HomeMy WebLinkAbout4040 Nelson StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201704933
PERMIT NO: 201704933 ISSUED: 07/27/2017
JOB ADDRESS: 4040 Nelson ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install DIMENSIONAL asphalt shingles with 21 SQ
THIS IS FOR A HOUSE DAMAGED BY HAIL.
*** CONTACTS ***
OWNER (303)421-9628 STERLING DEBORAH
SUB (303)431-8015 Edward Terranova 019402 Aaark Heating & Air Conditioni
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,097.79
FEES
Total Valuation 0.00
Use Tax 128.05
Permit Fee 156.75
** TOTAL ** 284.80
*** 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.
1�64 N�01-1 Y. 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
Occupancy/Type
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
Plumbing
-
Concrete Encased Ground (CEG)
Lath /Wall Tie
Foundation / P.E. Letter
Rough Electric "
Rough
11
Roof C tt
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date InsInt ectactor Comments
Electrical
Wall Sheathing
Sewer Service
Floodplain Inspection (if applicable)
Plumbing
-
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Mid -Roof 1 c7 l
-
11
Lath /Wall Tie
{f r X.—
Rough Electric "
Rough
11
Roof C tt
Rough Plumbing/Gas Line
Final Building
Rough Mechanical
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.
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
11
Roof C tt
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits – Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
f
Residential Roofing PERMIT - 201704933
PERMIT NO:
201704933
ISSUED: 07/27/2017
JOB ADDRESS:
4040 Nelson ST
EXPIRES: 07/27/2018
JOB DESCRIPTION:
Residential Re -roof
to install
DIMENSIONAL asphalt shingles with 21 SQ
THIS IS FOR A HOUSE
DAMAGED BY
HAIL.
*** CONTACTS ***
OWNER (303)421-9628
STERLING DEBORAH
SUB (303)431-8015
Edward Terranova
019402 Aaark Heating & Air Conditioni
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 6,097.79
FEES
Total Valuation
0.00
Use Tax
128.05
Co
Permit Fee
156.75
** TOTAL **
284.80
---_
*** 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.
�City of Wheat Ridge
g°
Residential Roofing PERMIT - 201704933
PERMIT NO: 201704933 ISSUED: 07/27/2017
JOB ADDRESS: 4040 Nelson ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install DIMENSIONAL asphalt shingles with 21 SQ
THIS IS FOR A HOUSE DAMAGED BY HAIL.
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 1 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
thisppenxt�t, I fu her attest that I am legally authorized to include all entities named within this document as parties to the work to be
pe� rmed at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sig nat e or R or CONTRACTOR (Circle one) Date
I . This rmit 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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building 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
applic a or any ordinance or regul tion of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz,/��
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 19, 2017 3:52 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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
4040 Nelson St
Debbie Sterling
303-421-9628
Property Owner Email mgagnon@aaarkhomerepair.com
Address �,W 0U
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Aaark Heating and Air
019402
303-431-8015
Contractor Email Address mgagnon@aaarkhomerepair.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
mgagnon@aaarkhomerepair.com
No
Dimensional
Asphalt
Field not completed.
How many squares of the 21
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Field not completed.
TOTAL SQUARES of all 21
roofing material for this
project
Provide additional detail This is for a house damage by hail
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 61097.79
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Titus Terranova
Email not displaying correctly? View it in your browser.
3
—Ae!%b,�
TOTAL HOME SERVIC E3
HEATING AIR CONDITIONING ELECTRICAL - PLUMUING - GENERAL CONTRACTING
INSTALLATION - NEW CONSTRUCTION REMODEL - REPAIRS - 24 HOUR SERVICE
:050 Fox Street 13." lit- A - �ar�v�r, CO 80296
CG<_>VI'r>'rN <_, L'.7�<_.L',LLLNT GI_I<VI<-.L SIN<_•1= 1 S+f; •-t"
PHONE
L.303-564-0(
To: Deborah Sterling )OB NAME/LOCATION
4040 Nelson St��
Proposal Number: 4624
PROPOSAL
DATE
f 06/23/2017
Wheat Ridge CO 80033: i
]OB DESCRIPTION EMAIL
To pull permit with city of Wheat Ridge to complete and install per code and to complete all required inspections to close out
permit. To peel off all layers of shingles and underlayment per code on both house and Garage. To install ice and water
shield on all eave areas to extend 2 feet plus past inside of exterior wall per code. To install new D -style rake metal and 2"x4"
eave metal at all gutters. To install feltex premium synthetic underlayment. To install all new plumbing pipe flashings, lay ice
and water in valleys, new storm cap, To install CertainTeed Landmark Series Bitumen on all 2/12 pitched roof. To install
fiberglass basesheet and metal cap nails. Aaark will invoice permit and for any unseen supplements.
**Roof has 5 year Workmanship/Leak and Lifetime Shingle Guarantee"
Aaark will complete all negotiations with insurance on any supplements, price differences, and changes to scope of work.
Aaark will also submit invoicing for all permits, engineering when required, supplements, and depreciation. Aaark will complete
all work agreed to with insurance for the amount agreed upon. By signing this contract you are giving Aaark permission to
c--nplete all of the above mentioned task as well as talk to insurance provider and adjusters. Customer is responsible for thier
I actable and any customer directed work not on insurance.
WE PROPOSE hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
Six Thousand Ninety Seven and 76/100 Dollars $6,097.76
Payment to be made as follows:
ACV amount due at contract signing other half of ACV is due in full upon initial job completion, depreciation and insurance supplements due upon customer receipt. Any invoice
not paid when due per this contract, shall incur interest at the rate of 18% per annum In the event it becomes necessary to collect any unpaid balance on this contract Aaark
shall be entitled to receive all costs of collection, including reasonable attorney fees
All material is guaranteed to be as specified. All work to be completed in a professional
manner according to standard practices. Any alteration or deviation from above Authorized S -I' /r 74
303-927-3825
specifications involving extra costs will be executed only upon written orders, and will become Signature
an extra charge over and above the estimate. All agreements contingent upon strikes, --- -
accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary Note: This proposal may be withdrawn by us if not accepted within days.
insurance. Our workers are fully covered by Worker's Compensation Insurance.
ACCEPTANCE OF PROPOSAL: The above prices, specifications, and
ditions are satisfactory and are hereby accepted. You are authorized to
do the work as specified. Payment will be made as outlined above. signature:
Date of Acceptance: Signature:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: m ; 1=�
Job Address: Q cJ LJ O `j4=
Permit Number: O I - -_ (p!j cl -3'3
❑ No one available for inspection: Time 1 ! 3o AM/a
Re -Inspection required: Yes Q
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 o l� Inspectors=
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303r234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:� kjF
Job Address: G `lb Joh
Permit Number: i ul7 o '1" 3 3
Kwt
T
❑ No one available for inspection: Time 4pM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: �` `� �� Inspector:`
DO NOT REMOVE THIS NOTICE
w It � A 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: A4 0
Job Address: lbw% Ofls�
Permit Number: 2 u17()Y? 3 j
❑ No one available for inspection: Time 4m/pm
rhe -Inspection required: Yes No
r
when corrections have been made, call torre-inspection at 303-234-5933
Date: 7 7 Inspector: rc
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy_ e
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
D a
, Nn i 2
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Mid -Roof
Stemwall / (CEG) Concrete
Encased Ground
Electrical Service
Reinforcing or Monolithic
Rough Electric
Weatherproof / French Drain
Rough Plumbing
Sewer Service Lines
Gas Piping
Water Service Lines
Rough Mechanical
ABOVE INSPECTIONS TO BE
Framing
SIGNED PRIOR TO PROCEEDING
Insulation
CONCRETE SLAB FLOOR
Electrical
Plumbing
Heating (I
IR R
UNTIL ABOVE HAS
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE
Framing
SIGNED PRIOR TO PROCEEDING
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
f
• CITY OF WHEAT RIDGE
�//
Building Inspection Division
r ,/ (303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax pip f
INSPECTION NOTICE; �
Inspection Type r
Job Address 1 -1 1�
Permit Number
❑ No one available for inspection: Tim e AM /PM
g
DO
)ector:
'MOVE THIS NOTICE
" 1 City of Wheat Ridge
r 4000 1 or-
Residential Mechanic PERMIT - 102788
PERMIT NO: 102788 ISSUED: 12/29/2010
JOB ADDRESS: 4040 NELSON ST EXPIRES: 12/29/2011
DESCRIPTION: Install new furnace and ductwork 60K btu
* ** CONTACTS * **
GC 303/341 -1900 01 -9473 Custom Heating & Air Condition
owner 303/564 -0614 Debbie Sterling
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
UA
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,954.00
FEES
Permit Fee 125.05
Total Valuation .00
Use Tax 89.17
** TOTAL ** 214.22
Conditions:
Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors
are required to be installed in every sleeping room, in hallways outside of
sleeping rooms, and on every level of the structure. Carbon Monoxide detectors
are required to be installed within fifteen(15) feet outside the entrance to
each sleeping room.
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, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be 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 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 a icable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspe i
Signature of Chi Bu' ing Offical Date
INSPECTION EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR .INSPECTION THE FOLLOWING BUSINESS DAY.
6
�b d
City of
� K WheatR,0ge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Date:
Plan #
Permit # /0
ProBg L ialo kiia -otok) ST: r�
Property Owner (please print): Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip: (� 1�
ContriLetor: C'�s�m tt t b Nc�
Contractors City License #: Phone: J 3t { l I C i cD
Si`Ih�16`fnntrnwtrii'ee1
Electrical: GI,C� Plumbing: Mechanical:
City License # City License # City License #
ek-k L A Contract Valuet/Qsq 03
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under . any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE (OWNER)
RA y,.,1
ER) (CONTRACTOR) 6 — ' ie ` UXWRT
PRINT NAME: t�_,l�C.'�1 , \ u I 1 SIGNA
of (OWNER) (CONTRACTOR)
Bldg Valuation:
♦ e CITY OF WHEAT RIDGE
� , Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: r! ; }~ �OE�
Job Address: &4- A) ri-J 6 AI 5 "y'
Permit Number: C4 / �I i
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
* When corrections have been made, call fo /}e -in pection at ?0
/
Date: 7 Q ` L Inspector:
DO NOT REMOVE THIS NOTICE
~ V~ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
sl„
INSPECTION NOTICE
Inspection Type:
mm
Job Address/Permit Number: llf3~fi d1 Yp 11-W77A
r ❑ No one available for inspection: Time ANJ~!`PM )
Re-Inspection required: 'Yes F0 J
r When corrections have been made, caff for re-inspection t 303-234-5933
F
Date: r f
~ -f Inspector:
€ DO NOT REMOVE THIS NOTICE
INSPECTFON RECORD Occupancy/Type
INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:'
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/. French Drain
Sewer Service Lines
Water Service Lines
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB, FLOOR -
Electrical (Underground)
-
-
Plumbing (Underground)
Heating (Underground)
UO NOT YOUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
~
ROUGHS
Sh
thi
ng -
ea
Lath / Wall tie
Mid Roof
~j
q
7
Electrical Service
Rough Electric
'
Rough. Plumbing
"O
Gas Piping.
Rough Mechanical
ABOVE INSPECTIONS SO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing '
Mechanical
Roof
Building Final
Fire Department
'R.O.W Drainage
INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLICE WORKS
Parking & LandSCaping `
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"NOTE: ALL ITEMS MUST BE COMPLETED. AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY.. IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION. DOES. NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY. NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
oFw"E?Tq City of Wheat Ridge Building Division Date: Q (99
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
°otoR o° Inspection Line: 303-234-5933 Permit#P11"/H~
Building Permit Application
Property.Address 4040 Nelson St. Wheat Ridae CO 80033
Property Owner (please print): Deborah L. Sterling Phone: 303-564-0614
Mailing Address: (if different than property address)
Address:
State,
Gogfractor:
Contractor License Phone:
Suti:Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
DBSGrlpt100`Of WOrk7 (as calculated per the Buildina Valuation Data sheet)
Re-roof 1811 sgft of the roof Plan Review (due at time of submittal): $
(the complete roof).
Sq. Ft./L.Ftadded: Squares 2n BTU's Gallons - Amps
" 1 City of `Wheat Ridge
Residential Roofing PERMIT - 091776
PERMIT NO: °091776' :ISSUED:` 08/28/2009
JOB ADDRESS: 4040 NELSON ST EXPIRES: 02./24/2010
DESCRIPTION:. Reroof 20 sqs
***CONTACTS
owner 303/564-0614 Deborah Sterling
**:PARCEL INFO
ZONE CODE: UA cUSE: UA
SUBDIVISION:' UA r`BLOCK/LOT#: 0/:
FEE SUMMARY ESTIMATED PROJECT VALUATION: `.3,540.00
FEES
Permit Fee 126.50
Total valuation .00c~"/(}!?'~/~)f
Use Tax 63.72 z'r,e`~-w-- S°
.
**:TOTAL ..190.22 "n.
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
water shield required from save edge 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
applic tion and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and. all other
appli a le Wheat Ridge Ordi fo work under this permit. Plans subject to field inspection.
Si ~ ure of contractor/owner~ date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the 'laws of the
State of Colorado and to. the zoning' Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire: 180 days from the issue date. Requests for an extension must be. received prior to expiration
date. An extension maybe granted at the discretion of the Building Official.
3. If this permit. expires, _a new permit may be acquired for a fee of one half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment !exceeds one. (1) year, full fees (shall
be paid for a: new permit.
4. No work of any. manner shall be done that will change the natural flow of water causing adrainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection cardbefore proceeding with successive phases of the job:'.
6. The issuance of a permit or the approval of drawings and specifications shallnot be construed to be a permit for, nor
an approval of., an violation of the provisions of the building codes or any other ordinance, law,. rule or regulation.
All plan nevi i ject to field inspections.
0
Signature of- ie A uildinq Official date
DAY.
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
~~J (303) 235-2855 Office ` (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: /C~ flu
Job Address/Permit Number:
~o
I
❑ No one available for inspection: Time AM/PM
a
i Re Inspection required: Yes
E
When corrections have been made, call for re-inspection at 303-234-5933
o Date: 1 Inspector:
DO NOT REMOVE THIS NOTICE
I
pFWHEgT,Q/ City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
v m
Office: 303-235-2855 * Fax: 303-235-2857
c o Inspection Line: 303-234-5933
O<ORPp
Building Permit Application
Date:
Plan
Permit
Property Address: 4110y0 /VP -/S0/1 St
Property Owner (please print): n o 66/e S 4-eyl/na Phone:~~03,
Mailing Address: (if different than property address)
Address:
State, Zip:
Contractor:
Contractor License Phone: 303-96-/S9`/
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ ~C~- Do
Description of work: r{ g /p Ce 1` ~g WE Y as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal):$ 11
l/n e F-710 in ,'he- hou~'e +d
-It-he c,a+o- +0.p
Sq. Ft./L.Ft added: _ W Squares BTU's Gallons Amps
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 1 assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: `N/f Uvya.1ic SIGNATURE: LNG/ Date:
ZONING COMMENTS:
Zonings
Reviewer:
NLY
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer.
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required
OCCUPANCY:
Bldg Valuation: $
~--p
I/
INVOICE
~L
JOB DATE
26768
AMEMMEENINDUSTRIES ICI
P.O. Box 370 • Watkins, CO 80137
DATE
04107/09
PO#
(3 )
696-9599
ESTIMATOR
Trevor
CALL ORIGIN
,
Paul
Fax(303)671-6871
SERVICEMAN
JOB INFORMATIONr
BILLING INFORMATION
NAME Debbie Sterling
NAME AAARK Plumbing
ADDRESS 4040 Nelson St. -
ADDRESS 5962 Sheridan Blvd.
CITY
Wheat Ride
STATE
CO
ZIP
80035
CITY
Arvada
STATE
CO
ZIP
80003
PHONE 303-421-9628
PHONE 303-431-8015
303-430-8915
DESCRIPTION OF SERVICES
ESTIMATE
Excavate and replace 4" main sewer line from the house to the city tap located 10' into
$ 5,500.00
an unmarked asphalt street. Approx. 45' long and 3-4' deep.
Line has a fall issue. We will achieve best possible fall, but cannot guarantee optimal fall.
*Includes: Saw Cut, Excavation, Plumbers, Laborers, Pipe & Fittings, Clean-outs,
Bedding, Backfill, Up to 5 Yards of Flowfill, Up to 50 Sq. Ft. of Asphalt Patch,
Compaction, Clean-up, Haul Away, Permits & Inspections.
* All items included if necessary
J1 WARRANTY Terms of Warranty: 5 year - Parts & Labor
Excludes: Roots & Ground Movement - Acts of Nature
APPROVAL
COMMENTS:
SIGNATURE
Excludes: Utility Conflicts, Box Shoring
SUBTOTAL
THANK
TAX
PLEASE PAY
®
THIS AMOUNT
ITEMS NOT INCLUDED: landscape, grass, sod, trees, bushes, flowers, plants, fence repair,
$
decorative rock, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible
for damage caused by unstable soil, cave-ins or any other unforeseen complications.
TERMS: Invoices are payable, in full, upon completion of work performed. Any invoice not
paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes
necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to
receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc.
shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to
building projects pursuant to Colorado law.
SIGNATURE
ACCEPTANCE
OF INVOICE
SIGNATURE
❑ VISA ❑ M/C ❑ AMEX
CARD # EXP
APPROVAL #
❑ CASH ❑ CHECK#
CHARGE A/R ACCOUNT #
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City of Wheat Ridge
Residential Mechanic PERMTT - 080639
lopor,
PERMITNO:
080639.
ISSUED:
.06/13/2008
JOB ADDRESS:
4040NEL56N ST
EXPIRES: .
12/10/2908
DESCRIPTIONi
.Instail.4800 CFM evap cooler
w/ 110 hook up .
.
CONTACTS~***
owner 303/421-9628 Sterling
gc ~303/431-8015~ Edward Terranova
* * PARCEL INFO - *
01-9402 Aaark Heating & Air ConditioniZONE~CODE: ~ UA ~ USE: UA
SUBDIVZSIQN: : UA . BLOCK/LOT#: 0/ .
~
FEE SUMMARY ESTIMATED~PROJECT VALUATION: .2,600.09
~ . ~ ~ FEES . .
Permit Fee 108.30
ToCal Valuation . .00 . .
Use Tax . . 46.80 . .
TOTAL 155.10 ~ . ~ . :
I hereby certify that the eetback dietancee proposed by thle permit.application are accurate, and do aoe violate applicable
'ordinances, tuleaor regulatione of the City of wheat Ridge or covenante,.easements orrestrictiona of record; [hat all
measurementa ehown; and allegations made are accurate; that I have read and agree to ab3de by all conditiona printed on Ghia
applicaKion and that I aseume full aeeponaibillty for compliance vith the Wheat xidge Builfling Code (I.a.C)and all othet '
applicable Nheat Ridge Ordinancee, for work under thie permit. Plana eubject [o field inspection. . Signature ofcontractor/owner - . date . .
1. Thiepermit was iasued in accordance with the proviaione eet forth in your application and is eubject to the lawe of theStateof ColoiadoeRd t¢ the Zoning Aegulatioqe and Building Codee of Wheat Ridge, Colorado or any other applSCable. .
ordinances of the C1ty.2.. Thispermit ehallei2pire 180 days.from the ieaue date. Requestefor anextension muat be received pzior eo expiration date. -An.exteneion may.be granted at the diecretion ofthe euildin9 Official. . .
3. IE thae permlC expitea,a new permit may beacquired for a feeof one-halfthe amount. noxmally required,provideQ no changes have been or will be made in the original plana and epecificatione and any euepeneion or abandonment hae not
exceeded oae (1) year.if cfianges have been or if suepeneion or abandonment exceede one (1) year, full feeeshall
be paid for a new permit. 4. No work of any.manner ehall be done that will change the natural flow of water caueing a drainage problem. 5. Contractox shall notify Che.BUilding InepectoY twenty-Eour (24) houra in advance foY all inepectione anfl ehall ieceive.
wnitten approval an inBpectioncard before proceeding with eucceaeive phaaee of the job. . .
6. 't'he ieevance oE a permit or the approval-of drawinge and epeciflcations ehall not be conetrued Co be a Qermit for,. nor
an apgrovalof, any vSolatlon of t e ieioae of the building codee or any othex ordinance, law, rule or regulation.
All plan revaew is aubject tou/lyi~ pectione. 6ignature of Chief Building oxis'
v
INSPECTIONR8QV8ST LINB,
REQUESTSNNSTBE MADE Bi
aate
(303)234-5933 BUILDING OFFICE: (303)235-2855 '
3PMANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
DEPARTAAENT OF PLANNING AND DEVELOPAAENT Building Permit Number :
13UILDIN(31NSPECTION DNISION - 235-2855
CITY OF WHEAT RIOGE Date
7600 VYEST 28TH AVENUE
WHEAT RID(iE, CO 80215
Property Owner : SJ~~~'~vs
Property Address : yOY~ ~~GSOnJ S~= Phone :-l~l~~
Contractor License No. : U/yl//Q Z
Company : Phone :
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDINO AND AOREEMENT Construction Value : eZ
1 Mnby prtqy that tM sstDadc d4tanas propowd by th4 pomqtaprueauon an aaunu. Pertnit Fee 3 U
~nd do not vblWabb ordinanas. ruNs u rpuWlons of tM Cily W WMat Ridp~ a
murw4s~ a osWdons of noad: Nat W m~awnrtrnb shown, antl alNpatlons
rt~ w ~cauaOK Ihat I havo nad wd n~ babIAs W caWWon~ on Nb US8 T9X : (y ~U
ane wu ...um. mu ror o wnn m. ~u°wdo. auuauw y
Cod~ N B~.'c 7 u~d .w oaa.ppli~anb wn.~t Q. ncestpr wa~c wa.r mis wmdc ~
6lib ~ rota~ : !O--
" (OYVNER)(CONTRACTOR) SIGNE TE
Description
BUILDING DEPARTMENT USE ONLY
APProval :
Zcnkip : • '
APPmal:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Eledrical License No : Plumb(ng License No : Mechanical License No :
Company: Company: Company:
F,xpirdflpn Date : _ ExpirBYtlCflJZBtB.:_ Expiratlon Date :
>Approval : Approval : Approval :
m.imYrAw..wwanaaaaanc.wanm.paubn.waro,hyop..ppinua~.ear roa. wu a u,.sunaca«.ao.od a m.z«kw
wau.uon. .ne 9ypWyq coa. a w~,.rWdp~, caaaao«.MOnw aa~mo..acur.
. 7TM qmYl WI 0Y0 ~ W 1M wotk MpiaEW Y not mmwiad wkNnskicly 00) 0rys han Ww dW a(8) tlr W+Wlq aN~alad b wsm~0 a
obrWardloraprb0 d120A~ya
tltlYSVMmII~.~MwiMnYlmaYWaptiWrbkfaMdarAWIMYroWYnamW n7uYW.povWW roWrpwtuwCwiorwiYGmrMhNs
«Wy~IP1~y~d~p~atlonme+M or~wwominthurat~cwosewltlYw. ~~Nmw«xwrprwWnuwnaoivront
..e..a.artvr••cPrw.nrawwr.
ri rro wK aowmww,na w aar nawr awp. .~.aw aaw awwr . a.uw. oroa«~•
conu'°°r r~mh t~ww a~~...wwaw ~wW~aur (xq nars N aav.nc. a.u w wu nww wnn.n +ov~wr m wp~m ara o.ror.
a1M
~ uuY not M cauNrO b W a prMt for, nor ~n +Op~+l U. +nY viWtbn d tM Dmrisbns
(0) IM W WMqaOOGDs Or ~ ~nY ~ adWrrw.law. n~W rpW~itbn
N
;i
Chief Bulldiny Inspector For Mayor
THIS pERM1T VAUD ONLY WHEN 81GNED BX THE CHIEF BUILDINO INSPECTOR AND MAYOR
CALL: 234-6933 24 HOURS PRIOR TO IN3PECTION
RE: 4040 Nelson St.
Wheatridge, Co. 80033
~
`.l1
BBB
■o
Mem6er
A& H Roofing warrants this 30 year dimensionat roof system to meet 110 MPH three-
second wind gust (IBC) & 90 MPH wind load (UBC). The chief building inspector of Wheatridge
wanted this in writing and posted with the pertnit for the inspector before final inspection. If there
is any questions feel free to contact Tom at the number above.
Thank you,
Tom Herma , President
11 /3/2004
A & H ROOFING, LLC
837 S. Kuner Road PMB 234
Brighton, CO 80601
(303) 659-8088 Off (303) 659-1254 Fax
Toll Free 866-659-8088 • www.ahroofing.com
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 : 17716
Date : 9/20/2004
Property Owner: DEBORAH STERLING
Property Address : 4040 NELSON ST
Contractor License No. : 21956
Company : A&H Roofing, LLC
Phone : 421-9628
Phone : 659-8088
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; Ihat 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 (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED i({wItX7,FF~fd~v - DATE
Construction Value :
$2,852.00
Permit Fee :
$108.30
Plan Review Fee :
$0.00
Use Tax :
$3422
Total:
$142.52
Use:
Description : TEAR OFF 1 LAYER, INSTALL 30 LB FELT. INSTALL 30 YEAR DIMENSIONAL ~
BUILDING DEPARTMENT USE ONLY
Zoning Commentgc SIC : Sq. Ft. :
Approval :
Zoning : ~SJf for~~ m ~othe anufcr~tur~r Shal1 be
Building Camments:' roofng matertals h jnsmpCh~n which spec~
Approval : JI p MpN th►~7 ave bean installed to Yneet
Fublic 4ilorks Comrne~ts:; `~Nwfnd loa~ C~ w11d gust IBC (90
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 :
(t) This pertnit was issued in accordance with the provisions sat foAh in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ritlge, Colorado or any other appiicable ordinances ot the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sizty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 tlays. '
(3) If this permit expires, a new permit may be acquired for a fee of one-hal( the amount normally required, pmvided no changes have been or will be made in the
originai plans and specifcations and any suspension or abandonment has not ezceeded ona (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall ba paid for a new permit.
(4) No work of any manner shall be done Ihat will change the natural Flow of water wusing a drainage problem.
(5) Contractor shall notify the Building Inspeclor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before
pmceediing with successive phases o( the job. '
(6) The issu t a per e approval of drawings and specifcations shall not be wnstmed to be a permit for, nor an appmval of, any violation of the
pr the 16ing codes or a`7r y,otFer ordinance, law, rule or regulalion.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEYELOPMEN7 DEPARTMENT Building Permil Number
BUILDING INSPECTION LINE - 303-2345933 Date:
= a C1TY OF WHEAT RIDGE
7500 WEST 29TH AYENUE
WHEA7 RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Property O.vner: De&&Lh $~orli4y'`' q
ProperryAddress:y0 O Phone: 30j"` ~~a~ Ib~
Conaactor Liccnse No.: ~ Ale-kan 5~ Vhee.tr,*
60 sIr
Co"pan'' 116 ~ Phone: e 0
p 3„6 rq ~9o8~
~~N Rm,crnac~~ a
ONMEq/CpiTRACTWt SIGNATURE OF UNOERSTANOING ANO AGREEMENT
1 nere0y cMiy thal the selback tlialances proposed by Mis permn aD01i<alwn are
aauMe. an0 do noi vldale appicaDk wdinances, ruks a reyuWtions of the City o1
W heat RMpe w covenants. easements a restricUms of reca0: that aX mrasurements
stqwn, anO albpsGOns ms0e arc acarsle:1Aa11 have rea0 arW apree b abi0e by atl
cwWiCOns printea ai Vus apWication anC that i aasume fun responsiDitiry for
compianee witlf Uhe Wneat Ritlpe BuilOinp CoOe (U.8 C) and all other applicabie
wheal Ridpe aainan«s, ra .yar una« mia verma
.
(OwrEAMCONi PACTOR)
mstruction Value:5
Permit Fee:S
Plan Review Fee:S
lae Tax:C
Total:S 4-.~5"~ ;
(OWNEAxCONTRACTpR):PRIN7ED
oescripuon:Twr oC I lNye./', 1 nsrwil joI br--0' lns+'4l/ 10 Yepir pirte/I 5ior,q/
Sp. Ft. aOGd
Expiration Oate: Expiration Oate: Expiration Date:
APPrrnal: APP►oval: APWOVaI:
(7) T111i DwvM Iqi "W 111 iCCpAiI10f WIIII IIfQ DIOVIiqlW f!l fdlh RI y0li iQPF04011 WW 1! 711bJ!(1101M liwi 0111M $Ub of
cao..oo.a a u,. zwWV a.Pr.oons ane eukarw coass a wnsa weo.. cowraao «sny arw,ppbcaok ordpwKes a
ms Cay.
(2) Tlws WmM shaY evire A(A) IM work wtliorizW k not mnunenoeE wilhin siby (60) Oays han issue Aale or (8) Vro. builEirg
sWwrtoW s auapwW W a aDriOOnsd beprb0 d 120 O~ys.
(3) n aiY vrr+M e~Yws. a nw D«ni mh' W+cailed fa s fse d omaWl tl» amwr nwmMy isw.+u. Diovidsa no cnrqsr
inw Ww vnY be in M oripYyl OW*arW +podlfedons and any w+Pwio^ or a0v~dorrnsitt 1ws nol saoss0e0 ons
(t )Yw- tl dunpM M~e bmn a il appsnaim a aCrdomwd nosMt one (t ) Ysar. hi bas aldl be pai0 for a ~Dsmal
(a) No wak W arry mrrw tlW M Ame Yal wi cnarpe 1he rulral Ibw d rralsr uus+V a trai^ape oi oClx^.
(s) Canuscbr snr no* IM euldnw hw«br twsrMY-tow (zs) hous m savanw r« a inwec+ons aw snaa reoarve wrinen
appruvy m ~napsction crd belore pooee6rq wilh sucosaairs phisass d At joD.
(6) Ths iswfnos W a pwmN a Ur apqoval of dsMmpt aM sWcilicaboins, alW rat Ee consVustl b be a Deffna far, nn an
appcval ot. any viola4on of Uhe pwisions of Vhe DuilOirp codea ar xry Wher adnance. faw. rule a repuWDOn.
Electrical Lioense No: Plumbing License No: Mechanical License No:
comPwY ComPanY Co^Pany.