) f??J,/:ck &FCT Rrvi (SL ovtk f- ,'"
~ u..>! &'.r~'" 0
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
DO NOT REMOVE THI
r for Building Oept.
Date
1-2/- 7
FORM WR6.22
DEPARTMENT ." PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING h..$PECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
8790
4/19/99
Property Owner:
Property Address: 3720 Chase St
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 303456-4830
Phone:
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate: that 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 Ridge ordina , for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ~ . ;:.6 DATE '/-19 - '1'1
Total:
Use:
Description:
Install new furnace.
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning:
SIC:
Sq. Ft..
__ __b---I
Approvai :
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
$489.00
$23.50
$0.00
$12.23
$35.72
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 Buildin~ Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work. authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, 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 shaH receive written approval on inspection card before
proceediing 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 b~des o';.ny o. the, o,dinanee. law, ,ule 0' regulation.
. '7/;;"""".>4
Chief Building Inspector
(1)
(2)
(3)
(4)
(5)
(6)
DEPARTMENT ""'c PLANNING AND DEVELOPMENT Building Permit Number:
_BUILDING I. _..iPECTIONDIVISION - 235-2855
CITY OF WHEAT RIDGE Date: /(-/1-9'1
7500 WEST 29TH AVENUE
WHEA.T RIDGE, CO 80215 A PPL\ Cf\, ION
Property Owner:
Property Address:
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
-fh:>r CUiur
""57.;.20 4#~
Phone: :3!!B-?$6-</&?n
Phone:
Construction Value: '/81,-3;3
Permit Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that 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 Ridge ordinance r work under this permit.
~ /
Total:
(OWNER)(CONTRACTOR) SIGNED
DATE ~ i~-tr
Use:
Description :Pt/7f//Vg IN 1f,JetU~, /?JJ'./I/4CC - J?6f'i-/lC/.AIj OJ..;./) r:>,uB
BUILDING DEPARTMENT USE ONLY
~Qlm!m~Q~m SIC: Sq. Ft.:
Approval:
Zoning:
~!!!!!!g~<1-ml\t~l!lS;
Approval:
gpb-ncDYof~l~mmenUi_;]
Approval:
Occu pancy : Walls: Roof: Stories: Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject 10 the laws of the State of Colorado and to the Zoning
Regulations and BuildlnQ Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work authonzed 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.
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.
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 Insfector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases 0 thel'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 provisions
of th~ building codes or any other ordinance, law, rute or regulation, '.
(1)
(2)
(3)
Chief Building Inspector