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HomeMy WebLinkAbout4090 Fenton Courti CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L-1 09 - d ► n a l Job Address: _ `-) 9 Ee ,a 4 n C Permit Number: I , net E4 P 1 -,.n ved ❑ No one available for inspection: Time «`VSAM& Re -Inspection required: Yeso/ When corrections have been made, call for re -inspection at 303-234-5933 Date: -/c a I Inspector: -T-,6 DO NOT REMOVE THIS NOTICE Z> 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: 44 0 9 - r�, n Job Address: I-) o q o men o n C4 - Permit Number: ; o 1<a 0 1'3 S' S iT"' f t�Gl' Cil P-�1G1 ❑ No one available for inspection: Time 9 =a8M1QPM Re -Inspection required: (S) No When corrections have been made, call for re -inspection at 303-234-5933 Date: a l ///S Inspector: T5 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspectiori-Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 9 d R - I\rn M I Job Address: L-1 O 9 G c— Permit Number: '9 O 143 Q l SSs V-1 eezfae T -e 5c k -e el U 10 vt' hen f -,a ct d L ❑ No one available for inspection: Time CARPM Re -Inspection required: (9 No When corrections have been made, call for re -inspection at 303-234-5933 Date:_9 1 -7 AS Inspector: Tt'h DO NOT REMOVE THIS NOTICE 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: 3 0 - Aq d Job Address: q 0 9 o �'e�, )-o,, C4 - Permit Number: 7) n 19 ®I 3 S 5i /V 1 d - ❑ No one available for inspection: Time = 1 AM M Re -Inspection required: Yes Q When corrections have been made, call for re -inspection at 303-234- Date:-s- 03-234-Date:S Inspector: T1� DO NOT REMOVE THIS 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: t Job Address: L1Ugy t�Fn3Gn 6 Permit Number: _2MO1.35 o ❑ No one available for inspection: Time .._A� Re -Inspection required: Yes/'�o i When corrections have been made, call for re -inspection at 303-234-5933 Date: T//6/ 1V Inspector:b&�& 10ve# DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Roof PERMIT - 201801358 PERMIT NO: 201801358 ISSUED: 05/10/2018 JOB ADDRESS: 4090 Fenton CT EXPIRES: 05/10/2019 JOB DESCRIPTION: Reroof remove and install GAF Armorshield Asphalt Shingles with 29 squares. Pitch 4/12. *** CONTACTS *** OWNER (303)420-0183 HURLEY DALE R CON (303)917-7510 Mike Hurley *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,453.00 FEES Total Valuation 0.00 Use Tax 156.51 Permit Fee 172.60 ** TOTAL ** 329.11 *** COMMENTS *** *** CONDITIONS *** 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. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Homeowner Roof PERMIT - 201801358 PERMIT NO: 201801358 ISSUED: 05/10/2018 JOB ADDRESS: 4090 Fenton CT EXPIRES: 05/10/2019 JOB DESCRIPTION: Reroof remove and install GAF Armorshield Asphalt Shingles with 29 squares. Pitch 4/12. 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 ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work toe performed and 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 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 180days 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 permit 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 old�nance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of ChiefjAuilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �W heat jjdge MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(fti.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit# Plan Review Fee: J1 r Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Propertv Owner C� W1 e&� ?`��� Property Owner Email: 2�� C'A I,. Lur le_v SSI hS .1lL4 Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: S llA L City, State, Zip: Architect/Engineer E-mail: Phone: Contractor: S'e- 1. City of Wheat Ridge License #: Contractor E-mail Address: Phone: g b� /,� Phone: -3 b For Plan Review Questions & Comments (please print): x CONTACT NAME (please print): Jl�,d t JPhone: _rU ,3 " 917— 75 C0 CONTACT EMAIL(p/ease print): &4' i�Er?�i.��, ✓�:��'s. Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # 1V ❑ COMMERCIAL A] RESIDENTIAL Description of work: For ALL projects, 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. �v Commercial Projects Only: Occupancy Type: Construction Type: Sq. FULF Amps BTUs Squares Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) 74'3 1 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: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): 4 /./-- ��-r✓ �j / DATE: 5-11. /r8 Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of 4 Wh6atPj,,,d CeOMMUNITY DEVELOPMENT g 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): Project Property: l0 Notarized signature of Applicant Q State of Colorado } County of �e e1s�-, } ss ,J� � , C� �© Ae The foregoing instrument was acknowledged by me this lD"day of��, 20 by kr TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires Notary Public This certificate verifies that the building constructed the r proposed building and/or premises, under .. licensing above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other requirements for the City must be +» + x x 1AMMME Owner: 4090 FENTON CT WHEAT i CO :! Contractor For the Following Purpose, Rea, Garage /Carport ••rt Editions NO change shall be made in the USE 2?0 ICC/2011 NEC this building without prior notice 6 ICC/2011 NEC and a new Certificate Of ♦ • • Other 2006 ICC/2005 NEC from the City of Wheat Ridge. III Complete all information on BOTH sides of this form Sq. FULF Btu's Gallons Amps Squares Other Project Value (Contract value or the cast of alt materials and labor Included In the entire Project) sqg. Building Division W, 11 1 M33UMMMM Existing improvements: Detached garage: -5 sq ft. T ot a l Ex sq. ft Lest Coverage � % Pr o p osed House/addition: sq. ft. Shed: sq. ft Detached 0 Total Proposed sq. ft Lot Coverage % Maximum iglu. � � ft. Maximum Size: sq. . `. ft Proposed Height: p ' . Proposed Size: 3 � sq. ff. imum Max Lot Coverage: % sq. ff. Work shall comply wid flic followino codes: 2006 IRC, 2006 C TPOO R 1065 EC Provide truss manufacturer's profile drawings at time of frame inspection. Uplift connections and bearing shall comply with drawings. w „vi I # i II z {1Rlkli vn. N'ffii «i- d'��A' d � �al��i��l.�, �. 4 hk. fl nYnl. ly� .- 4t�a<,,.,i v, 1v 1�5£k;.mi .$. ir.�til`Yc4,.k,ttttt,F ,i1$�, 1�1�' w9Wt} t, i4, �% .uttid3. �thx[�kF.tiuiFS US.t+s:�, .11h vl�itisi ��n,x',t F # �a1 xw"is4 ,nt U1, #.. � ti#.�rv�a'i Mvira'� YW;��M*.z=k�ni5a`1ve bYwb'Ai'�tP *: *.: 3 :, ## ,”. : #:: "« . 1. ♦.:.:.'. >..: 4 X4: #! lion { ", µ Ym ## =t tk . # .: ,', # • i R F ♦ ,+ # is t of w y m ♦ # :.. # f r.. na �S tUfW # # l 4 Md 8 k ♦ t � NM Y f i a do wn 1 # ° } & .i I'll ,i * t x 5 � t S Y 4 x w 4- t.AQAbA shall be surfaced with concrete, asphalt, brick pave or milar materials, go I IN Concrew :4. " One story Fame r+ " *, ": . ei & " concrft Am t ... 3 121.0 1 1 I 3 LOT 2 go I IN M Ld 0090ci,�Lsoc sefteD elqepjogV - 1 �4 ♦ ♦ 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: 4 1 0 0n Permit Number: 5� ` ❑ No one available for inspection: Time %U f S CAM)PM Re- Inspection required: Yes No When corrections have been made, call f or re- inspection at 303 - 234 -5933 o Date: �a o /� Inspector: L DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:_ Job Address: ew>c) ~ \ L Permit Number: _ V `Vf QC) s e 1 ❑ No one available for inspection: Time f AM P Re-Inspection required: Yes No When corrections have been made tail f r re-ins ection at 303-234-5933 p Date: t Inspector: t DO NOT REMOVE THIS NOTICE North West hoofing n omnrornamm a~nce apes 11/23/09 Melissa, This is to authorize $61.00 and reinspec the following mid x City of Wheat Ridge to charge fee to our credit card- on file for inspection for 11/23/09: 093562 4090 Fenton Ct Wheat Ridge, Co 80212 Please feel free to conl Thanks, Brian Teter North West Roofing 303-668-7834 me with any questions. CITY OF WHEAT RIDGE 11/23/09 8:33 AM cdh6 Thomas R Brown RECEIPT NO:CDB003398 AMOUNT BPSP Reroof 23 sqs 122.00 093562 Reinspection Fee 61.00 Same Day Inspection 61.00 PAYMENT RECEIVED AMOUNT MC 4868 122.00 Aoth Code: 06314E TOTAL 122.00 2120 South Birch Ste: 200 • Denver, CO 80222 • 303.757.5097 - Fax l/l - 0000000000 6U1j00J ;samy;JOU WIV 9650 £Z-AON-6002 ♦ i CITY OF WHEAT RIDGE Bung Inspection-Division r' (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: .;niyG7rJ~ Job Address: %b9'® f F.~7r~s c,7- Permit Number: or 352 C775,- J1 . 1, A A/ w ❑ No one available for inspection:. Time 1p ~ey AM/', M Re-Inspection required: es No When corrections have been made, call for re/-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 093562 roooor PERMIT NO: 093562 ISSUED:- 10/21/2009 JOB ADDRESS:: 4090 FENTON CT .`EXPIRES: 04/19/2010 DESCRIPTION:' Reroof 23 sqs CONTACTS owner 303/420-0183 Roy/Brenda Hurley sub 303/804-0303 Tom Brown 07-0055 North West Roofing **PARCEL INFO ZONE CODE: UA `USE: UA SUBDIVISION:: 0426 BLOCK/LOT#: 0/: FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,270.10.. FEES Permit Fee 199.30 Total Valuation .00 Use Tax 130.86 **:TOTAL -330.16 Conditions: 6 nail installation & mid-roof inspection required.' Board sheathing spaced more thanes 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 provideladder(s) secured in place for inpsections.' Subject to field inspection.' 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 eat Bid Ordi nces, for: work under this permit. Plans subject to field inspection. ,'0 a, 0 Signature of contractor/owner :date 1 This permit was issued in accordance with the jprovisions 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 maybe granted at the discretion of the Building Official. 3. If this permit expires, <a new permit may be acquired fora 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 abandonmenthas 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 donee: that will change the natural flow of water causing adrainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all'. inspections and shall receive written ancroval on inGnprH on ra YA fnro nrn ooA.nn unth ..r roeei- ~hn- of Y 4nh 1 N//OI ~c oYc Signature of C . .Nilding Official ;date INSPECTI ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS IKUST. BE MADE BY 3PMr ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of j~% r_XT T7 Tl - l Date: DEVELOPMENT`-'7 Permit Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 ~G ~Z H Facsimile Building Permit Application) Piro-pet~j!d.Kd V-SW © t7 FeLl Lo,, a+ _ Property owner (please print): u teo re-WPhone: ~2C9'~lg~ Mailingg Ad(if different than property address) Address: cswtQ City, State, Zlp; r 4 e C~ ~~ZZ C,o fx";actor: Nol' M V E-5-r (00F!NC7 Contractor License Phone: 30?~ ~304 03 D Use of space (description): T 2 - ro0 pies, ~Pxow) E Tea k- oFi- (t (I ~Gi~/°► S~ struction Value' $ reel a.c& wl4jj 0116 a yeY r~AF1EliG 3 7 Plan Review (due elt time o(submfttal): $ 7r Z7 sn. FL/L.Ft added',; Squares 2"3 5413TU's Gallons Amps, 0 ""CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, rules or rdl latrons of the City of Wheat Ridge or covenants, easements or restrictions of r allegations made'. are accurate; that I have read and agree to abide by all conditions printed responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other appl under this permit.Plans subject to field inspection. CIRLCF_ ONE:: ~~(ppOW~~NE_yd(dy ~~R i) (CONTRACTOR) or PERSONAL REP RESEN/TATTIIV~E f (off PRINT NAME: /y._e P?~~ SIGNATURE: 1T m do not violate applicable ordinances, i; that all measurements shown, and his application and that I assume full e Wheat Ridge ordinances, for work Date: 07 Valuation: Credit Card Pa,Yment: Use credif card listed on file atP TS Print name: 5 OAA B Y 0W N Signature: s 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: 17765 Date: 9/27/2004 Property Owner: DALE HURLEY Property Address: 4090 FENTON COURT Contractor License No. : Company: Phone: 3-420-0183 Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Total: $750.00 $42.46 $0.00 $15.00 $57.46 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED'z?~ ,/ /f~ DATE "'. 27-0"/ Construction Value: Permit Fee: Plan Review Fee: Use Tax: Description: ELECT. SERVICE CHANGE Use: ll5i@) BUILDING DEPARTMENT USE ONLY Z'_s c;;QlIIIit~nts: Approval: Zon ing : IEfdi~meritg Approval: ~bIiEifksc;;'jl_@nts: 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) 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 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 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 notify 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) The issuance of a permit Of 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 Inspector Please sign Terms and Conditions on reverse side of page. 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 IZ. //wut,/ P t/l/ ruJ CT Building Permit Number: Date: Property Owner: Property Address: CODa-actor License No.: Company: D1-t- Y- LfiJOf6 Phone: 30.1 ''120 .u/kJ Phone: OWNERlCONTRACTOA SIGH" TURE Of' UNOERST ANDING AND AGREEMENT Construction V alue:$tS"O.~ Permit Fee:$ '-'\).'4. >- Plan Review Fee:$ I hereby certify that the setback distances proposed by this permit applie3tion are accurate. and do not violate appticable ordinances. n.des or regulations of the City of Wheal Ridge or eovenants. __Is or reslri<:tion$ of re<XJtd: that aIlmeasuremenlS shown. and ~ made ale accurate: that I have read and agree to ._ by all conditions printed on thia appllcation aM that 1 assume full responsibility for compliance ~th the Wheat RidOe Buikjing Code (U-B.C) and all other applicable Wheal RWjQe Ordinances. for woJ1l. under this permit. Use Tax'~ Total:$ (OWNERMCONT"AACTORl SIGNED DATE { OWNER)(CONTRACTOR}:PRINTEO Description: t:/~ Cfrl CM ( ~ Cr V ; {. "- C iI"?-A} 6 ~ Sq. ft.._ BUlLDll'lG DEP ARTMEl'lT USE ONLY SIC: Sq.Fl. : ()NING COMMENTS: Approval: Zoning: BUIl01NG COMMENTS: Approval: PuaLoc WOAi<S COMMENTS: Approval: bccupancy. Walls: Roof: Stories: Residential Units: Expiration Date: Approval: Expiration Date: Approval: Mechanical License No: Company. Expiration Date: Approval: EJectricaI License No: Company. Plumbing License No: Company. (1) Tl1io penniI_"""" in""'- wiItlllle _,.......... _ in)OUl' ~II" ... on and io IUbject 10 Ille _ 0I1lle ~ 01 C-.clo and 10 IlleZorW1g R,-"and ~CocIeoof~Ridge, Colorado orany_~_ of IlleCity. (2) Tl1io penniI_ expire W (Al Ille _ __ io not oommenood """"" $i>!y (60) dayS from _ date Of (B) 1he l><OIding __ io",,- Md or __* fa<. period 01120 d8yo. (3) "\hio permIl."pr....- permIl may be ~ fa<.... 0I__1lle _IQITIOIY nlqUirad, provided no__ __ orwilbe_lnllleoriglnll pIonoand opec:III.A.~ and any __ Of _.60..._''''' nol.~ ana t1)_. "__--oru-........or.....4..-.-.-ana(1l-.IuI--bepoiclltlr.MWJ>8m*. (') No_ 01 any _ _ be done .... wiI c:hang91lle _ _ 01_ causing. ~ problem. (5) c.-....-. _ noliIy Ille ~ ~'-"" ~ (2') ho<n in _lor" inopecIions and""''-''_ approval on ............ COld __ P~'ll wiItl ,,- '.. ~ 0I1lle job. (6) The _ of. penniI or Ille __ 01 dr8MlgIand ~.. _ nol be con_ to be. pennHItlr. nor llf1 approval of, anyviolatton of the provisions of the buMding codeS 01 any other ordinance. law. rule or regulation.