HomeMy WebLinkAbout3851 Otis Streeto, As CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /i1"/- _
Job Address: f /
Permit Number: �� F% 0
J,
i
i
❑ No one available for inspection: Time AM/PM
.r
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
',?01,70,'[Z0,5'
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/Inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occu anc /Tye
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Rough Electric'
Do Not Pour Concrete Prior To Approval Of The Above Insnections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Init Is
Comments
Wall Sheathing
Mid -Roof
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
Final Window/Doors
'+!
Final Building
NOTE: All items must be completed and approved by Panning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspectwr: noes not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are compi•._ted from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate 0 Occupancy Is Issued
Protect This Card From Tho Weather
City of W
Residential ,. .205
PERMIT NO: 201704205 ISSUED: 07/17/2017
JOB ADDRESS: 3851 Otis ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 34 sq
*** CONTACTS ***
OWNER (303)902-3000 LOMBARDI MARIO
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,938.00
FEES
Total Valuation 0.00
Use Tax 418.70
Permit Fee 362.80
** TOTAL ** 781.50
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
® L ® City of Wheat Ridge
Residential Roofing PERMIT - 201704205
PERMIT NO: 201704205 ISSUED: 07/17/2017
JOB ADDRESS: 3851 Otis ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 34 sq
*** CONTACTS ***
OWNER (303)902-3000 LOMBARDI MARIO
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,938.00
FEES
Total Valuation 0.00
Use Tax 418.70
Permit Fee 362.80 -
** TOTAL ** 781.50
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201704205
PERMIT NO: 201704205 ISSUED: 07/17/2017
JOB ADDRESS: 3851 Otis ST EXPIRES: 07/17/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 34 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 permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfo ed and that all work to be performed is disclosed 'iWthis document and/or its' accompan ing approved plans and specifications.
7"�'""
Signature of OWNER or CONTRACTOR (Circl on 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 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any;ordina�ce do oft is jurisdiction. Approval of work is subject to field inspection.
�"Awvk. I ft4d�.&
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
Zc�I �a�FZU�
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 7, 2017 10:21 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3851 Otis St
Mario Lombardi
3039023000
Field not completed.
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
Interstate Roofing
019938
3037639114
Contractor Email Address jwiles@interstateroof.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
jwiles@interstateroof.com
No
GAF Timberline
Asphalt
Field not completed.
How many squares of the 34
material selected above?
f
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 34
roofing material for this
project
Provide additional detail house, 4:12 pitch
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 9165
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant John Quante
Email not displaying correctly? View it in your browser.
3
rrona xemeer c; i:;,...Arv,:a:
ref rrafist -com
Submitted To
INTERSTATE
ROOFING
Date
Email Phone Alt. Phone-
Street City - State Zip
insurance Company Claim# Policy#
Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate
Roofing Inc.: however, Interstate Roofing is not obligated to perform any par, of the scope of work that is not approved by the insurance company
unless you authorize the work and agree to pay for this additional work.
Shinole Manufacturer Type Color Int.
0 Tear off layers of composition shingles ❑ Tear off one layer of wood shingles
❑ Install Decking (7/16" OSB)
0 Install new felt
C3 Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray White int--_
{1 Valley(s) will be closed ❑ valleys will be open
Ridge(s) to be color -coordinated
❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles
[] Install new pipejacks
{� Replace Vents as needed
❑ Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent)
❑ Install in. ft. of series ridge vent
❑ Install Inft. of ice & water shield to code
D Install nails per shingle
a Clean out gutters
�] 5 year workmanship warranty
[j Interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000. general aggregate
Make a magnetic sweep of driveway and yard for removal of any nails
Remove all debris resulting from above work
❑ special Instructions
The approximate costs of the services based on damages known at the time this contract is entered is $
Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved
proceeds. with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and
Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope- You will be responsible to pay for any upgrades or
additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance
policy. Supplemental claims billed by Interstate Roofing. Inc. that are approved by the insurance company for additional work or increases in costs
become a part of this contract.
Approximate Dates of Service: These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays. or by any other causes beyond the reasonable control of Contractor
Notice:
If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S.. to
pay for the roofing work, pursuant to section 6-22-105, the rooting contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part
of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property.
Terms:
I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any
subsequent loss drafts or checks after today's date as indicated above.
I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding
process relative to the claim number referenced above.
I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing.
Deposit Amoul Date: Rep. Initials:
Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing
materials at the residential property site or has preformed a majority of the roofing work on the property.
1 (We) agree, by signing below, to all the contract conditions, both front & back of this agreement
Date of Acceptance
Representative
Client Signature(s)
Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Black Ins. Agency
1000 W. 47th Ave. 2161 N, Academy Blvd. P. 970.482.7722 F_ 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd #205
Denver. CO 80211 Colorado Springs. CO 80909 Toll Free 877.898.8144 Cheyenne, WY 80211 Englewood, Co 80112.3726
P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 *wwv.interstateroof.com P. $07.834.2553 (303) 397-7820
www. interstateroof,com info@ interstateroof. corn
o, As CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /i1"/- _
Job Address: f /
Permit Number: �� F% 0
J,
i
i
❑ No one available for inspection: Time AM/PM
.r
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
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line 2
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE p
.�
O
Inspection Type: Pq) F
Job Address: 3 1 6-'1
Permit Number: / -7 h
a ON
❑ No one available for inspection: Time r:V'O AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspecto .
DO NOT REMOVE THIS NOTICE
11
y
COMMUNITY DEVELOPMENT DEPARTMENT
"LDIM6 INSPECTION LINE - (503-2345938)
CITY OF WHEAT RIDGE
7500 WEST 29TN AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
' Property Owner. FRANK CANEINO
Property Address : 3851 OTIS ST
' `Contractor License No. : 19620
Company : Larry Merkl Coatings
i~ 4W'NERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I liw-eLy cetdfy th8t the sefbadc distances proposed by this permit application are accurate, and
tlo niU W61ats applicaWeordinances, rules or regulaGOns of the City of Wheat Ridge or
cowmentB,.easamenfn or resVictions of record; that all measurements shown, and allegatlons
m8sde are Sacurete; tfiat I hava read and agree to abide by all condi6ons printed on this
F appliCatlM and tMat I assume full re sibility for compliance with the W t Ridge Building
~CotlC"(I.B.G,j and all other applicaeat Ridge ordinance , n. xf i~ a fc/~✓ .iii orkr this permit.
<f
Permit
Plan Review
USB
i
Use:
~
Building Permit Number : 18611
,
qate : 4/19/2005
~ Phone:i720-244-9208
Phone i~ 853-0978
$7,000.00
. $181.10
$0.00
. $126.00
, $307.10
INSTALL 50 YR TAMKO AND ICE & WATER SHIELD 2' ABOVE + 30 YR FELI` DOUBLE TAPED.
2/12 PITCH. 35 SQS.
BUILDING DEPARTMENT USE ONLY
,x ApProval
zoning
x ~er~s
Approval
Expiration DBte :
~
~
ApPfoaai: '
`
(1) 'YNS pem4
,
kepulatior
r
(2) TMk Pertn
. ~ gbandone
UtM1S pem
oriqinal pli
u
eti;9Bd6 0
(6) Crn: tractoi
%
ptoceediir
i
Th8 tasu
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical Licehse No :
Company :
Expiration Date ;
Approval:
. was issued In eccordance with the provisions set forth in yopur epplication and is subject lo the laws of the Sfale of Cdaredo and b tlie Zonin9s and Building Cotle of W heat Ridpe, Coloratlo or any otlrer applicsble ordinances of the City. . ahalt eVire d(a) the vrork authorizetl is not commenced within sialy (60) days trom issue tlate or (B) ihe buildinp euthorized is suePended or
~for e peAOd M 180 days. It expires, a naw pertnit may 6e acquired for a fee of onahalf the amount normally required, provided rw changes have deen or wili be meda in the
ns and spocficatbns and any suspension or abandonment has rwl exceeded one (1) year. If chariges are made w N suispension or abandonment
ie (1) year, full fees shell be paitl tw a new permil ,
any menner ahall be done that wlll change the natural ttow o( water esusing a drainage problem. shall notify the Building Inspectar hventy-faur (24) Murs in advance for all inspections and shall receive written approvet on inspaGtion ceN be(ore
7 wIM suaessive phases of ihe job. .
c4p1 a pa.. epp lQf drewings and speciflcations shall not be consWed to be a permit fa, rror an aDProval af, eny violation of the .
6FBie n9 codes or anuotpdr wdinance, iaw, mle or regulation.
SIC
Documents from the rnanufacteme'' `
nnsite for fnal roof tttsPection which
;no,£ A.f:igPH m°rhree second wtnd gusted
I10
;,,,mF? wind toad--UBC).
Walls: Roof
q.'Ft. :
z7y be
pecify
0 meet
rc (90
Stories : Residential Ynits :
Cfiief Building Inspector
Please sign Terms and Conditions on revene side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
oF w"E^T BUILDING INSPECTION LINE - 303-234-5933 Date:
: Pa CITY OF WHEAT RIDGE
° 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
`°~~ap°° APPLICATION
Property Owner: '
Phone: ~
Property Address: T~s
/
Contractor License No.: &
Company: fi AfI 12 Y M6 R IC IJ C(J W t-i L(I g S' Phone:
3 Q d
OWNER/CONTRAGTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Building Dept. Va/uation Figure: $
I hereby certify thal Ne setback distances proposed by lhis permit application are
accurate, and do not violate applicable ordinances, rules or regulations of the City of Value:$ f/ B p p•
W heat Ridge or covenanis, easements or resVictions of record; that all measurements ~
shown, and allegations made are accurate; that I have read and agree lo abide by all P0III111 FCE:$
conditions pnnted on this applicatlon and lhat I assume full responsibility for p~~ Review Fee:$
compliance with the W heat Ridge Building Code (I.&C)and all other applicable W heat
Ridge Ordinances, for work und lhis permit. Plans subje to f Id inspection. e Tax:~
(OWNER)(CONTRACTOH) .51GNED ATEJ-/E'OS TOYSI:$
Description:
Sq. Ft. addad / ✓ ` f~
DEPARTMENT USE ONLY
COMMENTS:
Approval:
Zoning:
COMMENTS:
Approval:
WOR1(S COMMENTS:
Approval:
DEPARTMENT COMMENTS:
Approval:
Walls: Roof: Stories: Residential Units:
Sq.Ft.:
Electrical License No: Plumbing License No; Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval Approval: Approval:
(1) This pemit was issued in accordance wifh the provisions set forth in your applica6on and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Cotles of Wheat Ridge, Colorado or any other applicable ordinances of
the Ciry.
(2) This pemit shall expire if (A) the work authorized is not commenced within sixty (90) days from issue date or (B) fhe building
authorizetl is suspen0ed or abandoned for a period of 180 days.
(3) If this pemit expires, a new pemit may be acquired for a tee of one-half the amoun[ nortnally required, provided no changes
have been orwiil be made in the ori9inal 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 (t ) year, fuil fees shall be paid for a new pertnit.
(4) No work ot any manner shall be done that will change the natural Flow of water causing a drainage problem.
(5) ConVaclor shall notity the Building Inspector lwenty-four (24) hours in aAvance for all inspections and shall receive written
approval on ins0ection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drewings and specifications shall not be wnsWed to be a pemit tor, nor an
approval of, any violatlon ot the provisions of the building codes or anyoMer ordinance, law, fule orregulation. All plan review
is subject lo fleld inspections.
Chief Building Official
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14928
BUILDING INSPECTION LINE - 303-234-5933 Date : 12/13I02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: PETE & ROSEMARY RICCI
Property Address : 3851 OTIS ST Phone : 472-7476
Contractor License No. :
Company: 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 regulaGons 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : DUMPSTER ENCLOSURE
, wmilom
Approvai : MLC
Zoning : R-3
WSY
Approval: BG
. . . , i. GIA~~~~~.'-
Approval:
Occupancy : Walls
Electrical License No :
Company:
Expiration Date :
Approval:
s°
BUILDING DEPARTMENT USE ONLY
SIC cs~ cp
COMPLIES WI ENCLOSURE REGS.
0
~ c
1219102. MUST BE PROTECTED
Construction Value : $1,000.00
Permit Fee :
Plan Review Fee : $0.00
Use Tax : $0.00
Total: $0.00
Use:
A
e-
Roof : Stories : Residentiai Units :
Plumbing License No : Mechanical License No :
Company: Company:
Expiration Date : Expiration Date
Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur Ia cab lle ortli ances otthe ect 0 y he laws of Ihe State of Colorado and lo the Zoning
Regulations and Building Cotle of Wheat Ritlge, Colorado or any other appi
(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 suspentled or
yeard ~change are made or f su pa sionil~babandonment
abandoned for a period of 120 days. bwn (3) orig na p ans eand spec fcatbns alnd any s spen,sion or abandonme tahas not exceeded onle require
exceeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change the naWral flow of water causing a drainage problem.
(5) Contrector shall notify the Building Inspector twenty-four (24) hours in advance tor all inspections and shall receive written approval on inspeclion card before
proceedling wilh successive phases of the job.
(8) The issuanc permit or the approval of drawings and specifications shall not be construed to be a pertnit for, nor an aOProval of, any violation of t e
provth builQi/~p s or any other ordinance, law, rule or regulation.
Chief Building Ins tor
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pemrit Number:
Da e:
aF WHEq ~
/ BUII.DING INSPECTION LINE - 303-234-5933 ~g CITY OF WHEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (3~0H3-235-2855)i
COCORAO~ ?~P~~'f~ 1dO7f~~j
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Property Owner: pi /G ~r7a~ 77 7G
Property Address: -~8 5/ 0 %I S S~ f V Phone :
Contractor License No.:
Phone:
Company:
O WNEIUCON7RACTOR SIGNATURE OF UNDERSI'ANDA'G AND AGREEMENT
I heroby certify ihat ihe setback disTances proposed by this pertnit application are accunte,
md do not violate applicable ordinances, mles or mgularions of the CiTy of Wheat Ridge or
covenanks, easements orresiricNons ofrecord; thatall measurements shown, md allegations
made aze accumte; that I have read md ag'ee to abide by all conditions printed on this
applicatlon md that I assume futl responsibility for compliance arith the Wheat Ridge
Building Code (U.B.C) md all other applicable Wheat Ridge Ordinanccs, for work uader
tws permic
Construction Value:$ J 0oo
Pemut Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTION:
ZONING COMMeNTS:
Approval:
Zoning: R _3
BUILDINO COMMENTS:
Approval: ~
PUBLIC WORKS COMM8NT5:
Approval:
BUILDING DEPARTMENT USE ONLY ^ - .
SI
Y'
/ !l9 v , ) L e 'e- , tz~
Occupancy: Walis: Roof. Stories: Resident
ti.
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Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expirarion Date: Expiration Date: Expiration Date:
Approval Approval• Approval:
(1) 1'yis peimit wu issued in accordance with the provisions set forth m yow application and is subject N the laws of the State of Colondo md m fhe Zoning
Regulapovs md Building Codes of Wheat Ridge, Colorado or eny othm applicable ordinauces of ihe CiTy.
(2) This pemit shan ezpire if (A) the w'ork %uthoeized is not co¢unenced withiu sizty (60) days from usue dete or (B) the build'mg authorized is suspended or
a6mdoned for a puiod of 120 days.
(3) If this pe*mit exPiros, a¢ew pennit may be acquittd for a fee of one-half the amovnt noxrhally ttqu'ved, provided no changes have been or will be ma e
in the o¢gin¢1 plans md specificafions md aay suspension or abandonmenc has not exceeded one (1) yeaz. II chavges have been or if suspeasion or
abeudonment ezceeds one (1) yeaz, fu11 fr<s shall be paid foz a new pemtit
(4) No work of any mewner shell be done that will change the natwal flow of water causing a dzainage prohkm.
(5) Contracror shall notiry the Building Inspecmv twenty-four (24) hows in advauce for all inspecROns md shall receive written approval on 'vupecfion enrd
before proceeding wifh succasive phazes of thejob.
(6) 'Lh<issuance of a pennit or the approval of drawings md speci5cafions shall vot be construed to be a peimit for, nor an approval of, my violatlon of the
proviaons of e buildyA codes oe any other ordiuance, law, rule or rogula¢on.
1/
hief Building In c or
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