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HomeMy WebLinkAbout3872 Nelson Streethas 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 Ryszard Szymanski Permit Email not displaying correctly? View it in your browser. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application Date: Tuesday, October 19, 2021 10:22:45 AM Electrical Service Change/Upgrade/Electrical Work Permit Application This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3872 nelson st Property Owner Name George Rendon Property Owner Phone 720-480-4765 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat ma057 Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Thor Electric Llc Name Contractor's License 190212 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-257-9090 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email thor.electric.colorado@gmail.com Address Retype Contractor thor.electric.colorado@gmail.com Email Address DESCRIPTION OF WORK Is this an electrical Upgrade service upgrade or change? Number of Amps 150 Location of work Back of the house (garage, house, etc) Provide additional Water bond, gas bond, 2x gnd rod details, if needed. Project Value (contract 3700 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 1* � � i City of Wheat Ridge -.A Residential Mechanical PERMIT - 202100867 PERMIT NO: 202100867 ISSUED: 05/03/2021 JOB ADDRESS: 3872 Nelson St EXPIRES: 05/03/2022 JOB DESCRIPTION: Replacement of gas furnace in crawlspace 95% efficiency 60,000 BTUs *** CONTACTS *** OWNER (720)480-4765 RENDON GEORGE SUB (720)236-1321 HOWARD BROOKS 140153 ENERGY RESOURCE CENTER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21800.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 58.80 ** TOTAL ** 98.80 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with this�permrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be 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. 05/03/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ELECTRONIC INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: 202100867 ADDRESS: 3872 Nelson St JOB CODE: Furnace Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below/ In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan PERMIT:202100867 ADDRESS: 3872 Nelson St JOB CODE: Furnace Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential Commercial 318 Boiler/ Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 401 Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. Good afternoon, Attached is the reseed foryour permit fee payment I have also attached yourjob card and approved permit you may schedule your inspection(s) on the elry website Opemsor Code: optical ©Money [scrollPecelpl Cale: CDA1245� CDP02e6eg� suspect: RE Can. P. Socrattal vmryeo0er nellaremmt armu Podiouon D.A. Manday, May 3, 2021 4 00 29 FRI utai manoni mn s02100867 3872 ot mu aft 202100867 3872 aoob card Fo6 lmost Good afternoon, Attached is the reseed foryour permit fee payment I have also attached yourjob card and approved permit you may schedule your inspection(s) on the elry website Opemsor Code: optical ©Money [scrollPecelpl Cale: CDA1245� CDP02e6eg� Receipt WW: Oesi 13872 Nelson 9t 000 ❑ WIUaU Distributions: 9890 s9 9880 PP Money: 9880 Change Due: 000 Car From Replacement of oast ❑(AP:emmxTmrromban DkMMstlona BP 966)PERMIT NO: 202108687 13872 Nelson 9t 000 Tharkyou Vanessa Sanhm running Division Office Phone 303-235-2854 Office Hows: 7am-4pm Wheatjj dge COMM[INI1YD6v6 fZ From: norepN@ctwKetrlage mus mo-reply@ctwbeamage m. us. Sent Monday, May 3, 20211208 PM To: commoee Permits eerrmcs@etwKetr id emus, Subject: Online Form Submittal Furnace/Boller Replacement Permit Application Furnace/Boiler Replacement Permit Application This application Is exclusively for REST OENTIAL REPLACEMENT FURNACE or BOILER- LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARO AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be email ed to the email address provided below once It Is processed Tw S APPU CALL ON DOES N OT CONSTITUTE A PERMIT. DONOFF BEG IN WORK UNTIL PERMIT HAS BEEN ISSUED. yes Is this application for a replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3872 Nelson St. Wheat Ridge Co. 80033 PropertyOwner Name George Rendon PropertyOwner Phone 303-422-1515 Number (enter WITH dashes, eg 303-123-4567) PropertyOwner Email WALTERHOERC-CO.ORG Address Attach Cltyof Wheat Ridge Electronic Payment Form - Revised 5-1-20 Electronic Payment Form- Filiable 202005011620013849 202006081141368198 odf **DO NOT ATTACH A PICTURE OFA CREDIT CARD** CONTRACTOR INFORMATION Contractor Business Name Energy Resource Center Contractor's License 140153 Number (This Is a 5 or 6 digit numberfor the City of Wheat Ridge) Contractor Phone Number 720-236-1344 (enterWITH dashes, eg 303-123-4567) Contractor Email Address walterh@erc-co.ora Retype Cc ntracto r E ma l l walterh@ero-co.ora Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 60,000 What is the efficiency (%) 95% of the unit? Is the unit GAS or GAS ELECTRIC? Where is the furnace or Crawtspace boiler located (for example, basement, crawlspace, etc)? Project Val ue(contract 2800 va I ue or cost of ALL materials and Tabor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assumefull responsibility Yes 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 may Yes not begin on this property until a permit has been Issued and posted on the property. I certlfythat I have been Yes authorized bythe legal owner of the property to submit this application and to perform the work described above. I attestthat everything Yes stated inthis application is true and correct and that falsifying information inthis application is an act of fraud and maybe punishable byfine, Imprisonment, or both. Person Applyingfor Permit Walter Heppard Email not displaying correctly? View it in Your browser. 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: -/ e .7 - F7, ,, , i Job Address: 3 IF -7 a We )s o,, 54 - Permit Number: m o 1-7 0 3 t: o n ❑ No one available for inspection: Time q = a;�? Q/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: `-) LI //'9 Inspector: DO NOT REMOVE THIS NOTICE I 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: qoC- p ; nal Rd? -C Job Address: 3f %Z MSai St Permit Number: 2.0170369q t ❑ No one available for inspection: Time tof,,00 fm /PM L Re -Inspection required: 4Y/ es? No When corrections have been made, call for re -inspection at 303-234-5933 Date: 31►5/1� Inspector: bope- LVVfff 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: �vl / so(a U 1 Job Address: 7r,2 r CL401.i ST Permit Number: 2GI �n'G Iv rz-o S`�� ❑ No one available for inspection: Time 12 Re -Inspection required: Yes(S2 When rrections have been made, call for re -in spe tion at 303-2344933 J Date. Ca I Inspector: G�- DO NOT REMOVE THIS NOTICE ► A City of Wheat Ridge ` Residential Roofing PERMIT - 201703609 PERMIT NO: 201703609 ISSUED: 07/10/2017 JOB ADDRESS: 3872 Nelson ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 12 sq. *** CONTACTS *** OWNER (720)480-4765 RENDON GEORGE SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,021.50 FEES Total Valuation 0.00 Use Tax 84.45 Permit Fee 125.05 ** TOTAL ** 209.50 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703609 PERMIT NO: 201703609 ISSUED: 07/10/2017 JOB ADDRESS: 3872 Nelson ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re—roof to install asphalt shingles with ROOF DECKING — 12 sq. 11 by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this pen -nit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfonned and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of NER or CONTRACTOR (Circle one) Date l , 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. ?. 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 pennit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The 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 applic4b4e-code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W 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. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 3:48 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes _ residential roof? W /C► Frye aes 7/1/17-- /! // 7-- How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 3872 Nelson st george rendon 720-480-4765 Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name advanced exteriors Contractor's License 090134 Number (for the City of Wheat Ridge) Contractor Phone 303-725-4502 Number Contractor Email Address freddygreen@advancedexteriors.net Retype Contractor Email freddygreen@advancedexteriors.net Address DESCRIPTION OF WORK Are you re-decking the Yes roof? Description of Roofing asphalt Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 12 material selected above? / V Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 12 / 4/12 pitch 4uZl, (g -a SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant 3,000 Email not displaying correctly? View it in your browser. 3 MY �R6^ g • , t:xTenors, Inc., SaaondWy Phone .. • r • , 0 a s If�w • r .w Appra&nmpe Daj%sj 01 �t-JaL C45819t�i9rRtS:r�( ,Lsmmormbb rrsffiirIIiFy Jttsrpranc�3 ' 9g_���"€ r, � y� "., `:^ - Y or cea Ama re e cla rrx, in whofs or to Pj, VObfk core in acmdan(-- 77- " ...<. " � R t x♦ t n Denver, 80222 8 sw w AOR. #... i',i. 1 COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15510 BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE Date : 5/13/2003 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: GEORGE RENDON Property Address : 3872 NELSON ST Contractor License No. : 19312 Phone : 422-1515 Company : Deer Creek Plumbing OWNER/CONTRACTOR SIGNATURE OF UND Phone : 697 5883 ERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate do not violate applicable ordina and n s truction Value $300.00 , nces, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurem t r Permit Fee $30.55 en s 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 lan Review Fee : $0.00 responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances f Use Tax : $3.6~ , or work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Total : $34.15 Use : Description : INSTALL 50 GAL. GAS WATER HEATER mm BUILDING DEPARTMENT USE ONLY g,d : F SIC Sq. Ft. s:' Approval: Public+ Work's` Corpirients: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Company : Mechanical License No : Company : Company : Expiration Date : Expiration Date : : Approval : P Approval Ex iration Date : Approval : (1) This permit was issued in accordanca with the provisions set (oAh in yopur application and is subject to the laws of the State o( Coloratlo and to the Zoning Regulalions and Builtling Cotle of Wheat Ridge, Colorado or any other applicable ortlinances of the City. (Z) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue tlate or (B) the building authorized is suspendetl or abantloned for a period of 720 tlays. (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 metle in the original plans antl specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or i( suspension or abandonment exceeds one (1) year, full fees shall be paid /or a new pe~it. (4) No work of any manner shall be tlone that will change the naWral flow of water causing a drainage problem. (5) Contractor shall noti(y the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspeclion car0 belore proceedii with successive phases of the job. (6) The is n of a er i the approval of drawings and specifcations shalt not be constmed to be a permit for, nor an approval of, any violation ot the provi ns t cotles or any other ordinance, law, rule or regulation. Chief Building I spector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 23q-2855 ClTY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE CO ~ 0215 AppLICATIoN ~q ~a ~ lq3 i2 Property Owner Property Address Contractor License No. Ccmpany : uC,L~lJ~. ex,d ~ ~ ~l Building Permit Number : Date : Phone : 8--~~ IS I~ ~ Phone cJ g~ uwrveR/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit appiication are accurate, and do not violate applicable ordinances, rules ar regulations of the Ciry of Wheat Ritlge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable heat Ridge qrdi ances, or work under tMis perm@. (OWNER)(CONTRACTOR) SIGNED 1 DATE~'~ C~3 Description ^5}_~~` ~N G l~ Approval: Zoning : u o Approval: - _ Approval: Occupancy : Walls Electrical License No : Company: Expiration Date : Approval: Construction Value . a~ Permit Fee : ~p 5 S Use Tax : 3 Lp C~ Total : r)I Use: BUILDING DEPARTMENT USE ONLY Roof: Plumbing License No : Company: Expiretion Date : Approval: Mechanical License No : Company : Expiraticn Date : Approvai : (7) This pertnit was issuetl in ac:.ryance wiN Ne provisions set !cM in yopur aGG~icationtl ijeo e s ot the Sia;e cf Colcratlo anG ro the Zonicg Regulations antl BuilCing Cotle o! Vvheat RiCge. Colcraao or any otner apFiiwble ortlinar.ces ot Me Ciry. TTis Certr,it shall expire it (A) the work auNOnzeC is not coinmencetl within s{ abantloneA (or a penotl of 120 aays. MY (60) n a Eays h s cm sub c,issue; N law zte or (8) the builtling authonxeC is guspentletl ar (Z) (3) If Nis pertnit expires, a new, permrt may pe acQUirey far a fee o( one-hall the amount nocally rtquireQ p m , viCeC no charges have Oeen cr wiil be ma onginal plans antl spetifiratlens anC any suspension or abancrnment has not _xceeEec cne (7) yeac 1f changa are mace or if susGensicr, cr abanCOnment tle in the exceedy one (1) year, NII feea shall be paitl kr a new permft (4) No work ot any manner shall be Eone that wilf Ghange Ne naN21 flcw of water causing a tlrdinage pmblem. proc eediing (5) ContraC,or shall notlry the Builtling Inspeaor twenry-fcur (24) hours in aCvance fcr afl ;nsper,ions antl shall receive written appmval on inspecEOn rarp pefare (6) The issuancewiofN a pertnit or succegsive the phases o( approval Ne o( C joD. 2vnngs and spetlficafions 5hall nct 6e censWed to be a pertnit for, nor an approval of, any violadon cl Ne pmrsicns of Ne 6uiltling ~yes or arry cther orCinance, law, rule or regulatlon. Chief Building Inspec,or , 8 SIC Sq. Ft. : Stories : Residential Units : O ~