HomeMy WebLinkAbout4005 Brentwood StreetResidential �h�_ ��ig PERMIT - 20I"02790
PERMIT NO: 201702790
ISSUED: 06/28/2017
JOB ADDRESS: 4005 Brentwood ST EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential reroof: Install Owens corning storm asphalt 6/12 1 story ice
and water barrier new metal at edge and flashing penetrations.
*** CONTACTS ***
OWNER. (970)434-6199 ROEMER DAVID
SUB (303)781-8185 Corey Largen 017636 A to Z Roofing
* * * PARCEL INFO * * *
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/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€'"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
�-'o I I q 0
��� tiLmre`l. INSPECTION RECORD Occupancy vn
IVUJ K-,- J r
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co-us/forms.aspx?fid=70,
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
no Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
nn Nnf rnvpr I IndPrnrnund or below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections _
Date
Inspector
Initials
Comments
g
-711,
Mid -Roof
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
LNOT--: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201702790
PERMIT NO: 201702790 ISSUED: 06/28/2017
JOB ADDRESS: 4005 Brentwood ST EXPIRES: 06/28/2.018
JOB DESCRIPTION: Residential reroof: Install Owens corning storm asphalt 6/12 1 story ice
and water barrier new metal at edge and flashing penetrations.
*** CONTACTS ***
OWNER (970)434-6199 ROEMER DAVID
SUB (303)781-8185 Corey Largen 017636 A to Z Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME $LOCK/LOT#a 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/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€lms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
4' City of Wheat Ridge
" r Residential Roofing PERMIT - 201702790
PERMIT NO: 201702790 ISSUED: 06/28/2017
JOB ADDRESS: 4005 Brentwood ST EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential reroof: Install Owens corning storm asphalt 6/12 1 story ice
and water barrier new metal at edge and flashing penetrations.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that 1 am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompan nng approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. 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 original�ppermit 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 re uired
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; al of, an ation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of v5Qjt6g
o iel e 'an.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to 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.
Antoinette Kulick
From: no-reply@ci.wheatri dge.co.us
Sent: Friday, June 16, 2017 1:46 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
U'
This application is exclusively for new permits for residential roofs and for licensed
1
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
Q
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
+�1
V
How many dwelling units Single Family Home
are on the property? 1
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4005 Brentwood St
Bruce Roemer
970-434-6199
Field not completed.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name A to Z Roofing
Contractor's License 017636
Number (for the City of
Wheat Ridge)
Contractor Phone 303-781-8185
Number
Contractor Email Address info@denverroofers.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
info@denverroofers.com
No
Owens Corning STORM
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 20
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Field not completed.
i
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
20
6/12, 1 story, ice and water barrier, new metal at edge and
flashing penetrations.
6500
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 D. Corey Largen
Email not displaying correctly? View it in your browser.
3
YKUYUSAL ]UBMI l I to 10
BRUCE ROAMER
BILLING ADDRESS
4005 BRENTWOOD ST
PREFERRED�b.
CONTRACTOR�rtifwd
yl�aw5tafgrR»tfq
4251 S. Natches Ct. Unit K, Englewood, CO 80110
Phone: 303-781-8185 Fax: 303-781-4875
www.denverroofers.com info@denverroofers.com
970*434*6199
JOB LOCATION ADDRESS
Ll IT, bI 11, AND 41F LUUL I CITY, STATE AND ZIP CODE
WHEATRIDGE CO 80033
DATE
6/11/17
EXISTING TYPE OF ROOF: COMP SPECIAL INSTRUCTIONS
INSTALL OR REPLACE WITH: OC DURATION STORM
COLOR OF SHINGLE: SIERRA GRAY (cuSrlNT.)IIXG-L t /y y 1rgi- L
MANUFACTURER'S LIMITED WARRANTY: LIMT LIFE
r r r
r r r
ACCREDITED
BUSINESS
bbaor9
EXISTING NUMBER OF LAYERS: 1
ROOF PITCH: 6/12
SECTIONS LESS THAN 4/12:
INSTALL DECKING: 7/16" OSB PLYWOOD
INSTALL FELT: 15# 30# A TO Z TO DO ROOF FOR INSURANCE ALLOWENCE
INSTALL ICE & WATER SHIELD: YESV( NO SQ FT PLUS ALL SUPPLEMENTS.
METAL EDGE: 2X2 RAKES02X4 (120e)EAVESOCOLOR: WHITE
VALLEY TYPE: OPENI I CLOSED —/1 1
REPLACE PLUMBING JACKS: YESI ,( 1 NOI l #: ALL
VENTS (#): ALL RIDGEVENT (LF):
0 YEAR GUARANTEE ON LABOR
GALVANIZED NAILS, 6 PER SHINGLE
GUTTERS CLEANED OF ROOFING DEBRIS (EXCLUDES DOWNSPOUTS)
A TO Z EXTERIORS TO FURNISH ALL MATERIAL AND LABOR
CLEAN AND HAUL ALL TRASH FROM ROOF
PROTECT LANDSCAPE WHERE NEEDED STANDARD EXCLUSIONS
ROLL YARD WITH MAGNETIC ROLLER Modified Bitumen roofing installation shall carry 5 Year Workmanship Warranty
PERMIT FURNISHED BY A TO Z EXTERIORS (suPPLEMENTTOINSURANCE IS APPLICABLE( Damaged drywall from nail penetrations; not the responsibility of A to Z Exteriors
INSURANCE PAPERS PROVIDED: YESu NO"
Under the terms of this contract the workmanship warranty is not effective umil payment is made in W, A to Z Exteriors is not responsible for driveways or sidewalks that are damaged from vehicles used in normal roofing procedure.
An stress fee on be paid by customer to insure heavy vehides v4.11 not drive on concrete.
Any Material Warranty (s non -transferable uNess otherwiu stated by the manubGurer. A to Z Exteriors is not responsible for mold or mildew.
UBC building code requires that fasteners)rails and staples) MUST penetrate decking W ar thickness of sheedng. AtoZRoofing
is not responsible for evposad eaves that nails penetrate. R pin tra,t ardeteriorated m e included and will ecWng, Mas boards,
ventilators,�sN,gor'�er materials, unless otherwise stated in
We Propose to furnish all materials and labor completed in accordance with the specifications below for the initial sum of:
REPLACEMENT COST:7102.40
$ per insurance proceeds plus any supplements that may apply to your claim.
Upon approval of your claim, ATO Z will file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the insurance
scope provided to you by your insurance company. Those items will be paid per your policy provisions and will become part of this contract as if contained herein. ATO Z EXTERIORS will
negotiate a fair and equitable settlement agreeable by both your insurance company and ATO Z EXTERIORS based on competitive market rates for labor & materials with no additional cost
to you, except for your deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full
roof replacement, you will not be obligated to this contract and may enter into an acceptable repair agreement with A TO Z EXTERIORS.
ACCEPTANCE OF PROPOSAL—This proposal becomes a legal binding contract 72 hours from date of
acceptance. I A% per month interest will be added onto all accounts 30 days past due. In addition, costs
and reasonable attorneys fee for collections maybe charged on any account past due over 30 days.
Payment will be made as outlined above. Failure to pay can constitute a mechanics lien filed against
property. Cancellation of the contract may be achieved by paying a cancellation fee in the amount of 5% of
the contract price. All returned checks are subject to a returned check charge fee.
Customer Is responsible for payment as outlined in this contract and payment to A to Z is not
contingent upon government inspection and / or payment from his or her insurance company.
A TO Z EXTERIORS is owned and operated by 2 HAIL INC.,
a registered Colorado Corporation.
All proposals are subject to approval by Management.
Customer agrees that he or she has read, understood andlagreed to all terms
ani itions rto lq on the back this Co-
_jDact
Customer Approval
Date
Note: This proposal may be withdrawn by us if not accepted within _days
A to Z Representative Approval
A to Z Exteriors Management Approval
Date
6ate
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
__1�97(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: . w /J
Job Address: UU 7 %���n '— Lywr)
Permit Number: 26 2710
Uva-
Peg d 4
❑ No one available for inspection: Time 0 AM/I4
Re -Inspection required:;' Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: �%�Gl (7 Inspector: KK
DO NOT REMOVE THIS NOTICE
2U
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: ."M� 0
Job Address: C4003'
Permit Number: Zu/71) Z -7Y u
PPQ o
❑ No one available for inspection: Time 0 A'M/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:17/0/ Inspector:
DO NOT REMOVE THIS NOTICE
x
i CITY OF WHEAT RIDGE a
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
,(303) 235-2855 Office • (303) 237-8929 Fax
INSPECITION NOTICE
Inspection Type: F
Job Address: L/' S 7re�
Permit Number:
❑ No one available for inspection: Time Awpm
Re -Inspection required: Yes No
When correctio s have been made, callfor
rrrJeinspection at 303-234-5933
Dater Inspector:-
DO NOT REMOVE THIS NOTICE
City o
�6 t l
COMMUN17Y DEVELoPPIE
Building : Insp ection
75 00 W 29in Ri CO 800
• 1 •
Ins
Buil Permit Applicatio
e
Property Address:
Property Owner (frtease
Phone:
Mailing Address: (rf different than property address)
Address f �
City, Mate, Zip: � , � _ - — y
• a
Plumbing:
City License
Descr ton of work:
r
Mechanical:
City Lice #
Contract Value:
°
$
.-
f i
fiw
•
FIRE D PARTMENTr, 0 apprOved wicomment4 . 0 disapproved 0 no review required Bldg Valuation. $
CITY OF WHEAT RIDGE
06/11/12 1:54 PR cdba
Gary C Kenfield
RECEIPT ?O. @8734
AMOUNI
B"PSP Install 40 pallon ga
55.30
20128684
PeTmit Fee
:
Use Tax
15..38
PAYMENT RECEIVED
MOUNT
vs 9723
55.30
Auto; Coders.
41115E
TOTAL
5530
City 0
hC -at- is
9
City of Wheat Ridge Municipal Building 7500 W 29'n Ave. Wheat Ridge, CO 0033 -8001 l'; 3113,235.2 46 F :303,235.2857
FAX CtivER SHEET
COMMUNITY ITY DEVI I OPMENT & PUBLIC WORKS a DEI'ARTME T
w8 wxi.w heatricl e.coms
06/11/2012 08 :38 3036341481 P REC I SE
Buil a Inspection Services Divisio
7500 W, 2 9tfi t Wh Rid !
3 03-235-2866 1 : +: •
Ins pectio n
Buil Pe Applicatio
Mc9itTf
P lan
Property Address: � g /7
Property Owner (please print): Sp
11 1 111 1 11 iliiiiiiiiiiiisli '111111 fill 111 ��lljlllllll
City, State, , Z ip:
c
J
C on t rac t ors Licens „ Phone:
dt
t Con
Plum
City Licen
City License ##
DEgription of work:
Contract I III IIiIV Valil
mot+► II���I
#
#
't# :. ,. „� # # i . R. # f # : w... ! R 1. # #' ♦ t .: ,: # #
Z ONING • '..
#
PUBLIC VVORKS=WFENTS,
FtRF r)EP RTmE ,% a soptove d w/torrimi 0 St +/sapp Gel t10 MVIOW requited
x
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number:
Date:
14255
7/30/02
Property Owner: ROEMER
Property Address: 4005 BRENTWOOD ST
Contractor License No. : 18486
Company: Controlling Systems, Inc.
Phone: 456-5813
Phone: 762 1421
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 art 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
Gode (U.B.C.) and all other applicable Whe t Ridge ordin noes, or wol"1 under this p;,mit/
(OWNER)(CONTRACTOR) SIGNED Y-OATEI ~ D
Total:
$4,900.00
$111.25
$0.00
$58.80
$170.05
use:
Description:
INSTALL 2 TON NC & 150 AMP SERVICE CHANGE
If~l~~
BUILDING DEPARTMENT USE ONLY
--
Approval:
Zoning:
SIC:
Sq. Ft :
---
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No : 18486
Company: Controlling Systems,
Inc.
Expiration Date: 12/21/02
Approval: OK/KS
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire jf (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
(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 are made 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 notlfy the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) T] h . suanmce of a mit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
< iSi~S . ing codes or any other ordinance, law, rule or regulation.
/ .
(/1 ~-'
Chief Building.lnspector
Feb-07-00 03:42P DEVREVFAX
DEPARTMENT OF PLANNING AND DEVELOPME NT
BUILDING INSPECTION DIVISION. 235.2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE. CO 80215
303 235 2857
Building Permit Number:
Date :1[3D\ 'Dc
P.02
APPUCJ\,ID N
- -
Property Owner: f'cf Oi ~
Property Address: 4z::r:F) .B/2bJT-v0 oQ) 'ST
Contractor License No.: I ~~~ LQ
Company: CO":''reolt(t.JC, S\f",/1tnS
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone:
30:=z,-~'Sl<>-5%f3
1:7\c
Phone. 803.'7(p~ -\4.;>\
Construction Value
Permit Fee.
ff4QoQ.oo
111.ri.S
~D
I hereby certify that the setback distances proposed by this permit application are at: ,;urate,
and dO not violate applicable ordinances, rules or regulations of the City Of Wh.at Ri 'oe or
:ovenan!$. easements or restrictions of record; that all m..,urem6nts shown. .,d;1 Itgations
made are accurate; that I have read and a9,ee to abid, by all eonditions prtnt"d or. t is
application. and that: Illume full rospon$lbility for eompllance with the Wheat Rid~t Building
Cod. (u.e.c.) and ,II 0111., appnc:abl. Whoat Ridge ordlnanco., for well< Ulldor t~ ):::~
rOWNER)(CONTRACTOR) SIGNED -.:JfM/r fiwm1 4j7tt1(f DA TE~~ l6l.
Use Tax:
Total:
17C.D~
Use'
Description :
d21~(1
;;)~
ArC
f
15('1
a 111{J
<~u) C-C(
r:AOi1qe
BUILDING DEPARTMENT USE ONLY
.' tll.l~'.r,~'lltllll.JU'....;;
SIC:
Sq. Ft
Approval:
Zoning:
=.PP:' '. lL'_, ~..t ~1',' '. ~
Approval:
:'>,!!:. ,..' ~ I:,......," ~....1...:.L..L ' '""
Approval:
Occupancy :
Walls:
Roof:
3tories :
Residential Units :
Electricat License No :
Company:
Plumbing License No :
Company:
Mechanical License No .
Company:
Expiration Date'
Approval :
Expiration Date:
Approval:
Expiration Date:
Approval:
(1i
this I*'flVI 'W.' i..ued In ICCiOJdance w~.h the proviSions Hit fot1h In yopur applicatiOn i! 'd is subjeCt to the. ""s of"'e State of Coloneo and to the ;'oning
ReglAltlon. and Bl.i1ctltlll COCM Of'VVt'IM1 RlCSIt. CQtoraOo or.ny OU'1tr IIPpfiCIt)Ie ~fU 1ce. of the City
ThIs pM'ft/t Ii'IIII ~ (A) the wont ltJtl'loriztd is: not commenced within !IOOy (eo) d.I J from issue chIte Of (8) tne buiding .utl'lOn'zed is ,uspltt'lded or
abandcnedtor. pe~..
If1NJpermit ppAt, 'MW may De lQ:luired for a fN Ofont-nllfVleamount1'lOl1ll11y required. provided nochangN nave been orwiU be rT\lIde in tM
ongln81 pIIns ana onI JIlCI.ny IUlDeI1I6On 01 ~rnent tIU not exceedltl one (1) year. If changes, Ire made or If suapen,ion or aO&ndOnment
exceeds one (1) yn" W,....... tMI palO bt. MW.permjl
No WOl'1( or tnY I11Inner IhIIl be dent I\It wi! ~ Iht ."ItvrIl !ow of water elUting dnlln891 problem.
Convaetor .hlll noutr 1M BUilding 1,.peccor~4our (24) Murs In aovance fof I. In: pedIOnl and Shill rec:elve wtitlen Ipprovat on inspeeticltl card before
p""'"""Ilwi..._.._oI"'job.
'Tht iHUlncI ct. permltorlM.ppt'0Y8IOfdrawltl~' IOd specffIcItIon& shin nol be ecr ;,tnHId 10 De. permit lOr. 1M)( In IPPfO'lf1lo#, l/'ly mation of the pro\liSiOns
or 1M tlUlding ClOda or.ny otI'Ier lWlnanee. Itw. Me Of'regulatlon.
12)
(3)
(4)
")
(6)
Chief Building Inspector