HomeMy WebLinkAbout4005 Benton StreetINSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT:( fM %�C) ADDRESS: �i�P '��� y JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
d
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:. ADDRESS: ij'L,f'' /`� % ,,:fit JOB CODE: _.
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
1313 So ier / Furnace
1319 Hc-' water tank
1320 Drywall screw and Nail
321 Moisture board/ shower walls
322 Rough Grading
323 Miscellan us
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
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: 3/0 F
Job Address: 1/00 lei P12
Permit Number:
❑ No one available for inspection_.,Tije 1f)4""7 AM/PM
Re -Inspection required: Yes /No
When c/o�r71c")-7";
ve been made, ca 1 for re -inspection at 303 -234 -
Date: -'7
03 -234 -
Date: "/ Inspector:/�Tff
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIONNOTICE
InspectionType: 3/0
Job Address: qOO c� 5
Permit Number: �O/ROO D;
� .� A jro /(/--) c1
❑ No one available for inspection: Timer / AM/PM
Re -Inspection required: Yes No
When correction have been made, call for re -inspection at 303-234-5933
Date: y ' 1 Inspector: 111 /
DO NOT REMOVE THIS NOTICE
J
City of Wheat Ridge
Residential Electric PERMIT - 201800908
PERMIT NO: 201800908 ISSUED: 04/03/2018
JOB ADDRESS: 4005 Benton ST EXPIRES: 04/03/2019
JOB DESCRIPTION: Residential Electrical Permit for electric service upgrade to 200 amp
service.
*** CONTACT ***
S
OWNER (720)255-8217 HARRISON MARY A
SUB (720)458-8411 Scott Berkman
080190 Current Installations
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation 0.00
Use Tax 42.00
Permit Fee 77.50
** TOTAL ** 119.50
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, byy 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 an 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 that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR' (Circle one) Date
1. This permit was issued basedb-n 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 ermit 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 grantingof a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applica f
e code or any rdinance or regulation of this jurisdiction. Approval of work is subject to ield inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CAN, of,
W heat jj
COM MUNII (�I:VIl.ol'ti1L:N1"
Building & Inspection Services Division
7500 W. 291" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line. 303-234-5933
Email: permitsCoki.wheatridge.co.us
r
CE USE ONLY
3120,13
Plan/Permit #Z/ g
Plan Review Fee: / l 9
Building Permit Application
1 ,C<,
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): lar, 11") HE 'C lIA Phone:
Property Owner Email: fl 1 J,cirr Caoy! 405; r6 .CSO rn
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
rt Contractor: t r
Contractors City License #: Phone:
Contractor E-mail Address: (gQ-�' 'r+r(-Pry-+r(-,o A4 -
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
F1 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. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$—Z/
( rr. C,Cti.
OWN1,MCONTRACTOR SIGNATURE OF (INDIAZSTANDINC AND AGRI—MMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances. riles or
regulations of the City of Wheat Ridge or covenants, casements or restrictions of record: that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that 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 pennit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) ONTRACTOR)`or (AU ED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): DATE:
F1I understand that checking this box, that I acknowledge that this constitutes a legal signature.
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
IL
City of Wheat Ridge
Residential Plumbing PERMIT - 201800646
PERMIT NO:
201800646
ISSUED:
03/08/2018
JOB ADDRESS:
4005 Benton ST
EXPIRES:
03/08/2019
JOB DESCRIPTION:
Residential. Plumbing Permit for the removal and installation
of a
40gallon/36KBTU3
water heater.
*** CONTACTS ***
OWNER (720)255-8217
HARRISON MARY A
SUB (303)280-5765
Larry Benavidez
100318 Colorado
Heating & Cooling
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS,
OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
1,451.00
FEES
Hot Water Heater
40.00
Total Valuation
0.00
Use Tax
30.47
** TOTAL **
70.47
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 legally authorized to include all entities named within this document as parties to the work to be
performed and `at `11 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
CC',r�'✓y��2'1 �Yl G�i:�%C�� �' zs � �,
Signature of OWNER or CONTRACTOR (Circle one Date
1. This permit was issued based on the information provided " thepermit 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 �p, Lshallot be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinaion of thisjurisdiction. Approval of work is subject to field inspection.
j�nA 5).
Signature of Chief Building Official. Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�COWh6atiwgie-
MM
A6A I
UNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 - Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: P,–er—mits6i�ci.wheatridge.co.us
F FOR OFFICE USE ONLY
Date; Much 9) W11
plan1permit* do/g 00&'–/P
Plan Review Fee: 1 -76) --q-7
' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. `"`
Prop" Address: q06 5
.
Property Owner Small: 11
Mailing Address: (if different than property address)
Address: A,
City, State, Zip:/ (2)
Architect/Engineer E-mail: Phone:
Contractor: (_
03
Contractors City License / 611
#: Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License,#
Other City Licensed Sub:
City License #
Plumbing:
W.R, City License #
Other City Licensed Sub:
City License #
Phone: 12-0- 255- 8'12'117
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL k1l
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
mmntint of matPrialc to be used etC )
Sq. Ft./LF
Amps
Btu's �" ��'1 r (! C i
Squares
Gallons q & /
Other
Project] Value: (Contract value or the cost of all materials and labor included in the entire project)
$ ✓ 4- l 1. r) (,\
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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) OR) or AUTHORIZED REPRESENTATIVE) #f (OWNER) (CONTRACTOR)
S5¢nature (first and last name): �' ` ' DATE:
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201800653
PERMIT NO: 201800653 ISSUED: 03/08/2018
JOB ADDRESS: 4005 Benton ST EXPIRES: 03/08/2019
JOB DESCRIPTION: Residential Reroof Permit remove and install laminated composite asphalt
shingles withl7 squares.
Pitch=4/12.
*** CONTACTS ***
OWNER (720)255-8217 HARRISON MARY A
SUB (303)638-3987 MIchael Spenner
060099 AutoGraph Home
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,800.00
FEES
Total Valuation 0.00
Use Tax 121.80
Permit Fee 140.90
** TOTAL ** 262.70
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201800653
PERMIT NO: 201800653 ISSUED: 03/08/2018
JOB ADDRESS: 4005 Benton ST EXPIRES: 03/08/2019
JOB DESCRIPTION: Residential Reroof Permit remove and install laminated composite asphalt
shingles with17 squares.
Pitch=4/12.
1, 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 aauthorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER Olt 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 permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an 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, any violation of any provision of any
applicable code or any ordma11cp or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of I1 f Building Of#i �7_Date
REQUESTS MUST BE MADE BY 1 9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer 2a l g 00 G 5 3
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, March 7, 2018 4:39 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
4
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 4005 Benton St
Property Owner Name Mary Harrison
Property Owner Phone 7202558217
Number (enter WITH
dashes, eg 303-123-4567)
� 2 2.70
Property Owner Email mharrison405@gmail.com
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Fax-03-07-18-183114.pdfX
Contract
CONTRACTOR INFORMATION
Contractor Business
Autograph Home
Name
Contractor's License
060099 V
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
3036383987
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
PO Box 350155, Westminster, CO 80035
(Primary address of your
business)
Contractor Email Address
mike@agroofing.org
Retype Contractor Email
mike@agroofing.org
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
16 X `J
the entire scope of work:
Project Value (contract
5800.00 jC
value or cost of ALL
materials and labor)
'Are you re-deckirfg the
No
roof?
}' Is the permit for a flat,
Pitched roof (2:12 pitch or greater)
• roof, pitched roof, or
2
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof-
Type
oof
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
17
Laminated Asphalt - Composite
Asphalt
single family
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
3
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.
Name of Applicant Michael Spenner
Email not displaying correctly? View it in your browser.
AC roofing agreement
A-0 r P O Box 350155 . Westminster CO 80035
roofs n g 303-630-3987
Proposal submitted to
ltda 9
phone (home) Rhone (cell)
Street
phone (office)
C��- State ZIP
16;A/ - r S"D-Lt -L-
FAX small
Permit
Permit furnished by AG Roofing Replace Pipe Jack $ . Y_.�. S
Tear Off Paint Roof Stacks, Popes, etG
10
T� inspect ung
❑ Replace Damaged DecWN Install solid
OSB • Plywood decldny $1 M per sq. ft. Baud DecitIN 51 JS per ifrt. tL
❑
Construct in. Chi e``y�ddmi
(/ //NS F—, I ( /
❑ install fl. Ice and water Shield IL from eave
install new Drip Edge along eaves COLOR
,{ Install new Metal Edging along COLOR
Install 30 th. Feil paper
(® Install Double layer of 30 Ib. Felt paper
❑ Beffen for Shaine or Tile
❑ Install new low profile Atffc Vents Gut in new vents
❑ Chimney Flashing
Ice and Water Shield, Felt and Valley Metal in Open Valleys
❑ If 5inch seamless Gutter. • Ai_ • ST COLOR Dam
bq Sts0-h In. it sidewails Stepflash chimney
❑ install 2yea,,'AB shingles
❑ Instaar Dh%msb%al shingles ` �t✓ / tf /Y
❑ upgrade ID year Dimension
al.
shingles (ADD)
Upgrade to r (/S �C,�
❑ Tile Manufacturer Color
Ridge S
T—
❑ Gable (Feld)
❑ Extra worts
Transferable labor warranty.
❑ Spedal savings and/or promotional discounts
(diecourft)
Clean up and haul off all flash
Clean around bushes and ehnbs
Roll y1WVdh magnetic roller
Clean out gu is
Pro1eR landscaping
Price indudes material, Labor and Fee
WE PROPOSE hereby to furnishaterial and tabor - complete in acct
t,cA 9 ( ?3 ~/
Payment to be made as bffows, d `��d"N�✓ d
Proposal my be witMranrrt If not =X pled within 30 day&
with above specifications, for the sum of
Homeowners have The right to rescind this conimct WMin busi ess days after the dated signature by notifying AG roofing in writing.
AG rooting • Authorized Signature Date
The Above price, specifications and conditions Acceptance prOpO
are safisf icbxyand hereby accepted
Signature: Data
AG too" is authored to do the work specified.
Payment will be rnade as alHined above. Signature_ Date
'? r
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: �' eG
Job Address: 6C6 Aif 5 }--
Permit Number:
❑ No one available for inspection: Time /.. Aft/,
17�
Re -Inspection required: Yes," No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3 '7' 18 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
a.- Residential Mechanic PERMIT - 201800618
�w
PERMIT NO: 201800618 ISSUED: 03/06/2018
JOB ADDRESS: 4005 Benton ST EXPIRES: 03/06/2019
JOB DESCRIPTION: Replace furnace 70K BTU, 80% efficiency
*** CONTACTS ***
OWNER (720)255-8217 HARRISON MARY A
SUB (303)422-6606 Jim Sanders 018083 Sanders & Johnson
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,448.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 72.41
** TOTAL ** 112.41
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all rk be performed is disclosed in this document a d/or its' accom anying approved plans and specifications.
3-��i�
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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. r
6. The issuance or granting of a permit hall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance orttgulation 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.
City of
Wheat R�
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(cci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 3/ &//
Plan/Permit # �
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address:
Owner
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
L:, k v..,/ Phone: %� 0
Architect/Engineer E-mail: Phone:
Contractor: n
Contractors City License #: (��G^O�dQ ? Phone:,303— ��— 4P40 }�
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(please print):
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
7
Z
❑ COMMERCIAL 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.)
❑ ENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
ECHANICAL 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 �D�y o Gallons
Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
O ER/CONTRACTOR SIGNATURE OF UNDERSTAN ING 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): L -4Z^_ W DATE: l(%�
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
City of
jd
C t ttr t r I t tIOPME
City of Wheat Ridge Municipal Building 7500 W. 29th eve. Wheat Midge„ O 0033-8001 P:301235,2846 V 303 3 2 57
May 5, 201
OFFICIAL ADDRESS CHANGE
NOTIFICATION is hereby given that the following address has been assigned to the ,property/prop ies as
indicated below:
JAD EXISTING
40.5 Fenton Ct 115etoCt 405 Fenton E5FentoEnC
SS - ;
CI 4035ento Ct 405 FetC4015 FeneCt
CORRE
SU IVISI o licca ation _CSCSubdivision OT s m' 1. KEYSE TI t SI 24
PARCEL 39-244-16-077
TSS: This is a corartenotification.
AUTHORIZED DATE:
DISTRIBUTION:
1. property Owner
1 Jefferson County Assessor, ATT.N :lata Control, Dacey Baker entail to bakef@j!efco, .s
3. Jefferson County Mapping, . T"I'1 : Addressing, 100 Jefferson County Parkway, Golden, 8041
4, Jefferson County Elections, , : H. Roth, 3500 Illinois Ave., Laramie Building, Suite 1100, Golden,
CO 80401
5. Email to Jeffco IT Services at snit gj fg0.us and p ,i i u
, U. S, ,post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO800133
praaarl to r lttat 4.. jL-q L izit�, „g ». and s : ttrt i i ,,C t l r i � cr and lricii m vi tt � -p gp
& ."ice Energy, ATTIC: Correspondence, 1123 W. 3rdAve., Denver, CO 80223
Century link, Capacity provisioning Specialist, 5.3.25 Zuni St., lCoorn 728, Denver, CO 50221
10. Comcast, attic. Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112
11. Wheat Midge Water District
11 Wheat Midge Sanitation District
13. West Metro fire District
14. Wheat Ridge Planning Division
15. Wheat Ridge Building Division
I& Wheat Ridge Police Department
rtment
17. GIS Specialist
18. Log File
NOTE: please notify all other parties concerned.
ADDRESS MAP UPDATED BY: SATE:
+f
hY
+f
JOE=
I
City of
Wh6atRd
-] �(ONAMUNn'y DEVELOPMENT
FOR OFFICE USE ONLY
Date: (0-11- 1415
plan1pen"It
ZUM=
�L Sc <3T—.
-�� A./
Property Address:
//
1 7 ^;
Property Owner Email: V "I 1'�-
e�--
Address:
twit y, State, Zi
f-, r % s o,,.j
Phone-
Phone�.�d�
M
Mechanical'.
Complete all information on BOTH sides of this form
El NEIN' 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
El PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)----
(For
Describe)( car ALL projects, please provide a detatfed 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.)
i
/d 1
Sri. Ft LF ........ _. � _................ ._..__ .._w_. i sllon
Ams Squares ..�. �.__.�
Other
_. _ M
City of Wheat Ridge
Residential Mechanic PERMIT - 060698
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
060698
4005 BENTON ST
replace water heater - 40
ISSUED:
EXPIRES:
gallon gas
08/07/2006
02/07/2008
*** CONTACTS ***
gc 866/293-3031
owner 303/433-5778
Paul Hendrixson
Mary Harrison
02-2394 plumb-in-Time Plumbing Service
* * PARCEL INFO * *
ZONE CODE: UA
SUBDIVISION: UA
USE:
BLOCK/LOT#:
UA
0/
Permi t Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED
FEES
30.55
.00
9.00
39.55
PROJECT VALUATION:
500.00
** FEE SUMMARY **
InW~iID
.woe;
Comment:s:
subject to field inspection
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 (l.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
date
Signature of contractor/owner
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. 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 180 days.
3. If tt.is permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
chans'es 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 pa.id for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. ContI'actor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the a roval of drawings and specifications shall not be construed to be a permit for, nor
an approval ~~., .~Ol~. o. f the isions of the building codes or any other ordinance, law, rule or regulation.
All Plan~'S;;e.fi . tions.
Signature of Chief Building Offical
date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Whe : "i~ PRESCRIPTIVE ENERGY CODE
a6' ,~, FURNACES A MINIMUM OF 90% AFUE
GAS WA",' lb. fERS A MINIMUM OF .60 E!.ERGY FACTOR
ELECTRIC V\,o, !cR HEATERS A MINIMUM OF ,93 ENERGY FACTOR
SETBACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC HEAT)
R.21 WALLS . R-38 CEILINGS . R-19 CRAWLSPACES
tj'1.oo
Q~
~
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE. 303.234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE. CO 80033 . (303.235.2855)
APPL/CA TlON
S'I5 . I ea
Building ,;Jermit Number
Date
1
Property _ #00
Property~" 'n1cVt.<.f
Contractor License No.: 'O~::;>' 3 q 'f
Company' V\u'(\(\!o -3.:0. ~\'Y\~
Phone
d::>3 -<{83- 677f
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone~\o'd~'~\
"'\~
Bui/dinqDept. ValuafionFigure: $ \\ Si)t).(j) I
I hereby certify that the setback distances proposed by this pennit 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 VVheat Ridge Building Code (IRC) and all other applicable \Nheat
Ridge Ordinances, for work under this permit Plans subject to field inspection
(OWNER)(CONTRACTOR):SIGNEO Y~o/bo rr~ __DATE_
(OWNER}(CONTRACTOR):PRINTE[).~&'Jffi( \- C':.JO'i _DATE___
Value:$
Permit Fee:$
Plan Review -~ee:$
Use Ta~:~
Total:$
Use of Space (descriptio~:_
Description of work: ''\f)~'<<!2.-
''\L----TI:- ~~- If\~~\
qo ~/~
Sq. Ft. added
ZONING COMMENTS
Approval
Zoning
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
BUILDING COMMEN1S:
Approval.
PUBLIC WORKS COMMENTS:
Approval:
IRE DEPARTMENT COIJlMENTS:
Approval:
Occupancv:
Walls.
Roof:
Stories:
Residential Ur'its:
EI'=!ctrical License No:
Company:
Plumbing License No.
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval.
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and' to the Zoning Regulations and Building Codes of\Nheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit silall expire if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally requirec, provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonmen- has not exceeded one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall b~ paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage voblem
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections ard shall 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 01 any other ordinance, law, rule cr regulation. All plan
review is subject to field inspections.
Chief Building Official
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 8136
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 11/16/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 4005 BENTON ST
Contractor License No. : 18464
Company: B & F Heating & NC
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 303-431-8979
Phone: 431 8914
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$1,900.00
$60.50
$0.00
$0.00
$60.50
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 agree to abide by all conditions printed on this
applic:ation, 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:
Install a 80,000 BTU furnace
BUILDING DEPARTMENT USE ONLY
I
SIC:
Sq. Ft.:
Approval:
Zoning:
Approval:
Approval:
Occu pancy :
Walls:
Roof:
Stories:
Residential Units:
Ele(:trical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval :
Expiration Date:
Approval:
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 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 (8) the building authorized is suspended or
abandoned for a period of 120 day-so
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
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) 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 ofthe/'ob.
(6) 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.
~~I~~~~ctor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
(1)
(2)
(3)
crt
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Date:
Property Owner: e.-rf1CV\J'1 V\ ~ 1\",-
Property Address: '-\ 0 () S B<.>", tcY\ 0, -L
Contractor License No.: \ 't cko '-l
Company: t:,~ j. ~-:\{ ~
PhOne: 3oiS.. cksi - gCi7'l
Phone: 30s -Y-2, 1- 2911
OVIINERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: 19 GO, GO
Permit Fee: ~o ,Cj i)
I hereby certrfy lhltlhe _"de di.lIInce. propo.ed by this pennrt Ipplocation Ire Iccullte.
and dO not Vlollte loollcaDIe Ollllnlnoes. rule. or regulations of the City of Whelt Ridge or
cavenants, easements or restnctions of record: that all measurements shown. ana .'legatlons
m.. are accurate: that I hive reld and agree to abide by all condrtions pnnted on this
Ipplocatoon. Ino tnltl I..ume lull ....pon.lbllity for comololnce WIth the Whelt Ridge Building
Code (U.B.C.) ana III other loolicable Whelt Ridge ordlRlnce.. ~r work under thIS rnnrt.
(OWNER1(CONTRACTORl SIGNEb..1i)J.t ~ ~':-ryF LA. C<:dI2::11ATE I d'3h~
Descnption: \~~:J.V c,,"- ~D,()OD -~'u ~')~<i....
BUILDING DEPARTMENT USE ONLY
UseTax: t-o'-ll/O
Total: &'0. So
~. ~l}'iiI~.~~.Ltl.:..d..l.:...!'
Approval:
Zoning:
~. ~'_..J.'."'....:....: I~:~J-.' :..
Approval:
"~...J..CJJ~~tlj.4'
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Electncal License No .
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
.J [~~INCI~
Expiration Date:
Approval :
11 ;' P_~UIt8d;~.::1
Expiration Date :
Approval :
.
u--."'.': I~~.-
(1 ) This permit w.. IIluea '" 8CCl:lfdanCe WIth the provlllOnS see fonn In yopur .gpIlC1bon .nd II lublect to th. IIwI ct 1hI.... of COIcndo 8ncI1O 1M Zanitg
RegulltJOnl InCI BUltdlno Cod. of Vlhte.. Ridge, COlorado or any om" loplN:.lble orClnances of the City.
(2) This perml1 snalt pptre rf (A) Ihe wont autnonzed II not comrnencea 'Mmln IIXty (60) daya from llIue dlte or (8) IhI building authonzICI ill'~r L .d$d or
'_00 tot. _ of 120 dlyO.
(3) If th" _ _. . nawpemot mI'f '" soqum for. fee 01 ""...H lIlelllnOUnt notmIlI'IlOQU1rsd. _ no ~.... _ <<will be _ in the
ongi'tat Diana and ......ftcnol:lI anet any SUlperIIIOn or abandOnment has not exceeaed one (1) y..... If c:hInga.... midi or tf IUIPIftIK)n or UII_.._1l
uc:eeos on, (1) year. Jutl fMllhaD be paid for a new DemWt.
(4) No work of any mIl"ner IhaII be oone trlat will change the nlturall'low or Wlter caUSI"O a dlllinlgltKObtem.
(5) Connaor snail ncmtv tne Budding InsPICIOr twenty.four (24) hoUB In lavance for .11 InspectIOn' ana ,hall reeerve wmten approval on inapectlOn cara bIIIEn
ptOCIeOllng With sucx:ess1Ye ph.... of the rob.
(5) The issuance of I permit or tn. approval of dl'ilWtngl and speelfications snlll not be construld to be . petmd for. nor an approval ct. any YiOtItian 01 1M PftMIiDnI
of the bulloln9 COdeS or any otner ordinance. law. n.lle or regulabon.
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 INSPECnON