HomeMy WebLinkAbout4211 Owens Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 402 -F , ,)
JobAddress: 1 CEJ -tom
Permit Number: i®��
t -D 5-),A Lam- �
❑ No one available for inspection Time,( �A
Re -Inspection required: Yes" No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co. uslinspection
Date: 1) - g (" Inspector: �--
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Water Heater Replemut PERMIT - 202000009
PERMIT NO: 202000009 ISSUED: 01/02/2020
JOB ADDRESS: 4211 Owens St EXPIRES: 01/01/2021
JOB DESCRIPTION: 40 gallon, electric water heater in crawlspace
*** CONTACTS ***
OWNER (720)334-1884 WHITMER-DOLE ARLENE G
SUB (720)876-7166 PHILLIP JENSEN 190033 SENSIBLE ENERGY LLC
*** PARCEL INFO ***
.ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2951 / KIPLING HEIGHTS BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,400.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 71.40
** TOTAL ** 111.40
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
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
performed and that all work to be performed is disclosed in this document and/or its° accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of 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 issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or a`y ordinance ogrggulation 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.
City of Wheat Ridge
E -Res. Water Heater Replcmnt
PERMIT -
202000009
e
PERMIT NO:
202000009
ISSUED:
01/02/2020
JOB ADDRESS:
4211 Owens St
EXPIRES:
01/01/2021
JOB DESCRIPTION:
40 gallon, electric water heater in crawlspace
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
performed and that all work to be performed is disclosed in this document and/or its° accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of 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 issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or a`y ordinance ogrggulation 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.
City of Wheat Ridge
81/06/2020 1302 CUB8
40 g9lon, electric
C08022313
DPSP 4211 Owens St
APPLIPERMIT NO-! 202000009
PAYMENT RECEIVED
PP / 7320
AUTH CUDE: 69281028
AMOUNT
111.4O
AMOUNT
111.41.1
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, January 2, 2020 2:22 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Categories: Kim
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address (Leave blank if
not known)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
4211 Owens St
Arlene Whitmer- Dole
720-334-1884
jo@sensibleheat.net
Credit Card Authorization Form 201906141051228536.r)df
CONTRACTOR INFORMATION
1
Contractor Business Sensible Energy
Name
Contractor's License
190033
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
720-876-7166
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address
jo@sensibleheat.net
Retype Contractor Email
jo@sensibleheat.net
Address
DESCRIPTION OF WORK
Number of gallons 40
Is the water heater GAS Electric
or ELECTRIC?
If GAS, enter # of BTUs. N/A
If electric, enter n/a
Where is the water heater Crawlspace
located (for example,
basement, crawlspace,
etc)?
Project Value (contract 3,400
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
2
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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for JoEllen Jensen
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD
Inspection online form: http://ww.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before S a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: ADDRESS:'2fi le.t4qr� JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
uo Not Cover Underground or Below i in -Slab work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADD �,PECTIONS
PERMIT: ADDRESS: JOB CODE:
—
Rough Inspection (continued)
Date
Inspector
CommentsInitials
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
CommentsInitials
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 �x
INSPECTION NOTICE
Inspection Type: A1C) q P O F
Job Address: Ll a -I ) 00-0/ 5 5 %�
Permit Number: r�ol 70 9, 702-
U
®2"
❑ No one available for inspection: ime AM/PM
Re -Inspection required: Yes No
"When corrections have been made, ca for re -inspection at 303-234-5933
Date: I l Inspector: '4T14'
DO NOT REMOVE THIS NOTICE
► ' , City of Wheat Ridge
� r
Residential Roofing PERMIT - 201708702
PERMIT NO: 201708702 ISSUED: 10/30/2017
JOB ADDRESS: 4211 Owens ST EXPIRES: 10/30/2018
JOB DESCRIPTION: Residential Re -roof to install Timberline asphalt shingles - 55 sq Pitch
= 5/12
*** CONTACTS ***
OWNER (720)863-6252
WHITMER ARLENE
G
SUB (720)283-7997
WAIVER
022104 Hart Roofing Inc
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2951 / KIPLING
HEIGHTS
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 19,000.00
FEES
Total Valuation
0.00
Use Tax
399.00
Permit Fee
346.95
** TOTAL **
745.95
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
"4
�I
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201708702
201708702 ISSUED: 10/30/2017
4211 Owens ST EXPIRES: 10/30/2018
Residential Re -roof to install Timberline asphalt shingles - 55 sq Pitch
= 5/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst
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. 1 further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its'tccompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date t r
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 may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Orificial and is not guaranteed.
4, No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applica'I" or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
ifuv' _T :' d -q -
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 c�
Sent: Saturday, October 28, 2017 1:19 PM
ro: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 3- or 4- Units
are on the property?
PROPERTY INFORMATION
1�Z
Property Address 4211 Owens St.
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Owens Park HOA
720-863-6525
17
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Contract Hart Roofing.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
HART ROOFING INC
022104
720-723-1011
Contractor Address 2171 S TRENTON WAY # 217
(Primary address of your
business)
Contractor Email Address BRUCE@HARTRFG.COM
Retype Contractor Email BRUCE@HARTRFG.COM
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 55
the entire scope of work: --
Project Value (contract 19000
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Pitched roof (2:12 pitch or greater)
18
both? (check all that
apply)
What is the specific pitch 5/12
of the PITCHED roof?
How many squares are 55
part of the PITCHED
roof?
Describe the roofing TIMBERLINE
materials for the
PITCHED roof -
Type of material for the Asphalt
PITCHED roof:
Provide any additional TOWNHOMES
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
19
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Bruce Farmer
Email not displaying correctly? View it in your browser.
20
2171 S. Trenton Way
Suite 217
Denver, CO 0211
REPRESENTATIVE` X. 14
Roa
HART R FING
YOUR TOTAL ROOFING SOURCE
Hart Roofing, Inc. agrees to furnl$h all materials and labor necessary for the work (specified below) on
HOME
ADDRESS y202 -
the Owner(s) agree to
Tel (720) 283-7997
Fax (303) 325-7427
OATE%�J'"(1S r
ses located at:`)i"tYLt
{ /�4-
CONDITIONS
Recover roof with less i [ G� g_ rotect landscape El Cover Pool_
Near off �Vlean-up and haul off trash from roof
lee Shield Qj: �aY❑ flat Roof
O Decking E5 -Felt k -Any siding repair to aliovf installation of new step flashing will
❑ Calor of Shingle be done at a rate of $_r hour, per worker, plus materia
�- � ❑ T over and above origiMj bid price.
g Style of Shingle Crn ypeofValley r
nstali x-7 al edge ❑ Offset �# �'Permlt ❑ Steep 7S Two Story _
�asterters ❑ RIdge Type lDX-It ik i art Roofing, Inc.to furnish alt material and labor
oo€ Stacks 1.5" 3" 4" S" Hart Roofing, Inc. to furnish own Insurance
rP- Materlal Warranty�VPcr �,r /x r1�-
HVAC Caps 3"� ,15 6„ 8"_ ___7
❑ TurbineVenks �kyl)ght "Labor Warranty �
1st payment of will be due upon completion
❑ Roof Louvers Rolter Magnet Yard
❑ Placement of material contingent upon any city or county Inspections, Initials
�
Siding Specifications Gutter Specification!
O Aluminum ❑ Vinyl SIZES collected, deductible i
SIZE: 0 DS 0 D4 STYLE: Q DL o SL 0 BB I COLOR: c G� , �j �n
as of
subject
SPECIAL INSTRUCTIONS )
C -
root This is
be
price is
Roof work to be completed within 21 days
of final Insurance approval and. lortgage
endorsement' s
Property Owner is 2!not intending to make payment from the proceeds of a property and casualty Insuranc
INSURANCE ALLOWANCE A RPEMENST If so, homeowner frust read and sign below.
I/We agree to retain Hart Roofing (contractor) to repalr/repface the damaged or entire portion of the property described ort this contract contingent upon the contractor obtalr
company's approval and payment to have said work completed. It Is agreed that the contractor is empowered to contact my insurance carrier and to meet with their represent,
negotiate the amount of damage, the cost of the repair or replacement of the damage to the above property. Upon the Insurance carrier agreement with the contractor and IN
being made the work will be scheduled and may begin on a first in first out basis,
All checks shall be made payable to Hart Roof Ing.
In the event that the insurance carrier falls to negotiate Ina fair and reasonable manner, the contractor shall not be held liable and this agreement will be vo)d.The contractor w
complete file to the commissioner of Insurance at the customer's request. insured out of pocket expense will not exceed the insured (purchaser) policy deductible for the work
between the Insurance carrier and the contractor. Insured also agrees to provide all the necessary documentation for the claim (including documentation to facilitate payment i
carrier and or mortgage holder).The contractor reserves the right to file for supplemental claims due to material and/or labor increases due to a storm environment or to Insura
mistakes, errors or omissions.
Hart Roofing shall hold In trust any payment received from you until Hart Roofing has delivered roofing material at the site or has performed majority of the roofing work on yo,
Acceptance of Contract
The above prices, specifications, and conditions are satisfactory and are hereby accepte You
will be mad 1",
outii d `ave.
(Insurance (1 (olicy No Signature
-7 Z&
(Claim No.) ZeA-m" P t -A,
1`,,t � f,� pfj D D4 --I (6C+ Signature
(Mortgage Co.) (Mortgage Nn i y,.,
authorized to do the work as specified.
Date
Date
policy.
g my Insurance
re In order to
lown payment
release the
reed upon
m Insurance
e adjuster's
property
6 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: � U G V� i a-
Job Address: 4 Z It
Permit Number: 07o 1 Z p P, 7 p Z
r
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ► i ! 1-4 Inspecto - n.�_ I C.
DO NOT REMOVE THIS NOTICE
,x
pity of
at
Building & Inspection SerVices Division
50 W. at' Ave., Wheat Riggs, CO 333
Office: 303 - 235 -2855 * Fax: 303-237-8929
Inspection Request Line: 303-234-5933
Bu ilding r mit Applicat
(Complete It highlighted d areas)
o. ,'*
ar 0t + a<
t ". e,
fft W. 29th Ave.
C O City License # Denver, 80 212
r oft (Fully describe work to be performed - attach additional shoat if necessary)
Contract t Value of a ll wor
Review fur at tarry& of submittal),
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby Certify drat the setback distances proposed by thi l ennit application arc accurate and do not vio late date arppli able ordinanc:os.
rides, or regulations of the City of Wheat fridge or covenants, versants, casements or resuictions of record, that all measurvoterats shown and
allegations tirade are accurate, that 1 have road and agree to abide by all conditions printed area this application ;argil that l sassunw full
responsibility for compliance with applicable City of h aat Ridge codes and ordinances for work tinder any p rnot issued ha dears
this argrl'licaatacsra„ that l aaza the lc gal owner r or have 1wen authorized by the legal owner of the property to perform the alcsa:ritaccl work,
and am also authorized by the legal ears =nee of any oatity included on this application to fist that entity on this application,
C18C"1. ,, ft S3:= E) fC'"0.VT*4C'T04 L 1 rC7 �C.p REr'RESE TM ) R) (CCtNTRACI 7ft)
tats MEt 1 � j (j SIGNAUfCt? DATE, � ��
♦ 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: AN15 {wow
Job Address: " 'f2!/ - 19
Permit Number: 0996
M
/'USA F3tll�/r4 fcaLf rJi_
❑ No one available for inspection: Time Z3S AM PM
Re- Inspection required: Yes ('N0
"When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: 12-14-OF Inspector: /6
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
]~;'r(303) (303) 234-5933 Inspection line
235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Re-Inspection required: Yes No
When corrections have been made, call foVispe
t,
t 303-234-5933
J
Date: Inspector:
DO NOT REMOVE THIS NOTICE
Inspection Type: 1 T~
Job Address: 9 ~WF~s S r
Number: CSI3; i ~ to
Permit 1:1 No one available for inspection: Time AM/PM
'A , City of Wheat Ridge
roo0or, Residential Roofing PERMIT - 093506
PERMIT NO: 093506: ISSUED:. ..;10/20/2009.
JOB ADDRESS: 4211-19 OWENS ST EXPIRES.: .04/18/2010.
DESCRIPTION: Reroof 53 sqs
CONTACTS
owner 303/423-6184 Owens Park BOA
sub 303/425-7531 John Borfitz 01-9983 J & KRoofing Inc.
PARCEL INFO -
ZONE CODE : UA USE : UA
:SUBDIVISION: UA BLOCK/LOT#:.' 0/
FEE. SUMMARY ESTIMATED PROJECT VALUATION: 15,063.00
FEES
Permit Fee .344.90
a
Total Valuation - .00 1 ?
Use Tax 271.13
TOTAL ....:..616.03
Conditions:
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than al/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls. "
***Contractor/Property. owner. shall. provide ladder(s) secured in place. for-
inpsections.
Subject,to field inspection.
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 Ihave 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 Ridge Ordinances, for work under this permit. Plans subject to field inspection.
N t 0.20 -09
Signatur of aontr or/owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building. Codes of Wheat Ridge Colorado or any other applicable
ordinances of the city.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at 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 normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been 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 drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall. receive
written approval on inspection card before proceeding with successive phases of thejob.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of an violation of the provisions of the building. codes or any other. ordinance, law, rule or regulation...
All plan revig,w ject to field inspections. _
Signature o i Building. Official.. -date
INSPECT oN REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855.
s REQUESTS MUST. BE MADE. BY.. 3PM, ANY BUSINESS.. DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
°oLOanoo Inspection Line: 303-234-5933 r
Building Permit Application 152,0
Property Owner (please print): &,A-111,5 P.,2 1(oA U Phone:'19,3 z 3 -6/oy
Mailing Address: (if different than property address)
Address:
Date:
Plan
P,Qrmit
City, State Zip: &'LkL ' 6-' ~o~ 3 3
Contractor License
ENIMEM
Electrical City License
Company:
Phone:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. bate: Exp. Date:
Approval: Approval: Approval:
Use of s ace descri tion): &a/L- -d- I Construction Value: $ f 6 3- -zl
I q g o J (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft.IL.Ft added: Squares '53 _ BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of recor
allegations made are accurate; that I have read and agree to abide by all conditlons printed on
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicab
under this permit. Plans subject to field Inspectio-
CIRLCEONE::~1p~e'~` /rQNTRACT) or PERSONALREPRF "~rwrn> _ar. c
PRINT NAME:ca d ~U, ~lr t %~<GNATUR' .
not violate applicable ordinances,
that all measurements-shown, and
s application and that'lassume full
Wheat Ridge Ordinances, for work
nIrAMOTPAT/O~R)
KSLW&tI (o- 'L4D
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15135
::'JILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 2/14/03
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: JIM GIBSON
PropertyAddress : 4211 OWENS ST
Contractor License No. : 17713
Phone : 303-422-2385
Company : Aron Heating & A/C Phone : 431 1556
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 W heat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and alle9ations
made are accurate; that I have read and agree to abide by all conditions printed on this
apptication, 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.
(OW N ER)(CONTRACTOR)
Description : FURNACE REPLACEMENT. 75,000 BTU'S
Construction Value :
$2,100.00
Permit Fee :
$8325
Plan Review Fee :
$0.00
Use Tax :
$25.20
Total
$108.45
Use :
BUILDING DEPARTMENT USE ONLY
Zoning Comments; SIC : Sq. Ft. :
Approval :
Zoning :
BuildingComments:
Approval : OK/M LC
Public Works Comments:
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 accordance with the provisions set torih in yopur applicalion and is subject to the laws of the State of Colorado and to the Zoning
Regulations antl Building Code of W heat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned For a period of 120 tlays.
(3) If this permit expires, a naw permit may be acquired for a fee of one-half the amount normalty repuired, provided no chan9es have been or will be made in the
original plans and specifications and any suspension or abantlonment has not axceeded one (1) year. If changes are made 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 tlraina9e problem.
(5) Conirector shall notify the Buildin9 Inspecbr twenty-four (24) hours in advance for all Inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance f a permit or the approval of tlrawings and specifications shall not be constmetl to be a permit for, nor an approval of, any violation of the
provisio e bu' tling codes or any other ordinance, law, rule or regulation.
In ector '
COMMUPIITY DEVELOPMENT DEPARTMENT Building Permit Number:
.oF wHEqT,p BUII.DING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
C~~ORA00 H pp~y,~q~yry 7~~
AH~l'i'~I4.P~-i ~l Nq ♦
Property Owner: - i :)OXJ -
-s /
Property Address: Phone : t- Z Z
Contractor License No.:
Company: y/zprJ Phone: 7~/ ~S S G
OWNER/CONTRACTOR SIGiYATORE OF UNDERSTAND[NG AND AGREEINENT
I hereby certify that the setback distances proposed by this permit application aze accurah
and do not violate applicable ordinances, rules or regulaHons of the City of Wheat Ridge (
covenants, eesements orresh'ictlons ofrecord; thatallmcasuremrnGS shown, and allegation
made aze accurate; that I have read and agree to abide by all condiHons printed on th,.
applicafion and that I assume ful] responsibiliTy fo compliance pi'th the Wheat Ridg
Building Code (CJ.B.C) and al] other appli~ bJC V~Ke~t Ridge mances, for work undi
this permit. ~ /
Construction Value:$ a ~ tk ,
r Permit Fee:$
Plan Review Fee:$
: r Use Tax:$
~ TOtal:$
DESCRIPTION: ~✓i~il ~ ~-e~-~~c,•y~ ~-,-~l~$- or~ C)
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING GOMMENTS: Approval:
Zoning:
BUILCINO COMMENTS:
Approval:
PUBIIC WORKS COMMENTS: .
ApprovaL
Occupancy: Walls: Roof: Stories: Residential Units:
Elechical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expirarion Date: Expirarion Date: Expiration Date:
Approval: Approval: Approval:
(1) This pamit was usued in accordance with the pmvisioas set forth iv your application and is subject to the laws of the Sfate of Colorzdo and m the Zoning
Regufafions a¢d Building Codes of Whea[ Ridgq Cololado or any oNer applicable ordiuances of the City.
(2) This pemtit shall ezpire if (A) the work authonzed is not commenced within sixty (60) days from issue dam or (B) the building authorized is suspmded or
abandoned for a pttiod of 120 days. (3) If ttis pemtit erzp¢es, a new perniit mey be acquired for a fee of one-half the amomt noemally aquired Provided no cCeug<s have beev oz will be made in
tLeorigiualplausa¢d5pecificationsaudanysuspensiouorabandoarneuthas¢otexceededone(I)year. Sfchavgeshavebeenorifsuspensionora6andonment
ezceeds one (t) year, fiill fees shall be paid for a vew permi[
(4) No work of any manaer shall be done that will change the nanual flow of water causiug a drsinage problem
(5) Coatracmrshall uotifytheHuildingInspecmrewenty-four(24)hoursiuadvanceforillinspectlonsmdshallrtceivewrittenapprovalouinspectioncardbefore
proceeding with successive pLases of thejob.
(6) The issuance of a pezmit or the approval of drawiugs and speci5cations shall uot be construed to be a pemtit for, nor an approval of, any violatiov of the
provisiovs of the building codes or a¢y other ordinance, law, iule or regulatiov. -
Chief Building InspectoL
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
8911
5/14/99
Property Owner :
Property Address : 4213 OWENS ST
Contractor License No. : 17701
Company : Empire Mechanical Systems
Phone: 423-1031
Phone : 232-6167
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit appliwtion are accurete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of recoM; that all measurements shown, and allegations
made are acwrate; 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, tor work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Use:
Description : Install central air conditioners
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Construction Value :
$1,800.00
Permit Fee :
$63.15
Plan Review Fee :
$0.00
Use Tax :
$27.00
Total:
$90.15
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in aaordance with the provisions set forth in yopur application and is subjecl to ihe laws oFihe State ot Coloratlo antl to the Zoning
Regulations and Building Code o( Wheat Ritlge, Coloredo or any other appliwble oMinances of the Ciry.
(2) This permit shall expire if (A) ihe work aufhorized is not commenced within SiMy (60) days from issue tlate or (8) the builtling authonzetl is suspended or
abandoned for a period of 120 tlays.
(3) If this permit expires, a new pertnR may be acquire0 for a fee of one-half the amounl normally required, provided no changes have been or will be made in the
original plans and specifcations antl any suspension or abantlonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, tull 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 draina9e problem.
(5) Contrector shall notiry the Building Inspedor hventy-four (24) hours in atlvance for all inspections and shall receive written approval on inspeclion card before
proceetliing with successive phases of the job.
(6) The issuance of a permit or the approval of drewings and specifications shall not be constmed to be a permit (or, nor an approval of, any violation of the provisions
of the iltling cotles or any other ortlinance, law, rule or regulalion.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855 Date :~/Co
CITY OF YVHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner~~~~`~~`-
property Address : '03 LowEN Phone : (c3Y7>7~
~ ~L
Contractor License No. : I rj o 1 Phone:
CompanY : Fe""~° l<34j~ ~ -~9 f ~7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ConsWction Value : (gCX)C~-
1 Mreby certifY Mat the astbadc distances ProposW by this Pertnit ePPliption are acwrate.
~
,
~ a
udom
Dkable ordinan
M a
~ s
ti na
l
ll
W
d
PEfRIIt FCB :
~
~
~
~ m
,
p
vio
a
eq
a
and do n
lw`m. a~
covenaMS, eaaemenb a rasl^etlo^8 p~
made aie axurate: Mat 1 have read arufag ros to a alnce ~ VMeat Ridge BuUEing
1
i
Use Tax :
a
b
application, and Mat I asauma tuN rospons
Code (U.B.C.) amf all other spphcebb Whea~ 70! ^e~. f°r work under Mis Dermit
TOT.21:
SIGNED y~
R
)
(pWNERxCONTRACTO
:
n
ti
on
p
Desc
BUILDING DEPARTMENT USE ONLY
F
=~Mmw
Approval :
Zoning :
qpprovat:
Approval :
Roof : Stories :
Residential Units :
Occupancy : Walls :
Piumbin License No : Mechanical License No :
Electrical License No : 9 Company :
Company :
Company :
Expiration Date : Expiration Date :
Expiration Date : ~P~al :
Approvai : Approval :
-1 , - _ i ■ ~ ~'i
c1> rnuvamrt,w..4weainam«mnc.wnnmea~~s.traminroaw?6W~!■^diswoaccmmel.w.wmesmmacdaedoenaeomazaNnu
RequlaUOna antl Building CoAe of Wheat Ridqe, Cdasdo a rN oUx8PP~ ~nanoes d_ CLLY.
(Z) 7his penTit shYl exPm rt (A) Ms wak wMoAred u not canmenmd wMin sutlY (e0) dep (bm rows dete ot (9) the b~~ °~°d f.~M Me
abandoMtl yr a V9fipp pl t20~y a. rans (s) rc ma v~ "*v~, e naw pamdt m.r ~ ewW~a IX• ras~a nwfmWi om ~w~~py ere meae or n auwen"bn o~+ha^dm"'~
o~4W Wan* a~d Waaf^° aM+M wsPeneq^
excaads one (1) Yar. lux tees ahaN bs WW for s new pemat.
(4) Nn wdk of any manW sIW I be tlaie Wtwdl c1unC8 ths MiN" Ibw of wahr auaH9 a tlraimP MbWn.
(5) CpMrscOpr shall notlh ttie Budtlln9 ~nsQeobr WMd-lour (21) hours in aCVane br ell meDecOo^8 and anaN raceive wrilten sPPmal m insVecbo^ cwd DNae
nceediin9 wiN wecewve Phasea a msofpp
~8) e~ coees « m~ omer ~~ce. arkd fe9s e anau ~a ee wnsmia+ m oe e v~ ror.'ror, en 0ppwel d. anr riaatim mme PmvsWw
Chief Buiiding Inspecror For Mayor
THIS PERMIT VALID CONLY ALL:N234-5933 24 HOURS PRIOR TO~INSP'ECTION ECTOR AND MAYOR
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
8932
5/19/99
Property Owner :
Property Address : 4213 OWENS ST
Contractor License No. : 18356
Company : ROD HANSEN ELECTRIC
Phone:
Phone : 843-6108
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify 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, antl allegations
made are acwrate; 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) SIGNED DATE
Description : Wire a/c
Construction Value :
$200.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$3.00
Total:
$26.50
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zaning :
Approval :
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 accordance with the provisions set forih in yopur application antl is subject [o the laws of the State of Coloratlo antl to the Zoning
Regulations and Builtling Code of Wheat Ridge, Coloredo or any other appliwble ordinances of the City.
(2) This pertnit shall expire if (A) the work aufliorizetl is not commenced within sixry (60) days from issue date or (B) the building authorized is suspendetl or
abandoned 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 requireQ providetl no changes have been or will be made in the
original plans and speafcations antl any suspension or abandonmen[ has not exceeded one (1) year. If changes are made or if suspension or a6antlonment
exceeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work of any manner shall be done ihat will change the natural tlax of water causing a draina9e problem.
(5) Contractor shall nohfy ihe Building InspeQOr hventy-WUr (24) hours in advance tor all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval ot, any violation of the provisions
of the uiltling codes or any other oMmance, law, mle or regulation.
Chief BuildiFrg Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
- BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 qPPLICATIoN
Property Owner:
Property Address :1a2 /-3 O&v ,-n S'Sf Phone :
Contractor License No. : (93 S-G
Company: l- le-<7`/, C, Phone: 5YJi-G1aR
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do nat violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of rewrd; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide bp all conditions printed on this
appliration, and that I assume full responsibility for eompliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED /p 4/>." DATE
Description : //(f C
Construction Vaiue : ~ pp o°
Permit Fee :
Use Tax :
Total :
Use
BUILDING DEPARTMENT USE ONLY
jo n:Cb~~ FSFfff_s~ SIC : Sq. Ft. :
Approval :
Zoning :
6Uf17in-"g CS'trf~
Approval:
Approvai:
Occupancy : Walls : Roof : Stories : Residentiai Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiretion Date:
Approval:
(1) TTis parmit was Issued in accordance with the provisions set forth in yopur appliwtion and is subI'ed to the laws of the State at Colafado anA to the Zaning
Regulations and BuilCing Cotle ot VJheat Ritlpe, Colorado or any oNer apDli~ble ardinances of the Ciry.
(2) This pertnit shall expire d(A) the work authonzed is not commencetl within siuty (60) tlays Irom issue tlate or (B) the Cuildin9 authorizetl is susperWetl or
abandoneA tor a period of 120 tlays.
(3) II this pemut expires, a new permit may be acquired for a/ee of ane-hatt the amount normally require4 provitled no changes have been or will be matle in the
onginal plans anO specifications anE any suspension or abantlonment has nat e.ceeEeA one (t) year. 11 changes are made or i/ suspension or aDanCOnment
exceetls one (1) year, full fees shall be paiE for a new permit.
(a) No work o( any manner shall Oe Cone that will change the natural flow of water rausing a Ereinage problem.
(5) Cont2ctor shall notiy the Building InsPeIXOr lwenly-(our (24) haurs in advance for all inspections and shall receive wntten aDProval on inspection wrd before
proceeCiing with successive phases of ihe'ob.
(6) The issuance of a pertnit or ihe approval o~drawings and specifirations shall not be consWeC to be a pertnit lor, nar an approval of, any violation of the provisions
o( the building cades or any other ordinance, law, nile or regulation.
Chief Building Inspector