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Home My WebLink About3560 Holland Street�Po�765'�P-7 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the insnertinn Occupancy/Type —0—)r; Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Net Pnur Cnnr_rntp Prinr Tn Anr%rr%a--%l r1f TL... AL....,.. L._ -__A!-__ -- - ---- - - - -PP- — wv.a. n..71./1WVL1W110 Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Rough Inspections • - - --- - - - --. _-..--..--^�...• •-�r��, •� u� �• �•+� � �F,�c.cu ii Date - - - - Inspector Initials - ._. ... .. ....... — I llc �LrvvC IIID CGLIVII, Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical rb \ 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. *Fnr Inw v^Rnnn --if- DL..,.... k- , *L. L _ -L v.11 L is I Hu viau lcl dHU eiecincal 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 - 201705927 'ERMIT NO: 201705927 ISSUED: 08/11/2017 JOB ADDRESS: 3560 Holland ST EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 20 sq 1** CONTACTS *** )WNER (303)847-8353 MOTISI ROSEMARY 3UB (720)209-4635 Michael Lindberg 140280 Pioneer Home Solutions k** PARCEL INFO *** 7,ONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,140.00 FEES Total Valuation 0.00 Use Tax 107.94 Permit Fee 140.90 ** TOTAL ** 248.84 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. The City of Wheat Ridge _ Third Party Form Check List Property Address / Pa Permit Number ,? �j > S 2,7 Permit issued Date�_1� — ®wner information Property Owner Information Property Owner Address inspector information inspection Company a Inspector Name Inspector Contact info_ ins ector Statement and Acknowled ement I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. x I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all Cit of Wheat Ridge Policies and Procedure and Manufacturer's recommendatio an flea ions. Inspector: G��Z Gate: Property �-- *i hearby acknowledge that cram the owner o cicnowieei ement the building referenced above and I give my consent for the listed third -party inspection company to {perform my roof inspection in lieu of the City of Wheat R'' �ttll IV Y11n$�3{tOn_ Propery Owner/Agent:: Date: 1 This original document and permit card, as well as the roofing check list, the Chief Building Official within seven days of the final inspection. must be submitted tc #drop off in person Permit counter 2nd floor 7,500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A `Pass ❑ Fail Structural roof components ❑ N/A L[} --Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A Pass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N -WA ❑ Pass ❑ Fail Verify sheathing nail pattern (Soo Policy & Procedures) R�Y/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A [� Pass /4 E] Fail Verify B vent must have boot same gauge as pipe ❑ N/A -Pass ❑ Fail Verify vent caps ❑ N/A _[a Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A 0 --Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle 14 N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage (d N/A ❑ Pass ❑ Fail Ice and water shield Z in heated wall spaces ❑ N/A ass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A (LPass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A i❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Reauire>rments N/A ❑ Pass ❑ Fail metal roof shingles shall not be installed on slope less 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" _Tile Roofs Reguirernents N/A ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name: L ct co / (-�L—C_ Inspector signature: Date of Inspection: lG? The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection ❑ N/A (] Pass ❑ Fail ❑ N/A O Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A Pass ❑ Fait Flashing for roof and walls ❑ Pass ❑ Fail if new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) RN/A Pass ❑ Fail Crickets and saddles where needed N/A ass [I Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass E]Fail Verify vent caps ❑ N/A ass ❑ Fait Verify no flashings are damaged or rusted N/A V Pass ❑ Fair Step flashing shall be min. of 4x4 piece per shingle N/A ❑ Pass F1 Fail Verify scuppers allow for proper drainage �-N/A ❑ Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fait Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ rail Dripedge should extend down min 2" past roof deck ❑ N/A Z Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC IN/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope '1/412 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's leiter of warranty with the address on the letter for final inspection Mew Roof Shingles Reguirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter j rib built-in at the flow line with sections overlapping a i a min. of 4" File Roofs Requirements 4 N/A ❑ Pass F1 Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: Inspector signature: Date of inspection: '- L City of Wheat Ridge Residential Roofing PERMIT - 201705927 M PERMIT NO: 201705927 ISSUED: 08/11/2017 JOB ADDRESS: 3560 Holland ST EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 20 sq *** CONTACTS *** OWNER (303)847-8353 MOTISI ROSEMARY SUB (720)209-4635 Michael Lindberg 140280 Pioneer Home Solutions *** 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: 5,140.00 FEES Total Valuation 0.00 Use Tax 107.94 k Permit Fee 140.90 ** TOTAL ** 248.84 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705927 PERMIT NO: 201705927 ISSUED: 08/11/2017 JOB ADDRESS: 3560 Holland ST EXPIRES: 08/11/2018 JOB DESCRIPTION: Residential Re -roof to install IKO Cambridge asphalt shingles - 20 sq 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 at�ttest that I am legally authorized to include all entities named within this document as parties to the work to be performed and;thafYiork to be performed is disclosed in this document and/fir itis' accomnying approved plans and specifications. Signature/of OWNER o(,,CDNTRACTOR (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 maybe subject to a fee equal to one-half of the original ermit 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 issuagranting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any applica eco or any ordinance or regulation of this jurisdiction. Approval of work is subject to f eld inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz 2oi7oqZ7 From: no-reply@ci.wheatridge.co.us Sent: Monday, August 7, 2017 10:31 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3560 Holland St Rosemary Motisi 303-847-8353 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Pioneer Home Solutions Name Contractor's License 140280 Number (for the City of Wheat Ridge) Contractor Phone 720-209-4635 Number Contractor Email Address mike@phsdenver.com Retype Contractor Email mike@phsdenver.com Address DESCRIPTION OF WORK Are you re -decking the No / roof? Description of Roofing IKO Cambridge IR Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 20 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? TOTAL SQUARES 20/ (pitched + flat) of all z roofing material for this project Provide additional detail house, 5/12 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 +'CD 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 Mike Lindberg Email not displaying correctly? View it in your browser. 3 H0 N1E S 0 C..Uj Fir^ NS C,., . I ...3;; Customer Lft F. Address 700 N. Colorado Blvd Suite 170 Denver, CO 80206 720 209 4635 phsdenver.com info@phsdenver.com - b 3 S3 Email -11 Cityt 7 r+� State ( ZipM�— Pioneer Home Solutions, LLC Lhereinafter "PHS") agrees to provide the labor and materials for US AA insurance ; Claim #�00-1-1- 9 1 S.3 with the approximate "commencement" of work the week of 1-106 VP (per terms). The customer gives PHS permission to speak and negotiate with their insurance company to establish a total Replacement Cost Value (RCV) for repairs. The customer has the right to rescind this contract within 72 hours of entering into it and can notify PHS of rescind via email, mail, or in person. // �afin _ g _ ear-o�ff,`` haul &dispose of existing roofing material stall pipe jacks _Install roof vents Install tidy' i u,..._ In the ColorIF i 1� ►� �11 felt paper _Install ice & water shield if required by city code and iry.accordance with claim _Install drip edge if required by city code and in accordance with claim _Clean up property Lrfetime workmanship warranty ** Customer is responsible for all HOA approvals on materials and colors ** Customer is responsible for coordinating and scduling any satellite dish remountingalignment and all r tion with their service provider Additional Work & Specifications to The total cost will be equal to the full and final Replacement Cost Value (RCV) as determined between the insurance company and PHS. Customer understands that if s/he has RCV coverage for these repairs, s/he will be out of pocket the deductible amount and if s/he has Actual Cash Value (ACV) coverage, s/he will be out of pocket the difference between the ACV and RCV. Changes (supplements, overhead/profit (O&P), permits) from the current RCV to the final RCV will be reflected in the insurance company's estimates and foss reports and are considered as updates to this agreement. The customer agrees to pay PHS in whole for these additions. The current RCV estimate for the specified work and materials for known damages is $ V 'ici . ot( and progress payments will be paid to PHS as received from the insurance company. PHS shall hold in trust any payment from the customer until the delivery of materials at the site or has performed a majority of the roofing work on the property. Make all checks payable to Pioneer Home Solutions Half down of RCV upon DELIVERY of materials $ ! i5 Z �. iS 2- Date Initials Remainder of ACV payout upon completion $ 1�0 Z t1• W 2 Date Initials Remainder of RCV, O&P, supplements, permit fees $ Date Initials FINAL TOTAL/RCV $ Date Initials Customer and PHS agree to the materials, specifications, terms stated herein, on back and supplements to this agreement. Customer PHS, by ?4N" , representative Signature Signature Date Date (��, /i ♦ 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: P v6- Job Address: 2.5'Cb JgOI,11-14, S Sr Permit Number: 0'7067CJ i. ❑ No one available for inspection: Time K.' `/s AM/PM Re-Inspection required: Yes When corrections have been made, call fforrrre-inspection at 303-234-5933 Dater r?~ Inspector: 2 c DO NOT REMOVE THIS NOTICE F W"E?Tp City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 - Office: 303-235-2855 * Fax: 303-235-2857 c o Inspection Line: 303-234-5933 OCORP~ Building Permit Application Property Address: y ,7~) /Ir7LG01),1 41 - Property Owner (please print): Mailing Address: (if different than property address) Address: State, Date: Cll! (q Plan Permit 6gCJldq i " g (It, 7)) Phone: . Contractor: 0 (/7,,G f e1J &395 J~~~f=' ~(J ~Ol(/Nyr Contractor License Phone: 3c>3 a / J 3,V9 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: 3f:~v (as calculated per the Building Valuation Data sheet) Description of work; Wee Plan Review (due at time of submittal): $ Sq. Ft./L. Ft added: Squares BTU's Gallons Amps. OWNERICONTRACTOR 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 other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) I PRINT NAME: Ir'FfF--Y- ~ i L°i~ SIGNATURE: ' .r.tQ ,PI✓-~+1-. Date: t1_ (y ~ 0'd r DEPARYME,NT USE'ONLY ZQNING COMMENTS ZonlRg: Rev(evten PUBLIC WORKS COMMENTS Reviewer BUILDING DEPARTMENT COMMENTS OCCUPANCY: Reviewer , lRE:DEPARTMENT-,: ❑ apprQYedw/.c,OmMents d~pproved ❑'noreview required Bldg Valuation: $ , DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) 9831 11/23/99 Property Owner: Property Address: 3560 HOLLAND ST Contractor License No. : 19898 Company: AVI, Inc. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 894-4870 Phone: 296-8551 Construction Value: Permit Fee: Plan Review Fee: Use Tax: I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed 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 DATE Total: Use: Description: Remove 2 layers, 22 squares, replace w/3-tab Tamko $2,600,00 $83.25 $0.00 $39.00 $122.25 SIC: BUILDING DEPARTMENT USE ONLY -- Approval: Zoning: Sq. Fl.: ......... Approval: ~--~- ""&_-- 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: This permit was issued in accordance 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 of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the wor\<. authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permIt may be acquired for a fee of one-half the amount normally required, provided 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 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 shall be done that will change the natural flow of water causing a 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 proceediing with successive phases of the job. The issuance of r~~proval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the Md;ng e "'/11 ;ord;nance, law, rule or regulaflon, (1) (2) (3) (4) (5) (6) DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 11-)] 7et 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPUC.t\TID N D""", (YI""lDI'\Z: 1S'/..o rJoll<>Vl.d d- l"1gq 8' Company: A V 1. [2.,)) I. n 'J OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Property Owner: Property Address: Contractor License No. : Phone: :503 f1V -. 'In\) t c'vtJr'J Phone: 3 0 3 J- '1 ~ - t! rn Construction Value: ~~ 0 Permit Fee: Use Tax: I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed 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 })AJ !J V~ DATE 11-). J . ~7 Use: j v v fl-<?"'^vl/~ .). lo..'j(r~ ~ ~~ ~/f~ .2J. 0 3 j.qh BUILDING DEPARTMENT USE ONLY Total: Description: {( cPl9 '-e faM Co SIC: Sq. Fl.: ~c)I1!lJg,~C)lllmE!IIts:i Approval: Zoning: mmi!l!!g~ Approval: eQPU~~t~~I'I~I~!!iI Approval: Occupancy: Walls: Roof: {Z. rv o~ 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) (2) (3) This permit was issued in accordance 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 BuildinQ Code of lNheat RidQe, 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 building authorized is suspended or abandoned for a periOd of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in tne 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 fora new pennlt No work of any manner shall ,be done that will change the natural flow of water causing a 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 proceediing with successive phases of the/'ob, The issuance of a permit or the appro_val 0 drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (4) (5) (6) Chief Building Inspector