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Home My WebLink About3946 Chase StreetI N S P E CTI ON-R.E.GORD Inspection online form: ttp://www.ci.wheat!idge.co.us/inspection Cancellations must be submitted via t e nine ore 8 a.m.spection/7 Inspections will not be performed unless this card is posted on the project site ,E Request an inspection before MIDNIGHT (11:59 PM) to receive -ars inspection{the following business day, =RMIT: �/ADDRESS: �,-/ e , ' '� �� JOB CODE: oundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior 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. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 3 ulation 306 Mid -Roof j 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 PERMIT: rC L'/ / ADDRESS: J /'7(�L�/��I 4C1� JOB CODE:�1-er 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 - I a - I $' 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 - I a - I $' 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 by the Building Division. i CITY OF WHEAT RIDGE Budding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: e-1 0 `7 - F�_, Job Address: '3 9 q& C An � ai- Permit Number: -2 ® f-7 O 9 4, 5- 1 ❑ No one available for inspection: Time I o " �)q AM PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: / / /i a i Inspector: T7__) DO NOT REMOVE THIS NOTICE ,�9C A i CITY OF WHEAT RIDGE Building Inspection Di4ision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: (-/ G 9 - Job Address: 37'-//, C e 54 - Permit Number: '2 v 1-7 0 q in S-2 ❑ No one available for inspection: Time I)= o r 90M Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 t Date: I ) s 1 9.. Inspector: —r -b DO NOT REMOVE THIS NOTICE I a 3 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/ 0 2 ., A Job Address: '3 `-1 C A a S Permit Number: Q a -7 o 9 4� 6`S-0' -V 0 f- S4� n 0 n e e irCIS 4-0 11J l e a )) e r -e s C- ke dui P. �' � is ❑ No one available for inspection: Time 3 = W7 &PM Re -Inspection required: (es)No When corrections have been made, call for re -inspection at 303-234-5933 Date:-/ / s Inspector:_ =1> DO NOT REMOVE THIS NOTICE `3 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: __2� e (1 - /11 , j Job Address: _3 9 z-! 1, (—_ 1, <�, -� Permit Number: -P c / -7 o -i L s 0 0 ®o lr_,�c-0 U�_ ❑ No one available for inspection: Time q - 7P 4o (EO,/M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: 'TIS DO NOT REMOVE THIS NOTICE 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: -30& - M - j Job Address: L, C: , Vk snS - Permit Number: b-7 0 9 6 9- 9 C!2fi !f I)Q)? W A29rl 'J -V0-(' I S Cnrle -, �L,fc. ❑ No one available for inspection: Time �v ='i F AM PM Re -Inspection required: 6s No When corrections have been made, call for re -inspection at 303-234-5933 Date: a Inspector: �M DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE 1 9�'(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L - Job Address: --7)91-/4, C S Permit Number: 'D o r -7 Q ❑ 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: ! /-,? L 7 Inspector: 77 DO NOT REMOVE THIS NOTICE All i CITY 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 0 6, - 1)) Job Address: 9 L-1 & r Permit Number: _ 26 ! -7 10 CT .7 9 I P3 P Ltd r tc V e 0 � o C 0 1 0 e- 0 P Eancel_ P1�g �e sc- ❑ No one available for inspection: Time ! 1- —0,D &PM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303 -234 - Date: t Inspector: 7 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201709659 PERMIT NO: 201709659 ISSUED: 12/20/2017 JOB ADDRESS: 3946 Chase ST EXPIRES: 12/20/2018 JOB DESCRIPTION: Residential reroof remove and install Owens Corning Storm Class 4 architectural asphalt shingles with 16squares. Pitch=4/12. *** CONTACTS *** OWNER (303)423-5003 HAMBLETON LORRAINE SUB (719)644-6245 Daniel Nail 170703 Nailed It Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,112.00 FEES Total Valuation 0.00 Use Tax 86.35 Permit Fee 125.05 ** TOTAL ** 211.40 *** 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. A City of Wheat Ridge `- Residential Roofing PERMIT - 201709659 PERMIT NO: 201709659 ISSUED: 12/20/2017 JOB ADDRESS: 3946 Chase ST EXPIRES: 12/20/2018 JOB DESCRIPTION: Residential reroof remove and install Owens Corning Storm Class architectural asphalt shingles with 16squares. Pitch=4/12. 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 municipI codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorizeo obtain thisthispermrt. I further attestthatIam legallyauthoriztoinclude alperformed and thatall work tobe performed isdiscled in this document and/or its' accompanying approved plans and specifications. /Z- 2o Signature ofA O*NER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a 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 ordinance or re on 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. Project Manager: Al Robles Customer Information Customer's Name: Loraine Hambleton Address: 3946 Chase St. City: Denver Today's Date : ,/Z'/4—/7 Phone: 303-423-5003 State: CO. Zip Code 80212 Underlayment/Details: 1.) Installed one (I ) layer of High -Performance Synthetic Underlaytnent over roof deck. 2.) Installed new pipe jacks on all plumbing pipe penetrations. 3.) Installed new attic vents. 4.) Primed and painted jacks and vents to snatch new roof 5.) Installed a 2 inch by 4 inch drip edge flashing at perimeter edge of roof and replaced all step flashing. 6.) Installed Ice & Water Shield at eaves, valleys and all penetrations. Roofing System: 1.) Installed new shingles over synthetic underlayrnent, including all starter, hip and ridge. - Owens Corning Tru -Definition Duration STORM LLT (130mph) CLASS 4 Impact Resistant UL -2218 2.) Choice of Shingle Color: 2gx- Initials: X Gutter System: We furnished all materials and labor required to complete all work in accordance with the above stated specifications for repairs home on structure in the sum of: $ 6,789.25 - $ 3,394.63 = $ TOTAL DEPOSIT TOTAL DUE 1. Applicable sales tax and permit fees are included in our roof system price 2. Only insurance money will be paid to LHC for any approved insurance claim work completed. Insured will only be responsible for deductible. 3. Any work not approved by the insurance claim will not be done unless agreed upon in writing. 4. Any work outside the scope of work detailed above will require an additional signed agreement. X {,2'itzL?� cLJ�•::vC.i✓�l�%• �� ;Its,,,, PROPERTY OWNER SIGNATURE DATE P CT MANAGER By signing this agreement PROPERTY OWNER acknowledges that you have read, understand and agree to all conditions set forth on this agreement and that no other conditions apply unless they are agreed upon in writing. All payments are due when the agreed upon work Is completed. Lagenia Reimer From: no-reply@ci.wheatridge.co.us Sent: Tuesday, December 19, 2017 8:06 PM _ 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 ` C, 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 i are on the property? PROPERTY INFORMATION Property Address–'" 3946 Chase St, Wheat Ridge, CO 80212 ----------- Property — ----Property Owner Name Loraine Hambleton Property Owner Phone 3034235003 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 hambletonl@gmail.com Yes Loraine Hambelton contract.odf 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) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Nailed It Roofing LLC 170703 3034354536 545 3rd st #1762, Monument, CO 80132 naileditroofingllc@outlook.com nailed itroofingllc@outlook.com TOTAL SQUARES of " 16 sq the entire scope of k6rk __.._.. Project Value (contrast4112.00 ' value or cost of materials and labor) Are you re -decking tl No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 both? (check all that apply) What is the specific tch 4/12 of the PITCHED roo . l'..s How many squares are part of the PITCHED roof? Describe the roo materials for the PITCHED roof: 16 `1._..11/ Owens Corning Storm Class 4 architectural shingles Type of material for tl Asphalt PITCHED roof: Provide any additi al House re -roof 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 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 Daniel Nail Email not displaying correctly? View it in your browser. V1INSPECTION RECORD �Lj SC INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Ty0g Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Monolithic Slab Reinforcement Final Plumbing Water Service (Underground) Caissons Plumbing (Below / In -slab) Concrete Encased Ground (CEG) Heating (Below / In -slab) Footing/Stemwall P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical (Underground) Final Electrical Sewer Service (Underground) Final Plumbing Water Service (Underground) Plumbing (Below / In -slab) Heating (Below / In -slab) Roof Do Not Cover Underground or Below/In-Slab Work Prior To Aaaroval Of The Above Inspections Rough Inspections Date Inspector Comments Initials Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above Rough Inspections Rough Framing Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing Final Mechanical _ Roof r Final Building / Frame Landscaping & Parking / Planning Dept. Inspections from these entities should be requeste one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. "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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE ��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1C•� Job Address: 4 Permit Number: ��r o P � k ❑ No one available for inspection: Tim �y� �(� A Re -Inspection required: Yes Q * When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector 14 DO NOT REMOVE THIS NOTICE City of Wh6at! E3r4*d COMMUN11YDEVELOPm NT, 4MDivision O Me AZ=StWg"e, CO $0033 office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-6933 Email: r)erm1tsb-ci.wbeatrIdgegous Property Addrois.- Archkedffinginior E-mail: Sub Contractors: Elecftical: W.R. City License # FOR OMCE USE ONLY / pkvvp*nnN # �-,, NOM 7-erfnit Application im Phone: Phone: 96-3. *,MA 4 '16 MILITZIM.-M, MM 11 Z M z ! C : # P ♦ 1 # # a PSI s..:.` :[ c DEPARTMENT DOW Reviewer ELECTRICAL SERVICE UPGRADE Qi` ROFING " • ROOFING NDOW REPLACEMENT #. shed, deck, (Garage, i '"R deck, JR or or REPLACMENT or REPLACEMENT 3NDING AND AGREEMENT '#. application Y Y.#:violate applicable # Um ONLY OC"ANCY CLASSIFICATIOW # FOR OFFICE USE ONLY Mailing Address: (if different than property address) Address: Complete all information on BOTH sides of this farm 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: 17712 Date: 9/20/2004 Property Owner: BRIAN hAMIL TON Property Address: 3946 CHASE ST Contractor License No. : Company: Phone: 423-5003 Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR) SIGNED Total: $1,930.00 $90.10 $0.00 $38.60 $128.70 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 1 assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. y 71f-----II--S2rrATE 5SeT .:z..c-/ 2.<=1 REPLACE FURNACE Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: BUILDING DEPARTMENT USE ONLY ~- 1/ ~_ L"l. I v -- ~ning C~f1ts: Approval: Zoning: ~uildi~ments:;! Approval: IYblicNvl'Si!I<S' CommlinmT Approval: Occupancy: Walls: SIC: Sq. Ft.: 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: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (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. (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) Contra hall not' UI ector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before 9 uccessive ph he job. a o~rm' approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the of t~Lli 0 es or any other ordinance, law, rule or regulation. Chief Building Inspector 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 . r\ r"\ .Y\ , I ,- &.-:-' I'\. (' _1_\ ,\<" c:: <-,', ./ L_ '~ Building Permit Number: Date: Property Owner: (-'\ r 2_.; ,\ ,... Property Address: .., c.{ L ( C Contractor License No.: Company: ~;) 1"':-~".2 Phone: ;S' =- 3 ,. (. 1"7~ 5- .') ,,~"'r)~; Phone. OWNERICONlRACTOR SlGHA TURE Of UNDERST ANOING AND AGREEMENT Construction Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax'~ Total:$ \q ? _ C . .~,<.. I hereby certify that the setback distances proposed by this pennit application are accurate. and do not violate appkc:ab~ ordinances. ll..des or regulations of the City of Wheal Ridge Of COVenants. _IS Of reslridions of reoonl: that all measurements shown. and ~ made are acx:urale: lIIa! I nave read and agree 10 abide by all conditions printed on thia application and that t assume full responsibility for c:ompIiance with the Wheat RIdge Building Code (U.8.C) and all other applicab~ Wheat Ridge Ordinances. tOf work under lhi. perm~. D T I -, 5f.-\ (OWNelM~""J SIGNED \, / '; / to If OATE -z..-O'Z-,:;r;. {OWNERXCONTRACTOR):PR'NTEO ) '\ ,-. r t ^' IV". \ \ il f2 t::- Description: .~ "'- P IIr c6 Y'--"2-,~ r"< C-C - ~ Sq. Ft.._ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ~QNlNG COMUENTS: Approval: Zoning: BUILOING COMMENTS: Approval: ~ _.~ WORKS CoMMENTs: Approval: Occupancy: Walls: Roof: Stories: Residential Units: EJectricaI License No: Company. Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Expiration Dale: Expiration Date: Approval: Approval: Approval: (1) This permit_ _ in 8CCOnIanoowilh the p10';........ forth in )'OUf 1IIl1>I'-~. -j and i...,qoctlothe_ of the SlaIe 01 CoIonodo"" to the Zoning ReguInorts and BuIlding ~ of w_~. CoIonodo Of _- ow'~ - of the Cily. (2) This permit _ expn ~ (A) the -" _ i$ not c:omrnenc:ed -... $ixty (60) day> from _ dale or (8) the tMkling .......- io "'-_ or _ocIol..., lor . period 01120 cIeyL (3) "Itllo pennII explree.. _ pennII moybe ~ lor.... oI__the _ normoIy n>quired, proYided no__ __orwilbe..-ln...origIneIpIeno- ~ ~, ..____ Of_.ot........'_not..-..... (1)_. "__--OfU--Of-.ot........'-one(l}-.IuII--bepaidlora.-permil (.J No_ 01_ __ _ be _....wit chengo the _ - 01_ C8U$ing. --..-. (5) c...._ _"'*'Y...e.-.g ~ ~ (2.) hourS in _lor" ....-aoo.. one! thai receive_ appIOV8I on ...,-. cenI_ ..-Ill with .' II. _. phaM of the job. (6) The ___ of . permit Of the eppn>veI of -'01 ..., ~.. _ not be <00_ 10 be . permit lor. nor en approval of, any violation of the provisions of the buikbng c:oc:IeS or any 0Iher ordinance. \aw. rule or regulation.