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HomeMy WebLinkAbout3230 Holland 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 9 PERMIT: ADDRESS: 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 vV wva rvu1 % VIIGFULe rnor i o Rpprovai ur i ne ADove 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 ✓v 1l VL VV r-, vnuclulumm ur oeiow / In -ciao worK rnor 10 Approval Ut 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 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial I 315 Shower Pan s SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: �1�' a/ ADDRESS: - � � / , JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 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 author ization 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. INSPECTION 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 9 PERMIT: ADDRESS: 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 vV wva rvu1 % VIIGFULe rnor i o Rpprovai ur i ne ADove 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 ✓v 1l VL VV r-, vnuclulumm ur oeiow / In -ciao worK rnor 10 Approval Ut 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 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial I 315 Shower Pan s SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: �1�' a/ ADDRESS: - � � / , JOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 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 author ization 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: ��� irit-1. w 1MD! t k12 Job Address: V\0 k_L A J D T Permit Number: 2000MaI ❑ No one available for inspection- Time�1 ,� AM/PM DNo Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: 1,30 (k"' 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: //,&/ Job Address: 3�36 S -t Permit Number: 1/Q W- ❑ No one available for inspection: Times AM Re -Inspection required: Yes" No When corrections have been made, call for re -inspection a1 tt 3,03-234-5933 Date: /0- - Inspector: DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number:S L ------------ ❑ No one available for inspection:,. -Time./ — j � -�C.� AM/PM) Re -Inspection required: Yes LINO When corrections have been made, call --for re -inspection at 303-234=5g3g Date: o�'�"j) n4�1�mcL 7 Inspector: DO NOT REMOVE THIS NO TICE City of Wheat Ridge Resid. Windows/Doors PERMIT - 201708961 PERMIT NO: 201708961 ISSUED: 11/09/2017 JOB ADDRESS: 3230 Holland ST EXPIRES: 11/09/2018 JOB DESCRIPTION: Residential window replacement of 2 windows with no changes to the structure ufactor of .27. *** CONTACTS *** OWNER 720-369-0108 LENTZ NANCY SUB (303)237-1687 John McDade 021066 Conservation Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,768.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 37.13 ** TOTAL ** 87.13 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le building codes, and all applicable municipal codes, policies and procedures, and that I am t e 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 w�or, C o be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 0 Signature of OV &Ek or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 maybe 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 an 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 permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable gode�or any ordinance or regulation 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 Kjdge COMMUNITY DLVI:LOPMENT 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 FOR OFF CE USE ONLY Date: // / 1� // 17 Plan/Permit #%) 761 � 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: 323b �AnSAanY Gi rpe�', WI!\ Q a+ RtcaG2. , cc) B n03_� Property Owner (please print): k\ (a Ar \I l,e,n+z Phone: -72-6. 3 Lcq . 010-g Property Owner Email: Mailing Address: (if different than property address) Address: Scrn �, City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: s.ec'conn d'_XLEL_-r1 Phone: Contractors City License #: 6 —'1 1 C% Lo Phone: 303 .1-37. 1 l0 81 Contractor E-mail Address: KKi r n6ver•' c c ® ct mac % I r Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W. R. City License# Other City Licensed Sub: City License # Mechanical.- W.R. echanical:W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION N 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.) r%C7 S 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) $_ a OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or '(A. UTHORIZED REPRESENTATlt E) n .l_ of (OWNER) (CONTRACTOR) PRINT NAM&. r y \M\pe SIGNATURE} j�� �n 4 c��`— `►cam• DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS- Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION - Building Division Valuation: $ 11/8/2017 3:27 PM FROM: Fax Server TO: +17177351224 P. 1 SENt p merimax- WINDOWS & DOORS A Division of Euramax International, Inc. 3950 MEDFORD DRIVE LOVELAND, CO 80538 Phone: 800-827-4369 Fax: 800-601-3227 www.AmerimaxWindows.com ACKNOWLEDGEMENT SALES ORDER NO. DATE ORDERED 1650637 111/08/17 CUSTOMER P.O. PRICE CLASS LENTZ/103117-2 CONTACT SLS REP CODE 604 SHIPPED VIA FOB POINT DENVER WAREHOUSE ORIGIN PAYMENT TERMS TAX CODE NET 30 CO CON101 CON103 CONSERVATION CONSTRUCTION CORP CONSERVATION CONSTRUCTION SOLD 8101 WEST COLFAX AVE SHIP 8360 WASHINGTON ST ATTN: ACCOUNTS PAYABLE DENVER, CO 80216 TO LAKEWOOD, CO 80214 TO USA Ph:(303) 237-1687 USA Ph:(303) 237-1687 FAX:(303) 237-1580 LINE PRODUCT /DESCRIPTION QTY. REQUESTED IORDERED DELI ERY DATE UNIT PRICE EXT'D. PRICE 001 VW3900SH 1 11/22/17 002 003 004 005 006 3900 SINGLE HUNG Craftsman Portrait SGL-HNG (OX) WHT Stucco -Frame 35-1/4" x 35-5/8" Oriel:50.000% of Bottom 71 -UI With Elite Balance Top Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Btm. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** VW38002L 3800 2 LITE Craftsman Portrait 2 -LITE (XO) WHT Stucco -Frame 47-1/4" x 47-5/8" Oriel:50.000% of Op.Sash 95 -UI Left Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BETTERVUE **U-Value=0.27 SHGC=0.22 VLT=0.51** VW610101 CAULK NOVA SLCN CW VW610111 CAULK NOVA APP CW VW0013841 WHTR 1.75" FLAT TRIM W/AD VW620021 FoamTape 3/4x1 -1/2x50' Black 1 11/22/17 e ar ao wt 2 11/22/17 2 11/22/17 32 11/22/17 1 11/22/17 Please respond IMMEDIATELY with any corrections. DO NOT re - send original Order Form. Thank you. SUBTOTAL TAX Page 1 of 2 TOTAL: CONTINUED 11/8/2017 3:27 PM FROM: Fax Server TO: +17177351224 P. 2 SENt o merimax- WINDOWS & DOORS A Division of Euramax International, Inc. 3950 MEDFORD DRIVE Phone: 800-827-4369 LOVELAND, CO 80538 Fax: 800-601-3227 www.AmerimaxWindolws.com CON101 CONSERVATION CONSTRUCTION CORP SOLD 8101 WEST COLFAX AVE ATTN: ACCOUNTS PAYABLE TO LAKEWOOD, CO 80214 USA Ph:(303) 237-1687 FAX:(303) 237-1580 ACKNOWLEDGEMENT SALES ORDER NO DATE ORDERED 1650637 11/08/17 CUSTOMER P.O. PRICE CLASS LENTZI103117-2 CONTACT SLS REP CODE 604 SHIPPED VIA FOB POINT DENVER WAREHOUSE ORIGIN PAYMENT TERMS TAX CODE NET 30 CO CON103 CONSERVATION CONSTRUCTION SHIP 5360 WASHINGTON ST DENVER, CO 80216 TO USA Ph:(303) 237-1687 Please respond IMMEDIATELY with any corrections. DO NOT re- SUBTOTAL send original Order Form. Thank you. TAX Page 2of2 TOTAL: onservation 1 onstruction CCS o+r_a�' 8101 W. Colfax Ave., Lakewood, CO 80214 Phone: 303-237-1687 Fax: 303-237-1580 conservationco(%gwestoffice.net p /co_nservationconstruction.com Name:—")i ram al i_4' 4__ Email: �rl�� l m Address �� �� City: zip: Primary Phn: � � — © #2:2., #3- #4: HOA Approval Needed?? YES NO NO Window Brand: i— .1 Window Color: "/ JY Quantity:_ 4nty. location Model Type Glass Grids Vert. Horz. Screens Width Height f 11 i r I - �-_J ��IIr r I Z-- I if 1 f U 1[ [0-1--:1E if I I f if 1[ 1 I it 11 1 f_I I I tf lI 1 "I 11 I f 11 r I 1f iI 1 IIi[ 11 1 1 f jI 1 11 )1 1 1 11 11 I—[I f f I 1f lI 1 I if 1f II lr li I—]f II if 1 "I 11 I ISI I I—II if if 1 I—]f 11 _�f_I I I—II if if 1 .1r1I � � � � 'I• Clean up all job related debris. No painting, staining, or disconnection/reconnection of alarm systems to be done. To have a 2 year warranty on installation and a /f� G _ warranty from the manufacturer. Conservation 5 windows to have welded comets, night vent latches, and steel reinforcement in all meeting rails?Glass to be double pane, double strength, gas filled "neat" glass system with white super spacer sea]. C5 windows to have push button steel cam lock and BetterVue screen (unless otherwise specified). Inside removable slider track with metal reinforcement. Price includes accidental glass breakage and screen repair — see warranty for exclusions. DIAGRAM& / ^'� rta Contract Prlce: Down Payment: 36 tJ Payment Due Upon Completion: ��,,x_� Amount Financed: y Finance Terms: /tf1� Min. Mo. Pymt. (Approx.) $ (Subject to the approval of the Credit Sales DepwWwrit) Company Approval: Any alteration or deviation from above specifications must be made in writing_ All surplus materials belong to Conservation Construction Corp. Notice To Buyers In the event that the Purchaser defaults on any of the terms stated herein: Conservation Construction Corp. shall be entitled to recover all expenses incurred; including but not limited to the following: retail cost of eustom built products, supplier restocking charges, and job acquisition? loss of rcvcnue. Purchaser understands that Conservation Construction Corp. has and/or will expend considerable time and expense in connection with the activities mentioned in the prior sentence. Should legal action be taken for any reason associated with tris contract, patties agree that such action will be taken in kilerson County, CO; which shad be the exclusive venue for any legal action. Failure of Conservation Construction Corp. to enforce any condition or term of this agreement shall not negate our right to enforce any other terms or conditions of this agreement. Conation Consuucrion Corp. shall not be responsible far delays caused by strikes, weather conditions, delays in obtaining materials, HOA or permitting delays, or other causes beyond its control. You have received a `notice of right to cancel" if this agreement was solicited at your residence. If you no longer wish to purchase the goods or services, you may cancel this agreement by mailing fire "notice of right to cancel" that was given to you with this contract to the above address_ The notice must be mailed before midnight on the 3rd business day alter the agreement is signed. Any alteration or deviation from the specifications stated herein must be made in writing; and must be signed by both the Purchaser and a representative of Conservation Construction Corp. I have read and agree to !)eJbound by ter f ntract: Purchaser4lomeowner Date Purchasert lomeowner Date if uteded, a digital copy will sat5ce In place ofthe anginal decumem 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number:S L ------------ ❑ No one available for inspection:,. -Time./ — j � -�C.� AM/PM) Re -Inspection required: Yes LINO When corrections have been made, call --for re -inspection at 303-234=5g3g Date: o�'�"j) n4�1�mcL 7 Inspector: DO NOT REMOVE THIS NO TICE City of Wheat Ridge rp- f d. Residential Roofing PERMIT - 201703040 PERMIT NO: 201703040 ISSUED: 07/01/2017 JOB ADDRESS: 3230 Holland ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 25 sq. DUPLEX 3230-3232 Holland St. Remove all layers and replace with all new layers of GAF *** CONTACTS *** OWNER (303)234-0912 LENTZ NANCY SUB (303)421-7663 Stephen W. Simpkin 120242 All Around Roofing & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.001; Use Tax 168.00 - - Permit Fee 172.60 ** TOTAL ** 340.60 *** 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 one half 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 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 - 201703040 PERMIT NO: 201703040 ISSUED: 07/01/2017 JOB ADDRESS: 3230 Holland ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 25 sq. DUPLEX 3230-3232 Holland St. Remove all layers and replace with all new layers of GAF I, by my signature, do hereby attest that the work t0' e be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 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 ermrt. I further attest that I am le ally 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 /orbits' accompanying approved Ians and specifications. 0i 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 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 i nce or granting of a permit shall not be construed to be a permit for or an approval of, an violation of any provision of anv app cabl ood�eyor aanyo`r"dii�naance or ®regulation of this jurisdiction. Approval of work is subject to field inspection. i &/q Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett IZVA 1;12 0 �D From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 20, 2017 2:13 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed Q--. 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 l v WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your d 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. l� 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 3230 holland st Property Owner Name Nancy Lentz Property Owner Phone 720-369-0108 Number Property Owner Email frontdesk@allaroundroofing.net 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number All Around Roofing 120242 3034217663 Contractor Email Address Iwilson@allaroundroofing.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Iwilson@allaroundroofing.com Address DESCRIPTION OF WORK Are you re -decking the No/ roof? Description of Roofing GAF Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 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 roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 25 remove all layers and replace with all new layers of GAF 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 Laura Wilson Email not displaying correctly? View it in your browser. 3 K"tAroed 5 /� Li /� RO, [ND 665 Gray 8 Unit ALL AROUND Arvada, CO 80002 ROOFING & ETERIORS 303 -421 -ROOF (7663) www.allaroundroofing.com F: 303-433-1017 ••, Ra"n9ep Property Owner: Email: elv;l ' Z't% W, Date:yi Z7 Phone 1: : /3y_0g111_ Phone2: Street l ! ° City lyA"_-41- faAlState:(/ Zip: v �3 We propose to furnish all materials and labor completed in accordance with the specifications below for the sum of: insurance claims. With your approval, All Around Roofing A Exteriors (hereafter the "Company �, will perform the repairs or replacements specified by (A) you; or (B) by S1your insurance company for insurance approved proceeds only and with no additional costs to you except for your deductible and any up- grades or additional work authorized by you that are not part of your insurance claim. Supplemental claims billed by Company on behalf of the Property Owner (hereafter "Owner"), and are approved by your insurance company for additional work or increases in costs, in addition to this contract, are a part of this contract as if contained herein. W07 d Of ❑ {5) Shingle Manufacturer: (9 r Year:lor: �c L� Initials: Remove layers of asphalt shingles and/or wood shingles. Install New Felt Synthetic. m ' Install pre -painted Drip Edge to code ,I White ❑ Beige ❑ Brown ❑ Light Gray ❑ Charcoal ❑ Forrest Green ❑ Initials)_ XInstall New. Decking. m' Valley(s) will be �d Closed ❑ Open Jai Ridge(s) to be color coordinated. Ridge(s) will be "High Profile Ridge" color coordinated shingles. Install new Pipe Jacks. Replace vents as needed. -flash chimneys and wall abutment as needed and if possible (stucco or siding may be a deterrent.) 3Install nstail linear feet of series ridge vent. Install P1f a,k linear feet of Ice & Water Shield to code. nails per shingle. ' Install Ice and Water Shield around all penetrations and in valleys t13 Clean out gutters. 5 Year Warranty on Workmanship only. 2 The Company will provide general liability insurance coverage of at least $2,000,000. Make a magnetic sweep of driveway and yard for removal of any nails & Remove all debris resulting from work above. ❑ Special instructions: 1Z, - - fogy } e/ - q1D06 3;3P X2.5 sq 9100 - , - Insurance Company: .A 1 j � Claim #: % { � � � � 7 !3 �Ll5 Policy #: < 4 1'( ) 6,2= U 1 ❑ Cash Estimate: THE SCOPE OF ROOFING SERVICES AND MATERIALS TO BE PROVIDED: Approximate Dates of Service: (Subject to change with possible shortages in materials and weather delays.) The approximate costs of services based on damages known at this time are entered as: The Company, however, will perforin the scope of the work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you other than you deductible. The final scope and price agreed on between the insurance company and Company shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or any additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. THE COMPANY SHALL HOLD (N TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE COMPANY HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. AMOUNT $ Date. Project Manager Initials: I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to complete any funding process relative to claim number and referred above. I (We) further authorize The Company to pick up In person any loss drafts or checks on both my Date of Acceptance: A Z- &IJ Owner's Signature(s): y •G11 ReDresentative: 6-re(Ml'L° T2�L/ mow,; fLr of_The Company. A ROOFING CONTRACTOR THAT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL�E MADE FROM I E P} EEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY ISSUED PURSUANTTO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT ARVERTIBE OR PRONSE70 PAY, WANE, OR REBAT7EALL OR PART OF ANYINSUPMAICE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR PAYMENT FOR ROOFING WORK ON XHE COVERED RESIDENTIAL PROPERTY. 30 INSPECTION RECORD OGGGDanI ®"INSPECTION LINE (303) 234 -5933 C CONCRETE SLAB FLOOR Electrical (Underground) 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. 3.�'ZIIfiL�LXri7W ih i UI�T71I1.' r 15/2011 NON 15:40 PAX 303 237 6929 303 Best Way - -- zOof cOXP DATE 30 INSPECTION RECORD OGGGDanI ®"INSPECTION LINE (303) 234 -5933 C CONCRETE SLAB FLOOR Electrical (Underground) 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. Sheathing INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Foohngs/Caissons Rough Electric Rough Plumbing Gas Piping Stemwall I (CEG) Concrete Encased Ground ABOVE INSPECTIONSTO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE . Framing 04/25/11 1:17 PH edb ` Reinforcing or Monolithic BPSP Reroof and redeck 35 FINALS 110436 _ Perait Fee Weatherproof I French Drain Plumbing PAYMENT RECEIVED ! ' — Roof (� y V / - 04910E Sewer Service Lines Water Service Lines ROUGHS Sheathing Lo" ' If Wall tie - - Mid -Roof Efectncaf Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical - ABOVE INSPECTIONSTO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE . Framing 04/25/11 1:17 PH edb Insulation RDDfCOrp_ ' Drywall Screw RECEIPT NO:CDAR05 822 BPSP Reroof and redeck 35 FINALS 110436 _ Perait Fee Electrical Use Tax Plumbing PAYMENT RECEIVED ! ' — Roof (� y V / - 04910E Building Final - TOTAL _ --------- _— ------ —___ --- _- OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE „OF OCCUPANCY IS I.SSI PROTECT THIS CARD FROM THE WEATHER ❑ No one available for inspection: Time ,V VK AM P Re- Inspection required: Yes, No When corrections have been made, call for re-inspection at 303 - 234 -5933 Date: / E® Inspecto r® _ DO NOT REMOVE THIS NOTICE 4' City of Wheat Ridge Faxed Roof Permit PERMIT - 110438 PERMIT NO: 110438 ISSUED: 04/25/2011 JOB ADDRESS: 3230 -32 Holland St EXPIRES: 04/24/2012 DESCRIPTION: Reroof and redeck 35 sqs with GAF HD shingles * ** CONTACTS * ** owner 303/234 -0912 Ron Ramey sub 303/548 -5000 02 -1001 Roof Corp. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK /LOT#: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 11,000.00 FEES Permit Fee 220.15 Total Valuation .00 Use Tax 198.00 YYSS�� ** TOTAL ** 418.15 Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due . to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. Subject to field inspection. 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 work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 inspectii�/on.n.. n &i Signature o uilding Offical Date INSPECTION RECORD o ccupancy /Type 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. I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JO,B FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Electrical Service Rough Electric Rough Plumbing Reinforcing or Monolithic Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE Framing 04185/11 1:17 P11 cdha Weatherproof / French Drain Drywall Screw RECEIPT NO.CDA005822 AMOUNT DP5P Reroof and redeck 35 418.15 Sewer Service Lines Permit Fee "220,15 cal Use Tax 198.00 ing PAYNENT RECEIVED AMOUNT Water Service Lines Auth Code: 0401011 PINA g Final TOTAL 418.15 ---------------------------------------- CONCRETE SLAB FLOOR Electrical (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE Framing 04185/11 1:17 P11 cdha Insulation RDofcorp Drywall Screw RECEIPT NO.CDA005822 AMOUNT DP5P Reroof and redeck 35 418.15 110438 Permit Fee "220,15 cal Use Tax 198.00 ing PAYNENT RECEIVED AMOUNT nical MC 4321 418.15 Auth Code: 0401011 PINA g Final TOTAL 418.15 ---------------------------------------- partment & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUDLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. & Landscaping E: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A IFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER I OMM 8u 7500 W. 29 A office: 303 723 Facsimile irt Address: 3a3o -/ 3931 lrty Owner (please print): o fl g Address: (if different than property Be: ;into Tin- f tor: for License#. C/ — Itractota: y Name: L cr.r)7 City of h eat � l e Date: DEVELOPMENT, T' Porm►tu l �� ��(�. ding Divislan e., Wheat.Ridge, CO 817033 2855 s Fax: 303- 237 -81829 n Line: 303- 234 -5933. gilding Permit Application Phone: Use of 5Rpace (description): T4 0, r o �� � A o �s S Des ription of work: 7 116 aSo 1 hdsooCC . Sq. UL.Ftedded: Squares __— B7 s ue= Gallons qs C NFRfOONY'RAC•TOP "r,'"a ..:. ryn ^ „ ,'I .:� ^ ^'. elan An ” "..en�� I rally radify that the aetbaCk Glsiancer pmp=*d Dy lnis permit applicalion arc accurate,) and qa nqt violate applicable ordinances. NI 9 of repuWUdna Of the city Of vVh¢at rtidae" or cwe ]ants: easem @fi[a or r@slriCli0n9 Of' @Cbtd; tdr3t all RMQaIlramenfa ahpwn, and all tions made are accurate; thai I have read and ag to ablde byy all condNOno punt@ on ihla application and that I assume full ra ponsibilrty for compliance udth the vWhnat Ridge Bull mg Code (1.6.C) and all other aG,'+ tcsbio.VM4 at Ridge ordinances, for Work un er this permit. Plans sublacl to nald rnsi;N;ctlon. l CI LCEONE;: (OWNER) (CU iRA or PEOSONALREPRESENTAnVe N of(O ER) (CONTRATOR) 1 NAME: �� ;L'CS �lGNATURE: , u�id v� Z'" r Date; M t1 Gri :J� Plan Revla w ( At time orsubmAYSO: i 116 aSo 1 hdsooCC . Sq. UL.Ftedded: Squares __— B7 s ue= Gallons qs C NFRfOONY'RAC•TOP "r,'"a ..:. ryn ^ „ ,'I .:� ^ ^'. elan An ” "..en�� I rally radify that the aetbaCk Glsiancer pmp=*d Dy lnis permit applicalion arc accurate,) and qa nqt violate applicable ordinances. NI 9 of repuWUdna Of the city Of vVh¢at rtidae" or cwe ]ants: easem @fi[a or r@slriCli0n9 Of' @Cbtd; tdr3t all RMQaIlramenfa ahpwn, and all tions made are accurate; thai I have read and ag to ablde byy all condNOno punt@ on ihla application and that I assume full ra ponsibilrty for compliance udth the vWhnat Ridge Bull mg Code (1.6.C) and all other aG,'+ tcsbio.VM4 at Ridge ordinances, for Work un er this permit. Plans sublacl to nald rnsi;N;ctlon. l CI LCEONE;: (OWNER) (CU iRA or PEOSONALREPRESENTAnVe N of(O ER) (CONTRATOR) 1 NAME: �� ;L'CS �lGNATURE: , u�id v� Z'" r Date; T'd LL0099LCOE dNOOJ00PJ WHE2 :TT 1102 S2 .adu DEPARTMENT USE ONLY INO corlacNra: 2onitg: .. Ravlatwr: P I.1C WORKS COM EWS: . Revia"r: . LDING MPAIMUNr COMMENTS: OCCUPANCY. _ Rnvisver; FI EDEPAx711zwr.: 0approved.v / commenle 0diaa proved 0�DMVOwregolrud 16gV3�Iuatlea : S - y et Pint name: r _ Signature :l T'd LL0099LCOE dNOOJ00PJ WHE2 :TT 1102 S2 .adu .' ? D PARTMENT OF PLANNING AND DEVELOPMENT Building Pe it Number: 2820 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 3/27/96 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 3230 HOLLAND ST Contractor License No.: 17557 Company: Ted's Sheds Phone : 234-0912 Phone: 421 2022 CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Constru on Value: rmit Fee : Plan R view Fee : UseTax: I hereby certify thai the setback distances proposed by Ihls permR sppHcation are accurate, and do 01 violate applicable ordinances, rules or regulations of the City of Wheal Ridge or covena , easemenlll or restrIcIlons of record: lhaI an measurements shown, and allegations made a accurate; that I have I88d and agree 10 abide ~ all conditions printed on this applical n, and thai I assume full reaponalbll" for com a the Wheat Ridge Building Code ( B.C.) and all other applicable Whe e ord a ,r work under this permft. (OWNE )(CONTRACTOR) SIGN TE J~ -4 Total: $800.00 $21.00 $0.00 $12.00 $33.00 Des ription: SHED BARN TYPE 8 X 8 BUILDING DEPARTMENT USE ONLY MR-3I27/96 R-2 MUST MAINTAIN S' REAR ETBACK Walls: Roof: Stories : Res nlial Units : Plumbing License No : Company: Mecha ical License No : Compa y: Expir lion Date: App al: . Expiralion Date: Approval: . Expirali n Date : Approv I: . 01 CcIolado and to the ZonIng auIharIzed Is .uopended Of how been Ofwll be mode In the Of U IUIponoion Of I_ment (1) This perml W8I iaIued In ___ wItI1the ~ selforth in yopur IppIIc:atIon Ind Is aublaclto the _ of the Rogulotlonl and IIulIdIna Code oI_!lJdlIO, CoIOIlldo Of orry other __ ordinancos of tho City. (2) This ponnIt IhaII expire "(A) the -" I_ Is not commenced wItI11il sixty (eo) days fmm issue _ Of (8) the 1_ fori poiIodol~20 . (3) I' this ponnIl expires, a _ moy be ocqull8d for a fee 01 __ \tle omount normolly requinld, orovtdod no original piano Ind opocln and IllY au......... Of obendonment he. not _ one (1) yeor. l' chonges ani exooedlone(1)yew,luIlfeeo _ be peidt'orl__ (45l No workolaoy manner _ be done tholwlll change lhe natural now of_ ca~~"-,, ( Contractor lIhal notIIy the BuIldIng 1_ \W8nty'lour (24) hounI in advance for all s and lIhal receive oroceedltng wtth au ~ ~ I I live I)haIes of tie }ob. (6) 'rhe is.uance of I ponnIl Of tho approval 01 dnIwings and spec:IIIcatIona IhaII not be _10 be I ponnIl for, nor of bu Ing _ orry ordI , low, rule Of rogulallon. ' approval on InIlplCllon card _ _I of, orry vIoIetlon 0I\tle prov1l1ons lef Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDIN CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building ermit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 K6Y1Ko.xnCL( 3Dl30 th::liLAnd Sf Contractor License No.: /75-::,-7 Company :/ uls Ghc-ds Property Owner: Property Address: Phone: ~ a4-oql~ ;J ,J..7 ito Phone: L/dl -6)O~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Cons ruction Value: 800.00 Permit 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 cn this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances. for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Total: Description: b 'f--B BOSYi:S ~ C 6}~ Approval: Zoning: BUILDING DEPARTMENT USE ONLY ~/v ^ - kz-/ r~V~~~~-V ~~ : j-rr 0' I~ 4'~)lJjJ'f:'~'~'''1-t 'II' r i~l 'cO, 'F~~~I-l~Jl\'1i Approval : ~b,Ii~~WlllB;guJl."'DfJitS:1! Approval: Occupancy: Walls: Roof: Stories: esidential Units: Electncalllcense No : Company : Plumbing License No Company: Me anlcal License No : Co pany: Expiration Date: Approval: ~ Pfans R~u!tedT] Expiration Date: Approval: j'J p!ans Required J Exp ation Date: App oval: ;)I 'P~IlS:Rt ul.' (4, (5) (6\ This permit was ISSUed In accordance with the provISions set forth In yopur appllcatlon and IS subject to the taws 0 the Stale of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Coloraao 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) t bUilding aulhonzed is suspended or abandone<l 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 n changes have been or will be made In the onglnal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes re made or If suspension or abandonment exceeds one (1) year. lull fees shall be paid for a new permit. No work of any manner snail be done tnat Will change the natural flow of water causing a drainage problem Contractor snail notlfy the Building Inspector twenty-four (24) hours In advance for all inspectlons and shall receive w(ltten aoproval on inspectJon card before proceedung with successive phases of the lOb. The Issuance of a permit or the approval of draWings and specifications snail not be ccnstrueo to be a permit for. .0 r an approval of. any Violation of the provisions 0f the bUilding codes or any other ordinance. law. rule or regulalion (" (2) (3) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING IN PECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTIO