HomeMy WebLinkAbout3682-3692 Allison StreetCity Of
Wheat'
COMM'CNrry DEVELOPMENT
Building & Inspection Services
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitspci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
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:
Property Owner (please print):D Phone: 3o3%4z �f7
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
Citv. State
ArchitectlEngineer: `f I 4�`
Architect/Engineer E-mail: 9Z Phone:_ •Ik-
Contractor Name: VC'Lv�_ �,e) 1,
City of Wheat Ridge License M Zt, b ZjA-
Contractor E-mail
q
Phone: -C)]LZA 2 37. +
;i� G ""! � - C.o w.'_
For Plan Review Questions & Comments (please print): �¢
CONTACT NAME (please print): Phone:_'303/41-X'3-1k'4
CONTACT EMAIL(please print):
OF
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: -gj cjjti4e j_2; A e(,ecjr <, 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
[RESIDENTIAL
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, applia. nce size and efficiency, typ1e and amount of materials to be used, etc.UJ'k T-�l b S-4 Ctv�' C��V��n
Sq. FULF
BTUs
Gallons
Amps . Squares For Solar: Kw # 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)
s eOO
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 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 provide4-m4h4-applic4li�n.
CIRCLE ONE: (OWNER) CC
Signature (first and hast name):
Printed Name: -7 C_6
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
DEPARTMENT USE ONLY
DATE: tl 7-3
ZO L
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
NW S010 :ZST-
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/T pee
/r�
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
Plumbing
Do Not Pour Concrete Prior To Annroval Of The Ahovp Incnpctinns
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Ivot over underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
r.. /,...
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
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 iow voltage permits — Piease 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
r r
Residential Roofing PERMIT - 201702084
PERMIT NO: 201702084 ISSUED: 06/19/2017
JOB ADDRESS: 3682 Allison ST EXPIRES: 06/19/2018
JOB DESCRIPTION: Residential reroof: INstall GAF Timberline HD Asphalt 44 squares + 2
squares flat roof, house 4/12
*** CONTACTS ***
OWNER (303)424-6490 APPIO ROSE MARY
SUB (303)913-6397 Kirk Johnson 170216 Energy Star Exteriors Inc.
*** 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: 17,914.00
FEES
Total Valuation 0.00
Use Tax 376.19
Permit Fee 331.10
** TOTAL ** 707.29
*** 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% -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€'"s 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 - 201702084
PERMIT NO: 201702084 ISSUED: 06/19/2017
JOB ADDRESS: 3682 Allison ST EXPIRES: 06/19/2018
JOB DESCRIPTION: Residential reroof: INstall GAF Timberline HD Asphalt 44 squares + 2
squares flat roof, house 4/12
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 [ 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
thispermit. I further attest that I am le,=ally authorized to include all entities named within this document as parties to the workto 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 original pen -nit 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 re uired
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.
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 insptimerequestgci.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.
kill
ick
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ecItridg
PePermit
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s CornmDev I x'03 AAA
inline Form Submittal.
Res'dential Residential Roofin rmit APPlication
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to ntracttorsatiorh is pplication
ex
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0WY FO/? p received plication in °NLYbein s1dential roofs and for lice corse
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docume s l/cerl MP�ET Np Wl_1 BE C pNTmits are Process ed and VSs MST
process dwithine h °e ins E nHe T RANSas gCT/ E1V ,q $PEC WREN YOUR p ?. ME
For 3_S b sn ss are issuedYouYou ired �d You Will e/Cot ed i�yoUr
all other r ahs sUbJecperchange
�t Per may update those ein9 U
a °meOwner equests_ to a gemits are currently b t
comp Nall. R �jshin9, to n based on volume,
Per ted son in s�Ons °brain
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REROp ANG ATjpN these types of request.. °m 7:3,-
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PR0 CJ/�T/� p OES N . 30
Pro PERT Y INFORM ERS/T HAS sE sT I T UTE A P
PenJ'Address '� T/per EN ISSUED ERMIT 00 Nor
1'r EG I
Prop,,, °Pe�Y Owner Karn 36$2.3662
lVy Owhcr pho e Rose Ap Allison St. Wheat t?idge
no pio , CO. 80033
��� �rty Owner 303_ �24`64g0
ss Ercall
DO Yo wetQ'r�
profra t oav ra signed �f coy 'oleted
It wl neY? reroof this yes
Protide cd to be
Permit pd Muth° til of
P.
16.
DNTRACTOR INFORMATION
:)ntractor Name
Energy Star Exteriors Inc.
:)ntractor's License
umber (for the City of
'heat
Ridge)
Dntractor Phone
3039218849
umber
ontractor Email Address
shai@energystarexteriors.com
,ermit pick-up
structions will be sent
this email)
etype Contractor Email
shai@energystarexteriors.com
ddress
ESCRIPTION OF WORK
this application for a
Yes
-w permit for a
sidential roof?
re you re -decking the
Yes
sof?
escription of Roofing
GAF Timberline HD
[aterial
elect Type of Material:
Asphalt
"Other" is selected
Field not completed_
)ove, describe here:
ow many squares of the
44
iaterial selected above?
roes any portion of the
Yes
roperty include a flat
)of?
yes, how many squares
2
the flat roof?
' AL SQUARES of all
46
material for this
Provide additional detail House 4/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract $17,914.00
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 shaila Garrard
Email not displaying correctly? View it in your browser.
3
Energy
8120 Sheridan Blvd. B-311
Star Westminster, CO 80003
h 303-93397
Exteriors /)��.1 �!s�i�7���` G��
Customer Zi U
Address
City
State 111.1-C9 Zip
Home Phone -�f, J _ �`�•`�
E
Roof
Cover/type/style
fin
Color
Remove
Base Felt
Valley
\.
/'1(^d� �✓'�
\ o r
CONTRACT
Date
Billing Address �li1
City
State Zip
Email
Clean up and haul off roof debris Gutter RemovaI& Replacement
Nail Magnet used around house
[� Protect Landscaping Job insured by ESE
r Driveway Inspection] Permit add cost $
fill Manuf. Ltd. Warranty yrs. Contractor 10% O&P $
Workmanship warranty: 2 yrs (Warranty terms apply)
Ridge
Decking -1st PcFree $50 Each After /`f"�
Metal Edge
Color
Pipe. Flashings
Vents
zI-C'LJ/)
Stack Caps
Make Checks P !J rto er $fir Exteriors Approximate' Date of e ice:
$ upon execution of contract/material delivery TOTAL$ f
An payment prior to commencement will be held intrust until Price90 good s ces
The materials aredelivered and the work begins) es f
(Balance) upon compleY'o ork" `Energy Star Exteriors rese s the right to file for supplemental insurance s w n
7 -/ter /]cessary, which shall become a part of this agreement. Energy Star Exteriors, as the
�/ J !r "V Eontractor, is entitle to the full 0&P provided by the insurance company.
INSURANCE ALLOWANCE AGREEMENT p,%
Customer authorizes Carrier to pay ENERGY STAR EXTERIORS directly for all agreed upon work. -may/ 14' (Initials)
Building Owner(s) (Customer) hereby retains Energy Star Exteriors (ENERGY STAR EXTERIORS) to repair/replace the roof and/or gutters upon the above stated property, contingent upon
ENERGY STAR EXTERIORS' receipt of Customer's insurance company (Carrier) approval and payment of said work. Customer understands and agrees that Energy Star Exteriors will review
said work proposal with Carrier's representative. Work will commence only after ENERGY STAR EXTERIORS and carrier agree upon the extent of,damages and the cost of repairs and
replacements. This agreement is for full scope of insurance proceeds not excluding deductible,
depreciation, overhead, and profit, therefore CUSTOMER'S OUT OF POCKET EXPENSE WILL BE CUSTOMER'S INSURANCE POLICY DEDUCTIBLE AND ANY NON RECOVERABLE DEPRECIATION for
work agreed upon between Carrier and ENERGY STAR EXTERIORS. AS PER CO LAW SB38, ENERGY STAR EXTERIORS CANNOT PAY WAIVE OR REBATE THE DEDUCTIBLE IN PART OR IN WHOLE.
Customer agrees to provide all necessary documentation for the claim, and any documentation necessary to facilitate payment from the Carrier or Mortgage Company. Carrier only pays for
installed materials. All surplus material is property of ENERGY STAR EXTERIORS. Replacement of deteriorated siding, decking, fascia board, ventilators, flashing, or other materials is not
included and will be charged as extra unless otherwise stated above.
Customer may be required to supply all electricity necessary for the work. Lien waiver submitted upon final payments. ENERGY STAR EXTERIORS is not responsible for interior personal items
. All work is to be completed in a workmanlike manner according to standard practices. The Customer hereby acknowledges that ENERGY STAR EXTERIORS may be subject to delays due to
inclement weather or material shortages, which are each beyond the control of ENERGY STAR EXTERIORS and therefore accepts any delays that may occur by one or all of these
circumstances upon completion of said work. Customer grants access to the property as is necessary for the setup and execution of work. Any changes from the above specifications
involving extra costs will be executed only upon written order and will become and extra charge over and above the estimate.
WARRANTY TERMS: Energy Star Exteriors agrees to repair any defect in workmanship for a period of two (2) years following work completion. ENERGY STAR EXTERIORS' liability is limited to
its cost to affect any warranty repairs. Warranty does not cover damage to roofs caused by lightning, gale (>50mph), hurricane, tornado, hailstorm, or other violent storm, impact of foreign
objects or damage to roofs due to settlement, distortion, failure or cracking of the roof deck, walls, or foundation of building. This WARRANTY is null and voi d if payment, or any other terms
of the contract have not been met. THIS WARRANTY 15 NON -TRANSFERABLE. All statements on reverse side apply to contract. /
!l / r
Accepted by Insured: ' ��
Insurance Co.: tell
Energy Star Exteriors Rep: l��
o Energy
� Star
v Exteriors
This contract and any agreement made pursuant thereto is between Energy Star Exteriors hereinafter referred to as the "Co." or "Company" and
the customer(s) named herein on the reverse side will be subject to all appropriate laws, regulations, and ordinances of the states of CO and the
terms and conditions:
1. UNDER THE RIGHT TO RESCIND, YOU HAVE UNTIL MIDNIGHT OF THE THIRD BUSINESS DAY TO CANCEL THE WORK TO BE PERFORMED, DAY ONE
BEGINS AFTER THIS CONTRACT IS SIGNED. If this contract is signed under insurance
proceeds, the homeowner has the right to cancel this contract within 72 hours after receiving notice from their insurer that the claim is denied in
part or in whole. Any monies paid by the homeowner will be refunded in full within 72 hours. 2.SHOULD DEFAULT BE MADE IN PAYMENT OF THIS
CONTRACT, CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (11/2) PERCENT PER MONTH (18% PER
ANNUM) WITH A MINIMUM CHARGE OF $2.00 PER MONTH, AND IF PLACED IN THE HAND OF AN ATTORNEY FOR COLLECTION, ALL ATTORNEY'S
FEES AND LEGAL FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT.
3.The Company is not responsible for unseen site conditions.
4.The Company shall have no responsibility for damages from rain, fire, tornado windstorm, or other perils, as is normally contemplated to be
covered by HOME OWNERS INSURANCE or BUSINESS RISK INSURANCE, or unless a specified written agreement be made therefore prior to
commencement of the work. S.The quotation or the face hereof does not include expenses or charges for bond insurance premiums or costs
beyond normal insu rance coverage, and any such additional expenses, premiums or costs shall be added to the amount of the contract.
6.Replacement of deteriorated decking, fascia board, roof jacks, ventilators, flashing or other materials unless otherwise STATED IN THIS
CONTRACT, are NOT INCLUDED and will be charged as an extra on a time and material basis.
7.The Company shall not be liable for failure of performances due to labor controversies, strikes, fires, weather, inability to obtain materials from
usual sources, or any other circumstances beyond the control of the company, whether of a similar or dissimilar nature.
8.If roofing and sheet metal work is involved, it is understood and agreed to that our standard roof guarantee, a copy of which is available in our
office, shall be acceptable and that all terms and provisions therein shall prevail, unless specifically agreed to in writing prior to the commencement
of the work.
9.The Company is not responsible for any damage on or below the roof due to leaks by excessive wind driven rain, ice, or hail during the period of
the warranty.
EXCESSIVE WIND IS 50 OR GREATER M.P.H. THE WARRANTY IS NONTRANSFERABLE.
10.1f material has to be reordered or restocked because of a cancellation by the customer there will be a RESTOCKING FEE equal to fifteen percent
(15%) of the contract price.
11.This contract or warranty shall not be assigned except by or with the written permission of the company.
12.IF THIS CONTRACT IS CANCELED BY THE CUSTOMER, customer shall pay the company fifteen percent (15%) of the contract price as liquidated
damages, not as a penalty, and the company agrees to accept such as a reasonable and just compensation for said cancellation.
13.THIS CONTRACT CANNOT BE CANCELED ONCE WORK IS COMMENCED EXCEPT BY MUTUAL WRITTEN AGREEMENT OF THE PARTIES.
14.PAYMENTS ARE TO BE MADE PAYABLE TO ENERGY STAR EXTERIORS: 1/2 UPON EXECUTION of CONTRACT or COMMENCEMENT OF WORK AND
BALANCE UPON COMPLETION OF WORK. OTHER ARRANGEMENTS MUST BE DISCUSSED WITH CREDIT MANAGER. Any payment s made by the
homeowner prior to the commencement of work, will be held in trust until the materials are delivered and the work begins.
15.If any provision of this contract should be held to be invalid or unenforceable the validity and enforceability of the remaining provisions of the
contract shall not be affected thereby.
16.ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, and
not relied on by either party, and do not survived the execution of this contract.
17.The maximum liability for the Co. shall be the original cost of labor and materials for the repair which customer agrees shall be a liquidated sum,
under any event of default of Co. herein.
18.During the duration of the work the customer's homeowner's insurance will be responsible for any interior damage as long as the Company has
taken appropriate action to protect the roof during the repair of the roof.
19.If there are any solar panels on the roof, the Co. will not be responsible for damage during the repair, so homeowner agrees to have solar panel
company take the appropriate action to protect it if necessary.
21.The Co. is not responsible for construction problems of your home. If pointed out and notified to our Co., we will try to assist you on correcting
them on a time and material basis.
22.THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE
PARTIES.
23. Co. Liability Insurance Coverage information available - Contractors Choice Agency, PO Box 13645 Chandler, AZ 85248 Phone 800-918-3584
M
City of Wheat Ridge
Residential Roofing PERMIT - 201702857
PERMIT NO: 201702857 ISSUED: 06/29/2017
JOB ADDRESS: 3682 Allison ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Dimensional 40 year asphalt shingles
with 31 sq.
*** CONTACTS ***
OWNER (303)424-6490
APPIO ROSE MARY
SUB (303)913-6397
Kirk Johnson
170216 Energy Star Exteriors Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS,
ME BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 10,748.40
FEES
Total Valuation
0.00
Use Tax
225.72
Permit Fee
220.15
AID
** TOTAL **
445.87
*** 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,�-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€'s 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
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 tl�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
performedd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
0
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 maybe 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 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 regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief BtriMing 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.
Residential Roofing PERMIT -
201702857
PERMIT NO:
201702857
ISSUED:
06/29/2017
JOB ADDRESS:
3682 Allison ST
EXPIRES:
06/29/2018
JOB DESCRIPTION:
Residential Re—roof to install GAF
Dimensional 40
year asphalt shingles
with 31 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 tl�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
performedd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
0
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 maybe 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 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 regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief BtriMing 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.
20 -7 O a ,�E s-?
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 4:07 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. W /C wwo-
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 Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3682 Allison St. Wheat Ridge, CO 8003
Rose Appio
303-424-6490
Field not completed.
144 S- : r.
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Energy Star Exteriors Inc.
?014897102 1?0
13039218849
Contractor Email Address shai@energystarexteriors.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email shai@energystarexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes V
11
roof?
Description of Roofing GAF Timberline HD
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 40
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.
z
TOTAL SQUARES of all
roofing material for this
project
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)
40
Main dwelling pitch 4/12
10748.40
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 Kirk Johnson
Email not displaying correctly? View it in your browser.
3
I* . - i CITY Ur WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: SOi►F
Permit Number: 00/ %D
❑ No one available for inspection: Time%' ' AM/�M
-
Re -Inspection required: Yes ( No
When corrections 3
ns have been made, call for re -inspection at 103-234- 933
J
Date:/ CP I Inspector: •./ r/ T—
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L V�
Job Address:'
Permit Number: %c,17r; 7,e 17
l r/
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
�
Date: ' /4f 7 Inspector:
DO NOT REMOVE THIS NOTICE
i _ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
No one available for inspection: Time o ��'U/ M
Re -Inspection required: Yes dNo
When corrections have been made, call for
Lopection at303-234-5933
Date:" f �- Inspector:
DO NOT REMOVE THIS NOTICE
..
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: 0 �1
Permit Number: €�
I �
MQ
t
ICY
❑ No one available for inspection: Time M M
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: LA,
DO NOT REMOVE THIS NOTICE
4' 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: 36A d0f,L,
Permit Number: P,016
tt
"2
T-7
0 No one available for inspection: Time�A /PM
Re -Inspection required: �Wes; No Se
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3,7- 1 Inspector:
DO NOT REMOVE THIS NOTICE
FOR OFFICE USE ONLY
City of mate; '.]R
,.
6 c
Building & Inspection Services i7fw#sort
µ
7500 W. 29P Ave., Wheat Ridge, CO 80033 Plan Review
{office: 303-235-2855 * Fax: 303-237-8929
Inspection twine. 03-234-5933
Building Permit Application
* Please com t 11a all highti hied areas on both sides of this fom. I"OOMP10tO SPOICations may not be processed.
Property Address.*
PLOPtrty Ownerplease print}: 4-22L�
r/0
Property Owner 'Email
ailing Address (if different than property address
Address: ,.
City, State, i
Architect/Engineer E-mai t Phone.,
�..,
Contractor:
Contractors Cit License
Contractor E-mail Address: Z/
Sub Contractors
Electrical. Plumbing: mechanical.
W.R. City license # W.R. City License # W.R. City license
Other City Licensed Stab. Other City licensed Sub:
City license # City license r#
Complete all information on BOTH sides of this form
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Quality, Design & Dependab"i'lity
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SPECIFICATIONS
Input Rating
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W h,S" x H 25�5`
W 4LS JF
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4 mded SKRAB ;mid
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3 sided SUB
1 w 41 „5" x H 28"S"
W 97.`x" x t'i 303's"
W 41.2,5" x H 3f.125"
Forged Iron Fronts
Side Height / Width I
Side, Height "Asidth 7
Side Height / widol
and Surround Doors
(enter Height
Center "eight
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Arched Forg
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24,815 1 39,05
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------ — ----
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Prilm'd ill Callada #.":
OEPA~T"NT()FPLANNING NO DEVELOPMENT Building Permit Number: 5793
. BUILOlN~ INSPECTION [)tV SION.. 235-2855
CIlYQFWHI;AT lOGE Date: 9/8/97
7500 \/VEST 29TH ENUE
WflEATRlOGE.(: 86215
,
prqperly OWner:
'Properly Address: 3682 ALLI
ContractorLiCe~No.: 17152
Company: Precise PI
Phone: 421-4996
Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDE STANDING AND AGREEMENT
I herel!ycei1lfytlilltll1e:.e\backdlati.ncesp\i)pQlled. by .~ application.... accurate,
and dallQl vi$le',8llpIIcabI8~, ~ ar.regu k>ns,lif IhaCIty lifWheat RIdge or
!lC>II8ll8!1l$. ~i1ij or~ lif~; that an asuremenl$ stwwn, and 1Il1ega-
mad<I....~_lha""re~. Blld . lC>aQlcIe aUcondlllons,printedanthls
appllcallqn,aricllhll!I~_fuU ,,', ,for,' wUhtha~tRldgaBuildlng
CClde (U.8.C,) Blldl!ilpIlMU1lPllIlOItbI$WhaaI Idga aid ncee, far war!< un~r this permll.
(OWNER)(CONTRACTOR) SIGNeD
Description:. REPLACE WATER HEAT R
Approval:
~ccupancy :.
Walls:
Electrical LiCense No :
Company:
Expiration Date :
Approval:
.
DATE
COhstr\lction value: .
Permit Fee :
Plan Review Fee :
UseTax:
Total;
$400.00
$22.00
$0.00 .
$4.80
$26.80
BUI DING DEPARTMI;NT USE ONLY
Roof:
Stories:
SIC: Sq. Fl :
Residential Units :
Mechanical license No :
Company:
Expiration Date :
ApproIIal :
.
(1) ~="'.:t==~:" c '::::r~=:r~~~~_oftheS\OlltolCOloradOandtotheZonlng
(2) ThlI pllI111il_ ~'(Althe WC>rk ouIhCI1Zad Is ~ _ sixty (80) daYsrmm Issue dale or (B) the bUIldIng IlUlhorize(IIs ~ or
(3) ~*,",,~"':r.,~'r ~~::-not~..::r==,~.=~~,:a.==
14)~=grJ;~~-=ruerwlll':';; naturalnowofwaterca~:~~.
(:ft"1::jJ"*theor~~;r.=s (2'::::==:::-to:::7~7;::,:m::=~
oIlhe any _ OnlInanca, isW,rula rogu/8tion.
~
Chi uilding Inspector
THIS PERMIT VALIDONL Y WHE SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234 933 24 HOURS PRIOR TO INSPECTION
r
Plum Ing License No :
COm any:
DEPARTMENT OF PLANNING AND oeVELOPMENT
BUILOING INSPECTION DIVISION. 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner: L ,4/" <; fl /7.L'
Property Address: 3 C'1'.:o.., h' //; 5 ,~" s-t-
Contractor License No.: /? / s-?. .
Company: /'t~<",;s-e /h.n/~'?..::L",<
Phone: '1).../- r f"'j? c:
Phone: /;Jllo ~ 5'-1
-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
1'~~
22.. .-
I hereby certify that the setback distances proposed by thIS permrt apPlication are accurate.
and do not violate applicable oralOances. rules or regUlations of the City of Wheat Ridge or
covenants. easements or restnctions at record: that all measurements shown. ana atlegabans
. maoe are 8COJrate: that I have reao and agree to abJde by all conditions pnnled on this
application. ana that I assume full responsibility tor compliance With the Wheat Ridge Building
Code (U.8.C.) ana all other applicable Wheat~' ge oralnan~s. for ~nder thiS pennrt. .
(OWNER)(CONTRACTOR) SIGNED .~ ~~- . DATE .
Use Tax: S?-".5
Total: ;l 2- ~
Description: rykc { /z~'
/,..p,(1C~"7 ~r (I..., ~'<: '/:<.:>'''-'
BUILDING DEPARTMENT USE ONLY
L!.I)l I-...t .,.
Approval:
Zoning:
:f.I'I'~!./..JJ.~
Approval:
. PlnIlr~W~jltdl_C...It(lIllli1a~
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units :
Plumbing License No :
Company:
Mechanical License No :
Company:
Electncal License No :
Company:
Expiration Date:
Approval:
..3 cP)liis~ulr8Cl~
Expiration Date:
Approval:
~ :. POOls RiRlulred.- .:..1
Expiration Date:
Approval:
. ~ulrtllf.J:iOll
11)
(2)
(3)
This permrt was iSSued ." .ccoreance Wltn the pt'CMSsOnl sel forth In yOPUf .ppbCabon and IS sUDfec:t to the Iawa of the Stare Of C0br8do ana 10 the Zoning
Regulations ana 8uildlng Cooe of 'NIl.at Ridge. Co:oraao or any OUler apPlICable orcln.nees of the City.
This perm" snaJl expire rf (Alme wont.umonzea IS not commenc:eo Wltnln Sixty (60) dayl from l$Sue dale or (8) Ihe budding .uU1OnZea Illuapenc1ed or
abandoneo for a penoo of 120 daya.
n thiS permn eXPires. . new permit may De KQUlreQ for. fee of one-h.11 the .mount normally reoUlred. pr'DVIGed no c:hanoa nave been or wiU be rMGe ... the
ongznal plans anCl specrficabOns and any SUspenSIOn or .oanaonment nas not exceeoeCl one (1) year. It cI1anga Ire m1d1l or if auspenatOn or 'oancIonrnenI
exceeclS one 11) year. full fees snail be 0110 fOr. new oennn.
No WOf)( of any manner snau be aone that Will ChanQe tne natunll !\ow of water cauSing a draInage problem.
Contr;lc:tor snail notify the Building lnsaeaor twenty-lour (24) houl1i In aavance lor all Inspections .00 shall recerve wnnen approval on lnspeaon cara before
proc:eeollng wltn SUcceSSIVe pnases 0' the lOti.
The lSsuanc.e of a permit or the approval ot arawlngs ana soeaficabons snaU nol be construed to De a penm for, nor an approval 0', any VlOlabOn of Ihe Pl'OVWOna
of me DUlIOlng coaes or any O[f'ler orOlnance. law. N;e or regulatron. .
14)
15)
161
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
"~."\~~~,..,,,,,,,,,,~_,,,,,,~JJ,....~,,C',,",,,,,.,.~_..~~
. · ..,'. .' . . A_DEVELOPMENT Building Permit Number: 4294
ie.' ,',i ~_23S-2856 . Date: 12/3/96
GO_iS
ii' i :',;'
'-"'f ;'''/'-~',
,";'i:i'"
1;<
'>a'Y', '" . ", .,
.:....p.,.' .itf.,OWn8r'."~"':""
-:.', ....,...,.,......'. ..... ..'....... ...........
'. ~ MdI.ss : 3882-92 ALLISON ST
Conlr~" No, : 17865
" ~ny: Lakeside Heating Co,
Phone :
Phone: 421.$72
,'",,-,
','.'
~ '" '
:~e':;] f~;$88::
Plan RevIeW Fee : $0,00
,.~..~;, . ,.,~8,OO
if :":~;." .,,:r-j<r',~'-~_~ .....l,1: ',.E
'., rbt8l ~ t.;i! . ;136,00
.' tl'_~IIptiQlt:
.......-..'...."..
.',..~.".,.
,;::<-".<"..?:,.. ,!" ..
:., ~1n9;'
REA.AcE ,8QILERS
" ,it """ '" ~
, .
BUltOiNG DEPAR1MENT US!! ONlV i
SIC:
Sq, Fl:
.A...... .
':W'lfCll!IRIlo
Roof:
$tpries :
Resjde/llllII Unibs:
;L,';,'-'~: ", "";:;"',.."" ::,,:,.1:..'>' ':"::";~~;:\ .,:+:':;'."" ,:.~ ...-
~. !1:ic'leftSa'I'fO: .
~., '
Plumbing License No :
Company:
MechanIC8I L.lcense No':
Company ~
Expiration Date :
Approval:
.
Expiration Date :
Approval:
.
'. 'nI"~
1'Hi8 _if 'lAUD OIIiLv WHIH SIGNED BV THE CHIJ5F BUILDING JN$ftKTOR AND MAYOR
. . . . . .~: 234...U4H0UR8PRJORTOINSt't:CT!ON .
'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:
~~~
c5'~'5"2-- '1-:2- -a/~--V-'
1'11565
z,,?~/Y~~,
Phone:
Phone: .y'02 /- 3572-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: <1':;06, .0 U
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~~d ~ -t:?o-'1:!'TE /;l.J~/?;;
Description: ~/ ;218~d~ ~t!!'~r
BUILDING DEPARTMENT USE ONLY
Total:
!;oi1ID~omn.ffftts~
Approval:
Zoning:
BJjIRJj~qi)m!Jfi[nts-;]
Approval:
1'.llliUc1~omm!!lts;]
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:
!lBlaif~Rilifi'Il~~
JjiJ '..',... qL..
Expiration Date:
Approval:
. IP.I~~!~
Expiration Date:
Approval:
11 !1~J~n:lIlB~ljAlj_
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject 10 the laws of the State of Colorado and to the Zoning
Regulations and Buildina Code ofVVheat Ridge, 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 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 now ot 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 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 or regulation.
(4)
(5)
(6)
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