HomeMy WebLinkAbout3825 Allison Circle'9 / / 0/� St'
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Typ
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 I Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
nn Not Pnur Concrete Prior To Anoroval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
nr% Nnt rtnvpr I Indprnround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections _
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
20'
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
Roof
(%
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
A 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: ��7 k(
Job Address: j6H 1 Ci a
Permit Number: r2i 004
No one available for inspection: Time q SAM/ M
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection a A3-23 - 933
Date: 1( h/ Inspector:
DO NOT REMOVE THIS NOTICE
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 -,i 1
Job Address: > _Y 2 K- /1l%."s�.- C,1 -
Permit
✓`Permit Number: q F:Y
❑ No one available for inspection: Time `-, AM%pI�
Re -Inspection required: Yes ,No,,.,
When corrections have been made, call for re -inspection at 303-234-5933
I < �-- r,
Date: ' / / Inspector: (
DO NOT REMOVE THIS NOTICE
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A o City of Wheat Ridge
Residential Roofing PERMIT - 201704580
PERMIT NO: 201704580 ISSUED: 07/21/2017
JOB ADDRESS: 3825 Allison CIR EXPIRES: 07/21/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Pinnacle asphalt shingles with 28 sq.
*** CONTACTS ***
OWNER (303)898-8665 TOMLINSON JANE
SUB (303)984-7663 Judy Antener 070171 1-DERFUL ROOF & RESTORATION
*** 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: 11,200.00
FEES
Total Valuation 0.00:: r..
Use Tax 235.20
Permit Fee 236.00
** TOTAL ** 471.20
*** 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.
A 41 City of Wheat Ridge
Residential Roofing PERMIT - 201704580
PERMIT NO: 201704580 ISSUED: 07/21/2017
JOB ADDRESS: 3825 Allison CIR EXPIRES: 07/21/2018
JOB DESCRIPTION: Residential Re—roof to install Atlas Pinnacle asphalt shingles with 28 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
14?
rty and am authorized to obtain this permit and perform the work described and approved in conjunction with
to include all entities named within this document as parties to the work to be
work o be a ed i isclosed in this document and/or its' accompanying approved plans and specifications.
I _
Sn ure of OWNER or CONTRACTOR (Circle one) Date
I . his 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, po Flans
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 an 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
applicabl or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz �126r2lS-u6
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 13, 2017 11:58 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
tiv
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
T
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 3825 Allison Cir
Property Owner Name Jane Tomlinson
Property Owner Phone 3039898-8665
Number
Property Owner Email jtvtmt@aol.com
Address
�- � -) r. ,)o
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
1-derful Roofing & Restoratin
070171
303-984-7663
Contractor Email Address 1 derfulcolleen@gmail.com
Retype Contractor Email 1 derfulcolleen@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
Atlas Pinnacle
Asphalt
Field not completed.
How many squares of the 28
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No V
Field not completed.
TOTAL SQUARES of all 28 V/
roofing material for this
proj ect
Provide additional detail Re -Roof House
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract L11,200.00
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 Colleen Jacobsen
Email not displaying correctly? View it in your browser.
3
A85DN(Girton Drive
Lakewood, CO8O227
Phone: 303-984-ROOF(7663)
Fax: 855'696'7776
8EAF
R ORURL
01
7R010F)ING 8 RESTORATION
Proposal Date:
This proposal may be withdrawn by1-Derful
Roofing uRestoration ifnot accepted within 30
days from the above date.
pnopoox4pon:
Insurance Company: eyy
Phone:
Adjustor Information:
—��Policy :
(If Different) Claim Number:
Best way to coniiict:
and eaves are open or closed.
�f|nepe���|�'Oe�ho��(��nA��� color�—Outlet
+t �
replaced sdcost of $_X°^_Per Sq. Ft. Homeowner
will be notified ifany damaged wood iofound during tear off.
n�m||iceshie|dnneoveaandin |
�w ,=" [] Extra work
Install drip adg o|n
|nstaUundedeymmrd
Recover roof with
_1 year manufacturer warranty.
]Gbi | �o�nnr � ��
~ �—�—��—�
color I Pi
,��16 Nail every shingle Special instructions:
ridge style
\-f'install pipe jacks =Head w=''p^"°'~' 1~do�u|R��inQ�nd�$�Or@boo�haUh0|dinkust�ny
Step OosheidoweUm chimney -���ep8aahoky|igh�
'~~'' payment received from you until 1-dedulhas delivered
�~�1-DeMb|Roofing &Roobom1ionvviUprovide general liability insurance
~~°ofut|eomd$2.U0O.U0OandVVurkemoComponoetionufat|east$5OO^D8O roofing materials at the site orhas performed a
,�4'ciean up and haul of roofing debris X Clean out gutters majority of the roofing work on your property.
"�magnetic sweep of surrounding area yClean around ��
landscaping deductible \nbecollected
��+/uinaquimdPemoitafumishedby1'[}e�u|Roo�ng8Rm�ormUun- delivery.
^to be reimbursed by| Company s t
-Derful Roofing & Restoration five year ' 'Current VantilatioA 4 Recommended price |asubject Vouupp|oments/adjustmonts.
Roof work tobecompleted within 21 days of fimd
[] Decline recommendation onventilation insurance approval and mortgage endorsement*
of eptance
owner's Signature
1-DerfuTF(oofing & Restoration Representative 19M
Property Owner is X /is not intending Vomake payment from the proceeds ofoproperty and casualty insurance policy.
mson^wusALLOWANCE AGREEMENT |fso, homeowner must read and sign below.
//Woaflroo it, retain`oerf.^Roofing xRestoration ,=m=w~` this obtaining iniiuratira
comparry's approval and pay"wnt to have said work completed. It if agreed that the contractor is ernpowred 1r) contact my insurance carrier and to meet with their fuprebLnlative in order to negotiate the amount
of daimago, the cost of the fopw or replacerrient of the dtirnn(
'r ge to thr! Above property Upon ilia iosur�iiino, catfier agreement with the contrarlorand the down payment being made the work will be nchodulod
and may begin ona fimt in first , is
In the ove"t that the insurance camer fais to negotiate in it fa,r arid toa�;ooable amrinct. the contfactw, stwil not he held liable and thiF agreementwill be void The conlunctor will relvasr, din complato file to the
Insured oil[ of packet expense will not exceed [he insured (pto chasvi) policy deduclible for the work aqiriLd upon between !he insurance carrier and the conlrf3clor, In%irea a1w agrons to provide all the necessary
documentation for the claim finclurfing documentation to fac,IiUilo payment from Insurance carrier aridior mortgage holder). The coniumlor reserves the right to file for supplemental ctaims due to material andior
Claim NUmber
Uwe agree by sigrangabove to all the contract conditions on both the front and back wthis agreement
City of Wheat Ridge
Residential Fence PERMIT - 080005
PERMIT NO,
JOB ADDRESS,
DESCRIPTION,
080005
3825 ALLISON CIR
6 foot privacy fence -210
ISSUED,
EXPIRES,
linear feet
01/03/2008
*** CONTACTS ***
owner 303/898-8665
Jane Tomlinson
** PARCEL INFO
ZONE CODE,
SUBDIVISION,
**
R-2
0339
USE,
BLOCK/LOT#,
UA
0/
** FEE SUMMARY **
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED
FEES
108.30
.00
48.60
156.90
PROJECT VALUATION,
2,700.00
JF2l~~
Comments:
Conditions:
MR, R-2 1/2/08
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 accuratei 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 (l.B.C) and all other
appli Ie Wheat Ridge for work under this permi Plans subject to field inspection.
..-'"
r
8
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 (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 subject to f' inspections.
Signature of Chief Building
date
INSPECTION REQUESTijLINE:
REQUESTS MUST BE MADE BY
(303)234-5933 BUILDING OFFICE, (303)235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
30~,58?3698
02:44:47 p,m.
12-27-@
2/3
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: 17..)2-7/01
Plan#:61 -t4!al
Pennitll:
Building Pennit Application
Propel1yAddress: 30AS A///50^ (;r
Property OWner (please ,mil: ,:]qr'\L ;0....(.. f\ SfJ'I\.
Mai6ng AddR155: (d different than fJIf)pfKty addiessJ
PItone3'Os - ni'-)?6r..S
Address:
City, Slate. Zip: (AJI. un- r:rbl" ( 0
Contractor:
eo_LiceIIse II:
Phone:
Sub Contractors:
E1ec1Jica1 City lic:ense #:
Company:
Plumbing City license #:
Company
Mechanical City License #:
Company:
Exp. Dale: Exp. Dale:
Approvat Approval:
Useofspace(descriplion): b,,';;' 0' orNo..c,!
Description of work:,.. ,
teO\ <=-e.
Exp. Date:
AppIt>va\:
Cons_lonValus: $ 270<) {..."...--
(as r;a1culBted DBrthe BuHtlJlJR VaJuatlon Data sheet)
Plan Review (due at time of SlJbmitt91): $
Sq.F~dSd' "2JD' Squares_BTU.s_Gallons_Arnps_
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by !his permit appUcation are accurate, and do not violate applicable ordinances.
rules or regtjations of the City of Wheat Ridge or covenants. easements OJ msfriotir)ns of recon:l: that aU measaaments shown. and
sllegatioos made are accurate: that I have read 81'1d agree to abide by al oonditiDns printed on this application and that I assume full
responsibiUty for COf11)Iance with the Wlleat Ridge Builcling Code (t 8.C) and all other applicable Wheat Ridge OJdinBnces, for work
under this permit Plans subject to field Inspection.
C/RLCEONIi"~ (CONTRACTOR) or PERSONALREP~nVEOf(OWNER) (CONTRATOR) ._ J~_J,~-,
PRIJlTNAMEo ---]QWI\'/lS;;O" SIGNAT1JRE, '2 ___- o.1e:~
1-/V
ZONINGCOMMENT$: ..Y O~
Znning: vr 1\,.-/
Reviewer: \ /
DEPARTMENT USE ONLY
PUBlIC WORKS COUUENTS;
Reviewer:
BUII.OING [)EPARTNENT COMr.ENTS;
Reviewer;
OCCUPANCY,_
FIRE DEPARTMENT:: 0 approved wi oorrments 0 disapproved 0 no review required I Btdg Valuation: $
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3(\15823698
02:44:40 p_rn 12-27-2007
Century Casino
Jane Tomlinson
Cage Manager
303-898-8665 c
303-582-50500
303-582-3698 f
Jane. tomIinson@centurycasinos.com
Fax To:
City Of Wheat Ridge Building Division
303-235-2857_ fax#
In Regards To:
Fence permit for 3825 Allison Circle
Jane Tomlinson
303-898-8665
1/3
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COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office. (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: h"" A'i /:1/Er";../'
Job Address/Permit Number: J8}.5 A!.i./<;.pn/ e 1;<'.
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.When corrections have been made, call for re-inspection at 303-234-5933 -J
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f!:i........:...,.,.....:.. ...:'.:..._::_..~:.:.-",::..>,."'_..,':.,_..: <''':':.'.__.._'.":,.-.,,....--,.-_.<._,:..-_,.,--,..c::..... ...._::::>:...:. .;~
__ _ _______________ _~~~~_~~-- _~~__~..~__.__J
o No one available for inspection: Time /I too AM/PM
-
Re-Inspection required: Yes c~
Inspector: ~
/"
DO NOT REMOVE THIS NOTICE
Date: / .J~()/07
INSPECTION RECORD IOCCUDanCVITVDe
lTlNSPECTION 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)
Do NOT POUR FLOOR UNTIL ABOVE HAS BeEN SIGNED
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical .
I Framing
Insulation
Drywall Screw
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
I I
FINALS
Electrical
Plumbing
Mechanical /2/10 (1J7 {f(
Roof
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
CERTIFICA TE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TfON
OF A CERTIFICA TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of Wheat Ridge
Residential Mechanic PERMIT - 071309
PERMIT NO,
OB ADDRESS,
ESCRIPTION,
071309
3825 ALLISON CIR
boiler. 83% effic & 140K BTU
ISSUED,
EXPIRES,
12/03/2007
05/31/2008
*** CONTACTS ***
720/935-3783
303/279-7971
Beverly Ishimaru
Andy Vik
01-7656 Mac-Vik Plumbing & Heating
* PARCEL INFO
ONE CODE,
UBDIVISION,
**
UA
0339
USE,
BLOCK/LOT#,
r-3
0/
SUMMARY * *
ESTIMATED PROJECT VALUATION,
FEES
162.90 t
.00 ~Ot4~
108.00
270.90
6,000.00
Permit Fee
Total Valuation
Use Tax
** TOTAL **
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 tha assume full responsibility for compliance with the Wheat Ridge Building Code (l.B.C) and all other
applicable Whea work under this permit. Plans subject to field inspection.
'7
date
'Signature of contractor/owner
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.
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.
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.
No work of any manner shall be done that will change the natural flow of water causing a drainage pro~lem.
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.
The issuance of rmit or the approval of drawings and specifications shall not be construed to be a permit for, nor
y violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
is subject to field inspections.
Chief Building Official
date
NSPECTION REQUEST LINE; (303)234-5933 BUILDING OFFICE, (303)235-2855
EQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Building Permit Number:
Dale:
APPLICATION
Property Owner~&v't.-r 1...../ I ~h i vY\ O-..r "'-
Property Address: 2, '6 ~ A III ~C> r, C......
Contraclor License No.: \{ (" S- to
Company: ~o...c. - \I \ ~ ? l W'"Y\b ;nlit I:\-- t-l~
Phone: ld- 0- L13S: 3( 6'2
Phone .6'02> -~ 7 q,\ q 1 (
OWNER/COHTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that !he setback distances proposed by this permij application are accurate, and do not violate
applicable o1tlinances. ru~ Of regula~ of the City of Wheal Ridge or covenants, easements or restrictions of
record; that all measurements shown. and allegations made are accurate; that t have read and agree \0 abide by
all conditions printed on this application and that I assume lull responsibility for compliance with the Wheal Ridge
Buildng Code (U.B.C) and all other applicable W t e Ordinances, lor work under this permit.
Co~struction Value: S (P 0 0 0
Pennit Fee: $ t "'').,'10
Plan Review Fee: S
Use Tax: S IO~.\;l..-()
Total Fee: SJ.'10.Qo
(OWNER)(CONTRACTOR): SIGHED
IOWNER)ICQNTRACTOR): PRINTEO ~ v\C~irP \\)::r V I k
DATElll2:i5/Il'
OATE~
DESCRIPTION:
~L.J!..,<;>
7-- .. ~ f:17JVVV d3'Z
/ ~O ~ /5r7-L
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUllOtHG COMMENTS:
Approval:
PuBLIC WORXS COWMENTS:
Approval:
OCCUPCj-('l)':
Wails:
~'f .,.-.
....,)1),
;::, ~ \..~ r; t: s
r~e::>idef1\i,il Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) Thb pennM: wasluu.d in accordance with the provision,sel forth In your appik.ltion and Is lub}ect to the lawt 01 Ole Stat. of Cokndo and to the Zoning Regulation.
aIHI Bulkllni Cod.. of Whtat RkIgt, CcMorado 0( any oth. appkablt onfmanctt of the Cky.
(2) Thtl ptIfd sh.. upn If (A) lb.1I<<lf\ lVlhortz.ed I. nol COIMMnCt4 wtthkl slxty (60) ~ys from latul dE. or (8) tn, blllkSlng authOrized is ~'SJ*MIed Of aban40ntd for it
poriodoll2t......
p) . thb f*d Clpftt. . new pwml may bt acqund for I ,.. of one-hatf the amount nonnally RqUnd, pttIvidtd no Gban;.s haY' bMn or will bt made In tn. ~a1
plana and ~. and any IUspention or lbandonment bat not ucetdtd on. (~) yNt. . dwlVtt hive been or If IIl"ptntion or abandonment uc..dl on. (1)
yn" full f... th.. be paW for. n_ ptmll.
{"} No work of aDY man,* shall be don. thIl will change the natu~ now or wit... Qumg. d~I9' probItm.
(5) Contractor shll notify tht BulklnJil an.J*!or twenty.fout (2") hours in advance fur all inlJ*Uon. and $hall n~' wntleIl apptvnl on 1ns~n card btfore
PfOC"CIinvwlttllUccesstYtpil.....ofth.job.. .
(6) The islUance of I pennIt 01 Olt appruval 01 dmMgI and $pllclficltionl $hall not be conltnled to be a p.rrnlt 'Of, nor an approval of, any violation of tht provisions of
tht buldinv codes or any oItIw onInanct,iaw, rolt or ..-gulltlon.
Chief Building Inspector