HomeMy WebLinkAbout3195 Benton Street4:=xTFRIORS
To Whom It May Concern,
We installed Mule Hide modified bitumen for the
roofing permit 201703502 at 3195 Benton Street. This
modified bitumen was installed per manufacture's
installation specifications.
Thank You,
Alex Knoll
Project Coordinator
O: 720.536.8870 1 F: 720.438.7306 1 Endeavorexteriors.com
7808 Cherry Creek South Drive Suite 401, Denver, CO 80231
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: -I c q - F-�,n " I
Job Address: 31 9 5— e n -4 n S4'
Permit Number: 2 0, l -7 D -3 Sy c
t
❑ No one available for inspection: Time = 44 7 @PM
Re -Inspection required: Yes OP
When corrections have been made, call for re -inspection at 303-234-5933
Date: q 1 Ll� Inspector:
DO NOT REMOVE THIS NOTICE
t
i
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION jNOTICE
Inspection Type: H C /
Job Address: (I _ EJV "jiff rl ST
Permit Number: 210170 �50�
❑ No one available for inspection: Time % r AM/PM)
Re -Inspection required: Yes No
When corrections have been made, call"for -inspection at 303-234-5933
Dater 1 Inspector: (��td-'
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _l C, g - P 11 _ )
Job Address: 3 ► `7 S Z3�e I _�41 n S %
Permit Number: a 0 1-7 c 3!�5- C, -,p
IUn G e t' Se (Vi- 10 SSC , rJr 1
C e r"
❑ No one available for inspection: Time g = 33 I PM
Re -Inspection required: Ge No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3 i 5�_ / / 1�i Inspector: T�
DO NOT REMOVE THIS NOTICE
*** CONTACTS ***
OWNER (303)668-5783 COOPER GLORIA L
SUB (72.0)536-8870 Chris Falasco 160159 Endeavor Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,322.07
FEES
Total Valuation 0.00
Use Tax 216.76 PAID
Permit Fee 220.15
** TOTAL ** 436.91
*** 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 one half 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 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT -
201.703502
PERMIT NO:
201703502
ISSUED:
07/07/2017
JOB ADDRESS:
3195 Benton ST
EXPIRES:
07/07/2018
JOB DESCRIPTION:
Residential Re -roof to install GAF
ARMORSHILD II
asphalt shingles with
RE -DECKING 21 SQ
HOUSE AND DETACHED GARAGE, 5/12 PITCH,
1 -STORY
*** CONTACTS ***
OWNER (303)668-5783 COOPER GLORIA L
SUB (72.0)536-8870 Chris Falasco 160159 Endeavor Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,322.07
FEES
Total Valuation 0.00
Use Tax 216.76 PAID
Permit Fee 220.15
** TOTAL ** 436.91
*** 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 one half 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 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A 41 City of Wheat Ridge
Residential Roofing PERMIT - 201703502
PERMIT NO: 201703502 ISSUED: 07/07/2017
JOB ADDRESS: 3195 Benton ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF ARMORSHILD II asphalt shingles with
RE -DECKING 21 SQ
HOUSE AND DETACHED GARAGE, 5/12 PITCH, 1 -STORY
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am ally authorized to include all entities named within this document as parties to the work to be
performed and that a, 11 work to be er o ed is disclosed in this document and/or its' accompanying approved plans and specifications.
-711f
Signature of O or -CONfRACTOR (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
appli a le code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
1:W1_"TftAL
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 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.
Al
no-reply@ci.wheatridge.co.us
Monday, June 26, 2017 9:28 AM
Permits CommDev
Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
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
Property Owner Name
3195 Benton Street /
Gloria Cooper
Property Owner Phone 303-668-5783
Number 4 3� (�'
Property Owner Email
Field not completed.
Address
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Endeavor Exteriors
Contractor's License
160159
Number (for the City of
Wheat Ridge)
Contractor Phone
7205368870
Number
Contractor Email Address
production@endeavorexteriors.com
Retype Contractor Email
production@endeavorexteriors.com
Address
DESCRIPTION OF WORK
Are you re-decking the
Yes
roof?
Description of Roofing
GAF Armorshield II - Asphalt Shingle
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
18
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
3
on the flat roof?
z
TOTAL SQUARES of all 21 l
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
House and detached garage, 5/12 pitch, 1 -story
10,322.07
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
submit this application
and to perform the work
described above.
Name of Applicant Alex Knoll
Email not displaying correctly? View it in your browser.
3
J
CLIENT AGREEMENT
00 EXTERIORS
N%00
'T
7808 Cherry Creek South Dr. Suite 401, Denver, CO 80231 BBB -
Office: (720) 536-8870 1 www.TheEndeavorTeam.com I Licensed & Insured
Client
Street Address
3195 PC_Aj 0fJ s �
City, State,
rr.
Email Dat f'
Endeavor Rep
`r
Insurance ompany In urance Agent
Home Phone Work Phone Claim #
Mortgage Company (only if mortgage company is present on payment)
ILender Loan # El Borrow Authorization Form Signed
I ❑ Photo of Mortgage Check Taken
0 Limited Lifetime Labor Warranty 0 Gen. LiabilityMorkers' Comp 0 BBB Accredited 0 No Deposit Required
First payment will be collected when work begins or material delivered - whichever
occurs first. This is partial compensation for labor and materials. This amount is:
Work to be completed according to the specifications in the total amount of:
alance due upon substantial completion ❑ CASH SALE ❑Contigency Agreement (Contigent upon Ins. approval)
INSURANCE AGREEMENT. The client authorizes Endeavor Exteriors to represent their best interest in pursuit of full replacement costs for damages believed
to be covered under homeowner's insurance and allows Endeavor Exteriors to deal directly with the insurance company regarding this claim This contract does not obligate
the client to Endeavor Exteriors until the claim is approved by the insurance company, and accepted by Endeavor Exteriors. Upon approval of claim. Endeavor Exteriors
will complete all specified work at a price agreeable to the insurance company (RCV) and Endeavor Exteriors with no additional cost to the client. except for the deductible
Ordinance and Law (supplemental) items may increase the orginal (RCV) amount. Final agreed upon price will hecome the final contract price and request that all payment' .
be made payable to Endeavor Exteriors Inc Endeavor Exteriors will not collect payment until the work has begun or materials have been d9lievered. / �s
*Credit card payments are not accepted on insurance claims"
1 (we) agree, by sigIew,loto all the co tract conditions on both front and b<
Client Signature: -' Date of Acceptance:
Client Signature: __.___ _ Endeavor Signature
ROOF SCOPE. Full Partial Repair
WINDOWS: Full Partial Repair
PAINT: Full Partial� epair
Br
Brand: n /
/A ,
Brand:
1.
Colo
Model/Color
I Color(s):
OTHER: COC Cts
SIDING: Full Partial Repair
Metal C9rr�
Felt:
Brand:
I
jj � f
®—
Style:
,� QA);
DEPARTMENT 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)
Building Permit Num~er :
,
D~te :
!
14576
10/2/02
Property Owner: GLORIA COOPER
Property Address: 3195 BENTON ST
Contractor License No.: 18604
Company: K.E. RICHARDSON
Phone: p33-8389
,
I
Phone: 37-0653
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEME T
REPLACE METER MAIN RISER. OH FEED TO GA
DAMAGE. RECONNECT CIRC. IN GARAGE & INST
Total
$1,465.00
$54.00
$0.00
$17.58
$71.58
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 allegati 5
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that J assume full responsibili plial1Ce with t Wheat Ridge Build 9
Code (U.B.C.) and all other applicable Wheat idge or inances, for or under this permit.
(OWNER)(CONTRACTOR) SIGNED
Use:
Description:
i
GE NECESSARY DUE T~ TREEIWIND
LL RECEP. !
,
,
BUILDING DEPARTMENT US ONLY
......
Approval:
Zoning:
SIC:
S? Ft.:
-
Approval: BG
--
Approval:
Occupancy:
Walls:
Roof:
Stori s:
Residential Un, ts :
!
I
Mechanical Licente No :
Company: !
!
Electrical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This parmit was issued in accordance with the provisions set forth in yopur application and is 5 jac! to the laws of the State of Colora 0 and 10 the Zoning
Regulations and Building Gode of Wheat Ridge, Colorado or any other applicable ordinances 0 the City.
This permit shall expire if (Al the work authorized is not commenced within sixty (60) days from sue date or (8) the building authorize~ is suspended or
abandoned fOf a period of 120 days. '
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally r uired, provided no changes have bee~ 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 susPfnsion 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 drain e problem. I
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspectio and shall receive written approval on !inspection card before
proceediing with success; hases of the job. I
The issuance of a . r ~~~f drawings and specifications shall not be construed t be a permit for, nor an approval of, ary.. y violation of the
provisions of the buil g c / /1..: er ordinance, law, rule or regulation. !
Chief Building Ins;ector ,~ i
(4)
(5)
(6)
DEPARTMENT 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)
APPLICATION
6r loa....p. Coo f'e;(l..
~ I 'I S B e...'l" '" 10.,..
I ~i';. 'i2 ::C"'rfW2d~ IJ
Property Owner:
Property Address:
Contractor License No.:
Company:
e- t f'c.'rYZ it:
OWNERJCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Building Permit Number:
Date:
Phone: '303
-z.3~ - 83'irf
Phone: "36'5
'133-1/0'11,)
Constr ction Value f! ~lP_1t I ~bS. ~
Permit Fee:
PIal: Review Fee:
TTn4 T.v.
Total:
I hearby certify that the setback distances proposed by this pennit application ace
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 applications and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and
all other applicable Wheat Ridge ordin~'!Jrthis permit.
(OWNERXCONTRACTORPIGNED~ DATE Jo/t[of...
Description: \2-ePIt4c,;: Wlc1'Ei2.. V'M;~ '\2;s~ ...
'f:J~Ce$IlQ If dlJlC +.:> 1l2EE/w,'NJ. Dtlh",,q.,E...
9 1 /oJSTIIJI wf ~tCEf (J{.) 1b",sE'
BUILDING DEPARTMENT USE ON Y
~tiQ_Ii:
Approval:
Zoning:
a\!li~~j!~_~ili: / !
Approval: 1(/ t?,). Q:J..
l?il'liH~w~~~l~~ijili.
ApprovaL
Occupancy:
Walls:
Roof:
Stories:
Electrical License No: / g60 'I
Company: ~E i2.'c/IJr'Jilc'SU.....
Plumbing License No:
Company:
Expiration Date.
Approval.
Expiration Date:
Approval:
o H 1=€E.:O-.
l2'ECOf.IIJEc,
to €7fl(]iI'iE
ci~1; ilJ ~~,
SIC.
Sq.Ft.:
Residential Units.
Mechanical License No:
Company.
Expiration Date:
Approval:
(1) This pennit was issued in accordance with the provisions set forth in your application and is subjec to the laws of the State of Colorado and to the Zoning
Regulations and Building Code ofVl.heat Ridge, Colorado or any other applicable ordinances ofth,e Ci
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from i ue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this pennit expires, a new permit may be acquired for a fee of one-half the amount normally requi ed. 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 wock ofanym.anner shall be done that will change th.enatural flow of water causing a drainage prob om
(5) Contractor shall notifY the Building Inspector twenty-four (24) hours in advance for all inspections and 11 receive written approval on inspection card before
proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for. nor an approval of, any violation of the
provisions of the building codes or any other ordinance, law. rule orregulation.
A~
Chief Building Inspector
_''''l''1''''r'''''!I'''''''''_~~'''''''''_'''''_'!
B ilding Permit Number:: .95-1992
. . i....>
Date ; 1015/95
".:i
".,::.. .... ,
P,.nyOwner; cooPi;R GLORIA L
Prop$rty Address: 3195 BENTON ST
ContractorUcenseNo.: 17814
COmP-ny : James Dye Conslr\lctiOn
PhOne: 2331s389
Phone 2746718'
OWNERlCoN'i-RActOR SIGNATURE OF UNOERSTANDlMG AND AGREEMENT
:,.,:::-.;'..:',.,'..\,,.:,.(!..:.:. ,:' .,'" ,..:,,:,-
I helebr~~proP'..=='thls/l8!!ll.~' 818llCl:Urate,
8IId do . 'tIJ/ee or olthe of or
~;. 4iI'~iecoId;Ih8t"-'""'-""'-~~atIons
~ri~lti....~~. on1lllSllui
~'{l;f. S.C...... C1..IlIIIer~"~f6rWol"rIl'" ':r ~
(~COHTAAcTQ~)S_D ' ~ DA
U
. Description : REROOf
........
.~
ZOni~. :
BlIILOlN'GOEPAR'fMENT USE Y
Con$truclIon Value :
Plllhllt Fee:
PI$n Review J:tee : .
UseTax:
TotIIl ;
$2,100.00
$54.00
$0.00
$31.50
$85.50
Apptoval :
Occupancy ;
elecb1c8t Lic:ense No:;
coinpany:
WallS :
Roof'
Stories :
Resldentlal Units
ExpiratiOrt Date ;
ApJlrovat :
.
PlUmbing Licen8e NO ;
Company :
expiration Date :
Approval:
.
(;,
. "8~ Liclense ~o:'
company :
Expiration Date :
Ap~:
. .'.
,. ...".,_.,..."....v.:'
r~~':~~~= ~"\lffi~i cife",I'fJ '. IO"'~
, "_~linlll_ldIlelIIl., ~dllyI"'" LOI'(1I)1Ile1llildll........lwd18"!II\l._or .
-' _""_.........IIe..~....tIIa,--1lCI!llI8Iiy _ilo__IiowJ~""_lnlhe
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~wII"....,="*'...._IlI...._.__ . . , ...
'r:r.:r~~4)_1n_1or8llrr...-.. sh8II_"~'__ClI'\~.__.
lIPPIaoI8l ~1!1<I_!lk:"""_nIIlbe _10 be parmlllor, oCt.. ..........01. fIrt ~ olllllp(JvlaloM
. -;;;ZlN'roilutolIoft. ' .
. 'llIul1c1lng~ '
nit8 PElVtIIT VAUO ONLy WHIiIN 8JGNeI) BY THE
CALL: 23U9U 2.4 MoUlt. PRIOft TO
........lNIPECTOR .
EC'11ON . .
. ',.. .. ...:...,.,.... .'
... ..,. . ,
If~iij)
~
DEPARTMENT OF PLANNING AND DEVELOPMEN
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner: &?LoI<,/t "c'ojJil_
Property Address: } / {i ,'7 IJ R (1/7 C' IJ
Contractor License No,: 177/'-1
Company: 'S! '/V! 0 ,V/; Co IV 5
Phone: ,::L'33-73?'7
r
Phone: ;)-,7 if -(p 7/6
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEM NT
Construction Value: 'd-j C> 0
Permit Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accur e,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge r
covenants, easements or restrictions of record; that all measurements shown. and alleg tions
made are accurate; that I have read and agree to abide by all conditions printed on this
application. and that I assume f~ll responsibility.for compliance with the Wheat Ridge Bu ding
Code (U.8.C,) and all other applicable W t R~ge ordinances, for work under this per It.
Description:
R
Total:
(OWNER}(CONTRACTOR) SIGNED
{)oF
BUILDING DEPARTMENT US ONLY
Approval:
- ~CJ a. h1 ~:~~,'j!, III ~
Approval:
Occupancy:
Walls:
Roof:
Sto es:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanrcal License No .
Company:
Expiration Date:
Approval:
.Jl . PftI!Js,~fqu!~"i:~ j
Expiration Date:
Approval:
JlI PflmsRilquired I
Expiration Date:
Approval:
;)I '.P.I!ll!ll'~qjrll'dilil'<c~
(1)
(2)
(3)
This permit was Issued in accordance With the prOVisions set forth in yopur application and IS blect 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 f the City
This permit shaH expire jf (A) the work authorized is not commenced Within sixty (60) days fro issue date or (B) the building authonzed is suspended or
abandoned for a penod of 120 days
If this permit expires, anew ,permit may be acquired for a fee of one-half the amount normally quired, prOVided no changes have been or will be made in the
angmal plans and Specifications and any suspension or abandonment has not exceeded one ( ) 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 drai ge problem
Contractor shall notify the Building Inspector twenty.four (24) hours In advance for all inspectl S and shall receive written approval on Inspection card before
proceedling 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.
(')
(5)
(6)
Chief Building Inspector
For
yor
UILDING INSPECTOR AND MAYOR
INSPECTION
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF
CALL: 234-5933 24 HOURS PRIOR T