HomeMy WebLinkAbout3510 Marshall StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Date: Wednesday, March 24, 20213:24:42 PM
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 3510 Marshall St
Property Owner Name Frank Pullano
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"
3034638260
Field not completed.
CONTRACTOR INFORMATION
Contractor Business seiler construction
Name
Contractor's License 180220
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
What is being replaced
Ki8xMt1�1�ti
mbeaudoin@renewalcolorado.com
mbeaudoin@renewalcolorado.com
NVA Morel,
Number of window 1 window
and/or doors being
replaced
Location of living room
window(s)/door(s)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of .30 or better
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of oullano soecs.odf
window/door cut sheets
showing sizes and u -
value
Project Value (contract 5427
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
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 Mackenzie Beaudoin
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100560
PERMIT NO: 202100560 ISSUED: 03/25/2021
JOB ADDRESS: 3510 Marshall St EXPIRES: 03/25/2022
JOB DESCRIPTION: Replace 1 living room window .30 u factor or better
*** CONTACTS ***
OWNER (303)463-8260 PULLANO FRANK P
SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 51427.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 113.97
** TOTAL ** 163.97
*** COMMENTS ***
*** CONDITIONS ***
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.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202100560
202100560
3510 Marshall St
ISSUED: 03/25/2021
EXPIRES: 03/25/2022
Replace l living room window .30 u factor or better
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�permrt. I further attest that I am leg ally 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 and/or 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 original permit 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 requ�ired
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
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/25/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Occupancy/Type
INS ECTION RECORD
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 following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
tConcrete 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
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insoectio
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
3
Lath / Wali 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 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 voitage permits — Please be sure that rough inspections are completed from the Fire District
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
low voltage
City of Wheat Ridge
w Residential Roofing PERMIT - 201704699
PERMIT NO: 201704699 ISSUED: 07/24/2017
JOB ADDRESS: 3510 Marshall ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 40 sq.
(35 sq. pitched, 5 sq. flat)
*** CONTACTS ***
OWNER (303)463-8260 PULLANO FRANK P
SUB (303)296-8551 Production 019898 AVI, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,280.00
FEES
Total Valuation 0.00 — --`-'
'i
Use Tax 215.88
Permit Fee 220.15
** TOTAL ** 436.03
*** 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 - 201704699
PERMIT NO: 201704699 ISSUED: 07/24/2017
JOB ADDRESS: 3510 Marshall ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 40 sq.
(35 sq. pitched, 5 sq. flat)
I, by my signature, do hereby attest that the work to be performed shall co.
applicable building codes, and all applicable municipal codes, policies anc
by the legal owner of the property and am authorizes to obtain this permit
this_permrt. I further attest that I am legally authorized to include all entitii
performed and that dll,work to be performed is disclosed in this document
ith all accompanying approved plans and specifications,
lures, and that I am the legal owner or have been authorized
rform the work described and approved in conjunction with
.d within this document as parties to the work to be
its' accompanying approved plans and specifications.
,? -17
Signature of OWNER or CONTRACTOR (Circle one) Date
I. 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 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 any 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 field inspection.
Signature official Date
REQUESTS MUS BY 11:59PM ANY BU - ESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz -V77
From: no-reply@ci.wheatri dge.co.us
Sent: Friday, July 14, 2017 5:52 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
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
3510 Marshall St
Frank Pullano
303-463-8260
fpullano1 @hotmail.com
-t 43 6. 03
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 AVI Inc
Contractor's License 19898
Number (for the City of
Wheat Ridge)
Contractor Phone 303-296-8551
Number
Contractor Email Address production@aviroofing.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:
production@aviroofing.com
No
Tamko Heritage
Asphalt
Field not completed.
How many squares of the 35
material selected above? /
Does any portion of the Yes V
property include a flat
roof?
If yes, how many squares 5
on the flat roof?
TOTAL SQUARES of all 40 V
roofing material for this
project
Provide additional detail Roof
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract -qo86,
value or cost of ALL l
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 Cara Meyer
Email not displaying correctly? View it in your browser.
3
} \\A
d \id
! =E•
\� )
!
a[
IL ■
)
\
)`]k{]
}\
\{§
§ƒ�
)\ ))\
CC
!!
!){!)
(
\� )
!
AVIROOFING E -
PROPOSAL AND AGREEMENT river,E. er, CO 80216 CA80216
PHONE: 303-296-8551 E-mail: office@avirooffng.com
www.avirooffng.com
FAX: 303-296-8557
Name: Frank Pullano CELL If 0 Home Phone: 303-463-8260 Email: fpullanol@hotmail.com
Billing Address: 3510 Marshall St Wheat Rid CO 80033
Job Address: 3510 Marshall St Wheat Rid CO 80033
AVI Roofing, Inc. ("Contractor") agrees, subject to the Additional Terms and Conditions on the reverse side of this Proposal & Agreement, to furnish all materials, labor and equipment necessary for the work
specified below located at the address stated above:
DESCRIPTION OF WORK TO BE PERFORMED AND MATERIALS TO BE SUPPLIED:
Shingle Manufacturer and Field Squares 35.00 sqs Tamko Heritage COLOR TBD
Ridge Type 9 bundles HIP AND RIDGE
Manufacturers Warranty 15 YEAR FULL START WARRANTY, 30 YEAR LIMITED TO BE REGISTERED WHEN THE JOB 15 COMPLETE
AVI Workmanship Warranty 5 years
Tear off existing roof layers and haul away 2 layers
Install base felt
q
rolls
TAMKO SYNTHETIC GUARD
r v r
Remove and replace plumbing flashings
3
each
$�.%�Kyl '/� �,�1 l _
Install all new roof vents
10
each
DURAFLO WP 50
F11 91
Install ridge ventilaton
0
rolls
OC VENTURE RIDGE
Install valley material
3
rolls
90LB
Install ice Guard on Eaves
4
rolls
YES
f
Install valley material on Valleys
2
rolls
YES
i
Install Ice Guard on Penetrations
0
rolls
INCLUDEDf/j
Install 2 X 2 rake flashing
60
feet
Color
Install 2 X 4 eave flashing
280
feet
Color
Install step flashing
1
bundles
8X8 Color
Install headwall metal 0 each 4X5 Color
SKYLIGHTS 0 each KIT Color
SWAMP COOLER
1 each KIT Color
CHIMNEYS 1 each KIT Color
MISC 0 each 0.00
MISC 0 each 0.00
MISC 0 each 0.00
Permit furnished by AVI
SPECIAL INSTRUCTIONS:
1 The Home Owner has a 3 day right of recision to cancel this contract within 72 hours of the date signed on this contract.
2 The approximate work start date is . The job should take at total of days.
3 The price on this contract does not include Lead Mitigation.
4 Decking will be inspected after the roof is torn off and if material is deterioated AVI will remove and replace it with your approval at an
cost of $65.00 per sheet to remove and replace a 4x8 sheet. $35.00 per sheet to layover existing decking.
CONTRACT PRICING:
RE -ROOF PRICE: RE -ROOF F
Re Deck with 7/16 OSB GET SUPPLEMENTLE FROM INSURANCE
TEAR OFF SECOND LAYER GET SUPPLEMENTLE FROM INSURANCE TEAR OFF SECON
gutters 5" GUI
TOTAL CONTRACT P
PERMIT COST TO BE BILLED TO THE INSURANCE AS AN EXTRA.
Payments to be made as follows: 50% is due upon delivery of materials. The balance is due upon completion of work.
All money collected prior to the job starting will be held in a separate account until the job is at least 50% complete.
IJpayment is made by credit card a 5% service charge will apply.
Replacement of deteriorated decking, fascia boards, roof jacks, ventilators, flashing or other materials, unless otherwise stated in this Proposal & Agreement are not Included and will be ch
Owner is responsible for removal of all outdoor furniture, awnings, or other outdoor fixtures prior to the start of the Work. Owner to prime and paint any replaced wood and / or metal.
work relating to asbestos or polychlorinated hiphenyl (PCB). Owner will be responsible for the additional cost of removal or cost to render harmless this material in the event that such mated
expire in ten (30) days from date unless accepted in writing within that time by Owner, or unless the expiration date is extended In writing by the contractor and this Proposal & Agreeme
extended expiation date. Also, after 10 days from the date below, Contractor reserves the right to revise its price in accordance with costs in effect at that time. All proposals are subject to approval of Contractors Management.
Customer signature
The above prices, specifications and conditions are satisfactory and are hereby accepted. AVI Roofing, Inc. is authorized to do the work as specified.
ACCEPTANCE OF PROPOSAL:
made this day of
By signing this agreement I have read and understand the Additional Terms and Conditions are part of this Proposal & Agreement.
Don Delisa
(o1r23%1t`�
Date
05/28/17
i CITY OF WHEAT RIDGE
fi
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
z.
Lj No one available for inspection: Time AM/ M)
Re -Inspection required: Yes CN6
When corrections have been made, call for re -inspection at 303-234-5933
Date:r I
Inspector
i
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
:�9 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:`/
❑ No one available for inspection: Time f� rr ,' X61/PM
Re -Inspection required: Yes /-No
When corrections /lave been made, call for re -inspection at 303-234-5933
Date: U Inspector:
DO NOT REMOVE THIS NOTICE
DEPARTMENT OF PLANNING AND DEVELOPMENT
~ BUILDING INSPECTION DIVISION - 235-2855
. CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
4899
4/17/97
Property Owner :
Property Address : 3510 MARSHALL ST
Contractor License No. :
Company :
Phone: 420-3241
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 Ritlge or
covenants, easements or restrictions of record; that all measurements shown, and ailegations
made are accurate; that I have read and agree to abide by ail 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) SIG TE'1- t'F
Description : NEW FURNACE
Construction Value :
$1,500.00
Permit Fee :
$49.50
Plan Review Fee :
$0.00
Use Tax :
$30.00
Total:
$79.50
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
yFS~ue~
Approval:
Zoning :
Approval:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration DaZ=
Approval: Approval: Approval:
n
(1) This permit was issuetl in acwrdance with the provisions set forth in yopur application and is subject to the laws of ihe Slale of Colorado and lo the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shatl expire if (A) the work authorized is not commenced within sixly (60) days from issue tlate or (B) the builtling authorizetl is suspended or
abandoned for a periotl of 120 days.
(3) If this permit expires, a new permit may be acquired for a Fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifica[ions antl any suspension or abandonment has not exceedetl one (1) year. I( changes are made or if suspension or abantlonment
exceeds one (1) year, futl fees shall be paid for a new permit.
(4) No work oF any manner shall be done that will change lhe naWral flow of water causing a tlreinage problem.
(5) Contractor shall notify the Buildin,y Inspector lweniy-four (24) hours in advance for all inspections and shall receive written approval on inspection card hefore
proceediing successive phases o( the job.
(6) The issa p§rmit or the approval of drawings and specifications shall not be constmed ro be a permit for, nor an approval of, any violation of the pmvisions
of the b tlin coqq6 or any otheyordirjl~ince, law, rule or regulation.
Inspector
IS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
PropertyAddress:3C~~0
Phone : IA?-(-)
Contrector License No. : -
Company : Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit appliwtion 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 agree to abide by all wnditions 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, forwork under this permit.
(OWNER)(CONTRACTOR) SIGNP,'Y_,_... ~ V. l Y-C S SScv.-~TE y- L_4 "~i.~
Description:
Construction Value : C-cn)
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
BUILDING DEPARTMENT USE ONLY
Z6fiiii-~+xC~§~Fgy SIC : Sq. Ft. :
Approval :
Zoning :
eUIIra«aR-o~
Approval :
P,.ilbliLlW . ~
Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No ; Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
n 0 lPlMM~ffid= No~fl§SRiQmm
(7) This permit was issued in accortlance wiU the provisions set forth in yopur application and is sub'ect to the laws of the State of Colo2do antl to the Zoning
Regulations and Building Code of VJheat RiCye, Colo2do or any other apPlicable ordinances of the Ciry.
(2) This pertnit shall expire d(A) the work aulhonzed is not wmmenced within si:ry (80) days irom issue date or (e) the building authorizetl is suspended or
abantlonetl for a period of 120 tlays.
(3) If this pertnit expires, a new permit may be acquiretl for a lee of one-half the amount normally requireO, provided no Uanges have been or will be made in the
original plans antl specifications and any sus nsion or abanaonment has not exceeded one (1) year. II changes are made or il suspension or aEandonment
exceeds one (1) year, lull fees shall be paitl or a new permit.
(4) No work of any manner shall be tlone that will change the naturel flow ol water wusing a drainage pro0lem.
(5) Contractor shall notify the Building Inspector Rvenry-lour (24) hours in advance for all inspections and shall receive writlen approval on inspeclion card before
proceeCiing with successive phases of the job.
(6) The issuance ot a permit ar the approval ot drawings and specilcations shall not be construed to be a permil for, nor an apProval of, any violation ol the provisions
of the building wdes or any other ortlinance, law, rule or regulalion.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION