HomeMy WebLinkAbout3750 Holland Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: �DI$C DC7
❑ No one available for inspection: Time
Re -Inspection required: Yes(' No
When corrections have been made, call for re-inspection/at 303-234-5933
Date:_3 ' �' Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Electric PERMIT - 201800300
PERMIT NO: 201800300 ISSUED: 01/30/2018
JOB ADDRESS: 3750 Holland ST EXPIRES: 01/30/2019
JOB DESCRIPTION: Upgrade service from 100 AMP to 200 AMP. Ground system, and label panel.
Add 2 circuit, 20 AMP, one for microwave and one for refrigerator in the
kitchen.
*** CONTACTS ***
OWNER (303)467-3498 DIX MARVIN
SUB (719)466-8565 Trent Urban 180020 The Wire Nut
*** 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: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfrmed 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
sub 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 maybe required to be obtained. Issuance of anew permit shall be subject to the standard
requirements, fees androcedures 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 ait shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cede 1i%any dman or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat -d
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(aci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date: /'
5 V [>
Plan/Permit
�)'Sb6
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: j��1�(j f �(� \ V�-��Q_(�L� '/Q4C�4)?��j
Property Owner (please print): M('UV�n Phone: 30 _y T -ZgL1�_
Property Owner Email: 1) �SQa-� ID +VV U_JP ,n Kj _ C e,{'Y-\
Mailing Address: (if different than property address)
Address:
Citv. State. Zio:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: \Y-�
Contractors City License
IaIT-TiT:31
hone: --llq L41 96 '(9S ce�
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): ��,�- ` 1�i Phone:
CONTACT EMAIL(please print):
Sub Contractors:
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 information on BOTH sides of this form
❑ COMMERCIAL b, RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE IK ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
UTT-r, Servs: �r�vr I� AnA Z A-AtP. J� '" ', Sts}E�,
P6- ` Z_ C; CC --1r? ZU- V, ( n,r rl\ %C, caaay��r<
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): �� ) DATE:
ZONING COMMMENTS:
Reviewer?
BUILDING DEPARTMENT COMMENTS.
Reviewer:
i.." P
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701913 Dix
201701913
3750 Holland ST
Residential reroof:
story 34.6 squares
ISSUED: 06/12/2017
EXPIRES: 06/12/2018
Install 1 layer Owens Corning Duration, 5/12 pitch, 1
* * * CONTACTS * * *
OWNER (303)467-3498 DIX MARVIN
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
* * * 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: 13,346.91
FEES
Total Valuation 0.00
Use Tax 280.29
Permit Fee 267.70
** TOTAL ** 547.99
*** 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 A1/2 -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's technical representative stating that "the application of the roof at
(proaect 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.
n
�.t
INSPECT&iV 4ECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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 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
Initials ,
Comments
SheathingL�
s"
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
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
Ilk
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 notification of your assigned inspection time window please email insptimere uest(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. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A s
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
% o _
Inspection Type:
`
Job Address:
3 75-0 1-70,1 647 S T
Permit Number:
?,®/ 7 O / 5� / 3
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes �No
When corrections have been made, call for re-inspd.291thou at 303-234-5933
Date: / Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701913
PERMIT NO: 201701913 ISSUED: 06/12/2017
JOB ADDRESS: 3750 Holland ST EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential reroof: Install 1 layer Owens Corning Duration, 5/12 pitch, 1
story 34.6 squares
*** CONTACTS ***
OWNER (303)467-3498 DIX MARVIN
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** 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: 13,346.91
FEES
Total Valuation 0.00
Use Tax 280.29
Permit Fee 267.70
** TOTAL ** 547.99
*** 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€1Ms 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'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 - 201701913
PERMIT NO: 201701913 ISSUED: 06/12/2017
JOB ADDRESS: 3750 Holland ST EXPIRES: 06/12/2018
JOB DESCRIPTION: Residential reroof: Install 1 layer Owens Corning Duration, 5/12 pitch, 1
story 34.6 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany m% approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pertormeco and that all work to be pertbrmed 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 accompanyingplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
1 This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is�sal3j` pt 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.
A+
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irtwrance e y rtAS to yw ca rt U 0 YM 6M Ci wA ttr W 3 .l asr4 &� s ?s ttr� r..4y ars&&ada
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5*0� art wv m's w cf m4 tentr i as �l camta. 4d twon, CJ Ftodkv. as i Gtetru Contractor, wa ` ,rata a rar eur?.$r* ,t
Poky wbutst by Ocg3 Y=' -mm),, a^4 C3 RWav based on : 4.a r -a et rates V mom' A� no additional cost to You mtttg ttIr MT
dftt`ntt'* arA f'f "Wad" w towenmatt-' ty Px" ase n0f W ct year 8W%Vd t3.'rar Stwutd your kuwzmot wripany ftY a NO roof
YOU WW awt be OWIpted to tt,is conuaet ardor Mey t'S'.cs �ID a., r t t revvr area-" w°i CEJ Rzcf,'g
eK Yesr _ ._. _ [sl of pf ,*pd st'rvle3
A, Repbm vM as ms4ed _ at Dom_._, Yu^ ¢
* Re nh dRmepg ww W W *udmes'.s as r*ee5,
hmatl -41�, taus w $"*
este Item
i kt$te"t9 Docking ;7`1S' OSB)
` j �tsi�i p'a� frauttt�t na@ted to rxtdt> - C.asx Liter., sti
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i ��� .��,y .��e�.n
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mg, juTwm
C-) Rtt0 1e¢ gems! tidy adaa corer a of $2 ,000
1 CJ Roofing W�' pw'de wodmaft'# Cvv at MM
f 1 MOe a mKWr. s*M of Wf yard for n"nove of any r -w9
( 1120wo-mar em night summatn:
Deductible: S_1
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'a, �4we» agal wo s+sarwci as aufe nsrze3m cc"s�wF. 4. a;y�a�i+a
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• t off hmby a0062e uast'or instn. f any ispat rwesentW" aead'a agent of Ca Roo-tlnp to abttain joy and ad nfarmatiom fWsnwy to rptpolAt V*
s#de+rert or my {oar! drm as well as arty worm mon to coffvlate ttnr furAng proctss fewfivt to at!tt dakh rwmbw RMW a
a Met hereby author at Jr4ror irtatrtxl C.1 R404 w petit erg to m rsat any tats Orales or thKu to bmh tray jogai betted Ano boatf at CJ Raot'utg.
• t (ftl herr via auttripe aatsk'a nstnrct CJ Rooaq to act ant airy four) Gtnerari Contractor for the ab"O MAMormt c¢.a^ aet=tnlser Oro anatt%ed my (ates)
mswm" asantaa ny to stases taw Catataomary 10% orert*W ar'd 14% prat t'a aciaedwhng and eoordmatxng any aro ail trades netad.
• Q Roofing man bm to trust any paymt m rewood from You taw mNatsa have btan des wed
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to
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7
Antoinette Kulick �y U )l -1 � 1 1 l
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 8, 2017 10:19 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
J
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 24-48 hours, 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. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address 3750 Holland St
Property Owner Name Marva Dix
Property Owner Phone 303-467-3498
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
C�
property?
It will need to be
provided at the time of
permit pick-up.
(�
CONTRACTOR INFORMATION
Contractor Name Elite Roofing
1
Contractor's License 130240
Number (for the City of
Wheat Ridge)
Contractor Phone 3032960361 r,
Number
Contractor Email Address hilda@elite-roofs.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Yes
No
Owens Corning Duration
34.6
Provide additional detail 5/12 pitch, 1 layer, 1 story
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 13346.91
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
2
r r
Ua
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 Deborah Sinclair
Email not displaying correctly? View it in your browser.
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P5 3750 Holland ST
86. go
APPUPERNIT NO: 201401198
VS 1 5599
86.88
A UTH C ODE: 0" 5 561
" FOTAL
86.8
PROTECT THIS CARD FRO
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number: 15419
Date: 4/29/2003
Property Owner: MARVIN DIX
Property Address: 3750 HOLLAND ST
Contractor License No. : 17590
Company: C J Roofing Co.
Phone: 467-3498
Phone: 394-2802
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 a . e II conditions printed on this
application, and that I assume full responsibility fo camplia ce with the Wheat Ridge Building
Code (U.B.C.) and all other appliea ~ at Rid e o~nce~work underthj:PT:~~-:,
(OWNER)(CONTRACTOR) SIGNED ~ "------nATEff
Total:
$6,800.00
$181.10
$0.00
$81.60
$262.70
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
IDi'0~tl)
Description:
TEAR OFF 3 LAYERS TO DECK, INSTALL DIMENSIONAL 34 SQ. 5/12
BUILDING DEPARTMENT USE ONLY
ZQrjihg Cc.;iilment~
Approval:
Zoning:
s-(H Id in!iComrllmts:
Approval:
,.,.... .. .."1'0\F.... ..<....... ~,,:> ,":'0'WW7""
l?ubli(:\Wo(~Pmml!.!l~$:
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:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject 10 the laws of the Slale of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has nol 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.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceedii ith succe . e phases of the job.
(6) The iss nc i or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
pro ns the 1 i er ordinance, law, rule or regulation.
Chief Building Inspector
COMMtJNI'TY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
. APPLlC4TION
Building Permit Number:
Date:
MAR;)IJ0 Ol.,L
3tSO i-\ol\,,~d"<;T
Phone:
<-f6 -, :5 '-/'1 g
Property Owner:
Property Address:
Contractor License No.:
Company:
C-::s 12.=1.:]
. Phone: 3.9,-/ L'BOl..
O'WNERfCONTRACTOR SIGNATURE OFUNDRRSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pennit application arc accurate,
and do not vioJate applicable ordinances, rules orregulanoDs of the City of Wheat Ridge or
covenants, easements orrcstrictions of record; that all measurements sho'Wll, and allegations
made arc accurate; that I have read and a8re~ to abide by all conditions printed on this
application and that I assume- full responsibility for compliance with the Wheat Ridge
Building Code (D.E.C) and all other applicable Ridge Ordinances. for work under
this :pemrit
DA#
Construction Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
TotaI:$
&600
(OWNER)(CONrRACfOR), SIGNEJ
DESC)upTION: lc.cr
::s Lc..'f c-rs
3; '-{ f
d~ { (^~kl(
0,,,-^c-'"""\s'O.",,- (
-4,
s)2-
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBU~ WORKS COMMENTS:
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)
(2)
(3)
This pexmitwas issued in accordance with tbeprovisions setforthin your-application indis subjcctto the laws of the State ofColonda and to the Zoning
Regulatimui and BuiJ.dinJ Codes of'WheatRidp. Colorado or any other applicable ordinances of the City.
This pCmit BhaIl expire if (A) the worle authorized is not commenced within sixty (50) days: from issue date or (B) thee bm1ding authorized is suspended or
abandoned for a period of 120 days.
Iftbis pcmrit expires, U.ew pmnitmay be acquired for a fee of one-halfthc amountnocnally requimi. provided no changes have been or will be made in
the original plmtl andspcci1icatiOIlB and any suspension or abandonme:nthas not exceeded one (I) year. If changes have been cd! suspension or ab.andomnent
eXceeds one (1) year, fuII fees shall be paid for anewpemrlt
No ~ ofanyInJ.l:lne;[ shall be done that will cha.n&e the natural flow ofwatm' causing a dninap problem..
Ccmiractor shallnotify the Builaing InspccWr twenty-four (24) hour; in advance for all inspcctioJ:ls andshall n:ce.ive written approval on inspection card before
proceeding with successive pllases of the job.
The issumcc ofapemdt or the approval of dnLwinp andspecmcatiCll1S sball natbe construed to.be a permit for. nor an approval ~ anyviola.uon of the
provisiom of the building codel or 1m)' other ordiDance, law, rule orregula.ti.on.
(4)
(5)
(5)
CbiefBuilding Inspector