HomeMy WebLinkAbout3845 Marshall StreetINSPECTION RECORD
INSPECTION ONLINE FORM: http://%,\f i.",heatridge.co.us/inspection
INSPECTION REQUi-Sl. LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of +hP incnPr+inn
Occupancy�
h -7
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials Comments
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Underground/Slab Inspections Date
Inspector
Inspector
Initials
Comments
Initials
Comments
Electrical
Mid -Roof
Sewer Service
Plumbing
Rough Electric'
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
C 2
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
- —
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
, { Ii
bA_
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.
*Fnr Inw vnifanc nnrmif. _ Dl__o k
-- -- - ---- -- --.-- ...^• •.�4y„ ^"'Y"""""" u� ••• 11PIUMU nvni Lilt:: rue ulsinut ana eiecincal low voltage
by the Building Division.
Occupancy Is Not Permittt-d Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201707165
PERMIT NO: 201707165 ISSUED: 09/12/2017
JOB ADDRESS: 3845 Marshall ST EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 28 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)421-2312 POTTS PATRICIA A
SUB (720)371-6390 Rene Medina 150084 Rene's Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,840.00
FEES
Total Valuation 0.00
Use Tax 164.64
Permit Fee 172.60
** TOTAL ** 337.24
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
City of Wheat Ridge
Residential Roofing PERMIT - 201707165
PERMIT NO: 201707165 ISSUED: 09/12/2017
JOB ADDRESS: 3845 Marshall ST EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 28 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)421-2312 POTTS PATRICIA A
SUB (720)371-6390 Rene Medina 150084 Rene's Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,840.00
FEES
Total Valuation 0.00
Use Tax 164.64
Permit Fee 172.60 r
** TOTAL ** 337.24
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
City of Wheat Ridge
Residential Roofing PERMIT - 201707165
PERMIT NO: 201707165 ISSUED: 09/12/2017
JOB ADDRESS: 3845 Marshall ST EXPIRES: 09/12/2018
JOB DESCRIPTION: Residential Re—roof to install OC asphalt shingles — 28 sq Pitch = 4/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performs nd that all work tobWermeisdisclosed 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 thepermit 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, anew 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, any violation of any provision of any
ap code or any 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.
Dane Lovett - o -7 o 7 16v
From:
no-reply@ci.wheatridge.co.us
��
Sent:
Thursday, September 7, 2017 5:30 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
Q
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 3845 Marshall
Property Owner Name Patricia
Property Owner Phone 303-421-2312
Number (enter WITH
dashes, eg 303-123-4567)
105
Property Owner Email
Field not completed.
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Notes.app.zip
Contract
CONTRACTOR INFORMATION
Contractor Business
Rene's Roofing
Name
Contractor's License
150084
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
720-371-6390
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
8331 Downing Drive
(Primary address of your
business)
Contractor Email Address
Renesroofing@icloud.com
Retype Contractor Email
Renesroofing@icloud.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
28
the entire scope of work:
Project Value (contracts
$7,840.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
106
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the ,No OC
project include a pitched `
roof (2:12 or greater�_'
pitch)? q11Z
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
house and attached garage
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
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
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything
stated in this application
is true and correct and
that falsifying
Yes
Yes
Yes
Yes
Yes
107
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Rene Medina
Email not displaying correctly? View it in your browser.
108
Rene's Roofing
8331 Downing Drive
Thornton Co. 80229
720-371-6390
Patricia Potts
3845 Marshall
Wheatridge Co.
Roof Contract
work description:
Remove 1 layer of shingles
Install ice & water shield
Install 2x4 drip edge
Install 30 pound felt
Install 30 year dimensional shingles (owens corny)
Total $7,840.00
September 19, 2017
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r --I
Job Address: 3b45 51
Permit Number: 1ok-10-1 � US
❑ No one available for inspection: Time 1100 (A&M
Re -Inspection required: Yes No
When corrections have been made, call:To-
t 303 4-5933
Date: i Inspector:
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
INSPECTION NOTICE
Inspection Type: 1lou--
Job Address: 5b45 S -r
Permit Number: _ 2-'Q 11 Q -1 1 U 5
0
❑ No one available for inspection: Time �D t5 AM PM
Re -Inspection required: Yes No
When corrections have been made, call fo e -inspection at 303-234-5933
t
Date: Inspector: C
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
- Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �uJ
Job Address:
Permit Number: "0oD 9/ 6- 7
❑ No one available for inspection: Time r ' �% AM/L"KA
Re -Inspection required: Yes Co__�
When corrections have been made, call for re -ins ection at 303-234-5933
Date:- —___--;;,—Inspector:
r-
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15894
BUILDING INSPECTION LINE -(303-234-5935) Date : 7/18/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: PAT POTTS
Property Address : 3845 MARSHALL ST Phone : 423-2809
Contractor License No. : 21231
Company : Taylor Electrical Contracting Phone : 972-7816
OW NER/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 re9ulations 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 responsibilit for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicabl Whea idg o/rc~/ ance , for work under this rm~
(OWNER)(CONTRACTOR) SIGNED~ ~~J DATE ~.3
Description : SERVICE UPGRADE
,
s
Zonin9 Commenfs
Approval :
Zoning :
Building Commentst':
Approval :
Public WQrks C4m[nent~;~
Approval :
Occupancy: Walls
Electrical License No : 21231
Company :Taylor Electrical
Contracting
Expiration Date : 2/28/2005
Approval : OKIKS
Construction Value :
$1,200.00
Permit Fee :
$58.34
Plan Review Fee :
$0.00
Use Tax :
$14.40
Total:
$72.74
Use :
BUILDING DEPARTMENT USE ONIY
Roof
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Cobrado and to the Zoning
Regulations and Building Code of W heat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (80) days from issue date or (e) the building authorized is suspended or
abandoned for a period oF 120 days.
(3) If ihis permit expires, a new permit may be acquired for a fee ot one-half the amount normaly required, provided no changes have been orwiil be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment
exceeds one (1) yeaq NII faes shall be paid tor a new permit.
(4) No work ot any manner shall be done ihat will change the nalural ilow of water causing a drainage problem.
(5) Contrector shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceetliing with successive phases of ihejob.
(e) The issuance a permit or the approval of drewings and spacifcations shall not be consWed to be a permit for, nor an approval of, any violation of the
provisions gFh buildiPs or any other ordnance, law, rule or regulation.
'f
SIC : Sq. Ft. :
Stories : Residential Units :
Chief'Kilding Ins4gor
" Please sign Terms and Conditions on reverse side of page
Q w~_qr COMMtiNITY DEVELOPMENT DEPARTMEIT Building Pemtit Number.
BtiILDING INSPECTION LINE - 303-234-5933 Date:
f- CITY OF WHEAT RIDGE
I 7500 WEST 29TH AVENUE
WHE.4T RIDGE, CO 80215 - (303-235-2855)
,APPLICA TION
Property0wner. fW j 1,40 "r "j~
Property Address: x 41 Phone : ~j O
Contractor License No.: 12, 1) 3 f L" 3C';' 3 1-~~ 1 2.
Company: Lil ! 1- dk-- !^C %(e JL,.~ L Phone: 3o3 __,2(P3 -U/f 3?
Ow'SER/CONTRACTOR SIGNATI'ftE OF CKDERSTASDIIG AND ACREEMENT
I hereby ccrtify that the setback distances proposed by this pertnit application arc accurate,
and do not violate applicable ordinances, rules or regulations of the City o( Wheat Ridge or
covcnanis, wsements or msMctions of record; lhat all measurements shoom, and allegations
made are accurace; ihat I have read and agrec to abide by all conditions pnnted on this
application and thac I assume full responsibiliry for compliance with the Wheat Ridge
6uiiding Codc (U.6.C) and alI ocher applicable Wheat Ridge Ordinances, for work under
Construction Value:$ 4ati0,6c:
Permit Fee:$
Plan Review Fee:$
Use Tax:$
TOtBl:$
BU[LDItiG DEPARTMENT USE ONLY
SIQ Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIG WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: a~~ 3 1 Plumbing License No: Mechanical License No:
Company: TAYLvg Company: Company:
I
b~ (
Expiration Date: Expiration Date: Expiration Date:
ApproNal: Approval: Approval:
(I) This permit was issued in accordance with Ne provisions sel 6M in your appiication and is su6j<a m the laws of Ih< Sute olCoiorado and m Ow Zoning
R<Kalitions and Building Codrs of H'hwt Ridg0. Colondo or any other appli[abk ordinances o( Ihc Cirv.
This pemiil shali upirc i((A) J¢ uork awhonzed is noLcommenced within siap((-0) days fmm issue dau m(6) tla building amhorized is suspcndcd ur
abandoned for a penod of I20 days.
j3j I(this pemiit expircs, a ncw permit may bc acquired for a ftt of onchalf J¢ amount nomiallr required, providcd no changcs hare b<en or will bc made
fn the ongnnal plans and specifiea[ions and any susyension or abandonment has not axeeeded one (i) year. If chviges ha.x been or i( suspension or
abandonmem <mttds one (I) year, full fees shail be paid for a n<w permil.
(i) tio work ofany mann<r shall be done tAat will ahange the mwnl Mw of wamr causing a dninag<problem.
(5) Convactor sM1all notify the Building Inspecror tw'rnry-four (2i) hours in adrantt for ail inspenions and shall rcttive wnnen approval on inspection card
before proceeding wiN successive phases of Ehejob.
(b) The iuuance of a permit or Lhe approval o! Mwinys and specilcalions shall nol be consttued to be a pemiit for, mt an appmval af, any cioWtion of J¢
prm'isions of the building codes or any otl¢r ordinance, Iaw, rWe or regulaion.
Chief Building Lispector
,DESCRIPTIOY:
9
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14279
BUILDING INSPECTION LINE - 303-234-5933 Date : 8/5/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: PAT COX
Property Address : 3845 MARSHALL ST Phone : 423-2809
Contractor License No. : 21366
Company : L.F. Comstock, Inc. Phone : 303-988-1912
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this permit application are accurete, 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 J and all other applicable Wpgat Ridgg g,glinapce;, fqr work under this permit.
(OWNER)(CONTR4CTOR) SIGNED~ DATE
Construction Value :
$6,055.00
Permit Fee :
$139.25
Plan Review Fee :
$0.00
Use Tax :
$72.66
Total:
$211.91
Use:
Description : REMOVE ROOF TO DECK - INSTALL 30# BASE FELT - ICE & WATER SHIELD TO DECK (LOW
SLOPE). INSTALL OWENS CORNING DIMENSIONAL
:41353d
BUILDING DEPARTMENT USE ONLY
n mw SIC : Sq. Ft. :
Approval :
Zoning :
Approval:
~~~omb"
Approval:
Occupancy:
Electrical License No
Company :
Expiration Date :
Approval :
Walls : Roof
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accortlance with the provisions set forth in yopur appliwtion and is su6ject to the laws of the State of Colorado antl to the Zoning
Regulations and Building Code of Wheat Ritlge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commencetl within siMy (60) days from issue tlate or (B) Ihe building authonzetl is su5pentle0 or
abandonetl for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be matle in the
oriqinal plans antl specifications and any suspension or abantlonment has not exceetletl one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a tlrainage problem.
(5) Contractor shall notiry the Building Inspector twenry-tour (24) hours in advance for all inspec[ions and shall receive written approval on inspection car0 before
proce " g with successive phases ot the job.
(6) vlow ce al of drewings antl specifcati ons shall not be construetl to be a permit for, nor an approval of, any violation of the
other ortlinance, law, rule or regulation.
Chief Buildin nspector
Stories : Residential Units :
DEPART'MENT OF PLANNING AND DEVELOPMENT Building Peimit Number:
BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPjUCATION
Property Owner: Pa r (2o
Propercy aaaress: 3845 MA Q s a a, L-k-
Contractor License No.: .213 io (o
Phone : 30 34 z3 - 2 8o R
Company: z. F' c-0 n, sTCC.k , i)a C. Phone: 30 3• 4 SSSS - 19 1 2
O WNER/CONTRACTOR SIGNATUR& OF
AGR&&M&VT
I heazby certify tliat the scfback distancce proposed by thia pemiit application are
accucate, and do not violate applioabk ordinances, nilre-or roguiations ofthe-City
of WLeat Ridge or eoveaeNS, aeseme¢te or reshictims of racord; that all
maesurcmmfs shown, aod nllagatious made nre accisata; that I Lave read and
agroe to abida by all conditions priated on this npplicationa e¢d that I assuma full
rasponsil,itay for compliaoce wIIh the ameac xiaga suilaiug code (v.s.c) ana all othar applicable Wheat Ridge Ordinances, frr wodc underthis pemit.
7
COILStiUC11oII V31lle: . o ~'j$ ?'c
Permit Fee:
Plan Review Fee:
Ticn TaY-
Total:
~~wnontiwrviu~vi~x~:~nn~ DAT6~j~U z
De"scription: no" 304 gi,.ee -{l,x,& .+ez 4 wni.u. 5kwU
+tr Doc-IL(Low SLepF) i o s{a-CL ow4.w> C~wc. ~o.wua~nay-
d
BUII,DING DEPARTMENT USE ONLY
„.~0~„~ SIC: Sq.Ft.:
APPloval:
Zoning: .
Approval:
n,::~..;^. .
AppIOV21:
Occupancy: Walls: Roof. Stories: Resdential Unifs:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiraflon Date: Expirarion Date: Eacpiration Date:
Approval: Approval: Approval:
(1) 77ile pemiii wu uaued in eccoedance with fhe piovjsims set forth ia youe epplieetio¢ md 'u subject to tlu laws of the SGte of CWoxndo md to the Zoo'sg
Regulations and Build'mg Code of WLeatRidgy Coloiado a my othtt applicable adinancm offhn City. -
(2) T1ve peimit shell expue if (A) the wodc avtltouzed'u aot .o......m,.-a within sixty (60) daye frm usue da[e or (B) the building authorized is suspmded m
abmdonedfw a peuod of 320 days.
(3) If [his pmnit expua, a new paraut may be acquimd for e fee of onsLnlf the amomt mr-nlly requirod, provided no chmnges have 6eca or will be made ia
the ori'ginziPlaos and specifiwtioar and azry sucpmsim or abandaomenelus aat ezeeeded mw (1) year. If chmges Mro heen mif suspmuion or abandonment
exceeds~(I)year,fullfeesalullbepudforanewpennit (4) Nowodcofaymmncshallbedouat6atwillchmgethemdaelIlowofwatacausingadesivagepmblem.
(5) Con2actorahaLLnocifytheBuildingLupectortwe¢ty.fouc(24)homxinadvmceforalliospee[imsa¢dsyall roceivewrittenappcwaLoninepec¢oncazd6efoce
}voceed'wg withsuecrosive phases ofihejob.
(6) The iuuance of a peomit or the appcaval of dnw'uigs md spmifieatims s6all mt 6e coaehved to be a pemit for, aor ea apprwal of, azryviokEon ofthe
protisians ofthe 6uild'mg coda or any oSu oxdinencq Iaw, xule orxegulatlon.
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