HomeMy WebLinkAbout3590 Nelson StreetCent: wheamdae co us
To: 0 mmnev Nsmn.
SulryeR: Wine F" wbmltial: sdu W 4sdoabon
Cale: Tueolay, July 6, 20213:5556 FM
Solar PV Installation
This application is exclusively for Solar PV Installations
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM 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.
Is this application for Yes
Solar PV Installation?
PROPERTY INFORMATION
Property Address 3590 Nelson SI Wheat Ridge CO 80033
Property Owner Name Karen Clements
Property Owner Phone 720-210<706
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email k rnclem@comcast.net
Address
Attach City of Wheat asap PF ndr
Ridge Electronic
Payment Form - **DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD**
CONTRACTOR INFORMATION
Contractor Business Titan Solar Power CO
Name
Wheat Ridge 202267
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 480-237-2375
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email oopermitting@titansolaMmer.mm
Address
Retype Contractor oopermitting®titansolarpowenoom
Email Address
DESCRIPTION OF WORK
Scope of Work Installation of a 5.55 kW DC roof mounted solar system and a
Line Side Tap.
KIN 5.55
# of Panels 15
Location of Panels house roof
Structural required No
Upload engineer letter Men Nelson & wham Ringo m_ 80011 SL ndr
or pages on 8 112" x
11"only
Solar Installation Plan 3590 Nelson St Most Ridge CO W033 Plans Mf
Set on 11"x17" only.
Project Value (contract 40243.00
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.
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 'res
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Jonathan Villa
Permit
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.
Email not displaying oonedly9 View It in your browser
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Tuesday, July 6, 20213:58:51 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 2915 Benton St.
Property Owner Name
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"
Mark Wanersdorser
KI8xaR191IEPAI
marklar84@gmail.com
CONTRACTOR INFORMATION
Contractor Business Apex Plumbing Inc.
Name
Contractor's License 060162
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-215-1348
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permitting@apexplumbing.com
Address
Retype Contractor
permitting@apexplumbing.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
sewer Line
water line repair?
Length of repair
Five feet
Location of repair
Backyard
(backyard, frontyard,
etc)
Provide additional
Installation of 4" double wye clean-outs in the yard.
details including
installation of clean-
o uts.
Project Value (contract
2500
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 Charlotte Graham
Permit
Email not displaying correctly? View it in your browser.
1* � � i City of Wheat Ridge
�� Residential Solar PERMIT - 202101461
PERMIT NO: 202101461 ISSUED: 07/20/2021
JOB ADDRESS: 3590 Nelson St EXPIRES: 07/20/2022
JOB DESCRIPTION: Installation of a 5.55 kW DC roof mounted solar system and a Line Side Tap.
*** CONTACTS ***
OWNER (7 2 0) 937-5779 CLEMENTS KAREN
SUB (480)226-6769 DAVID WILLIAMSON 202247 TITAN SOLAR POWER CO
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 402,463.00
FEES
Total Valuation 0.00
Residential Solar 500.00
** TOTAL ** 500.00
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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 alI 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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
07/20/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
S- 76 7
3S'30 dF&sCn D. INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occutapc /T ee
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
Initials
Comments
Pier
Concrete Encased Ground (CEG)
Fj 'IU ,
Foundation / P.E. Letter
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above Insnections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above InsnPctinn_
Rough Inspections
Date Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Fj 'IU ,
9-t ,r—__P
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 Divisiork
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
X_
A , City of Wheat Ridge
Residential Roofing PERMIT - 201705767
PERMIT NO: 201705767 ISSUED: 08/09/2017
JOB ADDRESS: 3590 Nelson ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Chateau Green asphalt
shingles with 37.66 sq. (35.66 sq. pitched, 2 sq. flat)
*** CONTACTS ***
OWNER (720)937-5779 CLEMENTS KAREN
SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,384.19
FEES
Total Valuation 0.00
Use Tax 281.07
Permit Fee 267.70
** TOTAL ** 548.77
*** 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) 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.
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.
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: �S
Permit Number:`
i'
2
❑ No one available for inspection: Time AM/&P"
Re -Inspection required: Yes No
When corrections have been made, call fpr-inspectio t 303-234-5933
Date:_1 16 Zai l -7 Inspector: 'D
t
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705767
PERMIT NO: 201705767 ISSUED: 08/09/2017
JOB ADDRESS: 3590 Nelson ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Chateau Green asphalt
shingles with 37.66 sq. (35.66 sq. pitched, 2 sq. flat)
*** CONTACTS ***
OWNER (720)937-5779 CLEMENTS KAREN
SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,384.19
FEES
Total Valuation 0.00
Use Tax 281.07
Permit Fee 267.70
** TOTAL ** 548.77
*** 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) 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.
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.
� 4 �e City of Wheat Ridge
Residential Roofing PERMIT - 201705767
PERMIT NO: 201705767 ISSUED: 08/09/2017
JOB ADDRESS: 3590 Nelson ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Chateau Green asphalt
shingles with 37.66 sq. (35.66 sq. pitched, 2 sq. flat)
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 piOperyand am authorized to obtain this permitandperformthework descibed and approved in conjunction with
this permit.1furtherattestat Iamegalyauthorizd toinclude all entities named withinthisdocumentaspartiesothe work to be
per0Qd and that all(wortc�e performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sig�Ire of OWNER or CONTRACTOR rcle one) Dat
1.s permit was issue nation provided in the permit application and accompanying plans and specifications and is
subject to the compliance wit those documents, and all applicable statutes, ordinances, regulations, po ides 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 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, any violation of any provision of any
applicable code or as or nance= reg en of is j risdiction. 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.
�(76S_767
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
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
3590 Nelson St
David & Karen Clements
720-937-5779
ap@bearbrothersroofing.com
Yes
CONTRACTOR INFORMATION
Contractor Name Bear Brothers Roofing
ig
Brian Tardif
From: Justin Smith <jsmith@bearbrothersroofing.com>
Sent: Wednesday, August 9, 2017 10:55 AM
To: Brian Tardif
Cc: Laurel Kjersten
Subject: Fw: Online Form Submittal: Residential Roofing Permit Application
Brian,
I sent this application in on 6/28/2017 1 tried to email Dan Schultz about it but have not heard back the home
owner came by the other day to check on this permit and was told that we never submitted an application.
Any idea when this permit will be ready?
Thanks
Justin Smith I Production Manager
7245 Gilpin Way, #280
Office. 303.422.2725
Cell. 719.963.9797
Fax. 303.274.2151
I Denver, CO 80229
From: no-reply@ci.wheatridge.co.us <no-reply@ci.wheatridge.co.us>
Sent: Wednesday, June 28, 2017 4:29 PM
To: Accounts Payable
Subject: Online Form Submittal: Residential Roofing Permit Application
1
Contractor's License 021170
Number (for the City of
Wheat Ridge)
Contractor Phone 3034222725
Number
Contractor Email Address ap@bearbrothersroofing.com
Retype Contractor Email ap@bearbrothersroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing OC Duration Chatequ Green
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 35.66
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 2
on the flat roof?
TOTAL SQUARES of all 37.66 ✓
roofing material for this
project
Provide additional detail Shed and House
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 13384.19
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
C
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 Justin SMith
7245 GILPIN WAY 42SO
DENVER, (A) 80229
PHONE; 303-422-2725
VAX. 303-274-2151
REARRHOTHERS11100FIN&COM
Curptv & UaG,'aty InSljrana Coverage Providcd Bv:
SU tnsuraoce Servlces of Colorado, irc.
Name: rt) L, ;
�, --f k5A!
Address:3 A) 1� C-,!� Cl, -j 7-12 (!:�('7 '7
Q itk ��A'7
Phone #:
Email: ::s�1 C, L6 tA (30 fi A l L- C, ov-1
Insurance, Carrier: 12, _AVLLA 09,
Claim Number:
Roofi2LS
.Lecifications
Tear Off- I Layer 0 2 Layer 71 O!Per
Underlayment: 0 15* 030# MSyrithetic
Shingle Type; 0 C— o
Shingle Color-. C 4-e - z A x a A_ H/0 -
Hoof %lent Type. BOX -k Ridge Lbyower_ Turbine_
Plumbing Stacks: 30 4"— Lead Other
Ice & Water Shield Per �.de
Valley: r] Woned Roofing ❑ W Park, �-L)7>
Hip & Ridge: I -Standard ❑ Enhanced -
Metal Edge: U To Match Existing 0 Other
Roof Decking- 7jCDX 71 OSB 13 Other
Nails, open Eaves. ❑
y(S St
Attic Inspection: M Ves No
A,4111109 pattern tome ceed4fanirt-facturer Spet,,rfjcdjjon&
`NON NVULABLE SURFACE CLAUSE, Please note that any defective root
deck1plywood found during fear off of the existing root covering must be
replaced per state building code. Most insurance carriers do not cover
this cost as part of your claim. Customer will be responsible for this cost
at $30 per sheet which includes labor and materials.
Customer initial
Cal
Cf taizTeodH
k
Additional Work & Special Instructions
Umnove trash rrom roof, gutters and yard
XfVP ect
landscaping, where applicable
and and driveway with magnetic roller
4�Ftjrnislh all materials, labor and permits
SPECIAL INSTRUCTIONS,
<
DELIVERY INSTRUCTIONS:
—k,,O,f-Load 0 Ground Drop Mother.
Owens Corning Preferred Protection
Roofing System limited Warranty
C1 Nes- 0 No $
Pa
.1ment Breakdown
E. Insurance Claim Amount
19,2f4 w Supplement Amount
Homeowner Upgrade, Amount
Terms
=ioatal Cost �(tax included)
Terms: This agreement is contingent upon insurance company approval and agreed price. This a
d by customer's insurance and accepted by. BEAR BROTHERS ROO ING- Customer's s�ign t
BROTHERS ROOFING in any way unless it is approve qreement does not oblipate the customer or BEAR
below signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. BEAR BROTHERS R `FluIrGe
will 5eek approval from insurance company for a necessary supplements outside of the original scope of work, Customer's 'Out Of pocket* expense
is not to exceed deductible and any upgrades. any
d upon completionof each ;rade. BEAR BROTHERS ROOFING will provide a two year
workmanship warranty upon final payment. - � .......... , —
I Acceptance of Contract I
The Specifications, Agreement Terms, and Payment Breakdown as outlined on the face and back of this
Contract are satisfactory and are hereby accepted. You are authorized to perform the work as specified.
Customer Signature �ate Representative Signature Ll Date
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 5
Permit Number: 20 k 'j��JJ
❑ No one available for inspection: Time AMM
Re -Inspection required: Yes to)
When corrections have been made, call for re -inspection at 303-234-
Date:- IL0 '7 Inspector:
DO NOT REMOVE THIS NOTICE
`1I4'
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: frf/ r:.
Job Address/Permit Number:
V f -eerf^
l'. 1 Ldlr~ cif cur F~k
lfr~JEiHvi
roll
r' -
s
❑ No one available for inction: Time ANIM
Re Inspection required: No
When corrections have been made, call for re ms ection at 303-234-5933
Date: 9-S- O LT Inspector:! r
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
/ Residential Roofing PERMIT - 091053
PERMIT NO: 091053 ISSUED: 08/03/2009
::.JOB ADDRESS: 3590 NELSON ST EXPIRES: 01/30/2010
DESCRIPTION: T/O.reroof <36.33 sqs.. with. 30 yr Tamko Shingles
CONTACTS
owner 720/937-5779 David Clements
sub 303/422-2725 Gary Theriaque 02-1170 Bear Brothers Roofing
r, * * PARCEL INFO
ZONE CODE : - UA USE : UA
SUBDIVISION: .0640 BLOCK/LOT# 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,430.41
FEES
Permit Fee .181.10
Total Valuation .00
Use Tax .115.75
* TOTAL 296.85
Conditions:
6.nail -installation mid-roof. inspection required. Board. sheathing spaced more
= than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and.
r' water shield required from eaveedge =to 2'. inside. exterior walls.
Subject to field inspections.
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
applrc ble wheat Ridge Ordinances, for work under this permit. Plana. subject to field inspection.
Signature of contractor/owner =.date
10
I. 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
n
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.
S. 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.
la? All plan review is ject to field inspections
Signature of e ilding Official: date
INSPECTI 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.
a
Y
e
e
OD bo
City of G ]
Wh6tl d e Date: ~0
COMMUNITY DEVELOPMENT Permit
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address:
Property Owner (please print): J- -b tf f fJ l',~ Q 9 brLQ V~ Phone: T/_O -
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License n~ -1 I Q Phone: 14 l 4)-
Sub Contractors:
Company Name: License Expiration Date: Trade/Profession: Approval:
Use of space (description): ;I P l L-
Description of work-
~s r~ ~Jys~~ tion value: .
y r Plan Review (due at time of submittal): $
Sq. Ft./L. Ft added: Squaresv~,~ BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to fie pection.
CIRLCEONE.: (OWNER ONTRA O or PERSONALREP TIVE of NER) NTRATOR
PRINT NAME: SIGNATURE: Date: a l
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer. ~y
FIRE I)EPARTMENT.: 0 approved w/ comments 0 disapproved 0 no review required Bldg Valuation: 7 7- _
card listed on
" COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
Date
15861
7/15/2003
Property Owner: DUANE HOXIE
PropertyAddress : 3590 NELSON ST
Contractor License No. :
Phone : 423-0708
Company: Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are acwrate, 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 responsi ~ ity for compliance with the Wheat Ridge Building
Code (U.B.C.) and all olher applicable W ea Ridge ordinanq¢;{for work under this permit.
(OWN ER)(CONTRACTOR) SIGNED Xv(//,c~..c~ C°tc7Lc.r, DATE
Description : W IRING (ELECTRICAL) OF NEW GARAGE AND NEW SERVICE TO HOUSE.eBUILDING DEPARTMENT USE ONLY C.,
Zoning Comment§:' SIC : Sq. Ft. :
Construction Value :
$2,000.00
Permit Fee :
$90.10
Plan Review Fee :
$0.00
Use Tax :
$40.00
Total
$130.10
Use :
Approval :
Zoning :
Building ComFnents:;
Approval :
Public Wti Cotrimepts.':
Approval :
Occupancy: Walls
Roof
Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accordance with the pmvisions sat forth in yopur application and is subject to the laws of the State of Coloredo and lo the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applica6le ordinances of the City.
(2) This permit shall expire if (A) the work aulhorizad is not commenced within sizty (60) days from issue data or (B) the building authorizad is suspended or
abandoned for a period of 720 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in Ihe
original plans and specificalions and any suspension or abandonment has not exceeded ona (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 tlone ihat will change the naturel Flow of water causing a drainage problem.
(5) Contrector shall nolity the Building Inspeclor Rvenry-tour (24) houre in advance for all inspedions and shall receive written appmval on inspection card before
proceediing ~ h successive phases of the job.
(6) The issua et 31 e a pe. t he approval of drewings and spacifcations shall not be construed to be a permit for, nor an approval o(, any violation of the
provi ' of b des or an other ordinance, law, rute or regulation.
y
Chief Building Ins ector
Please sign Terms and Conditions on reverse side of page.
of wHE4T COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
, P BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
~ WHEAT RIDGEf CO 80215 -(303-235-ZS55)
~C OR A00
APPLICATION
Property Owner. ~ Cw~ Y- o x~ t-
~
PropertyAddress: phone:3c~ - y,?3-0~Ic
Contractor License No.:
Company: 54,4 Phone:~7,2G-Y.39-9(}~,d9
O\YNER/CONTRACTOR SICNATURE OF ONDERSTANUINC AND AGREERIENT
I hcrcby ccrtify tha[ the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenanis, easements or reshictions o(record; that ali measurements shoxm, and allegations
made are accurace; that I have read and agree to abide by all conditions printed on this
application and that 1 assume full responsibiliry for compliance with ihe Wheat Ridge
6uilding Code (U.B.C) and all other applicable Whwt Ridgc Ordinances, (or work under
IhiS permiL (ON'NERHCONTRACTOR):SIGNED_ DATE 7G<41 ~
(O\VNER)(COtiTRACTOR):PRINTED DATE
Construction Value:$ ;Z, GvG,
Permit Fee:$
Plan Review Fee:$
Use Tax:$
TOtHl:$
DESCRIPTION: k),c vIvl (C/cewr.«.1) '6- rt~~cj ~ tG,rd n.eac- ,Q.E'-u~u._.-.~C° -/~i+rr<s~
BUILDING DEPARTMENT USE OnLY
SIQ Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDIN6 COMMENTS:
Approval:
PUBLIC WORKS COMMENT3:
Approval:
Ocwpancy: Walls: Roof: Stones: Residen[ial Units:
Electrica] License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(I) This pertnil was issued in acrordance with the prorisions sel forth in your applicalion and is subjecl to the laws ofdie State ofCdorado and lo the Zoning
Regulations and Building Codw of N'heat Ridge, Colo2do or anyoLM1er applicable ordinances of [he Cip-.
This pemiii shall expire if(A) the work authorized is not commenccd within sixry (GO) days from issue datc or tlie building authorized is suspended or
abandoned tor a period of 120 days.
(3) If this permit expires, a new pemiit may be acquircd for a ftt olone-half Ihe amount nommlly required, pmridcd no changes haee b<en or will be made
in ehe odyinal plans and specifications and my susp<nsion or abandonmrnt has not ezeeeded one (I) yeac lf changes hav< been or if suspension or
abundonm<nt cxcceds one (1) y<aq full fees shall M paid for a new permil.
(1) No work of my manntt shall be don< that will <hange [he namnl flow of water causing a dninage problem.
(5) Contracmr shall notify tlie Building Inspecmr txenty-Iour (24) hours in advautt for all inspections and shall receive wriven apvroral on inspection card
before prceeeding wiUi succcssire phazes of Ihejob.
(G) The issuance of a pertnil or tM1e approval of dnwings and specifications shall wt be mnshued to be a pemiit for, nor an appraval of, any ciolalion o( tlie
provisions of Ihe building codes or any other ordinanc4 law, rule or rcgula(ion.
Chief Building Inspector
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
Date
15696
6/13/2003
Property Owner: MR. DN~HOXIE
Property Address : 3590 NELSON ST
Contractor License No. : 21602
Company : KLJ & Associates
Phone 423-0703
Phone : 660-8949
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 restrictions of record; that all measuremenls shown, and alle9ations
made are accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibifor compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable W at idge ordinanc s, or work under this ermit.
i
(OWN ER)(CONTRACTOR) SIGNED DAT 9 <L?
Construction Value :
$11,000.00
Permit Fee :
$253.90
Plan Review Fee :
$165.40
Use Tax :
$132.00
Total:
$551.30
Use:
Description : REMOVE EXISTING CARPORT, BUILD DETACHED GARr1GE IN THAT SPACE. OVERFRAME
FLAT ROOF TO A 4:12 PITCH
l~nl Y 1~2.C 1 ll~
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Zoning Cpm`mgnts;
Approval : MP OK. EXISTING DRIVEWAY IS CONCRETE.
Zoning : R-1A
Building-Comments;'
Approval: BG
Public,Works CommenfS:'
Approval :
Occupancy: Walls
Electrical License No
Company:
Expiration Date :
Approval :
y.a•°'"
6/13103. OIK W/ REDUNE NOT~lwntmct.
~ y~d consr ~oved F __U:ata
~ City is n ,uzd any G
lubmitted'.,... i minaceutaw ith
Roof : Stories : ~rcafr6d3~H~f~nits :
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval :
~ t¢ the
(1) This permit was issued in acwrdance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has nol exceeded one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, full tees shall be paid for a new permit.
(4) No work o( any manner shall be done that will change the naWral flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(8) The issu f a permit or the approval of drawings and speci(ications shall not be construed to be a permit for, nor an approval of, any violation of the
proVid of tles or any other ordinance, law, rule or regulation.
-
s
Chief Building In,4ector
COMMUNITY DEVELOPMENT DEPARTMENT
WHEq
,~F r a BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (3q03-,235-2855)
c~(ONPO~ 1 1IAWftK ~`1Pr~~ICAT4y~
19N
PropertyOwner: 1X
Building Permit Number:
Dare:
GXi f-
Property Address: o Al[" /J
ConVactor License No.: 2 ~(e o L
Company: ~Ls (vSStJ&tR \ [
O\VNER/CONTRAC7'OR SICNATURE OF UtiDEAS7ANDWC AND AGREEMEh'T
S % Phone
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 Ciry of Wheat Ridge or
covenanIs, easemenis or restrictions o(record; that all measurements shown, and allegations
made are accurate; thal 1 have read and agree to abide by all conditions printed on lhis
application and [ha[ I assume full responsibiliry for compliance with the Wheat Ridge
6uilding Code (U.6.C) and oll other applicable Wheat Ridge Ordinances, (or work under
this pcrmit.
(numicaxrnnruarrna)- cTr;NFn DATE
(O WNGRHCONTRACI'OR): PRINTED
I
4ZS-a"1jg
503~G~'U - uci4`r
470) ¢7() -5/8152'
Construction Value:$ 000
Permit Fee:$
Plan Review Fee:$
Use Tax:$
T013l:$
DESCRIPTION: ~✓YL~U~ ~~[C ST~ w~ It C/}~2 ~~7 Zr ~ j~U l(,.~ ^
AJ2.A~.~ lAl ~9r'7 SPACr ~ 0 q c !CPt✓+ME
(Liu F7D 4. 1 Z P ac H
BUILDING DEPARTMENT USE ONLY
20NING COMMENTS: ~ ~ IG~~ tl1'1V'PJ^~a~'1 Approva1:01~ i
Zoning: g1A
BUILDING COMMENTS:
Approval: X& a• k
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof. Stories:
Electrical License No: Plumbing License No:
Company: Company:
Qr- 1 ~l-f cj
FLa~
Sq.FC:
~ IiN 4~Z
`
2003
Residential Units:
Mechanical License No:
Company:
Expiration Da[e: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This pemiit was issued in accordancewi[h ihe provisions sa forth in your application and is subjecl to the laws of the Suu ofColorado and Io the Zoning
Regulations and Building Codes of Wheat Ridge, Coiorado ot any other applicable ordinanccs o(the City.
This pemiii shali enpire if(A) the work authonzed is not commenced within sizly(GO) days Gom issue datc or (f3) Ihe building authonzed is suspendcd or
abandoned for a penod of 720 days.
(3) If this pemiit czpires, a new perniit may be acquired Por a fee of one-halftFe amoum nommlly required, provided no changes have been or will be made
in tM1e ongmal plans and specifitations and any suspensian or abandonment has not excecded one (I) year. If changes hare been or if suspension or
abandonmrnt exceeds one (1) year, full fees shall be paid for a new p<rmit.
(3) Na work of any manner shall be done that wi➢ change Ihe naNral Ilow olwamr causing a drainage problem.
(5) Contractor shall nwtify the Duilding Inspeclor twenty-four (24) hours in advance for all inspections and shali receive written approval on inspecnon card
before prxeeding with sucttsive phazes of thejob.
(6) The issuance of a pemiit or ch< approval of drzwings and specificaoons sM1all ml b<conshued m be a permit (oc nar an approral of, any ciola[ion of the
z ing codes or any oaiet ordinance, law, rvle or regulation.
Chief Buji ing Inspector
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
Date
15465
5/6/2003
Property Owner: MR. 0,E14WA#E HOXIE
Property Address : 3590 NELSON ST
Contractor License No. : 21602
Company : KLJ & Associates
Phone : 423-0708
Phone : 660-8949
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 rewrd; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by ail conditions printed on Ihis
application, and that I assume fWl responsibi ~ y for liance ~ ith the Wheat Ridge Building
Code (U.B.C.) and all other applicable W/h~e t Ridge rdi nc for work under lhis pe mit.
(OWNER)(CONTRACTOR)SIGNED ! ^ I'~' DATE
Construction Value :
$5,000.00
Permit Fee :
$144.70
Plan Review Fee :
$0.00
Use Tax :
$60.00
Total:
~ $204.70
Use :
Description : REMOVE EXISTING 1 X 12 SIDING & REPLACE W/ 1 X 8 CHANNEL RUSTIC CEDAR SIDING
rr tm
BUILDING DEPARTMENT USE ONLY
46'ning Cotnments SIC : Sq. Ft. :
Approval :
Zoning :
Building Comments;;•
Approval:
Public Works Comments:
Approval :
Occupancy : Walls : Roof
Electrical License No : Plumbing License No :
Company: Company:
Expiration Date : Expiration Date :
Approval: Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accordance wiN lhe pmvisions set forth in yopur application an0 is subject to ihe laws of the State of Coloratlo antl to the Zaning
Regulations and Building Code of W heat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building authonzed is suspended or
abandoned for a period of 120 days.
(3) tt this permit expires, a new pettnit may be acquired for a fee of one-half lhe amount normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonmenl has not excaedad one (1) year. If changes are made or if suspension or abandonment
exceeds one (t) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done Ihat will change the natural ilow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permil or the approval of drawings and specifcations shall not be consWed to be a permit for, nor an appmval of, any violation of the
provi ' s f the buil ~ codes or any other ordinance, law, mle or regulation.
"~rX/?w,-
ef$uilding , pector
Stories : Residential Units :
COMMUNITY DEVELOPMENT DEPARTMENT Building Pemut Number:
oF wHE'°r P BUII,DING INSPECTION LINE - 303-234-5933 Date:
~
$ CITY OF WHEAT RIDGE
U m
7500 WEST 29TH AVENiTE
WEIEAT RIDGE, CO 80215 - (303-23~5-2gp85V~,/{cP3p
~oCORP00 . APP3y1TdO7~~
9~
Property Owner: rhQ n~ ~'}f9 ul ~
PropertyAddress: 3J~'!D lJELsJ~.I Phone: 3Q3 QZ3- O-708
Contractor License No.:
Company: K..L~ `G, E}S SUG~ ~17 ~S Phone: 3(93 ~nln U-~ Ql~ q
OWNF,R/CONTRACTOR SIGNA'I'[7RE OF UNDERSTANDING eWD AGREEMEIYT
I hereby certify that the se[back distances proposed by this permit application aze accurate,
and do notviolate applicable ordinances, mles ormgula6ons of the Ciry of WheatRidge or
covenants, eascmrnts orrestrictions ofrecord; that atl measuremen[s shown, and allegatlons
made aze accurate; that I have read and agree to abide by all conditlons printed on this
application and [ha[ I assume ful] responsibility for compliance with the Wheat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under
this pemtit.
DESCRIPTION: ~tfi)Jq L Ult i J rl +J ( / XI Z
W 1 t'ci Chr,a~ALL- &s~ 1
6LOS
ConstrucrionValue:$ 5('-(":C
Permit Fee:$
Plan Review Fee:$
USe T3X:$
Total:$
Si~1.1< 2~1~hcL
Cr~R2 s~~,~ 4
BUII,DING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONIN6 COMMENTS: '
ApprovaL•
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS: .
Approval:
Occupancy: Walls: Roof: Stories: ResidentialUnits:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Elcpiration Date:
Approval: Approval: Approval:
(1) 19tis pecmit waa ismed in accorde¢ce wiEa the pmvisions set Polth ia your application and is subject m che laws of the Sh4 of Coloxadn and m the Zoving
Regulations and Bw7di¢g Codes of Wheat Ridge, Coloredo or any olhv applicable oidinances afthe City.
(2) This pe'mit sLatl expue if (A) the work authodzed is not commenced within sixty (60) days from issue da[e or (B) the building au0orized is suspended or
abandoned for a period of 120 days.
(3) If tLis peimit ezp'ses, a new pwmit may be acquired for a fee of onehalCtLe smount uorsmlly iequired Provided no cLanga have been or will be made in
theoriginalplavs and speci5catioaa andany suspmsio¢ora6andonmenthas not enceeded one (1) yeaz. Ifchanges havebeen orifsuspeusion or abandonmmt
exceeds one (I) yeaz, full fees shell be paid for a new pertnit
(4) No wolk of any manner shall be done tha[ will chenge Ne naNnl IIow of waW causing a drainage pmblem.
(5) CoutracWrshall notifytheBuildivgInspectoxtwenty-fow(24)Lou*sinadvanceforalfinspectlonsandshallreceivewrittenappmvaloninspectioncardbefore
proceeding with succeazive phases of thejob. (6) TL<issuance of a pemrit or the approval of d*awings and speci5cations sLall not be construed to be a pcmtit fo; nor av approval of, my violatlov of the
provisions of the build'wg codes or aay other ordinaneq law, nile or rzgulation. .
Cluef Building Inspector