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HomeMy WebLinkAbout3255 Ingalls StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: PERMIT APPLICATION Asbestos Abatement Date: Tuesday, January 11, 2022 11:25:51 AM PERMIT APPLICATION Asbestos Abatement This application is exclusively for RESIDENTIAL ASBESTOS ABATEMENT YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for residential asbestos abatement? Provide copy of CDPHE State Permit or Stamped Approved CDPHE State Permit Application Yes PROPERTY INFORMATION Property Address 3255 Ingalls St. Wheat Ridge, Co. 80033 Property Owner Name Mark Eckart Property Owner Phone 303-947-0663 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email darthsubi@gmail.com Address Attach City of Wheat Wheat Ridae Electronic Payment Form .odf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Asbestos Abatement Inc Name Wheat Ridge 190058 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-728-4513 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email admin@asbestosfree.com Address Retype Contractor admin@asbestosfree.com Email Address DESCRIPTION OF WORK State Permit No. or 01/07/2022 T.S. Application Approval Date with Initials of CDPHE Employee approving application. Location of Abatement 3255 Ingalls St. Wheat Ridge, Co. 80033 Square Footage Area 339SF of Abatement Has the abatement No been completed If abatement has been Field not completed. completed, upload the clearance report. Project Value (contract 8071.90 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Shannon Stickley Permit 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. Email not displaying correctly? View it in your browser. INSPECTIONRECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign/ALL Spaces pertinent to this project Foundation Inspections Date I spector Comments itials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Lath /Wall Tie Do Not Pour Concrete Prior To ADDroval Of The-AliaVi . Insrieef cuss Underground/Slab Inspections Date Inspector Conts Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To ADorova he ove I necfinnc Rough Inspections Date Inspector Initials Comm Wall Sheathing Mid -Roof 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 Inspecl:ion / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 61 Y 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. ror iow voltage permits — Hease oe 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 - 201702660 _4� PERMIT NO: 201702660 ISSUED: 06/27/2017 JOB ADDRESS: 3255 Ingalls ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander asphalt shingles with 34 sq. *** CONTACTS *** OWNER (303)947-0663 ECKART MARK JR SUB (720)322-4857 Armondo Gonzalez 170276 ALG Connections INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,738.00 FEES Total Valuation 0.00 Use Tax 183.50 Permit Fee 188.45 ** TOTAL ** 371.95 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k; -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€T"s 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&#39;s 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. s City of Wheat Ridge Residential Roofing PERMIT - 201702660 PERMIT NO: 201702660 ISSUED: 06/27/2017 JOB ADDRESS: 3255 Ingalls ST EXPIRES: 06/27/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander asphalt shingles with 34 sq. *** CONTACTS *** OWNER (303)947-0663 ECKART MARK JR SUB (720)322-4857 Armondo Gonzalez 170276 ALG Connections INC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,738.00 FEES Total Valuation 0.00 Use Tax 183.50 Permit Fee 188.45 ** TOTAL ** 371.95 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding Ai�-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturers€'"s installation instructions, whichever is more stringent. 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INOD ioo 2�I o 3o aanjuuSiS -suoi113o31oods pue sueld pano.idde �3uiXuedw000e sll jo pu13 luawnoop sigl uFpa-TSj—os!p si powiTo nd aq o�om llu 113g1 pue pow.�ol.iod oq of lioM all 0l saiy�13d se luaum0op sigl wg1iM paw13u sagquajl13 opnlow of pazuoglne ,Cll13 al we l 113g11sa11e ngjjnd l •l�uua sigl y1jM uog0unfuo0 w panoidde pue poquosap ,yaoM ag1 uuoj.aad I �iuua sigl welgo of paalaogln13 we pu13 Xljodoid ag1 Jo aauMO 1031 aq1 Xq poziaoglne uaag an>;q ao .IauMO 113531 a1 we l legl puu `saanpaooid pue saioijod `sapoo judioiunw olgeoilddu 1113 pu13 `sapoo 5uiplin� algeoilddu `suog13o3iaads pue su13ld panoadd13 ui Cuedw00013 III,glim Cldwoo 11egs pawao�}aad aq o1 �liom aql 113g1 1sollu Xgaaaq op `aanleu is ui ,Cq `l •bs 6E ugtM SaTBUTgS qTPuds2 zapuPTtlbTH AGXJPTsinl TTPgSUT 01 900.2 -ail TPzquapzSaH :NOIIdI2I0SHQ HOP 8TOZ/LZ/90 :SH'dIdXH IS sTTPbuI SSZ£ SSEdCCIV HOP LTOZ/LZ/90 :QHIISSI 099ZOLTOZ :ON JIN'dHd 099ZOLIOZ - ,LIWH:ld �WUOO-d iviluapisa-tl atpgd IvagM jo SIl3 Dan Schultz D-01762ZC6c) From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 15, 2017 11:59 AM To: Permits CommDev 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. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 3255 Ingalls St Mark and Jennifer Eckart 3039470663 Property Owner Email ais3rd(cDhotmail.com $ 73-7 1 -'�) 0 Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name A&S Services LLC Contractor's License 170276 Number (for the City of Wheat Ridge) Contractor Phone 7206219336 Number Contractor Email Address aVbaandsservicesllc.com (permit pick-up instructions will be sent to this email) Retype Contractor Email alCcDaandsservicesllc.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Malarky Highlander - 30yr Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 34 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? z TOTAL SQUARES of all 34 roofing material for this project Provide additional detail Home and Attached Garage, 5/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 8738.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the pen -nit 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 Al Szymczycha Email not displaying correctly? View it in Vour browser. 3 A&S SERVICES .LLC Insurance Restoration Agreement Agreement Date: 'Af Property owner(s)' Name: N1in- (C L T 2n+.,Jr �� k — L Property Address: 3a s S' n� k t( 5 City: W-;/ f (, f t'Z, ci i State: c.cv Zip Code: Home Phone: 303'9S(t. Work: Mobile: Insurance Company & 4 c o . J41 k u� 1 insurance Contact: 7"f.r S& A -.r1, i C Policy Number: t� `� i 7,�LD L 3 Claim Number: (o (2.7 S to o -3 ci The Owner(s) (if more than one, Owners shall be referred to collectively as "Owner" hereinafter) listed above hereby jointly and severally agree to hire A & S Services LLC, a Colorado CLC (herein referred to as "A & S Services"), to contract Owner's insurance company and work with the insurance company to obtain work scope approval relative to the materi- als and services to be supplied to and installed at Owners' property (stated above) by A & S Services as follows: Section A. Scope of work n thw 4ed by C�+a+r es £os�At& S Services to ¢es£ rm. l v✓ lin ArL Si.. A is f1r(dde Owner understands that part of the work and services that A & S Services will be providing under this agreement will include (but not limited to) developing (with Owner) the scope of work to be performed, administratively opening a file regarding Owner's property, measuring Owner's roof, communicating with Owner's insurance company, meeting with insurance company representative(s) when necessary, and otherwise utilizing A & 5 Services expertise and reputation to obtain work scope approval from Owner's insurance company within per price parameters acceptable to Owner's insur- ance company and A & 5 Services, in addition to supplying the materials and services to Owner's property relative to the scope of work approved. Any changes or deletions to the work scope must be approved in writing by both Owner(s) and A & 5 Services. Pricing will be set by Owner's insurance company and A & S Services, and the approved work scope and pricing information shall be supplied to Owner, If, after Owner enters into this agreement, Owner retains another person, or entity to perform described work authorized, Owner agrees to pay A & S Services, as compensation and liquidated damages and not as penalty, fifteen peTcent (15%) of totai job Lost. If Owner's insurance company denies insurance claims for the work to be performed under this Agreement or refuses to issue a work scope approval for the described work, then this Agreement will become null and void, and neither the Owner nor A & S Services will have any further duties, obligations or liability under this Agreement to each other.Initial Date owner hereby authorizes Owner's insurance Company to direct) prytvide the work scope approval to A & S Services and further authorizes Owner's insurance company 5 Fc Ctl % � r .y eV_jrik A t , to pay A,& S Services directly for any and all materials and work supplied to the property. The amount owed under this Agreement will be determined according to the price perimeters agreed upon by A & S Services and Owner's insurance company, for the scope of workAythorized by Owner. Owner certifies thatshe/he owns the real property at the street address noted above. •,� initial Date—/,a- This ate—/,a-This Agreement is contingent upon the issuance of work scope approval by Owner's insurance company, which shall include price parameters acceptable to said insurance company and A & S Services. PAYMENT TERMS: Owner hereby agrees that when work scope approval has been issued in writing by Owner's insurance company, A & S Services has earned and is entitled to Fifty percent (50%) of the total price approved by the insurance company for the scope of work to be performed and such is due and payable at that time. This 50% is non-refundable and shall be due and payable tc A & S Services for the wo,' that it had engaged in; prior to work scope approlai being issued by Owner's insurance company A & 5 Services shall be paid in full upon final completion of the approved work scope. Owner agrees to sign a "completion certificate" upon completion of the installation of materials. If the Owner's insurance company has failed to pay A & 5 Services directly, Owner agrees to deliver check and/or pay in cash the cost of the materials and services which the insurance company agreed to pay. 'Payment terms on jobs over $50,000 will be modified as specified above. This is a legally binding contract, and Owner acknowledges that she/he has read this Agreement and has received a com- pleted, signed and dated copy of this Agreement. A & S Services LLC By: (/k./ l ,,C- Authorized Representative Name: / 1GicTs Date: ' Owner(s) Signature Name:— SignaturE Name:_ Date: i CITY OWHEAT RIDGE / Btrildfng Inspectioin Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax rP, INSPECTION NOTICE Inspection Type: V 10 Job Address: L>7_55 I til(At LLS Ci" Permit Number: "2_ 0 I'l 0 `Z U (.y'° C' ❑ No one available for inspection -,.-Time /1VI/PIVa.j Re -Inspection required: Yes (No,/ When corrections have been made, c�H.tor re -inspection at 303-234-5933 c�7 ``` % Date: Inspector:.>3i CJi" DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division P (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /20F _ Job Address: S )/y (M LL S 7 - Permit Permit Number: zoI C7 (� ❑ No one available for inspection: Time ) .0�m)pM Re -Inspection required: Yes /No j When corrections have been made, call io re -inspection at 303-234-5933 r Date: )F. % Inspector: DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY 0 City of Date: Y wh6atpu gle wCOMMUNj VEL , Piammomit# Building Inspection Servic4m Division5"-'o ( (o ). 7500 W. 29"' dive., Wheat Ridge, CO 80033 Plan ROVAPWar Office. 303-235-2855 * ; 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application plea" �W"014'16 all b1ohnowthis form t Property Address: {pis rirlt: Property r Address- City, ddress: Cit , State, Zip: Electrical:Plumbing: W.R. City License # W.R. City License # Other City Licensed Sub; City License # Mechanical: W.R. City License# Other City Licensed Sub: City License Complete r:r: t BOTH sidesof r. as � i ■e :. �. r A a a a wsn y +h! • a wa � � s a r �, .ars ♦ ■" ` r a r� 'a.: r a ReiptQc-e Sq. FULF Gallons Amps cru Inspection Type: Job Address: Permit Number: '71TW coffecuons nave Been Meae, cafl for re-Inspecyon at Dw--254 Date Inspector* 0 No one available for inspection: Time AM/PM '71TW coffecuons nave Been Meae, cafl for re-Inspecyon at Dw--254 Date Inspector* CITY OF WHEAT RIDGE w- p Buildinginsectio 0 n Division 3 59_ 4- r Inspedion line (3(0'330)2-?3V2855 ff e 237-8929 Fax X No one available for inspection: Time AM/PM When conwdons have been made, cs/1 for ra-inspection at $03-234-5933 Date'.3 Inspector: 11 Address pl to all information on BOTH sides of this form I -- P, I k qn FULF Btu' Gallery Amps Squares Other __ I + • 1 mare: r� I 4 : r - -,�- I. :. Prop Email: Mailing Address. (if different than property address) Address. Complete all information can BOTH sides of this farm k I Sq4b , LF tutu's Gallons Amps Squares Other h it of C W cat jd ge � DFVF10PMENT 0- Date.* Plan # Perinit 06 City, State, Zip'. Contractor-. _T_ 4a1'4__1v Contractors City License c Phone: y d Liz Sub Contractors: Electrical: Plumbing: Mechanical* City License At City License # City License # yCe, k M 1 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit 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 inade 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 perforrn 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 I1;IIIjpI1lI1�III1l�IpI r� 1 9 1 1111 1 1 1 11 !; 111111 l�� II 11;11111111!lqilj��J�� SIGNATURE: DATE: yc (please print): d e. w 0 Phone: 3 06 City, State, Zip'. Contractor-. _T_ 4a1'4__1v Contractors City License c Phone: y d Liz Sub Contractors: Electrical: Plumbing: Mechanical* City License At City License # City License # yCe, k M 1 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit 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 inade 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 perforrn 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 I1;IIIjpI1lI1�III1l�IpI r� 1 9 1 1111 1 1 1 11 !; 111111 l�� II 11;11111111!lqilj��J�� SIGNATURE: DATE: '~"",. ,', ..' ,"~,.r.".,v' "",,"""", ,'. "",','r",".,,,,",,".,,.,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,~~,lll!ll!,,.,,,~,,,,,,,,,,,,,,,,~,, ", """",," v,.,....,"',,'.,,~,.., """!"",."".,",, t""",..Jl' DEPARrrfENT QFPLANNING AND DEVELOPMENT Building Permit Number: 3352 . .' BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 6/27/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : CHANDLER ROBERT BARRY Property Address: 3255 INGALLS ST Contractor License No.: 18213 Company: R & J. LaPenna Construction Phone: 232-1064 Phone: 420 3757 Construction Value: Permit Fee: Plan Review Fee : UseTax: OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I ".reby C$rIifY that the setb~ distances proposed by this permlt application are accurate. and do not violate appllca!>le bftIInan"",,, rules or regulations of the CI\y of Whaal Ridge 0' covenants. ea$8Jll$lll$ '* restrictions of record; that all measure~nta shown. and allegations mllde areSCQUrate: that I hava read and agree to abide by all conditions nled on this ap~on, and Illat I ...~fUlI_..lbll' 'co t eat Ridge Building COde (U,B,C.) and aU other appllcabf ge 0 .' unde, this permlt. (6wNER)(CONTRACTOR) SIGNE ATE. Total: $3,800.00 $63.00 $0.00 $45.60 $108.60 Description: PATIO COVER BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : COVER MEETS ALL SETBACK REQUIREMENTS FOR R-2 Approval: Occupancy : Walls: Roof: Stories: Residential Units : Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: . Expiration Date : Approval: . Expiration Date : Approval: . (1) This pennIt_illUadln lICCOIdanl:e with thaPfOVlllOnl set forth in yopur appIlca1Ion Ind Is _10 tha I8ws ortha _ oICOIanIclO end I<> tha Zoning flIgul_ 8nd BuIklInlI Code orWl1e8I_, COlorIdo or ony other _ ordlNlllCll or tho City. (2) Thlio pennIt _ """""" (II) tI18 _ _Is not com_ wlth),;.ixty (60) doyo from IIlIUI dolo or (8) tha buildln; I_Is __ or _forlpeilodOf12Oa' (3) ff IhIs ponn\l oxpinIo, . now moy be o<:qulred IDr I reo 01 oltHlff tha lmount nonnolly required. __ no chonGIB hova b88n or will be _In tha ~"::~~ ~~~~~ ~ment h88 notlXClldld 0111 (1) yeor. lIch8ng18.... mOdI or ffouoponolon orlblndonment (~) No-xolony monnor_bld0n8 thalwlll_lho noturol_ ofwotlr COU8Irw.:~~ pIOblorn. (_) ~_notIIy.thoBuIldlnllI_lw8nty-rour(2)4) hours In _nco IDr In end_ __ ~on InapodIonQllJd b8l'ore (I) ~~:"~~~~t"rdniwingo end opecItIcotiono _I not be __I<> be I pormlllDr. nor on ~ 01. ony_ oItha provision. of tha buildln; _ or., __nee. law. rul8 or roguiltlon. 6" /.~ /t{ulJjJ.~. ~ Chief BuDding Inspa r ' For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR ANPMAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION . DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No. : Company: Rl> B~;- Q...JI,p.,...;ciL-s-F'L . 2J .t.sS- I IVC?".,.cLs wI! ~ l'R, eft Phone: :2.:r;2. - / 0" ~ I 8'~.3 R+o. J,.,q-A-,v7We<.....- C-e1VSt: Phone:",/;:Zl7 -3?~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: 3, ~cJ..o - 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 conditi 5 printed on this application, and that I assume full responsibility for complianc wit Wheat Ridge Building Code (U.B.C.) and all other applicabl at I ge o' c, f ark under this permit. ATE ~/:I7/7~ , I (QWNER)(CONTRACTOR) SIGN 0 Total: Description: f7.4-71.9 Cad ~tZ. BUILDING DEPARTMENT USE ONLY SIC: ~nI"~Q1fl1tlj""jJil~ (, In left, Approval: ~ ~ Zoning : ~'Z- tWiJ-s ,..if. <;.cf~ ~:.:. bJL [2. - L- ~!!ira.iii9!Ci)1i1m~~~ Approval: P(jbl!ClV!li)~C:-dffilfi~ts:j Approval: Sq. Ft.: Occupancy: Walls: Roof: Sto,ies: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: ~ !f!,lailS!!~I!"@l~_ Expiration Date: Approval: II 1!,Ilil!SY~e.(iUI~_ Expiration Date: Approval: ~ ~ran:s:BifQUl(~~ (4} (5} (6} This permit was issued in accordance with the provisions set forth in yopur application and is subject to the taws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire If (A) the work authonzed 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. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours In advance for all inspectIons and shaH receive written approval on inspection card before proceediing with successive phases of the Job. ,. _ . . The issuance of a permit or the approval of drawings and specifications shan 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) (2) (3) 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 " ~ ~- 51 ~ \,,)' I / ,h I i-. - (;) ,y' :~ 0- ~ 1.IJ ~ \J\j ~ w -'J ~ -1 ~~ t<. C'l) ~ o~~. q,'flsl1 "'{ ~ 35"'+" .,;l. ~~" ~ ~.~~~~ ~ \A) (l ~ ~ '~ u if Co "" x. \N ~. - _.~ /-~~ 7f . . " - ~ - f.;vJ ~(j ~ - - - -- ~53('1 --.....~h~&. V IJrlborJCZ-- '~08-V 31"'11-1 ~ ---- - ~~ ~ i/tI?/c! ~p'32. "V . .r ~~fP () ~ -~- ~~.. y.rGtq .. '. l{~~ :. rOSI ".'''-. __ J. VY ~ ~. ~_ ,'AAf/fs/~ h t..l y'u, 3''9-. __ __~~_..,__.__.z_~__.._.____. ".___,._'__________ .. ". ,,' .j\ . -~--- un' ,;, L~ fit -- -~-in Ii' ---jjk~-r.N<f c II' tJ ' ;j &-o~ ..-- . i, cA6f I, ----.. -11 - .. . --+- i l! ,- ! 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