HomeMy WebLinkAbout3725 Newland StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Date: Monday, April 12, 2021 1:52:13 PM
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is this a new install or New Unit Installation
replacement for an
existing AC unit?
Is this Residential or Residential
Commercial?
Property Address 3725 Newland Street
Property Owner Name Damien Lopez
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
::8 :e
Field not completed.
SCAN 20210412183900.Ddf
CONTRACTOR INFORMATION
Contractor Business B&B Heating & Air Conditioning
Name
Contractor's License
017674
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-423-7905
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
chris.flageolle@bbheating. corn
Address
Retype Contractor
chris.flageolle@bbheating. corn
Email Address
DESCRIPTION OF WORK
What type of
Air Conditioner
replacement unit are
you installing?
How many tons is the
2
unit?
For AC - what is the
13
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit backyard ground
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for Yes
re -hook?
Provide Electrical 060127
Contractor's Wheat
Ridge License No.
Project Value (contract 5200
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to 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.
Person Applying for Chris Flageolle
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. A/C Replacement PERMIT - 202100707
PERMIT NO: 202100707 ISSUED: 04/16/2021
JOB ADDRESS: 3725 Newland St EXPIRES: 04/16/2022
JOB DESCRIPTION: Install A/c system in backyard, 2 ton, 13 SEER
*** CONTACTS ***
OWNER (720) 880-8074 LOPEZ DAMIEN E
SUB (303)423-7905 TIMOTHY BARTELS 017674 B&B HEATING & A/C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51200.00
FEES
A/C Replacement 60.00
Total Valuation 0.00
Use Tax 109.20
** TOTAL ** 169.20
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. A/C Replacement PERMIT - 202100707
202100707
ISSUED:
3725 Newland St EXPIRES:
Install A/c system in backyard, 2 ton, 13 SEER
04/16/2021
04/16/2022
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 permrt. I further attest that I am leg ally 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' 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 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 and��procedures 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 requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
04/16/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Residential lkoofing YEY
.PERMIT NO: 201704416 ISSUED: 07/19/2017
JOB ADDRESS: 3725 Newland ST EXPIRES: 07/19/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Tru Def Duration Onyx Black
asphalt shingles with 21 sq.
*** CONTACTS ***
OWNER (720)880-8074 ALIAGA GRACE C
SUB (720)295-7506 Cody Brown 120171 Spire Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00
FEES
Total Valuation 0.00
Use Tax 273.00
Permit Fee 251.85
** TOTAL ** 524.85
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
J
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
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
.1
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof --
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
'For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
�. A City of Wheat Ridge
Residential Roofing PERMIT - 201704416
PERMIT NO: 201704416 ISSUED: 07/19/2017
JOB ADDRESS: 3725 Newland ST EXPIRES: 07/19/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Tru Def Duration Onyx Black
asphalt shingles with 21 sq.
*** CONTACTS ***
OWNER (720)880-8074 ALIAGA GRACE C
SUB (720)295-7506 Cody Brown 120171 Spire Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00
FEES
Total Valuation 0.00
Use Tax 273.00 PAID
Permit Fee 251,85
** TOTAL ** 524.85
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A If( City of Wheat Ridge
Residential Roofing PERMIT - 201704416
PERMIT NO: 201704416 ISSUED: 07/19/2017
JOB ADDRESS: 3725 Newland ST EXPIRES: 07/19/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Tru Def Duration Onyx Black
asphalt shingles with 21 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
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 all entities named within this document as parties to the work to be
performe that all work t e performed is disclosed 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 and procedures 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 issgranting of a permit shall t be construed to be a permit for, or an approval of, any violation of any provision of any
applicau e c �orta�nly�ord'�'or r ipla on of this jurisdiction. Approval of work is subject to field inspection.
Jam"
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.w heat ridge.co.us
Sent: Tuesday, July 11, 2017 3:41 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
3725 Newland Street
Damien Lopez
720.880.8074
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Spire Roofing LLC
120171
720.295.7506
Contractor Email Address megan@spireroofing.com
Retype Contractor Email megan@spireroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Owens Corning TruDefinition Duration- Onyx Black
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 21
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No V
Field not completed.
TOTAL SQUARES of all 21 v
roofing material for this
proj ect
Provide additional detail Pitch - 6/12
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract(::
13000.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Megan Clairmore
Email not displaying correctly? View it in your browser.
3
Date: 2
P.O.
FIRE ROOFING LLC
Home Improvement Work Order
I 11"e, dee owners of the premises mentioned helorx' herehv u:rthori_e Spire Roofing LLC to fiunish all necessary materials, labor, and
nvn-kma.%hip to install, cnnstrac•t and place the innprovements according to the f,llox'ing spec•ific•ationrs, terms, and conditions helox
described: DAM lEA �o•P�Z
Property Owner. � _ el) ei - — —
Address:SSSContact Phone: ISO. W4 Contact Email:
►�JJ.1TL:.Ty�s�����
•
Scopeof Work:
,Remf a
ove existing roof inspect roof deck.
v/ eploce rotten decking if applicable at an additional charge of S2 per .sy/ft.
hnstall ice avid Hater barrier where applicable.
�uslull kJt� ri underlarment.
V/ Install d ip edgeY utter a non on all eaves d r•akcs. Color: /�(,K
✓ Install 7/oh rb- shingles, munrcfac•nrred hr
lar: t%, Nx 13iw je-
e Replace flashing around all phrmbing stacks. chinntev, ivalls, val/crus, and where necessan• to properly channel cc<uc r.
y lystall hip and ridge shingles. Sn,le: r� o+++ Color: DeY Z? /4Gk
Properly seal all necessai-v areas with sealant.
V Clean up au d dispose of all work related debris.
IV/ Replace LFofgtaters and A!/ LF of downspouts in /fek color.
Start Date: &Z�T Cach trade will he completed within S business duos of sturt date of the individual trade. Spire
Roofing LLC cannot be held responsible•for an• delay ar nonperlbrmance due to unfavorable breather• acts of God, delats incurred
hr property owner such as lack of decision, material/labor shortages, or con• other unforeseen delat•s out of Spire Roofing LLC s
control.
For performance of the work des'crihe ahoi 4?Sof roperly owner agrees to pat• Spire Roofing LLC
Total SA .5/,P zero of tr -ic•h is cdiue upon mecntion of this agreement.
$ 0019 `d due upon commencement of u-orklinaterials arrival. (ACV or 50°o unless otherwise stated)
Balance $�1ie5/D, due upon completion of all work.
All materials arc property of Spire Rogfing. 1lmueou•ner• Inas three calendar dgts to cancel this agreement in writing. As a condition
precedent to the filing of at action or a lawsuit relating to or out of the Proiec t, the Owner and Contractor herehv agree to
nnediaie the dispute N•!th each there and any other interested parties. In the event of arbitration or litigation• all reasonable attorney -s
fee's and other costs shall he paid h), the parts• or parties determined nn he atJiurlt. Spire Roofing LLC shall hold in trust any
payment received from you until Spire Rooting [,LC has delivered roofing materials at the site or has performed a majority of
the roofing work on your property.__----) _ •
Property Owner Signature:
.Spire Roofing LLC Represents
Initial
VIR
Mailing: P.O. Box 711 Littleton, CO 80170-0711
Office: 4455 S. Broadway Suite 4 Englewood, CO 80113
(720) 295-7506
www.SpireRoofing.com
v
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: E r►a f
Job Address: `3-7 a5' (Ue w
Permit Number: a 0170 L) Ll I/ -
Ll No one available for inspection: Time -5 - 0_ lV 'PM
Re -Inspection required: Yes dB
s
When corrections have been made, call for re -inspection at 303-234-
Date:- 'F d 3 / Inspector:
M
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT MIDGE
_1�9�Buflding Inspectiow Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1
Job Address: -:51-2-5 WS �4 p sT
Permit Number: '_Q Sl (/ 41 LP
l'�i �� i� fit•"~ �� � � !. �� � � _
❑ No one available for inspection: Time ` 00 AM'
Re -Inspection required: Yes O)
�v
When corrections have been made, call for re -inspection at 303-234-5933
�1
Date: & • 1-7 Inspector: r10 --
DO
NOT REMOVE THIS NOTICE
l !1;
•.
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! Permit 4plication
Mailing Address. (if different than property address;
Address:
Complete aE information on BOTH sides of this form
# (Check r that apply)
Sq. FULF Btu 's Gallons
Amps Squares Other
City on
Wh6atj1,..,d
('01AMIJUJIX LIL.
It
Date:
Plan #
Permit#
1)0�h VLr 6, o
(please print): 14 rj Phone:
Address:
City, State, Zip.
MR112MM
JM�� BTU's Gallons _ Amps Sq Ft. IN
Phone: 1 7�-c -
Boom=
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land ItStreet
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privacy woc
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wri��eu appioy >i wa auspec uuu -cam nemre, procecamg .. wrcn successive pnay es. oc rne Jo,
.` 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,Aany violation of the provisions of the building codes or any other ordinance, law, rule or regulation..-
All pla ie s subject to field inspections.
Signature f C6 4f amlding..:Official date
i ;
-INSPE ION 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.,
City of �� �]
i..UMMUNl`IY��'c�.j rNB�ia�l�,c
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Date: -7 C / to
Plan#
Permit # r C' / 179 ,
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
iroperty Acldres, "s: �� Z S n J '� (,t_/ 4 tir �} S r
Property Owner (please print) C� a /� � j g Phone:
�— 3`
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Copfiracfon: �a � Q G� � �P nC P
Contractors City License #: O 67 Phone: L (0) ( C f 9 lj
Sub Co »trac #ors:: ^ 4
Electrical: Plumbing: Mechanical:
City License # City License # City License #
D // escv y l — »thin ofy�ork' \ �
4 cy �f� d � ��J� Contract Value:
$ 2 IA
i
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.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: l U c SIGNATURE: ✓_ DATE: 6 ! 0
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COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 18565
BUILDIN6 INSPECTION LINE -(303-2345935) Date : 4/7/2005
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Ptoperty Owner: Shawn Gnagy
Property Address : 3725 Newland street
Contractor License No. :
Phone : 303-403-9529
Company: Phone:
ONINER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity tFlat the setback distances proposed by this permit applicaGon are accurele, 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 aceurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibilily for compliance with the Wheat Ridge Building
Cocle (I.B.C J and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Valuation :
$189.00
Permit Fee :
$30.55
Use Tax :
$3.40
Total:
$33.95
Use:
Description : Upgrade electrical service from 60 amp to 200 amp outdoor panel
Ebactrical License No :
Company :
Er:piration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accorUance with Me provisions set forlh in yopur applicalion and is subjecl to the laws of the SWte of Coloratlo and to the Zoning
Regulalions and Building Code of W heat Ritlge, Coloratlo or any other appliceble ordinances of the City.
(2) This permk shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issue tlate or (B) the building authorized is suspended or
abandoned (or a periad o(180 days.
(3) It this permit expires, a new, permit may be acquired for a fee o( one-half the amount nortnally required, providetl no changes have been or will be made in the
original plans and apecifications and any suspension or abanEOnment has not exceeded one (1) year. If changes are made w if suspension or abandonment
euceeds one (1) year, full fees shall be paid for a new permit.
(4) No vrork of any menner shall be done that will change the natural Bow o( water causing a dreinaga problem.
,(5) Contrackr shall notiy the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive wntten apDroval on inspecGon caN before
procaediing wifh successive phases of the job.
,(e) The issuance of a permit or the approval ot diawings and specifications shall not be construed to be a permit tor, rror an approval of, any violation of the
provislons of the building codes or any other ordinance, law, rule or regulation.
Chief Buiiding Inspector
Please sign Terms and Conditions on reverse side of page.