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Home My WebLink About4000 Moore StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Foundabon Repair Date: Thursday, February 10, 2022 8:34:27 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Foundation Repair This application is exclusively for FOUNDATION REPAIRS. YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes Foundation Repair? PROPERTY INFORMATION Property Address 4000 Moore street Property Owner Name Crystal Ryerson Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 720-885-3258 cdryers@yahoo.com CONTRACTOR INFORMATION Contractor Business Liftech Corporation Name Wheat Ridge Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Location of Work 303-688-7979 jackie@liftechcorp.com jackie@liftechcorp.com Front & Side of House How is repair being Helical Piers done? Piers, strips, etc. # of Piers or Strips 5 Upload engineer letter or pages on 8 1/2" x 11" only Repair Plan Set on 11 "x17" only - if applicable Project Value (contract 3984.00 value or cost of ALL materials and labor) Valuation adjusted 5- helical piers @ 1250.00 each = 6250.00 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Jacqueline Cornicelli Pe rm it I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Email not displaying correctly? View it in your browser. has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jose Guerrero Permit Email not displaying correctly? View it in your browser. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Monday, November 8, 20214:43:06 PM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4000 Moore St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Crystal Ryerson KI8x10161.1116T Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Pipeline Solutions LLC WeIVA N 6 digit number for the City of Wheat Ridge) Contractor Phone 303-810-5321 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email denpermits@gmail.com Address Retype Contractor denpermits@gmail.com Email Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line water line repair? Length of repair 20' Location of repair Sewer repair in the yard only (backyard, frontyard, etc) Provide additional Set of dual directional cleanouts next to the foundation property details including installation of clean- o uts. Project Value (contract 3200 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit Mi EC 11 14')R- R CORD Occupant /y Tyke INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection ,.' INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unlessthis card is posted on the project site. **Request an inspection before 11:59 p.m. (midnigho to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector C is Initials Pier -J Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter :1'45.17 , Do Not Pour Concrete Prior To ADaroval Of Tht Above hl'nektinnk Underground/Slab Inspections Date Inspector f Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To ADDroval Of The Above Insnpctinns Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof :1'45.17 , Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof r �r 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. -ror iow voltage permits — riease 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 Homeowner Roof PERMIT - 201704227 ?ERMIT NO: 201704227 ISSUED: 07/17/2017 JOB ADDRESS: 4000 Moore ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Reroof with asphalt shingles; 14 squares '** CONTACTS *** )WNER (303)421-3426 RYERSON CRYSTAL D k** PARCEL INFO *** SONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / k** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,598.00 FEES Potal Valuation 0.00 Jse Tax 75.56 Permit Fee 109.20 ** TOTAL ** 184.76 *** 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. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office & (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ko F 7 Job Address: Permit Number: ;"Q/ 27 ❑ No one available for inspection: Time SAM/PM) Re -Inspection required: Yes 0�0;1_ When corrections have been made, call for re -inspection at 303-234-5933 , Date: UQ • 2,2� - Z7 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: Ark Job Address: I-leno Incore 5�-- Permit Number: ❑ No one available for inspection:: Time �AM/PM t Re -Inspection required: Yes rNo When corrections have been made, call for re -inspection at 303-234-5933 Date: ?- 1-5- /7 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Roof PERMIT - 201704227 PERMIT NO: 201704227 ISSUED: 07/17/2017 JOB ADDRESS: 4000 Moore ST EXPIRES: 07/17/2018 JOB DESCRIPTION: Reroof with asphalt shingles; 14 squares *** CONTACTS *** OWNER (303)421-3426 RYERSON CRYSTAL D *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,598.00 FEES Total Valuation 0.00 Use Tax 75.56 Permit Fee 109.20 ** TOTAL ** 184.76 *** 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. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Homeowner Roof PERMIT - 201704227 201704227 ISSUED: 07/17/2017 4000 Moore ST EXPIRES: 07/17/2018 Reroof with asphalt shingles; 14 squares I, b}}� myy signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applica 1e 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 _. I further attest thatl am legally authorized to include all entities named within this document as parties to the work to be performeland�that a}1 work, tis be performed is disclosed in this documie t and/or i s' accompanying approved plans and specifications. nattie d? TO�JNER or - NTRACTOR (Circle one) lute This permit was issued bas on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 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. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 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. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any otdinAnce 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. City of �W heat j�idge MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th 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 LFOR OFFICE USE ONLY Date: Plan/Permit # �L J Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: " Cf n Pro -e— �� Wk( _ l(�'�X" _( Property Owner Emai Mailing Address: (if different than property address) Address City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION (' RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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.) Sq. FULF I AOD Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 1 , � � L"� • c�.-.l 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 i ration provided on the application. CIRCLE ONE (OWNER) `(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) V Signature (first and last name): DATE: l �l ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION. Building Division Valuation: $ m City of Wheat id e COMMUNITY DEVELOPMENT g Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Property: signature of App State of Colorado } County of �M} ss The foregoing instrument was acknowledged by me this /% y ay of �.� , 20_L7 by f� v e r r-\ . TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 �--- My Commission Expires q/,�72120.20 Notary Public " 1 City of Wheat Ridge Homeowner Roof PERMIT - 093465 PERMIT NO: 093465 ISSUED:.. 10./19/2009 JOB ADDRESS:.` 4000 MOORE ST EXPIRES: 04/17/2010 DESCRIPTION: Overlay.. 14 sqs;. ***"CONTACTS owner 303/882-9707 Elizabet] IFO UA 0207. Veeder USE: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,750.00. FEES Permit Fee 82.16 9';" 5 . Total Valuation 00 4 41A 4i Use :Tax 31 50,j. TOTAL 113.66 Conditions: 6 nail installation 4& 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 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 tha I as ume full re ponsrbilrty for compliance with the Wheat Ridge Building Code (I.H.C) and all other applicable Wheat e or inances, o werk under this permit. Plans sub ec5,. ¢ field inspection. Signature of cont actor/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. 7. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received. prior to expiration date. An extension may be granted at the discretion of the Building official. 3. If this permit expires, :a new permit may be acquired for a fee ofone-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 anew permit'. 4. No `work of any manner shall be done that will change the natural flow of water causing a drainage. :problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall. not be construed to be a permit for, nor l an approval of, any violation of the provisions of the building codes or any other ordinance, law,. rule or regulation All plan vi s subject to field inspections. Signatur o ief Building.. Official .'..date INSP TION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 . REQUESTS MUST BE MADE BY 3PM ANY `BUSINESS :DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~oF""E"rp City of Wheat Ridge Building Division m 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 oO<oRio° Inspection Line: 303-234-5933 Property Address: Property Owner (plee Date: Plan Permit Contractor: Contractor License Phone- Sufi Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Description of work: (as calculated per the Building Valuation Data sheet) I C v eA (,j,; ` Plan Review, (due at time of submittal): $ Sq. Ft./L.Ft added: Squares A- 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. PI ubject to field inspection. CIRLCE ONE:. (OWNE (CONTRACTOR) or PERSONAL REPRE ENTAT VE of (/O/W/NEE%~,~2,) (~NTRATOR). PRINTNAME: E(t~ - SIGNATURE: /~;tSl/'/,(~ Q/'-'" Dater Building Permit Application Mailing Address: (if different than property address) DEPARTMENT OF PLANNING AND DEVELOPMENT - BUILDING INSPECTION LINE - 303-234-5933 , CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number 11879 3/13/2001 Property Owner : Property Address : Contractor License No. : Company: 4000 MOORE STREET 10324 Phone: 3034213426 Phone 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 accurete; that I have read and ayree to abide by all conditions printed on this 'application, and that I assume full res onsibi6ry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applica 1 eat F2id o dina ces, for work under this permit. l ~ (OWNER)(CONTRACTOR) SIGN D DATE D3 Description : UPGRADE PANEL Use Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval: (1) ThIS pennit was issuetl in accordance w@h the provisions set forih in yopur applicatlon and is subI'ecl to the laws of the SWte of Coloredo antl to the foning Regulations antl Building Code of Wheat Ritlge, Coloredo or any other applicable ortlinances of the Ciry. (2) This permit shall expire iF (A) the work authorized is not commenced within sixty (60) tlays from issue dale or (B) the buildinq authorizetl is suspended or abandoned for a periotl of 120 days. (3) If this permit expires, a new permd may be acquiretl for a fee of one-half the amount normally requireq provitletl no changes have been or will be matle in the original plans and specifiwtions and any suspension or abandonment has not ezceedetl one (1) year. If changes are made or d suspension or abandonment eacceeds one (1) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that will change the natural flow oF water causing a d2ina9e problem. (5) Contrac[or shall notify the e' ing Insped hventy-four (24) houn In advance for all inspections and shall receive wntten approval on inspection card before proceediing with success ases f t b. (6) The issuance of e p ewmVr t drawings and specificaUOns shall not 6e construed to be a pertnit for, nor an approval of, any violaGon of the provisions ot the building codes rffM her ' a ulalion. Construction Value Permit Fee Plan Review Fee Use Tax Total Date $400.00 $23.50 $0.00 $6.00 $29.50 Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) AP1?L1c.pT1oN Property Owner : C l(ZGL,9~ &F" e- PropertyAddress: L(pc~ Ap(7~'P S-f"f~92,'- Phone:3~(4Z('3~Z~ Contractor License No. 0 3 a'q (v company : BUILDING OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this pertnit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restridions 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : Phone : '7 2 ,0 <'21 ZonttlORMP Approval : Zoning : Bqiidl#g CS'Qm~,m°r~iifls:s Approval : Approval : Occupancy: , Construction Value : 100, (X Permit Fee : Use Tax : ' Total : Use SIC : Sq. Ft. : Walls : Roof : : Residential Units : Electrical License No Company: Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issuetl in accordance with the provisions set foRh in yoDUr application and is subject lo the laws of the Slale of Colorado and ro the Zoning Regulations an0 Builtling Cotle o( Wheat Ritlpe, Colo2do or any other applicable ortlinances o( the Ciry (2) This permit shall expire i/ (A) the work authonzed is not commencetl within sirty (60) tlays from issue tlate or (8) the builtling authorizetl is suspentled or abandonetl for a periotl of 120 days. (3) II lhis permit expires, a new permit may be arquire0 tor a fee of one-0alf the amounl normally required, provitletl no c0anges have been or will be matle in iheoriginal plans and speufiwtions and any susDension or abandonment has not exceetle0 one (7) year. If changes are matle or if suspension or abantlonment exceetls one (1) year, tull fees shall be paid for a new permit. (4) No work of any manner shall be tlone ihat will change the naNral 9ow of water wusing a tlrainage problem. (5) Conirector shall notify the BuilOing Inspector iwenry-four (24) hours in advance for all inspections antl shall receive wntten approval on inspedion car0 before proceediing wi[h successive phases of the jo0. (6) The issuance ot a permit or the approval of tlrawings and specifications shall not be wnstrued to be a permit for, nor an approvat of, any violation of the provisions of the Duiltling wdes or any other ordinance, law, rule or regulation. Chief Building Inspector