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Home My WebLink About4271 Jellison StreetCity of W heat-1�idge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at perrnitsgci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: F X-lp'g i 0 e �- Permit # ZJ/ 7 0 z 7 � Property Address: '1-Z 71 , L�e J/1 S�h7 Phone # 7ZC7� C _�I Email Address: /'✓� �zr 10' C�; ,i''� Reason for extension request: il�' She C Number of days requested: H Printed Name:fi�' Signature: For office use only This request has beef; ,� ( Approved Approved by: Denied www. ci.w h eatridge.co. u s Date: Date: 0i Extended until: l G Z4/ 3 City of Wheat Ridge t r Residential Roofing PERMIT - 201702780 PERMIT NO: 201702780 ISSUED: 06/28/2017 JOB ADDRESS: 4271 Jellison ST EXPIRES: 06/28/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 38 sq. *** CONTACTS *** OWNER (303)421-0776 HELMS DUANE E SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,766.00 FEES Total Valuation 0.00 Use Tax 205.09 Permit Fee 204.30 ** TOTAL ** 409.39 *** 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 - 201702780 PERMIT NO: 201702780 ISSUED: 06/28/2017 JOB ADDRESS: 4271 Jellison ST EXPIRES: 06/28/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 38 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further ttest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and tha I work to bb performed is disclosed in this document and/or its' accompa ng approved plans and specifications. ✓1 _ __-� f, - `�. / i-- /� /� a-� I ') Signature of OWNER /CONTRACTOR (Circle one) Date j 1. This permit was issued based on the information provided in the pen -nit 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit ho der 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to Held 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. Antoinette Kulick 06(�6�7EO From: no-reply@ci.wheatridge.co.us Sent: Friday, June 16, 2017 12:58 PM To: Permits CommDev C 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 M 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. 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 4271 Jellison St. Duane Helms 303-421-0776 Field not completed. 1 I W -O-40 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 Urban Exteriors LLC 150142 303-552-4467 Contractor Email Address jennifer@urbanexteriorsllc.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material jennifer@urbanexteriorsllc.com No v Tamko Heritage Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 38 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? 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) 38 V House and garage 6/12 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 Jennifer Hess Email not displaying correctly? View it in your browser. 3 Urban Exteriors, LLC y� ■. 3440 Youngfield Street, Suite 179 fJ Wheat Ridge, CO 80033 Urban Exteriors 303.552.4467 www. urbanexteriorsitc com A+ BBQ SRA SEEM COLORADO ROOFING ASSOCIATION l Owner's Name: -AZ Insurance Company: Address: 1 Phone #: `7 f City:-- State:�� Zip Claim # 13" Phone #: Project Manager: Mobile #: Phone #: Email: Date: I/WE, the Owner(s) of the premises described above authorize Urban Exteriors. Ile, hereinafter referred to as "Contractor", to furnish all materials and labor necessary to roof and/or improve these premises in a good, workmanlike and substantial manner according to the following terms, specifications and provisions: a.Descr�tion of the work and the materials to be used: mac/ /�►- "' .. / 1 4 l< :--F� INSI tRANCF.: THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE PLUS ANY UPGRADES CHOSEN OR ANY NON COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE IS PAID BY YOUR INSURANCE COMPANY PER FINAL LOSS INVOICE. THIS AGREEMENT IS NULLAND VOID AND DOES NOT OBLIGATE ANY PARTY TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE SCOPE OF WORK WILL BE DEFINED BY THE INSURANCE COMPANY LOSS SHEET AND ALL REVISIONS THEREOF. ANY ADDITIONAL WORK MUST BE SUBJECT TO A CHANGE ORDER AND/OR CONTRACT SIGNED BY THE PARTIES. b. Description of any areas that will NOT be worked on: This list of specifications may be continued on subsequent pages (see page number below). c. Payment: Contractor proposes to perform the above work. (subject to any additions and/or deductions pursuant to authorized change orders). for the Total Sum of $ 0 I 'j j ` ' Down Payment $ 162, d. Commencement and Completion of ubstantial commno wor sha can either the physical delivery of materials onto the premises or the performance of an labor shat e s ' ct to any permissible delays as per provision (5) on the reverse side. Shingle Mfg, Type & Color7sapproved 01f1 Labor Warran • .5 yrs, transfcrr$bte - prOvid d upoonnaayment in full e. Acceptance: The contract and accepted. I (we) understand ere are or gre ent r unde1rssttand�ingss between th7parties of this agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges. Additional Provisions of This Contract Are On The Reverse Side And May Be Continued on Subsequent Pages. A copy of the labor warranty is available upon request. Urban Exteriors shall hold in trust any payment received from you until Company has delivered roofing materials at the site or has performed a majority of the roofing work on your property. You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See attached Notice of Cancellation form an explanation of this right. ALL CHECKS LIST BE MADE PAY, Manager's Signature URBAN EXTERIORS, LLC. 6--7-1-1 dat 67 date IfA4hl hereby grant Urban Exteriors permission to speak with my insurance company for the purpose of resolving this claim. Urban Exteriors has permission to discuss my claim with my mortgage comnanv. if annlicable. 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: M I ii Job Address: 2 71 ,�fFLu SOLS ST. Permit Number: 20 l7U2 790 Ll No one available for inspection: Time AM M s_ Re -Inspection required: Yes No When corrections have been made, call for re -in ection at 303;234- 9 Date: I Inspector: DO NOT REMOVE THIS �0/ TICE 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: M I ii Job Address: 2 71 ,�fFLu SOLS ST. Permit Number: 20 l7U2 790 Ll No one available for inspection: Time AM M s_ Re -Inspection required: Yes No When corrections have been made, call for re -in ection at 303;234- 9 Date: I Inspector: DO NOT REMOVE THIS �0/ TICE ♦ 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: �v,Lp��✓� �ini�` Job Address: Permit Number: 09375 ❑ No one available for inspection: Time YS AM /Fg) Re- Inspection required: Yes No *When corrections have been made, call for re- inspection at 303- 234 -5933 Date: i /1g1 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: fivrt Antes= Job Address: %z 7/ > r Permit Number: e9FV14- ❑ No one available for inspection: Time fIV Ate` PM Re- Inspection required: Yes When corrections have been made, call for re- inspection at 903 - 234 -5933 Date: //si/io Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD OccupancvlTVpe 'Z INSPECTION LINE: (303) 234 -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 FINALS Electrical ;. COMMENTS: - - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) - Stemwall;/ (CEG) Concrete Encased Ground :Mechanical... Plumbing (Underground) Reinforcing or Monolithic Roof Heating (Underground) Weatherproof /.French Drain Building Final `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 ** 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. Framing Insulation 'Drywall Screw FINALS Electrical ;. COMMENTS: - - Footings /Caissons" Plumbing Stemwall;/ (CEG) Concrete Encased Ground :Mechanical... Reinforcing or Monolithic Roof Weatherproof /.French Drain Building Final I Fire Department Water Service Lines R.O.W & Drainage :INSPECTIONS FOR PLANNING $:ZONING, FIRE AND PUBLICE WORKS l :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. 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 VGC'UF ♦ 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: rrf~c /lvo! Job Address: <f271 JG~isan% St_ Permit Number: 0 91IV/6 c{ ~/iSs9~~.aZfJU~Gt E, ❑ No one available for inspection: Time 1_,2,-12,r AM/ i Re-Inspection required: es No r *When corrections have been made, call for re-inspection at 303-234-5933 Date: J2- 22 - Oy Inspector: _f 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 Type:- kVOd~~ Job Address: \ v S C')"\ Permit Number: 0'14-IL W INSPECTION TICE On/ L ❑ No one available for inspection: Time s; ym Re-Inspection required: Yes *When corrections have been made, call for re-inspection at 303-234-5933 Date € ( J~r~.S' Inspector: E li DO NOT REMOVE THIS NOTICE f' ♦ i CITY OF WHEAT RIDGE Building Inspection Division -door (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 15&WE Je/%sa y sr Job Address: `r-271 Permit.Number: .99737.25 ❑ No one available for inspection: Time !5 AM/PM Re Inspection required: Yes la *When corrections have been made, call for re-inspection at 303-2345933 Date: ///3/c19" Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge .lr ►J Res. Add Structure PERMIT - 093725 PERMIT NO: 093725: ISSUED:' 10/30/2009 JOB ADDRESS:; 4271 JELLISON ST EXPIRES: 04/28/2010 DESCRIPTION: R&R damaged deck handrail; 'sister 2x10 to frpr. decking CONTACTS owner 303/421-0776 Duane Helms gc 303/467 9456 Mark Reny 69-0436 Premiere Home Improvement PARCEL INFO ZONE CODE: R lA USE: SFR SUBDIVISION:UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PRQJfE,GT VALUATION: 2,000.00 FEES § b ~'e Permit Fee : 90.10 Plan Review. Fee 30.2 Plan Review Addtiona 28.39 Total Valuation .00 f'S Use Tax TOTAL 184.67 j Yd . a 7 t7 Zonditions:`. ST: Approved. R lA KC: Appro ed;per plans and notes on plans. Subject to field inspection. I hereby c 1ify. that thelsetback distances proposed by this permit application are accurate, and do not violate applicable of W"~' City of Wheat Ridge Building Division >'~m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 °ocoeaa° inspection Line: 303-2345933 Date: WjV -Q Lr-j Plan 57-6 3 8 $ Permit 087-,96 Polper~f!.,.Adrit3s~(~~lP ~I 2 l ) ~~r Y-f Property Owner (please print): FI'l5 Phone(7~03) ` 2-/ Z 77 o"_Metojr: r~ w i ; c~ r Contractor License #t' :6460 Electrical City License # Company: Plumbing City License Company I- Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of sQace (description): Construction Value: $ n to C (as calculated per the Building Valuation Plan Review (due at bme of submittaq: ° - i Ac Fmk1z l ^ ay e ~'G tic 554---' to ° cLt~k{ J Sq. Ft./L.Ftadded: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all cq~ ditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) an all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subjec tion. CIRLCE ONE:: (OWNER) (CONTRACTOR) r PERSONAL REPRES~N TIVE o (9 NER) (CONTRATOR) PRINT NAME 1~'~hrl[ SIGNATURE* I Date: A o 23 01) Building P unit Ap lication 1 Mailing Address: (If different than property address) cam.,, .w - n o- 4J ~ h ry ~ k f} t' 1 W t„ Y ~N d ry ~i 3 0 fi 1 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-2017 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 10/10/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: HELMS DUANE E Property Address: 4271 JELLISON ST Phone: 421-0776 Contractor License No. :18210 Company: GOLDEN-WHEAT RIDGE FENCE CO Phone: 423-5441 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: Description: Total: $1,500.00 $35,00 $0,00 $22,50 $57,50 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' II conditions printed on this application, and that I assume full resp' complia with the Wheat Ridge Building Code (U.B.C.) and all other applica e ordin 5, for work under this permit. DATit'a-1'p'-<1! (OWNER)(CONTRACTOR) SIGN BUILDING DEPARTMENT USE ONLY ~ Approval: SM 10/10/95 Zoning: R-1A APPROVAL OF A CONTINUED CHAIN LINK FENCE - 4' IN HEIGHT ~ Approval: 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 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 uild; ,9 codes o'!f:, ~;;;'e or regulation. Ch~ f Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION (4) (5) (6) lfG'70 3". ll~~n~ - 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: \~ e\ M'S . Property Address: LV "\ \ -::s d \ ; s e ""- Contractor License No,: \ 'b;2l 0 Company : GO\~b\ ~ \>J~ k,.l)3 '€, Phone: LU \ ~ 0\,'1 to r- r-el\te Co I Phone: Lld3- 5Y.~ I OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee,: Use Tax: I hereby certify that the setback distances proposed by this permit application are accWilte, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of record; that aU 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 fa' with the Wheat Ridge Building Code (u.a.c.) and all other applicable W ld rdinsn 5, for work. under this permit. (OWNER)(CONTRACTOR) SIGNED Description :T"s 'tRll DATE/O-IO-c;S- Total: l.{ \ ~ ~'^' \tAt C=-e./l.C.-e BUILDING DEPARTMEN:r USE ONLY Approval :~. Zoning: jZ. lb. -AI'PfLeNJ>.'- O!", A C<>NT1tol,V5\,:> UW>-\tJ.L.,q.lii- ~C4=- ell' IN I{e.liPl+r) ~:~ ~~l!! ",~'ij~Ji1\~ Approval: ~.am!:lts:J Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electncal License No : Company: Plumbing License No : Company. Mechanical License No : Company: Expiration Date: Approval: J1I :1"~!!",R!qy!~~;j';:l Expiration Date: Approval: j]i cPJa;!!$)Riiquired "I Expiration Date: Approval: ,... ":R......~.'~t'au]l€llI .:3 ~',_,~l',~;.L...." .- ~. .-. (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 \lVheat 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 (8) 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 origmal 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. Nb 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 wntten 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 l \\1\ l 1 \ l-\~ '-- " , 0 (o.~ LfJ11 - ,......-;:;:---~. .)-e.. ~ \ 'l) \:J~ - ---......".....,..---. --_..._.--,--~ - -" --- ----.. .. -- --- - ,,- - -. -, -.-.--