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Home My WebLink About3775 Allison CourtCity of P' Wheat?, ;II DEVELOPMENT Memorandum To: Address File 3755 & 3775 Allison Court From: Tammy Odean, Administrative Assistant Date: November 1, 2019 Subject: Duplex The property addressed 3755 & 3775 Allison Court registered a duplex split with Jefferson County in 2010 and is located in the Residential -Two (R-2) zone district. After further analysis of building permits from 1976 and 2007, there was an existing kitchen in the basement of 3775 Allison Ct. However, this basement is not a 3' dwelling unit and cannot be given a separate address. The Wheat Ridge Housing Authority owned the property and documentation from their remodel confirms only 2 independent dwelling units exist on the property. www.ci.wheatridge.com s "WWfJAM",S I.EKMft 5"Mm up t C -M Tft tt Cary 147DOF Wj"LO Aloft 0-2 Main Level Bathrooms Vanity, Sinks, Faucets, and Cabinets: Remove and replace Vanity. Provide and install a new oval Sink with Faucets (Delta 522 WFMPU, Moen 4621, or approved equals) in new 36" vanity base counter top in unit. Replace all lead p -traps. Included plumbing connections and any changes that are required, including new shut-off valves. Remove existing Tile texture, finish and paint walls where removed. Install a recessed Medicine cabinet. 0-3 Main Bathroom Flooring Removal and dispose of existing flooring. Furnish and install underlayment (1/4" plywood) and new sheet vinyl floor and cove base where designated. Color and style to be selected by owner 0-4 Lower Level Bathroom Vanity, Sink, Faucet, and Cabinets: Remove and replace Vanity. Provide and install a new oval Sink with Faucets (Delta 522 WFMPU, Moen 4621, or approved equals) in new 36" vanity base counter top in unit Replace all lead p -traps. Included plumbing connections and any changes that are required, including new shut-off valves. Install a recessed Medicine Cabinet. P: UNIT 3775 — Kitchen Walls: Updates as indicated. P-1 Upper Level Wall Paper Removal, Texture, and Paint: Remove all wallpaper in kitchen and texture and paint to match. Q: UNIT 3775 - Finish Lower Level: Updates as indicated. Q-1 Lower Level Walls: Fir, Texture, and Paint: Fir out all unfinished walls, add electrical to code, Provide and install one and one-half inch (1 '/2") insulation. Remove and replace baseboard heaters after all finishes are completed. Insulation shall be properly installed as per manufacturer's recommendations. Contractor shall leave certification of insulation installed. Put stomp texture throughout entire unit, prior to painting. Paint ALL paintable surfaces with two (2) coats durable, washable latek paint, owner to select color from stock colors. Q-2 Lower Level Ceiling Finishing: Finish Lower Level ceiling to same t condition as finished walls. Drywall, tape, finish, stomp and paint. Q-3 Lower Level Kitchen Windows: Egress window in current kitchen needs to be code compliant (now 45" off the floor). Replaces with vinyl window to code. R: UNIT 3775 - Doors: Updates as indicated. R-1 Lower Level Door Replacement: Remove and dispose of existing lower level doors. Replace with 6 -panel doors and closet doors and bi-folds, painted to match the rest of the interior, replace any trim or jambs as needed. R-2 Boiler Room Door Replacement: Remove and dispose of existing boiler room door and replace with fire rated door (26 X 68) with threshold and knob. R-3 Upper Level Back Door Replacement: Remove and dispose of existing back door and replace with a pre -hung, primed, insulated, 1 3/4" thick, raised panel steel) at each unit. Doors shall have deadbolt locksets back and front doors of each separate unit should be keyed alike each unit different (with no duplicate keys), adjustable threshold, trim and site paint after installation. Owner to select color from standard colors. S: UNIT 3775 - Kitchen Transition Strip: Updates as indicated. S-1 Kitchen Sink Transition Strip: Install a transition strip in laundry room to kitchen linoleum. CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 080357 Issued: 07/10/08 Stipulations: This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 3755 ALLISON CT Parcel Number: 39-262-00-007 Owner: Wheat Ridge Housing Authority Contractor: PAMELA L.R. GOFF PG Construction Services Inc. 7114 W. 44th Ave. Wheat Ridge, CO 80033 For the Following Purpose: Residential Remodel Cod Editions NO change shall be made in the USE of _ 2003 ICC/2005 NEC this building without prior notice _ 2003 ICC/2002 NEC and a new Certificate of Completion 1997 UBC/2002 NEC from the City of Wheat Ridge. Sprinkler System C i B ilding Inspector Zoning Administrator C TIFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 080358 Issued: 07/08/08 Stipulations: This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 3775 Allison Ct. Parcel Number: 39-262-00-007 Owner: Wheat Ridge Housing Authority Contractor: PAMELA L.R. GOFF PG Construction Services Inc. 7114 W. 44th Ave. Wheat Ridge, CO 80033 For the Following Purpose: Residential Remodel Co Editions _ 2003 ICC/2005 NEC _ 2003 ICC/2002 NEC _ 1997 UBC/2002 NEC Sprinkler System NO change shall be made in the USE of this building without prior notice and a new Certificate of Completion from the City of Wheat Ridge. ng Inspector Zoning Administrator CSR,TIFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 1 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: 32-75— Permit %-7SPermit Number:O/'`JC%/�. 7 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspection: Times AM/PM Re -Inspection required:1. Yes�/'No When corrections have been made, call for re-inspdctidn at 303-234-5933 Date: i) Inspector::' DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201704929 PERMIT NO: 201704929 ISSUED: 07/27/2017 JOB ADDRESS: 3775 Allison CT EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 18 sq. *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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. ********revision add redeck main roof and garage due to spaced decking****18sq *** CONTACTS *** OWNER (303)719-8979 OLDFIELD TROY D SUB (303)731-8656 Cliff Breitweiser 170399 CB 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: 8,500.00 FEES Total Valuation Use Tax 0.00 178.50 ' 4-0 AM Permit Fee 188.45 M ff-M __ _ ** TOTAL ** 366.95 ................. ..... . . *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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 Residential Roofing PERMIT - 201704929 PERMIT NO: 201704929 ISSUED: 07/27/2017 JOB ADDRESS: 3775 Allison CT EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 18 sq. ********revision add redeck main roof and garage due to spaced decking****18sq I, by in 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 r erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further t t I am le >ally authorized to include all entities named within t is document us parties to the work to be performed and t tfit al or o b tined is disclosed in this document and/or its' accom anyin appr, ved 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 Zd 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 Budding 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 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 from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official TJ Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-ci.wheatridge.coms FOR OFFICE USE ONLY Date: 4 ' / I Q I -7 Add to Permit #c2c;1 C l75 lJ Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: t ] :1 �:) '-' t C .:*-. Property Owner (please print): Tj''�-}T_ Q ` Phone: 4C-3 Lq Zq%q Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Submitting Company: C 1 Aic)4`'i Contact Person: C � 1 �4 Phone: Contractor: LE) ��i� c . Contractors City License #: 1_� Phone: Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: Pnal n V-cc�and qay-ory- rccr�- U 5vucea CC - - 0cj J Sq. Ft./LF Amps Btu's Gallons Squares i /l Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR 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 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) �. ONTRACTOR or (AUTHORIZED REP S NTATIVE) of (OWNER) (CONTRACTOR)—641 : .O{NTRACTOR) PRINT NAME' C 1 L , Jt Q � SIGNATURE: DATE: V DEPARTMENT USE ONLY !`< ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ r City of Wheat Ridge Residential Roofing PERMIT - 201704929 PERMIT NO: 201704929 ISSUED: 07/27/2017 JOB ADDRESS: 3775 Allison CT EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 18 sq. *** CONTACTS *** OWNER (303)719-8979 OLDFIELD TROY D SUB (303)731-8656 Cliff Breitweiser 170399 CB Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 J *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00 TotUseaTaxaluation FEES 0.00 PAID 136.50 Permit Fee 156.75 ** TOTAL ** 293.25 — *** 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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 Residential Roofing PERMIT - 201704929 PERMIT NO: 201704929 ISSUED: 07/27/2017 JOB ADDRESS: 3775 Allison CT EXPIRES: 07/27/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 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 municippal codes, policies and procedures, and that I am the legal owner or have been authorized by �rmed e legal owner of the property and a orized to obtain this permit and perform the work described and approved in conjunction with thiermit.Irtherattesperand that all wo o yd is disclosed in this document and/or its' accop'Splanying apyoved plans and specifications. Signature of e2iw or -CT1QTR3TCT0R (Circle one) Date -4 v ` / 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 Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of'C'tflef Building Official' "'_b Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz �ar7o�P�i From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 19, 2017 11:52 AM To: CommDev Permits 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? vile wva-- How many dwelling units Duplex are on the property? PROPERTY INFORMATION Property Address 3775 Allison Ct. Wheat Ridge, CO 80033 Property Owner Name Barney Oldfield Property Owner Phone 303-719-8979 Number Property Owner Email Field not completed. Address .r / Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name CB Construction Contractor's License 170399 Number (for the City of Wheat Ridge) Contractor Phone 3035961160 Number Contractor Email Address cliff@cbconstruction.co Retype Contractor Email cliff@cbconstruction.co Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Tamko Heritage Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 18 material selected above? Does any portion of the No V property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 18 roofing material for this project Provide additional detail Main house re -roof 4/12 pitch and part of garage 4/12 here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract6,500.00 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 Clifford Breitweiser Email not displaying correctly? View it in your browser. 4 r T 1388. CONSTRUCTION 355 S. Teller St. Suite 200 Lakewood, CO 80226 Office: (303) 731-8656 Email info@cbconstruction.co SERVING THE FRONT RANGE SINCE 2009 i icpnspri nnri insi irPri fnr vni it nrnfaMinn OvvENS CORNING Property Owner(s) Customer gamey Oldfield Proposal Date 6/9/2017 Property Address 3775 Allison Ct. Unit A PrimaryPhone 303-719-8979 City, state zip Wheat Ridge, CO 80033 Secondary Phone Insurance Company Claim # American Family CL#315099583 Email Address barold-1 @yahoo.com ® Tear off 4 layer(s) of composition & layer(s) of ® Standard ridge High profile ridge ® Inspect decking F-1 Install decking F-1 Install ridge vent ® Install starter course of shingles -entire perimeter ® Install turtle vents Install Vents ® Install 15 # felt ❑ Install 30 # felt ® Install pipe jack flashings ®install furnace cap Install ® Paint pipe jacks to match roofing color ® Install ice and water shield on eaves ® Detach and reset Swamp cooler ® Install drip edge - color ❑Remove and cover ® install reinforcement in valleys using ice & water ❑ Install beauty course of ridge shingles on headwalls QClosed valleys QOpen valleys ®Detach and reset satellite E]2emove satellite ® Replace step flashing on sidewalls, chimney and skylights JOClean up & remove trash 91Sweep with magnetic roller ®Install 6 nails per shingle throughout field area`/ �'_%, ` Clean out gutters ®Provide building permit ®Roofing product Tamko Herita a D/ ❑Register Manufacturer Warranty ®Roofing color ®CB Construction, Inc. Five Year Roofing Labor Warranty ®Manufacturer warranty ®CB Construction, Inc. $2,000,000 Liability Insurance ® Special Instructions/Additional work Roof, paint and gutters Approximate Date(s) of Service: 8/9/2017 Estimated Cost (retail): 14,113.36 + supplements (CB Construction, Inc. is not responsible for any property and casualty insurance carrier's delay or denial of an insurance claim, in whole or in part). Incurred Costs with 0/P (Final Invoice): CB Construction acting as General Contractor; standard industry practice is to assess 20% fee in excess of the retail rate for labor and material provided on each trade performed. As such this fee is an incurred cost and will be included in the final invoice. The charge is part of Replacement Cost Value "RCV" and is to be reimbursed from the insurance company if not already allowed INCURRED COST is the Contractprice, all supplemental payments obtained by CB Construction or that are paid due to an Approisol Award or legal settlement are owed to CS Construction upon completion. M The property owner(s) ("Customer") authorizes CB Construction, Inc., ("Company") to work with their insurance carrier to obtain the full scope of repairs necessary for restoration of storm damage. This "Agreement" is not binding upon Customer or Company until the insurance carrier approves Customer's claim and this amount is accepted by Company. Upon acceptance by Company, the amount approved by the insurance carrier will become the final contract price and Company will receive the insurance proceeds for work it has completed, The Company will complete specified work for no additional cost to Customer beyond the agreed claim amount except for the insurance deductible. Customer is Q✓ / is not ❑ intending to make payment from the proceeds of a properly and casually insurance policy. If Customers payment is from an insurance claim, then pursuant to Colorado law Company (roofing contractor) "shall not advertise or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the claim for payment for roofing work on the covered residential property," C.R.S, § 6-22-105. The Company shall hold in trust any payment received from Customer, until Company has delivered the roofing materials to Customer's property or when Company has performed a majority of the roofing work on Customers property. below I (We) agree to all contract conditions on front and back of this agreement and have been provided notice of the right to cancel both In writing and i v Office Manager Signature Acceptance Date ce s 1 da City of WheatFj.dge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033 -8001 P:303.235.2846 F:303.235.2857 November 17, 2010 OFFICIAL ADDRESS NOTIFICATION NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: OLD ADDRESS: 3755 Allison Ct Wheat Ridge CO 80214 (duplex) NEW ADDRESSES: PARCEL 1: 3775 Allison Court, Wheat Ridge, CO 80033 PARCEL NO. 39-262-00-047 PROPERTY OWNER(S): Trod Oldfield Barney D. Oldfield & Kathy G. Oldfield PARCEL 2: 3755 Allison Court, Wheat Ridge, CO 80033 PARCEL NO. 39-262-00-046 PROPERTY OWNER(S): Lori Zivojnovic NOTES: This property was split into two separate units by a party wall agreement executed and recorded on March 31,2009—Allison Court Townhomes (Reception #2009027540). AUTHORIZED BY: ~ DATE: DISTRIBUTION: 1. Property Owner(s) 2. Jefferson County Assessor, ATTN: Data Control, 100 Jefferson County Parkway, Golden, 80419 3. Jefferson County Mapping, ATTN: Addressing, 100 Jefferson County Parkway, Golden, 80419 4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, 80033 5. Xcel Energy, ATTN: Correspondence, P.O. Box 840, Denver, 80201 6. Qwest Communications, Metro North Field -- Engineering, 5325 Zuni St., Room 728, Denver, CO 80221 7. Comcast, Attn: Jon Alvino, 6793 W. Canyon Ave., #13C, Littleton, CO 80128 8. Water District: Wheat Ridge 9. Sanitation District: Wheat Ridge 10. Fire District: Wheat Ridge 11. Wheat Ridge Planning Division 12. Wheat Ridge Building Division 13. Wheat Ridge Police Department 14. GIS Specialist 15. Log File 16. Other: NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: DATE www.ei.wheatridge.co.us CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 permit# 080358 Issued: 07/08/08 Stipulations: This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 3775 Allison Ct. Parcel Number: 39-262-00-007 Owner: Wheat Ridge Housing Authority Contractor: PAMELA L.R. GOFF PG Construction Services Inc. 7114 W. 44th Ave. Wheat Ridge, CO 80033 For the Following Purpose: Con~ditions ~003 ICC/2005 NEC -- 2003 ICC/2002 NEC 1997 UBC/2002 NEC Sprinkler System Residential Remodel NO change shall be made in the USE of this building without prior notice and a new Certificate of Completion from the City of Wheat Ridge. Inspector Zoning Administrator IFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES u ..." ~ ., CITY OF WHEAT RIDGE r;r~ Building Inspection Division !V (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE , I I I I I \ i I I ! I I \ I \ \ \ I \ I I I I I I I i \ ; I i I ~ _~__~_________J Inspection Type: !i,vA-1 FLEe .!,/,y6.;?1ECiIJ-BLcC. Job Address/Permit Number: '5'75.1' .AII/(,,'n; /!:T. o::?o3~7 A/;fJovfv o No one available for inspection: Time Re-Inspection required: Yes 4f2J II.' ~o AM/PM * When corrections have been made, call for re-inspection at 303-234-5933 Date: - / ~~/.o~ Inspector: T.- / DO NOT REMOVE THIS NOTICE ~_.._"._.-._--_...__.-._.__..--- --- r-'-;::;-""""'''''-~'-::~- ~ A , ~ ~ r CITY OF WHEAT RIDGE :?"rn Building Inspection Division JV" (303) 234-5933 Inspection line . (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: nAAf/ EiL'':,'N'<c.-4, I"/F,'.f P/",?' Job Address/Permit Number: 3775 A//I.$<M/ ~ oSb3"Q A.I'I'.i?n1JfiP D No one available for inspection: Time ,:; /l Re-Inspection required: Yes ~ AM/PM * When corrections have been made, call fOf fe-inspection at 303-234-5933 Date: 7./~~l? Inspector: .?::.:'~ / DO NOT REMOVE THIS NOTICE '--._..__ _~_._______ - _____ ___ .._. "._.n __..._______ __ __ ~_..___. ___'_'_',___ .______ _ if ..~- ,J" ..... - . "......-/ / " ~ "U4' :pr City of Wheat Ridge Residential Remodel PERMIT - 080357 egress ISSUED: EXPIRES: elec. I & 04/21/2008 10/18/2008 drywall. PERMIT NO: JOB ADDRESS: DESCRIPTION: 080357 3755 ALLISON CT Boiler, water heater I window, *** CONTACTS *** owner gc 303/969-0763 PAMELA L.R. GOFF Wheat Ridge Housing Authority 02-1453 PG Construction Services Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: BLOCK/LOT#: r-3 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION: FEES 235.70 .00 171.00 406.70 9,500.00 ** FEE SUMMARy ** Conditions: Must comply w/ 2003 IRC & 2005 NEC. 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 applicat~on and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.8.C) and all other applicable Wheat Ridge 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. 1hispermit 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' shal; 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 ::"ssuance of a permit or tl1e 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 s 'e 0 field inspections. INSPBCTION RB REQUESTS MUST date Signature of Chief (303) 234-5933 BUILDING OFFIr::E: (303) 235-2855 3PM ANY BUSINESS DAY FOR INSPE~TION THE FOLLOWING BUSINESS DAY. 'I"':_''''"t:,,,:,;''':,'> ":ii.f,-"';'.;/"'- .'_ ,,:,~,'~;iJ-'::;9' ~:""':~'~"'",,_... -"_, '--'''. -- .,'C-;'" l1\Ii\Ih.~'~i!'!M':~~~""r'\~}' "~r"~!) --- ..-w-~.-....~ __ iIiI~-.w 1liiI_......~ ..........-- '." .".::.':'.,.. ~" , .., ,. - _,.,~,-"-~,,,,--_,_,"--'- --,-.. c:rINSPECTION LINE: (303) 234-5933 1 occuDancvtl VD'lJ 'I ,,~ 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 COMMENTS: INmALS FootingsiCaissons Stemwalll (CEG) Concrete . Encased Ground Reinforcing or Monolithic Weatherproof i Frsnch Drain Sswsr Ssrvice Lines Water Service Lines 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 I Wall tie Mid.Roof ElsclJical Ssrvice Rough Electric Rough Plumbing Gas Piping Rough Mechanical " . '//1% lor I I r/ , Framing Insulation Drywall Screw ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING .Fue. wI'/' FINALS Electrical 7h../P9 J&!"_ Plumbing .J. I ~ JI /./ Mechanical I ~6/Pi" U Roof Building Final 7~1/",'i I'kC- Fire Departmsnt R.O.w & Drainage START ALL ROUTING ONEWEEK PRIOR TO FINAL INSPECTIONS. Park.ing & Landscaping **NOTE: ALL fTEMS MUST BE C -'lED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY ~ BUILDING DIVISION DOES NOT CONS77TUTE AUTHORIZA 770N OF ~M/SS/ON FOR/OCCUPANCY. . -' _ _ __ ~_ _ ..._.., __ _ftrtlll~n '",_ '~"",,,":~f_'Q"f\..il'lll",~!~~~lliM~I~M~lIl~,,~.~~..~,I.,,~I~~1f<l""~fflfil!'~1!Wi~~,>t'*,'lll-lit.!\il""'f!Ililllll"!114r'~ ~ -~~ ' ~~A.( ~ City of Wheat Ridge Residential Remodel PERMIT - 080358 PERMIT NO: JOB ADDRESS: DESCRIPTION: 080358 3775 Allison Ct, Egress window, boiler, water heater, ISSUED: 04/21/2008 EXPIRES: 10/18/2008 frame, drywall, elee. U* CONTACTS *u owner gc 303/969-0763 PAMELA L, R. GOFF Wheat Ridge Housing Authority 02-1453 PG Construction Services Inc, ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: BLOCK/LOT#: r-3 0/ Permit Fee Total Valuation' Use Tax * * TOTAlr.;'" * ESTIMATED PROJECT VALUATION: FEES 235.70 ,00 176.40 412.10 9,800.00 ** FEE SUMMARY ** Conditions: Must comply w/ 2003 IRC & 2005 NEC. 1 hereby certify that t~ .etb~~k distances proposed by this permit application are accurate, and do not violate applicable ordinances, rule. or r~ation8 of the City of tiheat 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 othe~ applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor/owner date 1. T~is 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 (I) 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 subje 0 field inspections. date INSPECTION R REQUESTS MUS (303)234-5933 BUILDING OFFICE: (303) 235-2855 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY, ':If\, ., r ~ A .....~ ~ r CITY OF WHEAT RIDGE pr.r~ Building Inspection Division !V' (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 17-M/#L ;;: _.? ./--llf/h~ 4l1it:Y., Job Address/Permit Number: 7''''''; -ILL, 0H/ '"" r- of! 0 ~> f! I) ,(u~J').PT ~}(;J~d{~'p..J rA?t/~ :l) ,//&,,,,-, ,.6""ni, JI'nt, D2,J> L,cj - p~~~ .<'LJ1!nu.J .3) ~,#o #'1'#'" L-"d ~ --6'. J,.? T;,L ~",<,,.? 1/) <F,4u~ f/.iH. / "tom:!2. < S'\ .nlb ~JJ",i// DF-TE('=ilC ,H/ Ah.,J2<::o.-. ~ AT &:.171.1"'" ",T (r.l/R< :j "'T~\ D No one available for inspection: Time 9': i't:J AM/PM Re-Inspection required: ~ No * When corrections have been made, call for re-inspection at 303-234-5933 Date: tt?/"R Inspector: -?'.,..~ - "'- DO NOT REMOVE THIS NOTICE j 1 I j I j ! i j I 1 ~ , :J 1 J , -, ~ A ....~ ~ ~ CITY OF WHEAT RIDGE :?r~ Building Inspection Division JV (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: 1'7A/~ /L~t" + rkvtf. Job Address/Permit Number: 7/7.$ kLL ,Ji!J;x/ C'-T". n<;b-u'.~ t//P/J>1/~ l~R.JV/7 flo.;r//7 /Z-t!7 /A/f~. .dt'.-f-O€.. o No one available for inspection: Time ~ Re-Inspection required: ~.. No AM/PM /: <:0 . . When corrections have been made. call for re-inspection at 303-234-5933 Date: 4,/;-;/."'\;" Inspector: ;:::;~ / DO NOT REMOVE THIS NOTICE ...~"> ' -r.. ,;.~ F;r.;;'-'-- ~_-,--, ~ , ...~ ~ ~ CITY OF WHEAT RIDGE 1?~rY'Jj Building Inspection Division ~ (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: h~)./ PANt, Job Address/Permit Number: ?77f J//; (;yo',?r' or:ro~rt? ,) nll'(f(!1' ;;,j l?~IJJ Jt::'::; 1(:> p;!u,v At7/ rP )f~- ~~~ ~) t.i;;tii"j ,', 'jI&-/l1"" NI..t-.Ii/$/~1V 7'''#/-".//''''' &"LtK ~1...-..: ))FfiJ ~I'HN./'6 ." ;Z/IIE ou,~:t/#/. 'I: ~;;'<..J owr/n/& /In.I DA.UA'. 7T7 ('ill' ,w"..:> ..LL':'KI',Ic~': ~r 1:'.4. rM".r Ii /1;'.,,</. I)~' I . '.J No one available for inspection: Time I ( ~ 70 AM/PM Re-Inspection required: ~j No * When corrections have been made, call for re-inspection at 303-234-5933 ..- Date: (.. /'(/ ~ Inspector: ~ /, , ,,/ DO NOT REMOVE THIS NOTICE -------~-~--~-- ----------. - .----------------- -------~------- -- -~--------------"------- /4H7.' ~~ / T,R~/P/& , , 1 1 o Other I J I I I pH I!n/I ~~I 1 o Elec. 77:) J ~v l' jJ~' c"-r- oRe-inspection fee of $ must be paid prior to re-inspection. o Blocked Access o No one available for inspection: Time f:;?t; AM/PM 'When corrections have been made, call for re-inspection at 303-234-5933 Date: ~2/o'b Inspector: Z:'- t'? / DO NOT REMOVE THIS NOTICE _'d'--~.' ...c._ ~ A -. ~ ~.,. CITY OF WHEAT RIDGE :r"r)l";; Building Inspection Division ]V' (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE - Inspection Type: ~//4'~-~3"'tJ>.;,-:r-~ Job Address/Permit Number: _3- 'J' '/ .;.:- ),LU'-/5- <::J,<....J c:.r ~U{".H 6.L~Cn2.u:-.4<.... -IZ~ !kJ"?;;l.r;?77DJ..-! ~-l!ff;~c:t~ ~h7 ~ 5 /J C;:::C/7 tJ N / CJ No one available for inspe72C~OIl: Time // Re-Inspectlon required: Yes I No * When corrections have been ma , all for re-inspection at 303-234-5933 Date: .f/U-:/?;;O-- Inspector: It; DO NOT REMOVE THli NOTICE AM/PM f- ~ j ",,"- ~ -r CITY OF WHEAT RIDGE ?;r~ Building Inspection Division !V (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ,e:;l,b-ff Job Address/Permit Number: T775 A/I~S:M/ c -r c'?v35Q j!-;Jlb)f[] PC,vd,-<.-6,R?"y//' <",-/ec' ;f--077!!: 81ft g"ftir? ;-f."""Ir 7Z> g[ .~~7 ?'f tV-!d /'~;? ,4;1<//1 /,<Vf/~(!7/.!>"/ o No one available for inspection: Time ';;': ?C;' AM/PM Re-Inspection required: Yes No * When corrections have been made, call for re_inspection at 303-234-5933 Date: .h~'7'/vr;- Inspector: -~';'- " .' DO NOT REMOVE THIS NOTICE ~--------------------_. -~----------~-----~-----_.- .-. ,. t . ~ ,j ...~ ~ r- CITY OF WHEAT RIDGE r'r~ Building Inspection Division !V' (303) 234-5933 Inspection line (303) 235-2855 Office' (303) 235-2857 Fax INSPECTION NOTICE (>8;:'~'-' -;; . I Inspection Type: I<'(H" ), r Job Address/Permit Number: -,.-.oj '/ -;' -. ; i.-;:::>.-,': r" I 're, ' (" / ..,.. n \.-" I ~ .~' .....--:" . , " ..--", 1'--" ~-:-' If / :'"":' 1;'~:" .' r O) /-' ,,, ,I I! t' ~v j .~- ,1"" /" /-) } .....-........ /, i ," ',r I ; /- ......- rO_::> ,-, .1-- ,/ .... ,J .--.../ ---;, ( j'-- --- ._ .-,. c' <':~ "-'::,: 4- .' --, ..--, ()C-"-"'\ 1""-' --' --.... '- "';,<' '"' '.,'F'-j :..., '.J No one available for inspection: Time .n; "'-><- AM/PM Re-Inspection required: 6.) No * When corrections have been made, call for re-inspection at 303-234-5933 Date: --,' / , / Ie .I ,.. --;/ Inspector' "" .J 'F/ ,'c';," . I 'l' ,.- -- - -_.~~ ,,/ " / - '-;,;:'/" ,~- .....,._. ~-<./... .. .--7 ',/ DO NOT REMOVE THIS NOTICE .' ".".<;.,."'.,!...., t':\i\~ ....rP":.~ i',~,'. ...~ JY ,,' ',' "">.,""', ," .... ,; cay of Wheat Ridge <',. ",-.. , 'JliSia'ntiaI Remodel PERMIT ~ 080358 i" PERMIT >>01 JOB Aj;)DRE~S: DESCR:tP'l'IQN: 080358 . 3775 Al\1:l,son' Ct . Egress .winc:io,f, boiler, water heater, ISSUED: 04/21/Z008 EXPIRES: .' 10/18/Z00$ frame, drywall, elec. -'I: ... C<i>NTACTS... owner go 30'3/969-0'763 . ,~'~J,,'-lT', '~ ,.:, 1, t>mLAL. R. GOFF 02-1453 \,':;,,/:' Wheat Ridge Housing Autl:j1Or:i.ty PG Construetion. servio.& Ina. ** mCSL INFO .. zoNE j::ODE, UA SUBDIVISION: UA ** Fg~ S~y ** ~' . ',,," ~ ,',:> ,-..; USE: r-3 BLOCK/LOTti: 0/ permit Flloe TOtal Valuation Use Tax ..* TOTAx"j *.. ESTIMATED FEES 235.70 .00 176.40 412.10 PROJECT VALUATION: ,",'. 9,800';00 ,:':" ~ ';: t' Conditions: MU$t comply w/ 2003 IRe &2005 NEC. Iber~YC:-l!lri:~~y: t;hat~~ ,~~aCkd~Stz~ce. propolled by this permi~ application are, accutate, :antidp,n~tv1~lat.appllOahle Or'tiin~pc~~~,:~,le. -Qr,r~lat1:01180r,~~e,c!ty, of Wheat Ridge or covenants, easements ',' or: restrictJ:Oli8',;ot rec::~;t~t :Hl mel!l$\1~meflt.: ,,,hOW,, an~>~l~~~ati-o~~,madt!l, are accurate; that I have read and ;;l.gree to. &bide by allCQridition,:prit1te'6: ()n::this ap 1~tj,cm:I~~-~<~..#f&e~:l1l1f:teep!=meibiUtY for complianoe with the Wheat Ridge Butlding COde (l.;B;c}ciridal.l-_-o~~r , Ie ~;pg~:or~~~es,' forwa~kunder this rmit. Plans subject to. fierdin.pection. Lt tS 0 . ,,: ';', <,:- ,_', , ,; .,d: ", ,,"" " .. ,;,~ " " , , ;"_ ",' ;,; -C':: ,", ,';:' ,,' 1. '111i~,pi!~1;,waS:iSI\le:~tn, accordance,with the provisions set forth in your application andi8:f!J'Ubj:~tt-b:~t~el:a,.,~;;()t:':t~ St~~e:::Q,+".:(:G~oraclo.~'~();:the,~hin9 Regul,'at'ions and Building CQdes af Wheat Ridge,co~oradO or elllyother,;.ppl:L01l!S!J.~ -o:rtilnci~~'of,the9J,t,../ "_;'" " ' ,.,',<, ""~ 2 . Tll!jS,p.,~it9l;lal,1~,tr~:leo:,:t:i2ly!l t~om;the issue date. Requests for an extension must be received prior '~o expiratlOn dat~ ,: :~.xtllmS~OnmaY;be,9r~ci,.t the discretion of the: Building Official. , ,'" ",: _, " 3. ~f ,:~n.}~,~riniteXPi~e.,:."nq,p~pil~t may be acquired for afeeaf one-half the a~tnormal,lyrequi~ed:,,':l>>rovi:d~; ~o c~e8,~ve'beeno~,~1J.,bef:raaci~.intheoriginal plans and. specifications and any' Buspension orab.~t'ha'8"nb~ eX'~ee~e~',f(m',Ill(~),Yea;r;"','If'_phange$havebeen or if suspension 9r abandonment exceed-sone (1) -yea;r.,fu,ll fees sha11:' ~epaid~t,a::n~p~t., .... . " ..' . .. . .... . . . ". ,'-" ':,' : 4. No ,~~k:o,t':any~: sila:l,lbe ,!fone :t~t will change the ~tural flow af water_ causing, a drail1age_-p.t'OJjlet~;. 5. C()qtl:~ctCi:'-,~ll :I}Q~~'fy/t~e;,:~:l~ing,Inspectar twenty~four (24) hours in. advance. fora~l inspeCtions and'''llallrec~ive wr~~terl:, ~,rovai on<~~~~et:i~.l1'1_ca:r~ before proceeding with 'successive phases af the jOi)." .:...., .:: ..,; ,,' 6. 'the:i$~e Qt, a p~1~,;QJ.",:t~.WX'O\Titl of drawings and specifications shall not be:const:ruel1 tP'be a~~t:.!o:t~;nQr an.fp~~.aj'Qff:,an:y,,:viQ:lAt1Qtl~. tJ;1e;,proviaions of the building codes or ,any other ordinance;. la""rule'p:%', re~la1;';i,Oi:'J.:' All,' pl~ireview:i . ttof'ield inspections. date INlli'!(<:'1'I($ l;lqslt.linnr.(303)234-5933 REQUES'I,'S ST BE MAJ:IE BY 3PM ANY BUSINESS BUILDING OFFICE' (303)235-2"55 DAY FOil. INSPECTION THE FOLLOWING BI1SI~$S City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line 303-234-5933 Date: Plan#: Permit #: Building Permit Application Property Address: ") i7 S 1\ \I ;"0111 Ct Property Owner (please print) Itlhfl;:\{'~M' \\O\J'i'^, AA-n\,t, Phone: , Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: ~. ('). C(1,^*..."r\:.~,^ Contractor License #: OL\y S~ <)f' d: (' f'<; Phone: "SD?, Ctl.~" O,(.?' Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company Exp. Date: Approval: Exp. Date: Approval: Exp. Date: Approval: Construction Value: $ "I.150D'~ (as calculated per the Building Valuation Data sheet) \;.vv \J"+'f\,.r~\;if Plan Review (due at time of submittal): $ Use of space (description): Description of work: <' \ "I ' I \. , 't-~'/ >f' 1~"'<Jl';, \. (t).i,a,.,Q. \ ~ \",~ :: '\ r ' Sq. FUL.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR 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.G) and all other applicable Wleat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) fBlliI NAME: SIGNATURE: Dale: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBUC WORKS COMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS. Reviewer: OCCUPANCY FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required I Bldg Valuation: $