HomeMy WebLinkAbout4060 Nelson StreetCity of Wheat Ridge
Residential Plumbing PERMIT - 201901359
PERMIT NO: 201901359 ISSUED: 07/02/2019
JOB ADDRESS: 4060 Nelson St EXPIRES: 07/01/2020
JOB DESCRIPTION: Waterline spot repair - 30 feet, replace water service line from meter to
building
*** CONTACTS ***
OWNER (720)525-9820 HATHORNE HEATH E
SUB (303)766-7500 JEFF BELK 021818 PLUMBLINE SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,500.00
FEES
Total Valuation 0.00
Use Tax 73.50
Permit Fee 109.20
Same Day Inspection 120.00
** TOTAL ** 302.70
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. 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,
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.
tea. A� rl/Q_//q
Signature of OWNER or CONtRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying Flans 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 originalermit 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, an violation of any provision of any
applicable codepriny ordinanceiby regulation 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.
City or
W heat I
mage
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: l - c j J
Plan/Permit # ao 00
0 I �5
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: _ Ll 0 o t� u_ is y) `A �A i�aJ �j R_
Property Owner (please print): 4J �Q_0.� 4A<: -'A kzYlv�- Phone:'�'Za0
Property Owner Email
hrhG�fkv
Tenant Name (Commercial Projects Only) 1`' 1, A
Property Owner Mailing Address: (if different than property address)
Address: , 4,,,�w--q_ � S G lie
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name: , U_r-v�N t r1.2 OXY V I oz 7)
City of Wheat Ridge License #: (3 Q' A'i N
Phone:
Phone: 3 ) - --- 5- - 8 57S
Contractor E-mail Address:_
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print): 41'! � azc MJ -<- (O JUj-y-,b1in-e-sQyVAcR_3 , Cvyy,,
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
vic'Y SRI VI
Sq. FULF BTUs
U nsc �tzm, VVnA,iR- -Fo +4.., 13Lxjlk;�-
Gallons
Amps Squares For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER CO TRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: a
Printed Name: 4 i :A / Z
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: D_ t) I
❑ No one available for inspection: Time ± - r AM/PM
Re -Inspection required: Yes ,No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: _A
DO NOT REMOVE THIS NOTICE
,f
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: qeq- FI a l Root"'
Job Address: L U d o ?i Som Ej ,
Permit Number: 2 01 y) 0-2
Final g oo-P
❑ No one available for inspection: Time `1 /PM
Re -Inspection required: Yes N
When corrections have been made, call for re -inspection at 303-234-5933
Date: 10A0//U Inspector: beJPef
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
INSP9ECTION NOTICE
Inspection Type:
Job Address: 8060 A/r/ on ii =
Permit Number: r c1
_
❑ No one available for inspection: Time f A
Re -Inspection required: Yes �No,�
1
When corrections have been made, fah for re -inspection at 303-234-5933
Date: 1012/ 10 Inspector:ne' L.oye-rt
DO NOT REMOVE THIS NOTICE
.5 -
CITY
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 0 3 - Sewer-
Job Address: c-/ 0& 0 We 5 on S �-
Permit Number: -do / /IF 0 a& L/ R
❑ No one available for inspection: Time CT = 0 L/ OM PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: 0 I /I �-; Inspector: `-i t`�
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: 540jpy- u 6 /L
Job Address: q0&b RJP_ISa» 5—(
Permit Number: 4?706,62(vA
r..
❑ No one available for inspection: Time �_ A PM
Re -Inspection required: Yes No
When corrections have beeil for 3 re -inspection at -234-5 33
p _Q3 9
Date: 10- t - I
Inspector: 9
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802649
PERMIT NO: 201802649 ISSUED: 09/28/2018
JOB ADDRESS: 4060 Nelson St EXPIRES: 09/28/2019
JOB DESCRIPTION: Sewer line pipe burst repair from house to city tap in front yard,
replacement of the whole sewer line to house.
*** CONTACTS ***
OWNER (720)525-9820 HAWTHORNE HEATH E
SUB (303)766-7500 Jeff Belk 021818 Plumbline Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802649
PERMIT NO: 201802649 ISSUED: 09/28/2018
JOB ADDRESS: 4060 Nelson St EXPIRES: 09/28/2019
JOB DESCRIPTION: Sewer line pipe burst repair from house to city tap in front yard,
replacement of the whole sewer line to house.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e 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 pernut. I further attest that I a 11 authorized to include all entities named within this document as parties to the work to be
performed and that all w e per orm is disclosed in this document and/or its' accompanying approved plans and specifications.
9/ /14P
Signature of OWNE CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit 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
ce 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
code or any Tlinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of ChieflBuilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
city Of
9� Wh6aLtl e
GotvtmuNjTy D"TLopm-,ENT
Building & Inspection S*rvkes Division
75W W- ns" Ave., It Rkige, CO 80033
Mee: 303-238-2855 * Fax. 303-237-8929
Inspection Line: 303-234-5933
Email: permits&)ci.wheatrig�.q
FOR OFFICE USE ONLY
Pion Rovkw Apt.,
Building Permit Application
*— Please complete all Nghlighted areas on both aides of this form- Incomplete spozations may not be prorAssed. —1
Property Address, `! (0)
Prooerty Owner (please. pdnt),, He, Phorte., -7/S7)-��-'Jjjjo - - tie.- kctwi�lor-n,
Property Owner Email:
Maffing Address- (if differ sml'than property address)
Address.
C" Y' State, Zip:
Archftect'Engkiee, Phone:
Contracton Fl�VMLI'ac,r-v-.
Contractors City Ucense #- Phone, 3 ~166
Contractor E-mail Address: MJ+ v. k
Sub Contractors:
'Eledrical,
'WR City License #
0th-er City Licensed Sub,
City Licanve 9
Plumblq:
W.R. City LiMrfga #
CAMs city Ltwftd svb
City Lloense #
Mechanicat:
W.R. City LICange #
Complete ati information on BOTH sides ofthk form
C3 COMMERCIAt. 10 RESVENTIAL
Descrktion of work: (Check all that apply)
NEW COMMERCIA1 STRUCTURE ELECTRICAL SERVVE UPGRADE
NEW RESIDENTVa- STRUCTURE COMMERCIAL ROOFING
COMMERCIAL AWTION RESIDENTIAL O%OOFMG
RESOIENTIAL AMIT04 I WINC)OW PSPLACtMENT
&. '-wrw wri -- 1,
V% V^ M IMA E MRCk'^A_ t _"NOW -WA, Wm$.4k . am., I
RESVENTIAL ACCFSSORY STRUCTURE (6 'r &had, dock, otc)
MECHMICAL SYSTEWAPPLIANCE REPAIR or REPLACEMENT
ME
PLUMBING SYSTEMIAPPLIANCE REPAIR w REPLACMENT
ELECTRICAL SYSTEWAPPLIANCE REPAIR w REPLACEMENT
0 1
THER (Describe}
'For ALL projects please provide a d�qtjjfied orm
E - description of work to be perl, ed, ocludivG current use of areas,
proposed rises, sq;u are footage, existing condition and pro�lcsed, new concibon, appiiance size and efficiency, type and
amouni of matenais to be used etc.)
Savver- Koo_'e +a (:Z.,4
roil y +qp)
Sq. Ft"
ftes
Am" sqww" 4)vw
Project Val m: (Cordrad waken ac ft Cost of ALmoftlials VA law kx*AW in 0.0 IBM prood)
6 2-004 __
ONNWERICONTRACTOR SIGNMML OF UNDERSTANM4NG AND AGREDaNT
I herft ccrtifl that the sedock ds proposed by this petmt appiwmion are mate and do rico %iawe aWk&W ardbwmCM rwwor
rWiatons ,)f the City of Wheat It or cc%vnonts, cumnents or mq6ctiom of mcmd., dim in avwwrmwft vho" mad oftatkm NO& av
atcuride, tho I hdvt rad wd agrre to abide by all condiww,� printed m this aMhcation and dw I %sae w fill reqKmaWity For COMOiw=
with appliLswe City ofwh%at Ri4t codes " fx*amrvms fix %%Ott ander &ny ptnuil issued bmd on this aw dw I am *t kw
or brave bccn and wnwd by the kga( owner of the property xo pe *wm the dcscr'W_ w4rA and am also *Aorizad by the ICC owner of any
entity included on dw, smilomuor, to bst OW OMOY On this gWimtim.
ORCLLOVE (ORNN") fC0AvTk4CT0R) & MCTNORIZ"REPRESEXWOL) of (01MAJ (CONTRACTOM
_T� �ar-Q SIGNATURE;
ESL%J NAME:_ I^
ZONNG COMMMENTS
Roviewer
sul�.')ING oepm►pTmw COMMEN'TS
Reviewer
PUBLIC WORKS 001AMEN-5
Reviewer
FRQQF QF 198MIllf0bi EQRMS
Fv06-par'me!fl [) Reo_iv8d [I No', Qvirfd
1 0
Water Distp.d Pf-�-.ewvfw ❑Not Rcqorf.to
sawtallor Diwic! Ell ;; ("'_a; r , -
J
DEPARTMENT USE ONLY
wom. 11AeJJq
Or(-UPANCV CLASSWICATVN
YOE OF CONSrRUC -ON
OCCQPANT.W
City of Wheat Ridge
�a Residential Roofing PERMIT - 201802551
PERMIT NO: 201802551 ISSUED: 09/17/2018
JOB ADDRESS: 4060 Nelson St EXPIRES: 09/17/2019
JOB DESCRIPTION: Reroof remove and install Malarkey Legacy Asphalt Shingles with 27
squares.Pitch 2/12, 4/12.
House and Garage.
*** CONTACTS ***
OWNER (303)420-8406 HAWTHORNE HEATH E
SUB (303)425-7531 Carolyn Dykhouse, Randy James 019983 J & K Roofing 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: 9,961.00
FEES
Total Valuation 0.00
Use Tax 209.18
Permit Fee 204.30
** TOTAL ** 413.48
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201802551
PERMIT NO: 201802551 ISSUED: 09/17/2018
JOB ADDRESS: 4060 Nelson St EXPIRES: 09/17/2019
JOB DESCRIPTION: Reroof remove and install Malarkey Legacy Asphalt Shingles with 27
squares.Pitch 2/12, 4/12.
House and Garage.
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 erm�t. I further attest that I am legally authorized to include al
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 andlor its' accom anying approved plans and specifications.
Signature of O or CONTRACTOR (Circle one) Date ''dd
1. This permit was issued based on the information provided in thepermit 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 ermit 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 an 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
orgranting a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
de or any o ance or regulation 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.
Laaenia Reimer
From: no- reply@c i.wheatridge.co.us
Sent: Monday, September 17, 2018 1:22 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. The Building Division permit counter is open from
7:30 am to 3:30 pm, 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 (enter WITH
dashes, eg 303-123-4567)
4060 Nelson St.
Heath Hawthorne
720-525-9820
Property Owner Email
kathyv@jkroofing.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Hawthorne Contract(50).pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
J & K Roofing
Name
Contractor's License
019983
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-425-7531
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
13000 W. 43rd Dr.
(Primary address of your
business)
Contractor Email Address
kathyv@jkroofing.com
Retype Contractor Email
kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
27
the entire scope of work:
Project Value (contract
9961
value or cost of ALL
materials and labor)
Are you re-decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
i
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
27
MALARKEY LEGACY 4
AsphaI
House and Garage,
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
3
owner of the property to
submit this application
and to perform the work
described above.
1 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 Kathy Vendegna
Permit
Email not displaying correctly? View it in your browser.
/ -
IN _ wiu 4"`. ECO
'INSPECTION LINE: (303) 234-5933
RD Occupancygype
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)
DO N
OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid-Roof
~f py
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO 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
Don=r T TLJIe i- Aon CCAAA TLIC %A/t= ATLICG
-
♦ 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: f Al/-J2, (?On(-_
Job Address: 41060 lt)t2 SnN
Permit Number: Og 2 SJgR
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: h - 20~,99 Inspector: IS V
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: rs ~s~6rc,v
Job Address: 19owv 4fE15nn/ ` 7-
Permit Number: 67,',5'
4AVayea
❑ No one available for inspection: Time 3: xS AM/PM
Re-Inspection required: Yes!._N
*When corrections have been made, call for re-inspection at 303-234-5933
Date: )9, Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE 3
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 1Gm~~'
Job Address: UL£, L2 A),ai4r,i,.
Permit Number: o a P ~zfs
A-1,17-
El No one available for inspection: Time 1
Re-Inspection required: Yes No
*When corrections have been made, call for r -Ins action at 303-234933
N ,
Date: ~f f t Inspector:
DO NOT REMOVE THIS NOTICE
'4060..
YJHEAT
City of Wheat Ridge Building Division
- m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
oO~oRPa° Inspection Line: 303-234-5933
Building Permit Application
Property Address: q)60 1\feJ36,1 S'(-
Property Owner (please
Mailing Address: (if different than property address)
Address:
Date:
Plan
Permit
Phone: Q"y L fo~L3 6 `cl~
City, State, Zip: 6-~ k -c I ri 4,A- ) tt, fig- 6 0 J 6
Contractor: LA.S O- / dB Q-
Contractor License
Sub Contractors:
Electrical City License #
Company:
Exp. Date:
Phone: /-J.C> v
Plumbing City License
Company
Exp. Date:
Mechanical City License
Company:
Exp. Date:
Use of space (description): Construction Value: g G; /
DeSC/r~i(3tlonOf YVOrICd (as calculated per the Buildingafion Oata sheep
y ~ /rc, r, S I G~a~ an Review (due at time of submittal): §
S~) ~~eSCG~~(~/a) ~lJh
Sq. Ft./L.Ft added: 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 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 field inspection.
CIRLCE ONE:: JQWNER) (CONTRACTOR) or PERSONAL REPR S TATIVE of (OWNER , CONTRATOR) q } /
PRINT NAME ?~C1,~1~tP l/..Y1P2 SIGNATURE: Date:
V
City of Wheat Ridge
Residential Fence PERMIT - 070870
PERMIT NO:
070870
ISSUED:
08/17/2007
JOB ADDRESS:
4060 NELSON ST
EXPIRES:
02/13/2009
DESCRIPTION:
Replacing 61cedar w/ 6'
cedar ahadow box.
CONTACTS •x*. . .
owner 303/905-7254 Heath Hawthorne gc . 303/431-7372 Chxia Cox 02-1706 Brother's Fence Co. Inc.
PARCEL INFO** ZONE GODS:. R-1B USE: R/3
SUBDIVI5ION: UA - BLOCK/LOT#: 0/ . .
FEESUMMARY ESTIMATED PROJECT VALUATION: . 3,.000.00
FEES
Permit.Fee108.30
Total Valuation .00
Use Tax 54.00
TOTAL 162.30 Commente: Subject to field inepection
I hereby ccrtify that the setback dietancee propoeed by thie pexmit application an accarate, aad do not violate applicable
ordlnancee,zulee or segulatloneof the City of wheat Ridge or covenante, eaeementa or reetrictrone of recosd; that all
meaeurementsehown, and allegatione made are accurate; that I have read and agree toabide by all conditione printed on thie
application andthat i.aeeumefull reeponeibility for compliance wieh the qheat Ridge Building Code (I.B.C) and all other
appllcayitl7hepC'ySdge_.Qfdinancee, for work under thie perm}[. Plasy eubject to field Snepection. 1
2.
3.
4.
5.
6.
Ogie pezmit wae Seeued in accordance with the provieione set Eorth in your application and ie eubject to the lave of the
State of Colorado and to the Zoning Reguletione and euilding Codea of Wheat Ridge, Colorado or any other applicable
ordinancee of CheCity. Thie permit ehall expire 180 daye from the Seeue date. Requesta for an exteneion muet be received prior to expiration
date. An exteneion may be granCed at the diecretion of the Building Official. If Chie peYmitexpiree, a new permie may be acquired for a fee of one-half the amount aormally required, provided no
changee have beenor wi116e Yqede in the osiginal plane and apecificatione and any evepenelon or abendonment lfae not
exceeded one (1) year.Tf changee have been or if euepeneion or abandonnrent exceede one (1) year, Cull feee ehall
be paid for anew permit. . . .
No viork of any mannerehall be done that will change the natural flow of water causing a drainage pzoblem.
Coneractor ehall .notifytSeBU11d1ng Inepector twcnty-Eour (24) houre in advance for all inepectioas and ehall receive
written approval on inepection card before pxoceeding with euccesaive phaeee of the job. The ieeuance of apermit oa the approval of drawinga and apecificatione etiall not be conatruad to De a permit For, nor
an apprwal of, angviolation o th ovieione of the building codea or any other ordinance, law, rule or regulation.
ytpc All plan review ie eubjectA7 nepectione. slgnatura of Chief Building
INSPBCTION RBQIISST S
REQUESTSMUST Bfi.MAI
aate
8a (303)234-5933 BUILDING OFF2CE: (303)235-2855
BY.3PM ANY BUSINESS DAY FOR INSPECTION TFIS FOLLOWING BUSINE55 DAY.
Plan NOtE:
Ownet/OOI -or b reaponstble for locsting property
linef and Comtruchag improvemcnts according to the
apptoved plan and requimd development standards.
The City {s not rcsponsible for inaccurate infonnation
submit[ed within the plan set and any ccnstri;,s:011
errors resulting Crom inacoursi: ;n'i~rrc~ ~:;on.
~OFWH~Tq~ City of Wheat Ridge Building Division
m 7500 W. 29'h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
~ a Inspection Line: 303-234-5933
~(ORPD
D
Building Permit Application
Property Address: y~ ~(D 11,4- Ln0 t,~ ~5 1-
Property Owner (p/ease print):
Mailing Address: (if dif(erent than property address)
=Date:I?
Phone: 9
Address: A-Me
City, State, Zip:
Contractor: --6 (Z pTk{-e Qr S FF lUcF 0- C'91111pf-7,,) o
Contractor License % I (,j Phone:
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): QR(9P£-P-fiy Di V~ loC construction vaiue: s 3coo 1
DQSCriptiOn of WOrk: ~ (as calculated per the Building Valuation Data sheet)
e'"A-R Plan Review (tlue at time of submittap: $
51~tD~+,~ ~ c~ ~ I n) 5 lk r'l ~ t~1'. i~TlaiJ
Sq. Ft./LFiadded: Squares BTU's Gailons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN7
I hereby certiry that [he setback distances proposed by ihis permit application are accurate, and do not violate applicable ordinances,
mles or regulations of the City o( Wheal Ridge or covenanls, easements or resUictions of record; that ail measurements shown, and
allega[ions made are accurele; that I have read and agree to abide by all conditions printetl on Ihis application antl that I assume fuil
responsibility for compliance with ihe Wheat Ridge Builtling Code (I .B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit Plans subject to fie10 inspection.
CIRLCE ONE:: (OWNER) GONTRACTO or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME r ./t=Ql tI SIGNATIIR~E.:;~-, I L- J oate:-'6 / 7 6
ZONING COMMENTS: MQCa'KC'
Zoning: R~~
Reviewer: ,(i,
PUBIIC WORKS COMMENTS:
Reviewec
BUILDING DEPAR7MENT COMMENTS'
Reviewec
DEPARTMENT USE ONLY
~ 4&0,`0V~
\
FIRE DEPARTMENT:: ❑ approved W/ Commenl5 ❑ disapproVetl ❑ no revieW fequiretl
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Building Permit
CTTY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
c~iyat+sm~~aye
Permit Number
18922
7/6/2005
Inspection Line
303-234-5933
Residential Mechanical
PROPERTY 4060 Nelson Unit:
owNER: Heath Hathorne (303) 420-8406
DescripGon
Furance change out, A/C add-on
IFEES
1Fees IDue
IPaid
lUse Tax I$77.20
1$77.20
IPermit Fee I$144.70
1$144.70
lTotal Fees ~$221:90
1
1$221.90
I
ICONTRACTORS I
I
IName ILicense #
IPhone
IA.S:L Heatina & Air Conditionin 122323
1303 422-1781
~r gf Nihea4 Ridq,e. PRESC~RIPTIVE ENERGY 501Z
BOILERS t PURNACES A MINIMUM OF 90°b AFUE
QAS WATER HEATER3 A MINIMUM OF .60 ENERGY FACT
gLECTRIC WA7ER HEfITERS A MINIMUM OF :93 ENERGY FACTOR
UTBACK THERlIAOSTAS REQUIRED (EXCEPT HYDRONIC HEAO
g.21 yypLLg r R40 GEtUNGS o R-19 CRAWLSPACEB
Units: Occupancy: ' Walls; Roof; 8tories: Sq Feet 0
I Ferebycelfify tM1av[ tFe s ck dutancu pmposed by tFls permit apPlicetion are sacurete, and do 60[ viala[e aPDUcetile artlinanca, rulesor regulntlovs of tM1e Ciry o(
WAea[Rdgeo mee~ eu entsarrest chonsof Imse eadandagreemabideby
allcondQO sptl te [M1SappL hon,andt t~e(WresponsibilityfarcompLancewithlM1eWM1ee[RidgeBUfldmgCOde(O.BC) ndalloWerapp4cable
WheetRdgod~ t orkuderN
(OWNEA)(COTIh'@ACTOR) $IGNED DATE
l. TM1isp<rmtt.wasissuedinaccordnncewilM1Oeprovisionsse[farthinyourapplicationaud6subjaUOtLelawsottheStamofColoradoandroeheZaning
' RegolarionsandBuJdingCOdeofWM1eafRitlge,Colandooranyatherappllcnbleordinancuo(theCiry.
.2 This pennit sM1all exp(re if (A) the work auihoiized is nat commenced witM1in sixly (60) days fmm (sme tlah or (B) the builtling authoriud is suspended or
abandonetl for v periad of 120 Jays. '
3 Ifthispermitezpires,anewpenNemrybcacquiredforaReofadnM1alffLeamoun[normellyrequired,proridednochevguh ebenarwillbemaJeinthc
oFigNelplnnsandspecJicationsand nysuspensionniabandanment liesno[exceetledbne.(1)year.Ifchanguarepudeorltsuspenshonora6andonment
ceeds one (1) yenr, (uII Rcs sM1ell he paid for a vew, permit.
6 NOworkofanymannwslieLLbedane[hacwill.cM1angethenaturalltowo(wareroeusingadrainageproblem.
5 ContaemrsAallmtifytheBUildinglnspecmrtwenty-(our(E4).M1OUrsinatlvanceforallinspectionsvndsAaprtteivewrittenepprovalaninspectiancardbefare
praceedinBwitlh successivephesua(tM1eJOb. . . .
issuance fapermitortheappw 'nsandspttificahonsshallnotbecovstrvcdrobeapermitfagnaranappmvalof,avyviolaHOnoftlie
p is of[ gcod nya~M1erortlinan<w,ruleorregulatlan.
i~i'glnsp~or 4-- SIGNED.DATE
Ch tl
p5q" ~,,5~
Wednesday, Suly 06, 2005 Page i oF'~.
COMMUNITY DEVELOPMENT DEPARTMENT 8uilding Pertnit Number
o~ W~'" q BUILDING INSPECTION UNE - 303•234-5933 Date:
' g, CITY OF WHEAT RIDGE
~ 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
property Owner:,yEATH HATHV.QvE
Property Address: i1p60 NE~OnJ Or Apv3.f Phone: ,?03
Contractor License No.: ~->T.
C07rtpany:gsl y,~e-97/N6'✓~i/Z CUtiO/T/D.u•Nl Phone:,~..? -"J
ONMER/CONTMCTOR 51GNATURE OF UNDERSTANDWG AND A6REEMENT 8ui/dinaDentValuationFiguie: S
t tureby cerU1y that the setbadc dislances proposeC by this pemiit appliqtion are
accurate, and do not vioiate aDdieade adinances, ruks a repuutbns of the Ciry of
Wheat Ridpe a oovenanta. easernenb a restric6ons of recorC: Qwt a1 meawwnents
5hown. and aNeyatiwis made are acwrdte:1ha11 have read and ayrce b abi0e by ad
condi0ons printeE on thia appliea b an0 thal I azwme tull responsibi6ty for
comd+ance with the W heat Ridpe Bui Cotlrbj;ec~tofield N dt~er appFCabk W heat
Ridpe Ordinantes, for work uiL mspection.
IowNEaNGp+rnAcT0~+1: sJGrffo ~`L DA7E
(OWNEA)(CANTiUCTOR).PRIHTEO l!/Al~NE GL[>~✓~ oA.~ ~-06~ oL
Value:$ ~K2b9-
Permit Fee:$
Plan Review Fee:S
Use Tax:$
Total:$
Use of Space (description):
Description of worlc: ~~R.//ACt- ~'H.A•~Gcoicr , fi/~ gA/.J-ou
SQ. Ft. add*d
ExpiraGon Date: Expiration Date: Expiration Date:
ADDrOVal: Approval: Approval:
(7) lTis Pe^^d was issueA in axadance wM the Wovisions set bM in yau appliotion ana ia wOject n the laws oi me State of
CobraOO snA b the Zoniny Repudabo^s an0 BuiWiny Codes d Wheat RiOpe. Cdorsdo a anY olhw appfinble aA"aiances o1
tne Cuy.
(y) This perrtul aheN expiro i} (A) the v+ork wMw¢eA is ral CommenoeA wMin sirzly (90) days han issue da4 or (8) the Duiltliny
wUwraea is wapenASd or abundonsA for s psrio0 0l 180Wys.
(3) I( tliu permil expNes. s new Domwit maY be acpuhed for s lee ol ons-hatf the artiowM normaRy repuireC. providetl no d+arges
heve been or will be mfds in ft wqwl Dlans anA apsdfiCa4ons and any suspsnam a abandonrnent has nol exoeeded one
(1) Yew- 8 dwnpss luve bssn a N susperoion or abandombnt sxoseds ons (1) Yer. fuB Ieas alwl ba paid (a a new vertnic
(a) No vwh ot anr manar anY w ome mr wr wrqa ms naoral aow a waMr owrq a drain.0e poebrn.
(5) Ca+tracbr aluM rwWY gm BUSIllinG b"POCNOr IN10111^41`ou+ (21) hass in advarns far aN napectioru rM shal receive writlen
appmvtl an hqoctlo^ crd bdora pomsAlnY wlai aorassiva plwes d IM job.
16) 7Te iasuwiw d a Va^~ «fis appoval d OrawinW aM apscifica6arn snag nd Ee conatrusn b oe a Dernrua tor, rror an
aPpa'al ol. anY vbbbon of IM pwisiom ot Ihs dd6g oodea a arry otMr adnanee. law. rvb a repiaum. All plan rwMw
b subyect to fNld MupMlora.
Chief Building Officiai
ElecVical License No: Plumbing License No: Mechanical License No:
Company. Company. Company.
BuildingPermit
CTTY OF WHEATRIDGE
7500 West 29TH AvenueWheatridge, CO 80033
303-235;2855
~
cqot~srt,en[~aBe
Residential Electric
PROPER'['Y 4060 N¢150II St
owrtER: Heath Hathorne
Description
New electric service panel. 200 amp.
IFEES
1Fees
IUse Tax
IPermit Fee
ITotal Fees
I
ICONTRACTORS
IName
Uuits: Occupancy:
I herebr certlry Wat the setback d'ubncu
41~ '
(ON'NER)(CORTRACTOR)
Permit Number
18710
5/13/2005
Inspection Line
303-234-5933
Unit:
(303) 420-8406
I
IDue
I I
IPaid ~
I$7.20
1$7.20
1$30.55
1$30.55 r
I$3775
I
1$3775 f
I
ILicense #
IPhone J
Walls; Roof:
Stories: Sq Feet: 0
by tM1is peFmit appVcadon an accunt; and do not Holah appilwbie ordiuances, `ul¢s ar regulations of Ne City o( ofreeaid;Sba[ all m¢6suremmb shown, and aVegatbue m9de are aceunte; [haf I have rend and agee to a6tdeby
auume fWl rcvporeTility forcompiivae wiM the Wnpt Ridge BuJding Code (U.H.C.) aud an oflier appilrable
L
•
SIGIQED DATE
1 Titispe'mftwaslssuWlnaccordaucewithNeprovkiovase[faphinyourapplirationaodGsubjeclmNelewsotNeStetea(COloratloaudtoNeZOVing
Regdvtions and Builtling Code of Wheat Ritlgy Colorado or auy o[her applisebie ordinaneg of Ne,Clty..
E ThiapamitshvllezpireJ(A)WeworkauNoriudisno[commencedwithivauty (60)daysGOmissvedahor(H)thebuildingauNOdudivsospeodeAOr
abnndoned for v period of IIO dayx 3 I(tM1ia permit espiru, a new permi[ maybe ncqeired for a fce of onqhal(the amoun[ normnlly requ'ved, provtded no etiengu M1eve bceo or wJlbe made in We
otlgwal plavs and specificatlons and any suspensiaq orebaudonment tias uot excceded one (i) yevr.lfchanga arc mnde or V sospenaioo or vbmdoument
exceedsone(t)yeeqfu0@esshailbe.peitlforvnewpermit 4 NoworkofvnymamersM1allbetlonetha[willcM1engetM1eoatwalilowofwatwmo.v.ingadninagepmblem.
5 Covtranorshailnorify[M1eBUfldingLupeetorlwenty-four.(2d)hoursinatlvanatore111napecllomaodshellreceivewritteoapprovatonimpaHane+rdbeforc
proceetlfng wiW succeasive pFasu ofNejab. . . . . . . .
6 The issu erml[ o~pproval of dro vnd spai0cattoos shaU mt be conslruM m be a permi[ foy mr ev approval of, any riohtlon oft6e
pr m ebui cod orenyo~ . neqlaw,mleorregub[ion.
Chie(Buildtng InsP~or SIGNED DATE
Friday, May 13, 2005 Page 1 of 1
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
o~ W"E1' y BUILDING INSPECTION LINE - 303-234-5933 Date:
~ o CITY OF WHEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303•235-2855)
APPLICATION
Property Owner: QqT~1 V~ 2
Property Address: L/ p(o p~e Phone: 303- ~I c~0 -`~~I O~
Convactor License No.:
Company: Phone:
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING ANO AGREEMENT Buiidina Dept. Valuation Figure: $
I hereby cerlify Mat the setback disWnces proposed by this permit application are
accurate, and do not violale applipble ordinances, rules or regulations o( the City of Value:$
W heat Ridge or covenants, easements w restrictions of record; thatall measurements
shown, and allegations made are acwrate: that I have read and agree to abide by all Permit Fee:$
conditions printed on ihis applicatlon and that I assume full responsibility for
wmpliance with the Wheat Ridge Building Code (I.B.C) and all otherapplipble Wheat Plan Review Fee:$
Ritlge Ordinances, for work under ihis pertnil Plans subject lo fieltl inspection. i Tce Tar4~
(OWNERNCONTRACTOR):SIGNED13_0 Total:$
(OWNER)(GONTfUCTOR):GRINTEO )lAF ci S vl "'N-1 "OY YIQDATES' ~ "OS
Use of Space (description): /1/2~D ejecJkr ~C"( SeW'cP- 1✓Q I
Description of work:
Sq.Ft.addad
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in aaordance with the pmvisions set forth in your applicaUon and is subject to the laws of the State oi
Colo2do and W the Zoning Regulations and Building Codes of W heat Ridge, Colorado or any other appliqble ordinances of
the cny.
(2) This permil shali expire if (A) Me work authorized is not commenoed within sixty (90) days from issue date or (B) the buiWing
authorized is suspended or abandone0 for a perioE of 780 days.
(3) if ihis permit expirea, a new permil may be acquired for a fee of one-half the amount nortnally reduirad, pmvitled no changes
have been or will be made in the original plans and spedfiptions and any suspension or abandonment has not exceeded one
(1) year. If chanpes have been w if wspension a abandonment exceeds one (1) yoar, full fees shall be paid for a new pertnit
(4) No work of arry manner shaN be done that will chanye the naNral flow of water pusing a tlrainage problem.
(5) Contraclw sha0 notify the Buildirp InspeGor Mrenry-tour (24) hours in advance for all inspecUOns and shall receive written
approval on inspection nrd before Proceedirp with successive pM1ases of the job.
(6) Tha issuance of a permfl or the approral of drawinys aM spedfiptions shail not be oonsWed b be a permil for, nor an
approval of, any vblation of the provisions of the building oodes or any oNer ordinance, law, rule or repuiaGOn. All pqn review
b subjset to Mld iropsctlons.
Chief Building Official
Electrical License No: Plumbing l.icense No: Mechanical License No:
Company. Company: Company: