HomeMy WebLinkAbout4295 Newland StreetPERMI
JOB AL
JOB DESC ,
*** CONTACTS
OWNER (303)38.
SUB (720)371
*** PARCEL INFO
ZONE CODE:
SUBDIVISION CODE:
City of Wheat Ridge
Residential Roofing PERMIT - 201700865
201700865 ISSUED: 05/25/2017
4295 Newland ST EXPIRES: 05/25/2018
Tearoff 1 layer and install H30 dimensional - 21 squares
ILLER PETER D
Medina
150084 Rene's Roofing
Jnassigned USE: fUA / Unassigned
5 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 117.00
Permit Fee 156.75
** TOTAL ** 273.75
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€rms 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.
r - gn IJ,�0 Ko S
0Occupancy/Type
INSPECTION RECORD
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
t
Sewer Service
Concrete Encased Ground (CEG)
Mid -Roof
Plumbing
Foundation / P.E. Letter
Lath / Wall Tie
r% Al..i Dr`o%rnrrrn+n Drinr Tn AnnrnvnI [7t ThA A►hnve Inspections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Wall Sheathing
t
Sewer Service
Mid -Roof
Plumbing
�.A .A R>•A7Z7TT^J■ RY-r17-7T171. '.T. r.TM="rllJffJ F_1.11Jk1r.7r:WJ 91*1 �1_\�I�INPr1��1���1=��\!l�J'l-ilk[-Ill-iri�►y�n�
Rough Inspections
Date
Inspe r
Ini s
Comments
Wall Sheathing
t
Mid -Roof
Lath / Wall Tie
Rough Electric `
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
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 — mease De sure inat rouyn uisNecuL)iis cl— -j llp u«u 11U111 . I
by the Building Division.
"For Inspection Time Window — Please email insptimerequeSt@CI.wheatridge.Co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
Inspection Type:
INSPECTION NOTICE
r") D
Job Address: ivi L,11A ,Q 51
Permit Number: 2 4 177oo 8(5
❑ No one available for inspection: Time 11; XM-7PM
Re -Inspection required: Yes (9
When corrections have been made, call for re -inspection at 303-234-5933
Date: 5k 17 Inspector: 1�4i
DO NOT REMOVE THIS NOTICE
A 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: rkl I l? / 41gr
Job Address: `12-q,5 /VE�J0h_0 5-7
Permit Number: 2 00 00 3(S
✓uV�
❑ No one available for inspection: Time
Re -Inspection required: Yes C
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 5/ Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: h'► ! n % jgvf!
Job Address: L121'75 /V L �AAh> 5-7
Permit Number: 2 01"7 60 3(S
ITIVKW60
❑ No one available for inspection: Time 2/� C)
Re -Inspection required: Yes
*When corrections have been made, call for re -inspection at 303-234-5933
Date: /�9//-7 Inspector:
DO NOT REMOVE THIS NOTICE
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:/
Permit Numbr:
0 ppo�lrc
Nam SPS vat 0
IU
r c oJ
i.
0 No one available for inspection: Time AM/PM
Re -inspection required: �eo
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 - 201700865
PERMIT NO: 201700865 ISSUED: 05/25/2017
JOB ADDRESS: 4295 Newland ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Tearoff 1 layer and install H30 dimensional - 21 squares
*** CONTACTS ***
OWNER (303)386-2117 MILLER PETER D
SUB (720)371-6390 Rene Medina 150084 Rene's Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 117.00 '
Permit Fee 156.75
** TOTAL ** 273.75
*** COMMENTS ***
s
*** 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 A1/2 -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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700865
PERMIT NO: 201700865 ISSUED:
JOB ADDRESS: 4295 Newland ST EXPIRES:
JOB DESCRIPTION: Tearoff 1 layer and install H30 dimensional -
05/25/2017
05/25/2018
21 squares
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 to 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 legally authorized to include all entities named within this document as partes to the work to be
performed and that all wor)o be 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 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 andprocedures 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 Qr_rlati n„of,this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to 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
or Wheat 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(aki.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit #
d,000AIS
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: �I
Property Owner (please print): P
44 e( Phone:_?C 3e6 /
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contact Person: _ ri e ryl Phone: 2 0 3 7/ K s `fid
Contractor:
Contractors City License #: Phone: /2G 2-))/ 6 9 ��
Contractor E-mail Address:�� e S PCIO 4—!7 if 1(44/,l�cls7r1
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour – 2 hour minimum).
Description of revised/amended work:
LC V-e
G�✓1e,r1
I
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
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: �Cf��C l��i 1� SIGNATURE:DATE: J--• �"
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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�fz__ J f� °�, St INSPECTI, EC�R�
_t�4- UINSPECTION REQUEST LINE: (303) 234-5933
Occupancv/Type' ,
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
Initials
Comments
Pier
!
1
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
K
Ian Nnf Pnttr
rnnr_rato Prinr Tn
Annrnual (if Tho Ahnua Inenar-firma
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
!
1
Lath / Wall Tie
Rough Electric *
K
Rough Plumbing/Gas Line
ry
Rough Mechanical
Rough Framing
7�-%%�
�%
pI °�'�r)�1;G)
Insulation
3 •9-/%
i�
Drywall Screw/ Nail
13- 12"l l
.13
Final Inspections
Date
Inspector
Initials
Comments I
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2845. For ROW and drainage
inspections call 303-235-2851. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
Final Electrical
'j
ltywK
Final Plumbing
t Y// 7
ftA
Final Mechanical
5 /
—�I
Roof
Final Window/Doors
Final Building
I /
V �� N �, %A S-9 I r1J N
NOTE: All items must be completed and approved by Planning, Public forks, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For lova voltage permits – Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
"For Inspection Time Window Requests – Please email insptimereouest(d,)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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issue -i
Protect This •` From
^O/I\
(/t.1
CITY OF WHEAT RIDGE
V, Building Inspection Division
(303) 234,-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
X39
INSPECTION NOTICE
Inspection Type: 6 'r; i M >r 1, ) I:-- W i0
Job Address: Lf 9 '. M -ew -4k)
Permit Number: )( 7 0 0 C V'?
❑ No one available for inspection: Time /0 ; 0 AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
9
Date: -' Inspector: —1
DO NOT REMOVE HIS NOTICE
March 27, 2017
Wheat Ridge Building Division
7500 W. 291h Avenue
Wheat Ridge, CO 80033
Re: 4295 Newland St.
Permit No: 201700049
This letter is to confirm that this office has made periodic site observations of the referenced
project, and based on these limited observations, has found the work pertaining to the
superstructure to be in general compliance with the plans and specifications prepared by this
office. Site visits included the new footing pad reinforcement, and new beams supporting the
roof framing. Items which were not in compliance were called to the Contractor's attention and
have been corrected.
Sincerely,
Cody B. Bohall, P.E.
CEO/President
Studio 8.18 Engineering, PC
3222 Tejon Street, Studio F
p: 303.255.3664 f: 303.568.0433
Denver, CO 80211
is studio818engineering.com
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:
Job Address:
Permit Number:
❑ 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:Inspector:���
DO NOT REMOVE THIS NOTICE
r �
L3
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:'/I
Job Address: �%z a /✓. oma. .�5 T
Permit Number: .SCJ
❑ 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:
DO NOT REMOVE THIS NOTICE
lye
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:
Job Address: `I S
Permit Number:
❑ 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: I `l ' tJ1 2, Inspector:
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:
Job Address:. n+ a
Permit Number:
T�
❑ 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: �� ' Inspector: _-r=��
DO NOT REMOVE T NOTICE
i CITY OF WHEAT RIDGE
]��Building Inspection Division
(303) 234-5933 Inspection line
1(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: u -5
Job Address: <4 a R 5* &) e ti.) • I 'A N T
Permit Number: -7 b d 0 19
/►�►�i�l►Ti1�L�f�iilll�l�
c
❑ No one available for inspection: Time 6` 14 AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOV THIS 40TICE
®� CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
3
?;r(,303) 235-2855 Office (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:'
Job Address:r
Permit Number:
5°
❑ No one available for inspection: Time AVicm
Re-Inspection required: Yes o
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: e
DO NOT REMOVE THIS NOTICE
®�41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • {303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:'' r
Job Address: tip
Permit Number: U 7 6U>1/
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t.
'" f $� d fi:' r � w'e- �c� G"'..t f € r Y f• f...�" �," t s € ,. � r`€;€ .
: E
❑ No one available for inspection: Time PM
Re -Inspection required: Yes No
*When corrections have been made, call forre-inspection at003-234-5933
Date:¢ Inspector:`
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Z/
Inspection Type: C- J / -?k f
Job Address: qZ S5- Nk' `-1"Xj1 Sr
Permit Number: 2c /7 C'Go C,
I
Lt �- ✓! 6 f T n 011 / /'(OD./ .
L%ta ,,,, 6%n er ,F)® r o v e
- SGS �4,146 c 6/k- C-7
�i a •i -�- n G D i
❑ No one available for inspection: Time -"S - V-5' AM/CM
Re-Inspection required: Yes 6.11
When corrections have been made, call for re -inspection at 303-234-5933
? _ r SG VDate: Inspector:1
DO NOT REMOVE THIS NOTICE
I'* � 1 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /2 t
Job Address: q2'9$
Permit Number: 2 o/-7 o o D g 9
"No one available for inspection: Time`Z A M�
Re -Inspection required:cy No
When corrections have been made, call for re -inspection at 303-234-5933
Date:" `" Inspector:
DO NOT REMOVE THIS NOTICE
� 4 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: E2 I, R>2 % , Yo j
Job Address: q2 -S S ' �v� ,v,� S
Permit Number: 2oi7 00c>K
to
❑ No one available for inspection: Time r AM M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
7
Date:.;'-"T/Inspector: ) lZ14
G.1.
DO NOT REMOVE THIS NOTICE
gig
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
#r Nahy�i,i
FOR OFFICE USE ONLY
Date:
Planmennit # 3
1 0 00
Plan Review Fe
Building Permit Application
' Please complete all ,highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: % if 1 ' _- 7- l ,�
Property Owner (please print): ' " Phone: S,9,F '2 / �
Property Owner Email: V�f y 6' I J'7- 19/1 -
Mailing Address: (if different than property address)
Address:5 5"` jZ
City, State, Zip: � �� c --c"> So ms's°.-'
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Phone:
Contractors City License #: 6 l --` Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
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
THER (Describe)
(For ILL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing bondition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
rv.�.�- c ,fit •~mayi`i"jr*c% ,€( G +r r .,
.,� °.q,g ✓,`" �i�t1`�*"" :yam ,+�i 9"„�`` y orf
fj/'. • ,Ci .'V.�'v'tY'`,�', �... r✓.�',M`,�.... ,...� `!i `�`,�°Y� y�".r"�+'' V,�. ,� .�i'T`` Lam' ,'�'"t ° a�i'�,�"?
Sq. Ft./LF Btu's Gallons
Amps
Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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: / -1—IGNATURE: < G - v BATE:
Kequlrea
Required
City of
Wh6at Cl
O .ii
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:
Azllog
Notarized signature of Applicant
State of Colora }
County of ss
r
The foregoing instrument was acknowledged by me this / day o , 20 1 7 by
�f
Nota y Public
My Commission Expires A2_1, 3/20
Melissa Mackey
From: 8radUmbarger
Sant: Wednesday, January 4`20172:S7PK4
To: Melissa Mackey; Kimberly Cook; William Myers
Subject: SVVC>4296Newland St.
SWO issued for demolition for kitchen remodel without permit.
City of Wheat Ridgie
Ph: 303-235-2882
14 uy
833 S. Vance St. Suite 102
Lakewood, Colorado 80226
(303) 842-6361
rohg8jqUjqAj!nWLgoM
January 11 ' , 2017
Peter Miller
Re: 4295 Newland St., Wheatridge, Colorado
On January 10' , 2017 1 Robert Tullio a certified state of Colorado Asbestos Inspector, Number 4589
did collect and submit for analysis 12 bulk samples for P. L. M. This report is for the sole purpose of
determining if a spill has occurred.
* Check foot notes
1 111111111111 1 :1
Category 1, Drywall and plaster white in color located in the dumpster in significantly damaged
condition approximately 600 Sq. Ft. * (F) Class 3**
Category 111, Attic insulation and debris located on the floor in significantly damaged condition
approximately 300 Sq. Ft. * (F) Class 7
Category 1, Drywall white in color located in the family room on the floor in significantly damaged
condition approximately 120 Sq. Ft. * (F) Class 3 * *
Category 111, Linoleum from the kitchen floor top layer located in the dumpster in significantly
damaged condition approximately 70 Sq. Ft. * (N/F) Class 7
RUMMI ''i 1'' 1'� � I � � � � ii � � � � I � � 1111 ii [111 1 111,, 1 It I
I bulk sample taken from the Drywall and Plaster from the dumpster sample number MISC-001
I bulk sample taken from the Drywall and Plaster form the dumpster sample number MISC-002
1 bulk sample taken from the Drywall and Plaster form the dumpster sample number MISC-003
I bulk sample taken from the Debris on floor between kitchen/dining room sample number MISC-004
1 bulk sample taken from the Debris on floor between kitchen/dining room sample number MISC-005
1 bulk sample taken from the Debris on floor between kitchen/dining room sample number MISC-006
1 bulk sample taken from the Drywall on the family room floor sample number MISC-010
1 bulk sample taken from the Drywall on the family room floor sample number MISC-011
1 bulk sample taken from the Drywall on the family room floor sample number MISC-012
1 bulk sample taken form the Dumpster sample number LINO -013
1 bulk sample taken form the Dumpster sample number LINO -014
1 bulk sample taken form the Dumpster sample number LINO -015
Sample number MISC-001 contains No Asbestos
Sample number MISC-002 contains No Asbestos
Sample number MISC-003 contains No Asbestos
Sample number MISC-004 contains No Asbestos
Sample number MISC-005 contains No Asbestos
Sample number MISC-006 contains No Asbestos
Sample number MISC-010 contains No Asbestos
Sample number MISC-011 contains No Asbestos
Sample number MISC-012 contains No Asbestos
Sample number LINO -013 contains No Asbestos
Sample number LINO -014 contains No Asbestos
Sample number LINO -015 contains No Asbestos
1.womm"ItYA
None of the materials listed above are regulated asbestos containing building materials and do not need
to be removed by a licensed asbestos abatement contractor. NO SPILL HAS OCCURRED. This is
also a limited survey. If any additional material is found and is suspect all work must stop. Other areas
behind walls and above ceilings and under floors were considered inaccessible and were not tested. If
suspected materials are found during renovation or demolition activities then all work must stop and
materials tested. If any of the materials do contain asbestos then a licensed asbestos abatement
contractor must remove materials according to all Federal, State and Local regulations. The area then
must be cleared before any other renovation or demolition activities can continue.
If there is any construction debris that contains any amount of asbestos or is assumed to contain
asbestos you must notify the land fill per the Hazard Communication Act. Such as roofing materials
that are tar impregnated, weather proofing, floor tiles and mastic and any other OSHA material deemed
to be non -friable. These materials must be kept non -friable and you can not saw, sand or grind or in any
other way pulverize said materials. Even if the material contains less then 1% asbestos then OSHA
standards and regulations apply. All materials 1% to 1.75% are considered asbestos containing and
regulated by OSHA and EPA regulations. 2% or grater are regulated by the State of Colorado and
I•
112
.
The samples collected were delivered to F.R.S. A National Voluntary Laboratory Accreditation
Program (NVLAP) asbestos laboratory, located in Denver Colorado for analysis with a Rush
turnaround time. All samples are archived for 30 days unless otherwise stipulated by the client.
According to the Laboratory, the samples were analyzed in accordance with the E.P.A. Method 600JR-
931116.
This is a limited AHERA asbestos survey.
This is not a complete demolition survey.
The laboratory reports are enclosed.
Submitted by:
Robertullio
State of Colorado Asbestos Inspector #4589
* * Any surfacing material that is blown on such as fire proofing, texture or block filler may have
associated over spray that is visible or inaccessible around the areas where it had been applied.
* The quantities that are listed in the list of homogeneous areas are just approximations and should not
be used for bidding purposes.
Categories:
I is Surfacing Material
II is TSI
III is Miscellaneous
Class:
1 damaged or significantly damaged TSI
2 damaged friable surfacing ACM
3 significantly damaged friable surfacing ACM
4 damaged or significantly damaged friable miscellaneous ACM
5 ACBM with potential for damage
6 ACBM with potential for significant damage
7 any remaining friable ACBM or friable suspected ACBM
Client. fakt_i U
ef_
Address. 'D�
t yrs
City:
State: zip::
Telephone:(_:)
FAX*-(
Person to Contact: -,:'V
Alternate Phone(_____}
Accept/ Sample Sample
Reject Number Date
A
FRS GEOTECH, INC.
Bulk Chain of Custody
1441 W. 4e ASuite 14
Denver, CO 80211-2338
FAX: (303)477-2580
e-mail: frseeo(&Jx.netcom.c0, M.-
Asbestos_�' Mold
FRS Lab No.: ag f
Job Description:
P.O.
Turn , kiWnd time requested:
Rush 1 -day 5 -day_ Other:
Rm S�•les
*NOTE: Specifying a FAX number
authorizes FRS Geotech, Inc. to FAX
confidential reports to that number.
Received by (Name, datp,,tirne):
Client:
FRS GEOTECH9 INC.
FRS Lab No.: Page of
Address
Bulk Chain of Custody
Job Description:
1441 W. 46h Ave., Suite 14
1441
City:
Zip:
State: p:
Denver, CO 80211-2338
Turnaround time requested:
Telephone:(
7-7— (303)477-2559 or (800)386-3136
Rush I -day 5 -day_ Other:
FAX*:(____)
FAX: (303)477-2580
Return Samples
Person to Contact: ...
e-mail: frsgeo&x,netcom.co
*NOTE: Specifying a FAX number
Alternate Phone(-----)—
Asbestos Mold
authorizes FRS Geotech, Inc. to FAX
confidential re orts to that number,
Accept/ Sample
Sample Sample Description
Reject Number
Date and Location
Kelinquished bN' (Name, date, time) Received by (Name, date. time).
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specificafrorls and cer, q:, il-o',f i;),,,rrT lt for, or (in
clpproval of, (I rly V! 0 1, it 1 o« to ali n Y v w v i, of f t i (-, building
tg!JI'l I
codleo, of any CJv u�(Anax�',C-C-' gto give
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. HF -11 U City shag not be valid.
enlore
Vc!kdty of pl,rm,f, r r,vrl! (-)f pl()ns,
jet' Mlf for, or (in
CWKJVO` Of, 011,1V V 0It,y-, 1p) OreV .�f of the buidrig
outhonty 4:o v,cdate o, ccnceli the prc-)v s,crjs (Df t?`e? Bu,lj,na codes
or other ordinances of the City snak not 'be valid.
I
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j,
♦ 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:
.'
Job Address:
Permit Number:
r
Ir
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When corrections have been made, call for re- inspection at 303-234-5,933
Date � L L / 21 L Inspector: /X_/k ,
DO NOT REMOVE THIS NOTICE
oF"'"E?rq, City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
c o Inspection Line: 303-234-5933
~[ORP~
~
Building Permit
Date;
Plan
Permit
Property Owner (please print): l ) " /72 - Phone: J ~C ^ J
Mailing Address: (if different than property address)
Address: InA
`7 J
City, State, Zip: ( fj~Q(0/F . d
Wnl#or: 14 T
Contractor License /
~ub~.: on# a ot~Electrical City License #
Company:
Exp. Date:
Phone:
Plumbing City License
Company
Exp. Date:
Mechanical City License
Company:
Exp. Date:
Use of space description): Construction Value: $.W U
i•`m . ' (as calculated per the Building Valuation Data sheet)
5 °t nP to e u
or v t~vv/-f ~SCS511 5
< Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: ~C' Squares 15- BTU's Gallons Amps
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 77042
BUILDING INSPECTION LINE -(305-2345953) Date : 5/5/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: CHRIS & NIKKI COVILLARA
Property Address : 4295 NEWLAND ST
Contractor License No. : 21947
Phone : 639-6957
Company : T A Empire Inc. Phone : 487-6880
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 a9ree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance wilh the W heat Ridge Building
Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit.
(O W NER)(CONTRACTOR)
Construction Value :
$3,700.00
Permit Fee :
$126.50
Plan Review Fee :
$0.00
Use Tax :
$44.40
Total:
$17090
Use:
Description : INSTALL 13 1/2 SQUARES OF ALCOA SIDING ON THE ABOVE LISTED PROPERTY
BUILDING DEPARTMENT USE ONLY -
Zon~`ng'Co nmeA* SIC : Sq. Ft. :
Approval :
Zoning :
$tiltd{~,CEiUme4t~~
Approval :
m
P~ibiic Vyo~#cs~m~@nta:;
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subjed to the laws of the State of Colorado and to the Zoning
Regulations and euilding Code ot Wheat Ridge, Coloredo or any other applicable ordinances ot the Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commenced within sixty (60) days from issue date or (8) the building authonzetl is susDendetl or
aban0oned for a penoA of 120 days.
(3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not ezceeded 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 ilow of vrater causing a dreinage problem.
(5) Conirector shall notiy the Building Inspector hventy-(our (24) hours in advance for all inspeclions and shall receive wntten approval on inspection card be(ore
proceetliing with successive phases of the job.
(6) The issuance of a pertnit or the approval ot drewings and specifcations shall not be construed to be a pertnit for, nor an approval of, any violation o( the
p%s of t 'tling codes or an oNer ordinance, law, mle or re9ulation.
hief B ing I
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
oF w"E^r,p BUIIDING INSPECTION LINE - 303•234-5933 Date:
~ a CITY OF WHEAT RIDGE
" m 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235•2855)
~°`°R"°° APPLICATION
Property Owner: G'HR/t Ga I'! A4 9.4 -9
Property Address: 7~4 y~S- /,/6 +r' ~4^' " S T_
Phone: ?aJ - 6 35 - z~ 5s1'7
Conhactor License No.:
Company: Phone: o
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
W heat Ridge or covenants, easements or resVictions of record; that all measuremen[s
shown, and allegations made are accurate; that I have read and agree to abide by all
conditions printed on this application and that 1 assume full responsibility for
compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable
W heat Ridge Ordinances, tor work under this pertnit.
Descri tlOfl: ~dfT4LL /
P /.2 / Sl~l ✓fl ~1 F. .i c
'47vo ✓Fc '4 , .t
Sq.Ft.added
Construction Value:$ 171
Permit Fee:$
Plan Review Fee:$
I ise Tax ~
TOYaI:$
~7L. g-~6 9 S' i/Ji•v z n J T*~-
Expiration Date: Expiration Dale: Expiration Date:
Approval: A,oproval: Approval:
(1) This permit was issued in accordance wiN the provisions sel forth in your applicaGon and is subjecl to the laws of the State of
Colorado and to the Zoning Regulations and Buiiding Codes of W heat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building
authonzed is suspended or abandonetl for a penod of 120 days.
(3) If ihis pertnit ezpires, a new permit may be acquired for a fee of one-haH the amount normalty required, provided no changes
have been or will be made in the original plans and specifptions and any suspension or abandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonmenl exceeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notlfy the Building Inspeclor 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 pertnit or the approval of drawings and specifications shall not be consWed to be a permil for, nor an
approval of, any violation of the provisions of the building codes or any o[her ordinance, law, rule or regulation.
Chief Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14535
BUILDING INSPECTION LINE - 303-234-5933 Date : 9/24/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: CHRIS COUILLARD
Property Address : 4295 NEWLAND ST
Phone : 7205288875
Contractor License No. : 21066
Company : Conservation Construction
Phone : 237-1687
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $1,800.00
I hereby certify that the setback distances proposed by this permit application are accurate, and
Permit Fee : $63.15
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
Plan Review Fee : $0.00
covenants, easements or restridions of record; that all measurements shown, and allegations
t I have read and agree to abide by all conditions printed on this
th
t
.60
Use TaX : $21
e;
a
made are accura
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
er
m
d.
for work under this p
e ordinances
at Rid
Wh
bl
~
Tot81 : $$475
L
J~
,
g
e
e
Code (U.B.C.) and all other applica
~
~
~
~
~ ~
DATE~
/
'
(OWNER)(CONTRACTOR) SIGNE ~
USB :
Description : REPLACE 3 WINDOWS WITH ONE CUT IN PER PLAN
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning :
Approval: DM
Approval :
Occupancy : Walls :
SIC : Sq. Ft. :
OKAY - CHANGE BEDROOM WINDOW TO DOUBLE SLIDER WI
REMOVABLE SASH
Roof
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval :
Stories : Residential Units :
Mechanical License No :
Company:
Expiration Date :
Approval:
(7) This permit was issuetl in accortlance with the provisions set fotlh in yopur application antl is subjed to the laws of the State of Coloredo antl to the Zoning
Regulations and Building Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This petmi[ shall expire if (A) the work authorizetl is not commenced wilhin sixry (60) tlays from issue date or (B) ihe building authorized is suspended or
abandoned for a period of'I20 days.
(3) If this petmit expires, a new permit may be acquired for a fee ot one-half the amount normally required, providetl no changes have been or will be made in the
original plans antl specifwtions and any suspension or abantlonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment
exceetls one (1) year, fu0 fees shall he paid for a new permit.
(4) No work of any manner shall be done that will change Ihe natural flow of water causing a drainage problem.
(5) Contractor shall notity the Building Inspector twenry-four (24) hours in advance for all inspections and shail receive written approval on inspeclion card before
proceetliing with successive phases of the job.
(e) The issuance ,permit o~~'r yyythfffe~~~''' approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisio e ui ~ o or any other ordinance, law, rule or regula9on.
ti
Chief Building Insp or
Building Permit Application
City of Wheat Ridge Building Permit Application
Page 1 of 1
Department of Planning and Development
~(~s
Building Permit Number:
Building Inspection Line: 303.234.5933
6ry of Wheat Ridge
7500 West 29th Avenue
Date:
Wheat Ridge, CO 80215 303.235.2855
Pro rty Owner. ~ 5 ~C% CDW ~
(X-' h (
C~
Phone. 72-0 '6-ZSf' Oo ~
PropertyAddress: ~1295 A/P.W sr-
Contractor License No: Jp(Q(Q
Phone: $03'7,37' /(OS7
Company: Cgnsec iUk
OWNER/CONTRACTORSIGNATURE OFUNDERSTANDING AND AGREEMENT
and do not C
plication are accurate
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stances propose
I hereby certify ffiat the setbac
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ons
. violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or
restrictions of record; that all measurementr shown, and allegations made are accurate; that I have read
permit Fee:
and agree to abide by all mnditlons printed on this applications and that I assume full responsibilily for
Plan Review Fee:
.
compliance with the Wheat Podge Building Code (U.B.C.) and all other appliwble Wheat Ridge
Use Tax:
Ordinances, for work under this permit.
9 ~
Total:
.(OWNER)(CONTRACTOR)SIGNED: DATE:
DescripHOn: '
D
Building Department Use Only
Zoning Comments:
SIC:
Sq.R.:
Approval:
Zoning: f
BuildingCammeMS: C~~ ~~'~"""y L!~':+ecw
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Approval: ~ j/
Public Works Comments:
Approval:
Plumbing license No:
Mechanical License No:
ElecMcal License No:
Company:
Company:
Company:
Ficpiration Oate:
F~cpiration Date:
F~cpiration Date:
qpproval:
Approval:
Approval:
(1) This patmd wes issued in accordarice vdlh the provisprrs sei forih in your application and is su6jeci to the lavrs of the Siate of Cobredo aM to the Zoning Regulaiiorrs and Building
Code o( Wheat Ridge, Colorddo or any other eppiicable adinances of the COy.
(2) This pertnit shall expire d(A) ihework authorized is not commenced within sb1y (60) daysfran issue date a(B) the building authaized is suspended a a6andoned for a period ot
120 daYs.
(3) It this pertnil e>yies, a rrew permit may be acquved fw a fee of one "afl the artrount normalry requiretl, providetl no changes have been w will be mada in the aiginal plans end
specifications and any susper5ion or atrandonment has not exceeded one (1) year. It changas have bean made or if suspension or abandonment exceeds one (1) yesr, (ull fees shaN
ba paid fa a new permd.
(4) No wak W any manner shali be done ihat vnll change the natural0ax of vrater causing a drainage problem.
(5) Conhectn shall notify the Building Inspedor iv.enty4our (24) hours in aMance for all inspeclions and shall receive wrAten approval on mspection card be(ore 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 pertnA fee, nor an approval oi, any violation of the provisbns ot the building
codeswanyotherordinp e aw,ruleorregulation.
Chief Building Ins or
http://www.ci.wheatridge.co.us/building_permit_application.htm 3/29/02
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