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Home My WebLink About3705 Benton Streetx-417 0s^�C� 3.7W -P SI4 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type �XXF Inspections will not be performed unless this card is posted on the project site. "Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter 1 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections Rough Inspectio Date Inspector Initials Comments _199k -Sheathing Mid -Roof 1 Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building 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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705210 PERMIT NO: 201705210 ISSUED: 08/02/2017 JOB ADDRESS: 3705 Benton ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 12 sq *** 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. ***revision add redecking 12sq******************** *** CONTACTS *** OWNER (303)638-1107 LACY LINDA L SUB (720)708-4126 Terry Marks 130138 Home Guard Services 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: 4,021.50 FEES Total Valuation 0.00 Use Tax 84.45 Permit Fee 125.05 ** TOTAL ** 209.50 *** 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 - 201705210 PERMIT NO: 201705210 ISSUED: 08/02/2017 JOB ADDRESS: 3705 Benton ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 12 sq ***revision add redecking 12sq******************** 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 attest th I am le ally authorized to include all entities named within this document as parties to the workto be perfo d and t a l rk be performed is disclosed in this document Ano/or ts'companying approved plans and specifications. r t Signature of WNER or CtOT)KRACTOR (Circle one) Date I. This permit was issued base on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 51 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 appltc e��ottra��ny ordman e or reul tion of this jurisdiction. Approval of work is subject to fyeld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY City of Date: Wheat ii e 9r,? 3J COMMUNITY DEVELOPMENT Add to Permit # Building & Inspection Services Division -7 0/� 7500 W. 29th Ave., Wheat Ridge, CO 80033 %® l/ l Office: 303-235-2855 *Fax: 303-237-8929 PAID � Inspection Line: 303-234-5933 Email: permits(a ci.wheatridae.co.us s Building Permit Revision/Amendment Application *'* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3? 0,._..1 �) evI - f (',�vI e � Property Owner (please print): t' noifs �c� Phone: _ Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company L6,r' (it Lrc) Contact Person: Y (-1 L9 e r Phone: 7 Contractor: Contractors City License #:Phone:3'q ' T Contractor E-mail Address:At1 WG(6 ` (t t Please Note: 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). ❑ COMMERCIAL 6,RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION °� RESIDENTIAL 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.) Sq. Ft./LF Amps Btu's Gallons Squares f 2 Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) (� $ a,-\ 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) CONTRACTOR) or (AUT ORIZED REPRESENTATIVE) of {O R) (CON RACTOR) Signature (first and last name): DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ f'i l l 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:�f�'-t`!/' ❑ No one available for inspection: Time (� C, A,—M/PM Re -Inspection required: Yes M When corrections have been made, call for re -inspection at 303-234-5933 1. Date: ` �� ! ) Inspector: DO NOT REMOVE THIS NOTICE f'i l l 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:�f�'-t`!/' ❑ No one available for inspection: Time (� C, A,—M/PM Re -Inspection required: Yes M When corrections have been made, call for re -inspection at 303-234-5933 1. Date: ` �� ! ) Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705210 PERMIT NO: 201705210 ISSUED: 08/02/2017 JOB ADDRESS: 3705 Benton ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 12 sq *** CONTACTS *** OWNER (303)638-1107 LACY LINDA L SUB (720)708-4126 Terry Marks 130138 Home Guard Services 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: 3,084.00 FEES Total Valuation 0.00 Use Tax 64.76 Permit Fee 109.20 ** TOTAL ** 173.96 *** 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 - 201705210 PERMIT NO: 201705210 ISSUED: 08/02/2017 JOB ADDRESS: 3705 Benton ST EXPIRES: 08/02/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 12 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 �he legal owner of theroperty and am authorized to obtain this permit and perform the work described and approved in conjunction with thiermtt. furtherperrme�and that ajk to beperfonned is disclosed in this document and/or its' accompanying approved plans and specifications. SignatjOof 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 andmay be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a 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 issu r granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica a or any ord ee or r ala on of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 017 �rz_1 0 From: no-reply@ci.wheatridge.co.us Sent: Monday, July 24, 2017 3:42 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 3705 Benton St Linda Lacey 303-638-1107 Field not completed. 1nm6, 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 Business Homeguard Roofing and Restoration Name Contractor's License 130138 Number (for the City of Wheat Ridge) Contractor Phone 7207084126 Number Contractor Email Address fernl@homeguardroof.com Retype Contractor Email fernl@homeguardroof.com Address DESCRIPTION OF WORK Are you re -decking the No / roof? Description of Roofing GAF Timberline HD Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 12 material selected above? Does any portion of the No property include a flat roof? 11 If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 12 (pitched + flat) of all roofing material for this project FJ 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) Roof replacement on house. Pitch 5/12 a99�- 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 Fern Lytwyn Email not displaying correctly? View it in your browser. 3 7/31/2017 HOMEGUARD ROOFING & ff"OHMON hKOBOkPlSx2O3MsLoA2h_contract.jpg (2550x3300) rMa ' II 6F. CUSTOMER INFORMATION "lap jr NLL Sates Representative. 7_wit, 711 Project Manager-. NEW ROOFING SYSTEM: SCOPE OF RESTORATION SERVICES To BE PROVIDED STRUCT-Z URES 114CLUDED ,N- A (; R F ENI E INTS SERVIClE [.7 GAF ROOFING SYSTEMS so ear so STANDARD 'D "D ROOFSYSTEM II f �Eu a . .......... . .... ..... LOWSLOPEAREAS V,–, .... . ........... . . .. ... .. ..... .. .. . .. ADDITIONAL ARE" OF COMSTRUCTIOU. SWPE OF RESTORATION SERVICES TO SEPROM DED. A711ditionat areas of torts trut -on will he repaired or replaced with high gra4e s',NaltriAts of like kind and qJ3tity SERVICE A,(;RFM%1EN'I' 'D 0' . . . . . .............. . .. . TERMS OF RESTORATION SERVICES TO BE PROVIDED rm Csstomer's tow ou� of Pocket expenses are ra4esfor�'M-insurance items, ,111- Company and its aut&'nzed are NOT aritog asputgrmsurarice S ........ AW.JM-41' 5'A- Datela. `4'-!�L- I-` App" 'e comp""" r.�-:—Company mariagemem rewew & eparov:4, I I accep the above ;�-s of his contract -ndauthorize Coinparif eed -A-& 5�fAICFA^,- Af5 *f'F-co-tv . . . ....... ..... /-�RRIG91HITI.90FE.CgAtN!CCANCELLATION �PURSUANT TO�FEDERAL REGULATION AND COL, REV. STAT. -J5-3-403: YOU. THE BUYER. MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND SERVICES TO BE PROVIDED UNDER THIS AGREEMENT, SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Cwttpany shalt hold in trust anf payment from Customer UnNi company has deirveo4 the mAt;.,rials i -a rur property ar has performed a roafordy Of the mork of" the Property. http://869dOdac85c748al274c-b9bdb9f4833bccfOlc94e93dec6dbe23.r27.cf2.rackcdn.com/opp-591639/files/hKOBOkPlSx2O3MsLoA2h–contract.jpg 1/1 V 41F WHEAT RID -. � CITY ORIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ✓�� Job Address: 7U f ! Permit Number: "z U/ _ �^ ❑ No one available for inspection: Time --_ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-303-234-5933 Date: ---)f �� Inspector: DO NOT HENIOVE THIS NOT/CE 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: ATO Job Address: 3 7 -of �t7,4�- Permit Number: 2 u/7(7 'Z 1 t) ❑ 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 Date: 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 INSPECTION NOTICE , /E. Inspection Type: -1 SP `'"� Job Address: 37o T ��"-"- �- i Permit Number: `! �� z f p i a 1 ❑ No one available for inspection: Time AM/Pf 1) Re -Inspection required: Yes (No� When corrections have been made, call for re -inspection at 303-234-5933 lx'11/ j Inspector: L Date: f `� DO NOT REMOVE THIS NOTICE ! -' 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 Number: 11360 ( Date: 10/20/2000 Property Owner: Property Address: 3705 BENTON ST Contractor License No.: 19402 Company: Aaark Heating & Air Conditioning OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 423-4327 Phone: 431 8015 (OWNER)(CONTRACTOR) SIGNED DATE Total: $1,550.00 $57.05 $0.00 $23.25 $80.30 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 accurate; that I have read and a~ree 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. Use: Description: REPLACE FURNACE BUILDING DEPARTMENT USE ONLY SIC: Sq. Fl. : 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 : (4;1 (5;1 (6) 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 Bui1din~ 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 aba~doned.for a period 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 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 Insfector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceec:liing with successive phases 0 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 th ing code any other ordinance, law, rule or regulation. (1) (2) (3} 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: /Cl-",rE-c'" fi;" Property Owner: t?#G Y Property Address: 'j 7 C) 5' Il ~N' S r Contractor License No,: I 7 f" 0 2- Company /l71/f~,.f II 76- ~ Phone: -r 23 - 7J OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Use Tax: /~fo r_ ;)'7-cJ.s' 2-::. ~) 8V!3.-- Phone:4"J/- ~d/.J 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 aU 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 'dge or in~for work under this permit. /C'-/$?-C '" (DWNER)(CONTRACTOR) SIGNED DATEtC . Total: Description: 12.E; i4l-C(!: y:::u~ A-- CIi: BUILDING DEPARTMENT USE ONLY 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) (2) (3) This permit was issued in accordance with the provisions set forth in yapur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. 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 fOf 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 afe made or jf 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 otner 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