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Home My WebLink About4110 Jay StreetD FP ' N RECORDOccupancy/Type INSPECTION INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection 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 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments 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 Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERM IT - 20f 704954 PE'�MIT NO: 201704954 ISSUED: 07/27/2017 JO'J ADDRESS: 4110 Jay ST EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 23 sq. (21 sq. pitched, 2 sq. flat) *** CONTACTS *** OWNER (720)561-0052 YOCUM TODD SUB (303)777-0333 Ron Tutton 021585 Homestreet Roofing 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: 7,400.00 FEES Total Valuation 0.00 Use Tax 155.40 Permit Fee 172.60 ** TOTAL ** 328.00 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. I City of Wheat Ridge Residential Roofing PERMIT - 201704954 PERMIT NO: 201704954 ISSUED: 07/27/2017 JOB ADDRESS: 4110 Jay ST EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 23 sq. (21 sq. pitched, 2 sq. flat) *** CONTACTS *** OWNER (720)561-0052 YOCUM TODD SUB (303)777-0333 Ron Tutton 021585 Homestreet Roofing 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 ,. 00.;00,.=_-> FEES Total Valuation 0.00 Use Tax 155.40 Permit Fee 172.60 ** TOTAL ** 328.00 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704954 201704954 4110 Jay ST Residential Re -roof to install Owens 23 sq. (21 sq. pitched, 2 sq. flat) ISSUED: 07/27/2017 EXPIRES: 07/27/2018 Corning Duration asphalt shingles with 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 alI entities named within this document as parties to the work to be performed and hat all work to be performed isisd in this document and/or its' aFconppanying approved plans and specifications. ImA 1 0 c T Signature of OWNER or CONTRACTOR / (!ircI one) Dde I. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 is 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 applic le a or any ordinance o�tion 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. 9797 E. EA5TER AVE. 51JITE 13 6 CENTENNIAL, CO L30112 *MWII\ $$$ PH. 303-777-0333 FAX 303-649-2194 HomeStreet Member Deme Metre Area ROOFING, INC. "Find us at Troubleshooter.com on Tom Martino's exclusive referral list" NAME- —; (- n () --/"- E-MAIL ADDRESS STREET t C,.T- - DATE CITY LTJ � �y ) �j ESTIMATOI�-- �, PHONE �% 1 i .- ^T �5� - ( CT's � � APPROXIMATA DATE OF SERVICE ,�ti � ye"� z✓\ �I We Propose To furnish material and labor complete in accordance with specifications below for the s Payment to be made as follows: u�PG-41 down SPECIFICATIONS FOR LABOR AND MATERIAL TERMS AND CONDITIONS (please read carefully) Recover roof with ?llc� Tear off 15�---- Install felt Style of shingles C)t_ Color of shingles New Valleys E7 IS- Ridge _ Galvanizall taples Replace pjacks Kin Paint roof stacks ❑ _Turbi Turll Metal edging . bine vents Tar and gravel Year guarantee on labor HomeStreet Roofing, Inc. to furnish all material and labor Permit furnished by HomeStreet Roofing, Inc. ❑ Clean-up & haul off all trash from roof ❑ Yi Roll yard with magnetic roller C Gutters cleaned of roofing debris 6 Extra work HomeStreet Roofing, Inc. will hold in trust any payment from the property owner until the contractor has delivered the roofing materials to the jobsite or has performed a majority of the roofing work on the property. balance upon completion of work. INSURANCE ALLOWANCE AGREEMENT I/we agree to retain HomeStreet Roofing, Inc. to replace and/or repair the roof on the property aforementioned, contingent upon HomeStreet Roofing, Inc. obtaining my insurance company's approval and payment to have said work done. It is understood and agreed that HomeStreet Roofing, Inc. is to contact my insurance carrier and meet with their representative in order to discuss the repair or replacement work to be done to the property. Upon insurance carrier's and HomeStreet Roofing, Inc. agreement to the extent of the damages and cost of fixing them, HomeStreet Roofing, Inc. may begin to work on said property. HOMEOWNER'S OUT-OF-POCKET EXPENSE WILL NOT EXCEED HOMEOWNER'S INSURANCE POLICY DEDUCTIBLE FOR WORK AGREED UPON BETWEEN THE INSURANCE CARRIER AND HOMESTREET Roofing, Inc. Homeowner also agrees to provide all necessary documentation for claim (also providing all pertinent documentation to facilitate payment from insurance carrier and/or Mortgage Company.) HomeStreet Roofing, Inc. reserves the right to file for settlement claim due to material or labor increases due to a storm environment or insurance measurements are proven to be incorrect. All material is guaranteed to be specified. All work is to be completed in a workman- like manner according to standard practices. Homeowners hereby acknowledge that HomeStreet Roofing, Inc. may be subject to delays occasioned to inclement weather, labor disputes, material shortages and/or insurance carrier delays which are beyond the control of HomeStreet Roofing, Inc. and hereby accepts any delays occasioned by one or all of these circumstances in the installation of your roof. Homeowner grants full access to the entire property for staging and execution of work unless otherwise agreed. Alteration or deviations from the above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. Also, HomeStreet Roofing, Inc. reserves the right to file for supplement claim due to material or labor price increases due to the storm environment or if insurance measurements are proven to be incorrect. Labor and material warranty covers siding. Homeowner to carry fire, tornado and all necessary insurances. HomeStreet Roofing, Inc. will not be responsible for any compression or decompression of the home that may result in walls or floors cracking. An extra charge will result, if any siding, stucco or brick removal is needed for proper installation of roof flashing or gutter replacement. We will not be responsible for damages to these materials, if materials need to be replaced. In the event of any legal action by the parties arising out of this contract, the losing party shall pay the prevailing party's reasonable attorneys fees and cost in addition, to all other awarded relief. r Insurance Company: T\A� Ste' Policy No.#: Date: / / Claim No.#: CD ,3 q t4 cc'u1 Signature: Date: ACCEPTANCE OF PROPOSAL You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering into the contract. If you plan to use the proceeds of a property insurance claim to pay for the roofing work you may rescind this contract within 72 hours after you recieve notice from the insurer that the claim has been denied in whole or in part. Homestreet Roofing cannot pay, w e, or rebate the homeowner's insurance deductible in part or in whole. Cancellations o urring after the third day will incur a charge of 20 percent of the \it<+IF-cantrac mo r-ir► Vrance claim amount, whichever is applicable. j r Signature —` OUR SURETY & LIABILITY INSURER; David Leigh DBA 4 Corners Insurance Service 1657 Ensenada Way, Aurora, CO 80011 Ph.- 720-984-2471, Fait. 303-223-3350 Signature ; Signature Date of Acceptance Dan SchultzFrom: no -reply@ ci.wheatridge.co.us Sent: Wednesday, July 19, 2017 10:22 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address v 4110 JAY ST. TODD YOCOM 720-561-0052 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number HOMESTREET ROOFING, INC. 021585 303-777-0333 Contractor Email Address rontutton@msn.com Retype Contractor Email rontutton@msn.com Address DESCRIPTION OF WORK / Are you re -decking the No V roof? Description of Roofing O/C DURATION Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 21 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2 on the flat roof? TOTAL SQUARES of all 23 roofing material for this project Provide additional detail HOUSE 6:12 here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7400 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 permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant RON TUTTON Email not displaying correctly? View it in your browser. l� i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f Job Address: Permit Number: e4 Z, / -7 e- V Q 5 �/ < x) 7_cj -.<) (6�_ V-)l,e -1 ❑ No one available for inspection: Time Q 1 0 AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -ape on at 303-234-5933 Dater /? Inspector: _- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE {- Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M I f _ Job Address: / ! 0 1 S 7 Permit Number: b 77 b R ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-ospection at 303-234-5933 Date:i Inspector: DO NOT REMOVE THIS NOTICE ;-,-`.�A IDGE � CITY OF WHEAT R �Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: I� Job Address: Permit Number: "? 0 y 9/ _ 1 �i V �� A a% S l /1 j -e A-T1),g eK9 , ❑ No one available for inspection: Time AM/PM Re -Inspection required:Yes No c When corrections have been made, call for re -inspection at 303-234-5933 Date: 2- � Inspector: DO NOT REMOVE THIS NOTICE r V ccupa n cyl 1 INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. J INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB TION INSPECTIONS DATE Caissons / (CEG) Concrete Ground ONDATI ng or Monolithic =ECTOR roof / French Drain rvice Lines rvice Lines YOUR NO CONCR UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) T - DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED r ROUGHS. Sheathing. - Lath / Wall tie Mid -Roof — -- Electrical Service Rough Electric - - ;; Rough Plumbing - Gas Piping Rough Mechanical - I ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw - r ' FINALS I- Electrical j Plumbing Mechanical - 41 . w` Roof ' 0Jll ;r P l4-- %. Building Final - �- - Fire Department - s f " R.O.W cg Drainage - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS .K Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ' I OTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA.CERTIFICATE OF OCCUPANCY NOR PERMISSION. FOR OCCUPANCY. r -'Y NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD: FROM THE WEATHER ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Far INSPECTION NOTICE Inspection Type: A�17/ Job Address: `/ //o 1 A_1 e7 Permit Number: `fJ /4'X0 ❑ No one available for inspection: Time r a ,'5' < - t'M Re- Inspection required: Yes No When corrections have been made, call for re Inspection at 303 234 - 5933 Date: Inspecto e DO NOT REMOVE THIS NOTICE e ad F City Of Wheat�idge - COMMUNITy DEVELC•PMENT Building & Inspecdon Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303- 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Vi a., AY 116) Property Owner (please prinFr�Q J IC Mailing Address: (if different than property address) Address: City, State, Zip: Mir Contractors Citv License #: r Date: Plan # Permit # 1 d' Phone: /GY(J " Plumbing: Mechanical: City License # City License # City License # - 731406/6 7- 14Q&15 rtiSS a f re- 466 W .5 d v .+ 3 0#- \-� Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft: $ 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, Hiles 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTBOFIZEDREPRESENTAME�) of (OWNER) (CONTRACTOR) PRINT NAME:I Q r SIGNA .. - �I DATE:( Valuation: S BuildingPermit CITY OF WHEATRIDGE 7500 West 29TH Avenue Wheatridge, CO 80033 303-235-2855 Permit Number 18672 5/512005 Inspection Line 303-234-5933 Residential Miscellaneous ~ROPERTY 4110 Jay St OWNER: Michelle & Todd Yocom (303) 736-0616 Description Re-side w/ vinyl; replace gutters; remove & replace 2.19 sq. of rolled roofing 1 IDue 1$198.00 1$253.90 1$451_90 1 I IName IType ITotal Exteriors & More LLC (db IClass 4 - Non-Habitable structures IFEES IFees IUse Tax IPermit Fee ITotal Fees 1 ICONTRACTORS I IPaid 1$198_00 1$253.90 1$451_90 I 1 IPhone 18479950139 D:~r:";~!~e'itc' . (;"yn the manufactu~c:' h? (or/inci! roof inspection. which-.specify 'yocfh?gmL'1terials have been insta!l~:'''l{,,) meet .f 10 kLPI-l three-second wind gust"'-"IBC (90 wind load--UBC). Units: Occupancy: Walls: Roof: ~tories: Sq Feet: o I hereby certify tliat the setback distances proposed by this perni.it application are accurate, aud donot Viobte applicableordinances,mles or regulationso~the City of Wheat Ridge or covenants, easements or restrlctlOrul ofreclml; that an measurement.'llihown, and anegations made are accurate; that I have read and agree to abide by all condltlons' is application, and t I asSume full responsibility forcompliance with.the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ri ordin work unde rodt. . SIGNED DATE Thisperinit was issued in accordance with the provisions set forth in your application and is silbjecuo the laws of the State of Colorado and to the Zoning 'Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances oflbe City. This permit shall expire i((A) the work authorized is not coinmencedwitbin sixty (60) days froin issue date or (B) the building authorized is s\lspended or abandoned for a period of 120 days. Hthis perinitexplres, a new permit may be acqnlred for a fee of one-haIfthe amount norm9ny requlred, provided no changes bave been orwll be made Intbe original plans and specifications and any suspension or abandonment has not exceeded one (1) yellt'. IfchangeS are made or Ifsuspenslon or abandonment exceeds one (1) year, full fees sball be paid for a new pennil. 4 No work of any manner shall be done that will change the natural flow of water causing a drainage problem. S Contractor shall notify the Building Inspector twenty-four (24) hours In advance for all Inspections and shall receive written approval on inspection card before proceedingwlthsuccessivephasesofthejob. . awings and specifications shall not be conslnJed to be a permit for, nor an approval of, any violation of the lnance, law, rule or regulation. Thursday, May 05, 2005 SIGNED DATE Page lofl COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Property Owner: (vt~c'Iu(k fr&>ld YtXLJv'-t Property Address: '1110 -1.y sT. "IA/I"k,ff' ~O{)33 Contractor LIcense No.: Company: T 0/--..1 ~<k,niJv 5. j ;1M~ , L L C- Building Permit Number: Date: Phone: 3l1'3'" - CXP I V Phone: .:>/ S-, 8 - :510 d- OWNER/CONTRACTOR SIGNATURE ~ UNDERSTANDING AND AGREEMENT I Buildina Dept. Valuation Figure: $ , 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.G) and all other applicable Wheat Ridge Ordinances, for work under this rmit. Pia s subject to field inspection. (QWNER}(CQNTRACTQR): SIGNED OATE ';;--S- -OS DArO -:;-c;r ~ ~~S (QWNER)(CONTRACTOR):PRINTEO Use of Space (description): Description of work: [Ze. _ S'~ ""'I \!t-v- y ( ~f>~ Sq. Fl. added Value:$II;"a?~ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ G~-ke,,;s. I P-- --',jL Z\'t D 2> f2-,:,W \?~~ . BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PuBLIC WORKS COMMENTS: Approval: blRE DEPARTMENT COMMENTS: Approval: bccupancy: Walls: Roof: Stories: Electrical License No: Company: Plumbing License No: Company: Expiration Date: Approval: Expiration Date: Approval: Residential Units: Mechanicat License No: Company: 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 Coh)rado 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 (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 required. provided no changes have been or will be made in the original plans and specifications aod any suspension or abandonment has not exceeded one (1) year. If changes have been or tf 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 proeeeding with successive phases of the job. (e) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review ls subject to field Inspections. Chief Building Officiat