HomeMy WebLinkAbout4300-4302 Owens Streetb City of Wheat Ridge
Residential Roofing PERMIT - 201706151
PERMIT NO:
201706151
ISSUED:
08/15/2017
JOB ADDRESS:
4300 Owens ST
EXPIRES:
08/15/2018
JOB DESCRIPTION:
Residential Re -roof to install
Dimensional asphalt
shingles - 34 sq
*** CONTACTS ***
OWNER (720)281-6159
HEALD RENITA H
SUB (303)328-3713
John Duvall
130171 Duvall Construction Inc.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2408 / FRUITDALE,
LEES, STONERIDGE BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATIO 8 73$
FEES
Total Valuation
0.00
Use Tax
183.50
-
- -
Permit Fee
188.45
-
- -
** TOTAL **
371.95
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
� � 4 City of Wheat Ridge
Residential Roofing PERMIT - 201706151
PERMIT NO: 201706151 ISSUED: 08/15/2017
JOB ADDRESS: 4300 Owens ST EXPIRES: 08/15/2018
JOB DESCRIPTION: Residential Re -roof to install Dimensional asphalt shingles - 34 sq
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 ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
—l"7
Signa e of OWNER or CONTRACTOR (Circle one) Date
I. TIds 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 original ermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or ordinance or regulation oft is 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.
Dan Schultz 201 7 D6M
From: no-reply@ci.wheatridge.co.us
Sent: Friday, August 11, 2017 2:57 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Categories: Dane
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 fora Yes
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
bL
4300/02 Owens St
Renita Heald
57
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
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
(720) 281-6159
Field not completed.
Yes
HealdOwens-Co ntract. pdf
CONTRACTOR INFORMATION
Contractor Business Colorado Roofing & Construction t>R4
Name
Contractor's License 130171 ��–
Number (This is a 5 or 6
digit number for the City b(AVo( I+ (onJiro Cg01)
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
720-328-3713
3265 Alkire Way Golden, CO 80401
Contractor Email Address info@qualitycoroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
info@qualitycoroofing.com
34
--568—
tj73�
58
Are you re -decking the
roof?
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
No�
No /
Yes
34
Dimensional
Asphalt
ReRoof, 4/12
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
59
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.
Name of Applicant John Duvall
Email not displaying correctly? View it in your browser.
60
RESIDENTIAL ROOFING,;
CONTRAC'T'NO--.
oiorado PREFERRED �� , „ 3265 Alkire Way
Ra ung rc �C1'�o,,n_s�t ution 0C4NiRRCTOR B� Golden, co e0401
�1 1, ` � aea Rating: A- Office: 720.328.3713
Owner's Name: fy.Dinj
R�,q.1.6P, r^ Owner's Address: Fax: 720.475.1218
pionll-hA/�, �, , Emergency: 303.408.4888
Owner's City: Owner's Zip Code: Qt_ owner's Ph 4: Owner's Work Phone: info@QualityCORoofing.com
www.QualityCORoofing.com
J
Email!(l
eX�Istst ZP
I/WE, the Owner(s) of the premises described above authorize Duvall Construction, Inc. dba Colorado Roofing & Construction herei after re ed to as
"Contractor", to furnish all materials and labor necessary to roof and/or improve these premises according to the following terms, s ecifications and
provisions:
PROPERTY OWNER IS INTENDING TO MAKE PAYMENT FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY. INITIALS
a. Scope of Roofing Services and Materials to be Provided:
1, Roof Type: Fgable Min 11 flat ❑ other: _ 4. ❑ Install New Sheathing. ❑ 1/2" plywood ❑ 1/2" OSB
2. Roof... Pitch: __in 12 Height: __ft. Area:._(1_s.f. ❑ other: qty.___ __s.f.
4. Existing Roof Covering: f$),comp.shgl. ❑ shake ❑ b.u.r. ❑ the 10. Install New Gutters. style: 9._g.-5 inch_.
other (specify): 11..P4nstall New Metal Roof Edging. color:
S. NstTear off existing roof. 6. O Go over existing roof. 12.Xlnstall New Pipe Flashings. 13.;XInstall New Valley Flashings.
7.;31New Roof Covering. (specify): ❑ open valley closed valley 14.'SLInstall Other Flashing. (specify):
esit
8. New Ridge. (specify) - . _.. _ .. 15. Seal and Paint Pipes. 16. [Clean up and dispose of debris.
IQ
rz
as
CSt — -
(r�fCC�-.
B. Description of any areas that will NOT be worked on:
THIS LIST OF SPECIFICATIONS MAY BE CONTINUED ON SUBSEQUENT PAGES (SEE PAGE NUMBER BELOW)
c. Approximate Costs of the Services for Damage Known at This Time: Contractor will perform the above, (subject to any additions an /or deductions
pursuant to authorized change orders), for the Approximate Sum of $�� Down Payment (if any) $ lyz
INSURANCE: THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY TO IT SHOULD THE I SURANCE COMPANY
REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE INSUFFICIENT FOR CON O PROPERLY DO THE
WORK. THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE, PLUS ANY UPGRADE OSE OR ANY NON COVERED ITEMS
THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CON CT BALANCE (ACTUAL CAS VAL F THE WORK) IS PAID BY YOUR
INSURANCE COMPANY PER FINAL LOSS INVOICE. ALL PROCEEDS FROM THE INSURANCE COM NY INCLUDING, BUT NOT LIMITED TO,
PROCEEDS FOR SUPPLEMENTAL CLAIMS MADE BY CONTRACTOR ON BEHALF OF OWNER, PR EEDS FOR PROFIT &OVERHEAD, AND
PROCEEDS FOR RECOVERABLE DEPRECIATION, ARE GIVEN IN PAYMENT FOR THE WORK OF NTRACTOR AND OWNER AGREES TO
TIMELY, (WITHIN 24 HOURS OF RECEIPT BY OWNER), REMIT ALL SUCH PROCEEDS T R. PER COLORADO SB38, CONTRACTOR
SHALL HOLD INTRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONT CTOR HAS DELIVERED ROOFING MATERIALS AT THE
RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING ORK ON THE RESIDENTIAL PROPERTY.
d. Approximate Dates of Service: Substantial commencement of work shall mean eithe the physical delivery of materials onto the premises or the
performance of any labor and shall be subject to any permissible delays as per on the reverse side.
Approximate Start Date: - - f A roximate Completion Date:_ / % a� b / "%
e. Acceptance: This contract is approved and accepted. I (we) under tand there are no oral agreements or understandings between the parties of this
agreement. The written terms, provisions, plans (if any) and specifi tions in this contract is the entire agreement between the parties. Changes in this
agreement shall be done by written change order only and withxpress approval of both parties. Changes may incur additional charges. As described
in provision (1) on page two, this contract is subject to approval by Contractor who may cancel after refunding any down payment.
Additional Provisions Of This Contract Are On Th se Side And May Be Continued On Subsequent Pages (see page number below). Read
"Arbitration of Disputes" provision on page two (2),ipro sion 14 and the NOTICE following this provision. If you agree to arbitration, initial on the line
below the NOTICE where indicated. Also, initial in the same place on EACH COPY of this contract.
NOTE: Th' , t a be ithdrawn or renegotiated after 60 FIELD REPRESENTATIVE
days fro if approved and signed by BOTH parties. In witness thereof the owners) have hereunto signed their
e).thfs day of2v and
1 2cknowledges a true copy of/this contract.
approved a ay a ted (owner date By: , � h N ,, V(w 1
/I company representative Number
CANCELLATION POLICY:
approved and accepted (owner) Your right to cancel this contract is limited to the following: You, the
Buyer, may cancel this transaction at any time prior to midnight of
the third business day after the date of this transaction. See the
approved and accepted (contractor) date attached Notice of Cancellation form for an explanation of this right.
�^ Hwy. aL 100-11 — I s.unua¢ors roans lauul aZo-ob.�b www.caiTorm.com Page ONE of 2 Total Pages
i CITY OF WkEAT RIDGE
Building Inspection Division _
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: lam- .`n 4a f
Job Address: 1-1-306 c 4 -
Permit Number: -;? Q / -7 Q 1 / S- t
1
❑ No one available for inspection: Time r - uA AW5
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: 'TQ
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: M j
Job Address: 4-/7300 O w e n s 5 f
Permit Number: a 0 1-7 o (, 1 s—
!
❑ No one available for inspection: Time 7 a n /PM
Re -Inspection required: Yes (9
When corrections have been made, call for re -inspection at 303-234-5933
Date: 9 fr Inspector: -T-6
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
rj Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Alt rZoc' f°
Job Address: 30rV W t_ > -`s 11
Permit Number: III? a 3d
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, 71, r i spection at 303-2345933
Dater InspectorDO NOT REMOVE THIS NOTICE
9
♦ 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: icX Ge o d
Job Address: 36)0 —0A 5 7 —
Permit Number: 0 e.;t 3 {�L
4
❑ 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: 5gE, EI Inspector: s'
DO NOT REMOVE THIS NOTICE
" = City of Wheat Ridge
~0
Residential Roofing PERMIT - 092312
PERMIT NO: 092312 ISSUED: 09/11/2009
JOB ADDRESS: 4300-02 OWENS ST ,.EXPIRES: 03/10/2010
DESCRIPTION: Reroof 34 sqs.
CONTACTS
sub 720/381-0365 Michael Terry 09 0206 Glacier Roofing
owner 303-/922-5135 '.Wally Settgast
PARCEL INFO
r. ZONE: CODE: UAUSE: - UA
SUBDIVISION: -0182 BLOCK/LOT#: 0/
r
**)FEE SUMMARY ESTIMATED PROJECT VALUATION: 8,200.00.
> FEES
Permit Fee 217.50
Total Valuation , pp'D.,i~ a
Use Tax 147.60 u...v.,a.. L...
TOTAL 365.10
Conditions: _
6 nail installation& mid-roof inspection required. Board sheathing spaced more
than a 1/2. of an inch apart re
quires plywood overlay on entire roof. Ice. and
water shield required from eave edge to 2' inside exterior walls.
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
10K 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 Lode (I.B.C) and all other
z, applicable eat Ridge.0 dinances, for work under this permit.. Tans subject to. field inspection.
- =pct
Signs ore of contractoi/ownECr~ ate
1. This permitwas issued in accordance with the e
provisions set forth in your application and is subject to the laws of the
3s State of Colorado and to the zoning Regulations and Building. Codes of Wheat Ridge, Colorado or any other applicable
r- 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 fora 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.
a. No work. of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. 1COntractorshall 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 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
j„ an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All . plan review object to field inspections.
Signature of i Building Official date
INSPECT N REQUEST LINE: (303)234-5933 :BUILDING OFFICE: (303)235-2855
, REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.>
a,
oF"'"E'T~ City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
°~~oRPOO O Inspection Line: 303-234-5933
Permit
Building Permit Application
Proper'tyAddress ~3~ Lf L 0 ~Ve„J~
Property Owner (please print): J-e a S ~ Phone: 6'3
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
i
Contractor License b 9j 0 a & v Phone: `3 6 53 q6 g 77-p
Sub Contr'actors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date
Approval: Approval:
Use of space (description): ice Y20 p
Description of work:
3 yn-
Exp. Date:
Approval:
Construction Value: $
fas calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 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 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::. ) (~CJONT^RAACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: 0 ~1-VI ~t /'E b" ✓1~i SIGNATURE: --B✓CJ a Date:
i~,~ Bldg Valuation: $
WITMENT QF PLANNING AND DEVELOPMENT Building Permit Number : 5403
ING INSF'ECTION DIVfSION - 235-2855 Date : 7/8~97
GITY OF WHEAT RIDGE
7540 WEST 29TH AVENUE
WF}EAT RIDGE, CO 80215
, w;'' Property Owner :
Froperly Address : 4300-02 OWENS ST Phone : 922-5135
QOntraCtor License No, : 18271
Company : CENTENNIAL ROOFING Phone : 238-5557
ACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
: the setbaGc distances proposed by this parmk applicationare accurate,
applicabte oidinances, rules or regWatlons of the Ciry of YVheat Ridge or
;nts or restndions of recoM; that ali measurements shown, and allegatfona
• rhx I nnva .esd and. eareato abide bY all condifions printed on this _
I7RACTOR) SIGN¢n~~~~TF~~ES L
/ /
t; REROOF
BUILDfNG DEPARTMENT USE ONLY
onsWction Value c $z,ttau.uu
Permi# Fee :
$75.50
Plan Review Fee :
$0.00
Use Tax :
$34.68
Total:
$110.18
SIC : Sq. Ft. :
Wafis : Roof : Stories : Residen6al Units :
f'#.icense No : Plumbing License No : Mechanical License No :
i ; Company : Company :
>.~,rVlt~~iWi Date : Expiration Date : Expiration Date :
Approval: Approval7777777~
'{{r' wpa isaued inaccottlarx:e w1U~ iFre provisfor~s set foNi In yopur appllcation and is subiecl ~ the laws ot the SteteotCOlaado anE tD tlie Zoniny
~ o
~ a and @uildl Code of WhaatR~1dp Cobrede or arry other epplipble ortllnarxas W the Cily.
r (B) tlre bulldiny auUwr¢ed is suspendetl w
ahall e%pra~ (NZme woAc euMorGzeed Ia nwt commencetl within sbcly (80) tlays lrom issue date
ed {pr gperioC W 1 0 days.
~ 8sM s'epatl~ni ami eanY aus~peunision ar andonmenl~has rwt excemeda~d aere~(uYeer. , Irt chan9es ere m~atl~e or suapans ~ w w aban ~ d ~onment
one (t)Year, kiN feaa aMdl bePaid fw a new permH.
ftlpM, M any nmrlnar eh~l be do~e tt~et wiil dhanpe the naWrel flow W wa~r ceuskiga dwineqa proElem.
~~helCMr snaqnOtlM tne swane mspec~r, twenH•rour (za) noun in advance ror an Inspenwns and sneu recelve wmren avD~~ on Insv~~ card nerore .
~g wqh auWaBelve asee of tlredpb
~Y in°`~'°1.~'w~ ~ o~18u,~r a~a~reInce. Iaw~nile or re9ul~a4on6ons shall not be cona4uetl M be a Pertnn tor, nor an aPP~al d, enY vbletlai of Me provfebns
iilding Jnspector
PERMIT VALID ONLY WHEN SIGNED BY THE CHiEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
,
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date /
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
PropertyAddress: V 3,'~~-°'z Phone:9~~ -51 3s
Contractor License No.
Company : : ~ ~ " -"S Phone : 2 3~_ - Ss~ o
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of Ihe 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 printetl on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicabie Whg~t Ritlge ordinance for work under this pertnit.
~i = l
(OWNER)(CONTRACTOR) SIONED%J~-l'u 1~i`. DATE 7 ~
Construction Value
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
DescriPtion
BUILDING DEPARTMENT USE ONLY
2onirl
Approval :
Zoning :
Bult"d_nf-"g?Co'fi~~i e-s.4
Approval :
P,t1bl . . _
Approval :
Occupancy : Walls : Roof : ✓
SIC : Sq. Ft. :
Stories : i Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiretion Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
no ILPi~~tm9 WiNWRE«a~ 0 ffm„n
(1) This pertnit was issuetl in accordance with ihe pmvisions set Porth in yopur aOPlication and is subjecl to Ihe laws of the State of Cob2tlo and to lhe Zoning
Regulahons antl Buildiny Code of Wheal Ritlge. Coloratlo or any other applicable ordinances of the Ciry.
(2) This Dermit shall ccpire d(A) the work auNOnzed is not commence0 wilhin sizry (60) days from isiue tlate or (B) the Ouilding aut0onieC is suspentled or
aGantloneG for a petlod of 720 tlays.
(3) If this pertnit ezpires, a new permrt may Oe acquired br a fee of one-half the amount normally reQUired, provided no changes have been or will be made in Ihe
original plans and speufications antl any suspension or abantlonment has not erceetled one (1) yeac If changes are matle or il suspension or aDandonment
exceeds one (1) year, lull (ees shall Ca paitl lor a new pertnit.
(a) No vrork of any manner shall be tlone that will change Ne nalurai 8ow o( water causing a draina9e Droblem.
(5) Contractor shall notiry the Building Inspecror twenry-four (24) hours in atlvance for ail inspections antl shall receive wrinen apDroval on inspection card before
pmceediing with successive phases of tne 1o0.
(C) The issuance of a pertnit or the approval of tl2wings and specifications shall not De consirued to Oe a permit Por, nor an approval ol, any violation of the provisions
of the 6uiltling cotles of any other oNinance, law, Nle or requlalion.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION