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HomeMy WebLinkAbout3490 Holland Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE tr Inspection Type: Job Address: Permit Number: 4 0110 77 ❑ No one available for inspection: -Time AMOM Re-Inspection required: Yes L .- *When corrections have been made, call for re -inspection at 303-234-5933 Date: -'i/ � 611M ti Inspector: D(' V,- Covot DO NOT REMOVE THIS NOTICE City of Wheat Ridge a: Residential Sewer Repair PERMIT - 201900774 PERMIT NO: 201900774 ISSUED: 04/24/2019 JOB ADDRESS: 3490 Holland St EXPIRES: 04/23/2020 JOB DESCRIPTION: 10 ft spot repair on sewer line in front yard; install clean outs in yard *** CONTACTS *** OWNER (720)220-2692 ZEMAN MOLLY SUB (303)856-7476 JACOB WAKEHAM 140058 DIG BOSS LLC *** 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: 4,000.00 FEES Total Valuation 0.00 Use Tax 84.00 Permit Fee 109.20 ** TOTAL ** 193.20 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge s Residential Sewer Repair PERMIT - 201900774 Iy 1u.,11 PERMIT NO: 201900774 ISSUED: 04/24/2019 JOB ADDRESS: 3490 Holland St EXPIRES: 04/23/2020 JOB DESCRIPTION: 10 ft spot repair on sewer line in front yard; install clean outs in yard I, b} 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 q leggally authorized to include all entities named within this document as parties to the work to be performed�nd that all work tertormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CON�TOR (Circle one) Date 1. This permit was issued based o 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 tee. 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 a ulation of this jurisdiction. Approval of work is subject to f any 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' W heat Midge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: V/0/� �Ilq Plan/Permit# mlqoO Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 90 Property Owner (please print): / i�� Zejn an Phone: 7-W-ZO- 9q Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: \_l City of Wheat Ridge License #. 5 Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): CONTACT EMAIL(p/ease print): Phone: Phone: Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL ORESIDENTIAL Provide description of work: For ALL projects, 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. 0(1 s lfn� 1psfa`/ Clean Owls lh Va�GQ Sq. FULF BTUs Gallons Amps Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ q 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) (CO r/11CTOR) or (AUTHO ZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)Signature (first and last name): (��/ DATE: / G / Printed Name: �6 0/l 60, 6," APA IV� DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: i CITY OF WHEAT RIDGE 9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'fo 41c, t Job Address: Mloa _-f Permit Number: ^f G'"t�f�'�I f i s k ❑ No one available for inspection: TimePM Re -Inspection required: Yes ,MNo� When corrections have been made, call for re -inspection at 303-234-5933 Date: i Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201900056 PERMIT NO: 201900056 ISSUED: 01/11/2019 JOB ADDRESS: 3490 Holland St EXPIRES: 01/11/2020 JOB DESCRIPTION: Replace gas furnace, 100K BTUs, 80% efficiency *** CONTACTS *** OWNER (303)237-4323 SIMMS CHARLES E & GLENNA SUB (303)313-3333 Michael Enright 017953 AAA Service Plumbing *** 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: 3,507.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 73.65 ** TOTAL ** 113.65 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 1, by n 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 thisperrrlrt. 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 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 originalpennrt 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 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 egulation 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. 191 From: no-reply@ci.wheatridge.co.us Sent: Friday, January 11, 2019 10:00 AM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Kim Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 3490 Holland St Glenna Simms 303-237-4323 gsimms3@comcast.net Wheatridge cc auth.pdf CONTRACTOR INFORMATION Contractor Business AAA Service Plumbing Name 1 Contractor's License 017953 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-313-3333 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address permits@aaatoday.com Retype Contractor Email permits@aaatoday.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 100 What is the efficiency 80 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 3507 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit N 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for carrie Permit Email not displaying correctly? View it in your browser. a City of Wheat Ridge a , Residential Roofing PERMIT - 201702 80 PERMIT NO: 201702480 ISSUED: 06/23/2017 JOB ADDRESS: 3490 Holland ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential reroof: Install 32 squares Lifetime Grand sequoia aspault shingles. *** CONTACTS *** OWNER (303)237-4323 SIMMS CHARLES E SUB (720)281-1438 Pat Fletcher 130180 Fletcher C.M. *** 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: 8,750.00 FEES Total Valuation 0.00 Use Tax 183.75 Permit Fee 188.45 ** TOTAL ** 372.20 *** 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 A/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer&#39;s technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. i INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 Occu anc /T e 6 ,-1 - 1�'F bq clo ^ `JNSPECT N REQUEST Lbmkk�INE: (303) 234-5933 PC - I r% 9 1 %Wwwlp W Inspections will not be per- e' unless this card is po d on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date 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 Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector IniU IFp Comments . Wk#1 Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical I 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 PERMIT - 201702480 PERMIT NO: 201702480 ISSUED: 06/23/2017 JOB ADDRESS: 3490 Holland ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential reroof: Install 32 squares Lifetime Grand sequoia aspault shingles. *** CONTACTS *** OWNER (303)237-4323 SIMMS CHARLES E SUB (720)281-1438 Pat Fletcher 130180 Fletcher C.M. *** 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: 8,750.00 FEES Total Valuation 0.00 Use Tax 183.75 Permit Fee 188.45 ** TOTAL ** 372.20 *** 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 A/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer&#39;s technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702480 PERMIT NO: 201702480 ISSUED: 06/23/2017 JOB ADDRESS: 3490 Holland ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential reroof: Install 32 squares Lifetime Grand sequoia aspault shingles. 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 ermit I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be perfotmed,and that all work to be perormed is disclosed in this document and/or its' accompanying approved plans and specifications. S�gnat4e.OroZ& N -k ror 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of wo is bject 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Saturday, June 10, 2017 11:49 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusiVe4y for new permits for Ldsidential roofs and for licensed contractors only. This type of 'permit is ONLY being processed online --do not come to City Hall to submit an applicatii>n in person0ermits are processed and issued in the order they are received. YOU V LL, BE�CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL IVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRAN TION. You will be notified if your contractor's license or insurance has a pired, nd you may update those documents at the time you are issuec"i your per 't , Permits are currently being processed within 3-5 business days, subject to cha'hge based on volume. For all other requests: / Homeowners wishing to oboin a roofing permit must apply forte, permit in pe at City Hall. Revisions to Oisting permits (for example, to add redecking) must completed in person at C+fty Hall. All other non -roofing permits must b comple person at City Hall. The/Building Division will be open from 7:30-10:30 a. ., Monday through Fridal to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATIO Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. N ov, Ltq e-1 ': 3949 Holland St Charles Simms X� 33-513-4404 Field not completed. C Yes I V CONTRACTOR INFORMATION Contractor Name Fletcher C.M. Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 130180 720-281-1438 Contractor Email Address pat@fletchercm.com (permit pick-up instructions will be sent to this email) Retype Contractor Email pat@fletchercm.com Address DESCRIPTION OF WORK Is this application for a new permit for a residential roof? Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: Yes I•[.7 Lifetime Grand Sequoia Asphalt Field not completed. How many squares of the 32 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. TOTAL SQUARES of all 32 roofing material for this proj ect N 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) Remove and replace shingles 8750.00 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 Pat Fletcher Email not displaying correctly? View it in your browser. C 6-28-17 CM Fletcher is tearing off31.5squares of shake shingles and installing 31.5 squares of GAF Grand Sequoia asphalt shingles. They are taking responsibility for the quality of workmanship, acquiring any/all permits and inspections, to include mid roof and final. Work to be performed at 3490 Holland St Wheat Ridge CO 80033 Glenna Simms (homeowner) Date — d "� Date � � 2 - / 7 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE - kV/F/j r Job Address: 3,ycio 14011,4 d 5 Permit Number: 1,0 j_70cj!t b ❑ No one available for inspectio L Time (! AM/PM Re -Inspection required: Yes No When correc ions have been made, call for re -inspection at 303-234-5933 Date: , Inspector: rn 11` � 1 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 rAW. • - • • - ✓ sera- r'"Y _�J_L -. _ I • U LoM-2 d ❑ No one available for inspection: Time 4 AM/PM Re -Inspection required: Yes eo When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: in IT DO NOT REMOVE THIS NOTICE INSPECTION RECORD Occunancv/Type �+ INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Ap roval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground 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 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. 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. **For Inspection Time Window Requests — Please email insptimereguest(a)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather IV i CITY OF WHEAT RIDGE _]�P�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: A Job Address: c) 14t I I -a N to S ? Permit Number:y 1-7 0 G -A -4- �j t V ❑ No one available for inspection: TimeM/PM Re -Inspection requirgtbe rQade, o When corrections have callfor re -inspection at 303-234-5933 Date: .1 _ /-(-i Inspector: :1 DO NOT REMOVE 6S WOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Plumbing PERMIT - 201700222 201700222 ISSUED: 02/14/2017 3490 Holland ST EXPIRES: 02/14/2018 Repair drain line under slab, approximately 3 ft *** CONTACTS *** OWNER (303)237-4323 SIMMS CHARLES E SUB (303)766-7500 Jeff Belk 021818 Plumbline Services *** 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: 2,000.00 FEES Total Valuation 0.00 Use Tax 36.00 Permit Fee 77.50 ** TOTAL ** 113.50 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** as City of Wheat Ridge Residential Plumbing PERMIT - 201700222 PERMIT NO: 201700222 ISSUED: JOB ADDRESS: 3490 Holland ST EXPIRES: JOB DESCRIPTION: Repair drain line under slab, approximately 3 ft 02/14/2017 02/14/2018 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 le ally authorized to include all entities named within this document as parties to the work to be performed and th all work to be med is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNEIt-`­or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanyingdans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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, tees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding 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 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 regulatiol of this jurisdiction. Approval of work is subject to field inspection. 11� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City Of ryNP Wheatl�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: perm its(cD-ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Add to Permit # a 0 j j ;Irl D�� Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: '4q(" Hd Il aAd Property Owner (please print): Phone: 3 1 a-, ZT 4333 Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Submitting Company: Contact Person: Phone: Contractor:1.,� Contractors City License #: La- UR to Phone: '��"?6(�- ?9bC Contractor E-mail Address: Cc.r_-,;4T �lwIo��er �r��e Cr�►+`'� Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. FULF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) O Q<o 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 (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: ► [dh (Mtl�jOle��O �1%� S[GNATURE: 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 DATE: OCCUPANCY CLASSIFICATION: Building Division Valuation: $ ! !Y F�'V rrwY t/ItlX a J R ❑ No one available for inspection: Time f✓ AM�/P_Mi Re- Inspection required: Yes When corrections have been made, call o re -i action at 303 - 234 -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line •.. (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Rory,b Ur,f Inspection Type rto, iA( Job Address v� rt �L.` �•. Permit Number - 1/0 7, €5 ! !Y F�'V rrwY t/ItlX a J R ❑ No one available for inspection: Time f✓ AM�/P_Mi Re- Inspection required: Yes When corrections have been made, call o re -i action at 303 - 234 -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE "4' City of Wheat Ridge Residential Plumbing PERMIT - 110745 PERMIT NO: 110745 ISSUED: 06/29/2011 JOB ADDRESS: 3490 HOLLAND ST EXPIRES: 06/28/2012 DESCRIPTION: Install dual clean outs and replace 10 if of 4" line * ** CONTACTS * ** owner 303/356 -0873 Glenna Simms sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,850.00 FEES Permit Fee 7410 . Total Valuation .00 Use Tax 33.30�G'f, ** TOTAL ** 107.40 Conditions: Subject to field inspections. 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 ud /or its' accompanying approved plans and specifications. Signatur� f W ER or CONTRACTOR j (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 inspection. Signet uof Building Offical Date INSP EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQU T BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. b k -/ yy�� City Of � ' _ ile�t a �E Date: IUNnY DEVELOPMENT .Plan # Building & Inspection Services Division �L 7500 W. 29 Ave., Wheat Ridge, CO 80033 Permit# p� Office: 303 - 235 -2855 " Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 q L Building Permit Application Property Atltlress; 1 I 1 �� ICt l� A Property Owner (please print): G �enn(n 56 1 �1�15 Phone Y)) 35-6 -0 Mailing Address: (if different than property address) Address: 3 l �O 61� 5 s City, State, Zip: 1 -�//� `` l'd�M � - I<ir4fYd t nom J Con #ractor: �� qo �CYL -- �- tnc�uci��riCrS Contractors City License #: 3 } Phone Go3) 6q(s -q r9 g ' S 5T; ntracYp s Electrical: Plumbing: + Mechanical: City License # City License # City License # Descrlr� # ` t on'ofi work; 40 to 1tt �ul'li aIG 6r r �iVv fe fc4l Lhi � wu� ont �Etti1��t 5 11� �t7'!i Cif t� 8 I YSSC ' Review Fee (due attime of submittaq: 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, 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 d 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 (AUTHORIZED REPRESENT) TIVE) of (OWNER) (CONTRACTOR) - PRINT NAME: ' tAJ t - SIGNATURE. ` DATE:C)U AFIRE oEPARTtv7IaN'G ❑ appred W/ comtnen disappverf Tire "uiew Bldg Valuation: $ ul l Y i 613 //��jj STATE ZIP � _"' CITY - STATE ZIP PHONE � 6 - l.JS-75 PHONE DESCRIPTION SERVICES `' ESTIMATE __ A // e 6 n� "� C17 ❑ WARRANTY Terms of Warranty: COMMENTS: APPROVAL X ITEMS NOT INCLUDED. Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins orany other complications. ACCEPTANCE TERMS- Job cancellation fees will apply. Invoices are payable - 9/2 down and balance upon OF INVOICE X SIGNATURE completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance ❑ VISA ❑ M/C ❑ AMEX owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including CARD # EXP reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanics — lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law. APPROVAL# ®■ x 17 ITEMS NOT INCLUDED. Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins orany other complications. ACCEPTANCE TERMS- Job cancellation fees will apply. Invoices are payable - 9/2 down and balance upon OF INVOICE X SIGNATURE completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance ❑ VISA ❑ M/C ❑ AMEX owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including CARD # EXP reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanics — lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law. APPROVAL# ♦ 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: Job Address: 3 Y70 Permit Number: r`, 7 22eA.1,CL:) ❑ No one available for inspection: Time o AM /PM Re- Inspection required: Yes Cam__ *When corrections have been made, calf for re- inspection at 303 - 234 -5933 Date: Inspector: DO NOT REMOVE THIS NOTICE 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS Footings /Caissons - Stemwall / (CEG) Concrete Encased Ground - - - Reinforcing or Monolithic Weatherproof / French Drain - Sewer Service Lines Water Service Lines ZY ©4' l6-- rUUK IV V V V NGKt I t UN I IL AIJOVE nA5 CEEN JIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath /Wall tie _,..:.:... Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping ZY ©4' l6-- Rough Mechanical ' 7—le ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING - Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO .FINAL INSPECTIONS. Parking & Landscaping " "NOTE: 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 OFQ:�BRTIF1CfIQF� RORP1314ASSlQNFOEOC U.PAfLCY� _:mom_.. ..,..___. ,, OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED a PROTECT THIS CARD FROM THE WEATHER ♦ ♦ CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: MA / E' (�,P7 Job Address: 3V IIdlllkw sr" Permit Number: o 7 ;; tom' _g1 fat `5 _ 6'e i2?�a / — O ❑ No one available for inspection: Time V: /-?zj AM /PM Re- Inspection required: Yes "When corrections have been made, call for re- inspection at 303 - 234-5933 Date: jZJ gI ,99 Inspecto DO NOT REMOVE THIS NOTICE '3KQ SSaMISna 0NIM0'PI0d HHI NOIIDHdSNI HOH IKC SSHNISn9 7NK Wd£ ~KH HCKW HH ISflw SISSWEd : SS8Z-SEZ:(E0E):.:HDIddO ONICIrMIH - ££65-..EZ(£0£):'-'HNI'I Isunbau ISDBdSKI- agep jve OT;;O 6UTP TT a 3o azneu6TS 'SUOTgoadsuT PTaT;..oq qoa, a maiAax ueid TTY UOT;eTn6ax zo aTnx 'm2T.'aaueuTpxo zaggo .Cue zO sapoO. 6UTPITnq aqq ;o SUOTSTAOad aqq:-;o u0.4PTOTA AUe '30 Tenoxddeus zou.'Jog q?wzad a aq oq panzgsuoo aq you TTegs sUOTgeoi;Toads. 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'" "n' """'"'Y''~"",,'r'~''' """"e,!!I!I! /" "'" DEPARTMENT OF PLANNINq AND DEVELOPMENT Building Permit Number: 7586 ElUILDING INSPECTION DIVISION. 235.2855 CITY OF WHEAT RIDGE Date: 8/6/98 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 3490 HOLLAND ST 'Contractor License No.: 18297 Company: Aall EI~ric Contractors I OWNERlCONTRACTORSIGNATURE OF UNQERSTANDING AND AGREEMENT Phone : 237-4323 Phone: 294 0626 Construction Value: Permit Fee: Plan Review Fee : Use Tax : Total: $1,200.00 $45.00 $0.00 $18,00 $63.00 I hereby certify tile! t/1e ..tback distances proposed by tills pe""~ ~licatIon ere eccurate, and do not viOlate applicable ordinances, rules or regulations of t/1e City of Wheat RIdge or covenents, easements or restlictfona of IlICOrd; tIlat ... meesurements shown, and allegations m_ are accurate; t/1et1 have read an<! agree to ab~ by aU conditions printed on tills application, andtllat I ...umeftdr~1IIty for ",,",pllance with t/1e Wheat Ridge Building Code (U.B.C.) and aU ot/1er applicabls ~ Ridge ordinances, for work under this P8t:i'w (OWNERXCONTRACTOR) SIGNED . . t ~JM. DATE 8 Use: Description : SERVICE UPGRADE TO 200 AMPS, PICKUP EXISTING CIRCUITS, CLEAN UP EXPOSED WIRING AND WEATHERPROOF GFI OUTLET BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : Approval: Occupancy : Walls: Roof: Stories : Residential Units : Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: APproval: Expiration Date : Approval: (1) This permit _ _ In _ with the pIO'/l8ionS sot forth In yopur application and is sullied to tho laws 01 tho stale 01 ~ and to tho ZonIng f!.e9u1at1ons and BuIIdIna COOe 01 Wheal ~. COIoIado or any other 10000icable ordlnanceo 01 thl Clly. (2) This pormIt shot expIro R (AI tho work _ ~ not commoncod wlth1. sixty (60) days from issul _ or (B) tho building _is suspondod or abandoned lor a porIod 01120 days. : (3) ~ this permit expi..... I now pomil may bo acquill!ld lor a lee 01 ono-hlW thl al11O\lnt normaI1y roqulrad. orovldod no changes havo-' orwill bo made In tho original piano and ~ Ind any S_!>II or ablndonmont hall not _ one (1) year, )fchangos... made or WS__ or abandonment -. one (1) yaar, rull_sholl bo paid (or I now ponnIl (451 No work 01 anymannot sholl bo dona tholwill ~ tho natwal_ ofw_caUBing I d_ problem, ( Conlrador shaH nottIy tho IIuIIdIng ~ lWInlI'.four (24) hounlln advanca lor alllilspectionB and shall rocaIva _ oppmval on InBpecIIon card - ,_with__ofthoiob. . (6) 'rho lssuariCo oil permit or tho approval of_and spocIftcalloo,s shall not bo construod to bo a permll lor. nor an approval 01. any _ 01 tho pn>vis_ 01 tho building cod! or any other ordlnanca. law. jUIo or rogulation. tt ,..-- Chi~f Building . spector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-593324 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 m(t, I"'ll'fl 'S.11V\f'l\<; '3>'-l9o \.tO~ 'S1"'. '3(.,'!,'t, (S~l lro<.cn Cc.,1'-\\ Company: Prll.-u... ~<:..i\t4<.. ~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Property Owner: Property Address: Contractor License No. : Phone: 2?:.? - lj32..~ Phone: g2s:;J - 1:lliS- 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 8Qree 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 eat Ridge ordinances. for work under this p'ermit. (OWNER)(CONTRACTOR) SIGNED DATE e/"-{<l'e:, Construction Value: S 12Cil. ~ Permit Fee: Use Tax: Total: $0.00 Use: Description: S~\~ vf(~.[ "1C 1..C<:> ~ PIC"--W' , €:'/o.1j;nN<.. C_fZ.W\~, c....~_u.f> ~~vJ\I<.I~) ~ ~~ 0 BUILDING DEPARTMENT USE ONLY :LonlnaropmmenJS] Approval: Zoning: ftl!]RhnllUlommems';l Approval : CQ.m~oo<ss.e_Qml!l~n~ Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was Issued In acc:on:lance with the provisions set forth In yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code at Wheat Rid~e, Colorado or any other, applicable ordinances of the City. This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from Issue date or (B) the buikjing authorized is suspended or abandoned fO( a period of 120 da):'. . If this permit expires. a new permit may be acquired for a fee of one-half the amount nonnally required, provided no chang~ have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made 0( if suspension or abandonment exceecls one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causin!jl a drainage problem. ContradOf'shall notify the Building Inspector twenty.four (24) hours in advance for all Inspections and shall receive written approval on Inspection card before proceediing with successive phases ot the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit to(, nor an approval of, any violation of the provisions of the building codes any other ordinance, law, rule or regulation. (1) (2) (3) Chi f Building I For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BYTHE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION TERMS AND CONDITIONS As applicant for a building permit in the City of Wheat Ridge, I do hereby agree to the terms and conditions set forth below for the issuance of a Certificate of Occupancy in connection with this building permit. The issuance of a Certificate of Occupancy requires: I. The completion and approval of final inspections and any necessary corrections of electrical, plumbing, mechanical and framing systems. Inspections are performed by the Building Division. 2. The completion of site drainage/grading requirements per the approved site grading plan and/or final drainage report and plan, if such report and plan is applicable. For all residential and nonresidential projects with an approved final drainage report and plan, a letter of certification is required from the project's civil engineer of record. Inspections are performed by the Public Works Department. 3. The completion and acceptance by the City of Wheat Ridge of all required public improvements, or a Development Covenant may be processed in lieu of constructing said improvements. The Public Works Department performs these inspections or provides the Development Covenant. 4. The completion of all required landscaping and related site improvements. Inspections are performed by the Planning and Zoning Division. All the above items must be completed and signed off by Planning and Zoning, Building and Public Works before a Certificate of Occupancy is issued, Final inspection by the Building Division docs not constitute authorization of a Certificate of Occupancy nor permission for occupancy. Occupancy of the structure is not permitted until the Certificate of Occupancy is issued, The City is not responsible for any real estate closings or other agreements concerning the property which may be affected by failure to complete the above items and obtain a Certificate of Occupancy. The City is under no obligation to issue a Temporary Certificate of Occupancy. I have read, understand, and agree to the foregoing terms and conditions. Name (Please Print) Signature: Date: