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3520 Holland Street
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: ' J Job Address: Permit Number: 2 U ❑ No one available for inspection: Time ' w,. m M/PM Re -Inspection required: Yes rNo' When correctionshave been made, call for re -inspection at 303-234- ,5933 Date: /y/ Inspector: Vf( DO NOT REMOVE THIS NOTICE " City of Wheat Ridge Residential Roofing PERMIT - 201703084 PERMIT NO: 201703084 ISSUED: 07/01/2017 JOB ADDRESS: 3520 Holland ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko 30 year asphalt shingles - 19 sq. *** CONTACTS *** OWNER (303)818-2549 HILL ANDREE H SUB (970)663-3400 Mike O'Brien 170371 Regional Town Centre *** 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: 5,000.00 FEES Total Valuation 0.00 Use Tax 105.00 Permit Fee 125.05 - --- ** TOTAL ** 230.05 *** 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 - 201703084 PERMIT NO: 201703084 ISSUED: 07/01/2017 JOB ADDRESS: 3520 Holland ST EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko 30 year asphalt shingles - 19 sq. 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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. Si � �dture 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 pen -nit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 issuancg--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 nr regulati n 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. Inspection time requests will be accepted by email.only,&lease email requests to insptimerequestgei.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. 1 Dane Lovett 20f 7 0/ © U� From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 20, 2017 4:30 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 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 WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3520 Holland St Andree Hill 303-818-2549 Field not completed. 4 ;� -3o. C)�5_� 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 Regional Town Centre or RTC Contractor's License t'70-3-71 Number (for the City ofc�. Wheat Ridge) Contractor Phone 9706633400 Number Contractor Email Address storm@regionaltown.com (permit pick-up instructions will be sent to this email) Retype Contractor Email storm@regionaltown.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Tamko 30 year Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 19 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? 0 TOTAL SQUARES of all 19 / roofing material for this project Provide additional detail Pitch is 4:12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 5000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Storm Rehor Email not displaying correctly? View it in your browser. 3 REPAIR AND RESTORATION WORK AUTHORIZATION AND INSURANCE PAYMENT ASSIGNMENT :Member Contractor Page f or 2 Contractor information; Company Name RTC Restoration Company Address: 6342 E CR 18 Johnstown, GO 8U5s4 Phone Number 970-663-3400 Fax Number 970-776-3747 Company Website Address www.rtcrestoration.com Job Number Homeowner Information: Homeowner Name i ! 1 Address (the "Property 0 HO \ M'J .�} , `AAUa t� �-� CI Phone Number —t E -mad Address Insurer Information: Insurance Company The Ha i-a2r 1( Claim Number _PPQQ i 3,S 7 7 F-7 Adjuster Phone Number E-mail 1. Type of Services Homeowner requests and Contractor agrees, to provide the following work services for the Property (check all that apply) Roofing / Siding / Gutter Furniture i Cabinet Restoration ❑ Dry Cleaning / Textile Restoration General Restoration / Reconstruction Flooring Restoration 2. Acknowledgement Homeowner acknowledges that Contractor is an independent contractor member of the First Choice Repair network. that Insurer is not affiliated with First Choice Repair or Contractor, and that Homeowner is not obligated by Insurer to use First Choice Repair or Contractor to perform the repairs. By signing below. Homeowner has agreed to use the First Choice Repair Program and Contractor instead of having the repairs performed by others 3. Estimate of Repairs, Insurance Coverage, and Work Authorization Contractor will provide Homeowner and Insurer a written estimate of repairs. Insurer will review the estimate. and it approved by insurer in writing, the estimate will then be Insurer's authorized written repair estimate. Homeowner authorizes Contractor to perform the full scope of repairs authorized by Insurer. Homeowner acknowledges and agrees that only Insurer can determine what repairs are covered under Homeowner's insurance and that Contractor has no authority to make such determination (s) or bind Insurer as to any coverage Any initial repair estimate provided by Contractor is simply an estimate and is not approved by Insurer until the estimate is authorized by Insurer Contractor agrees to perform authorized repairs for the insurance proceeds payable by Insurer for such repairs Homeowner shall be responsible for any insurance deductibles, repair upgrades not covered by insurance and other charges as provided in Paragraph 4 below. 4. Payment Terms As payment for the authorized repairs to be provided by Contractor. Homeowner assigns and/or agrees to pay all insurance proceeds to Contractor, and also agrees to pay Contractor the applicable deductible under Homeowner's insurance prior to Contractor commencing work. In addition. Homeowner shall pay Contractor for all other repairs and work items not authorized by Insurer as covered repairs, including but not limited to optional upgrades which Homeowner selects, non-recoverable property depredation not payable by Insurer. and other repairs or work items requested by Homeowner and performed by Contractor which are not covered by Homeowners insurance Insurer shall pay all insurance proceeds for covered repairs not performed by Contractor to Homeowner Following receipt of Insurer's authorized written estimate. Contractor shall provide Homeowner with a breakdown of the repair costs and payment schedule, including the costs to be paid by the insurance proceeds and the costs to be paid by Homeowner, which Contractor and Homeowner shall sign Any changes thereafter to the work items and payment schedule shall be in writing and signed by Contractor and Homeowner Note Any applicable Federal State and/or Local law or regulat-on 4838-4975-6435.3 required notices or rights to cancel are pnnted on an attached page REPAIR AND RESTORATION WORK AUTHORIZATION AND INSURANCE PAYMENT ASSIGNMENT nierrt6er Contractor Page 1 of a a.) S. Deposit Receipt. Contractor acknowledges receipt of a deposit of $t (which includes an estimated insurance deductible of $ and $ as a deposit for additional work not expected to be covered by the insurance proceeds) from Homeowner to be applied for payment of costs payable to Contractor and not paid by the insurance proceeds. If Homeowner determines upon receipt of Insurers authorized written estimate not to proceed with the repairs Contractor shall promptly refund this deposit 6. Warranty, Damage Limitation and Jury Trial Waiver Upon full payment for the work. Homeowner shall be provided the First Choice Repair Warranty Certificate, which shall be the sole and exclusive warranty provided by Contractor for the work Further. Homeowner agrees that Contractor's maximum liability to Homeowner for claims arising from this agreement or the work whether in contract, tort or otherwise, shall be limited to the amounts payable to Contractor for the work, and the parties waive any claim for consequential damages Homeowner and Contractor further agree to waive all right to trial by jury of any claims arising from or related to this agreement or the work performed pursuant to this agreement. 7. Homeowner's Obligations Regarding Repairs Homeowner shall be responsible for the protection of hislher plants, pets and other personal property during Contractors performance of the work. and shall remove, cover or protect such items near the work area to avoid damage 8. Complete Contract This agreement. and the documents expressly referenced herein, constitute the entire agreement between Contractor and Homeowner. and supersedes and replaces any prior agreements and discussions of the parties. This agreement may be changed only by written agreement signed by Contractor and Homeowner Signat e%f Contra �,Y� �' 1�►�1/(we! Printed Name & Title of Contractor 6��Tl Dat6 I — ` ; fl I J' JI._ "j rl >�JJ OVERACHIEVERS Signature of Homeownens) z Printed Homeowner Name(s) Y�Date Note .'!ny applrcawe Federal Slate ana'or Local law or regula!:on 4838-0075-6435 3 required notices or rights to cancel are printed on an attached page 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: '� - 0 Job Address: U Permit Number: ❑ No one available for inDe on: Time U Re -Inspection required: No When corrections have been made, call for re -inspection at 303-234-5933 Date: -7//2//'T Inspector: KI& DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235-2855 Correction Notice Job Address: 372/J /IoLU9/VLJ -5"'T h/V/lL. NB"H..-?'A//C'fiL /.;> ~At'7:;z-/\/ .-4/ L // rc7/-?/,,:;A.c... H77//V,.<:')'. ,::; ';C-/-o/C'" .f::f 'a., ".v/p,.q.-~. 2." ~/?OPr'€/Y /.A<57fi~ ~"~~ //IO'i3 /T'"5 a/l/A/r=7'::::r-e c3 '- <)7A?h"/~ /77;;0/6"(3 /'l A///"/ ~./-:>G /5 /)/1fl//?~LV When corrections have been made, call for re-inspection at 303-234-5933. Date: '7 DO NOT REMOVE THIS NOTICE Building Permit CITY OF WHEAT RIDGE 7500 West 29TII Avenue Wheatridge, CO 80033 303-235-2855 Permit Number 19262 9/26/2005 Inspection Line 3D3- 234-5833 Residential Mechanical PROPERTY 3520 OWNER: Andre Hill Holland St Unit: (303) 423-2703 Description Insta1l200K furnace with electric. I IPaid 1$29.25 1$78.19 1$107.44 I I IPhone 1000 232~3939 IFEES IFees IUse Tax IPermit Fee ITotal Fees I ICONTRACTORS IName ILicense # INationwide Heatin~ & AirCondi 120227 1 IDue 1$29.25 1$78.19 1$107.44 I 1 Cfty of Wheat Ricfoe PRESCRIPT! GAs :'OllERS / FURNACES A MINIMU~Eo~~R~l CODe , ~TER HEATERS A MIN' ,UE Il.ECTRIC WATER HEATERS A ~~Y:JuDJO,60 ,ENERGY FACTOR seTBACK THERMOSTAT R ' F .93 ENERGY FACTOR R-21 WALLS,.. R-38 C:~~NG'RESD (EXCEPT HYDRONIC HEAT) . R-19C~WLSPA~ Units: Occupabcy: Walls: Roof: Stories: Sq Feet: o 't applieaUonare accurate;llIld do not violate appHcableordiminces,rules orregulai:ioris oftheClty of ; that all measurementsshowu, and allegations made arc accurate; that lhave read and agree to abide by e fUll responsibility for compliance withtheWheat Ridge Building Code (U.B.C.) and aU other applicable '1-d.9 _C>(j (0 E CTQR) SIGNED DATE 6 This pennltwils issUlid in attordance with the proVisions set forth iil your application and is sUbJeetto thelinvs of the State of Colorado, and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This pennit shall expire if(A) the work authomed Is Iiot commenced within sixty (60) days from u;rne date or (B) the bnUdinganthoriud issnspelided or abandoned fora period of120 days. Ifthis pemutexpires, anew penmt may heacquinidfor a fee ofon~haifthe amoiult normaliy required, provided no cbanges have,been or will be made iri the original plans and specifications and any suspension orabandtlDment has not exceeded one (l)year~ If cbanges are made or ifsuspension or abandoDlnent exceeds one (1) year, full fees shan be paid for a new penult. Nowo~k OfaDY manner sllallb~ donetbat winchimge the naturalf1iiw of water causing a drainage problem. Contractor shall notify the Bullding Iilspector twenty-four (24) hours in advance for all inspections and sbaUreceivc written allproval on inspection card before proceeding with successive phases oftbe job, The issuance ofa permit or the'approval of drawings and specifieationsshaU not be construedto be a pennit for, nor an approval of, any Violation of the provis~~codesor . ance,law, rule or reglllation. /~~ /,"~~ Chief Building Inspl!E or SIGNED,DATE 4 5 Monday, September 26, 2005 Page lofl DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: APPUC.(\,ID N Property Owner: j1"",u- $",,,, PropertyAddress: S!f-;?<? ~/"'h'''''L> Contractor License No. : Z 0 z z- '7 Company: "vft 7/"',</."'/,i>e~ $>. Phone: ~cJi;'- ';/Z~. Z7<' f Phone: ".,~-2~Z-3"9~1 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Description: //1.' '57/7"'''' /6JttJ/?' /'::-"'--d,..-/,.",c- ......~"'c--c Construction Value: /t?/s- ~ Permit Fee: lB:~~ UseT~~ Total: )1. y 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 Wheal 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 all conditions printed on this application, and that I assume full responsibility for hance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat rdlnancos, for work under this pe it. DATE ,/~;:'J"'- (OWNER)(CONTRACTOR) SIGNED Use: BUILDING DEPARTMENT USE ONLY ~jlJlt~'''hJJur7 SIC: Sq. Ft Approval: Zoning; f !(" .1f";I'-1.!}'JhlXJj\f:j Approval: .. il' r1!;")':C.h~'.) ~:lILluU'H. r Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : /'9/ L Company: ,,(Jv~,e~,;?L- Plumbing License No : Company; Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) This permit. was Issued in accordanee 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 BuUdln9. Code or Wheat Ridge, Colorado or any other appHcable ordinances ot the City. This permit shall expire It (A) the work authorized is not commenced within sixty (ClO) days trom iaaue dale or (B) the building authorized is suspended or abandoned for I period of 12:0 daya. It this permit expires. I new permit may be acquired for a tee of one..half the amount normally required. provided no changes have been or will be made in the original plana and speciflcationl and any sUlpenlion or abandonment haa not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit No worK of any manner ahall be done that will cluInge the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty~four (2.) hours in advance for alllnlpectlons and shall receive written approval on inspection card before l)rOCeediing with succeulva phasel of thalob. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance. law. rule 0( regulation. (4) (5) (6) ; Chief Building Inspector II I'! i1 ' 2/12 to 2.5/12 slope 3 t b with 30# felt, paper and ice and water shield on the bo*pm ~6" eve line i.' ' ,I , :i I <"J~l ,', ,~':ilDEPARTMENT OF PLANNIN AND DEVELOPMENT , BUILDING INSPECTION IVISION - 235-2855 ciTY OF WHE RIDGE 7500 WEST 29T AVENUE WHEAT RIDGE, 0 80215 Building Permit Num r : DJe: I I ! Property OWner: Property AddreSs: 3520 Hiland Street Contractor License No,: 17649 Company: Applew Quality Builders, Inc. OWNER/CONTRACTOR SIGNATURE OF UN I Phone: 423-2703 I i I Phone: 371423 Construction Value ':1 Permit Fee .:1 Plan Review Fee ,i:I' Use Tax:: :i Total:! l hereby certify that the setback distances proposed this permll application are accurate, and do not violate applicable ordlnan<:es, rules or lations of the City of Wheat Ridge or covenents, easements O,r restrictions of record; that U measurements shown, and allegations made are aCCU!ll!e: that l have read and lIllree to ab aU condllions printed on this application, and that 1 aosume full responalbUilY for ,ance wIIh the,Wheat RIdge Building Code (U.B.C.) and aU other applicable Wheat Ridge mInces, for wol1c under this permll. DATE (OWNER)(CONTRACTOR) SIGNED Ii Use: Description: UILDING DEPARTMENT USE ONLY ~.Fj.: I' ' :! SIC: I., I' " , I! I' " Approval: Occupancy : Walls: Roof: Stories: , '. i Residential U~ I i Mechanical Lice~e No : " Company: i' Ii I! Electrical License No : Company: Expiration Dale : Approval: Expiration Date: 1 ' I Approval : I,: 1:: 7018 5/8/98 $1,600.00 . $52.25 $0.00 $24,00 $76.25 lions set IoIth In yopur application and II lul>ject1o Iholaws of the StaIB of ~ Ond,' 10 the Zoning l1ldooranyolheroppl_ordInancesoftheCIty.. . ii.. not commern:ecl wllhJn _ (60) days from issue date or (6) the buDdIng 3' II ~apended or lor 0 fee of one-hsllthe amount normally IOCIUired, DIllYided no~ have or Will be made In the or abandonment hal not exceecIs<I one (1) year. If changes.....- or H n_ or absndonntent permit: the natural flow of weter causing 8 drainage problem. ' 'four (24) hou.. In acIvance lor all _ and sholl_va wrItIsn _, ',inlpecllon COld - I;, and spectl'ICationa aha" not be construed to be a permit for, nor an apptOV8l of, $ny viOlation of the provitions eorregul I:" I I hief Building Inspector 1 THIS PERMIT VALID ONLY EN SIGNED BY THE CHIEF BUILDING INSpeCTOR A~D PM YOR CALL: 2 -5933 24 HOURS PRIOR TO INSPECTIONj 1 I (1) Thllpermlt_1s8usd1n8CCOldanCewllhthe Regulatlons and auildlngCode of Wheal!\ldllO, (2) ThIs pennllohall expire II (A) the work authorized abanCloned lor a period of 120 days. (3) 111h1l permit expires, a new permit may be acqul original plans 0l1d specifications end any IUspa _one (1) year. I\JB less shall bepeldlora No work of anyrrtllnner shall be done that will Con__nollIythe Building 1_ orocaedllng wlIh ,"",",1Si... _ of the Job. 'The Issuance of a pennit or the approval of drawl of the bulkHng codes or any other ordlnance,taw, 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 Property Owner: Property Address: Contractor License No. : Company: l/ft< t1f2ti!-g, ti/(( . 5C;-Ztt' iicl(af~'( >7r-e-O..f- (7e/eft ' ~.. C kU,...A Phone 42")- 2 7D .> OWNER/CONTRACTOR SIGNATURE 0 Phone: :,' 5' -1'/-25 !tf~().O(7 I hereby certify that the setbaclc distances proposed by this permll application are accurate, and do not violate applicable ordinances, nlles 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 a9.ree to abide by all conditions printed on this application, and that I assume full respons~ compliance w' h the Wheat Ridge eUildi". g Code (U.B.C.) and all other applicable Wh e cretlnan . or work u r this pennit:, .. - --... "'" (OWNER)(CONTRACTOR) SIGNED ~ cDATE Construction Value: Permit Fee: Use Tax: ,.s;.;' i 1i) . /' 1Z- . , , , >" c. Description: #2 ~~/~ 5'>7<:<. .) I ~ ~.1t "5. c # . a r ~ vJ d. .z.-,,~ t----Ac--:..0 r>-?0;..i)e-v, Total: $0.00. ~ BUILDING DEPARTMENT USE ONLY ~OOlna1UOmmeJ1JS] Approval: Zoning: WURlm~Qmm~n.~ Approval: e!!J51~O{k~Q.rIJl!J!ln~ Approval: SIC: Sq. Ft.: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date : Approval: (4) (5) (6) This permit was Issued in accordance with the provtsions set forth In yopur application and is subied to the laws of the State of Co&orado and to the Zoning Regulations and Buildi~ Code of Wheat RId$le, Colorado or any other applicable oroinances of the City. This permit shall expire If (A) the work authoriZed is not commenced within sixty (60) days from Issue date or (8) the buiSding authorized Is suspended or abandoned for a period of 120 days. . If this pennit expires. a new pel'TlVt may be acquired '0( a fee of one-hatf the amount nonnalty required. provided no changes have been Of will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid (or a new permit No worK of any manner shaU be done that will change the natural now of waler causing ;II drainage problem. Contractor shall notify the Building Inspector twenty.four (24) hours In advance for all inspections and shall receive written approval on Inspection card before proceed/iog with successive phases of the lob. lne issuance of a permit or the approval of drawfngs and SpecifICations shall not be construed to be a permit for. nor an approval of. .ny YtoIation 01 the pt"OVtslons of the building codes or any other ordinance. law, rule 0( tefjJulation. . (1) (2) (3) Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION