HomeMy WebLinkAbout3880 Otis StreetOfl
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INSPECTION RECORD Occupancy/Tyne
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 followine busine.cc d5i,, **
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Pier
Concrete Encased Ground (CEG)
Date Inspector
— Initials
Comments
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Electrical
Initials Comments
Sewer Service
Plumbing
Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Ins
ughI spections Date Inspector
I'Sheathing Initials Comments
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections I Date Inspector
_ Initials
Landscaping & Parking / Planning Dept.
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
Comments
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.
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
Of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
-For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
ons
City of W"m 'Tc
Residential Roofing PERMIT - 201705420 �� _D,
201705420 ISSUED: 08/03/2017
RMIT NO: EXPIRES: 08/03/2018
iB ADDRESS: 3880 Otis ST
)B DESCRIPTION: Residential Re -roof to install lifetimdAMINanEdDa(DOaBSEALAYER
fire rating
SHINGLE , 3 DIMENSIONAL), warranty,
Weight range btwn 235 & 280 lb/SQ asphalt shingles with ROOF DECKING
19.33 SQ(18.33 SQ PITCH AND 1 SQ SHED ROOF ATTACHED TO GARAGE) this work is
on the house and detached garage .
** CONTACTS ***
KNER (303)424-9264 HARGER JACK & PATSY 150126 Conner Construction Co
UB ()20)708-0155 John Lumpkins
** PARCEL INFO *** USE: UA / Unassigned
ONE CODE: UA / Unassigned 0 /
UBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#:
** ***
ESTIMATED PROJECT VALUATION: 25,000.00
FEE SUMMARY
FEES
'otal Valuation 0.00
525.00
Jse Tax 442.05
?ermit Fee 967.05
k* TOTAL **
*** COMMENTS ***
*** CONDITIONS *** roved midroof
Effective December 1, 2014, asphalt shingle installations require an app rior to final
inspecti_n�, conducted when,25-75 percent of the roof covering is installed, p
app oval. Installation of roo sieathing (neexceedinw or rlone halfay) is eiincheexists. Sheathd on the ingoano
when spaced or board sheathing with ANY gap
g
must be
mid -roofs may be 25-75percentof the mid-roofd in at the emaynbehundred perc
complete. Asphalt shent of inglestaregrequired
complete and d p
to be fastened to and roof deck rake metalwishrequired. A ladder 1extending 13gfeet labovedthe tshielder
a minimum Of 6 root eave
is required. nave a
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,
on
whichever is more s, anletteriofoinspectioner to ss a final and approvalspfromltheomanufacturercor technicaiar
type roof covering(project address) has been
representative stating that "the application of the roof at
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.
of ins ections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3 d
Ro p
party inspection report will be collected at final roof inspection performed by City o
Wheat Ridge. If report is not available the final inspection will not be completed.
S
i CITY bF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: y o 9- r I ;" 1
Job Address: 3�F S o 0 L s S�-
Permit Number: "(,-) 0 r a sy 79 0
❑ No one available for inspection: Time '7: S9 AM/ M
Re -Inspection required: Yes eo
When corrections have been made, call for re -inspection at 303-234-5933
Date: I (h 3 1/)7 Inspector: -r-A
DO NOT REMOVE THIS NOTICE
MA
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: LI c 7 - P, n, I
Job Address: 3 4s 8 0 O 4,'5- 54
Permit Number: 2 0 1 7° Sy -7 0
K111111 fl)a4�����
or U
❑ No one available for inspection: Time 1 D = 7 &M
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303 -234 -
Date: 11 L3 /-7 Inspector: -7—b
DO NOT REMOVE THIS NOTICE
❑1
i CITY 01= WHEAT RIDGE la
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE 11
Inspection Type: �1 . d h
Job Address: 3 s S c ® J.'r 9 -4 -
Permit Number: oI -7 o C
/,SL
--H
a
Ce Ot ,-1 c., 1AJQ r r1G6 n
aN
Ora
❑ No one available for inspection: Timed - 10 AMW
Re -Inspection required: Yes 19
When corrections have been made, call for re -inspection at 303 -234 -
Date:— '7/1? Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
l
Residential Roofing PERMIT - 201705420
PERMIT NO: 201705420 ISSUED: 08/03/2017
JOB ADDRESS: 3880 Otis ST EXPIRES: 08/03/2018
JOB DESCRIPTION: Residential Re -roof to install AVERAGE GRADE LAMINATED (DOUBLE LAYER
SHINGLE , 3 DIMENSIONAL), with lifetime warranty, and a class A fire rating
. Weight range btwn 235 & 280 lb/SQ asphalt shingles with ROOF DECKING
19.33 SQ(18.33 SQ PITCH AND 1 SQ SHED ROOF ATTACHED TO GARAGE) this work is
on the house and detached garage .
*** CONTACTS ***
OWNER (303)424-9264 HARGER JACK & PATSY
SUB (720)708-0155 John Lumpkins 150126 Conner Construction Cc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 25,000.00
FEES
Total Valuation 0.00
Use Tax 525.00
Permit Fee 442.05
** TOTAL ** 967.05
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof.
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water snield
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 - 201705420
PERMIT NO: 201705420 ISSUED: 08/03/2017
JOB ADDRESS: 3880 Otis ST EXPIRES: 08/03/2018
JOB DESCRIPTION: Residential Re—roof to install AVERAGE GRADE LAMINATED (DOUBLE LAYER
SHINGLE , 3 DIMENSIONAL), with lifetime warranty, and a class A fire rating
. weight range btwn 235 & 280 lb/SQ asphalt shingles with ROOF DECKING
19.33 SQ(18.33 SQ PITCH AND 1 SQ SHED ROOF ATTACHED TO GARAGE) this work is
on the house and detached 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 ap�amath
cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property anorzed toobtainthis permit and perform the work described and approved in conjunction with
thiserrtIfurtherattestthatamlally authorzedtonclude all entities named within this document as parties to the work to beperonned and that all work to be perrmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or COKTRACTOR (Circle one) Date
I. This permit was issued based on the infonnation 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of 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
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 ordinance or regulation of this jurisdiction. Approval of work is subject to tield inspection.
Signature of Ch Ong OtTiiciar Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUS SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz 20 176
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 26, 2017 8:13 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home I�
are on the property91 1
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
3880 Otis Street - Wheat Ridge, CO 800#.k
Jack & Patsy Harger VtL 303-424-9264
jackharger@comcast.net
Do you have a signed No
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attach Copy of Contact J-31652 Claim No PP0017366834.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Conner Constr i n Co.
150126
720-708-0155
Contractor Email Address John@ConnerColorado.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
John@ConnerColorado.com
Yes
Description of Roofing Average grade laminated (double layer shingle, 3 dimensional),
Material with limited lifetime warranty, and a class A fire rating. Weight
range between 235 and 280 Lbs/SQ.
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
TOTAL SQUARES
(pitched + flat) of all
Asphalt
Field not completed.
18.33
Yes
1 sqaure - Shed Roof attached to Garage
19.33
2
roofing material for this
project
Provide additional detail
here on the description of
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)
This work is on the house and detached garage along with
replacing 4 each aluminum window awnings.
$25,000.00
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 John Lumpkins
Email not displaying correctly? View it in your browser.
3
4DCONNER CONSTRUCTION CO.
P.O. Box 1507 * Englewood, CO 80150 * Ph: 720-708-0155
Client: Jack Harger
Property: 3880 Otis Street
Wheat Ridge, CO 80033
Operator Info:
Operator: JLLTMPKIN
Estimator: John Lumpkins
Type of Estimate: Hail
Date Entered: 7/17/2017
Price List: CODE7X JUN17
Labor Efficiency: Restoration/Service/Remodel
Estimate: J -31652R1
CLAIM NUMBER - PP00173 668 34
Date Assigned:
E-mail: john@connercolorado.com
CONNER CONSTRUCTION CO.
P.O. Box 1507 * Englewood, CO 80150 * Ph: 720-708-0155
J -31652R1
Main Level
House
DESCRIPTION
Height: 8'
QNTY
1. Remove Laminated - comp. shingle rfg. - w/ felt
15.69 SQ
2. Roofing felt - 15 lb.
6.27 SQ
3. Ice & water shield
936.00 SF
4. R&R Drip edge/gutter apron
156.00 LF
5. Laminated - comp. shingle rfg. - w/out felt
18.33 SQ
6. Ridge cap - composition shingles
127.00 LF
7. R&R Flashing - pipe jack - split boot
1.00 EA
8. R&R Roof vent - turtle type - Metal
2.00 EA
9. R&R Flashing - pipe jack
3.00 EA
10. R&R Exhaust cap - through roof - 6" to 8"
1.00 EA
11. Step flashing - at Evap Cooler
4.00 LF
12. R&R Flashing - L flashing - galvanized - at Evap Cooler
6.00 LF
13. R&R Counterflashing - Apron flashing - at Evap Cooler
4.00 LF
14. Plumbing - Labor Minimum - at Evap Cooler
1.00 EA
15. Electrical - Labor Minimum - at Evap Cooler
1.00 EA
16. R&R Gutter / downspout - aluminum - up to 5"
231.00 LF
17. Sheathing - plywood - 1/2" CDX
1,833.00 SF
18. Awnings & Patio Covers (Bid Item)
1.00 LS
Garage
DESCRIPTION
Height: 8'
QNTY
19. Remove Laminated - comp. shingle rfg. - w/ felt
6.26 SQ
20. Roofing felt - 15 lb.
6.26 SQ
21. R&R Drip edge/gutter apron
96.00 LF
22. Laminated - comp. shingle rfg. - w/out felt
7.33 SQ
23. Ridge cap - composition shingles
69.00 LF
24. R&R Roof vent - turbine type
1.00 EA
25. R&R Gutter / downspout - aluminum - up to 5"
107.00 LF
26. Sheathing - plywood - 1/2" CDX
733.00 SF
General Conditions
DESCRIPTION
QNTY
27. Dumpster load - Approx. 12 yards, 1-3 tons of debris 1.00 EA
J -31652R 1 8/7/2017 Page: 2
CONNER CONSTRUCTION CO.
U Aloft
%F P.O. Box 1507 *Englewood, CO 80150 * Ph: 720-708-0155
CONTINUED - General Conditions
DESCRIPTION QNTY
28. Taxes, insurance, permits & fees (Bid Item) 1.00 EA
Grand Total
Grand Total Areas:
1,992.00 SF Walls
1,961.75 SF Floor
0.00 SF Long Wall
1,961.75 Floor Area
2,289.00 Exterior Wall Area
0.00 Surface Area
0.00 Total Ridge Length
CLAIM NUMBER - PP00 173 668 34
30,081.77
1,961.75 SF Ceiling
217.97 SY Flooring
0.00 SF Short Wall
2,045.64 Total Area
254.33 Exterior Perimeter of
Walls
0.00 Number of Squares
0.00 Total Hip Length
3,953.75 SF Walls and Ceiling
249.00 LF Floor Perimeter
249.00 LF Ceil. Perimeter
1,992.00 Interior Wall Area
0.00 Total Perimeter Length
The purchase price of the project shall be set at the sum of ($30,081.77), THIRTY THOUSAND EIGHTY ONE DOLLARS
AND 77 CENTS subject to additions and deductions pursuant to authorized change orders and allowances.
Date: �� //)
Jack Harger
J -31652R1 8/7/2017 Page:3
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INSPECTION RECORD
INSPECTION REQUEST #
33
Inspections will not be performed unless this card is posted on the project site.
Call the inspection +' • #
m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation #.t#,Inspections, .w .
Comments
:x
Monolithic Slab Reinforcement
e
## #
# # #
01&1494411110
Plumbing (Below / in -sl#.
Emnirm
# # # M # ' # #. # it # # •'.: `�'
w
o p �
Rough Inspections x
# #
Rough Plumbing
Rough Mechanical
Gas Piping
♦Lf
Rough Framing
_..... y...;
r #1 Mvnul A kArtITICatO
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10/07/2015 09:27AM 3032 736 PAGE 01/01
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♦ 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: .><t
Job Address: r~s<~ lJ f r } S i
Permit Number: 3
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, can for re-inspection at 303-2345933
T,f
Date: <YI (.A Inspector:
D6 NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17365
BUILDING INSPECTION LINE -(303-2345933) Date : 7/12/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: MICHAEL J. HARGER
Property Address : 3880 OTIS ST Phone : 424-9264
Contractor License No. :
Company:
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 lhe City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegalions
made are accurate; thal I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance wifh the Wheat Ridge Building
Code (U.B.C.) and all other applicable W heat RidBe ordinances, for work under this permit.
(OWNER)(CONTRACTOR)SIGNED ~Zt J~~ Dp'TE 7Z'1 ~
ri
Description : 150 AMP SERVICE
Phone :
Construction Value :
$200.00
Permit Fee :
$30.55
Plan Review Fee :
$0.00
Use Tax :
$4.00
Total:
$34.55
Use:
ED
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Zcni~ng,.Ca~unents5
Approval:
Zoning :
BUIldfng~~omma~nts,'~~
Approval:
Pu61ic Wo~~CS GommenfsM
Approval:
Occupancy : Walls : Roof : Stories : 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 issued in accordance with the provisions set (orth in yopur application and is subject to lhe laws of the Stale of Coloredo and to the Zonin9
Regulations and Building Code of W heat Rid9e, Colorado or any other applicable orUinances oF ihe Cily.
(2) This pertnit shall expire if (A) the work authorized is not commenced within sixty (BO) tlays from issue date or (B) the building aulhorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pr made or f suspe si nllobabandonment
original plans and specifcations and any suspension or abandonment has not exceeded one (7) yea chan9es are
exceeds 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 dreinage problem.
(5) Contractor shall notify the Building Inspector lwenry-four (24) hours in advance for all inspeclions and shall receive wririen approval on inspection caM before
proceediingwi uccessi s ' b.
(6) The issuan ' a p or the app rawings and specifcalions shall not be consfrued to be a permit for, nor an approval of, any violation of the
prpyiSi lhe din y other ordinance, law, rule or regulation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
Q` WHE,l COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
, s BUILDING INSPECTION LI1VE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 -(303-2352855)
~~~~ICA TION
Property Owner: %7J ; c ~ ,t c 1 ~r llk-: r,~( e
Property Address: 3 s/ qe OY. c 5 i-
Contractor Licrnse No.:
Phone : 3'D 3-/ y
Cocipany: Phone:
pW!4ER/CONTRAC70R SIGNATUAE OF GNDERSTANDING Af:D AGREEMFJq7
1 hercby ccrtify tlwt thc xtback disnnca proposcd by lhis pemiit appliauon are aaurate,
and do not vioiatc applicable adimnca, rulrs a rcguladons olthc Ciry of Whnt Ridgc a
covenanu, caumrnu or rcstrictions of rtcwd; ihal all measurcmrnls sMwn, and ailcgations
made arc accuntr, that 1 have }pd and agra to abidc by all condilions printed on this
appliption and chat I usume fult fesponsibiliry for compiiance with the Whcat Ridgc
Building Code (U.B.C) and all othcr applinble Wheat Ridge Ordinnnces, (or work unda
this permit.
(ONR.ER)(CON'fRACfOR): PRINTED DATE
DESCRIPTION: ~ 5"'0 /y ~rp 5 2 r✓ ~ G e
Construction Value:$ le')0. 0 t
Permit Fee:$
Plan Review Fee:$
Use Tax:S
Total:$
BUILDING DEPARTMENT USE ONLY
SIC: SqFc:
ZONIN6 COMM[Nii:
Appioval:
Zoning:
BmLoINo Correerrs:
Approval:
Puwc Womcs Cowrurrr. Approval:
Occupaocy: Walis: Roof: Storia: Residential Uniu:
Elatrical Liccnsc No: Plumbing License No: Mechanical License No:
comyany: canq)anr• connpany:
Expira6on Date: Expirdfion Dafc: Ezpira6on Date:
Approval: Approval: Approval:
(I) Thu pmnit.u issued in K.wrdmtt aiih the quveions sn fon6 io your qplicaupn avd n subjct n the 6ws of the Sua of Cobndo aod m the 7noiny
Regulatiam aad Buikies fodes of WMat Ridse. Cobrado a anY oi6v qqlicWk adiwncea of ihs Ciry.
Thu pnmil slull tapirt if(A)16e wpk wl6arvN u oa commmred wiWm siary (60) daYS M1mi issue dau or (0) the bwldiny amAaissd is susyeoded w
,e.eaonee r« . ye.iad ur 120 mya. (J) If ihu Ve+mit eapires, a new pvmit wY bw acquirtd fa a fa of an-Lalf the uroum mmaft) ,eVuirtd. Vro%+dM no chanyes have beev «wi0 be made
in ihe arijwl VWrc aod specificarioes woE my mpso:iw aaWedomneat lus m eueeded one (1) for. If cNngs lu.s bae ar if surymtim ar
.Mndonmrnl taceeds aoe (I) Ya. fud ka sM0 bs ryid fQ a nev permil
No rwk of any muioer aEN bc dose, Wu nll cTmge dw awrai M" of ryw eausms a dn'vuse pobkm.
(5) Cmtracbr sW ooufy ths Buildie{ Inipecw twee7fav (24) Mun io W,aece for a0 inyecUOns aod slull rtcsnx wriKa appmval ou inspecoon cW
befart PoondWt "di suttesvve phnes of tAsjob.
(6) 7M 6AYOCf Ma pOmq Or 16tlppIW11 OIMwind ied fpOCiRCaGp1i Slull lld bt tOnSQUOd b DC , DCITuI (m. ~KK an qqTVJ o( any violioon of de
pro%isiau of ds buiMin` codn or my aher ord~oaott. hw, ruk or rtsuhtion.
Chief Buildino Inc.urt,