HomeMy WebLinkAbout3965-3967 Marshall StreetCity of Wheat Ridge
Homeowner Mechanical PERMIT - 201800074
PERMIT NO: 201800074 ISSUED: 01/08/2018
JOB ADDRESS: 3967 Marshall ST EXPIRES: 01/08/2019
JOB DESCRIPTION: Install furnace replacement; like for like; 75K BTUs
*** CONTACTS ***
OWNER 303-514-3173 MURPHY BRIAN & JOANNE
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 58.80
** TOTAL ** 98.80
*** 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. Consultations and inspections will only be performed with the
homeowner of record present.
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Homeowner Mechanical PERMIT - 201800074
201800074
3967 Marshall ST
ISSUED: 01/08/2018
EXPIRES: 01/08/2019
Install furnace replacement; like for like; 75K BTUs
'b y 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 legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be perormeisdisclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This 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 Offcial and is not guaranteed.
4. No work of any 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, an violation of any provision of any
applicable cod any ordinance
—orrrregulation f 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.
City of
W heat Midge
COMMUNITY 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: permits()ci.wheatridge.co.us
FOR OFFICE USE ONLY I
Date: I -I,
In
Plan/Permit #Doin
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: z f 6 6
Property Owner (please print): Z12144/YJ"�izP'-�y Phone:
Property Owner Email:/)�/�h%''�
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor:
Phone:
Contractors City License M Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL � RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
,Z15T,�Gl. -,,,K-NZ(�J 1-4U2a/R ,
Sq. FULF / SZz'
Amps
Btu's �S ��' Gallons
Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ Z 9,� . -v
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 (l OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: 1-0-17
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
City 01
WheatPJd(7c
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): X41,41-) �� �o�,y�� 117V121'/N/
Project Property: 7 G�, -
Notarized signatui✓e of Applicant
State of Colorado }
County of ae Mf-sass
The foregoing instrument was acknowledged by me this _ day of Tcnr.,.o 20 (g'by
(' . C,rn � r A ✓
=N SAMARA A ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
I '- Y COMMISSION EXPIRES APRIL 22, 202Q
My Commission Expires / -.2 /20,Zv
Notary Public
CITY OF WHEAT RIDGE ---
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '� c 412 1 VQff
Job Address: 2)q*E—a NA' SOA LL �
Permit Number: 201
No one available for inspection: a AM M
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303'-234-5933
Date: 04n/(_+__ (_+ Inspector: , L_ "'�
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: M l a
Job Address: F)OI L15ST-
Permit Number: 'ZD I' 0 L55'!5�
❑ No one available for inspection: Time OM M
Re -Inspection required: Yes 9
When corrections have been made, call f re-insp`ectio�n at 303 -234 -
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201708555
PERMIT NO: 201708555 ISSUED: 10/24/2017
JOB ADDRESS: 3965 Marshall ST EXPIRES: 10/24/2018
JOB DESCRIPTION: Residential Re -roof at 3965 and 3967 Marshall St. to install OC asphalt
shingles - 40 sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)514-3173 MURPHY BRIAN M
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,047.33
FEES
Total Valuation 0.00
Use Tax 294.99
Permit Fee 283.55
** TOTAL ** 578.54
*** COMMENTS ***
*** CONDITIONS ***
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
Residential Roofing PERMIT - 201708555
PERMIT NO: 201708555 ISSUED: 10/24/2017
JOB ADDRESS: 3965 Marshall ST EXPIRES: 10/24/2018
JOB DESCRIPTION: Residential Re -roof at 3965 and 3967 Marshall St. to install OC asphalt
shingles - 40 sq Pitch = 5/12
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 ap licable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property am authorized to obtain this permit and perform the work described and approved in conjunction with
this pe urther attest that I a 1 ally authorized to include all entities named within this document as parties to the work to be
perfa an that all work to be ormed 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 Building
Official and may be subject to a fee equal to one-half of the original pen -nit 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 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official -- Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
COM
SINCE 1993
Customer: UWUAV
303 761.6400 doh Aaddress
Punct Manager:
ESTIMATE -OF COST AND/ OR CONTRACT
Type of Roof: J Monufochurer. L1fS l -1l lel Color: GLi _
Wood Deck: ��` � Remove toyerW of Roofing
f'
State: 1�,c 11P:
Cell }gone: V�W,
ja
W? eMW�4WJfAttXv74�1.
Details Incdadeal in this tontract:
4ftkman's tompensatim
4d U billy Insurance
4imiking Permit
*ilewrJp & HmW Roofing gebfis
4(rhiogrdc14od Sweeper
, ebid S*
We propose to furnish material and labra; in occodance with the above specifications for the sum of $_. 1� —76,Y Ej
with payment to be made by check to Excel Roofing, Inc. upon lob completion. According to Colorado law of the services provided are paid through an insurance claim it is illegal for a
Contractor to pay the homeowner's deductible in whole or part, also any deposit paid by the Homeowner must he held in trust. The homeowner may cancel this contract of any time prior
to construction, If the material has been delivered or the permit has been purchased then the homeowner shah be o*ted to pay the delivery and pemtit costs. The homeowner may
also cancel this contract if they are notified that their claim is denied in whole or part. All work to be completed per standard industry practices according to specifications submitted. The
homeowner agrees that if any additional work is required to complete the above spedfications involving extra cost they will pay these additional chorges. AN agreements are contingent
upon stries, occidents, or delays beyond out control. Owner agrees to carry regular homeowners insurance. Excel Roofing will not be held liable for any structural movement, settiiq,
cracks in drywall, damage to driveway, or any damage to siding due to the roofing or loading process. Finance charges of l 'h percent per month will be added to any unpaid balance. In
the event coilec*m action is taken to recover payment under this agreement, Excel Roofing, Inc., should be enti#led to reasonable collection and ottamey fees and costs incurred in such
action. xcel Roofing's liability insurer is Cincinnati Insurance Com y 200 S. Gilmore Road, Fairfield, OH 45014-5141. This proposal may be withdrawn by Excel if not accepted within
--1 days. The approximate start date shall be within, 1!o days of acceptance of this proposal.
Respectfully submitted by: Prolect Manager for Excel Roofing, Inc.
ACCEPTANCE OF THIS PROPOSAL
Accepted by Owner (signature):
Accepted by Owner (signature):
M: 9- "'/,7
Hate:
Exfe1 Reefing, 1n(,4510 S. Fsfierul 814d., Fngle"v"Wod, (0 80110 , r;t;�u.exrelfcafing.conf • P�mail' excel <<exceiraufing.cor=f - Office: (303) 161-6400 • Fax: 1303) 161-6142
Dane Lovett
0(70"
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, October 23, 2017 10:33 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
G
Flag Status:
Completed
C�
�y
Residential Roofing Permit Application
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
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 �t�, Earl (0//7
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
3965 & 3967 Marshall St
Bryan Murphy
303-514-3173
33
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed 21561 contract.
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Excel Roofing, Inc
018118
303-761-6400
4510 S FEDERAL BLVD
Contractor Email Address excel@excelroofing.com
Retype Contractor Email excel@excelroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 40
the entire scope of work: /
Project Value (contract 14047.33
value or cost of ALL \
materials and labor) \`
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Pitched roof (2:12 pitch or greater)
34
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof.
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
5/12
40
Owens Corning Duration
Asphalt
House -Duplex
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
35
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant James Bretz
Email not displaying correctly? View it in your browser.
36
INSPECTION RECORD
OccunancvRvpe
INSPECTION 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.
n /SIC h1l l 1 / ,r
pct
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Pioino
Mechanical I
Framing
Insulation
Drywall Screw
SIGNED
vA�L,UrHNIIL;Y ryu I rERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
ing
nical
k al
g Final
partment
& Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. E: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
IFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
vA�L,UrHNIIL;Y ryu I rERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
4r
.. • CITY OF WHEAT RIDGE
ro 400 r (303) Building Inspection Division
234 -5933 Inspection line
,. (303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type �
Job Address 3q6r , (o 7 MIA zf c 9
,: Permit Number folgga
" ' City of Wheat Ridge
.rte
/ Homeowner Roof PERMIT - 101999
PERMIT NO: 101999 ISSUED: 08/19/2010
JOB ADDRESS: 3965 -67 Marshall St EXPIRES: 08/19/2011
DESCRIPTION: Reroof 41 sqs
* ** CONTACTS * **
owner 303/422 -9047 Brian Murphy
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0412
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 10,537.00
FEES
Permit Fee
220.15
Total Valuation
.00
Use Tax
169.67
** TOTAL **
409.82
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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.
Signattre of contracto$ %Kier ` 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 (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review iA subject to field inspections.
Official
date
INSPECT{CON REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Cit of
? s cat dg e Date:
--"`` COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit # j
7500 W. 29 Ave., Wheat Ridge, CO 80033 � a
t 1
Office: 303 -235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
ProP9, Y lddre'ss?, _3g6.9'— 67 ✓� lzjS,/AGt
Property Owner (please print): f3EIA,] FJaa�.IE 11�/ ✓rLPN'� Phone: 3o3- Yz2.1
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Co�tracto�:
License #: Phone:
vluq sODIraCIQni.
Electrical' Plumbing: Mechanical:
City License # City License # City License #
Descrixi#ii�rr�f ��>•�?
e , �� ��� $ ontract Value:
Fc Review Fee (due at time of submittal):
Squares BTU's Gallons _ Amps Sq Ft.
$
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..
CIRCLEONE: (OWNER) (CONTRACTOR). or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
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Bldg Valuation: