HomeMy WebLinkAbout4730 Nelson Streetr City of Wheat Ridge
Residential Roofing PERMIT - 201704471
PERMIT NO: 201704471 ISSUED: 07/20/2017
JOB ADDRESS: 4730 Nelson ST EXPIRES: 07/20/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 43 sq.
*** CONTACTS ***
OWNER (813)340-0019 SAMUEL P HOWARD IRREVOCABLE TR
SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,051.00
FEES
Total Valuation 0.00
Use Tax 232.07
Permit Fee 236.00
** TOTAL ** 468.07
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
� 4 I City of Wheat Ridge
Residential Roofing PERMIT - 201704471
PERMIT NO: 201704471 ISSUED: 07/20/2017
JOB ADDRESS: 4730 Nelson ST EXPIRES: 07/20/2018
JOB DESCRIPTION: Residential Re—roof to install Tamko Heritage asphalt shingles with 43 sq.
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 rmrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfp ed and that all ork to be perform is disclosed in this document and/or its' accompanying approved plans and specifications.
tom, )Ua .,� = I -7
Signature of 91WNER or CONTRACTbR (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 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 Offcial 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
shall not be construed to be a permit for, or an approval of, an violation of any provision of any
regulation gf 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 12, 2017 5:14 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories:
Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 4730-4740 Nelson Street
Property Owner Name Samuel Howard Irrevocable Trust
Property Owner Phone 813-340-0019
Number
Property Owner Email alan.preston@gmxsolutions.com
Address
CuAA 4 6 &�- T7
VL
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
T. Hackbarth Roofing
020443
303-433-6762
Contractor Email Address thackbarth@comcast.net
Retype Contractor Email thackbarth@comcast.net
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Tamko Hertiage Shingles
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 43
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
/
TOTAL SQUARES of all
43 V
roofing material for this
project
Provide additional detail
Duplex - side by side with attached double garage for each
here on the description of
side
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
-&-e l l( bl�� � . 00
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 Todd Hackbarth
Email not displaying correctly? View it in your browser.
C
'ACCR�D:TE �.
eus:rcessa
9751 W 44th Avenue #103
Wheatridge, CO 80033
Customer
T. Hackbarth Roofing
Residential & Commercial
Since 1990
Contact Info: Phone #: `J r � 134t —
0- 0 �U756
Property Address: stree#47_Mq7q-c
'
ty
Office: 303.433.6762
Fax: 303.679.3072
ThackbarthRoofing.com
Date: �/— 6 — -/
Insurance Company:Ciai a-
Date
�7 +
Date of Loss: C -2 " f / Type of Loss: ` I I
t
Company Rep: Phone #:
Tip. FO
�-�
I authorizer Hackbarth Roofing to work directly with mT50
insurance company on my behalf and to furnish all material and labor as listed below
Total Amnunt of FctimatP S A -c. y � � C' / 0 0 )Z � 1�i.lii14:51-lA.m d .,nnn nwthene.rnn rmm�an .l
The owners out of pocket expenses will not exceed their insurance deductible in the amount of $4e')""
(Unless upgrades are added)
Process payments o onfact price shall 1 --made as follows: �/�'� t 3�t1 2421
Policy Specifications: �%
-Non-Recoverable Depreciation Recoverable Depreciation _ 4-- Initial _._Code Up -Grade Coverag�7'lnitial
Your project will begin once T. Hackbarth Roofing receives the initial down payment check. Final payment is due to T. Hackbarth Roofing
once received from Insurance Company. All insurance supplement payments invoiced to insurance company to correct shortages in
Original estimate will be paid to T. Hackbarth Roofing.
We will furnish the following materials and labor as listed below:
Tear off all layers of existing roof material: _ _l (layers) Fascia color. __ ._
New Shingle: _ Initial Protect all landscaping, pools, a/c units
Shingle Color. _ Initial + _ _Y�Paint vents to match roofing material
install felt paper to match existing: __� C 15lb _ __ ____301b Haul off trash/debris and magnetic sweep
Install Pipe Jacks, _ ._ 3/1 _4/1 j Other
Install Furnace Vents30x50____ 5°x7 7°x9°
Special Instructions: {� . �lh j
l iYb � � ��iC f..�►-• .S �al S
J
Terms and Conditions:
If deductible is more than stated above, customer agrees to pay the difference.
In the event that Insurance Company only agrees to pay for repairs, neither party is bound by this contract.
Customer agrees to provide a copy of insurance Claim Report to T. Hackbarth Roofing upon receipt.
A cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof.
** F"R ANY REASON THIS CLAIM 15 _DENIED THIS AGREEM_MSH L SEVOID**
By signing this contract you are authorizing T. Hackbarth Roofing and their affiliates to do the work as specified, and payments will be made
as outlined above. A
Please read the reverse for additional Terms.
Mat"r �;&I J� V, ND_
Propehy Owner or Authorized Rep. Sfgnature D to T. Hackbarth oofing Rep. 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: CA F7 til SAL
Job Address: G -7-2,,-) t � I C_Ljj S"r
Permit Number: ?01714 471
�No one available for inspection: Time Z'- -2U A PM
Re -Inspection required:es No
When corrections have been made, call for re -inspection at 30 -234-5933
Date: V;WP_inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: A -7-7y)
Permit Number: 1 4r%
�I ca , O*A I T" 0yZ_ b >uo oS('
i
o one available for inspection: Time U' r AM/ M
Re -Inspection required: Yes No
When corrections have been made, call for re -i spection at X3-234-
Date:/11_0::-_1nspector: '
DO NOT REMOVE THIS NOTICE
♦ I i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: Pon
Job Address: L17 �fr:a 1PfSnaf
Permit Number: 0
t
❑ No one available for inspection: Time
Re- Inspection required: 1 # Yes No
"When corrections have been made, call for re inspeoti n at 303
Date: y/' Inspector: t n A v
DO NOT REMOVE THIS NOTICE
3
J P?/) l t_. �i /r lljL� Pair Ci;9 i`' il✓£PETS
f
i
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Officer (303) 237-8929 fax
INSPECTION NOTICE
Inspection Type: Fi✓ L Anglf
Job Address: %>30 /,o ~ r/Sflrrt~ .S?-
Permit Number:
Q. rs~azrz~ 7-0 d~~2o~rr~F sir-. 09 - s'aCF"98
iw Pry 2 ~ s r~ c ar T L~/ c~ r~ r. P
l2 f~7, o f_ 1Jr1f s lrvf Fy t,VPX . s .s>s Ticr
i
f
❑ No one available for inspection: Time AM/
Re-Inspection required: Yeso
When corrections have been made, call for re-inspection at 303-234-5933
Date: f c75' Inspector:c
i
DO NOT REMOVE THIS NOTICE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303)237-
8929 Fax
INSPECTION NOTICE
Inspection Type: 'POD r
Job Address: d/720-y0 A/7)50Av S-f
Permit Number: Oy.y 6 S'
♦ i CITY 01`4HEAT RIDGE
No one available for inspection: Time 2.'06 A /P
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: /
DO NOT REMOVE THIS NOTICE
A 4' City of Wheat Ridge
Residential Roofing PERMIT - 093665
PERMIT NO: 093665 ISSUED:. 10/26/2009
JOB. ADDRESS: 4730-40 . Nelson St EXPIRES.: 04/24/2010
DESCRIPTION:.. T/o: Install 46 sqs of 'Heritage 30 yr Dim; I/W; felt
***'.CONTACTS
owner 303/902-8314 Howard Residence
gc 303/443-5843 Conrad A.Kawulok 01-8891 B &M Roofing of Colorado
PARCEL INFO
ZONE.: CODE: UA -USE: QUA
SUBDIVISION:. 0138 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 13,754.00
FEES
Permit Fee 308.50
Total Valuation .00 $ fv~l'2'fL,4MY
Use Tax 2 -:247.57
**..:TOTAL 556.07
Comments:
Conditions;
6 nail installation & mid-roof inspection required. Board sheathing spaced more
thanes 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from,eave edge to 2'.inside `exterior walls.
***Contractor/Property owner shall provide ladder(s) secured in place for
inpsections.
Subject to field inspection.
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.
signature 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 ofone-half the amount normally required, provided no
changes have been or will be made'. in the original plans and specifications and any suspension orJabandonment ' 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 anew permit.
i No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify, the Building Inspector twenty-.four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases.: of the job:
i Thee. issuance of a permit or the approval of `drawings and specifications shall not be construed to. be a permit for, nor
an approval of, any violation of the provisions of the'. building codes or any. other ordinance, law,rule or regulation.
All plan revie?ilssub'ec field inspections.
Signature of Chief Official date
INSPECTION REINE: (303)234-5933 BUILDING OFFICE (303)235-2855-
2EQUESTS-MUST BEMADE BY 3PM ANY BUSINESS zDAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.-
~~oFw"E^'RO City of Wheat Ridge Building Division
m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
o - a Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan
Permit
Property
Ail& ` 4730-4740 Nelson Street w
' rie><
Property
Owner (please print): Howard Residence/RAD
Builders
Phone:303-902-8314
Mailing Address: (if different than property address)
Address:
City, State, Zip:
PO BOX 275
CO 80465
Contractor: B & M Roofing- of Colorado, Inc.
Contractor License 18891 Phone: 303-443-5843
Sub-Cointracto rs'
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): Duplex Construction Value: $ $13,754,00
D@SCrlptlOp;of.WOfl(Y,, (as calculated per the Building Valuation Data sheet)
Tear of two layers of existing shingles, Plan Review (due at time of submittal): $
Install Ice and water new felt, Install
Heritage 30 Dimensional shingles
Sq. Ft./L.Ft added: Squares 46 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- (OWNER) (CONTR CTA OR) r PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: Brad Tay or SIGNATURE: Date: 10/21/2005
♦ 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:
If21J/cZ .
Job Address: ~,,t ✓
Permit Number:
❑ No one available for insbection:,Mme AM/PM
Re-Inspection required: Yes /N~
`When corrections have been mad , lA hb i r -inspection at 303-234-5933
Date: C~ Inspector:
DO NOT REMOVE THIS NOTICE
Office: 303-235-2855 " Fax: 3W-2:35-265/
c o Inspection Line: 303-234-5933
O<ORPD
Building Permit Application
rrau x.
Permit
Pro{~etyAddress: 14`730 O e-lso~J ST
Property Owner (please print):
Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Con~ractdY:
Contractor License
Phone: 3!VQn7 -S
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of s ace (description): LQ 1 construction Value: $ SL537
5?rD.i~ 1 N$ I IN I S+~ b I U (as calculated per the Building Valuation Data sheet)
[A r l jnce- .mot 3 1D~ In c3I i b ~i l~ Plan Review (due at time of submittal): $
Sq. Ft.iL.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit Plans subject to field inspection.
CIRLCEONE:: (OWNER) ( ONTRACTOR ar P/ERSONALREPRES ATIV of f R) (CONTRATOR)
PRINTNAME: I L' ~t~(ANL'e ((Y"J.AC%r SIGNATURE: Date:
1=V_I
Bldg Valuation: $
August 19, 2006
Building Inspection
City ofWheatridge
-
To Whom It May Concern:
I have inspected the construction of the footing for the structural retrofit column at the
Howard Residence at 4730 Nelson St., Wheatridge, Colorado and feel that it meets or
exceeds ail of my design requiremems. As detailed in the project drawings, all of the
footings are built below frost line, to protect against frost heave. Since an existing
foundation was found on site under the proposed column placement, it was investigated
to determine the size and to confirm its depth down to 30" minimum. The size and depth
of the foundation located on site was adequate to resist the proposed loading of the
retrofit.
I will retwn back to check for final compliance with all of my wnstruction specifications
when the retrofit is complete.
Photos were taken to record the construction, and can be submitted, if required. Please
contact me if you need any further information regarding this matter.
Sincerely,
.
s ' 16
.
.
Robert van der oeven,
Colorado License 0
35116 ~
6934 Saddleback Avenue
Firestone, CO 80504
720-641-4724
RQBERT V'AN DER HOEVEN, INC.
~
. o, wH^qTq.
City of Wheat Ridge
eOtoRaMiscellaneous PERMIT - 060746
PERMIT NO: 060746 ISSUED: 08/16/2006
JOB ADDRESS: 4730 NELSON ST EXPIRES: 02/16/2008
DESCRIPTION: repair girder truss - plans attached
CONTACTS
gc 303/902-6314 Rick Darrough 06-0130 RAD Builders
owner 303/421-5608 Tom and B. Howard
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,800.00
FEES
Permit Fee 162.90
Plan Review Fee 105.89
Total Valuation . .00 Use Tax 104.40
TOTAL 373.19~
/W. "u
Comments: V-73.0
okay - C. Root
subject to field inspection I hereby certify that the setback distances propoeed by thie permit application are accurate, and do not violate applicable
ordinancee, rules or regulatione of the City of Wheat Ridge or covenants, easemente or restrictions of recozd; that all
meaeu -ak+awn~_~~4is maPe are accurate; thPt I have read and a9ree to abide by all conditiona printed on this
x'ILT~n-eu~th aseu 1 a onsibilit for com liance wiGh the wheat Ridge euildin9 Code (I.B.C) and all other
plicable.wheat i 0' cee, for work under this per~t. P~ane subject to field inspection
1-.. ~
Signature of C`o-nl~rac daGe
1. 1'his pezmit wae ieaued in acwrdance with the provieiona set forth in your application and ie eubject to the lawe of Ghe
State of Colorado and to the Zoning Regulatione and Building Codea of Wheat aidge, Colorado or any other applicable
ordinancea of the City.
2. This permit ehall expire if (A) the work authorized ie not commenced within sixty (60) days from issue date or (H) the
building authorized ieeuspended or abandoned for a period of 180 daye.
3. If thie permit espiree, a new permit may be acquired for a fee of one-halE [he amoun[ normally required, provided no
changee have been or will be made in the original plans and epecificationa and any auepenaion or abandonment has not
exceeded one (1) year. If changes have been or if suepension or abandonment exceeds one (1) year, full fees ahall
be paid for a new pexmit.
4. No work of any manner ehall be done that will change the na[ural flow of water caueing a drainage problem.
5. Contractor shall no[ify the Huilding Inspector twenty-four (24) hours in advance for all inepectione and shall receive
written approval on inepection card before proceeding with euccessive phasea of the job.
6. The ieeuance of a permit or the approval of drawinge and specifications shall wt be conetrued to be a pesmit for, noz
an a roval of, anY vi tion of tba ovisione of the building codes or any other ordinance, law, rule or re9ulation.
All plan review ' - ectj ield inepe 'one.
~
Signature of Chief Huifding OffScal date
INSPECTION REQUEST LINB: (303)234-5933 BUILDING OFFICE: (303)235-2655
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
f WHEql
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c~~ORP00
City of Wheat Ridge
Community Development Department
AHNOR
.f:k k'.fIL.C.f'.C.f VV
PW* ab-v128~
Building Permit Number:
Date:
APPLE F.A .f .E ON
Property Owner: r0,v,,.
Property Address: ~17,,.
r
Contractor License No.:
Company: Rw`.~ ~i11t;CS
Phone: 3-C33
Phone:3P_~_ 502 ~3/q
OWNER/CONTRAGTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildina Dept. Valuation Figuie: $
I hereby certify that the selback distances proposed by this permit application ara
accurate, and do not violate applicable ordinances, rules or regulations of the City of
W heat Ridge or covenants, easements or restrictions of record; that all measurements
shown, and allegations made are accurate; that I have read and agree to abide ty all
conditions printed on this application and that I assume full responsibility for
compliance with the Wheaf Ridge Building Code (I.B.C) and all otherappiicable Whea[
Ridge Ordinances, for work un je~dans subJect to feld Inspedion.
~ ~~Y~
(OWNER)(CONTRACTOR): SIGNEO DATES/
(OWNER)(LONTRACTOR):PRINTcD DA7E
Use of Space (description):
~2eP
A CoZ -1-~,2Aa~ T~+SS v-E*~
Z- - t-qc /ti1fr2=,
Description ofwork:
L,qAN
px'-'Ms ~~ew kA,,~NV_LS 4
Sq.Ft.added 0
BUII.DING DEPARTMENT USE ONLY
COMMENTS: ApProvaC
. .
Zoning:
~
.
GCOMMENTS:
~
ApprovaC
i
WORKS COMMEMS:
Approval:
DEPARTMENT COMMENTS:
Approval:
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: ApprovaP
(1) This permit was issued In acr.ordanca wi!h the provisions sef forth inyourepplication and is subjectto the laws of the State of
Colorado and to lhe Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any otherapplicable ordinances of
the City. . .
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building
authonzed is suspended or abandoned for a period of 180 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normalty required, provided no changes
have been orwill he made in the original pians and specifcations and any suspension or abandonmenl has nol exceeded one
(1) year. If changes have been orif suspension orabandonment 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 waler causing a drainage problem.
(5) Contrador shall nofify the Building Inspector Nienry-four (24) hours in advance for all inspections and shali receive written
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance o( a permit or the approval of drawings and specifications shall not be consirued to be a permit for, nor an
approval of, anyvioialion of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review
is subject to field Inspections.
Chief Buildina Official
V31llE:$
Pemut Fee:$
Plan Review Fee:$
i e T x•
Total:$
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