HomeMy WebLinkAbout4550 Miller Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M 1
Job Address: q s. 6 h-)
Permit Number: �, t7 I 7 0 3 q
A110/7 /A
❑ No one available for ins ection: Time M/PM
Re -Inspection require : Yes No
When corrections have been ,call for re -inspection at 303-234-5933
Date: ! 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: VR � P
Job Address: 4 S S a 1_11 11 I l Y I~ S t'
Permit Number: 01 t J -7 u 3 9 JL4
A-)0uc`e'O
n112S /'ri0' m �,4 ( kkCn G" \ . ( (_
dV o --), O( y FM vi
❑ No one available for inspection: Time_ A PM
Re -Inspection required;] Yes No
When corrections have been ma' e, call for re-inspecti n at 303-234-5933
Date: '?- ) y" /7 Inspector:
DO NOT REMOVE THIS NOTICE
r
City of Wheat Ridge
�. Residential Roofing PERMIT - 201703424
- ;�o -
PERMIT NO: 201703424 ISSUED: 07/07/2017
JOB ADDRESS: 4550 Miller ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 29sq
*** CONTACTS ***
OWNER (720)989-3901 MICHELLE RADDON
SUB (970)776-3322 John Barclay 170332 Barclay Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,993.20
FEES
Total Valuation 0.00
Use Tax 272.86
Permit Fee 251.85
** TOTAL ** 524.71
*** 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.
INSPECTION RECORD Occupancy/Type
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
Wall Sheathing
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Mid -Roof
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 Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Ib ��
3 ��� buy -'T.: Kt21► cS�
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 to 1a
3 Q s . CM Y—rxl t
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
dem
The City of Wheat Ridge
Third Party Form Check List
Property Address 4550 Miller St, Wheat Ridge,80033
Permit Number 201703424
Permit Issued Date 7/7/17
Owner Information
Property Owner Information Michelle Raddon
Property Owner Address PO Box 385 Beaver, UT 84713
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth;Travis Stanforth
Inspector Contact info. 720-940-1180 TStanforthCBC(ac_gmail.com
Inspector Statement of Acknowledgement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby acknowledge the roofing system for the referenced building has been
inspected and found to be in compliance with the minimum requirements of the 2012
IRC and 2012 IBC as well a th ty of Wheat Ridge Policies and Procedure a
manufacturer's recommen s Ind specifications.
Inspector: Dater
r StAtkm
*1 hereby acknowledge that I am'the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the Cit of Wheat Ridge Building Division inspection.
Property n en Barclay Roofing Company Date: _9/29/17
This original cur , a well as the roofing checklist, must be submitted to the Chief
Building Official within seven days of the final inspection.
Drop off in person
Permit Counter 2"d Floor
7500 W. 29th Ave
Wheat Ridge, CO 80033
Submit via Email
Kcook(a-)-ci.wheatridge.co.us
CBC Wheat Ridge Roof Inspection Packet Page 2 of 6
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
CBC Wheat Ridge Roof Inspection Packet Page 6 of 6
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
❑
N/A(
Pass
❑
Fail
Structural roof components
❑
N/A
�8( Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
❑
N/A
f Pass
❑
Fail
Flashing for roof and walls
❑
N/A
Pass
❑
Fail
Structural roof components
N/A
❑ Pass
❑
Fail
If new sheathing is installed verify that it is listed in the
IX
permit description (Valuation must be adjusted)
Ar'
N/A
❑ Pass
❑
Fail
Verify sheathing nail pattern (See Policy and Procedures)
f
N/A
❑ Pass
❑
Fail
Crickets and saddles where needed
❑
N/A
X Pass
❑
Fail
Verify B vent must have boot same gauge as pipe
❑
N/A
_;q� Pass
❑
Fail
Verify vent caps
❑
N/A
X-. Pass
❑
Fail
Verify no flashings are damaged or rusted
❑
N/A
Pass
❑
Fail
Step flashing shall be min. of 4x4 piece per shingle
❑
N/A
;W- Pass
❑
Fail
Verify scuppers allow for proper drainage
❑
N/A
-Ad- Pass
❑
Fail
Ice and water shield 2' in heated wall spaces
❑
N/A
:Ef Pass
❑
Fail
Underlayments must follow 2012 IRC/2012 IBC
❑
N/A
)- Pass
❑
Fail
Verify roof slope for proper drainage
❑
N/A
j� Pass
❑
Fail
Dripedge shall have min. 2" of overlap
❑
N/A
X; Pass
❑
Fail
Dripedge should extend down min. 2" past roof deck
❑
N/A
_,41� Pass
❑
Fail
Dripedge shall be mechanically fastened 12" OC
❑
N/A''
Pass
❑
Fail
90 LB roll roofing shall not be applied to roof slopes less than
2:12 slope: Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
❑
N/A"
Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
�( N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
A' N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
'1 N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 5 of 6
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
arr
i
Company Name: Ce K", cl Bu ildinqLC-Gasultants
Inspector Signature: ' ` `.
Date of Inspection:
CBC Wheat Ridge Roof Inspection Packet Page 4 of 6
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Roof Inspection
❑ N/A i Pass ❑ Fail Structural roof components
❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist
❑ N/A ,' Pass ❑ Fail Flashing for roof and walls
X N/A ❑ Pass ❑ Fail If new sheathing is installed, verify that it is listed in the permit
description (Valuation must be adjusted)
ii� N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (see Policy and Procedures)
"W N/A ❑ Pass ❑ Fail Crickets and saddles where needed
❑ N/A ,�j Pass ❑ Fail Verify vent must have boot same gauge as pipe
❑ N/A Pass ❑ Fail Verify vent caps
❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted
❑ N/A Pass ❑ Fail Step flashing shall be min. of 44 piece per shingle
❑ N/A Pass ❑ Fail Verify scuppers allow for proper drainage
❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces
❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC
❑ N/A Pass ❑ Fail Verify roof slope for proper damage
❑ N/APass iiFail Dripedge shall have min. of 2" overlap
❑ N/A ` Pass ❑ Fail Dripedge should extend down min. 2" past roof deck
❑ N/A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC
N/APass ❑ Fail 90 LB roof roofing shall not be applied to roof slopes less than
2:12 slope. Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
N/A ❑ Pass ❑ Fail Above roof insulation R -25
f N/A ❑ Pass ❑ Fail Below roof residential R-38
N/A ❑ Pass ❑ Fail Below roof commercial R-32
❑ N/A Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's specifications.
Must have manufacturer's letter of warranty with the address
on the letter for final inspection
Metal Roof Shingles Requirements
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
I N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
AI N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of 6
CITY OF WHEAT RIDGE
�� Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M )
Job Address: l 5ST
Permit Number: ���� C� 3 L4 Z �►
No one available for inspection: Time 10 &AIPM
Re -Inspection required: % Y No
*When corrections have been made, ca for re -inspection at 303-234-5933
Date: �= l rJ Inspector:
t'
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: VR � P
Job Address: 4 S S a 1_11 11 I l Y I~ S t'
Permit Number: 01 t J -7 u 3 9 JL4
A-)0uc`e'O
n112S /'ri0' m �,4 ( kkCn G" \ . ( (_
dV o --), O( y FM vi
❑ No one available for inspection: Time_ A PM
Re -Inspection required;] Yes No
When corrections have been ma' e, call for re-inspecti n at 303-234-5933
Date: '?- ) y" /7 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: M 1
Job Address: q s. 6 h-)
Permit Number: �, t7 I 7 0 3 q
A110/7 /A
❑ No one available for ins ection: Time M/PM
Re -Inspection require : Yes No
When corrections have been ,call for re -inspection at 303-234-5933
Date: ! Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
s
Residential Roofing PERMIT - 201703424
PERMIT NO: 201703424 ISSUED: 07/07/2017
JOB ADDRESS: 4550 Miller ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 29sq
*** CONTACTS ***
OWNER (720)989-3901 MICHELLE RADDON
SUB (970)776-3322 John Barclay 170332 Barclay Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,993.20
FEES
Total Valuation 0.00
Use Tax 272.86
Permit Fee 251.85
** TOTAL ** 524.71
*** 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 - 201703424
PERMIT NO: 201703424 ISSUED: 07/07/2017
JOB ADDRESS: 4550 Miller ST EXPIRES: 07/07/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles with 29sq
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 flee legal owner or have been authorized
byO." the legal.r of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this perimtt I fur ',.attest that I am legally authorized to include all entities named within this document as parties to the work to be
p�_�
rmed 'and tfi k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
�)
1
Signature of 0"Our 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 may be subject to a fee equal to one-half of the originalermit 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 InspectionServices 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
e
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, June 26, 2017 10:57 AM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
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
4550 Millers St
Michelle Raddon
Property Owner Phone 720-989-3901
Number l 7
'
Property Owner Email
Field not completed.
Address
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
Barclay Roofing
Contractor's License
170332
Number (for the City of
Wheat Ridge)
Contractor Phone
9707763322
Number
Contractor Email Address
chelsea@bdrfw.com
Retype Contractor Email
chelsea@bdrfw.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
GAF Timberline
Material
Select Type of Material:
Other (specify below)
If "Other" is selected
dimensional
above, describe here:
How many squares of the
29
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?
z
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
29
Remove and replace shingles on house, and 3 sheds. Roof
pitch on the sheds is 10/12-12/12
12993.20
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 Chelsea Bassett
Email not displaying correctly? View it in your browser.
3
BARCLAY ROOFING
Phone: (970) 776-3322/ Fax: (970) 336-8835/ 1108 8th Ave. Greeley, CO 80631
Work Authorization
Michelle Raddon ("Owner") hereby authorizes Barclay Roofing
("Barclay") to mobilize and complete the necessary work to restore, rebuild, clean, and/or deodorize the building structure and/or contents and to
provide emergency services as authorized by Owner, insurance company, and/or Barclay relating to the loss or project ("Work") described below. The
person signing below represents they have the authority to do so on Owner's behalf.
Work Name Raddon Loss Date 5/8/2017
r
- Work Location 4550 Millers St. Wheat Ridge, CO 80033 Work # 720-989-3901
Roof/gutter/door/siding repair per approved insurance estimate.
Work Description
SHINGLE COLOR: • GUTTER COLOR:
Owner agrees to pay Barclay for all labor, materials, and equipment utilized to mobilize, demobilize, and perform the Project described above in
accordance with Barclay's Rate Schedule or on a Lump Sum basis. Barclay's Rate Schedule does not include any applicable taxes or fees which will be
itemized and charged to Owner and insurance carrier by Barclay. Our Rate Schedule has been pre -approved by most insurancd carriers.
4 Barclay's Time and Material Rate Schedule, in accordance with insurance industry pricing.
Lump Sum Amount of: $
per Estimate or Proposal dated
Price will be determined at a later date, to be market pricing and insurance agreed.
� ft4UOwner agrees to make payment directly to Barclay for the Work and for any deductible, depreciation, or amounts not
covered by insurance for this Work.
Owner requests that all payments pertaining to Barclay's work be paid directly to Barclay by Owner's insurance provider,
or to add Barclay as additional payee on all claim payments.
Owner to remove cash, jewelry, firearms, collectibles, or any valuable items prior to Work start.
A (Agg- Owner acknowledges understanding and agreement to all terms and conditions on reverse side.
Barclay Representative:
Nairre: � a
0Vy0,4.0&. Wv fiw k Fffxder Mwa"ffkr.; Lid;
lmyAmnm Commil"ll;
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'S SI: /� J J04
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tea* -%:Ad Weis 453%b$ders.5kro.:t
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TERMS and CONDITIONS
Sc o ditional Work: Barclay agrees to perform scope of Work referenced on page 1. Owner agrees that any supplements or additions to Work may be
accomplis verbally or with supplement. Supplemental work includes betterment; Owner selected changes; and/or enforcement of code or ordinance by city.
Lump Sum Contract & Pricing: An estimate will be written to define the scope and pricing, if not based on time & materials. The estimated value for each line item multiplied by
40% for the replacement only will equal the material cost of that item. If Owner reduces the overall scope of Work, profit and overhead of 10% each will still apply to the overall price.
Barclay at its option may utilize value engineering to complete the same Work in a more efficient.manner or in order to achieve a savings to Barclay.
Work Quality: All work involving restoration and/or repairs is for the damaged Work only and for like kind & quality craftsmanship and does not cover unaffected areas and does not
cover modifying existing deficiencies. Estimate presumes original walls, floors and framing are plumb, square, and straight. Construction does not result in "Perfect Finishes" such as is
found in manufacturing in a controlled environment. Barclay's work will conform to existing qualities and will be governed by references published by the National Association of
Home Builders, "Residential Construction Performance Guidelines". All construction debris will be removed from project and areas left in a broomed and/or shop vac quality cleaned
condition.
Contract rime: Time is of the essence to this agreement and contractor will diligently pursue a substantial completion of the Work, but will not be held liable for delays due to
deliveries, weather, Owner or insurance carrier, or any other conditions beyond contractor's control. Owner agrees to hold harmless contractor for any additional dQlays to Work.
Owner further agrees not to cause delays to project for any reason and to provide clear and continuous access to the Work site from 7:00 a.m. to 5:30 p.m., Barclay may at their
option, place a "LOCK BOX" at the property and assume no responsibility for unauthorized entry. Owner agrees to provide electricity, heat, water, local telephone, and sanitary
facilities. Substantial completion is the date when the property can be occupied for its intended use, not when the Work is 100% complete.
Invoice & Payment Method: Owner agrees to make payment directly to Barclay for the Work, whether or not such work is covered by insurance. Barclay may invoice Owner for parts
of Work completed. Owner shall pay Barclay the amount of each invoice no later than ten (10) days following Owner's receipt of the invoice. Interest shall accrue on payments not
received within such time at the lesser of (i) the maximum lawful interest rate or (ii) one and one-half percent (1.5 %) per month. Any remaining balance of the Contract Price after the
above payments are made shall be paid no later than ten (10) days following completion of the Work. At the completion of Final Walk Through, Owner must pay Barclay for all sums
less correction items on list. Items addressed after Final Walk Through will be placed on a warranty list and will not be subject to subtractions from final payments subject to limited
warranty below.
Limited Warranty: Conditioned upon payment in full of all amounts due Barclay, Barclay warrants that the Work will be free from defects for a period of one year from the first day
the Work is occupied or is ready to be occupied (whichever occurs first) by Owner and shall assign to Owner all applicable warranties of manufactures, supplies or others. Barclay's
warranty is limited to repair or replacement, at Barclay's option, of the defective Work and specifically excludes any equipment or materials covered by fnanufacturer's, supplier's or
others' warranties, and also specifically excludes incidental or consequential damages. This warranty specifically excludes cracking, etc. of any concrete, drywall, plaster, caulking,
sealant, tile, or any other product subject to movement of any kind. This warranty also excludes any loss caused by or consisting of any mold or microbial growth whether or not
caused by Barclay or their subcontractors or suppliers. Except as provided herein, there are no other expressed or implied warranties.
Certain Owner Obligations: Owner shall make customer selections within Barclay deadlines or pay additional overhead fees to Barclay and agrees to utilize the design center of
contractor's choice to do so. If Owner fails to make timely selections, Barclay can make selections on behalf of Owner with standard items. Owner agrees to sign the Substantial
Completion Form if work is substantially complete. Owner agrees to sign the Final Walk -Through Form upon presentation. Owner assigns to Barclay any insurance proceeds or
payment for Work performed by Barclay that Owner may receive or otherwise be entitled to receive. Owner agrees to allow Barclay to communicate with insurance company in order
to facilitate the processing and payment of the claim. Owner agrees to quickly facilitate the signing of any proof of loss and/or mortgage company inspections and/or endorsements to
claim payments. Owner waives any right of recovery or subrogation against Barclay to the extent of Owner's insurance coverage. Owner shall provide and maintain Property, Building,
Personal Property, Builders Risk,"All Risk" and Premises Liability Insurance covering the Work, including all materials and supplies on site but not yet installed. Owner agrees to make
claim for defects in construction pursuant to the Colorado Construction Defect Claims Act.
Hazardous or Other Conditions: Barclay may halt the Work upon any finding of hazardous substances or unsafe conditions. Barclay will notify Owner upon the discovery of any such
items. Owner must notify Barclay of any known hazardous items at the site including asbestos, chemicals, lead, or other, and Owner shall indemnify and hold harmless Barclay from
and against any and all claims arising from or related to the conditions, and Barclay shall be entitled to payment from Owner for all costs, expenses and damages, including reasonable
attorneys' fees and expenses, it incurs as a result of the conditions. If conditions cause delay to project for more than 1 week, Barclay may terminate this agreement.
Default: If Owner defaults in any of its obligations hereunder, Barclay may, at its option, in addition to other remedies provided in this Contract or pursuant to applicable law or
principles of equity, pursue one or more of the following remedies: suspend some or all of the Work until all defaults have been cured, upon three (3) days written notice to Owner;
terminate some or all of Barclay's obligations under this Contract, and/or recover all amounts due under this Contract plus all expenses and reasonable attorneys' fees and expenses
incurred by Barclay as a result of Owner's breach or Barclay's enforcement of this contract. In the event this Contract or Barclay's obligations are terminated by Barclay pursuant to the
terms of this Contract, Barclay shall be paid for all work performed through the date of termination in an amount that will compensate Barclay for all costs incurred, plus thirty percent
of these costs. Barclay retains the right to file a Mechanics Lien for services rendered and hereby notifies Owner that Barclay will file said liens to protect Barclay's interest in the
subject property. In such event, owner shall pay all interest charges and filing fees for the lien. Owner shall also pay Barclay's liquidated damages of $100.00 for Owner's delays.
Dispute Resolution: Any Controversy or claim arising out of or relating to this Contract shall be resolved by arbitration in accordance with the Construction Industry Arbitration Rules
of the American Arbitration Association, and judgment upon the award may be entered in any court having jurisdiction. Prevailing party shall be entitled to all reasonable attorneys'
fees and other legal associated costs. Limitation, Waiver, and Venue: Owner and Barclay agree that venue for any legal proceedings shall be Weld County, Colorado, and that Colorado
law shall govern all disputes relating to this agreement. Arbitration may be utilized per the above or the Better Business Bureau at contractor's option. Owner agrees not to libel or
slander contractor for any reason whatsoever and that in doing so to any source, agrees to indemnify contractor an amount equal to $5,000.00 unless it can be proven that such libel
and slander did not cause any damages. Owner further waives their right to trial by jury and any claims for consequential or punitive damages against contractor.
Entire Agreement: This Contract, including the Attachments hereto, comprises the complete agreement of the parties and no representations or agreements have been made by
either party except as expressly stated in this Contract. All modifications to this Contract shall be in writing and signed by both parties hereto. If any provision of this Contract becomes
or is determined to be illegal or unenforceable for any reason, the remainder of the Contract shall remain in full force and effect.
U - nderground/Slab Inspections Inspector Comments
I Initials I I
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I
Initials Comments
KjAMAJ . 1 - I # I M 11
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
s tt
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s a a
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om
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Reviewer
Pulaue WORXS OWMEM
RevIe
C
fit.
Ins
liml 111
Concrete Encased Ground (CEG)
r. s • • •- a
Rough Electric
Rough Plumbing
Insulation
Drvwall Screw / Nall
r^ s
Date
Initials
•
�ppN 7V ll Of
Above
CITY Of E
AT RIDG
07`19/12 h 25 N4
cads
_..._._.__.
Darcy Takraks
RECEIPT" XD9jg7*,75g
AMOUNT
rasp ctcar
RPSP R eplace 40 gallon qj
55.68
Initials
m.,
20120869
Permit Fee
Use Tar
48.86
15.68
PAYNEX "- RECEIVE
ARGUNT
VS 2667
55.68
th Code
--------- _-----
06403
TOTAL
55.68
�' ,rte. �
'
if � .'
r to
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P ar INV-
� s �� c � . a � • w �• __ mm
w .
" r +x C _ w ;, a xww • • * it a r e. +w
w' t x ¢ • s aw« w"
�' 3`�5l r'. E 0': i .". � �} w w..i.'"P, h"Ewt! $ TwR i 'AJ i .&."i # IF M Y't }°.!a M :. _ '! RfiMYYwT�
w...
a ♦ # i
C2
♦ i CITY OF WHEAT RIDGE -
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
1
INSPECTION NOTICE
Inspection Type: F rar 2�rF
Job Address: '/550 lnlll,<k 57'
Permit Number:
I
I
i
i
❑ No one available for inspection: Time 3 AM4&
Re- Inspection required: Yes (
*When corrections have been made, call for re- inspection at 303- 234 -5933
Date: Inspector: % y
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: 19F7- - 99 r,o,,vG
Job Address: V.5So if/Ei2 s7-
Permit Number: e~Y2J3
❑ No one available for inspection: Time 4!S A PM
Re-Inspection required: Yes Klq~
"When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD O�oupal,w /TVpe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO.THIS JOB
FOUNDATION INSPECTIONS INITIALS DATE INSPECTOR -
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
�g;
Reinforcing or Monolithic
Weatherproof/ French Drain
Sew Service Lines
_.
Water Service Lines
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing, (Underground)
ROUGHS
Sheathing
Lath / Wall tie -
Mid -Roof --
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Roug Mechanical
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
_.
. O.W S Drainage
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
L F R
arking 8, Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATES OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
IJCGUPANCY IVOT PERMITTED_ UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
F HEAT
~oF , City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
oo~oRAOO Inspection Line: 303-234-5933
Building Permit Application
Date: t / -5
Plan
Permit 014M
Property Address M t) iLev S~(L-r4
Property Owner (please print): N]ICkelle CUbq.&om Phone 303- V21- 06V
Mailing Address: (if different than property address)
Address:
Zip:
contractor: E(1« t
Contractor License
Sub Contractors:
Electrical City License
Company:
:~1 TGl'y ~lGlir
ZZS
Phone: ~03- 9L10- 76G
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval:
Approval
Use of space (description): Construction Value: $ 6-1e;y q. !/f/
Description of work- (as calculated per the Building atuatfonData sheet)
Vie S / Or -G Plan Review (due at time of submittal): $
Sq. Ft./L-Ft added: Squares BTU's Gallons Amps
OWNER/COfy TOR 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 made are accurate; that 1 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, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE.: (OWNERR) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: A/ /e L?`t1dey~ A SIGNATURE: Date: /(r ~O~
♦ i CITY OF WHEAT RIDGE 7,,
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929. Fax
INSPECTION NOTICE
Inspection Type: /~)/,o 4e00~r
Job Address: A!S 5-0 14i 6&sa
Permit Number: 0,29560
r1 kc0 Je j
1 y ~
'~/Dda~rr
4"
11 No one available for inspection: Time-Z/; 4Q AMIPO
Re-Inspection required: Yes K-fqz
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: f
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: - Aa0 -
Job Address: //,5:5a P'11,Le_4rZ
Permit Number: 0q.q,740
f J
❑ No one available for inspection: Time AM/PM
Re-Inspection required:(:Yes No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: ll3 ` "2 _0q Inspector: fx
DO NOT REMOVE THIS NOTICE
t:
x
F
City of Wheat Ridge
:T NO: 093560 `.ISSUED:, 10./21/2009
ODRESS:-4550 MILLER ST 'EXPIRES: 04/19/2010
ZIPTION: ` Reroof 13 sqs
CONTACTS
303/424-0649 Michelle Compton
303/840-7607 Jeffrey Clark 091-0225 Trinity Restoration'
ION:0136 BLOCK/LOT#: 0./
UMMARY
ESTIMATED
PROJECT VALUATION: !(5,000.00`
FEES
Fee
144.70
-g~°
aluation
.00
90.00
L
-234.70
ns
nt and back of permit need to be posted on job site. If one or the other
resent, INSPECTION WILL NOT BE PERFORMED.
INSPECTION RECORD Occupancy/Type
'INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATI
INSPECTIONS
NS
DATE
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings/C
M
Stemwa ll / te
Encased G
Reinforcing
Weatherprorain
Sewer Serv
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR _
Electrical (Underground)
7 T
T
_
Plumbing (Underground)
Heating (Underground)
ROUGHS
I rUUK rLUOR UNTIL
Lath / Wall tie
-
Mid-Roof
Electrical Service
-
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TOP
Framing
Insulation
Drywall Screw
CITY OF WHEAT RIDGE
10/28/09 7:44 AN _ cdba
Carol Clark
al
RECEIPT NO-CDA802970 AMOUNT
BPSP_Reroof 13 sqs 234.70
ng
093560
ical
Permit Fee - 144.70
Use Tax 90.00
k
PAYMENT RECEIVED AMOUNT
Final
VS 2837 234.70
partment
Aoth Code:
094609
& Drainage
TOTAL 234.70
INSPECTIONS FO
Parking & Landscaping
SHOULD aE CAU
E: ALL ITEMS MUS
ALL
T BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
FICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVIS ION DOES NOT CONSTITUTE AUTHORIZATION
-OF A-CERTIFICATE OF-OCCUPANCY-NOR-PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
R-OT-ECT-THIS-CARfl-FROM-TH E-WEATH E R
City of
" Wheat~~e Date:
MMUNITY DEVELOPMENT Permit
Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address: g576D / i 14l r WreP- W h X06 33
~ ~ _ _ 1y„
Property Owner (please print): IL41 InD0!1;Q An Phone: 303-'t 2 q - o e Mfr/
I
Mailing Address: (if different than property address)
Address: $cLrv> 2~
City, State, Zip:
Contractor: J IlgT7N I fly, OYt L47d
Contractor License O 22,S Phone: p WO---76()-7
Sub Contractors:
Company Name: License Expiration Date: Trade/Profession: Approval:
Use of space (description):
Description of work: re- roof Value, construction ooo.00
rerr,c-v're-PLa-Q-t&)L+~, Zk.o 30~{r 13SA Plan Review (due attime ofsubmittal):$
Sq. Ft./L. Ft added: Squares BTU's Gallons Amps
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 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, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) CONTRATO )
PRINT NAME: Me 1 1tSSr, ,AJ-L` SIGNATURE: Y Ui-LB \ ate: /01/1,
DEPARTMENT USE ONLY
ZONING COMMENTS:.
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:'.
Reviewer.
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer.
FIRE DEPARTMENT.: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $
Credit Card Payment: Use_ credit card listed on file.
Print name: ~':Ir'cI LlK Signature:
. , . . . . . . . < . „i. , .
BuildingPermit
CTTY OF WHEATRIDGE
noo wegc 29TH nvenue
Wlieahidge, CO 80033
303-235-2855
iq+o,Permit Number 18742
.*M~
5/20/2005
/nspection Line
303-234-5933
Residential Roofing
PROPERTY 4550 Mlll¢r St Unit:
owivEx: Bertha Keeney (303) 424-0645
Description Teaz of£ Re-deck. Shingle w/ Tamko H-50. 8/12 pitch
Documents ' fmm the manufacturer shall be
onsife for ftncrl roof =n,spection which specify
rnofing matertals have been installed to meet
IIO MpH three-second wfnd gust___IBC (90
MPH wind load UBC'),
Units: : Oceupancy: Walls: . RooC Stories: Sq Feet:
I hereby eerlil} t!a Me sqbaet EbUam proP^utl by lhil perWt aPVhcatiou art uewsfe, and Eo not vbhte appliubk oNivncn, raW w re{Wtlsva ofose qry ot
Wbat Rid{e or mvevenb, euemmb or wWCllooe of rtrnrC; iho[ a11 meuuremrnb sbowe, inA Jleptbnu made ue ascunk; NfiI I hare rcatl ~od aga b W We by
all cavditlom prinhd ov NYapplleetbq antl Nct I mome (WI raponaibitlty for romplisnce with tEa Wheat Rid`e BulWioe Code (U.B.C.) aed aathn apptluble
Wbeat Ritlee oedln., fw worle mEer tIJs permit. -g
"I . . ~ . .
1 'lbb pe h wu lemed lo ~aorNoce with Ne provbWns at forth In your ~pplkatioa and 4rubJttt ro the lawa of the Sl~h ofCobr~d~~ wl b the 7+nbL
RqWatlmnM Bulldin! Code of WheatRideq ColonAO or any other applioble orEinmca of the City.
i Th4 prmll shdl apin If (A) 0e Mork authorlud is not commeoutl wiNln mty (60) drye trom bwe dah or (B) the buONOL huNONed b wpnWN or
abandooedfora Persel of1lUdAya .
l IfMie pe'mlt wp1rtF . oew perWt maq be s<qulrcd for . fu of ooehilfth<wowt ooemWl, rtqo4M, pmvWM uo chonea L.ve beee or wiY be mWe W Worleloal pboe aod epenBUtlon.aod ony ruxpuubo or abandonmmt Eu aot ezeeedetl ooe (I) yeu. I(Maeees art uWe or Ifwepeoabs w WudoemeN
eaee~d, one (Q yur, tuY tea dull be pald far . new permlt '
1 lVO worie otaoy wener sWII be Eone that wN cAmp the mturil Mw ofwater cmminp a dniv`e pmbkm.
S Coeo-kW A" notife Ue Hulldine lmoector twmtr-tour (21) houn In ~dv.nce tor aII Wpxtlom aiM ahall renive wrltlm ~ppravJ me 4upectlm rard 6efore
10aNOHooeshollnotberooNrvedmbeapermltfor,nor2napprvvelof,myvNlatbeofthe
6 7beYpviceotay0100 the~pr6-a ofdnrrioeam;T
Friday, May 20, 2005 Page 1 of 1
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
o~ W"E'°'q BUILDING 1NSPECTION LINE - 303-234-5933 Date:
^ g CITY OF WHEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
`°`°R"°~ APPLICATION
PropertyOwmec:
Property Address: Phone:34 Y71
Contractor License No.:
Phone: 303 -,3ry TJ'r'3Z
Company: C.i- ~'J_\{iLr~
/~V
1 J
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this permit application are
accurale, and do not violate applicable ordinances, rules or regulations of the Ciry of
W heal Ridge or covenants, easemenls or restridions of record; that all measuremenls
shown, antl allegations matle are accurate; ihat I have read and ag(ee to abide by all
condilions pnnletl on this aOPlication antl Nat I assume full responsibility for
compliance with ihe Wheat Ridge Building Code (U.B.C) an0 all other applicable
Wheat Ridge Ordinances, for workVntl'p" permit.
mstruction Value:$
Permit Fee:$
Plan Review Fee:$
L1se Tax:
TOt3l:$
(OW NEF)(LONTRACTOR):PRINTED
Description:
Sq. Ft. added
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This pertnit was issued in accordance wiM the provisions set (orth in your appiicatlon and is subjecl lo the laws of the SUte of
Colo2do and W the Zoning Regulations anC Building Codes of W heat Ridge, Coloado or any other appliwble ordinances of
the Ciry.
(2) This pertnit shall expire if (A) the work authorized is not commenced within siaiy (60) days from issue dale or (8) the building
authorized is suspended or aDandoned for a period of 120 Aays.
(3) tl this pertnit espires, a new permit may be acquired for a fee of onrhalf the amount normally required, provided no changes
have been or will be made in the original plans and spadfipGOns and any wspension or abarMonment has not exceeded one
(1) year. If changes have been or it suspension or abandonment exceeds one (1) year, full (ees shall be paid tor a new pertnit.
(4) No woAe of any manner shall be done that will change the natu2l flow o1 water causing a drainage Droblem.
(5) ConVaclor 5hai1 notlfy Ne Builaing Inspeclor twenty-tour (24) hours in atlvance tor all inspections and shall receive writlen
approval on inspection prd before proceeding wilh successive phases ol the job.
(6) The issuance of a pertnit or the approval of drawings and specifiotions shall not be consWed to be a pertnit for, nor an
approval of, any violacion of the provisions ol the bulltling codes oc any other or0inance, law, rule or regula0on.
Chief Building Official
Elecfical License No: Plumbing License No: Mechanical license No:
Company: Company: Company: