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3730 Marshall Street
INSPECTION RECOINM Occu cv/Tvt)e INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection 30 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 Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underaround or Below/in-Slab Work Prior To Annrnval of Tho Ohnva Incnacfinr Rough Inspections Date Inspector Initi s Comments WWI Sheathing 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 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) "ire Inspection / Fire Protection Dist. nal Electrical inal Plumbing ,sinal 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. rvr iow voitage permiis - nease De sure mat rougn inspections are compietea trom the Tire uistnct ana electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: S N �-- Job Address: �7 3 U Permit Number: -?v�7v3-72 ❑ No one available for inspection: Time ' AM&M Re -Inspection required: Yes N,. When corrections have been made, call for re -inspection at 303 -234 - Date: 7y p Inspector: (` ��- DO NOT REMOVE THIS NOTICE 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 10 Job Address: b 7r5�„ I/ S Permit Number: I E17 v ❑ No one available for inspection: Time 7 AM/F q Re -Inspection required: Yes 60) When corrections have been made, call for re -inspection at 303-234-5933 Date: % Inspector: Kk DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPE CTION NOTICE Inspection Type: Job Address: 3i3 v 4 111 C Permit Number: v/_2077 ? ❑ No one available for inspection: Time �Y/PM Re -Inspection required: Yes ,tic When corrections have been made, call for re -inspection at 303-234-5933 n Date: ( l inspector:'' DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703726 PERMIT NO: 201703726 ISSUED: 07/11/2017 JOB ADDRESS: 3730 Marshall ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 26 sq. *** CONTACTS *** OWNER (303)455-5734 LOFQUIST KENNETH SCOTT SUB (303)997-8012 Aaron Anders 100039 Acclaimed Roofing of Colorado *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,513.00 FEES Total Valuation 0.00 Use Tax 220.77 Permit Fee 220.15 ** TOTAL ** 440.92 *** 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 - 201703726 PERMIT NO: 201703726 ISSUED: 07/11/2017 JOB ADDRESS: 3730 Marshall ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 26 sq. y 1, 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 munici al 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 attes� that I am.l?ally authorized to include all entities named within this document as parties to the work to be performed and t at all %worr to be performed is disclvged in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circletone) 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. Thispermit 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 an 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 issua ranting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable codOr any ordinaticg-�ai' reg lation of this jurisdiction. Approval of work is subject to field inspection. J e Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 3:55 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 3730 marshall st kenneth Lofquist 303 455 5734 Field not completed. t 44o-T--�- 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 acclaimed roofing 100039 303997 8012 Contractor Email Address acclaimedroofing@yahoo.com Retype Contractor Email acclaimedroofing@yahoo.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing oc duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? 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 26 ✓ roofing material for this project Provide additional detail house and shed 5/12 pitch here on the description of F] 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) 10513 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 omar mijares Email not displaying correctly? View it in your browser. 3 Office Location: 8785. Lipan Sy Unit B, Denver, C080223 Sales: 303 -592 -ROOF (7663) SELECTION OF MATERIALS AND CONTRACT FOR CONSTRUCTION LakewoodAcclaimed Roofing of Cokxade Inas its general liability through Mesa Underwriters Specialty insrrtance Co and may be contacted through our agent Orcutt Insurance Group, LLC at 965 S Kipling Pkwy #B, akewooCO 80226. Acclaimed Roofing o font do shall hold any payment received from you untfl Acclaimed Roofing ofCdorado has delivered roofing materials at the site orhas performed a majorityof the roofing wort: on Your Property this conRact may be remanded or canceled if the insurance has denied coverage of the claim and you may receive a full at ofany deposits made Its further understood that itis ille0 and a criminal act forany contractor to waive or pay forthe dedtuUWe portion ofthe claim compliant with Colorado law sB38. Acclaimed Roofing of Colorado agrees to Install the following materials selected by the customer. The customer selects fire following materials and directs Acclaimed Roofing of Colorado to furnish this material and its labor In a good and wodonanlike manner according to standard practices In the industry. Any modt6cations, changes or additions must be in writing and agreed to between the pardes as evidence by theirsignatures. Acclaimed Roofing ofColorado will not bili any additional money to custamerand agreestobill the Insurance company directly for any additional work performed due to hidden site condition. Ifthere is any work performed on the property during mrizuetion that is not in the original scope offs provided by the insurance company, Acclaimed RoofingofCoforado retains the right to bill the insurance company forany additional work performed I/We agree to payAcxlaimed Roofing ofColoradoany additional funds received from the insurance company regarding this los and work performed Acclaimed Roofing ofColorado wN nothold the cnstomerresponible 661paybrganyadditional funds notagreed to in this contract ifthe insurance refuses to pay for Ore additional work performed. Proper installation ofthe rool'system may require replacearientolexistbig flasift Duringsuch replacement;sidingadjacentdris dwhingxvhich has deteriorated may crack break or tear. Acclaimed Rooling ofColorado will make every reasonable effort to avoid damage, but will not be responsible for any consequential damage to siding. During the application ofthe roof system, vibration from the roti may be transmitted throughout the building Acclaimed RooffirgofGolorado s not responsible for ratted sitting paint and sheetrock damages due m vibration. The cusNtner further assumes responsibility for all objets r ug from exteriorand interior walls and from ceiling and so$tts. These have been known to fall dining installation andAccialmed Roofing ofCoforado will not be responsible for these ocurrences it Is further tuuietstood thatventand gas pipespenetratiWthrough the roofmaysbittduring construction. Acclaimed RoofingofCdorado recommends thatthese pipes be inspected bya licensed plumber due to leakirggases but will not pay the expense ofsuch an orafl'illatesare notiiablefor defects or i� aOnAllmaterlaitvanantiesareprovidede.Yptesslyandsoleiythroughthenrateriairrrantdadester.AcdaimedRoofmgofCoioradoandits s n per$mnaace completed on the property, ofmaueriats used. By signing this agreement [/We hereby agree to have a licensed plumber inspect all pipes and penetrations ager construction has been Insurance Coanpay: f"' I t Gz CLAIM # 014 ST., S 57'`7 O Rrand :�W�E'l�f p1lPe+ .N=L`t'i colorji ilitfi'Y O Remove Existing Roof And Inspect Decking O Deck Roof —V Ir -5 O Gutter Work � ,;Scope of Gutter Work Akke-'j O Paint Worcs 04C Scope of Paint Work O Install 2" Inch Edge Metal/ Color O ApplyA_ i ; LB Underlaymentsystem Install U - LB Valley System O Standard Nails, Starter Course Shingle, Sidewall Flashing where needed, chimney flashing, caulking O Install ALL Covers ,Far rPPVC Pipe lacks And Vents O Install tt Type Ventilation O Run Magnet For Nails, Clean up construrtion site and haul away debris PREFERRED (ONTRA(TOR Insurance Claim Specialists 5 -Year Worlananship Warranty GRAND TOTAL: = (RCV)$ AllSuonletraents&ermttsApnroved IrrsuraRCQ• PAY ENT TO BE MADE AS FA—L(_OWS '�- y L FIRST Payment of $ (-V CJ ► 3 .�'�! due Upon completion of this contract + DEDUCTIBLE OF $ ~ C, materials. FINAL Payment of $ i i✓ will be due upon delivery of all supplements approved by the insurance company/including permit fee will be due after work has been completed by Acclaimed Roofing of Colorado. Address: ✓ U :A""-_ k' i City/State/Zip: _ Home Phone:Coli /Work: EMAIL: Ij tj.' 'S L— 0- f- have read the following contract and agree with The Terms and Conditions. By the acceptance of this Contract, the Owner agrees to pay for the work and/or L materials at the prices set forth. U Initials: I/We specify that Acclaimed Roofing of Colorado is to be included on any and all checks issued to the customer. v, SL Initials. Acclaimed Roofing does guarantee that all work performed will pass applicable governing inspection, however I/We acknowledge we do not to have the right to withhold funds from the company due to pending city or county inspections. Customer Signature: _ Date: Acclaimed Roofing Of Colorado Representative: i ZG JUL/12/2017/WED 09:17 PM Insurance Centers FAX No,719-528-1564 F. 001/001 ACORl® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 7/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cheryl Renteria NAME: y Insurance Centers of America Inc 2055 Anglo Drive Suite 200 PHONE (719)526-5400 FAX AIC No Ext: AIC No:(719)528-1564 AIL ADDRESS:cheryl@icainsurance.com INSURER(S) AFFORDING COVERAGE NAIC # 7/11/2018 INSURERA:Scottsdale Insurance Colorado Springs CO 80918 INSURED INSURERB: High Country Home Improvement LLC INSURER C: 738 Parkview Ave. INSURERD: INSURER E : INSURERF: Golden CO 80401 CUVIIi LAI IIMCA 11- NIIM141I /--Lb RF\/ICIf1N NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR CPS2709129 7/11/2017 7/11/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE 0 RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY ❑ PRO JECT ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 Blanket AI -ongoing $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident P ( ) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E . DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) ,-crx I IrILNI c r'7ULUCR (303)237-8929 City of Wheat Ridge 7500 W. 29th Ave. Wheat Ridge, CO 80033 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C Renteria/CHERYL -k © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) F wHenr City of Wheat Ridge cOLORP~0 Residential Roofing PERMIT - 071019 PERMIT NO: 071019 ISSUED: 09/20/2007 JOB ADDRESS: 3730 MARSHALL ST EXPIRES: 03/18/2008 DESCRIPTION: REROOF 22 SQUARES - NO TEAR OFF. CONTACTS GC 303/653-0978 Larry Merkl 01-9620 Larry Merkl Coatings GC 303/455-5734 LOFQUIST PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,750.00 FEES Permit Fee 108.30 Total Valuation .00 Use Tax 49.50 TOTAL 157.80 Comments: MUST BE 6 NAILED SUBJECT TO FIELD INSPECTION I hereby r,ertify that the setback distances proposed by this permi[ application are accurate, and do no[ violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that a11 measurements shown, and allegaCions made are accura[e; that I have read and agree to abide by all conditions printed on this applic"on and Chat I asaume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all o[her appli¢3¢3e Wheat Ridge Ord4nance.qy £or woyk uyAer this permit. Plans subject [o field inspection. _ Signature of contractor/ow ' date 1. This permit was issued in accordance with the provisions set forth in your applicaCion and is subject to the laws of the State oE Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit eha11 expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted aC the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount nornally required, provided no changes have been or will be made in the original plans and specifications and any suspens on or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one Lyear, fu11 fees shall be paid for a new permit. 4. No work of any manner shall be done tha[ will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Huilding Inspector twenty-four (24) hours iv advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit ar the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is aubject to fi d' pections. Signature of Chief Building Offi a date INSPECTION RHQUHST LI :(303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS NNST BE MADE BY 3PM ANY BUSINESS DAY FOR ZNSPECTION THE FOLLOWING BUSINESS DAY. oF`"."E?TR, City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 ~ o Inspection Line: 303-234-5933 °coana a Property Address: Property Owner (ple Date: Plan Permit -1 9 3 c) ~ ase prinQ: Phone:S f7 Mailing Address: (if diNereni than property address) Building Permit Application Address: 3 2 j l;, % City, State, Zip: (,{)Le,~~ ptisvp-z , & r Ao Contractor: ~ O Contractor License #v : Phone: ~ f) .3 -SS S - G 2a ` Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): tft;K~ Construction Vaiue: Sac~0J Description of work: ..~~/J .C+y"~ +rJ (as calculated per the BufldinAValuatlon Date sheeU r Z2~~ Plan Review (due at time otsu6mittal): $ Sq. Ft./L.Ft added: AM. Squares 2-a_ BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, tor work under this permit. Plans subjeet to field inspeetion. CIRLCE ONE:: (OWNER) (CONTRAC,~TOJ~R) or PERSONAL REPR ENTATIVE of IE )(CONTRATOR) PRINT NAME: kT/tc.I2~///~%IC/1 ~.J SIGNATURE Date~" z'U ~ ZONING COMMENTS: Zoning: Reviewer: DEPARTMENT USE ONLY PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: ❑ approVed W/ commenGS ❑ dlsapproVed ❑ n0 rBView r9quifed City of Wheat Ridge Planning and Development Department Memorandum TO: Accounting Department FROM: Kristy Shutto, Building Division SUBJECT: Refiznd for Permit DATE: Dea 24, 2001 Reason: Owner used a different contractor. Please refund the permit for 3730 Mazshall St. for the Heat Exchange Systems, Ltd. Please refund: 100% perxnit fee: $41.80 100% plan review $ 100% use tax: $16.50 Total: TO: Heat Exchange Systems, LTD 7650 W. 120' Ave. Broomfield, CO 80020 (303) 469-0993 Thank You! Kristv M. Shutto Bldg. Dept. Secretary $58.30 CABuilding DepaiTment\Word PerfecflForms\Refund Total Permit wpd - ~ SVSTEMS, LID. HC.ITII10 C Alft COlIDITIMlryO 91LCIALISTS "Environmentally Conscious Indoor Comfort Experts"" December 6, 2001 City of Wheat Ridge Attn: Building Permits 7500 W. 29' Ave. Wheat Ridge Co 80215 Re: Permit Refixnd To whom it may concern, Please cancel pernut # 13128 and issue a refund to Heat Exchange Systems LTD. The homeowner at 3730 Mazshall St. decided to use another contractor after Heat Exchange Systems LTD had akeady issued a pernut. IF questions or concerns please call me at 303- 469-0993 Thank You ~Oj~r Aqgela Rodgers 7650 W. 120th Avenue • Broomfield, Colorado 80020 (303) 469-0993 • Fax (303) 469-8998 • www.heatexchange.com Printed on Recyded Paper ~.Ow ~r - / DEPARTMENT OF PLANNINGAND;DEVELOP4MENT ~ E JBUILDING~INSPECTIOON"LINE~``;303 2345933 CITY OF`WH~EAT RIDGE n ° ` 7500 WEST~`29T,H,A'VE , NUE r ~ _ R=WHEA>T~RIDGE;,COx80215 (303 235,2855) -r' t4 ~ k ( Y- . ..F- . . .a u~ i 4 ~ DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Plumbing License No : Company: 13219 12/5l01 Property Owner: MR. BEVIS Property Address : 3730 MARSHALL ST Contractor License No. : 18057 Building Permit Number Date Phone : 424-1423 Company : Modelco Electric, Inc. Phone : 227-0364 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, a do not violate applicable ordinances, mles or regulations of the G(y of Wheat Ridge or covenants, easements or restridions of record; that all measur~fients sl}own, and allegations made are accurate; that I have read and agree to abidekt al4tond~ ~ps printed on this application, and that I assume full responsibility for cohipliatice fhe heat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge'ordirta , fo ork under this permit (OWNER)(CONTRACTOR) SIGNED -17 TE Description : FURNACE HOOKUP Construction Value : $200.00 d Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $3.00 1 Total: $26.50 n use : ~ ~ BUILDING DEPARTMENT USE ONLY A 4,0 SIC : Sq. Ft. : Approval : Zoning : 00111 Approval : PO~~~ 0#0er; Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : 18057 Company :Modelco Electric, Inc. Expiration Date : 2/28/03 Approval : OK/KS Mechanical License No : Company : Expiration Date : Expiration Date : Approval : Approval : (1) This permit was issued in accordance with the provisions sel torth in yopur application and is subject to the laws of the State of Cobratlo antl lo the Zoning Regulations and Building Code of VJheat Rid9e, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorizetl is not commenced within sixry (60) days from issue tlate or (6) the builtling authorizetl is suspended or abantloned for a period of 120 days. (3) If lhis permit expires, a new permit may be acquiretl for a fee of one-half the amounl normally required, provided no changes have been or will be made in the original plans and specifications antl any suspension or abandonment has not exceeded one (p yeac IF changes are matle or if suspension or abandonment exceeds one (1) year, full fees shall 6e paid for a new permit. (4) No work of any manner shall be done [hat will change the naNral flow of water rausing a tlreinage problem. (5) Contrector shall notiy the Building Inspector twenty-four (24) hours in atlvance for all inspeclions antl shall receive written approval on inspection cartl before proceetliing with successive phases of the job. (6) The issuance of a permit or the approval of tlrawings and speci(cations shall not be consiruetl to be a permit for, nor an appmval of, any violation of the prov' n of the buil . g cotles or any other ordinance, law, rule or regulation. ie{BuildinV spector ~ DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: /dL^ Property Address Contractor License No. Company : o//` f ~~~1.~!~! Phone ~Z y'~ Z 23 2%G✓i`°~ ~i~ Phone:V.7- 22E~"4 3zC~ 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 restridions of record; th II me rements shown, and allegations made are accurate; that I have read and agree t ide II conditions printed on this appliwtion, and that I assume full responsibil' o co iance ith the Wheat Ridge Building Code (U.B.C.) and all other applicable Whea id rdin for rk under this pertnit. (OWNER)(CONTRACTOR) SIGNED DATE/ Z_ - ~f/ Description i/ Approval: Zoning : ~01fd11f~CbftliiCe~ Approval: Approval: Occupancy: Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approvai: (7) This permit was Issued in aaortlance with the provisions sel forth In yopur application and is su0ject Io the laws of the Stale al Cobrado anC to the Zoning Regulatlons aM Builtliriy CoOe of Wheat RiGQe, Cob2EO or any oNer applimCle ordinances ol the Ciry. (2) Thia permil shall exqre d(A) the woAc auNOnzeE is nol commenced wMin sixty (60) tlays from Issue Oate or (8) the huilEinq aWq(iie0 is suspenCeC w abaridaned for a period o1.120 days. (J) II Nis pemvt expires, a new pertnrt may be acquireA ior a(ee o1 one-nan the amount nomaly required. provi0ed no changee nave been a wiu De maoe in the onginal plans and spedfifations and any auspension w aban0onment has not exceeAM one (1) year. II cha'ges are made or if wspension w aEaManment exceeEs one (1) year, lull fees shall be paid lor a new permlt. (4) No vrork o1 any manner shall be Eooe Ihal will change the naWral Ibw ol water wusing a E2inage problem. (5) Coavaaw shail ratiy the Builtling Inspecior twenry-four (24) hours in atlvance tor ail mspeNons anC shail receive written aDOroval on inspeclion aM Oelore proceeCiing with successiveph axs of the'p b. (6) TAe issuance o/ a pertnit w ihe approvel of dawings and spetifKaUons slull not be mnsWeC to be a permit Iw, nor an appraal o( arry vblation of the provisbna . of the builCinp m0es of any other pdinance, law, iula or requWfion. Chief Building Inspector Building Permit Number : Date : Construction Value Permit Fee : Use Tax : Total: $0.00 Use BUILDING DEPARTMENT USE ONLY Walls : Roof SIC : Sq. Ft. : Stories : Residential Units : For Mayor THIS 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 INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 13217 12/4/01 Property Owner: Property Address Contractor License No. Company MR. BEVIS 3730 MARSHALL ST 18111 Cooper Heating & Cooiing Phone : 424-1423 Phone : 466 4209 OWNER/CONTRACTOR SIQNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that i assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : 100,000 BTU FURNACE W/ ELEC W1Electrical License No : Plumbing License No : Mechanical License No 18111 Company : Company : Company : Cooper Heating & Cooling Expiration Date : Expiration Date : Expiration Date : 2/13/02 Approval : OK/KS Approval : Approvai : (1) This permit was issued in accorUance with the provisions set forth in yopur applicaGon and is subjed to the laws of the State of Colorado and to the Zoning Regulations antl Building Code oF Wheat Ridge, Coloretlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced wi[hin sixty (60) days from issue tlate or (B) the building authorized is suspended or abandoned tor a period of 120 days. (3) If this pertnit expires, a new pertnit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in the original plans antl specifications antl any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment ezceeds one (i) year, tull fees shall be paid Por a new permit. (4) No work of any manner shall be done lhat will change the natural flow of wa[er causing a tlrainage pro6lem. (5) Contractor shall notify the Building Inspector lwenTy-four (24) hours in advance kr all inspections and shail receive written approval on inspection card before proceetliing with successive phases of the job. (6) The issuance of a permit or the approval ot drewings antl speciBCations shall not be constmed to be a permit for, nor an approval of, any violation of the provisions o( the building cotles or any other ordinance, law, rule or regula[ion. Chief BAkA a I p Construction Value : $1,600.00 Permit Fee : $57.05 Plan Review Fee $0 00 Use Tax : $24.00 Total: $81.05 TE US@: DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT R1DGE, CO 80215 - (303-235-2855) Property Owner: KQ, 3ev, 5 PropertyAddress:37'3c) ma ----rla~~ S-t-_7 Ccntractor L;c2nse No. : 16111 Company : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND Buiiding Permit Number : Date : Phone : Q-;4 ' ~ 4-23 Phone: Cons,ruction Value : ~ Icop - o°rmit Fe= : 57 05 ~SZ ~ =Y od Total ' [~7i 1 05 I hereby certify that the setback distanc=5 proposzd by this oennit appliwtion ;re accurate. and Co noc •nolatz apolicable ortlinances, rules or regulations ot !he Clty ar VVhea; RiCge ar covenants, easements or restrictions of recortl; Ihat all measurements shown, and allegauons maCe ar= accurate: tha[ I have read and agree lo abide by all contlitlons prin;zd en lhis -pciica;icr., anC ;nat I assur..e `ull rzsponsioiliry rer cemFliance with :heWheat RiCge Building Code (U.B.C.) and ail other applica6le Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTR,4CTOR) SIGNED ~ DATE It bIOl Description : use: V)ot 0 oo Il BUILDING DEPARTMENT USE ONLY aamammmma Approval : Zoning : 8t7' L_t__~_~ Approval : ~bt rc~ Approvai : Occupancy : Walis SIC : Sq. Ft. : Roor : Stories : Residentiai Urits : Electrical License No : Company: Ezpiration Date . Approval : Plumbing License No : Company ; Expiration Date : Approval : Mechanicai License No : Company : Expiration Date : Approval: (1) Tnis pertnit was issue0 in acCOrtlance with tAe provisions set brth in yoour appliCdtlon and is suOjeC :o Ine laws ot Ne State o! Cob2ao and W tne Zoninq Requlations and Bmltling Coae of Wheat Riege. Coioraeo or any oNer ap0licabie ortlinances of the Ciry. (2) This permit shall ex0ire R(A) Ne work auNonzetl is not commenceE withm siaty (60) Eays trom issue 7a[e or (8) Ihe building auNOnzeE is sus0ended or abantlonetl kr a penotl ot 120 Eays. If this pertnit expires, a new permd may be acquirey !or a(ee ot one-hal( the amwnt normally required, provi0ea no changes nave Oeen or wili Ge maae in the odginal plans and specifications and any sus0ension or abanCOnmenl has nct exceeOeG one (1) yeac 11 c0ange5 are made ar i! suspension or abanEOnment exceetls one (t) year, lull lees s0all Oe paiG !or a new pertnit. (4) No wofk of any manner 5hall be Cone Nat will Change Ue naW21 Aow ol Wa[ef CauSing a Crainaqe proClem. (5) Convactor shall notiiy Ne BuilGin proceetli g InsoeCOr tweny-lour (24) hours in atlvance lor alt inspections and snall receive wntten apProval on inspec6on rarC helore ing with successive phases of Ne jo0. (fi) The issuance of a pertnit or the appmvai of tlnwings and ipecifcatlans shall not he construeC ta Oe a pertnit for, nor an appmval o[ arry violafion of Me provisions of the 6uilCing codes or any oNer ortlinance, law, ivle or re9ulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 13128 11/15/01 Property Owner: TOM DEBUS Property Address : 3730 MARSHALL ST Contractor License No. : 18935 Company : Heat Exchange Systems, Ltd. Phone : 469-0993 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or cAVenants, easements or restrictions of record; that all measurements shown, and allegations made are accurete; that t 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) SIGNED DATE Construction Value : $1,100.00 Permit Fee : $41.80 Plan Review Fee : $0.00 Use Tax : $16.50 Total: $58.30 Use: Phone : 424-1423 Description : INSTALL ONE 75,000 BTU FURNACE AS PROPOSED BUILDING DEPARTMENT USE ONLY m , , SIC Approval : Zoning : Approval : Approval : Occupancy : Walis Electrical License No : Company : Expiration Date : Approval : Roof : Stories Plumbing License No : Company : Expiration Date : Approval: Sq. Ft. : Residential Units : Mechanical License No : 18935 Company : Heat Exchange Systems, Ltd. Expiration Date : 11/27/02 Approval : OK/KS (1) This permilwas issuetl in accordance with the provisions set forih in yopur appliwtion and is subjecl to the laws of the State of Colorado and to the Zoning Regulations and Building Cotle of VJheat Ridge, Coloretlo or any other applicable ordinances of the City. (2) 7his permit shall ezpire if (A) ihe work authorized is not commenced within siuly (60) days From issue tlate or (B) the building authonzed is suspentletl or abandoned for a period of 120 days. (3) If this permil expires, a new permit may be acquiretl for a fee of one-half ihe amount nortnally requireq providea no changes have been or will be made in the original plans and specifications antl any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid tor a new permit. (4) No work of any manner shall be done thal will change the natural Flow oF water causing a drainage problem. (5) Contredor shall notity the Building Inspedor hvenly-four (24) hours in advance for all inspections and shall receive written approval on inspection card 6efore proceediin with suxessive phases of the job. (6) The iss of ar~miy/r the approval of tlrewings and speci(wations shall not be construetl to be a permit for, nor an approval of, any violation of the pro ns t~~t L cotles or anY other ordinance, law, rule or re9ulation. Chief Building I pector 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 : I 11G~1()1 Property Owner : I)aa S / L Property Address : Contrector License No. QG) CompanY : SL/~l -i- /✓/1 d'1///71A0,LSl" OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING I hereby certify thal the setbarJc distances proposed by this pem+k apDlication are accurate, and do not violate applipble ordinances, ruks or regulations o( 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 an agree to abide 6y all wnditions printed on this application, and that I assume full res ibil'Ry fortompliance wilh the Wheat Ridge Building Code (U.B.C.) and ali oNer appliwbl at Ridge ordinan s, for wark under this pertnit. (OWNER)(CONTRACTOR) SIGNE DATE c PaU ~o c~ac.2.c Description 4oran Approval: ' Zoning : SQI (d I_}fdSCbMC€M Approval : P_OtS1~i..WVdFI a R~= Approval: J _Occupancy : . . _ Walls Electrical License No : Company : Expiration Date : Approval: Phone: LM Lf - lqaj3 Phone : 41K-6051~J ConsWction Value Permit Fee : UseTax: Total : t-jff, :3 00.00 . Use BUILDING DEPARTMENT USE ONLY Roof Piumbing License No : Company: Expiration Date : Approval: SIC : Sq. FL : Residenlial Units : Mechanical Lice/nse No : l~q3~ Company : 4Gc~ kzjL E 0 ' Expiration Date : Approval: (7) TAis pemrit was ISSUed N aaardanCe wiN tlro plovlsiMa set IoM In yopur appliraYan anE Is suEjeCt b Me Wn Of Ne Slale d Cobndo anA W Me Zoninq ReyulaUons and Buading CaEe of Whaat RiOga, CdonEO w any ouxr applicaWe atliruncef of ft Ciry. (2) . TTiy pertrvt stu4 espim d(A) Lhe work aWi=ed'u nol wrtwnenceE wNm suN (60) Cays hom bsue Cate or (8) Cia CudE4q aWqrized'u suspeiWed u a WnOaneA fot a peAOC M 170 days. (a) It uus pemrt e:pira, a new, pemut may be aaWutred la a (ee M oncnzil tna amount nomuM requima, pnvaea no wn9es na.a eeen a w;n be maee in ft pginal pqna aM speafitaUOns anO arry wspension W aOanEOnmmt has irol eaceede.d wis (1) Year. 11 Uanqes aro rtuEe a d wspenfion u aWMOnment exceeds one (1) year, lull (ees ahall be paW (M a new pemit No wak a1 ury manner shall be done Nat wdl Wn9< tta ^aWral Ilow ol water nusinq a tlninage pro0km (S) Contnctar snaq noury the BuiWlna Inspectu iwenH•ia,r (24) nouR in aavance i« an insoecca.s ano snan recitie wdnen aoaowt on Mspectian ora oet«e procecdiuq wiYM successivepha xa o Me (e) iTa issuan[e ol a pertrvl w d+e a00~~o1 o Cnwinqa uW speaficaUons shall nol be consuueE W be a pertrvl lor. nu an aDGrord o/. ury NWUm d tla pmvhbna . a Oie EuilCinp mdea «anry other oNlnante. law, rule a teOuWUon. Chief Building InspectoP For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEP BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION " Stories : . "Please complete both sides of application form with submittal" DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 12788 9/17/01 Property Owner : Property Address : 3730 MARSHALL ST Contractor License No. : 20120 Company : American Exteriors Inc. Phone : 424-1423 Phone : 794-6369 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations matle are accurate; that I have read and agree ro 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) SIGNED DATE Description : REPLACEMENT VINYL WINDOWS Construction Value : $988.00 Permit Fee : $6925 Plan Review Fee : $0.00 Use Tax : $14.82 Total: $84.07 Use: N0 BUILDING DEPARTMENT USE ONLY R -W904~~POW SIC : Sq. Ft. : Approval : Zoning : 9117101 Approval: BG ~~~S IRIR~??~"~ Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issued in aaordance with ihe provisions set forth in yopur application and is subject to the laws of the State of Coloredo and to the Zoning Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of Ihe City. (2) This permit shall expire if (A) the work authorizetl is not commenced within sixty (60) tlays from issue tlate or (B) the builtling authorized is suspentletl or aban0onetl for a period of 120 days. (3) If this permit expires, a new permit may be acquired tor a Fee of one-half the amount normally required, provitled no changes have been or will be made in the original plans and specificalions and any suspension or abandonment has not exceetletl one (1) yeac If changes are made or rf suspension or abantlonment exceeds one (1) year, tull fees shall be paid for a new permit. (4) No work of any manner shall be tlone Ihal wiil change the naNral tlow of water causing a tlrainage problem. (5) Contractor shall notify the Builtlin9 Inspecfor hventy-four (24) hours in advance for all inspections and shatl receive written approval on inspection card beFOre proceediing wilh successive phases of the job. (6) Thelsw ance of a rmit or the approval of drawings and specifcations shali not be construed to be a pertnit for, nor an approval of, any violation of the provisions of$e ppildin or any other ordinance, law, rule or regulation. Chief inif Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date . 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPLIGpT1Q.&/ Property Owner : ! 11,33 Pro e Address : ShC7.~~ • ~ I' P ~tY Phone:~3- yQ1,q 'I Contractor License No. Company Phone :DSO~,- OWNER/CONTRACTOR SIGNATURE Of UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurete, and do not violate applicable ordinances, rules ar regulations of the City of Wheat Ridge or covenants, easements or resirictions 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 RiCge Building Code (U.B.C.) and all other applicable Whe idge /o~rd,in~ances, for work under this per t. (OWNER)(CONTRACTOR) SIGNED~~ OATE- BUILDING DEPARTMENT USE ONLY Description Occupancy : Walls Electrical License No : Ccmpany : Expiration Date : Approval : ConstructionValue: G .00 Permit Fee y C)! Use Tax : Ly V,)- Total: d,.7 Use: SEP 112001 SIC : Sq. Ft. : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company: Company: Expiration Date : Expiration Date : Approval : Approval : (1) This permit was issued in accortlance with ihe provisions set fotlh in yopur application antl is subject to Ne laws of the State of Colorodo and to the Zoning Reguiations and Builtling Code ot Wheat Ridge, Cobraao or any other applicable ortlinances of the City. (2) This permit shall expire if (A) the work auNOnzeO is not commenced within sinty (60) Days from issue aate or (B) the huiltling auNOnzed is suspended or abandonetl for a periotl ot 120 Gays. (3) iF this permit expires, a new permit may be acquire0 For a fee of one-half the amount normaly required, provided no changes have been or will be matle in the original plans and specifications and any suspension or abandonment has nat exceetletl one (1) year. If changes are matle or if susDension or a0antlonment exceeds one (1) year, full fees shall be paitl for a new pertnit. a) No work of any manner shall be done that will change Ne natual flow of water causing a tlraina9e problem. 5) ConVactor shall noUty the Building Inspector Rvenry-four (24) hours in atlvance for all inspections antl shall receive wntten appmval on inspection cartl before proceetliing with successive phases of the job. (6) The issuance of a pertnit or Ne approval of drawings and specifications shall not be construetl to be a permit for, nor an appmval o( any violation of Ihe provisions of the building codes o any other ortlinance, law, rule or regulation. 'Jf Chief Building I pector SEP 13 2001 3:18PM HP LRSERJET 3200 p.5 w w Lz . n. . . . . _ vv w w ~ ~ t..r . T ~ 4 o r a ~ F v~ p~~ x y o ~ A C y z x~ Sw rr „ ~ ~ 00 Q6-d WCAQ ~ Vr 3 ~ '"yOa~A Q .y` . ~ R O A13 o ~ 4 e C ~ eo.n ~ s s~ x ! - W ~JHd NI1?1VW 909L0ZbE0E 80:6I TOOZ/6L/86