HomeMy WebLinkAbout3755 Dudley StreetPERMIT NO:
JOB ADDRESS.
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT
201703236
201703236
3755 Dudley ST
3755ResidentialISSUED
Re-roof to install EXPIRES*:07/05/2017
ROOF DECKING Owens
- 42 sq, Cornin 07/05/2018
*** g Oakridge asphalt
CONTACTS *** shingles
OWNER (407 with
SUB )697-7289 MEYER ADAM T
(303)940-7238 Jeff Hillyer
*** PARCEL 090042
ZONE INFO *** Citywide Roofin
CODE: g and Exteriors
SUBDIVISIONUA / Unassigned
CODE: 2406 / BEL
AIRE,HILLCREST HEIGHTS USE:
***
FEE SUMMARY *** ' ME BLOCK/LOT#k: UA / Unassigned
ESTI /
Total Valuation MATED PROJECT VALUATION:
Use Tax FEES ON: 14,075.25
Permit Fee 0.00
** TOTAL ** 295.58
283.55
579.13
*** COMMENTS ***
CONDITIONS ***
Effective December
inspection, conducted 2014, asphalt
approval d when 25_75 shingle installations
Installation of percent of the require an a
Prior to installa roof she athi roof coverin pPr°ved midr°of
or board tion of ANY roof ng (new or overlay) g is installed,
she, with AN cove Y) requires an prior
required gap exceedinngs and approved Inspection
final
water to be fastened to the g one half require on the entire pection
shield is roof deck inch exists, e roof when
the roof required. Eave with a mi Asphalt shin spaced
eave and secured in and rake minimum of 6 nails shingles are
Roof ventilation is metal is required. per shin
ins tallat' Place is required A ladder shingle.
Ice and
required to to be provided for r extending 3 feet
Of elastomericnstructions, whicheveply with above
applicable codes and/or 11 roof inspections.
manufacturer or
similar type roof is more strin manufacturer
urer technical coverings gent' In order to
address) has been represent gs' a letter of pass a final
matermaterial applied ative statin inspectio ins
ial brand nan.me) roof covering,, accordance with thetinstaltheapplication o inspection
fromthelation f t roof at (pro.
ng is required to be instruction (project
on site at the time of for
%/ (' .7 r -3 4 - Occ c /T e
ION RECORD
;' f -�,�, ,; •, !' INSPECT ection
ci.wheatridge.co.uslinsp
ONLINE FORM http:llwww. 303 234-5933
INSPECTION INSPECTION RE-QUaST LINE: ( site.
osted on the project
erformed unless this cardis p the following business day.**
Inspections will not be per
(midnight) to receive an insp
`Request an inspection before 11:59 P.M.rp ect
Must Sign ALL Spaces pertinent to this p )
Inspector Mus 9 - Comments
inspector
indation Inspections
Date Initials/
icrete Encased Ground (CEG) COV The A
ova 1 p tions
indation 1 P.E. Letter Co mem
po Not Pour Concrete Prior
roundInspections Date Initials
nderg
ectrical
ewer Service
dumbing
Do Not Cover Unde
Rough Inspections
Wall Sheathing
Mid -Roof
Lath I Wall Tie
Rough Electric
Rough PlumbinglGas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
p,ywallScream
Final Inspections
or Belowlln"Slab Work Prior To
Inspector
Date Initials
in & Parking I Planning Dept.
Landscaping
e 1 Public
ROW &DrainagWorks Dept
Floodplain Inspection (if applicable)
Fire Inspection I Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
6j—The Above
Comments
Inspector Comments
Insp requested
Date Initialsshould
parking
Inspections from these entities shoal and p
one week in advance. For landscr g actions
inspections call 303-235 2861. For ROW P t drainage
inspections call 303 2 our project.
contact the Fire Protection District for y p -
Roof
Final WindowlDoors Fire and Building before a Certificate
Final Building roved by Planning,
Public Works, ancy.
st be completed and app wilding inspection does not constitute authorization of occu
NOTE: All items mu d A prova1 of the Final B leted from the Fire District and electrical low voltage
of Occupancy is issue P h inspections are comp
e permits — Please be sure that roug Occupancy Is Issued
*For low voltag p
by the Budding Division. This Card From The Weather
is Not Permitted Until A Certifica e o
occupancyProtec
M
l 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: JV t Fv
Job Address: 3711 [�
Permit Number: '2L,/
❑ No one available for ins ection: Time I ; / A~ /PM
Re -Inspection required: Ye No
When corrections have een made, call forge( -inspection at 303-234-5933
Date: 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: �5
Permit Number: GY7Q,32,3
❑ No one available for inspection: Time AM/�M�
Re -Inspection required: Yep' No,-,,-,/
When corrections have been made, call for re -inspection at 303-234-5933
Date:1,/)' /?-, / 7 Inspector: �0.x/
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703236
PERMIT NO: 201703236 ISSUED: 07/05/2017
JOB ADDRESS: 3755 Dudley ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge asphalt shingles with
ROOF DECKING - 42 sq.
*** CONTACTS ***
OWNER (407)697-7289 MEYER ADAM T
SUB (303)940-7238 Jeff Hillyer 090042 Citywide Roofing and Exteriors
*** 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: 14,075.25
FEES
Total Valuation 0.00
Use Tax 295.58 PAID
Permit Fee 283.55
** TOTAL ** 579.13__..._. _ _-
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201703236
PERMIT NO: 201703236 ISSUED: 07/05/2017
JOB ADDRESS: 3755 Dudley ST EXPIRES: 07/05/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Oakridge asphalt shingles with
ROOF DECKING — 42 sq.
I, by m 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
rm
perfoed 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 permit 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 i e 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
appl ab ode or any ce o rig lation 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 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.
Kimberly Cook
From:
no-reply@ci.wheatri dge.co.us
Sent:
Thursday, June 22, 2017 1:44 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 5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3755 Dudley Street
Adam Meyer
407-697-7289
adamtmeyer@hotmail.com
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
Citywide Roofing and Exteriors
090042
303-940-7238
Contractor Email Address permits@citywideroofingandexteriors.com
Retype Contractor Email permits@citywideroofingandexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Yes ✓
Owens Corning Oakridge
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 42
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.
TOTAL SQUARES of all 42
roofing material for this
project
2
Provide additional detail This is a residential home, the roof is roughly 4000 sq ft, with a
here on the description of 6/12 pitch.
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 43678 9�'� ,�
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 Robert Crossen
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Roofing & Exteriors C111—Ml- R -0 -IG nroannn.
i1 r SrFuPr
7808 Cherry Creek South Drive, Unit 202 • Denver, Colorado 80231
Tel: 303-940-7238; Fax: 720-638-9478; e-mail: cre@citywideroofingandexteriors.com
1 /
Property Owner: /1 Wa4,n FUj-�l7' Email:
Date: �21 7 Phone l: (0 q - 7 Z k Phone 2:
`
Street: City: tvs" i State: Zip:
We propose to fumish all materi�n�aborcompleted in accordance with the specifications below fQ04he sum of _ fZ� insurance claims. With your
approval. CityWide Roofing & Exteriors, LLC (hereafter the "Company") will perform the repairs or replacements specified by (A) you: or (B) by your insurance
company for Insurance approved proceeds only and with no additional costs to you except for your deductible and any upgrades or additional work authorized by you that
are not a part of your insurance claim. Supplemental claims billed by Company on behalf of the Property Owner (hereafter "Owner"), and are approved by your
insurance company for additional work or increases in costs, in addition to this contract, are a part of this contract as if contained herein. ..,_�2
❑ Clean out gutters
• 1v/ -.year Warranty on Workmanship only
• Te Company will provide general liability insurance coverage of at least $1,000,000.00
• Make a magnetic sweep of driveway and yard for removal of any nails & Remove all debris resulting from work above
• Special instructions:
Insurance Company 7 t Claim # � �7 Policy 4
THE SCOPE OFROOFING SERVICES.4ND MATERIALS T/noB'E'npROVIDED:
f�'71 ✓VGL`
Approximate Dates of Service: 0 ` 3uA,(Subject to change with possible shortages in materials anti weather delays)
The approximate costs of services based on damages known at this time are entered as: $ tP 4 _
The Company, however, will petform the scope of the work approved by the insurance company for the amount of the insurance approved proceeds, with no additional
costs to you other than your deductible. The final scope and price agreed on between the insurance company and Company shall become the final contract price for the
insurance approved scope. You will be responsible to pay for any upgrades or any additional work authorized by you that the insurance company determines is not
covered within the scope of coverage provided by your insurance policy.
THE COMPANYSHALL HOLD INTRUST ANYPAYMENT FROM THE PROTPERTY OWNER UNTIL THE COMPANYHAS DELIVERED
ROOFING MATERIALS AT THE RESIDENTAIL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE
RESIDENTIAL PROPERTY. J/ r�
AMOUNT: SO 069 { Date: �� Senior Project Manager Initia .
I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to comp a any funding process relative to claim number
and referred above.
I (We) further authorize The Company to pick up in person any loss drafts or checks on both my (our) behalf of The Company.
Date of Acceptance: Owner's Signatur s):
Representative:
A ROOFINgCOM AT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A
PROPER7Y AN ASUALTY INSURANCE POLICY ISSUED PURSUANT TO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT
ADVERTI E PROMISE TO PAY, WAIVE, ORREBATEALL OR PART OFANYINSURANCE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR
PAYMENT OR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY
5
Shingle Manufacturer f Year ; } (� Color $ E..
Initials��
0
/
Remove ! layers of asphalt shingles and/or _ wood shingles
V
El
Install new Felt/ Synthetic
•
Install pre painted Drip Edge to cod edb White _ Beige _ Brown _ Light Gray _ Charcoal Forrest Green
J1
Initials f
•
Install New Decking —
•
Valley(s) will be ;LC Closed or _ Open
o
Ridge(s) to be color coordinated
"High
F'-"
❑
Ridge(s) will be Profile Ridge" color coordinated shingles
8*owlledgeS having read the
Install new Pipe Jacks
entire contract including the
•
Replace vents as needed
I�fQ,�TT�IC,E on ti ie bac% c , c.
•
Re -flash chimneys and wall abutment as needed and if possible (stucco or siding may be a deterrent)
Aitlals !Flit els
� "
a
Install linear feet of series ridge vent
•
Install —I—linear feet of Ice & Water Shield to code
: nails per shingle
•
Install Ice and Water Shield around all penetrations and in valleys
❑ Clean out gutters
• 1v/ -.year Warranty on Workmanship only
• Te Company will provide general liability insurance coverage of at least $1,000,000.00
• Make a magnetic sweep of driveway and yard for removal of any nails & Remove all debris resulting from work above
• Special instructions:
Insurance Company 7 t Claim # � �7 Policy 4
THE SCOPE OFROOFING SERVICES.4ND MATERIALS T/noB'E'npROVIDED:
f�'71 ✓VGL`
Approximate Dates of Service: 0 ` 3uA,(Subject to change with possible shortages in materials anti weather delays)
The approximate costs of services based on damages known at this time are entered as: $ tP 4 _
The Company, however, will petform the scope of the work approved by the insurance company for the amount of the insurance approved proceeds, with no additional
costs to you other than your deductible. The final scope and price agreed on between the insurance company and Company shall become the final contract price for the
insurance approved scope. You will be responsible to pay for any upgrades or any additional work authorized by you that the insurance company determines is not
covered within the scope of coverage provided by your insurance policy.
THE COMPANYSHALL HOLD INTRUST ANYPAYMENT FROM THE PROTPERTY OWNER UNTIL THE COMPANYHAS DELIVERED
ROOFING MATERIALS AT THE RESIDENTAIL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE
RESIDENTIAL PROPERTY. J/ r�
AMOUNT: SO 069 { Date: �� Senior Project Manager Initia .
I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to comp a any funding process relative to claim number
and referred above.
I (We) further authorize The Company to pick up in person any loss drafts or checks on both my (our) behalf of The Company.
Date of Acceptance: Owner's Signatur s):
Representative:
A ROOFINgCOM AT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A
PROPER7Y AN ASUALTY INSURANCE POLICY ISSUED PURSUANT TO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT
ADVERTI E PROMISE TO PAY, WAIVE, ORREBATEALL OR PART OFANYINSURANCE DEDUCTIBLE APPLICABLE TO THE CLAIM FOR
PAYMENT OR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: _M1
Job Address: �% r u %'JL
Permit Number: 2 x'17 u3Z 3�
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: 711,f117Inspector: Klz
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: M10
Job Address: �_7 5 r L)vJ17-fl JL
Permit Number: -? vi 7 u 3Z 3
❑ No one available for inspection: Time U A IIPM
Re -Inspection required: Yes (N
When corrections have been made, call for re -inspection at 303 -234 -
Date: P/epz Inspector: Kfl-
DO
NOT REMOVE THIS NOTICE
" V, City of Wheat Ridge
_(-
Residential Roofing PERMIT - 102328
PERMIT NO: 102328 ISSUED: 10/06/2010
JOB ADDRESS: 3755 DUDLEY ST EXPIRES: 10/06/2011
DESCRIPTION: Reroof 30 sqs with 30 yr OwensCorning shingles
*** CONTACTS * **
owner 303/424 -4386 Gerald Malone
sub 303/425 -1083 Matthew Rock 01 -7908 Rock's Roofing
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0599
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 15,621.76
FEES
Permit Fee 299.40
Total Valuation .00
Use Tax 281.49
** TOTAL ** 580.89 T
Comments:
Conditions:
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 8:30 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
applicatio and that I as su full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
a lrca e Wh at Ridge O di nces, for work under this permit. lans subject to field inspection.
�
� �, 4- is /0/
1. This permit waVissued in acMrdance 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 r i s subject to field inspections.
Signature f C f Building Official date
INSPE ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE .MADE BY 3PM ANY BUSINESS. DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
.'}EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 9949
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date: 12/28/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
i,"i,~
Property Owner:
Property Address: 3755 DUDLEY ST
Contractor License No. : 17152
Company: Precise Plumbing
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 424-4386
Phone: 534 0881
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$450.00
$23.50
$0.00
$0.00
$23.50
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and 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 Wheat Ridge ordinances, for work under this permit.
Use:
Description:
Replace water heater
BUILDING DEPARTMENT USE ONLY
~~~--
Approval:
Zoning:
SIC:
Sq. Ft.
~
Approval:
~-
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
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.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance O~f a p . 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.. ... . or ny other or 'nance, law, rule or regulation.
\. ."
(4)
(5)
(6)
DEPARTMENT OF PLANNING AND DevELOPMENT
BUILDING INSPECnON DIVISION. 235.2855
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE. CO 80215
Building Pennit Number:
Date:'
Property Owner : G;;~./' '" /~~./ ,,/7) ~'~ /S,,?--f"
Propeny Address: 3) s., ,(}..,//-/ 5l
Contractor License No,: / 7/ r:z..
Company: ,IJ/"'C./:S~ //V.... ~/,,,?..:z;.c-
PhOne-: "(J.Y- 'f? g---c;
/3i3)
Phone: 5'YP'-t' ~&'- /
-
( OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: If <;e") ..
Permit Fee: ~i $"0
Use Tax: ~~"'.s l'e-o:vn
I h_y cendy thallhe .ellleClc dislences __ Dy this ....nmt ellllUC8llOn e.. eCCUllll8,
i;'ncIllO not _late ellll-"" 0IlIIlI8nc:a. _ or ~-lJCl" of.... City ot WIle. Ridge 01
(_IllS. ee_1llS or IftIllCllona of _: 1llIl.. __ __ ellCl .Ileg_na
I'n_... accul2Ul: 1llIl1".". -~~,~ by" CCll M'I M"- on "* ..
tppllllion. .na IllIlI_futI l'areo., .NailCe_.... ~R/cIge III UI",
C_(U,8,C,).na"_.p~fJ 1IIe~ _.l'ar__III_--.
(()WNERl(CON'TRACTOR) ~IGNED-4 .~ ./'~ D4TE '.
Description: r~/~c-e ~-t'.,,,.. II.......,(.,. .I r.,......0-7 ..r..r /.~y.... ~'o""
Tol8I: ;ais-o
BUILDING DEPARTMENT USE ONLY
~. d1.G' ~--!.1~~
Approval :
Zoning:
~-'..!l'J''''''~J.U:'':jl'..1:..
Approval..~
.!~~:.~...,JIH11a:!
.. Approval:
Loccupancy : Walls:
Root:
Stories:
Residential Units :
-
Plumbing License No :
Company:'
Mechanical License No :
Company:
EJec::trical License No :
Company:
Expil"ation Date:
A.pproval :
.3 3:PJlil8~UlrWCf~
-
Expiration Date :
Approval:
.\I ... Plaha RiArulnKl'..~ ..:J
Expiration Dale :
Approval:
. ~"'""ufdl!l"g
") . This r>>1mn was IlSUecl ., .a:oraance wnn Cfte ptOVIIa\I MlIonn .. yODUf IDPUCatJon and.. suotecllO the Iawa 01,. State 01 CoIcnoo ana " .. Zaning
ReguiatJOns ana 8uik11ng coal of Wheat RIdge. Co:otaGo Of any OUter '0C*Ca* orctlnancn of 1M Citv.
:2) This,*,"" snail UDn rI rAI In. WOtk IUIftOftZ.ea IS nol commenc:ea WlInIn laXly (eo) daYI frum 1UUe clllle Of (8) &tie buddtng luanonzea II "11'121 MIIG Of
abanGOneo tor . DIN'IOCI of 120 day&.
(3) , It IIVs pennn ex.... a new penM may De acQuncI fDr. 1M 01 onHaaIf'.,. amoum nonnaIV ,..,...... PnMcMcI no Ch8ngeI nave lIMn or'" be ,...... fte
ongnaI pr.n. ana SINOIcIDOnI ancJ any IUIDeftIlon or 'DrMGonmenc ftII. not IJCClMOeCI one (1))'eW'. "en.,.......,...,. 01 if......... Of "~.._4
uceea. one f 1) ,..,.. lUll ,... InaII tie NIG IDr I new DtIftNl
(4) No WOl'1l: 01 any manner SNIt be Cklne Nt" d'\ange IN n.rurat now 01 waw cau"nO . lhIMgI IJI'OC*Im.
: 5) Connaor sn.II I"lOIIty me ButICIlng t"SDeClOr twenty.IOUt (2") hOul1 In ."".net tot IU In.PICDOM andlftal rec:a.v. wnaen Igprovat on InIOeCDOfI canr MfDrw
~ WIIn succeSSIVe anaM' 01 me 100.
:5} The ISsuance or II CI8Imd or tne IDprodl ot drawtnqs Ino soeo6caDOnlln.11 not De ccns~ 10 De I J)efmII for. nor an .pptOYIIl 01. any vtOtJIDon ct lie ~
o( tne DUllOlnq COCJes or any omer orclnance. law. n.u Of l'e9u&abon.
Chief Builolng Inspector.... _'~"c For Mayor
THIS. PERMIT VALID ONL Y WHEN SIGNEO BY THE CHIEF BUILOiNG INSPECTOR AHOMA VOR .
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION