HomeMy WebLinkAbout4430 Allison StreetA 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: L q -� 0 Ali) S a n9
Permit Number: -, p / I U V7 / !
O f G C) e c 6v
�CIr�e.
0 C A) U10A
y1! _NSr C Q1J
U No one available for inspection: Time;! A /PM
Re -Inspection required es,, No�� t .
When corrections have been mare, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: �" �3" Inspector: V
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
,.
Residential Roofing PERMIT - 201702711
PERMIT NO:
20170271.1
ISSUED: 06/27/201.7
JOB ADDRESS:
4430 Allison ST
EXPIRES: 06/.27/2018
JOB DESCRIPTION:
Residential Re -roof
to install
Malarkey Legacy Dimension asphalt shingles
with ROOF DECKING -
18 sq.
*** CONTACTS ***
OWNER (303)888-7902
MONDRAGON KATE L
SUB (720)352-2916
Phil Crout
170290 PJC Construction
*** PARCEL INFO ***
ZONE CODE:
UA / [nassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/liOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 6,032.25
FEES
Total Valuation
0.00
Use Tax
126.68
Permit Fee
156.75
** TOTAL **
283.43
*** 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 Alga -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 JLs
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 manufacturers€'"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.
696
4-M/�'�l��m'i � INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occupanc.�y�e
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
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
d {7
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
/ y j -
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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: jf D /'
Job Address: 4 V 3
Permit Number: -a. �) I % 0 -) -I / I
f- ivYP
❑ 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:_ Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
` Residential Roofing PERMIT - 201702711
PERMIT NO: 201702711 ISSUED-. 06/27/2017
JOB ADDRESS: 4430 Allison ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy Dimension asphalt shingles
with ROOF DECKING - 18 sq.
*** CONTACTS ***
OWNER (303)888-7902 MONDRAGON KATE L
SUB (720)352-2916 Phil Crout 170290 PJC Construction
*** 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: 6,032.25
FEES
Total Valuation 0.00
Use Tax 126.68
Permit Fee 156.75
** TOTAL ** 283.43
*** 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 manufacturer&€"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 - 201702711
PERMIT NO: 201702711 ISSUED: 06/27/2017
JOB ADDRESS: 4430 Allison ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy Dimension asphalt shingles
with ROOF DECKING - 18 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 perm urther atte t that I am legally authorized to include all entities named within this document as parties to the work to be
perform an th�te`be performed is disclosed in this document and/or its' accgmpanying approved plans and specifications.
Signature of _MNER' or CONTRACTOR (Circle one) Dat¢ l ' `
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 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 frothe Building and Inspection Services
Divifrom the
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.
. � t Jltt,. •
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 insptimerequestgei.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
r
t "�'• Rating
PJC CONSTRUCTION -HONESTY, INTEGRITY & RELIABILITY Saa
Il01ncow,fiet iL €i. ;v b -
_ .w �'tobilt... llatne 1 1nai1 Ic�Jit+ tft#,�Q:ate
Datz "�t ; Pro e:7v :address `�'C#( Sot'
p - r I _.. _City rfttC�. Lip
Approximate Date of Loss _ z Damage resulting from wind, hail or other
- -- l ---
1 am the owner of the above mentioned property ("Homeowner"), and I hereby
authorize PJC Construction ("Contractor") to provide my restoration services in accordance with the terms and conditions set forth in
this Agreement. It is estimated, based on the initial inspection, that my restoration services proposed by Contractor will cost
approximately S_.._....f.. ;)G .._._.___ _._..__. Please note that this constitutes a rough estimate of my total job cost. The total cost of my job
is subject to change, based on any supplemental claims made to my insurance company and/or adjustments made to my claim by my
insurance company. Contractor can't assess the exact final amount that will be settled until my work has been completed. I'm aware
that I am never responsible to pay any out-of-pocket expense other than m}y policy deductible. I understand that Contractor will utilize
its insurance claim expertise in settling the amount of my claim with my insurance company. The payments that I will receive will
reflect the amounts that Contractor has settled upon, and I will endorse and make payable to PJC Construction all payments that I
receive for my claim, for work that is completed. If applicable, I understand that if my claim contains any amounts for Contractor
"Overhead and Profit", these amounts will be paid to PJC Construction. Initial 'payment ("ACV") is due upon delivery of my
materials, and the final payment ("Depreciation") is due within 3 days of my receipt. All original checks received from the insurance
company shall be endorsed as follows: "Pay to the order of PJC Construction" followed by my signature. My deductible will be paid
to PJC Construction, upon completion of my restoration work. I direct my insurance company to include PJC Construction on any and
all of my checks or other instruments issued in payment of my claim. PJC Construction is also hereby authorized by me to discuss this
specific claim and payments issued for it, on my behalf, with my insurance company and my mortgage company.
Scope of work: PJC Construction will install all materials & complete all labor in accordance with the specifications outlined below,
and the entire scope of the settled insurance claim will be completed, unless otherwise stated,
1, - �
Shingle Manufacturer " `+ ✓} '" Year ` 1 `' Color "1(T6t
f4/Tear off all existing layers [ an out all debris from gutters
Install decking (7/16" OSB} Ay P ��1 i0
[ i g [ emove &haul away all debris from premises
[ nstall new felt ? ri ( 4,I stalI gutter & downspouts - Color 3 C�
_.__
f Install eave/rake drip edge per code - Color T R l? t [+Make a magnetic sweep of the yard and
[ q install new pipe jacks & vents driveway areas to remove displaced nails
[I''install 6 nails per shingle=year
and post a city work permit
WRe-flash chimneys & headwall metals, as needed, per code workmanship warranty
Insurance company 1 C�- C 0
Agent name/phone#
Mortgage Company_KA rC�0
Approximate start date (/,y,_ l t�
Additional terms or special instructions:
Claim#
Adjuster namelphone.#
Account #
Approximate comple€ion date
This agreement is not iwlid if the insurance company does not agree to a fall roof replacement.
1
rte'
Date of Acceptance It € t r
Signature 't t A",
PJC Construction Representative Y - Signature_:_ - -
1633 Fillmore Street, Denver, CO 80206 ,. www.pjc-construction.net
Phil• direct 720-352-2916, hil!�z`oicconsiructit>n.net //Jake: direct 720-364-8365, jake.c ,.picconstruction.ne€
Dan Schultz 2 6 707-7/1
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, June 1S, 2017 7:S2 AM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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. WW Ver
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 4430 Aliison ST Wheat Ride CO, 80033
Property Owner Name Kate MonDragon
Property Owner Phone 303-888-7902
Number
Property Owner Email Ioftusginal2CaDgmail.com
6 i�)-fi3. 47S
C_
Address
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
PJC Construction
170290
7203522916
Contractor Email Address loftusginal2(a1gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email loftusginal2(cDgmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing MALARKEY LEGACY, DIMENSION
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 16
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?
K
TOTAL SQUARES of all
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
18
Residential house
Project Value (contract0 2
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 PHIL CROUT
Email not displaying correctly? View it in your browser.
3
a i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(306) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
one available for inspection: Time /1Z AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Dater ! °/ 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: P b F
Job Address: w f 3 0 A// i s e a S T
Permit Number:
A)nfaFPtoL �
dJ U Lr 1) n -�- il, ® N S) c=
❑ No one available for inspection: Timq � --% 5 AM/PM
Re -Inspection required es No �',a �! -At- %C
*When corrections have been made, call for re -ins ection at 30 -2345933
Date: �- (/ '/ Inspector:
DO NOT REMOVE THIS NOTICE
City of,
40' -heat f �4"C'1'5-
c'1(Cm'v-1()NFF'Y DFY[ -011ME,
M �*��* �
j� io I I . I t I #
TTM. ##1
i 11 111111 11�11 1:111TIE1111 111111117
1♦ 11 1 1 M I I I I MIMI 1•1 1 1 11 1 1 1
Property Address: 4430 Allison St Wheat Ridge, CO 80033
FOR OFFICE USE ONLY
Date.
PlanlPemit
Property Owner (please print): Kate Mondragon Phone: 303-888-7901
Property Owner Email: not available
SIMON
i# i
Address: Same as Above
ArchitectlEnaineer, N/A
Contractor-Thd at Home Services, Inc
Contractor E-mail Address: copermits@gmaii.com
Electrical:
W.RCity License #
Plumbing:
WR City License #
Phone:
Complete all information on BOTH sides of this form
Q NEW COMMERCIAL STRUCTURE El ELECTRICAL SERVICE UPGRADE
El NEW RESIDENTIAL r r COMMERCIAL
0 COMMERCIAL ADDITION ! . ROOFING
RESDENTIAL 'Di • REPLACEMENT
ACCESSORY0 COMMERCIAL w.#e shed, deck,
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,)
0 MECHANICAL c sr x,. REPAIR
rr a r or REPLACEMENT
*SYSTEM/APPLIANCE REPAIR #.: REPLACMENT
E ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
Els.« #...
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
amount of t be .. ,.
Replace "windows,` for like in existing i•' •
Sq. FULF Gallons
_-.__._.._ .. .__._..._..._..._.,�...._..__ lett
Amps __ __�_.._.....„.._.__.._. _ , ._. Squares
I
�
!Sig 81 -81
�
C,
c
40�
c
"C'
lz� —
c—
rq i
C�
r�
f4
f,4
0
jc+
12
txr
t
r4
M, m M.
4)
ok
E
C.
to
E
cd
rz
m
mt E
EG
E
44
-E
0r
f
2 cl
cr
ur
I
.r
• � rt � # s
Buil ding Permit Applicatio
highlighted (Complete MLI
Property Address: e
Pronattv Owner to lease Drint) ZVI 6 64C P hone: ,. � &W . 9
-- _ mom. ;,,
Mailing Address: (if different theca property address)
.;-
Permit
City, State, Zip:
U
EM
/%4 S /4/ K,
.
Review Fee (due at time of submittal).
... Valuation: $,
r, INA
WXCTION R CORQ
ttt
`INSPECTION LINE: (303):04-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
,
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath/ Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
,
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
""NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of Wheat Ridge
Faxed Roof Permit PERMIT - 102569
PERMIT NO: 102569 ISSUED: 11/12/2010
JOB ADDRESS: 4430 ALLISON ST EXPIRES: 11/12/2011
DESCRIPTION: Reroof 23 sqs with GAF Timberline shingles
*** CONTACTS * ** �
--
owner 303/888 -7902 Kathleen Mondragon
sub 303/753 -0505 Teresita Morris 09 -0367 In -Ex Designs
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0311
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,911.00
FEES
Permit Fee 140.90 ,
Total Valuation .00
Use Tax 106.40 D im
** TOTAL ** 247.30
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. 6 nails per shingle is
required. Ice dam membrane is required from eave edge to 2' inside exterior
walls. Board sheathing with any gap greater than 1/2" requires panel sheathing
overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that
cannot be performed due to inclement weather must be cancelled prior to 6:30
a.m. on the day of inspection or a re- inspection fee will be assessed.
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 wor under this per t. Plan subject to field inspection.
1I a 0� to
Signature of contractor /owne
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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 not
exceeded one (1) year. If changes have been 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 proceeding with successive phases of the job.
6. 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.
All plan review is subject to field inspections.
Signature f Building Official date
INSPEC IO REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUEu S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Nov 12 10 04:36p IN- EXDESIGNS
33034620007 p.1
♦��I
City of
f Whe-;at Date:
COMMUNITYDEVELOPMENT Permit #:lQ`�
Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303 - 234 -5933
Facsimile Building Permit Application
Property Address:
Property Owner (please print):
Mailing Address: (if different than property address)
Address: — o+h2F' .A-'P, A-Lfb!
Phone:, 3nA– k
City, State, Zip:
Contractor:
Contractor License #: YO-192 Phone: A _ 1,t3 -Q 3- In 2 r
Sub Contractors: I ^ x _5� . 2"✓
Use of space (description):
D ��J/gg sc � ri i i ork •
/ y. - QO//A. A time
-�y� Plait Review (due at of submittal): $
Sq. FfJ Ft added: Squares / BTU's Gallons Amps
OWNER/GONTRACTOft SIGNATURE OF UNDERSTANDING AND AGREEMENT
hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or,
all O's of the City of Wheat Ridge or covenants, easements or restrictions of record; that afl 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 appricable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESEN ATIVEof(OWN ) ( CONTRATOR) J
PRINT NAME: m- /vKJArJ[.Y1 SIGNATU
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer
BURRING DEPARTMENT COMMENTS:-
Reviewer.
OCCUPANCY:
FIRE DEPARTMENT.: ❑ approved wl comments - 13 disapproved ❑ no review required I _ SIDg Valuation: r . J ( I I . vv ,
DEPARTMENT USE ONLY
Credit Card Paymen U e credit card listed on tile.
Print name. (,er a.5 (VW-1 Signature:-
88080
FLOOR
APT. NO.
OWNER 0
I'SPECIFY
OTHER 0 ~/,. J;j-
- WARNING -
THE CONDITIOIt FOUND, AS SHOWN BELOW, IS NOT IN COMPlI CURRENtlY ACCEPTED PRACTICES AND
PROCEDURES AND COULD CREATE A HAZARD. CORRECTIONS SH D BE MADE BY A QUALIFIED CONTRACTOR. CONTACT
YOUR LOCAL BUILDING DEPARTMENT FORfODE,AND PERMIT R EMENTS PRIOR TO PERFORMING REPAIR WORK.
-6CTION TAKEN
~O SHUT OFF
APPLIANCE OFF
o BOTH APPl. & METER OFF
o METER SHUT OFF
DATE
.,,'"\. \ ......
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: /J. el-l;rf
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address:
Contractor License No. :
klc:r.fl1A-X(/::{Jk.;<h- SV1-N6
i/ ~3 tl ,4 t;.,s Pv ..5..1".
c200~&
Company: 0/"11 '{ N I{, I+I [/V} c.<4c~ C"'/ S6(ty/ tit:..
Phone:
Phone :3/)5. ')7,} - 'f J. 7 ~
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: ':2-- ~~1J1. LJ'~
r
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 a~ree 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 ~~t RidJ..e ordinanc:,es, for work under this p.:,rmit.
(OWNER)(CONTRACTOR) SIGNED ~~ 1'.:.:>-dd":./V,(,Ul~ DATE ,4, / ; f
.
Permit Fee:
Use Tax:
Total:
$0.00
Use:
Description:
fC('t..t1--L.-.6
i" ~ (2.M /'t-t:6
f tP ~ vI) c fJ ;-vl
I
BUILDING DEPARTMENT USE ONLY
~!)~nlO~omm'Oll~.1
Approval:
Zoning:
ID.I.1Rffn~()romen~~
Approval :
e!!m~.Qt~~_o.l1JlJJ~n~
Approval:
Occupancy: Walls:
SIC:
Sq. Ft:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval :
Expiration Date:
Approval:
(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
R~ulations and Buil~l"9. Code of Wheat Rid~e, Colorado or any other applicable ordinances 01 the City. , ,
This permit shall expire If (A) the wor1( authonzed Is not oommenced within sixty (60) days from Issue date or (B) the budding authorized is suspended or
aba~oned. for a ,period of 120 days. . ,. .
If thiS permit explres, a new pelTl\lt may be acquired for a fee of one-half the amount normally reqUired, proVided no changes have been or will be made en the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. II changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No wor1( of any manner shall be done that will change the natural now 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 lob.
The issuance of a permit or the approval of drawings and specifications shall not be oonstrued to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, Nle 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