HomeMy WebLinkAbout3898 Chase StreetCity of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: June 13. 2018
Reason: Project is permittable, need to refund plan review fee. Application No.
201801692 for 3898 Chase Street was cancelled.
Please refund: Contractors License$ (acct 01-510-00-513)
100% permit fee: $ (acct 01-510-00-516)
100% plan review $ 235.82 (acct 01-550-05-551)
100 % use tax: $ (acct 01-500-02-505)
Total Refund Due: $ 235.82
TO:
William McDonald
3001 Forest Street
Denver CO 80207
Thank You!
WLR Cac0c
Permit Technician
�y)�5o1q353 �/�
City of
/^ W heat �%e
Com
MUNI"lY D1:VFLOPMFNT
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Refund Application
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out t*�o
Address: f ire S 0--
City.
Phone: �(�' 3F? / Fax:
State: `-f/ `0
Zip:
(�7az-o 7
Email: UIN ° 9 e 6,r,e, .6c) 0
Permit #: Zy I b Z Permit Address:
Reason for request: O )
Printed Name:
Signature: j Date: l Z Z al
For office use only
This request has been: Approved ❑ Denied Refund Amount: $ —,' `)
X
Approved by: aqu Date:1, /
l
www.ci.wheatridge.co.us
PERMIT: (JJ ADDRESS: r
JOB CODE:
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
203 Sewer Underground Ext.
104 Foundation Setback Cert.
204 Plumbing Underground Int.
105 Stem Walls
205 Plumbing Underground Ext.
106 Foundation wall Insulation
206 Water Underground
nn tint r e%wnr 1 IniJerr.,.....-A
uo Not your concrete 1 -nor To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
303 Roof Sheathing
204 Plumbing Underground Int.
304 Sheer Inspection
205 Plumbing Underground Ext.
206 Water Underground
nn tint r e%wnr 1 IniJerr.,.....-A
_
--��
,,,_�IQ„ W.an n rIIul IV Mpproval yr 1 ne ADove Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
_
--��
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
)-7
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage bythe Building Division.
\ ?C/���L-
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: L-/ ° C1 - , ,
Job Address: -3'3 1'a' C An �e S�-
Permit Number: -3 c 1 -7 0 S a .S-7
❑ No one available for inspection: Time 0 = ac) M'PM
Re -Inspection required: Yes @N�
When corrections have been made, call for re -inspection at 303-234-5933
Date: '` Inspector:
DO NOT REMOVE THIS NOTICE
1-3
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: a b - i)zi , cl
Job Address: 3 9 g CA a,, S-�
Permit Number: 2 a f 70 8 a S7
❑ No one available for inspection: Time j i -I txipm
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: II 1--e- !-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:
int t 1'� IZ00'r-
Job Address:
Permit Number: 2-012 Q b2-5 -7
_.
❑ No one available for inspection: Time X000 AM/ M
Re -Inspection required: Yes No
When corrections have been made, call fo .e -inspection at 303-234-5933
DateJI Inspector:
DO NOT REMOVE THIS NOTICE
N* i CITE( OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 Z) r- #7. J
Job Address: 3 45 GI's C) Gszc S4
Permit Number: _2 e i -7 0 8 _2 S' -7
Go J c, r pie C eo,�
D ot
❑ No one available for inspection: Time 1 a _ L/D A<9
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:- /,c 3 / /7 Inspector:
DO NOT REMOVE THIS NOTICE
/ '/
i CITY OF WHEAT RIDGE
Building Inspection Division
�(303)
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 4s
Permit Number: �9 0 1-7 o S �P S-7
❑ 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 -
Date: I v 3o L Inspector: i' -
DO NOT REMOVE THIS NOTICE
k . City of Wheat Ridge
� L
Residential Roofing PERMIT - 201708257
PERMIT NO: 201708257 ISSUED: 10/12/2017
JOB ADDRESS: 3898 Chase ST EXPIRES: 10/12/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 29 sq Pitch = 4/12
*** CONTACTS ***
OWNER (720)891-0887
KERRANE RIAN
SUB (303)246-9769
Alex Burker
160163 Altitude
Contracting
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS, OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
29,297.69
FEES
Total Valuation
0.00
Use Tax
615.25
Permit Fee
499.55
** TOTAL **
1,114.80
*** 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 - 201708257
PERMIT NO: 201708257 ISSUED: 10/12/2017
JOB ADDRESS: 3898 Chase ST EXPIRES: 10/12/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 29 sq Pitch = 4/12
I, by in signature, do heattest 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 1 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�ppermit. I furth ttest t am leggally authorized to include all entities named within this document as parties to the work to be
performe -sl wo to a perfory�,ed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. 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. Thispermit 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 originalermit 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 Off-cial 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 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 ordin e or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 2 r/ 170 � _L` 5 2
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, October 11, 2017 1:57 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Yes
Single Family Home
�L
3898 Chase Street
Kerrane Rian
Property Owner Phone 720-891-0887
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
rian.kerrane@ucdenver.edu
Yes
image.IPA
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)
Altitude Contracting
160163
720-329-4113
3301 Tennyson Street Denver CO 80212
Contractor Email Address alex.burke@altitudecontracting.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
alex.burke@altitudecontracting.com
29
29297.69
No
Pitched roof (2:12 pitch or greater)
58
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:
4/12
29
Owens Corning Duration
Asphalt
Provide any additional Replace roof on house.
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.
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
59
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 Altitude Contracting
Email not displaying correctly? View it in your browser.
60
Altitude Contracting agrees to install the following materials selected by the customer. Altitude Contracting will pull all necessary permits and furnish all
labor and materials in a good and workman like manner according to widely accepted standard practices in the industry. Any changes or modifications must
be in writing and agreed to by both parties as evidenced by their signatures. Homeowner acknowledges they have received, read, and understand Altitude
Contracting's "Build Expectations" Form. It is the homeowners responsibility to inform Altitude Contracting of any HOA requirements or restrictions.
Altitude Contracting has it's general liability insurance through Colony Insurance Company and they may be contacted through our agent, Dodrill Insurance
Inc. at 7807 W. Mississippi Avenue - Lakewood, CO 80226 (303)986-1539. Altitude Contracting shall hold in trust any payment received until the
delivery of materials to the job -site or has performed a majority of the roofing work on the property. This contract may be cancelled or rescinded
within 72 hours from the date of signing and Altitude Contracting will issue a full refund of any deposit made. It is illegal for any contractor to waive or pay for
any part of an insurance deductible compliant with Colorado Law SB38. The property owner may rescind the contract for service, the payment for which will
be made from the proceeds of a property insurance claim, within 72 hours after receiving notice from their insurer that the claim is denied in whole or in part.
By signing this agreement IANe agree to release payments to Altitude Contracting per the pay schedule outlined below. I/We agree to not withhold funds
from Altitude Contracting due to city inspections being behind schedule. Altitude Contracting agrees to bill the insurance company directly for any additional
work performed due to hidden site conditions (known as the supplement process). If there is any work performed to the property that is not in the original
scope of loss, Altitude Contracting will bill the insurance company for the required work. I/We agree to pay Altitude Contracting any additional funds
authorized and released by the insurance company. Altitude Contracting will not hold the customer responsible for paying any additional funds not agreed to
in this contract if the insurer denies additional coverage.
Altitude Contracting is not responsible for any deteriorated or rotted items on the home that becomes further damaged due to standard job vibration or
replacement of materials or flashings that are required for the build as this is unavoidable. It is further understood that gas pipes penetrating the roof may
shift during construction and Altitude Contracting recommends the homeowner have these pipes inspected & sealed if necessary, but will not pay for such
an expense. Older (and even newer) homes can have structural issues, if you are unsure as to whether or not your home is structurally sound we
recommend you have a certified engineer assess the property prior to the beginning of the build as we will not be held responsible for any structural issues
that arise due to standard material weight and job vibrations on the project. Any specific concerns must be addressed with Altitude Contracting prior to build.
• Brand w`e0",/ l mi // Type 91ArG4
Color Ct- G�� (i✓OtVI,C -
• Remove Existing Roof and Inspect the decking.
Re -Deck Roof with OSB as per code - Y%ES / NO? /
• Install 2" Drip Edge Metal - Color `A
• Underlayment:Q1- ��j Q�� /(
Install � (fid L''��`f/�/Valley"A4st .
• Replace any unusable flashings associated with sealing the roof properly
per city code.
• Install all covers for all pipe jacks and vents.
• Ventilation: r ��
• Clean up contraction site and haul away all debris.
• Sweep the entire property with magnets.
Special Notes / Code Items / Additional Work being performed:
HOMEOWNER: 1 q Q� ckm (icl
ADDRESS: Y l 1 CASiQi J
CITY/STATE/ZIP: �4u��l C�
CONTACT PHONE: �1 � 0 /� /77
EMAIL: V V U� �/� k0lt, e- (/ C4A16*1 WCA,
APPROX START DATE: 7 — 6 .S
APPROX END DATE: _ 3_y c6(/� ,
Insurance Company:
J/('l
Claim #
-G� �q-
RCV: $ _ 2 / 21
Aft -
Deductible: $ _ O /
ACV:$
Depreciation: $
GRAND TOTAL: +All Supplements / Permits Approved By The Insurance Como;
First Payment of $ 2-S-7+ the Deductible of $ 1Y, D 1- will be due upon delivery of the materials.
Final Payment of $ + any approved supplements / permits will be due upon completion of the work.
l have read this contract and agree with all of the terms and conditions provided within. I/We agree to pa
Altitude Contracti full and in ti ely manner per the payment sch de tlined above.
HOMEOWNER: DATE: AUTH. REP DATE:
r
www.altitudecontracting.com
.+
SELECTION OF MATERIALS AND 3303 Tennyson Street
Denver, CO 80212
CONTRACT FOR CONSTRUCTION Phone: 720-329-4113
Fax: 303-600-0782
�I [itUll! (:tl�flfdCfllt;
Altitude Contracting agrees to install the following materials selected by the customer. Altitude Contracting will pull all necessary permits and furnish all
labor and materials in a good and workman like manner according to widely accepted standard practices in the industry. Any changes or modifications must
be in writing and agreed to by both parties as evidenced by their signatures. Homeowner acknowledges they have received, read, and understand Altitude
Contracting's "Build Expectations" Form. It is the homeowners responsibility to inform Altitude Contracting of any HOA requirements or restrictions.
Altitude Contracting has it's general liability insurance through Colony Insurance Company and they may be contacted through our agent, Dodrill Insurance
Inc. at 7807 W. Mississippi Avenue - Lakewood, CO 80226 (303)986-1539. Altitude Contracting shall hold in trust any payment received until the
delivery of materials to the job -site or has performed a majority of the roofing work on the property. This contract may be cancelled or rescinded
within 72 hours from the date of signing and Altitude Contracting will issue a full refund of any deposit made. It is illegal for any contractor to waive or pay for
any part of an insurance deductible compliant with Colorado Law SB38. The property owner may rescind the contract for service, the payment for which will
be made from the proceeds of a property insurance claim, within 72 hours after receiving notice from their insurer that the claim is denied in whole or in part.
By signing this agreement IANe agree to release payments to Altitude Contracting per the pay schedule outlined below. I/We agree to not withhold funds
from Altitude Contracting due to city inspections being behind schedule. Altitude Contracting agrees to bill the insurance company directly for any additional
work performed due to hidden site conditions (known as the supplement process). If there is any work performed to the property that is not in the original
scope of loss, Altitude Contracting will bill the insurance company for the required work. I/We agree to pay Altitude Contracting any additional funds
authorized and released by the insurance company. Altitude Contracting will not hold the customer responsible for paying any additional funds not agreed to
in this contract if the insurer denies additional coverage.
Altitude Contracting is not responsible for any deteriorated or rotted items on the home that becomes further damaged due to standard job vibration or
replacement of materials or flashings that are required for the build as this is unavoidable. It is further understood that gas pipes penetrating the roof may
shift during construction and Altitude Contracting recommends the homeowner have these pipes inspected & sealed if necessary, but will not pay for such
an expense. Older (and even newer) homes can have structural issues, if you are unsure as to whether or not your home is structurally sound we
recommend you have a certified engineer assess the property prior to the beginning of the build as we will not be held responsible for any structural issues
that arise due to standard material weight and job vibrations on the project. Any specific concerns must be addressed with Altitude Contracting prior to build.
• Brand w`e0",/ l mi // Type 91ArG4
Color Ct- G�� (i✓OtVI,C -
• Remove Existing Roof and Inspect the decking.
Re -Deck Roof with OSB as per code - Y%ES / NO? /
• Install 2" Drip Edge Metal - Color `A
• Underlayment:Q1- ��j Q�� /(
Install � (fid L''��`f/�/Valley"A4st .
• Replace any unusable flashings associated with sealing the roof properly
per city code.
• Install all covers for all pipe jacks and vents.
• Ventilation: r ��
• Clean up contraction site and haul away all debris.
• Sweep the entire property with magnets.
Special Notes / Code Items / Additional Work being performed:
HOMEOWNER: 1 q Q� ckm (icl
ADDRESS: Y l 1 CASiQi J
CITY/STATE/ZIP: �4u��l C�
CONTACT PHONE: �1 � 0 /� /77
EMAIL: V V U� �/� k0lt, e- (/ C4A16*1 WCA,
APPROX START DATE: 7 — 6 .S
APPROX END DATE: _ 3_y c6(/� ,
Insurance Company:
J/('l
Claim #
-G� �q-
RCV: $ _ 2 / 21
Aft -
Deductible: $ _ O /
ACV:$
Depreciation: $
GRAND TOTAL: +All Supplements / Permits Approved By The Insurance Como;
First Payment of $ 2-S-7+ the Deductible of $ 1Y, D 1- will be due upon delivery of the materials.
Final Payment of $ + any approved supplements / permits will be due upon completion of the work.
l have read this contract and agree with all of the terms and conditions provided within. I/We agree to pa
Altitude Contracti full and in ti ely manner per the payment sch de tlined above.
HOMEOWNER: DATE: AUTH. REP DATE:
r
f
1 I 4'
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1 F—
Job Address: 67 --
Permit Number:I�j �j2
❑ No one available for inspection: Time 1= A
Re -Inspection required: Yes No v
When corrections have been made, call fe-inspection at 303-234- 33
Date: { 23/1-7—Inspector:yj—/*q1) C
DO NOT REMOVE THIS NOTICE
Date.
Plan #
Permil # . .
— --------- ---------- ----
Property Address: �V 1�(
Property Owner (please print):
Phone,
Address:
MMIMEMM
License M
a=.
Phone:
City License # City License # City License #
f
Reviewer
DEPARTMENT OF ,... ~NNING AND DEVELOPMENT
BUILDING INSP....:TION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number~
Date :1/17/95
Property Owner: ROSSORELLI RAY C
Property Address: 3898 CHASE ST
Contractor License No. : 17178
Company: Good Plumbing Service Co., Inc.
Phone: 424-7306
Phone: 455 4307
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
(OWNER)(CONTRACTOR) SIGNED.
DATEF/7-'JS-
Total:
$1,000.00
$25.00
$0.00
$15.00
$40.00
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 8Q.ree to abide by all conditions printed on this
application, and that I assume full responslbili for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe idge ordi nces, fa ark under this permit.
Description:
REPLACE WATER SERVICE METER TO HOUSE
BUILDING DEPARTMENT USE ONLY
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 in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of lNheat Ridge, Colorado or any other applicable ordinances of the City,
This permit shall expire jf (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 shall 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 building codes or any other ordinance, law, rule or regulation.
\ r ""'" (" p
'- I ()J?-" 6-{
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
(1)
(2)
(3)