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HomeMy WebLinkAbout3620 Lee StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Roofing Permit Application Date: Thursday, August 26, 20212:52: 11 PM Roofing Permit Application THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this property Residential Commercial or Residential? How many dwelling Single Family Home units are on the property? PROPERTY INFORMATION Property Address 3620 Lee Street Property Owner Name Bernadette Trujillo Property Owner Phone 303-902-3396 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business New Generation Roofing Name Contractor's License 210186 Number Contractor Phone 720-530-3602 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email info@newgenroofing.com Email not displaying correctly? View it in your browser. garage? Etc) 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 Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Veronica Hernandez Permit Address Retype Contractor Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" info@newgenroofing.com DESCRIPTION OF WORK TOTAL SQUARES of 23 the entire scope of wo rk: Project Value (contract 9500 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific 4/12 pitch of the PITCHED roof? How many squares are 23 part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Dimensional asphalt shingles Type of material for the Asphalt PITCHED roof: Provide any additional House roof detail here on the description of work. (Is this for a house or Residential hoofing PERMIT - 201701452 PERMIT NO: 201701452 ISSUED: JOB ADDRESS: 3620 Lee ST EXPIRES: JOB DESCRIPTION: Reroof 27 squares Tamko *** CONTACTS *** OWNER (303)902-3396 TRUJILLO JACOB C SUB (303)729-3683 William Marvin 170219 Western Summit Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,100.00 FEES Total Valuation 0.00 Use Tax 170.10 Permit Fee 188.45 ** TOTAL ** 358.55 *** 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 k/2 -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 manufacturera€ms 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&#39;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. Vk - VNIIJ INSP C RECORD INSPECTION R_. J LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. 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 s !7 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof s !7 Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation _ Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Hoof At(, `( 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 Uistrlct and electrical low voltage by the Building Division. **For Inspection Time Window — Please email insptimerequest@ci.Wheatridge.Co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ? i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Q� Job Address: 3 6 2 �_ ��' TT Permit Number: ❑ No one available for insp tion: Time `� ( � AM/PM LeRe -Inspection required: No When corrections have been made, call for re-inspecton at 303-234-5933 Date:_6 (r( Inspector: A �'_ DO NOT REMOVE MIS 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: 1� Job Address: Permit Number: ❑ No one available for inspection: Time Re -Inspection required: YesNo *When corrections have been made, call for nspection at 303-234-5933 Date: Inspector: 4Q,01 DO NOT REMOVE THIS NO ICE City of Wheat Ridge Residential Roofing PERMIT - 201701452 PERMIT NO: 201701452 ISSUED: 06/02/2017 JOB ADDRESS: 3620 Lee ST EXPIRES: 06/02/2018 JOB DESCRIPTION: Reroof 27 squares Tamko *** CONTACTS *** OWNER (303)902-3396 TRUJILLO JACOB C SUB (303)729-3683 William Marvin 170219 Western Summit Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 81100.00 FEES Total Valuation 0.00 Use Tax 170.10 Permit Fee 188.45 ** TOTAL ** 358.55 *** 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 k/2 -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 manufacturera€IMs 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&#39;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. ' - d PERMIT N0: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201701452 201701452 ISSUED: 06/02/2017 3620 Lee ST EXPIRES: 06/02/2018 Reroof 27 squares Tamko 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�permrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work tj_ o bi performed is dis ithis_douument and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.pennit 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 Oficial and may be subject to a fee equal to one-half of the originalermit 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 Budding 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 DMe 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 insptimerequestgci.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. City of Wheatljid�e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us I FOR OFFICE USE ONLY Date: Plan/Pennit # C�o l ) 0) J 111 ({ Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print):.% c f v� 1 � ger o,'e- i ru � r to Phone: 36/3 Ir 2 - .31 r'I Property Owner Email: AIA Mailing Address: (if different than property address) Address City, State, Zip: =_ F� Architect/Engineer E-mail: Phone: Contractor: tt,/e S ,-,' �, v, t k` u .` N � 6, � I r �- - -S" Contractors City License #: T C/.7� f `1 Phone: T Z 0 - L-/ 5 -Ll - 5- 77,x' Contractor E-mail Address: Will U/e$1ern J_L4t^i � ,j Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL -RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) -T-c,, e- e Sq. Ft./LF Amps 2-7 Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 677 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I 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) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRI N NAME: C&,'l 'n k arc u f k1 ey" eel,' SIGNATURE: ZONING COMMMENTS: 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 DEPARTMENT USE ONLY DATE: ' /,' // OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANTLOAD: Building Division Valuation: $ i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: R D I Job Address: :IG at> Permit Number: _ a' 6 1 i C� kr r � v -u- -r to _!S -rA 7-v -so : rb I-- ,a Af /z - Ll No one available for inspection: Time U AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -in ction at 303-234-5933 l Date: Inspector: DO NOT REMOVE HI NOTICE x 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: Permit Number: y -t /����.y.tCSIZ(✓1ScJ✓n✓+-�L`i'vZ,33vtic , Cy. ❑ No one available for inspection: Time C> AM/PM Re -Inspection require dYe , No When corrections have been y made, call for re -inspection at 303 -234 - Date: / Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD I ",,,~,,,rr"'i crlNSPECTION 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 FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR No CONCRETE UNTIL ABOVE HAS BeEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath I Wall tie Mid-Roof !'o//;l./oq iLL Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Do NOT POUR FLOOR UNTIL ABOVE HAS BeEN SIGNED -1 ~~,,~ ro "j-" .~. ro.~,... I Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof ~/;t~8 a Building Final Fire Department R.O.w & Drainage START ALL ROUTING 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 CERTlFICA TE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ~ , ...~ ~ -r 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: KncIF h/VIfL Job Address/Permit Number: .g'~.71? /d' .s7' oY!5C/7 /' /lA:J!//J!/ f P AM/PM o No one available for inspection: Time Re-Inspection required: Yes ~ * When corrections have been made, call for re-inspection at 303-234-5933 Date: It//tt~'i? Inspector: L;" ~ ~/ DO NOT REMOVE THIS NOTICE ._._____~.__._.____.___,,___.______.u.___'__________~_.-----------.~---.----~-- .---- , ~u.( ~ City of Wheat Ridge Residential Roofing PERMIT - 080617 PERMIT NO: JOB ADDRESS: DESCRIPTION: 080617 3620 LEE ST t/o roof to deck, ice water shield, ISSUED: EXPIRES: inst11 30 06/10/2008 12/07/2008 yr, 31 sq *** CONTACTS *** owner 303/425-1361 gc 303/781-8185 Jacob Truj i 110 Corey Largen 01-7636 A to Z Roofing ** PARCEL INFO ZONE CODE: SUBDIVISION: ** UA 0642 USE: BLOCK/LOT#: UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION: FEES 290.30 .00 234.00 524.30 13,000.00 ** FEE SUMMARY ** 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 lication nd at I assume 1 responsibility for compliance with the Wheat Ridge Building Code (I.B.Cl and all other le at idge Ordina . ~U~der thi, perm/", PlofUbiect to field in'pection. date 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 (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. signature of Chief Building official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 8~"'HE':!?0 J... ....' i} 0 _ ' : ~ OLOR"'O City of Wheat Ridge Building Division 7500 W. 29th 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 'C1 O;).() LLe. ~T. Property Owner (please print) (ji'J C IhThtJ i II 0 Mailing Address: (if different than property address) Phone2:CB- 4;~'S- 8lP I Address: City, State, Zip: Contractor LLto ?_ (?r~' ~ Contractor License #: 0/1 /} 310 Phone: .~J3 - '7 '6/- ~I g>c:; Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Approval: Exp. Date: Approval: Exp. Date: Approval: Use of space (description): ~O..c._,_ Description of work: -'-/G> /'c;q-414 d~c- ::;;...b€ ~ p ,-"..4- ~/.JV... i!::~ ~1<JftkA :r:-S~ ? I"" IU l::. 3<'1'- 54"'7 ~ g;.,,~ ,,,... Ti'~ ~ Sq. FUL.Ft added: Squares:21- BTU's Construction Value: $ J '3. COO .""- (as calculated per the Building Va/dation Data sheet) Plan Review (due at time of submittal): $ Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 aU conditions printed on this application and that I assume full responsibility for compliance with the V\lheat Ridge Building Code (I.B.C) and all other applicable Vv'heat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (O;"NliRi l!;.Q!'!TRA~T;;RY or PERSONAL REPRESEN~TI~OWNER) (CONTRATOR) ^ /' EBlliI NAME: ~,~ ~*"J e,.../ SIGNATURE: )~ ~ - Date blt'C)fo.i DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS. Reviewer FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required r Bldg Valuation: $ OCCUPANCY:_ ~~.l~ ~ City of Wheat Ridge Residential Roofing PERMIT - 080617 PERMIT NO, JOB ADDRESS, DESCRIPTION, 080617 3620 LEE ST t/o roof to deck, ice water shield, ISSUED, EXPIRES, instIl 30 06/10/2008 12/07/2008 yr, 31 sq *** CONTACTS *** owner 303/425-1361 gc 303/781-8185 Jacob Trujillo Corey Largen 01-7636 A to Z Roofing ** PARCEL INFO ZONE CODE, SUBDIVISION, ** UA 0642 USE, BLOCK/LOT#, UA 0/ Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION, FEES 290.30 .00 234.00 524.30 13,000.00 ** FEE SUMMARY ** 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.e) and all othel' applicable Wheat Ridge Ordinances, or work under this permit. Plans subject to field inspection. Signat-..lre of contractor/ow date 1. This permit was issue accordance with the provisions set forth :J.n your application and is subject to the laws of the State of Colorado an to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicabJ.e 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 o:r 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 recelve written approval on inspection card before proceeding with successive phases of the job. 6. The i,;suance of a permit or the approval of drawings and specifications shall not be constl-ued to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. Signature of Chief Building Official date INSPECTION REQUEST LINE, (303)234-5933 BUILDING OFFICE, (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.