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HomeMy WebLinkAbout4260 Brentwood StreetCity of Wheat Ridge '4F Homeowner Roof PERMIT - 201701975 PERMIT NO: 201701975 ISSUED: 06/14/2017 JOB .ADDRESS: 4260 Brentwood ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Tear off and reroof with shingles; remove felt, metal edging, boots & gas vents, turbins; install new ice shield, felt, metal edging, shingles, etc; House 13.50 squares; Garage 8.64 squares; 22.14 squares total *** CONTACTS *** OWNER (303)909-7843 SCHWAB DOUGLAS W *** 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: 5,689.98 FEES Total Valuation 0.00 Use Tax 119.49 Permit Fee 140.90 ** TOTAL ** 260.39 *** 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 manufacturer&4Erms 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. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. 61 +2bo. " �aINSPECTION RECORD °c�t,an�v,Tme INSPECTION REQUEST LINE: (303) 234-5933 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 j Sewer Service Concrete Encased Ground (CEG) Lath / Wall Tie Plumbing Foundation / P.E. Letter Rough Electric Do Not Pour Concrete Prior To A roval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Mid -Roof j Sewer Service Lath / Wall Tie Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof j 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 WZ 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 eiectncai low voltage by the Building Division. For notification of ,your assigned inspection time window please email insptimerequest(a)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 2. 1* � 4 i CITY OF WHEAT RIDGE Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INPPECTION NOTICE Inspection Type: �16011_"__ Job Address: Lt Z �� /S lZ .cam LcJUc� Permit Number: Z 0/ J No one available for inspection: Time -� AM/PM Re -Inspection required: Yes Na) When corrections have been made, call for re-inspec " n at 303-234-5933 Date: / Inspector! 1 DO NOT REMOVE 'HIS 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: 12 60 Permit Number: 2-0,1, r © ❑ No one available for inspection: Time .� AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 r Date: �~ .�. f. Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge 's Homeowner Roof PERMIT - 201701975 PERMIT NO: 201701975 ISSUED: 06/14/2017 JOB ADDRESS: 4260 Brentwood ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Tear off and reroof with shingles; remove felt, metal edging, boots & gas vents, turbins; install new ice shield, felt, metal edging, shingles, etc; House 13.50 squares; Garage 8.64 squares; 22.14 squares total *** CONTACTS *** OWNER (303)909-7843 SCHWAB DOUGLAS W *** 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: 5,689.98 FEES Total Valuation 0.00 Use Tax 119.49 Permit Fee 140.90 ** TOTAL ** 260.39 *** 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'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. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Homeowner Roof PERMIT - 201701975 PERMIT NO: 201701975 ISSUED: 06/14/2017 JOB ADDRESS: 4260 Brentwood ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Tear off and reroof with shingles; remove felt, metal edging, boots & gas vents, turbins; install new ice shield, felt, metal edging, shingles, etc; House 13.50 squares; Garage 8.64 squares; 22.14 squares total I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le all authorized to include all entities named within this document as parties to the work to be performed nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. 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. 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 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 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 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MOE 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 insptimerequest@ci.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 Wheat dge COMMUNITY DEVELOPMENT Building 8 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: perm its(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: -)LdPlan/Pennif # 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: �Z6 0 l�✓2� �Lvol 5 Property Owner (please print): 1?OL) o SL)��,� i t Phone: 3 9t.2, Z�� Property Owner Email: n J Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 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 LlROOFING ElRESDENTIAL ADDITION E]' 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 ePjL �-?. 1 /-Jjl/,c JZ nuc: ✓z Gig i1�FT)iL cSI)!;,i i7G�z� i S' E�>rj Jew Jr 5� "rtJ9' ►'��„� Sq. Ft./LF . Amps iC�" S�N��Lci', /^eL i J74- ')JL /��►,,) S;�».y1�3' JZrI� t?. 1.' S S,) 1- f i L0 0 �= , ' /v Btu's Squares Gallons Other IProject Value: (Contract value or the cost of all materials and labor included in the entire project) $ 2- z c 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (WNW (CONTRACTOR) or4AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): �� DATE: _ 7 ZONING COMMMENTS. Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: 5j V Building Division Valuation: $ v �' City of t Wheat idge COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): 1�0 %C�i S'f tji� l� Project Property: e4'-) rN Z)Q I� Notarized sXnature of Applicant State of Colorado } County of ToS'S scan } ss The foregoing instrum nt was acknowledged by me this day ofP , 2017 by TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20104015461 LMY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires __q/,22J20_?,0 Notary Public a FOR OFFICE �J ; iii. City of �r� 2 �" .��7wh6at 'i 10 OMMUNiTy DEVELO r Pia a it Building & inspection Services Division � S 500 W. 29th Ave., Wheat Ride, CO 80033 Office: 303-235-2555 * Fax 303-237-3929 Plait Review Inspection Line: 303-234®5933 Building it Application " #Mesas complete allthighlighted areas on both sides of this form, Incomplete OPPI100111ons may not ,be Pmcossod. *** Property Address.- i print): PC Property Owner, E. it Mailing Address: (if different than property address) Address. fit , Stt, `i chin Engin ' r E-mail. Phone.- Contractor: ht ne.-Cant c or. cent o city License #: Phone - Contractor QrE-mail Address: Sub Contractors* Electrical: Plumbing: mechanical: W.R. City License # W.R. City License # W.R. City License Other City Licensed Seib: Other City Licensed Sub: City License # City License At --Complete 211 information on BOTH sides of this farm NEW COMMERCIAL � .... Ip.. g STRUCTURE , iYr ELECTRICAL b 1 SERVICE :.bls g W. NEW RESIDENTIAL T D g w • COMMERCIAL lY•g ROOFING COMMERCIAL ADDITION ENTIAL OW OFINGCEMENT n / * ADDITION WINDi *# COMMERCIAL g.r STRUCTURE (Garage, .. deck, RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL * •r a REPAIR r► * REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL * 1 •IF* REPAIR • 1• # REPLACEMENT i g. OTHER i. * ►F * Sq. FULF Stu*s Gallons Amps Squares Other 4 +w L W OWN V ......-.11mmdential One Story Detached Garage NUN IVI ""11" pp� �+papi ui Kiri f�W,"� �r� poNpu�b�" r Minimum ix rido b!. i -- 200LLou„r . m , • # •* ## * ••�t r # #iling Insulation lildl MI#A �M*MII �Mij�IIIIU� IM*�`�III s * , r' + J y 1� R t iF III�uuII II I ` studs �IaMV 6O.C. 3 p nt. 2x sill plate (exami A rt -u e insulation t' at one k�Foundation ,NI +11, � III etail A ::.: ... + . , .*:.' ” irooting �rI�I�l�lll� IIS [ui II size 8* x 167 handout(example This ped by the Colorado Chapter# Internatiode il ic bmittal under the #� # ## # # ... # # # additional requirements. r { i .�......�.�+: - .a+r,±i,es.a«+rxs��+t-++++r• e� M'n..e.•.raysaao_�.nrrw;a*rue:trv..n,..��n�..,w>r�!-�-..:.m�-•�mt�+i+Mi...•.sq�.�+.;a`r-r.7Mmruc..C+.oY..4:�^+,��..ic, .1 . �.:n:nixz�.an ny.uei±n!. 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( No one available for inspection: Time Z %sue AMCOY Re- Inspection required: Yes r No ' When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: )2- 14 -(D3 Inspector: D, J DO NOT REMOVE THIS NOTICE C 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. Electrical ou -m ( ? . (; I(.) INSPECTOR MUST SIGN ALL SPACES: PERTAINING To THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: , Footings /Caissons R.O.W & Drainage INSPECTIONS FOR PLANNING 8 ZONING, FIRE AND PUBLICE WORKS SHOULD BE :CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping 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 F NCRETE SLAB FLOOR ctrical (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 z I "Framing I I FINALS Electrical f lumbmg Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING 8 ZONING, FIRE AND PUBLICE WORKS SHOULD BE :CALLED AT LEAST 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 ". CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION.'C OF A'CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED P O!"1TCl�T TLIIC I+A m r-ri r�ee T� �� �eir� nx„r -rte ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INS ECTION NOTICE Inspection Type: Job Address: ~l U d' cx~ Permit Number: nq U06 ❑ No one available for inspection: Time Re-Inspection required: Yes No -When corrections have been made, call for re-in: Date: €C 1 Inspector: DO NOT REMOVE THIS ♦ i CITY OF WHEAT RIDGE ~~r Building Inspection Division 1 (303) 2345933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: MI r • FM f) ~c Job Address: nl" F « }M~ if Permit Number: (7q tlI i7 :btl, A, yo,,f - LK , £1~EU F.. ti C 41f=pR ~"1 , 1. Y to / t- 4 f- ❑ No one available for inspection: Time AM PM Re-Inspection required: Yes . No When corrections have been made, call for re-inspection at 303-234-5933 Date: ~E inspector :'.l a, ~n, ha j~ DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge Homeowner Roof PERMIT - 094001 PERMIT NO: 094001 ISSUED:' 11/12/2009 JOB ADDRESS: 4260 BRENTWOOD ST EXPIRES: 05/11/2010 DESCRIPTION:: Reroof 14 sqs ***.CONTACTS owner 303/909-7805 Doug Schwab' **''PARCEL :INFO ZONE `CODE: UA `USE: UA SUBDIVISION:., 0326: (.BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,400.00: FEES Permit Fee 144.70 `P-- Total Valuation .00 Use. Tax ` 79 20 TOTAL 223.90 Conditions: 6 nail installation mid roof inspection required. Board sheathing spaced more than 'a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 21 inside exterior walls. ***Contractor/Property owner shall provide ladder(s) secured in place for inpsections.. Subject to field inspectional I hereby certify: that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the city of Wheat Ridge or covenants, easements or restrictions of record;.: that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code.. (I.B.C) and all other appli le Wheat idge Ordinances, for work under this permit. Plans subject to field inspection. Signatu of contractor/owner Y. date 1. This permit was issued in accordance with theprovisions 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. City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 v m Office: 303-235-2855 ` Fax: 303-235-2857 c o Inspection Line: 303-234-5933 Property AddressL Date: Plan Permit#:046 Building Permit Application i O ~~~6JDDD tea.. Property Owner (please print): 1)00 ~ '-:54-p w lg.e Mailing Address: (if different than property address) Address: '91- hq 69 City State Zip: W)AAI 6049600,U Contractor: A; se-)IV X13 Contractor License Phone: X70, Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: r~JJ"~ Approval: Approval: T7~ Use of space (description): al~AO40 Construction Value: $ Description of work: (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares ~ q 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.C) and•all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: OWNER (CONTRACTOR) or PERSONAL REPRESE TATIVE of( WNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: I•I ~'a ] Bldg Valuation: $ COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number: 17215 Date: 6/10/2004 Property Owner: HAZEL GOODSON Property Address: 4260 BRENTWOOD ST Contractor License No. : Company: Phone: 431-8390 Phone: 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 complian e with the Wheat Ridge Building Code (U.B.C.) and all other applicable hejlt Ridge ordin cas, for work under this permit. (OWNER)(CONTRACTOR) SIGN DATE r.,1,%f Total: $600.00 $34.52 $0.00 $12.00 $46.52 Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: SPRINKLER IRRIGATION SYSTEM. BACKFLOW DEVICE TO BE PVB. BUILDING DEPARTMENT USE ONLY zc;!!iliml~omme"tC Approval: Zoning: llIl1trll11'1'Qpmmellfl!:' Approval: R!!bli~!II'K:,.=~!)mmtD1llJ Approval: Occupancy: Walls: SIC: Sq. Ft.: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (1) (2) (3) 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. This permit shall expire if (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. 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. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Bui! . or twenty.four (24) hours in advance for all inspections and shall receive wrillen approval on inspection card before proceedlin cce phases of the .0 The i ~~!3' 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the p. i. il~~ other ordinance, law, rule or regulation. (4) (5) (6) Chief Building Inspector Please sign Terms and Conditions on reverse side of page. ~' WH[~7.. " / ~ 0 - " U ~ COLOR/>.\,,o COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Building Permit Number: Date: Property Owner: HA 7-"'-l.- &00 DS iJN Property Address: IJ.,i. 1.,,, ,f., eE ,.:>Twa:>P Contractor License No.: Company: Phone: 303.- </3/- ff Ytu Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value:$ r;, (Jo. 00 Permit Fee:$ Plan Review Fee:$ Use Tax:" Total: $ J 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 (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. (QWNER)(CQNTRACTQR): SIGNED DATE (OWNER)(CONTRACTOR):PRINTED Description: , f . /_' (Yt''-fLL t..-<..A./ )_ l..;./--:.A ~, v-C"-..-;:..V'-...... -j?J Ix- P~B. .,a.'<'J5t.,'1 ,'- ~w tJUwi.~ Sq. Ft. added BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ~ONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Company: Plumbing License No: Company: Mechanical License No: Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) 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 ot one.halt 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 pennlt. (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. Chief Building Official