HomeMy WebLinkAbout3235 Benton StreetCity of Wheat Ridge
E -Res. Electrical Service Upgr PERMIT - 201900856
PERMIT NO: 201900856 ISSUED: 05/01/2019
JOB ADDRESS: 3235 Benton St EXPIRES: 04/30/2020
JOB DESCRIPTION: Residential electrical service change, 200 AMPS in house.
*** CONTACTS ***
OWNER (303)458-1393 KIELPIKOWSKI KAREN
SUB (970)573-2909 CASEY CLIVER 190062 LIGHTING BUG ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,370.00
FEES
Total Valuation 0.00
Use Tax 91.77
Permit Fee 125.05
** TOTAL ** 216.82
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 permrt. 1 further attest that I am leg�ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be pertbrmed is disclosed n 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. 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 pen -nit 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 pen -nit 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
ap rc le code ora rdinance 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.
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, April 30, 2019 6:26 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
3235 Benton Street Wheat Ridge Co 80033
Karen Kielpikowski
303-458-1393
Credit Card Authorization Form.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
Lighting Bug Electric LLC
190062
I
digit number for the City
of Wheat Ridge)
Contractor Phone 970-573-2909
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address journybug@gmail.com
Retype Contractor Email journybug@gmail.com
Address
DESCRIPTION OF WORK
Is this an electrical Change
service upgrade or
change?
Number of Amps 200
Location of house
upgrade/change (garage,
house, etc)
Provide additional details, Replace electrical service due to damage from snow storm
if needed.
Project Value (contract 4370
value or cost of ALL
materials and labor)
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 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
z
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.
Person Applying for Casey Cliver
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
��%
Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L/ fl 9- F' n a I
Job Address: -33-3-5_ � e rr c n S-�
Permit Number: '2 0) 7 0 & 3 & -2
L)No one available for inspection: Time "= L) I "'MIPM
Re -Inspection required: Yeses
When corrections have been made, call for re -inspection at 303-234-5933
Date: --7L / � Inspector: TD
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201706362
PERMIT NO: 201706362 ISSUED: 08/21/2017
JOB ADDRESS: 3235 Benton ST EXPIRES: 08/21/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles with ROOF
DECKING - 27 sq
*** CONTACTS ***
OWNER (303)458-1393 KIELPIKOWSKI KAREN
SUB (303)758-7663 Jason Gillis 090242 d-7 Roofing, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,039.00
FEES �.
Total Valuation 0.00
Use Tax 357.82 --_
Permit Fee 331.10
** TOTAL ** 688.92
*** 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) 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.
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 - 201706362
PERMIT NO: 201706362 ISSUED: 08/21/2017
JOB ADDRESS: 3235 Benton ST EXPIRES:. 08/21/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning asphalt shingles with ROOF
DECKING — 27 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building code , nd all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of a pr pe an in authorized to obtain this permit and perform the work described and approved in conjunction with
this pe . I further est at am Bally authorized to include all entit' s named within this document as parties to the work to be
perto and that al a rformed is disclosed in this docum t and/or its' accompanying approved plans and specifications.
R /0,V /l :7 --
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying Flans 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 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official U Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 2 o'7o 4 � 6
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 17, 2017 2:44 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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.
ez���
Is this application fora Yes �t �W 17
residential roof? T's e
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION bL
Property Address 3235 Benton St.
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Karen Kielpikowski
303-458-1393
Stefan@d-7roofing.com
29
IM
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
Yes
Kielpikowski 323513enton contract.pdf
CONTRACTOR INFORMATION
Contractor Business d-7 Roofing, LLC.
Name
Contractor's License 090242
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-990-1098
5470 Lincoln St
Contractor Email Address Stefan@d-7roofing.com
Retype Contractor Email Stefan@d-7roofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
27
the entire scope of work:
Project Value (contract
17 039
value or cost of ALL
materials and labor)
Are you re -decking the
Yes
roof?
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
30
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof.-
Provide
oof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
Yes
27
Owens Corning shingles
Asphalt
4/12 pitch
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
31
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 Stefan Krajewski
Email not displaying correctly? View it in your browser.
32
Corporate.
cowDenver - 5470 Lincoln St, Denver. Co 80216 Office: 303-758-7663 Fax: 303-758-7667
Branches:
Colorado Springs - 3415 Chelton Loop S =A, Colorado Springs. CO 80909 - 719445-294i
Fort Collins - 1415 N. College Ave. 2131, Fort Collins, CO 80524 - 970-797-3353
Salt Lake City - 3640 W 2100 S. Salt Lake City, UT 84120 - 801-590-7683 _.
Customer Name: C
Date: d, ,1 &, t -7
Job Location: JLA IS e -h j --0v1 Y f City: Zip:
Contact Numbers Home:36J - IT) Office:
E -Mail: Sales Rep- -
Insurance Carrier: Claim Number Carrier Phone-
d -7 Roofing LLC proposes to provide all materials, labor and equipment necessary to perform the following at the Job
Location. Prices include all applicable sales taxes, clean-up and removal of roofing debris. ROOF PRICE IS FIGURED USING
DRIVE WAY ACCESS FOR UPLOADING ROOFING MATERIALS AND DO ff;'1j LOADING ALL ROOFING DEBRIS. Approximate Dates of Service
that requiredriveuav access: to Customer Initials:
Customer to initial all that apply:
)/ } Tear off % layers of existing roofing :K} Install�Ifl of - inch 26 gauge steel gutter
{ } Low pitch area /} Install _{ } 2x3 {I 3x4 dov6m uts Attach drawing
{ } Replace sheeting at $50.00 per sheet Gutter and downspout Color
,PN� Overlay 7/16" OSB over existing deckingP C *` e- a �, C- / 5Install 15 _# felt /,
{Install open { } closed � valleys Shingle Style L- Yt(�'
Install standard ridge shingles (y} Shingle Color Cx }�
{ } Install "High Profile" ridge shingles Clean out gutters
{ } Install ft. of ridge vent } Detached �i 3arage { } Shed Attach drawing
{ } Re -flash { } swamp cooler { } chimney 2year Workmanship Warranty
.00WI} Haul off all trash and magnetic sweep of the property
{ } Owens Coming Platinum Limited Warranty additional fees apply
>-) Replace all necessary wall, pipe and vent flashings to meet all applicable code requirements
, ,.} Install ice and water shield at {J'} eaves { } valleys { } crickets if required (� 1
{AInstallpre-paintedmeta IateaveS>Jogableends_omeetallapplicablecoderequirementsColor:t/l�j
Sub -Total: $ ] , proposed insurance claim amount prior to supplements
INSURANCE CLAIM AGREEMENT:
This Agreement authorizes d-7 Roofing LLC to represent your interests and negotiate insurance claims to ensure
that the scope of work will be repaired or replaced with NO ADDITIONAL COST beyond your deductible. Any items
not covered by the customer's insurance carrier that the customer requests will be billed separately. This agreement is for the FULL
SCOPE OF INSURANCE REPLACEMENT COST PROCEEDS, including supplements. The final price agreed upon between the
insurance company and d-7 Roofing LLC shall become the final contract amount which you, the Customer, will be
responsible to secure payment to d-7 Roofing LLC upon installation of materials.
Property Owner is V /is not__ intending to make pgvnient from the proceeds ofproperty and casualty insurance policy.
*** d-7 Rooting LLC cannot pay, waive or rebate any portion of the insurance deductible in part or in whole*** Customer Initials: F° K
THE HOMEOWNER MAY WITHDRAW THIS CONTRACT WITHIN 72 HOURS AFTER RECEIVING NOTICE THAT THE INSURANCE
CLAIM HAS BEEN DENIED.
d-7 Rooting LI:.0 shall hold in trust anypayment received from you until delivery of materials to the,jobsite or performance of the work
on your property.
ACCEPTANCE:
THE PROPOSED -PRICES, SPECIFICATIONS AND TERMS AND CONDITIONS ARE DEEMED SATISFACTORY AND ACCEPTED
BY SIGNATURE BELOW. I, THE CUSTOMER, AUTHORIZE d-7 ROOFING LLC TO PROCEED WITH THE INSURACE CLAIM.
PAYMENT WILL BE MADE AS INDICATED ABOVE. CUSTOMERAGREES WITI! THE TERMS AND CONDITIONS PRINTED ONTHE
BACKSIDE OF THIS AGREEMENT. Customer Initials:._
CUSTOMER SIGNATURE: kt L/- yy� DATE
SALES REP SIGNATURE: V DATE 6-16- / 7
ACCEPTED BY: ___ -11
PRINT: DATE
i CITY OF WHilkAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 611-j )5L j
Job Address: 3 a 3S k;"L ^ <-/-
Permit Number: --Q V i7 o L 3 !, a:
id
❑ No one available for inspection: Time A4/
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-
Date:- 113/ Inspector: _T`_.>
DO NOT REMOVE THIS NOTICE
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: iYl I r�
Job Address: -"� 3f2enr o n) _
Permit Number: Qc) ) g ) !� �j �<
❑ No one available for inspection: Time/ m A /P
Re -Inspection required: Yes No
When corrections have been maw all for re -inspection at 303-234-5933
Date��3'), : 1 Insp ; o .
DO NOT REMOVE THIS NOTICE
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BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at 32'3 s- !5b"/Oh '5T:
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
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You are hereby notified to correct the foregoing violations.
When corrections have been made, call for Inspection.
Date
I t/,"c/qr;
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/SoI/Lo-'7
Ins~or Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6-22
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BUILDING DEPARTMENT
(303) 235.2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at ~)'S- i&h.JI7I'1'
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
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You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
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! . Inspector I. In9 Dept.
DO NOT REMOVE THIS TAG
FORM WR6.22
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Dep~[..,eNTOF FJLANNING AND DEVELOPMENT Building Permit Number: 3287
SIlII DING INspeCTION DIVISION - 235-2855
. CITY OF WHEAT RIDGE Date: 6/18/96
759QWEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: MEYER WILLIAM L
Property AQdress: 3235 BENTON ST
Contractor License No. : 18917
Company: A & B Roofing
Phone: 274-8260
Phone: 9377663
OWNERlCONTRACTOR SIGNAtURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
Total:
$2,000,00
$45,00
$0,00
$24,00
$69,00
I hereby certify that the setback distances proposed by this permtt application are accurate.
and do not vlola~ applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrietfona of record; that aU measurements shDYIn, and all8gations
made are accurate; that I have read and agree to abide b all conditions printed on this
application, and that I assume fuU responslblllty for with the Wheat Ridge Building
Code (U.B.C.) and aU other applicable Wheat f'lidge ord n , for work under this permtt.
(OWNER)(CONTRACTOR) SIGNED DATE If -II-:If
Description:
REROOF
BUILDING DEPARTMENT USE ONLY
SIC: Sq, Fl :
Approval:
Zoning :
Approval:
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:
.
(1) ThIs pennll was Issued In -.nee wtth the pnMsions set Ior1h In \'OIlUr application and Is sul>lecl to thol8ws of the _ of ~ and to the ZonIng
Regulations.and .BuiIdInD Code orVVh8llt RIdge, Colorado or any other 8DoIiC8bte ordinances or the Ctty. .
(2) This _ ohaIl to<plfe B (A) the ~ autlloriZed Is not commonoad wtthl;, siXty (60) days from Issue data Of (8) the building outhorlzed Is suspendad Of
aband_tor a parlod or 1aO s.
(3) K this _ axpiraI, a now /nay be acqulrad for a rea of one-haW tho smount normally requlrad, provided no changOS have boon Of win be mads In the
origlnil plana and.~ .. . and any lUIf)tf1ilon or abandonment has not exceeded one (1) year. If chengea are mIIICte or If su,pension or abandonment
axcaada one (1) yaor, lUIIloos shall be paid for a now_
(4) No work of any monnor _ be dorte thai will chango tho natural_ ofWllar causing 0 drainage problom.
(5) contractor....n notify the BuIJdlng 1,,= twonty.rour (24) hours In advanca for all rnspacllonS and ohaIl """,lYe written spproyaJ on lnapectton cord baI"o<e
(8) =.=,.., :'=~= va'\'" r~ and spaclficallonl shan not be construed to be s _lor, nor an approval of, any vIoIaIton of the provtsIons
of cod8I other nee ftW, rule or regulation.
a
h ef Bunding Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
If ~~ .:]
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
Company: /We /JaoF-7:J
Vtfrh..." l1&re<;.
"3 Z- J S- ge",. r/J.-J
~t-
Phone: 2 ),/-J'2Ga
Phone: '7 '37 - ?d6 3
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: 1;l 0" 0 . CJ-r:;
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge or . es, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
Description: /l,t;'4!~r
DATE t -/IV~,
Total:
BUILDING DEPARTMENT USE ONLY
?;oil1rilf;!=,1>Ij'i1j[elll$;J
Approval:
Zoning:
~i!ir<!irl91CRl!1meD~l
Approval:
p(ll)li~~gJrifit1entli:j
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:
lilllgllfl1S'!~.ifq!!n:e:~
Expiration Date:
Approval:
III IfllilJ:ll'lB.lfqul~:c.t_
Expiration Date:
Approval:
1m 'fP.linl,;~~l'-qijifea~l
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the taws of the State of Colorado and to the Zoning
Regulations and Building Code of \Nheat 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 dale or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of thel-Ob.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
(4)
(5)
(6)
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION