HomeMy WebLinkAbout3510 Benton StreetrA
M�
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:
Job Address:
Permit Number: a o) 7 0 LI 9 57-g
❑ No one available for inspection: Time g= S1 (90PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: S- I Lls Inspector: -'�- I')
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 49q- Fnd flan a
Job Address: 35 10 &011106 St,
Permit Number: -2o'7 q q5�
ROO _r Aa4_ A�1011� W_
4
-No ladd
❑ No one available for inspection: Time �2C� &PM
Re -Inspection required: 6es)
No
When corrections have been made, call for re -inspection at 303-234-5933
Date: -q/ p//0 Inspector: ho? e, L0
DO NOT REMOVE THIS NOTICE
M
i CITY OF WHhAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: q0q - fi' hq/ Roo -,
Job Address: 3 J� BPnt�an ;t,
Permit Number: 2 Ut 7 O L(q 5 6
10+
Ll No one available for inspection: Time �' 6I pm
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:-q/2/
03-234-
Date:`1! 2% 10 Inspector: lyre. LoyHf
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704958
PERMIT NO:
201704958
ISSUED: 07/27/2017
JOB ADDRESS:
3510 Benton ST
EXPIRES: 07/27/2018
JOB DESCRIPTION:
Residential Re -roof
to install Tamko
Heritage asphalt shingles with 35 sq.
*** CONTACTS ***
OWNER (720)936-3910
RODRIGUEZ GILBERTO
SALAS
SUB (720)724-0081
Steve Greenly
150196
Adamstree Roofing & Construc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE, STEWART GARDENS, OLI
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION: 12,395.97
Total Valuation
FEESPAI
0.00
Use Tax
260.32
Permit Fee
251.85
* * TOTAL * *
512.17
*** 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.
A f City of Wheat Ridge
Residential Roofing PERMIT - 201704958
PERMIT NO: 201704958 ISSUED: 07/27/2017
JOB ADDRESS: 3510 Benton ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 35 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 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 permit. I further attesf that I am legally authorized to include all entities named within this document as parties to the work to be
perform lA nd tt al�*9rk to l rermed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date `
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. 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, anew permit maybe required to be obtained. Issuance of anew 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 W Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz( l�
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 19, 2017 10:13 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3510 Benton St. alat--
Gilbert
Sales
720-936-3910
Field not completed.
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Adamstree Roofing
150196
7207240081
0
Contractor Email Address lindsey@adamstreeroofing.com
Retype Contractor Email lindsey@adamstreeroofing.com
Address
DESCRIPTION OF WORK /
Are you re -decking the No
roof?
Description of Roofing Tamko Heritage
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 35
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Field not completed.
TOTAL SQUARES of all 35
roofing material for this
project
Provide additional detail House, Garage, Shed 5/12 Pitch
here on the description of
2
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)
12395.97
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 Lindsey Noftsger
Email not displaying correctly? View it in your browser.
/111"'
THIS AGREEMENT, IS BETWEEN
+ c
---
Billing Address
Horne/Cell Phone
City
ADANMSRUCTIDN
11919 W. 1-70 Frontage Rd. Suite 111
Wheat Ridge, Co 80033
720724-0081
Email
state zip ---- ---
Adamstree Roofing and Construction LLC (ATR) will advocate the Property Owner's(s) best interest in restoration of the property damage and complete all the work
in accordance to the insurance company agreed scope of loss. Agreed upon price will become the final contract price and Adamstree Roofing and Construction L
will receive all the proceeds for the work completed by Adamstree Roofing and Construction LLC. Upgrades and any other work will be a separate the Png and onst r(s) and Adamstree Boating and Construction LLC. If the Insurance Company denies this claim the contract will terminate and neither Ad LC
Roofing and Construction LLC nor the Property Owner(s) are obligated to one another. P ate contract between
Adamstree
ATR will furnish all labor and material to construct and complete the following general services:
INITIAL DAMAGE ASSESSMENT SUMMARY:
,y �f Adamstree Roofing & Construction LLC Insured by:
Roof �..-� Sunahara Insurance Agency LLC / The Ahbe Group
�'-u"Window/Screens
_.....__!!° 'Gutters _ 6635 S Dayton St. Suite 360
Siding
__ _;Garage Doors Greenwood village, CO 80111
trtterior Damage
Misc. 0: 303.736.9441 F:
303.773.8331
All Bans ruction will be completed in compliance building codes oft governing municipality.
TOTAL CONTRACT PRICE: Thea reed upon rice between Adamstree Roofing& Construction LLC and the Customer's Insurance Carrier
(Homeowner agrees to pay Adamstree Roofing & Construction total Contract price.)
in accordance with dart 1 Article 4 of title 10 C.R.S. pursuant to section 6-22-105 Adamstree will not pay, waive, or rebate all or art
i insurance deductible applicable to this insurance clai" Pm rof�erty owner attests that Adamstree has not Promised all or part of any insurance deductible, in any for„, ws a of any
P sed or agreed to pay, waive, or rebate
SCHEDULE OF PROGRESS PAYMENTS: The schedule of payments outlines the initial payment, due upon material deli
due upon completion of construction. Adamstree roofing & Construction will require payment of ACV amount prior to start of construction.
Adamstree Roofin & Construction will hold in trust an a ments received from the customer until materials have h,-P.y�and the final payment
ro ert or performed the maiorit y of work
PAYMENT SCHEDULE:---�-
Initial Payment: Deductible & ACEI ,
Completion Payment:RCV Su lemeTits of trades com leted O&P U rades
-Apx, Start date: �;}
Apx. Completion date:
Insurance company:
— _ ClaimVt:
willAcceptance of Proposal – In accordance with C.R.S Section 6-22-104, p pe N ner will have a 72 hour right to rescind
be ext:"`.---,�---------_--.._'"--.,___ . .
11 ed all rights under the C.R.S Section 6-22-104. The above specifications and all terms conditions are agreed to and hereby accepted.
r this contract. Customer
Purchaser Signature
Purchaser Signature
Date
r ---
Date
Adamstree Roofing
Date
www,adamstreeroofin .com Office: 720-724-0081
�t
I&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: /11"j
Job Address: 3 s fo
Permit Number: "a o r _7 o 119 5_ Is
lig c (Ic' o o .�` ► ��.
❑ No one available for inspection: Time i 7' s`7 AM M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:— ` laLl /_V7 Inspector: D
DO NOT REMOVE THIS NOTICE
Or Current Owner/occupant
RODRIGUEZ GILBERTO SALAS
3510 BENTON ST
WHEAT RIDGE CO 80212
Regarding Permit: 201400744; Install 5.355 roof mounted solar PV system.
3510 Benton ST, Wheat Ridge, CO 80212
Our Records indicate that the above noted permit was issued on 06/03/14. Our last
inspection related to that permit was on NONE.
Recause of the inactivity on this permit, it will become void as of 12/31/2015.
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
please don't hesitate to contact us at 303-235-2855, option 7.
Sincerely,
Melissa Mackey
Senior Permit Technician
Certificate Of Completion
Building Division
7500 W 29TH AVE
WHEAT RIDGE CO 80033-8001
Stipulations: 630 sf Garage.
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing requirements for the City must be met.
Owner: RODRIGUEZ GILBERTO SALAS
3510 BENTON ST
WHEAT RIDGE CO 80212
Contractor:
For the Following Purpose: Res. Garage/Carport
Code Editions NO change shall be made in the USE of
�A'12 ICC/2014 NEC this building without prior notice
006 ICC/2011 NEC and a new Certificate Of Completion
2006 ICC/2005 NEC from the City of Wheat Ridge.
Other
IHInii-t-rator
CERTIFICATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
Certificate Of Completion
Building Division
7500 W 29TH AVE
WHEAT RIDGE CO 80033-8001
Permit#:201401383 Issued: 08/21/2015
Stipulations: 630 sf detached garage.
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing requirements for the City must be met,
Parcel No: 39-251-02-0246
Owner: RODRIGUEZ GILBERTO SALAS
3510 BENTON ST
WHEAT RIDGE CO 80212
Contractor:
For the Following Purpose: Res. Garage/Carport
Code Editions NO change shall be made in the USE of
2012 ICC/2014 NEC this building without prior notice
2006 ICC/2011 NEC and a new Certificate of Completion
2006 ICC/2005 NEC from the City of Wheat Ridge.
Other
fief Building Inspector �Zo in Administrator
CERTIFICATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
I � 1
P roperty Owner Emai
a lino Address: (if different than property address
Address:
C ity, State, i
rr
Arch tect/Err e E-mail:
Contracto o .
Contractor City Uconse M
Ph ne.
Ser Contractor
Electrical: Plumbing:
Mechanical.
W. R. City License _ . "µ MR, City License #
WR City License
Other City Licensed Sub.
Other City Licensed Sub:
City License #
City License
Complete all information on BOTH sides of this for
'I
35 1 0 Bent(",M Street
201401383
Note: Red-linev m try t stay with Plan S,
Work shall comply with the
following codes: 2006 IRC, 2006
IECC & 2011 NEC
o�
t
t, 6 ,
53 7r , d
P
5
w`ti [ hr�
6
A
f
j
C
a
i' v Y
V
8
}
}
a t
nie first 25' of ra driveway from the existing
edge of pavement into the site shall be
surfaced with concrete asphalt, brick p �f`e
or similar material, Contract Crept of Garlic
Works for ROW Permit 303-2 35-2861.
_#
■lM
ra
t
iling In I ������'
j
ceiling joists @ — 0.
Span
(examp
Ceiling height
t
_
_
Floor
slope
C�j ; ƒ/ \2\ \erI
I
� \
� \
ll�T "T I
.. ...... ..
t-Y
- tnse-ls
L4
COLO S
to (f e
,177- 14:
6
Ilk
Cl V
8 4y t i
Nr! � 6
F
BY
o
C) s ii
,N from the existing
the site shall be
asphalt, brick paver
mitact Dept of Public
it 303-235-2961 .
RESIDENTIAL Buildin2 Permit.– Plan Review Worksheet
P
A $1 ddress: 1 5 � I , "r, u" ""4 -1 1 -- Zoning: T"
Maximum Lot Coverage:
0
% �S c l '.) sq ft.
Existing It
Proposed Improvements:
House: sq. ft.
House/addition:
sq. ft.
Shed:
sq. ft.
Shed:
sq. ft
Detached garage:
sq ft.
Detached Garage:
sq.
Other:
sq. ft.
Other:
sq. ft.
Total Existing
sq. ft
Proposed+Existing
sq. ft
Lot Coverage
%
Lot Coverage
%
Strectscape: Does the permit result in any of the following conditions?
U Construction of new roads U Platting of new lots
Ll New development U Additions that increase floor area by 60% or more (see formula)
(proposed floor area ____ — existing floor area __ ) / existing floor area = inc.
If any box is checked
SF/DUPLEX—Is there existing U Curb Ll Gutter L15-foot sidewalk adjacent to the property?
If curb, gutter or sidewalk is missing, streetscape construction or fees-in-lieu will be required.
MULTIFAMILY—Does the frontage meet current city standards?
If not, streetscape construction or fees-in-lieu will be required.
Fees-in-lieu qf'dedication or construction are due at the time the permit is issued.
•
GENERAL INFORMATION
Schedule: 021147 Parcel ID: 39-251-02-024 Print I e
Status Active Property 'Type: Residential
Property .. 03510 BENTON ST O wner
WHEAT RI
F
CO w RODRIGUEZ GILBERTO SALAS
Mailing Address: SAME ADDRESS AS PROPERTY DE SALAS CLAUDIA OVALLE
Neighborhood: 2412 - LAKESIDE, STEWART GARDENS, OUNGER GARDENS
PROPERTY D ESCRIPTI O N
Su +o
a
PROPERTYINVENTORY
P r ope r t y • Adj M«
i
Improvement Number:
__ _. ■ ■■
wl�^7 __ _
_ ..
t
c
.«
• R.
I I�I �
!! re go
F i
i
Improvement Number:
__ _. ■ ■■
wl�^7 __ _
_ ..
• M t #r F fiO fi i s D
• R.
! Ififi A A Y �yt� !
F i
y..�
c • Mail 0 A l o* t fi t
s y
�Quit Claim Deed
fi
Warranty Deed - Joint Tenancy
TAX INFORMATION
+ «
« «
(�
M
• M t #r F fiO fi i s D
• R.
! Ififi A A Y �yt� !
F i
y..�
c • Mail 0 A l o* t fi t
s y
i t
i
r
HE y D IST * }
yt * ��t tt M1 1
«
City of Wheat Ridge Municipal Building 7500 W� 29' Avc, Wheat Ridge, CO 80033-8001 P: 303,235,2846 F: 303.235.2857
��� N
This Instrument Was Prepared By:
For Recording Datal
Loan No: 408059
Parcel ID No: 39-251-02-024
DEED OF TRUST
MIN: 1000327-0000408059-9
Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11,
13, 18, 20 and 21, Certain rules regarding the usage of words used in this document are also provided in
Section 16.
(A) 'Security Instrument" means this document, which is dated APRXZ 26, 2003
together with all Riders to flits document.
(B) #Borrower" is CLAUDIA OVALLE DR SALAS and Gnxtswo SALAS-RDMUGM
"
Borrower is Ole trustor under this Security Instrument.
(C) "Lender# is OWXTM Cavemair ArRTUAGE CO., A GUZ MRPOPMTCK
(D) "Trustee" is the Public Trustee of JEFFERSON County, Colorado.
12899 56913 C30-PP ZOW W. 408059
COLORADO- S&gk Fvully-Farmit Maotfttddie Mac UNIFORM INSUUM,ENT vA* MERS Form 3006 it
DRAW,MERS,CO,CVL,DT,I,WPF (OIOIDOCS\DEEDMCVL\CO�,lvtERS.CVL) (page I of 13 peg]
`
r
11 I'l
6 SF
qJ
The first 25 'of f driveNva r lima n the existing
edge of pavement into the site shall be
surfaced e ith concrete, asphalt, brick paver
or similar material. Contact Dept of Public
Works for ROW Pere it 303-235-2861 *
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
9617
10/12/99
Property Owner:
Property Address: 3510 BENTON ST
Contractor License No, : 19402
Company: Aaark Heating & Air Conditioning
Phone:
Phone: 431 8015
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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 allegations
made are B.xurate; 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 ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
Use:
Description:
Replace boiler
BUILDING DEPARTMENT USE ONLY
---
Approval:
Zoning:
SIC:
Sq, Fl. :
---
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Mechanical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
$2,990,00
$83,25
$0,00
$44,85
$128,10
(1)
(2)
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 Buildin~ Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
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.
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. [f 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 s or any other ordinance, law, rule or regulation.
(3)
(4)
(5)
(6)
Chief
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
/0 f?>77
Property Owner: S /J?/}5
Property Address: '?S/d gP/UTCf;U S/
Contractor License No, : / 8' ~ 3 2.
Company: ff./Jlie<: IY/'G -~"""'c.
Phone: W" #fl/i-
Phone: r5/-tYO 0-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Description:
TE A?-f
,
Construction Value: ,.;2:7,;;t/ r<
Permit Fee: 33, ~)
Use Tax : ~ '7 ? S-
Total: 2...fj. /0
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 wi h the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat R . e ordi n or work under this permit.
(OWNER)(CONTRACTOR) SIGNED
o...?~
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning:
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electncal License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
II DlIlls!Ultm--
Expiration Date:
Approval:
II !P.lll'~~_
Expiration Date:
Approval :
.
(1)
(2)
(3)
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 Rrdge, Colorado or any other applicable ordinances of the City.
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 Of
abandoned for a paned of 120 day's.
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 Of will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. It changes are made or if suspension Of abandonment
exceeds one (1) year, full fees shall be pard for a new permit.
No work of any manner shall be done that Wilt 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 carel before
proceediing with successive phases of the jOb
The issuance of a permit or the approval of drawings and specifications shalt 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 BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
,FORM (J) 414-02-1123
PUBLIC SERVICE COMPANY OF cOlbRAIlO
94343
flOOR
APT_NO
SPECIFY
,e 0 OS HAZARD '7"7 c:;,
CONDITION TO BE CORRECTEO AS SHOWN BElOW CREATES AN IMMEDIATE HAZARD, THIS EOUIPMENT MUST NOT BE PUT BACK IN
SERVICE UNTIl REPAIRS AND A THOROUGH INSPECTION HAVE BEEN MAOE BY YOUR REPAIRMAN, CONTACT YOUR LOCAL BUILDING
DEPARTMENT FOR COOE AND PERMIT REOUIREMENTS PRIOR TO PERFORMING REPAIR WORK,
70D
TIME
TIME
RELATIONSHIP OF (ICCUPANT CUSTOMER
"
'-,
f
._-~-~- .--_.~-~-~~~
I
,
---._______..,1