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HomeMy WebLinkAbout3230 Marshall StreetCity of Wheat Ridge Residential Mechanic PERMIT - 201700519 PERMIT NO: 201700519 ISSUED: 04/17/2017 JOB ADDRESS: 3230 Marshall ST EXPIRES: 04/17/2018 JOB DESCRIPTION: Replace evaporative cooloer with Breezeair EXV 155 with roof kit & ducting; 5500 CFM *** CONTACTS *** OWNER (303)237-2251 RON SANDT SUB (303)422-5308 Steve Brandt 021365 THE COOLER COMPANY *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Evaporative Cooler 40.00 Total Valuation 0.00 Use Tax 90.00 ' * * TOTAL * * 130.00 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. City of Wheat Ridge Residential Mechanic PERMIT - 201700519 PERMIT NO: 201700519 ISSUED: 04/17/2017 JOB ADDRESS: 3230 Marshall ST EXPIRES: 04/17/2018 JOB DESCRIPTION: Replace evaporative cooloer with Breezeair EXV 155 with roof kit & ducting; 5500 CFM I, by my signature'd o 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 properly and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document andlor its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (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 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, anviolation of any provision of any applicable code at y ordinance 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. dq,� I t l:' U -D t "1 -3230 INSPECTION RECORD Occupancy/Type JL / SqD CAA INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Fire Inspection / Fire Protection Dist. Plumbing Final Plumbing Do Not over Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Mid -Roof Final Mechanical City of Wheat Ridne 04/17/2017 1�F:a4 iDBA Replace evaporative CTrR61418' AMOUNT .irP� A W� k,i i CT . __ __ Lath /Wall Tie Final Window/Doors Rough Electric " 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. Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials RPPUPERMIT NO: 201790519 ­.UV Inspections from PAYMENT RECEIVED AMOUNT one week in adv A! Tf CODE � 130.90 1ti� COBE: la7R�9i inspections call 3i TOTRL-------- 13o. 99 inspections call 3 ---" --------------------------- contact the Fire F Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. 9 P 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 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. *"For Inspection Time Window Requests — Please email insptimerequestC-ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather FOR OFFICE USE ONLY Date: �Wheat Ri e Mt1Nn-y DEVELOPMENT" — Plan/Permit# Building B Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsCaki.wheatridge.co.us Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *"* Property Address: 1 �i� h� �i� j S fi l�1I�'� G"� 1 i 1 C��1� 03 Property Owner (please print): Kin rn ja n rin w T Y1(t Phone: 1 2- 0 1- 10, 1'] Z S Property Owner Email: N /Pr Mailing Address: (if different than property address) Address: N AA City, State, Zip: ArchitecVEngineer• f Architect/Engineer E-mail: Phone: Contractor:' j n ( tlt; (� ► i L L' TY11� 61 rl Contractors City License #: L Z j_ �A s Phone: Contractor E-mail Address: Aw Ub Ulf, Y it t) DU a U I ( U M Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL Ekf!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 SYST /APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe)\_ V 61 I,,) JA t` Y (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.) K t O0 (A-Cv C1P UAL AL r tN% IIV\ 14 Alf -e A V ISS W) fv\, Y u �� H, t r+ -(A Lt C" Ae) c,k-uu, , V 4;-0 Sq. Ft./LF Amps Btu's Squares S-,�- v o C F- ►'Yl Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 5 ON NER/CONTRAC-UOR SIGNA1 t RE OF t NDERS'I ANDING AND AGREENIEVI I hereb} genii) that the setback distance, proposal b\ this pennit application are accurate and do not \ iolate applicable ordinances. rule, or regulations of' the City of Wheat Ridge or covenants, easements or restrictions ul'rccurd. that all measurement., slitmn and allegations made yr accurate: that I have read and agree to abide by all conditions printed on this application and that I assume full responsibiltf} fir compliance \vith applicable City of Wheat Ridge codes and ordinances tor \cork tinder ans permit issued based on this application: that I am the legal o\\Iter or ha\ e been authorised bti the legal (m ncr of the property to perform the described \\urk and am also authorised b\ the le_;ul o\\ tier of am entiq included on this application to list that entity on this application. 1, the applicant for this building permit application. "arrant the truthfulness ol'the infitnnation pro\ ided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (.-II'TIIORIZED REPRF..VE.\'T-I TII'l:) oJ(OIs N R) (CO.WWAC'TOR) Electronic Sienature (first and last name): DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ I �; Z 0 0 9 # • - 0 NINM III-INWARIMM"" , Permit#:201300605 Issued: 02/12/2015 Stipulations: 50 sf front door porch. This certificate verifies that the building constructed and/ the use proposed of the building and/or premises, under t above permit number and on property described below, does compl with the Wheat Ridge Building Code and development standards the zone district in which it is located and may be occupie All other licensing requirements for the City must be met. I Owner. RON SANDT 3230 MARSHALL STREET WHEAT RIDGE, CO 80033 Contractor: For the Following Purpose: Residential Deck Code ditions 2 -42 ICC/2014 6 IPA CC/2011 2006 ICC/2005 Other i7 Zoning Administrator • change shall be made in the USE of NEC this building without prior notice NEC and a new Certificate Of Completion NEC from the City of Wheat Ridge. BONN r Insulation M I �; Z 0 0 9 # • - 0 NINM III-INWARIMM"" , Permit#:201300605 Issued: 02/12/2015 Stipulations: 50 sf front door porch. This certificate verifies that the building constructed and/ the use proposed of the building and/or premises, under t above permit number and on property described below, does compl with the Wheat Ridge Building Code and development standards the zone district in which it is located and may be occupie All other licensing requirements for the City must be met. I Owner. RON SANDT 3230 MARSHALL STREET WHEAT RIDGE, CO 80033 Contractor: For the Following Purpose: Residential Deck Code ditions 2 -42 ICC/2014 6 IPA CC/2011 2006 ICC/2005 Other i7 Zoning Administrator • change shall be made in the USE of NEC this building without prior notice NEC and a new Certificate Of Completion NEC from the City of Wheat Ridge. BONN r Insulation M Address: City, State, ZIP: oo��: 33= Sub Contraotors. Electrical: Plumbing: Mechanical: RM11tWit' %W 9—NOWHIM1 WQEINAW�� Eggs= EBW NAME: 7 SIGNATVRE: DATIE: Y> - BldIGIVatuation. I I IFA� tS fS E-E t Q $4 1 ?i4 V y`W COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 18233 BUILDINti INSPECTION LINE -(303-2345933) Date : 1/10/2005 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: RON SANDT Property Address : 3230 MARSHALL ST Phone : 237-2251 Contractor License No. : 18986 Company : Electrical Remodel Services Phone : 947-0682 OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Valuation : $1.400.00 I hereby certiry that the setback distances proposed by this permit application are accurate, and permit Fee : $66.28 do not violate applicabla ordfnances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions ot record; that all measurements shown, and allega6ons p18n R8v18w PPR : $0•()0 made are aecurate; fhat I have read and agree abide by all conditlona printed on this appliqtion, arM that i assu fuli responsibili or wm iance with the Wheat Ridge Building Use Tax : $25.20 Code (U.B.C.) and atl othermeapplieable W idge nance ork untler this pertnit. (OWNER)(CONTRACTOR)SICNED DATE Total $91.48 USe: Description : 150 AMP SERVICE CHANGE / W IRE BOILER BUILDING DEPARTMENT USE ONLY ~ SIC : Sq. Ft. : Approval : Zoning : Approval : Approval : Occupancy: Walls : Roof : Stories : ResidenNal Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: Expiration Oate : Approval : (i) This permNwas icsued in accordance with the provisions set farth in yopur aDPllcetian and is subjecl b the laws W the State W Cobrado and to Ure Zoninp Repuladons and Buildinp Code M Wheat Ridge. Coloratlo or any other epplkeble or0lnances W the Cily. (2)Thispemst shall ezpire If (A) the work authoAZed is not commenced within sizly (80) deys from issue date or (B) tlre buildinp authoAzed is suep8ntlatl or aoarMOrred for a Perbtl rn 120 dave. (3) If this permit explres, a,row pemiit may be ecquired for a tee of one-half the amount normally requireO, provided no chanpes heve been a wOf be made in the originalplans aM specificeNOna and arry suspension or ebandonment has not axceedetl one (1) year. If chenpea ere made or if euspensbn or abarMonmeM exceed6 oiro (i) year, NMlees shell be peitl for a new pertnit. (4) No work of any manMr shall be done ihat will chenge the natural llow of water causinp a tlrainege probbm. (5) Con(rector ahalinotiy M8 BuiMirig Inspeclor Mrenty-four (24) hours in advance for all inspections and shell receive writlen epproval on inopection card before proceedung with successive phases ot the job. (8) The issuarke ot a permtt or the approval ot drewings and specificeUOns shall not 6e construetl to be a permit for, nor an approval of, aM vidaHOn of the proviswPe dWDuildpWcOes or' Ch pe r ordinance, law, rule w regulation. _ ~ ,^~x, • " ief uilding sp ctor Expiration Date : Approval: Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: o~ w"E'" 9 BUILDING INSPECTION LINE • 303-234-5933 Date: + g, CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Property Owner: gQn Sityltl r Property Address: 3A30 YY►a rs h a t j 5 t Phone: 3'o~ 3~ - aa5 I Contractor License No.: ag aS Company:flECt/'Cco~l plrxoke'l 52/'Ui[~-rj Phone: 37- yloSoZ OWNEfiICONTRACTOR SIGNANRE OF UNDERSTAHDING AND AGREEMENT I hereby certity Mat the setback distances propoSeC by Nis permit aDP~icaGon are Value:5 /H'oO.Od accurate. and do not viWate applicable ordinances, rules or regulations ot the Ciry of Permil Fee:S WheatRidgeorcavenants,easementsares0ictwnsofrecad;ftatallmeawrements p~y~ Review Fee:$ shown, anA allegations made are accurale: that I have reaC antl agree to abide by all condi6ons printed on Nis application and ttiat t assume (u11 responsibiiiy tor `Se T x:$ compliance with the Wheal Ritlge B ilding CoOe (U.B.C) antl all other appli~ble Whea! Ridge Ordinances, for 71-lor der this ermit. Total:$ (OwNEHHCONTAACTOR).SIGNFD DATE, (OM/NEAHCOMRACTOR):PfiIM DATE Description: I~Q 4m)o SefVi~e CAQ„9e /W~f= 1e1• l Sq. Ft. addad COMMEN75: Approval: Zoning: BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft: 3 Ca.v.+Errrs: Approval: WORKS COMMENTS: Approval: Walls: Roof: Stories: Residenfial Units: Electrical License No: Plumbing License No: Mechanical license No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Oate: Approval: Approval: Approval: (1) This permit was issueG in accordance wiM the provisions set foM in your appGCation anA is subjeU fo the bws of the Siate ot Cobrado and W Vie Zonirp RepulaGOns an0 BuilOinp CoOes oi W hwl RiOpe. CdoraOO a any other appliobk orAinances o1 the Ciry. (2) This pertnit shall expire it (A) the work authorized is not commenCeO wiMin sinty (60) aays irom issue dale a(B) the building audiwized is suspended or abandaied tor a perioE of 120 Oays. (3) It this pemil ecpues, a new pernwl may De acpuired for a fee of one-halt the artaunt rannally required. provided rw charpes have been a wi9 be rtiade in the aginal pans and spadfintions and arry wspmsiai or abarMonment has rat exceeded one (1) Year- If chanpes have been a if wspension a abandonment eYCeeds one (1) Year, fuU Mea snaE be Daid for a new PamnM1. (a) No work oi any manner shaA be done Uwt wiN clianpe Me na4ual flow of water ausinp a tlrainape poblem. (5) Contrador shall rwGfy the BullOinp Inspecta Menty-tour (24) hours in advance tor all inspections an0 shall receive written appwal on inspecGon card Oetae vooeedirg with wcceasive phases of ihe job. (6) The iswance o( a pe'mit or ihe approval ol drawirps aM specifications shall rat be construed b be a permit tor, nor an appoval ol, any viola6on of tlu povisions of the Wildirg cotles or any otlier ordinance, law, ruk or reguWtlon. Chief BuilCing Official INSPECTION RECORD Occupancy/Type 'INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS `COMMENTS: 'Footings/Caissons - - Stemwall /'(CEG) Concrete Encased Ground Reinforcing or Monolithic 'Weatherproof / French Drain Sewer Service Lines _ Water Service Lines - 'ROUGHS - Sheathing , Lath / Wall tie ( - Mid Roof ' - Electrical Service Rough Electric - Rough Plumbing - Gas Piping Rough Mechanical - ennvF iNCOwennuc Tn RP.glrNF❑ PRIOR TO PROCEEDING - f- '.CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) - Heating (Underground) `Framing Insulation Drywall Screw r FINALS Electrical Plumbing'. - 6- Mechanical Roof Building: Final - -J, Fire Department - PUBLICE WORKS R.O.W &`Dralnage _ INSPECTIONS FOR PLAN NING& ZONING FIRE A parking $.LandSCaOlnq SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.' P. °.VG H c.crtirn.n c vr. vt•,i.vrgvi.. i OCCUPANCY NOT PERMITTED UNTIL CERTIFI( PROTECT THIS CARD FROM T1 Address: City, State, ZIP: oo��: 33= Sub Contraotors. Electrical: Plumbing: Mechanical: RM11tWit' %W 9—NOWHIM1 WQEINAW�� Eggs= EBW NAME: 7 SIGNATVRE: DATIE: Y> - BldIGIVatuation. I I IFA� tS fS E-E t Q $4 1 ?i4 V y`W COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 18233 BUILDINti INSPECTION LINE -(303-2345933) Date : 1/10/2005 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: RON SANDT Property Address : 3230 MARSHALL ST Phone : 237-2251 Contractor License No. : 18986 Company : Electrical Remodel Services Phone : 947-0682 OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Valuation : $1.400.00 I hereby certiry that the setback distances proposed by this permit application are accurate, and permit Fee : $66.28 do not violate applicabla ordfnances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions ot record; that all measurements shown, and allega6ons p18n R8v18w PPR : $0•()0 made are aecurate; fhat I have read and agree abide by all conditlona printed on this appliqtion, arM that i assu fuli responsibili or wm iance with the Wheat Ridge Building Use Tax : $25.20 Code (U.B.C.) and atl othermeapplieable W idge nance ork untler this pertnit. (OWNER)(CONTRACTOR)SICNED DATE Total $91.48 USe: Description : 150 AMP SERVICE CHANGE / W IRE BOILER BUILDING DEPARTMENT USE ONLY ~ SIC : Sq. Ft. : Approval : Zoning : Approval : Approval : Occupancy: Walls : Roof : Stories : ResidenNal Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Approval: Expiration Oate : Approval : (i) This permNwas icsued in accordance with the provisions set farth in yopur aDPllcetian and is subjecl b the laws W the State W Cobrado and to Ure Zoninp Repuladons and Buildinp Code M Wheat Ridge. Coloratlo or any other epplkeble or0lnances W the Cily. (2)Thispemst shall ezpire If (A) the work authoAZed is not commenced within sizly (80) deys from issue date or (B) tlre buildinp authoAzed is suep8ntlatl or aoarMOrred for a Perbtl rn 120 dave. (3) If this permit explres, a,row pemiit may be ecquired for a tee of one-half the amount normally requireO, provided no chanpes heve been a wOf be made in the originalplans aM specificeNOna and arry suspension or ebandonment has not axceedetl one (1) year. If chenpea ere made or if euspensbn or abarMonmeM exceed6 oiro (i) year, NMlees shell be peitl for a new pertnit. (4) No work of any manMr shall be done ihat will chenge the natural llow of water causinp a tlrainege probbm. (5) Con(rector ahalinotiy M8 BuiMirig Inspeclor Mrenty-four (24) hours in advance for all inspections and shell receive writlen epproval on inopection card before proceedung with successive phases ot the job. (8) The issuarke ot a permtt or the approval ot drewings and specificeUOns shall not 6e construetl to be a permit for, nor an approval of, aM vidaHOn of the proviswPe dWDuildpWcOes or' Ch pe r ordinance, law, rule w regulation. _ ~ ,^~x, • " ief uilding sp ctor Expiration Date : Approval: Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: o~ w"E'" 9 BUILDING INSPECTION LINE • 303-234-5933 Date: + g, CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Property Owner: gQn Sityltl r Property Address: 3A30 YY►a rs h a t j 5 t Phone: 3'o~ 3~ - aa5 I Contractor License No.: ag aS Company:flECt/'Cco~l plrxoke'l 52/'Ui[~-rj Phone: 37- yloSoZ OWNEfiICONTRACTOR SIGNANRE OF UNDERSTAHDING AND AGREEMENT I hereby certity Mat the setback distances propoSeC by Nis permit aDP~icaGon are Value:5 /H'oO.Od accurate. and do not viWate applicable ordinances, rules or regulations ot the Ciry of Permil Fee:S WheatRidgeorcavenants,easementsares0ictwnsofrecad;ftatallmeawrements p~y~ Review Fee:$ shown, anA allegations made are accurale: that I have reaC antl agree to abide by all condi6ons printed on Nis application and ttiat t assume (u11 responsibiiiy tor `Se T x:$ compliance with the Wheal Ritlge B ilding CoOe (U.B.C) antl all other appli~ble Whea! Ridge Ordinances, for 71-lor der this ermit. Total:$ (OwNEHHCONTAACTOR).SIGNFD DATE, (OM/NEAHCOMRACTOR):PfiIM DATE Description: I~Q 4m)o SefVi~e CAQ„9e /W~f= 1e1• l Sq. Ft. addad COMMEN75: Approval: Zoning: BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft: 3 Ca.v.+Errrs: Approval: WORKS COMMENTS: Approval: Walls: Roof: Stories: Residenfial Units: Electrical License No: Plumbing License No: Mechanical license No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Oate: Approval: Approval: Approval: (1) This permit was issueG in accordance wiM the provisions set foM in your appGCation anA is subjeU fo the bws of the Siate ot Cobrado and W Vie Zonirp RepulaGOns an0 BuilOinp CoOes oi W hwl RiOpe. CdoraOO a any other appliobk orAinances o1 the Ciry. (2) This pertnit shall expire it (A) the work authorized is not commenCeO wiMin sinty (60) aays irom issue dale a(B) the building audiwized is suspended or abandaied tor a perioE of 120 Oays. (3) It this pemil ecpues, a new pernwl may De acpuired for a fee of one-halt the artaunt rannally required. provided rw charpes have been a wi9 be rtiade in the aginal pans and spadfintions and arry wspmsiai or abarMonment has rat exceeded one (1) Year- If chanpes have been a if wspension a abandonment eYCeeds one (1) Year, fuU Mea snaE be Daid for a new PamnM1. (a) No work oi any manner shaA be done Uwt wiN clianpe Me na4ual flow of water ausinp a tlrainape poblem. (5) Contrador shall rwGfy the BullOinp Inspecta Menty-tour (24) hours in advance tor all inspections an0 shall receive written appwal on inspecGon card Oetae vooeedirg with wcceasive phases of ihe job. (6) The iswance o( a pe'mit or ihe approval ol drawirps aM specifications shall rat be construed b be a permit tor, nor an appoval ol, any viola6on of tlu povisions of the Wildirg cotles or any otlier ordinance, law, ruk or reguWtlon. Chief BuilCing Official