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HomeMy WebLinkAbout4075 Jay Streeti CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ���• -4/0... AA ed Job Address: JL-\/ st" Permit Number: JRoo7c)g LlNo one available for inspection: Time /J A Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: `�' ' L/' / �� Inspector: � /1.44 - DO NOT REMOVE THIS NOTICE City of Wheat Ridge s Residential Mechanic PERMIT - 201800704 PERMIT NO: 201800704 ISSUED: 03/13/2018 JOB ADDRESS: 4075 Jay ST EXPIRES: 03/13/2019 JOB DESCRIPTION: Install 100K BTUs furnace, install 2.5 ton AC, electrical hook-up and 2 GFCIs *** CONTACTS *** OWNER (303)467-2148 COY CHRISTOPHER SUB (303)798-8783 J. Patrick Quinlan 018464 Coffman/B & F Heating & A/C SUB (303)227-0326 John F. Gordon 018057 Modelco Electric 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: 8,035.00 FEES Total Valuation 0.00 Permit Fee 188.45 ** TOTAL ** 188.45 *** 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. 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 am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I anT lqgally,aut`4o{ ized to include all entities named within this document as parties to the work to be performed and that all work to be p_:.,�o� 6d ' �isclosed in this document an its' accompanying approved plans and specifications. 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. rssuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall no be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordmanp� or regulati of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official a Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. itvo! Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 343-237-8929 Inspection Line: 303-234-5933 Email FOR OFFICE USE ONLY Date: ^ J Plan/Permit Plan Review Fee: Building Permit Application I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: *167 •ja, Property Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Enaineer: Architect/Engineer E-mail: Phone: Contractor: (.� ° 'a17 146OF j' I Phone:U�p" / %�7© / v Contractors City License #: �'J %l1� Phone:-�� Contractor E-mail Address: �C)74Ma i'1 CCl . CU /7% Sub Contractors: Electrical:, lee ,Clerli'iC. -Plumbing: Mechanical: W.R. City License #j o5 /-7 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 fo7� 1'� 51/-- ❑ COMMERCIAL )�_PESIDENTIAL 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 THER (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 Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) F-0 S 3 5 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 infonnation provided on the application. CIRCLE UNE: (06VNER) (UNTR4CT0 ) or (A ' HURIZED REPRESENTATIVE) of (OIfiVER) (C0IVTR4CT0R) Electronic Signature (first and last name): DATE: I ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: City of Wheat Ridge r � Residential Roofing PERMIT - 201706818 PERMIT NO: 201706818 ISSUED: 08/31/2017 JOB ADDRESS: 4075 Jay ST EXPIRES: 08/31/2018 JOB DESCRIPTION: Residential Re -roof to install new decking and timberland asphalt shingles with 19.75sq *** CONTACTS *** OWNER (303)467-2148 COY CHRISTOPHER L SUB (303)729-3683 William Marvin 170219 Western Summit Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,467.97 FEES Total Valuation 0.00 Use Tax 156.83 Permit Fee 172.60 ** TOTAL ** 329.43 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. I INSP CTION kECORD Occupancy/Type VISPECTION 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 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 -- - - - -rr- - - w�✓vvuv��J Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing �-A-�L -AN l•la11• IS WIN I 1•A•N.'..I M111/.1H,RIHr Ti R7'r- _ _ --1 wfihyind 7.Iff,!!!!•� Rough Inspections Date Inspector Initials Comments Sheathin Mid -Roof ' ath / Wall Tie h 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 IT 17 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 occuoancv. -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 Ocr-lioancv Is Issued City of Wheat Ridge Residential Roofing PERMIT - 201706818 PERMIT NO: 201706818 ISSUED: 08/31/2017 JOB ADDRESS: 4075 Jay ST EXPIRES: 08/31/2018 JOB DESCRIPTION: Residential Re -roof to install new decking and timberland asphalt shingles with 19.75sq *** CONTACTS *** OWNER (303)467-2148 COY CHRISTOPHER L SUB (303)729-3683 William Marvin 170219 Western Summit Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,467.97 FEES Total Valuation 0.00 Use Tax 156.83 Permit Fee 172.60 ** TOTAL ** 329.43 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge ®� Residential Roofing PERMIT - 201706818 PERMIT NO: 201706818 ISSUED: 08/31/2017 JOB ADDRESS: 4075 Jay ST EXPIRES: 08/31/2018 JOB DESCRIPTION: Residential Re -roof to install new decking and timberland asphalt shingles with 19.75sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyinj approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that (am tie 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 t all w e or disclosed in this document and/or its' accompanying approved plans and specifications. 59�_/ll 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The 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 ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date ")%AAWP' U% 9 REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. • K4.. E S�CEIT RN SUMM �y ROOF WG CONTRACTORS LLC. AGREEMENT Property Owner Name: d.6 f r,3 City, State & Ph 820 Newton St. Denver, CO 80204 Phone: 720-4S4-8778 Fax: 303-223-9269 westernsummitroofing@gmail.com �OU?3 Western Summit Roofing will furnish all labor and materials to construct and complete the following general services: LTTear off C!` ( I layers of existing roof covering. \ t� rfrinstall new underlaVment t� install pre -painted rake metal color C�� ✓` Q Install new flashings as needed ['Fasteners per shingle: E tteplace vents as needed E44e-flash chimneys, wall abutments and penetrations ❑ Install new decking (7/i6' OSB) []-'Special Instructions / Product upgrades: P e'Shingle Color 1 �'Q GJ-S�'ingle manufacturer / model QXalieys will be closedt-;open [� Replace gutters and downspouts as required [7Clean out gutters EB _make a magnetic sweep for removal of nails 215 year workmanship warranty All construction will be completed in compliance with prevailing building codes of the governing municipality. Contract Price: S t '/ L amount due upon substanti --Deposit S - Approximate Start Da Terms: Property owner authorizes ` specifications set out herein Property Owner Signature: 0.00 completion of work.) agrees to pay Western Summit Roofing total contract Construction Completion Payment: $ �;ne c ��' ,� -k- Approximate Completion Date: J A C1W . u ern Summit Roofing to provide labor and material in accordance with this agreement and the on th evr e e hereof. f / Date— / —% I Z Western Summit Roofing: X Date: Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Tuesday, August 29, 2017 9:18 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application a �J P 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 (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 4075 Jay St Wheat Ridge, CO 80033 Chris Coy 303-467-2148 Field not completed 213 $ IAt� - �� Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Scan 2017-8-28 21.17.08.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Western Summit Roofing Contracotrs 170219 720-454-8778 820 Newton st Denver, CO 80204 Contractor Email Address Will@westernsummitroofing.com Retype Contractor Email Will@westernsummitroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 19.75 the entire scope of work: Project Value (contract 5925 value or cost of ALL G 40 c 7 materials and labor) Are you re -decking the roof? Does the scope of the J No: project include a flat roof C.7 (less than 2:12 pitch)? 214 Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? How many squares are 19.75/ part of the pitched roof? Describe the roofing Timberland / materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Asphalt Replacing the shingles on the house. SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 215 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 Colin Krautkremer Email not displaying correctly? View it in your browser. 216 V 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: -/ '-7 - I Job Address: V, -7 S S te/ S4 - Permit +Permit Number: 0 1 -7 c tc 8/ r ❑ No one available for inspection: Time q= 37_6 M Re -Inspection required: Yes ho When corrections have been made, call for re -inspection at 303-234- Date:—'I 03-234- Date:'I ;t 1;?, //7 Inspector: —r -z) DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L) 0 q - Job Address: L10 '7S Ct S �- Permit Number: 2 01 -7 0 8 0 drier- Po . S!c3eC Gi ❑ No one available for inspection: Time qpm Re -Inspection required: Yes) es No When corrections have been made, call for re -inspection at 303-234- Date:- 9/1" Inspector: T b DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1 Job Address: Lj a 75- Permit sPermit Number: ► -7 0 1, q 15? 15 L r�3 am vac ❑ No one available for inspection: Time�a : / �t A I!M Re -Inspection required: Yes S When corrections have been made, call for re -inspection at 303-234- Date:- c� //'-/ Inspector: _T-'\. > DO NOT REMOVE THIS NOTICE 30/10N SIH13AOkVgd ION 00 :aoloadsul (.� (!' (� I„ :algia SS6911£Z- OE Ja uo/loods . a sol Ileo yj2ex uaaq aney suo►;oCaaJaoo uayM. 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Miscellaneous PERMIT - 080438 PERMIT NO: JOB ADDRESS: DESCRIPTION: 080438 4075 JAY ST Re-roof ISSUED: EXPIRES: 05/05/2008 11/01/2008 *** CONTACTS *** owner 303/284-3910 gc 303/684-9195 Armando DAVID ROWDEN 07-0207 ALL CITY ROOFING, INC. ** PARCEL INFO ZONE CODE: SUBDIVISION: ** UA 0414 USE: BLOCK/LOT#: UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED FEES 144.70 .00 88.20 232.90 PROJECT VALUATION: 4,900.00 ** FEE SUMMARY ** ffi[~ Comments: 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 measureme s shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this and th~.t_vI assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other dge Ordinance work under this permit. Plans subject to field inspection. 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 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. 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 have been or if suspension or abandonment exceeds one (1) year, full fees shall De 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 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 vio 'on of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review 's t to field inspections. Signature of. Chie' Bui '~ng Official date b' 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 Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: Plan#: Permit #: eflJ/f.1fJ Building Permit Application Property Address: 4075 .hv Jf ( Property Owner (please print): .4t'/J14>A ;"/c::::, Mailing Address: (if different than property address) Phone: Address: City, State, Zip: Contractor: 4/1 rr-ly ~~ Contractor License #: (')/~(')/ Phone: /CJoSb 0,3~/ Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Approval: Exp. Date: Approval: Exp. Date: Approval: Construction Value: $ '-j ,9~ _ <= (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Use of space (description): Description of work: J2.e. Q ca;r,/2 Sq. Ft./L.Ft added: Squares BTU's Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. R) (CONTRATOR) Dat~ CIRLCE ONE::~~CON~R) or PERSONAL REPR PRINT NAME: S ~f1~ 8IGNATUR. DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: OCCUPANCY: FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved Dna review required I Bldg Valuation: $