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HomeMy WebLinkAbout3330-3340 Holland StreetRough 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 F322 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 authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. PERMIT: ADD!�.ESS: INSPECTION RECORD a e JOB CODE:�Ali l 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 Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 303 Roof Sheathing 104 Foundation Setback Cert. 304 Sheer Inspection 105 Stem Walls 305 Insulation 106 Foundation wall Insulation 307 Metal / Lath / Stucco 308 Rough Electrical Residential Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials a Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 303 Roof Sheathing 203 Sewer Underground Ext. 304 Sheer Inspection 204 Plumbing Underground Int. 305 Insulation 205 Plumbing Underground Ext. 307 Metal / Lath / Stucco 308 Rough Electrical Residential 206 Water Underground 309 Rough Electrical Commercial Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 414Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS IV � 4 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: I O Job Address: 3 3 JO Permit Number: '0/70900%' ❑ No one available for inspection: Time (05U AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: -I)-/]//7 Inspector: MTh, 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: ! &L 1=- Job Address: 3330 tAOU17 Permit Number: Q-011 OLD U9 ❑ No one available for inspection: Time 1(0_41S M/ M Re -Inspection required: Yes No When corrections have been made, call or re -inspection at 303-234-5933 pAqmDate:—k I 1 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 o N5 Permit Number: ❑ No one available for inspection: Time ?` �� (A PM Re -Inspection required: Yes, No When corrections have been made, call for re -inspection at 303-234-5933 Date: I Inspector: 'A \� ®O NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Roof PERMIT - 201708069 PERMIT NO: 201708069 ISSUED: 10/06/2017 JOB ADDRESS: 3330 Holland ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Reroof with composite shingles - 40 squares *** CONTACTS *** OWNER (303)202-0300 NEGRETE NICK A *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,280.00 FEES Total Valuation 0.00 Use Tax 215.88 Permit Fee 220.15 ** TOTAL ** 436.03 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. PERMIT NO JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Roof PERMIT - 201708069 201708069 ISSUED: 10/06/2017 3330 Holland ST EXPIRES: 10/06/2018 Reroof with composite shingles - 40 squares I, by my signature, do her attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all app]icable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the properly and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermrt. I further attest that I am le ally authorized to include all entities named within this document as pames 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. Thts.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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Buildiiig"Official I..' .' Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. m> City of (4;r Wheat�idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-)-ci.wheatridge.co.us J FOR OFFICE USE ONLY Date: Plan/Permit # (4) 1 � 0�1 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: Property Owner (please print): � i Cly t V �1r Phone: 303 ZOL p Property Owner Email: Mg - Mailing Address: (if different than property address) Address: 340 �f�11oVvKl City, State, Zip: i1) CSO © 3 3 Arch itect/Enaineer: Architect/Engineer E-mail: Phone: Contractor: Contractors City License #: Phone: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL C1 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF Amps Btu's Gallons Squares 1140 Other Project Value: (Contract value pr the cost of all materials and labor included in the entire project) 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 information provided on the application. CIRCLE ONE: (OWNER) (CONT CTOR) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: LID 6 7 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS. Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: City of Wh6atl 1 e COMMUNITY DEVELOPMENT Official Certification of Property Owner for Non -Trade Specific Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently own the project property. I attest I am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, have the contractors doing the work listed on the permit. Consultations and 7inspect' ns will only be performed with the homeowner of record present at the project property. I am the owner and live in the project property. _I am the owner and do not live in the project property. Property Owner(s): Project Property: Project Type: Notariz6d si>;r(Wture licant State of Colorado j County of .3eTafx&r1 j ss The fore oing instrument was acknowledged by me this +V1 day of (;C d�c� , 20—Ll by CL (e t' TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires _�J_,2U/20?) Notary Public 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: Permit Number: --------------- ❑ No one available for inspection: Time AM, Re -Inspection required: Yes No When corrections have been made, callf - e -inspection t �3-234-5933 Date: E� ��� Inspector: DO NOT REMOVE THIS NOTICE FORM (M) 414-02-1123 } , AODgE XCEL ENERGY T d ? yy J CITY- TOWN OE COUNTY FLOOR P II f 1�P" l . fil CUSTOM6 N ME d "' E�/r� APT NO - y� ` ACTION TAKEN 6WNER� TENANT AG � El NO SHUT OFF SPECIFY ®� � OTHER ❑ APPLIANCE OFF - 0 1 8OTH:APPL. & METER dl ❑ METER SHUT OFF d( CONDITION TO BE — E"y t S AND SH OWN G BELOV/ CREATESAAN IMMEDIATE SERVICE UNTIL REPAIR E HAZARD. THIS ED I E OT BE PUT BACK IN UII S AND ODE AND INSPECTION HAVE BEEN MADE BY A QUALIFIED CO , . NTRACTOR CONTA A C K IN �I BUILDING DEPARTMENT FOR CODE AND PERMITREQiEMENTS PRIOR TO PERFORMING REPAIR WORK.: I NA ME AND TYPE OF APPLIANCE CONDITION TO BECOTRECT TAGGED BY p C ,e °FOR FURTHER INFORMATION, PHONE:_�� TIME DATE C (� I ER'Y CNPAMTI IGNATVRE / 1 TIME C� I ? y �/ ' �.. DATB STOMER R L Tp SgIP OF OCCUPANT TO�CU �� €.,..� CITY OF WHEAT RIDGE Building Inspection Division _.000000 (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address/Permit Number: I : A f re) �,- 0 ?k E ❑ No one available for inspection: Time N"Ilt) AM I tlM Re-inspection required: 'Yes When corrections have been made, call or re-inspection at 303-234-5933 Date: a'1 Inspec DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: L-2 - F vjAL- Job Address: '3_77(~- o jL) A/Q !b S! Permit Number: 0`1 I l `l G' ❑ No one available for inspection ;--Time AM/PM Re-Inspection required: Yes No *When corrections have been made, call for rQ-ins egt•on at 303-234-5933 C 6tJ Date: Inspector: r DO NOT REMOVE THIS NOTICE ' City of Wheat Ridge Residential Roofing PERMIT - 091996 I PERMIT NO: 091996 ISSUED: 09/03/2009 JOB ADDRESS: 3330-40 Holland St :EXPIRES: 03/02/2010 DESCRIPTION:.` Reroof.30 sqs CONTACTS owner 720/296-0256 Nick Negrete **PARCEL INFO ZONE CODE: UA USE: UA a: SUBDIVISION::. 0630. .:BLOCK/LOT#: 0./. FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,310.00 FEES r~ Permit Fee : 162.90 FAR Total Valuation .00 eCJJ'1. Use Tax 95.58 ' TOTAL 258.48 s.,.:r.. a {7 Conditions: 6 nail installation & mid roof inspection required. Board sheathing spaced more than 'a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior walls. " ;Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate. applicable ordinances, rules or regulations of the city of lwheat Ridge or covenants, easements or restrictions of record;G that all " measurements shown? and al~,pgations made are accurate; that I have read and agree to abide by all conditions printed on this application and t~}}~at I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicabl e,:Wheat/Ridg rtlinances, for work under this pe it Plans subject to field inspection. 6i c actor/ weer 'date 1. This permit was issued 'n accor ance with the provisions' set forth in your application and is subject to the laws of the w00; State of Colorado and to: oning Regulations and Building Codes of Wheat Ridge, Colorado or any. other applicable w" '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. s 3. If this permit expires, a new permit may be acquired for ra 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 s 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 skull 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':' r`6. Thel issuance of a permit or the approval of drawings and,. specifications shall not be construed to be a permit for, nor an approval of y violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All pla rg9ie s subject to field inspections. Signature •f C of Building Official date "'INSPE ION 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. FW"~Tq City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 o Inspection Line: 303-234-5933 OC ORPO Building Permit p licati Property Address. Date: Plan Permit A Property Owner (please print): I L~ r ~ Phone: 7zQ - Z2( DZSl7 Mailing Address: (if different than property ad ress) Address: , City, State, Zip: \,j 3 Contractor: Z~- Contractor License Phone: Sub Contractors': Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Description of ;wgrk- J (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares -30 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 er applicable Wheat Ridge Ordinances, for work under this permit. P'~ns-supject to field inspection. IX/_ CIRLCE ON ( WN (C NTRACTgR) or PERSONAL REPRF~SE 1 iATIV of (OWNER_) (CONTRATOR) / I PRINT NAM 17-4 SIGNATURE' Date: Bldg Valuation: $ ' If-21U. I '. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215. (303-235-2855) Building P rmit Number: 15110 Date: 2/10/03 Property Owner: DON WILLHUIT Property Address: 3330 - 3340 HOLLAND ST Contractor License No. : 21006 Company: Marvin Achterberg Phone: 7208988133 Phone: 423-7386 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work. under this permit. (OWNER)(CONTRACTOR) SIGNED h,_~ '" ~_I--, DATE 2-)./.'5 c,' Total: $5,437,00 $125.25 $0.00 $65.24 $190.49 Constr ction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: INSTALL NEW T-LOC'S BUILDING DEPARTMENT USE ONLY Zoning COr!)'OO$nts: Approval: Zoning: Bqi.Lltlii9CQrnments:., Approval: OM Publi~Work$ie'Qmment$: Approval: Occupancy: Walls: SIC Sq. Ft. : OKAY Roof: Stories: esidential Units: Plumbing License No : Company: Electrical License No : Company: Mec anical License No : Expiration Date: Approval : Expiration Date: Approval: Expi ation Date: App oval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subjecllo the laws of he State of Colorado and to the Zoning Regulations and Building Code of Wheal Ridge, Colorado or any other applicable ordinances of the City (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) th building authorized is suspended or abandoned for a period of 120 days. (3) 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 original 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, 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 rilten approval on inspection card before proceediing with successi ases of the 'ob. (6) The issuance of a a drawings and specifications shall not be construed to be a permit for, n r an approval of, any violation of the ::~:::~:I:~nb~;I~~spec:o: F rule or regut,tloo, "-~' ~HE'r 1>, ~ 0 - " U m C'OLOR f>,.rp CO~TYDEVELOPMENTDEPART.MENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) , A.PPLICATION Bu dingpennitNumbe~ f:JIO , Date: 2/rC/5 Property Owner: Property Address: Contractor License No.: Company: ) 0"\ I/v''"''h.,f '1'1 MjH 0/" /1011.,,,(,f "2/~O " Ph ne: 7 2-~ f1 y-fj 133 )1;{~ j,'l ~,"f..<r.?<r Ph ne: ~o~ -'-Iz/ -7H--G OWNERJCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT (OWNER)(CONTRACTOR), SIGNED fk.v,",,~ /- c~t-"r \ ,07' DATE 2(1'/03 Construction alue:$ Pe it Fee:$ Plan Revie Fee:$ U Tax:$ r.e~ ~- Total: $ t16, -'i? "-C13 7 I~~ 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 orrestrictions 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 (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this :permit. DESCRIPTION: ~tfJL--"- ,I/., f.11 ~ T- lok ~''} ~-J I BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS; Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residentia Units: Electrical License No: Company: Plumbing License No: Company: Mechanic I License No: Company: Expiration Date: Approval: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the Stat of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the buil . g authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee ofone~halfthe amount normally required. provided no chan s have been or will be made in the original plans and specifications and any suspension or abandonmenthas not exceeded one (I) year. If changes have been r ifsuspension 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 Inspectortwenty.four(24) hours in advance for all inspections and shall receive written a roYal 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 pemtit for, nor an a proval of, any violation of the provisions of the bui codes or any other ordinance, law, rule or regulation. . Chief B