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HomeMy WebLinkAbout2927 Benton Street() L BV13 1 I INS ECTION ECORD 1 INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. L__L__L Call the inspection request line before 11:59 p.m. to receive an inspection the following businecc tin-., * Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Pier Date Inspector Initials Concrete Encased Ground (CEG) Foundation / P.E. Letter I` Do Not Pour Concrete Prior To Underground/Slab Inspections Date Inspector Electrical Initials Sewer Service Plumbing Do Not Cover Unde Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Comments I Of The Above Inspections Comments nd or Below/In-Slab Work Prior To Date Inspector Final Inspections Date Inspector Initials Landscaping & Parking / Planning Dept. ROW & Drainage /Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building el I Of The Above In Comments Comments Inspections from these entities should be requested one w k in advance. For landscaping and parking inspec ons call 303-235-2846. For ROW and drainage inspec ions call 303-235-2861. For fire inspections conta t the Fire Protection District for your project. 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 from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window— Please email insptiCTmeregueSt@ci.Wheatridge.Co.US by 8:00A.M the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Card From The err aaat.her ,, ► A 41 City of Wheat Ridge ]�Or Residential Roofing PERMIT - 201701319 ISSUED: 06/01/2017 ;RMIT NO: 201701319 EXPIRES: 06/01/2018 )B ADDRESS. 2927 Benton ST )B DESCRIPTION: Total reroof; remove old shingles; replace with GAF Timberline HD shingles; 6/12 pitch - 16 squares r* CONTACTS *** gNER (303)638-1146 OSBORN DONALD C 090088 Frontier Restoration JB (303)697-8550 George & Christa Gibson ** PARCEL INFO*** UA / Unassigned ONE CODE: UA / Unassigned USE: 0 / UBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,520 .00 FEES 0.00 'otal Valuation 115.92 Ise Tax 140.90 lermit Fee 256.82 * TOTAL ** k** COMMENTS *** *** CONDITIONS *** roved midroof Effective December 1, 2014, asphalt shingle installations require an app prior to final inspection, conducted when 25-75 percent of the roof requires anapproved inspection approval. Installation of roof sheathing (new or overlay) installed, prior to installation of ANY roof exceedinggj�Y2-inchsexiguire on the entire sts. Asphalt when or board sheathing with ANY gap per shingle. Ice and water shield is be fastened to the roof deck with a minimum of 6 nails p g the roof eav required. Eave and rake metalis to require. be paovidedddfor all er eroof gabove inspections 3 feet Roof ventilation and secured in place isrequired is required to comply with applicable codes and/or manufacturera€''Ms installation In order to pass a final inspection of instructions, whichever is more stringent. rings, a letter of inspection and approva elastomeric or similar typl from the e roof cove manufactureror similar 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. 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: e0 t Job Address: a ? a 7 f w7l v+*r S7' Permit Number: ;� 0{ i 0 1 3/y A �1; "' �G � �2 ❑ No one available for inspection: Time/D ` 0 7AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: % b ) 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 r INSPECTION NOTICE Inspection Type: _� u Job Address: ion 5 f Permit Number: 2Yal_� ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 i / •r Date: Inspector: DO NOT REMOVE MIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201701319 PERMIT NO: 201701319 ISSUED: 06/01/2017 JOB ADDRESS: 2927 Benton ST EXPIRES: 06/01/2018 JOB DESCRIPTION: Total reroof; remove old shingles; replace with GAF Timberline HD shingles; 6/12 pitch - 16 squares *** CONTACTS *** OWNER (303)638-1146 OSBORN DONALD C SUB (303)697-8550 George & Christa Gibson 090088 Frontier Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,520.00 FEES Total Valuation 0.00 Use Tax 115.92 Permit Fee 140.90 ** TOTAL ** 256.82 *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€ms 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&#39;s 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: t Itj Vl ♦T J[MaL LXIUFG Residential Roofing PERMIT - 201701319 201701319 2927 Benton ST ISSUED: 06/01/2017 EXPIRES: 06/01/2018 Total reroof; remove old shingles; replace with GAF Timberline HD shingles; 6/12 pitch - 16 squares I, by my signature, do heattest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable $uilding codes, and all applicable municipal codes, policies and procedures, and that I am t11e 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 permit. I further attest that I am legally authorized to include al i entities named within this document as parties to the work to be performed and that al vgr to be performec�isshsclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER 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. perm it 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 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 granting , a permit s be tis ed to be a permit for, or an approval of, any violation of any provision of any applicable code or any o ��r�Qegul f risdiction. 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of r'Wheat jdge COMMUNITY DEVELOPM.ENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(o)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 0/ /-? Plan/Permit # /) 131 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Z7�1Vr% Re -1-3 /oil Property Owner (please print): /Den O<5b'©9' n Phone�'�j 3 6 39_ /I qb Property Owner Email: /VT/ /� Mailing Address: (if different than property address) Address: lz� vjo, -e- City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: ef 70,C19 Contractors City License #: 960g-9.- Phone:' Contractor E-mail Address: eHRz 5 T4 & ER F- • 01-0 K2 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION >,91RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) �' �U,e 0/d S, »71--e5 mac rt, . ,,/? 14,:: Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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, casements 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) �NTRACTOR)�ei AUTffORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201701319 PERMIT NO: 201701319 ISSUED: 06/01/2017 JOB ADDRESS: 2927 Benton ST EXPIRES: 06/01/2018 JOB DESCRIPTION: Total reroof; remove old shingles; replace with GAF Timberline HD shingles; 6/12 pitch - 16 squares *** CONTACTS *** OWNER (303)638-1146 OSBORN DONALD C SUB (303)697-8550 George & Christa Gibson 090088 Frontier Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,520.00 FEES Total Valuation 0.00 Use Tax 115.92 Permit Fee 140.90 ** TOTAL ** 256.82 *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€ms 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&#39;s 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: t Itj Vl ♦T J[MaL LXIUFG Residential Roofing PERMIT - 201701319 201701319 2927 Benton ST ISSUED: 06/01/2017 EXPIRES: 06/01/2018 Total reroof; remove old shingles; replace with GAF Timberline HD shingles; 6/12 pitch - 16 squares I, by my signature, do heattest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable $uilding codes, and all applicable municipal codes, policies and procedures, and that I am t11e 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 permit. I further attest that I am legally authorized to include al i entities named within this document as parties to the work to be performed and that al vgr to be performec�isshsclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER 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. perm it 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 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 granting , a permit s be tis ed to be a permit for, or an approval of, any violation of any provision of any applicable code or any o ��r�Qegul f risdiction. 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of r'Wheat jdge COMMUNITY DEVELOPM.ENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(o)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 0/ /-? Plan/Permit # /) 131 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Z7�1Vr% Re -1-3 /oil Property Owner (please print): /Den O<5b'©9' n Phone�'�j 3 6 39_ /I qb Property Owner Email: /VT/ /� Mailing Address: (if different than property address) Address: lz� vjo, -e- City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: ef 70,C19 Contractors City License #: 960g-9.- Phone:' Contractor E-mail Address: eHRz 5 T4 & ER F- • 01-0 K2 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION >,91RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) �' �U,e 0/d S, »71--e5 mac rt, . ,,/? 14,:: Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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, casements 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) �NTRACTOR)�ei AUTffORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201701319 PERMIT NO: 201701319 ISSUED: 06/01/2017 JOB ADDRESS: 2927 Benton ST EXPIRES: 06/01/2018 JOB DESCRIPTION: Total reroof; remove old shingles; replace with GAF Timberline HD shingles; 6/12 pitch - 16 squares **REVISION**Adding redecking; Added valuation: $1440.00 *** CONTACTS *** OWNER (303)638-1146 OSBORN DONALD C SUB (303)697-8550 George & Christa Gibson 090088 Frontier Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,960.00 FEES Total Valuation 0.00 Use Tax 146.16 Permit Fee 156.75 ** TOTAL ** 302.91 *** COMMENTS *** *** CONDITIONS *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€ms 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&#39;s 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 - 201701319 PERMIT NO: 201701319 ISSUED: 06/01/2017 JOB ADDRESS: 2927 Benton ST EXPIRES: 06/01/2018 JOB DESCRIPTION: Total reroof; remove old shingles; replace with GAF Timberline HD shingles; 6/12 pitch - 16 squares **REVISION**Adding redecking; Added valuation: $1440.00 "b' my signature do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t11e 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and t t alp l work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 4�le=/5 Signature of OWNER 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 originalpermit 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 changeof 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' ordnance or regullattion of this 'urisdiction. Approval of work is subject to f any inspection. q1. - Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PN! ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of �Wh6at �e CoMmMUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a-)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # C;ll�'j `� � 31 � U 1. Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. — Property Address: i% Tl l �7L-. Property Owner (please print): L � S �of`�'I Phone: '549.3 Property Owner Email: Mailing Address: (if Address: City, State, Zip: than property address) Contact Person: /'V,/�1711"0S Phone: 3Li23 9'03 96 V 9 Contractor: Contractors City License #: 0900 0� Phone: .3 o-3 Contractor E-mail Address: (11R GST,9 G:) FR _R . d e' Please Mote: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. FULF Amps Btu's Squares Additional cPro' ct Value�(Must include all general and subcontracted f 36 f Gallons Other be perfonned related to revisions/amendments described above) 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of _(OWNER)CONTRACTOR) PRINT NAME: 61v/1,1,!`7140 iJ 5a%7 SIGNATURE:DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required OCCUPANCY CLASSIFICATION: Building Division Valuation: $ c Bu ding Permit Number: 10894 Date: 7/25/2000 This permit was issued in accordance with the provisions set forth in yapur application and is subject 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 This permit shall expire If (A) the work authorized Is not commenced within sixty (60) days from issue ate 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 require provided no changes have been or will be made in the original plans and specifications and any suspension Of 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 p lem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and hall receive written approval on inspection card before proceediing with successive phases of the job. The iss of a permit or the approval of drawings and speCifications shall not be construed to be permit for, nor an approval of, any violation of the provisions II mny other o~~nance, law, rule or regulation. .-.:oEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: Property Address: 2927 BENTON ST Contractor License No. : Company: 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' at all measurements shown, and allegations made are accurate; that I have read and a to bide by all conditions printed on this application, and that I assume full respon Hit f: r compliance with the Wheat Ridge BUilding Code (U.B.C.) and all other applicable at' ge ordina 5, for work. under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description: INSTALLING VINYL SIDING BUILDING DEPARTMENT USE ON Approval: Occupancy: Walls: Roof: Stories: Electrical License No : Company: Plumbing License No : Company: Expiration Date: Approval: Expiration Date: Approval : (1) (2) (3) (4) (5) (6) Phone: 232-7906 Phone: Construction Value: Penmit Fee: Plan Review Fee: Use Tax: Total: Use: SIC: Sq. Fl. : Residential Units: Mechanical License No : Company: Expiration Date: Approval: $1,200.00 $44.85 $0.00 $30.00 $74.85 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Buildi 9 Permit Numcer : Date. APPl\Cf\T DN 7- Z 5- 2c7UO Property Owner: 7) o,v I\. (d- c c9s,6() A--t Property Address: d 9' d-") ~~ Sf ~ Contractor License No. : Company: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the. setback "distances proposed by ~is permit aPl?lication ilfe a<?CU~te, and do not vIolate apphcable ordinances. rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of record: that all measurements shown. and allegations made are accurate: that I have read and agre 0 abide by all conditions printed on this application. and that I assume full responsib" r compliance with the Wheat Ridge Building Code (U.8.C.) and all other applicable Wh t idge ordinances. forwor1< under this pennit. (OWNER)(CONTRACTOR) SIGNED DATE P-d!5; DeSCriPtion:/ ,t/~(107 ~oOlng~ommen~ Approval: Zoning: ~u~~ng~(tD:!!\1.enm:il Approval: ~UD~I~~.O~....~~~~....n~ Approval: Occupancy: Electrical License No : Company: Expiration Date: Approval: 1/C4't I S~~ Phone:~7' :2$Z--7.P~k Phone: C nstruction Value j ~OC> ,<--- Permit Fee: Use Tax: Total: IC: Sq.Ft.: BUILDING DEPARTMENT USE ONLY Roof: Stories: Residential Units: Ttus I*mit was iUuecI in ~_ with 1M ~.. for'Itl in yopur A.' -. end is IUI:ItICI' to lie RegU_onclB-';~,,_IliOgo.c.........,___.....CIly. Thes permrf 1hII.1IJrC)q" fA) thewanr: MIII'IOnZ8d.. not _..._-<1 wrthtn IIlCty (10) days from tSSUe date or ( abl;nOoned far . Del'1Od of 120 days. It II'Iis permit: 8XPU'eI. . new."""" rn.y be ac:QUftcI far. ,.. 01 one-naat Ihe amount nannatty reQUiNd. ongrnaJ ptana.., I~_-;_bwo..end InY - l~ ~,or""4..._4l'1a1 notCXClededone (1) year. n exceeds one (1) ,... tuII .... .... be paid far. ~ p.mit. No worfl; Of any manner Iftd be dOne.. will d'lange OW aanI ftow of watw cauIing a drainage pn:lotem. ~"""IlOlify'" 8ulIding'-_-C2.)hours.._ror..'_oncl..... p--~ --....... The I&IUanCe oil perm( ar...IPDnMIt,.1hwingI Md JU~6.-bw... shaI not be c:onsuued II:) be. permit of the buikiing CDdes or InY oItIer 0I'diMnce. law. rule or~. . P) {21 (3) (') (5) (S) Chief Building Inspector Plumbing License No : Company: Expiration Date : Approval: Of the Smte of Cobrado and" .... ~ ttle building lutnonzed is .uspenaed or no d'Ianges Mve been or wi. be ".,. in 1M .,. tnIlCSe or if SUSpenSIOn or ~4-..._..1 --...--- . nor an approval of. .ny YioInon of the ptOVisIonI