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3665 Allison Court
City of Wheat Ridge Residential Roofing PERMIT - 201704348 i PERMIT NO: 201704348 ISSUED: 07/18/2017 JOB ADDRESS: 3665 Allison CT EXPIRES: 07/18/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista asphalt shingles - 25 sq *** CONTACTS *** OWNER (720)289-1529 MCCORMACK SAMANTHA SUB (303)791-2223 Eileen R. Ponzio 018699 RTP Roofing Co. *** 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: 6,835.00 FEES Total Valuation 0.00 Use Tax 143.54 Permit Fee 156.75 ** TOTAL ** 300.29 *** 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 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. ,���- ���,`�` ,�,� INSPECTION RECORD °��upan J INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection_ INSPECTION REQUEST LINE: (303) 234-5933 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 Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Floodplain Inspection (if applicable) Plumbing Final Electrical Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Mid -Roof �l Final Mechanical Lath / Wall Tie Roof V211Z Final Window/Doors Rough Electric 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. 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 V211Z 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 City of Wheat Ridge Residential Roofing PERMIT - 201704348 PERMIT NO: 201704348 ISSUED: 07/18/2017 JOB ADDRESS: 3665 Allison CT EXPIRES: 07/18/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista asphalt shingles - 25 sq *** CONTACTS *** OWNER (720)289-1529 MCCORMACK SAMANTHA SUB (303)791-2223 Eileen R. Ponzio 018699 RTP Roofing Co. *** 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: 6,835.00 FEES Total Valuation 0.00 Use Tax 143.54 Ak, D Permit Fee 156.75 ** TOTAL ** 300.29—� --__ *** 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 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge L ®� Residential Roofing PERMIT - 201704348 PERMIT NO: 201704348 ISSUED: 07/18/2017 JOB ADDRESS: 3665 Allison CT EXPIRES: 07/18/2018 JOB DESCRIPTION: Residential Re—roof to install Malarkey Vista asphalt shingles — 25 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 attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and th 11 yvork to be performed is �sclosed in this document and/or)ts' companying approved plans and specifications. Signature of OWNER or CONTRAZMOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off-ccial 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, 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. REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Sfl From: no-reply@ci.wheatridge.co.us Sent: Monday, July 10, 2017 12:17 PM 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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 3665 Allison Court Samantha McCormack 720-289-1529 Field not completed. 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 RTP Roofing Company Contractor's License 018699 Number (for the City of Wheat Ridge) Contractor Phone 303-791-2223 Number Contractor Email Address barbara@rtproofingco.com Retype Contractor Email barbara@rtproofingco.com Address DESCRIPTION OF WORK / Are you re -decking the No / roof? Description of Roofing Malarkey Vista Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 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? TOTAL SQUARES of all 25 roofing material for this project Provide additional detail House re -roof --4/12 pitch here on the description of q work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 6835.00 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 Barbara L Neil Email not displaying correctly? View it in your browser. 3 /RTP ROOFING CO. ROOFING AND cr°'rrFR RTP Roofing Co. :SPECIALIST 4011 S. Federal Blvd. Sheridan, Co. 80110 Phone: (303) 791-2223 Customer Info:Fax: (303) 791-3534 Job #: 3674 ] p b�c�( Company Representative: Mc Cormack, Samantha Ray Phillips 3665 Allison Court, `--r 03) 791-2223 Wheat Ridge, CO, 80033 , y rtproofingco.com (720) 289-1529-home.7 Number: 3674 New Roof - Estimate - Claim 0458546942 Description Quantity Unit Price Total Permit Fee Permit Fee - Cl ty of Wheat Ridge "' _ Remove Tear off - 1 laver. haul and dispose of shin0fes Laminated or 1 23,34 EA SQ $45.00 $52.00 $45.00 $1,213.68 equivalent Remove Tear out, haul and dispose of modified bitumen roofing 2.07 R & R If RTP Roofing Co. finds any bad or damage plywood, we Charge 0 $50.00 per 4'x8' sheet of Sheathing, USB - 7/16" R & R Drip edge / Gutter Apron * 2"x4" * White 143 R & R Rake Edge » 2"x2" and Gravel Stop - » White 109 Replace Ice & Water Shield - Along Eaves - 2 course - 6'ft 858 Replace Synthetic Underlayment 16.33 R & R Flashing - pipe jack » 3 in 1" 3 R & R Continuous ridge vent, shingle -over style * TrlmLine * 11" Ridge 96 Vent SQ $47.50 $98.32 SF $1.50 $0.00 LF $1.90 $2.71.70 LF $1.90 $207.10 SF $0.95 $815.10 SQ $28.00 $457.24 EA $35.00 $105.00 LF $7.75 $744.00 R & R Furnace vent, Rain Cap, 5" to 8" 1 EA Charge Spray Paint (Penatrations) 4 EA R & R Step flashing(1) Step Flashing » 8"x8" Pre -Bent ,,> White 5 LF R & R 90# Rolled Roofing/Closed Valley 34 LF R & R Re -flash Chimney 1 EA Dish Customer will need to have Dish Realigned 1 EA Replace Modified Bitumen - Self Adhered Flat Roof System >> 2.5 SQ $55.00 $55.00 $0.00 $0.00 $4.00 $20.00 $2.75 $93.50 $50.00 $50.00 $0.00 $0.00 $350.00 $875.00 POLYGLASS Replace Shingle- Laminated- Standard without felt - GAF HD 26.67 SQ $195.00 $5,200.65 Timberline/Tamko Heritage/O.C. Duration/Malarkey Vista - Shingles - H/R/S - Color „ ," ``�^ c -0 " New Roof - Estimate - Claim #0458546942 total: $10,251.29 New Gutters - Estimate - Claim #0458546942 Description Quantity Unit Price Total i R & R Remove gutters - haul away 143 LF $0.00 $0.00 R & R Aluminum Gutter- 5" Lansing » 5" Alumminum .032 » ftumteftr- 143 LF $5.75 $822.25 R & R Hand Miter / Custom Corners 1 EA $15.00 $15.00 R & R Reuse Existing Downspouts / Hook-up 6 EA $0.00 $0.00 W -A -w- Guutto-rs - restimate r Claim #0458546942 total: 5837.25 Separate Add On Options,, Add To Base Price; Description Quantity Unit Price Total Replace Shingle- Laminated- Impact Resistant - Class #4 UL 2218 - 3- 26.67 SQ $0.00 $0.00 '/bids > GAF >> Timberline ArmorShield II --------- ADD + $1,066,80 Aeplace Shingle- Laminated- Impact Resistant - Class #4 UL 2218 - 3- 26,67 SQ $0.00 $0.00 4-5/blds )> Owens Corning TruDefinition Duration STORM -------- ADD +$1,066.80 Replace Shingle- Laminated- Impact Resistant - Class #4 UL 2218 - 3- 26.67 SQ $0.00 $0.00 4-5/blds )> Malarkey * Legacy -------- ADD + $1,333.50 R & R Downspout - 2" x 3" v Lansing >> 2x3 Downspouts >> Mountain 65 LF $0.00 $0.00 Blue ---------ADD + $373.75 R & R Install Oversized Downspout - 3" x 4" x- in replace of 2x3 D.S. - 65 LF $0.00 $0.00 Install Lansing(l) >> 3x4 Downspouts(l) - Color ---------ADD + $162.50 Separate Add On Options, Add To Base Price; total: $0.00 -2 Total for all sections: $11,088.54 Total: $11,088.54 FROM THE DATE OF COMPLETION, RTP ROOFING COMPANY HAS A TEN YEAR LABOR AND WORKMANSHIP WARRANTY ON THE WORK PERFORMED. COLORADO RIGHTS: PER COLORADO LAW (SB -38) YOU HAVE A 72 HOUR RIGHT OF RECISSION AFTER SIGNING A CONTRACT OR AFTER RECEIVING NOTICE IN WRITING THAT YOUR INSURANCE CLAIM HAS BEEN DENIED, YOUR ROOFING CONTRACTOR CANNOT PAY OR WAIVE YOUR INSURANCE DEDUCTIBLE. SEE ADDITIONAL TERMS AND CONDITIONS - SEE ATTACHED FORM. RTP ROOFING COMPANY'S INSURER IS PINNACOL ASSURANCE FOR ALL OUR EMPLOYEES, ILI Comp aKAuffiorized Signature Date Customer Signature Date Customer Signature Date This estimate was last edited by Ray Phillips((303) 791-2223, ray@rtproofingco.com) on July 07, 2017. The estimate may be withdrawn if not accepted within '�6 days. 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: _,,�Z 0 Job Address: �C& r Permit Number: -2 U -0 ❑ No one available for inspection: Time /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: (�' / () /I 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� Job Address: 3(,(, r Permit Number: ?v7cpw�-) ❑ No one available for inspection: Time Re -Inspection required: Yes to When corrections have been made, call for re -inspection at 303-234-5933 Date: • ! //I -Inspector: DO NOT REMOVE THIS NOTICE F OR OFFICE USE ONLY I * P10ase WMpleft all 'Wablighte d amass on both $140s this form, 100"Plete appilostions may not promsed. *�* Property Addre 'roperty Owner rJa Efin ` }; ` u/ �`.`� ,. `� : �, `� ��° s � �`�; �. � a� � � � , 'hone. ` � � � � } .,, w Property Owner Email.- Mailing Address: : (if different than property erty address) Address: ily, State, i Architect(Enginear E-mail Phone: Dontr ctor. Complete all information on BOTH sides of this fore Sq. FtJLF Btu's Gallons Amps Squares Other Buil ding Division Valuatio ►~i ~ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: & C _ Job Address/Permit Number: 3W Af/j 6nar 14'j?~lf OT w? 0R ❑ No one available for inspection``: Time i~ IAM Re-Inspection required: Yes I No JNo J When corrections have been made, caff for re-inspection~/at 303-234-5933 Date: -4 Inspector: 10lt( DO NOT REMOVE THIS NOTICE City of Wheat Ridge .rte / Res. Miscellaneous PERMIT - 081394 PERMIT NO: 081394 ISSUED: 12/03/2008 JOB ADDRESS: 3665 ALLISON CT EXPIRES: 06/01/2009 DESCRIPTION: 6 sqs vinyl siding and T/O install 30 sqs asphalt shingle CONTACTS owner 303/854-8647 Brandi Zavala sub 770/779-1423 Marc Brogan 07-0156 THD At-Home Services, Inc PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0567 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 16,719.00 FEES Permit Fee 363.10 Total Valuation .00 DM Use Tax 300.94 TOTAL 664.04 Conditions: Subject to field inspections. 6 nail installation & mid-roof inspection required. Board sheeting spaced more then a 1/4 of an inch apart requires plywood overlay on entire roof 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 Rid Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor/owner date 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 subj t ield inspections. Signature of Chief Hui ing ficial date INSPECTION REQ ST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE. BY 3PM ANY BUSINESS DAY FOR INSPECTION, THE FOLLOWING BUSINESS DAY. o4W"'~ City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 m Office: 303-235-2855 . Fax: 303-235-2857 Plan oLaR oo Inspection Line: 303-234-5933 Permit Building Permit Application Property Address 3(0(05 A~L.ISOr{ L7 Property Owner (please print): SIZA"t>t ?,p,~/'kt..&, Phone: 307~,- Mailing Address: (if different than property address) Address: City, State, Zip: 860~~ Contractor: J-142 AT 90ME- 15~f~fc-L_, tt~lcr Contractor License#: (270156 Phone: 303-~['~`t-` ~Sv Sub Contractors-, Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of works 6 5CQIJAIZ>%5 Sq. Ft./L.Ft added: Construction Value: $ ~Y~ (as calculated per the Building valuation Data sheet) IH Yy ~(Dtt I Plan Review (due at time of submittal): $ 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 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 work under this permit. Plans subject to field inspection. C/RLCE ONE- (O`W`NE (CONTRACT or PERSONAL REPRESENTATIVE of (OWNER) NTRAT PRINT NAME d: v~t~S LA4WtS SIGNATURE: 9-Y2 9 Date: Iz-Z.-OCg oFW"?ry City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 Plan °otoeafl° Inspection Line: 303-234-5933 Permit # Acid wl i-o ogl 4 Building Permit Application Property Address: 3665-LL-1,:-o 1,T Property Owner (please print): Ja;"%D( F-AVI(4t_A Phone:: r(RG7 -B6y 7 Mailing Address: (if different than property address) Address: City State zip: Vj7 w-R'r 2A%r4F , (_D 00s 't Contractor: 'MD R r- 410WI-lia- ~~fzvtLrcS, lKL Contractor License 0-70)S-& Phone: 3 / 2oR -8 G SU Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): S~ (Z F~ S Construction value: $ 12. ~U D~esrcription of work' (as calculated per the Buildiq aluatmn Data sheet) f_E'IWOF (t,dMPUF-~T - Try OFF- ' Plan Review (due at time of submittal): $ 50 AlbrHpa 6f RF ?©YAt✓ Sq. Ft./L.Ft added: 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 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 work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ON TRATOR PRINT NAME: Jyt-PAS L.P+kt y6 SIGNATURE: CQ&/2 `G Date: 7-3 -D DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION. 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: Property Owner : Property Address: J (. (, ~ /2//; SO'" L -t . Contractor License No.: / 7/ >2. Company: fJr#'c-b-e.. /,/v... {I",..z;,e- Phone: 303 - 'ij (- ::;-a::-;- (30':3) Phone: 5"".1f/-(:)?'i' / - I OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: 'I Ii 5""- Permit Fee: .:l.:l. - UseTax:$P"'''s ~~n I hereby cendy that the selb.de distances proPOSed by this permrt application are accurate. ancl do not v,olate loollcable ora'nlncos. rules or regUlabOns of Ihe City of Whel' Ridge or covenants. easements or restnctions of record: that all measurements shown. ana allegatIOns (mille Ire Iccurate: Ihl' I hive rela Ind Illreeto Iblde by IU conaitions pnntlld on this apptK:ation. ana that I assume full rasponsCNtity for campl.nee Wlth the Wh.at Ridge Building Code (U,B.C.) ana III olher looUCIble What Ridge oralnlncos. for work under tillS 1IIInmt. . (OWNER)(CONTRACTOR) ~IGNED~ ,~/~ DATE . Description: roe/,4 ce u1. -€~r I/~... ,{.,.r .I r-(''''~ ?'or /'1/ Y". ~'o"" Total: 2:1. - BUILDING DEPARTMENT USE ONLY "..,"lW' -., ,"" .-;. Approval: Zoning: .:.Ll [ojlJ..;' "~'ll!..Lljl~J:. Approval: . ""~kB_C\..,~".**~ Approval: Occupancy: Walls: Roof: Stories : Residential Units : Plumbing License No : Company: . Mechanical License No : Company: Electrical License No : Company: Expiration Date: Approval: .3 (P.flii8~ufriCl~ Expiration Date: Approval: .\I ;' Plalla R.iRlufred;~ .:J Expiration Date: Approval: . ~~~u~.AiI (1) nus permrt was ISSUed In ac:con:lanc:a wnn the ptOvIItOnS 18' fottn In yoour IDPtIC8bOl1 1M IS SUDfeCllO the laws of the State of CokwacIo ancIlO &he Zoning Reguiatlons ana Bullctlng CocI'e 01 'JVhur Ridge. CO:Ol'1IOO or any ocner IDptaCltM orGlnanca of the Qty. (2) This pennlt Shall eXI)tI1t If fAI tne wane. IUU10nZea IS no! commenc::ea WttnUIIOOy (60) CSIIVI from .ssue dlte Of (B) the buiJd;ng luU10nZea JlluapendICI or abanOOnea for I peooa of 120 dava. (3) If this petmft eXCNre.. . new wmrt may De acQuna for. f.. 01 one-n.1f It'll amount nonnaaty 1'8QlItt8d. J)fOYICIed no c:hangel N1ve been or will be mIde in the ongi'\IIl ~.nl Ind speoftcatJOnl Ind any suspenSIOn or lDanGOnrnent nil not exOHOeCll one (1) year. If chIngeIlre lNIell or if IUapeftIIOtI or aoanden'nent exceeol one III year. full fees .,.... be DaMl fOr I new oermrt. (") No WO/1( of any manner INII De dOne trial Will Chino- me N1tul'll ftow 0' water CluSlnq I dtllnage PfObtIm, (5) Connctor snail notlfy tne Budding Insgegor twenty.rour (24) nou~ In aov,nce for 1l'Inspecuons anCIlhlU realMt wnUen .pprowl on .nlpecDOn catG befont proceeallng With successrve anISes of the ,Olt (6) The ISsuance of a permit or tne 'DproYaI or dl'aWlngs ana sDeOfiClbons snail not be a:mstruec:l1O De I pennn for. nor In IPProvIl of. any vtOtIbOn of 11'11 PRMSlOnI o~ tne DUllaln; coalS or any other orOlnance. law. l\I;e or regUialfOn. . 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