HomeMy WebLinkAbout4540 Field Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION POTICE
Inspection Type:
Job Address: O ) e - Id -St -
Permit Number: oz
❑ No one available for inspection: Time./? AM/PM
Re -Inspection required: YesN
When corrections have been made, for- re -inspection at 303-234-5933
Date: %/ % / / 7 Inspector: G/ 1 kU '-
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Divisi�
(303) 234-5933 Inspection /ice
(303) 235-2855 Office • (303) 237-89z6
a?k
INSPECTION NOTICE
Inspection Type:
❑ No one available for inspection: Time/ o
Re -Inspection required: Yes 'No
When corrections have been made, call for re -inspection at
Date:_�IZM'
���Inspector: ,
DO NOT REMOVE THIS NOTICE
d
i
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: .b
Job Address:
Permit Number: od0/70 2 a& %
❑ No one available for ins _ection: Time/ Ak/*
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: Inspector: fir,
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702367
PERMIT NO: 201702367 ISSUED: 06/22/2017
JOB ADDRESS: 4540 Field ST EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander Laminated asphalt
shingles - 18 sq.
*** CONTACTS ***
OWNER (303)710-2567 SHIVELY CHARLES B
SUB (303)857-5667 Darrell Tymoczko 150287 DRT Consulting LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,626.00
FEES
Total Valuation 0.00 — ---
Use Tax 97.15 °
Permit Fee 125.05
** TOTAL ** 222.20
*** 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 Aid -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 manufacturera€'"s 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702367
PERMIT NO: 201702367 ISSUED: 06/22/2017
JOB ADDRESS: 4540 Field ST EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install Malarkey Highlander Laminated asphalt
shingles - 18 sq.
I,
bmy 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 partes 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.
^'<-.,2S
Signature of OWNER or (Cd►NTRACTOR (Circle one) Date
I. This permit was issued base on the information provided in the permit application and accompanyingdans 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 permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and rocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offcial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to b �tfo a val fmaviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdictionor j to eld inspection.
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.
Antoinette Kulick�?
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, June 13, 2017 6:31 AM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
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 3-5 business days, subject to change based on volume. �AJ/e- Wi0-lt/
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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
4540 Field St
Joshua Finocchiaro
561-504-3612
Field not completed.
Yes
I D_Z�a .20
CONTRACTOR INFORMATION
Contractor Name DRT Consulting LLC
Contractor's License
150287
Number (for the City of
Wheat Ridge)
Contractor Phone
3036684379
Number
Contractor Email Address
libertyroofs@gmail.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
libertyroofs@gmail.com
Address
DESCRIPTION OF WORK
Is this application for a
Yes
new permit for a
residential roof?
Are you re -decking the
No
roof?
Description of Roofing
Malarkey Highlander Laminated Shingle
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
18
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
18
roofing material for this
project
z
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)
Re -Roof House. 4/12 pitch
wee— 4 G 20 • 00
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 Darrell Tymoczko
Email not displaying correctly? View it in your browser.
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PURCHASE AGREEMENT
7 #04#
BBB.
This Agreement is made this day of , 20-1-7between
Contractor: LIBERTY EXTERIORS AND CONSTRUCTION LLC Owner: F,
Address- U,!s
Address: 5780 E. Wetlands Dr.
Fredrick, CO 80504
Telephone: 303-857-5667 fax 303-945-792
Web: libertyext.com
Telephone: (H) (C)
3 �-
J `. E -mai
t /�►
Contact me via ❑Phone ❑Email Lirext Message
THE PARTIES AGREE AS FOLLOWS: -
1. Work. The Contractor agrees to supply the following materials and perform the following work -(the Wnrk)
Roofing�Sidin'
Shingle Grade- fhdw y--
_�
Shingle S le- d�-�Style-
-
Color- /
Vents- # St le TWWwY
E'o
Tear 0 N Layers
' LF Soffit- 1,F
-
r c
DeckingReplacement Y
- ,
Drip Ed= ►6s
ur ,
Color-
El
> A. �$ in good funds (cash or check) upon the execution hereof.
!' B. -$ in oo �d rc�h or check) due f � �qf
C. $ in ood�'ftrnds (cash or check) due -7),)
�p V P (�o
��
�Jnless otherwise stated, payment shall be due as work is completed and shall be due in full on substantial nlpletion. For payments by cash or check, f Q1111PAVA•
the Purchaser shall provide the contractor with bank, account and other proper information to verify the availability of funds. For payments by credit card,
Purchaser shall provide a signed imprint in the specific amount with the card expiration date and any necessary information to verify the availability of
credit under the card. Charges shall be processed in accordance with A, B, and C above. There will be a 3% processing fee on all credit card transactions.
PRE -LIEN NOTICE:
ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY FILE A
IIENNAGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID THE CONTRIBUTIONS
- --
If initialed by buyer, then the contract price is contingent upon insurance approval, and the buyer is only responsible for his/Crdeductibie. Whep
the insurance carrier agrees to pay the claim for damage to the property, then the buyer agrees to allow Liberty Exteriors & Construc� t'o perform
all repairs prescribed by the insurance companys adjuster report. By reference, said adjuster's report and estimate becomes and here is a part of this contract.
S. RIGHT OF RESCISSION. PURCHASER MAY RESCIND AND TERMINATE THIS AGREEMENT BY WRITTEN NOTICE, DELIVERED TO THE
CONTRACTOR AT THE ADDRESS OR FACSIMILIE TRANSMISSION NUMBER STATED ABOVE NOT LATER THAN MIDNIGHT ON THE THIRD
DAY AFTER THE EXECUTION HEREOF BY PURCHASER. IF NOTICE IS NOT SO GIVEN, THIS CONTRACT SHALL REMAIN IN EFFECT
ACCORDING TOITSTERMS.
RUYER(S) \ LIBERTY EXTERIORS AND CONSTRICTION, LLC
Date
y_
Date
INSPECTION RECORD OccupancY/TVpe
'INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is pasted on the-building site
Call by 3:00 PM to receive inspection the following business day.
I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
INSPECTIONSDATE TIONS DATE INSPECTOR
FOUNDA
INITIALS
COMMENTS:
Footings-
=
Stemw alncrete _
Encased
Reinforciithic
Weatherph Drain
SewerSe--- - -
Water Service Lines -
-
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Insulation
Drywall Screw
POUR No CONCRETE UNTIL
Do
FINALS
Electrical
Plumbing
Mechanical
Roof
. 7.1a:~~? esr
d 7 ,n•~` ,..>~P'~" c^r~ ~P~.e ,e~"lo 12
Building Final
j
Fire Department
R.O. W & Drainage
Parking & Landscaping
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS. BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED.. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. -
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PRnTFrT"TWIS r ARn I=PnM T114L7 WG:AT{-IGR
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
]~;r(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:d poor-
Job Address: $v H o Fa i i_)
Permit Number: 0OaI3L
f
~~IS L rJ/L 'f~f ~Y J7 lZ -,2
❑ No one available for inspection: Time AM/PM
Re-Inspection required`. Yes IVo
r ' When corrections have been made, call for re-inspection at 303-234-5933
i;
Date: lo -~72-c.4 Inspector: ~Yrv
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /l'7/4 hoe-
Job Address: Permit Number:
~b,~01OVC1t~,~-
725 4- IF-711-21 Aa D 400/_ /'-';2 04 les 5~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: /O -JA -n9 Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
r' (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: k(90
Job Address: 'r ,5$(7 F1 ELD S -F
Permit Number: O2 333 Co
P/ NAIL. FLA5Pl n! G 6T- FLUE- FE/L1 i ki D
I
i
I
I
i
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call fo re-Inspection at 303-234-5933
Date:/17-~ _O ' Inspector: D
O NOT REMOVE THIS NOTICE
r40001'0'F_
PERMIT NO: 093336
JOB ADDRESS: 4540 FIELD ST
DESCRIPTION: T/o: Install 23 sqs of
CONTACTS
owner 303/421-5895
gc 303/462-3745
Joan, Beall
MARY PHILLIPS
PARCEL INFO
ZONE CODE: UA
SUBDIVISION: 0231
FEE SUMMARY
Permit Fee
ISSUED: 10/14/204$)
EXPIRES: 04/12/2010
dimensionals
08-0034 O'CONNOR ROOFING
USE: UA
BLOCK/LOT#: 0/
ESTIMATED PROJECT VALUATION:
FEES
199.30
7,253.90
Total Valuation 00
Use Tax 130 ..57
TOTAL 329.87 `
Conditions:
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than a 1/2 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 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.
Lp-Ig-0
Signature ofcontractor/owner date
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.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
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 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 of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan rev w y "`subject to field inspections.
Signature 4 Ch' Y Building Official date
,`.1
INSPECTION 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.
~oFW"E^rp, City of Wheat Ridge Building Division Date:
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
°otoaro° Inspection Line: 303-234-5933 PermitM
Building Permit Application
Property Address: q 5 y o F.cXAJ 3-t
Property Owner (please print): foyer /A ¢o_kA Phone: 3d9 Yzl - 58 R S
Mailing Address: (if different than property address)
Address:
City, State,
Contractor: 0
Contractor License Phone: 30 3 - Y46 2.3'714 S
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ '7 2 S S 40
Description of Work: (as calculated per the Building Valuation Data sheet)
I
Plan Review (due at time of submittal): $
t~aat~ayc 3 A.T.~o 3-r A -T'.►,~." Ay,-
Sq. Ft./L.Ft added: D Squares Z"b 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.
C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of ((~OWNER)p(CONTRATOR)
PRINTNAME: I.AAlty REl,yh1AlCD SIGNATURE: fkA6 n Date:10-13.0
Q
Bldg Valuation:
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: 11/14/2000
11496
Property Owner:
Property Address: 4540 FIELD ST
Contractor License No.: 18464
Company: B & F Heating & AlC
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 988-6632
Phone: 431 8914
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 Baree 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.
Construction Value:
Permit Fee:
Use Tax:
Total:
$1,600.00
$57.05
$0.00
$57.05
(OWNER)(CONTRACTOR) SIGNED
DATE
Description :
REPLACE 75,000 BTU FURNACE
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning:
Approval:
Occupancy:
Walls:
Roof:
Stories :
Electrical License No :
Company:
Plumbing License No :
Company:
Expiration Date :
Approval:
Expiration Date:
Approval:
Use:
SIC:
Sq. Fl. :
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
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 day's.
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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the/'ob.
The' n~ofa it or the approval 0 drawings and specifications shall not be construed to be a permit for, noran approval of, any violation of the provisions
. b I . r any other ordinance, law, rule or regulation.
,
(1)
(2)
(3)
(4)
(5)
(6)
nspector
Residential Units:
Mechanical License No :
Company:
Expiration Date :
Approval:
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
APPl\Cf\TIDN
Property Owner: 4-5<+D +=i e.\d s+
Property Address: cq..i rn Per c.i uCLtl
Contractor License No. : 1'84- 6>+
Company: B-+- ~ .J...1
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING
Phone: Cl58 ,(..CD.3,::>.
tv)( "*DLfI~ Phone: tf <3 f - [19 / 'f
Conslruction Value: I (P 00 -
Permit Fee: '57-. oS
Use Tax: tf
/
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 restridions of record: that all measurements shown, and .'legatrons
made are accurate: Ihat I have read and a~ree to abide by all cond~ions prinled on Ihis
application. and that I assume full responsl i1ity fo mphance with the Wheal Ridge Building
Code (U.B.C.) and all other applicable Wh t Ri ge rdinan for wor1< under this rrmr- ..
(OWNER)(CONTRACTOR) SIGN DATE~
Total: S~ 6S
Use:
,a:08rvfw-n~
BUILDING DEPARTMENT USE ONLY
7..!l1.!.!:.h.r'.!:....Lt'!1l~ ;'L~.!:
SIC:
Sq. Ft.:
Approval:
Zoning:
~1~)~.:;JL.r~. . II t' _, .;:
Approval:
:.!!1~ :1: '_'...-. '._...'l~'!.,_".-<"~
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
Expiration Date :
Approval:
Expiration Date:
Approval:
(1) This permit was rstued In acc:ordIInce with the provisions set forth in yopur application and is subject to the 18ws of the Stille of Colorado and to the Zoning
Reguiationl and BuiIdina Code of Vv'heet R.. CoIontdo or any other applicable ordinances of the C<<y.
(2) This permit IhaII expire it (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorizecl is suspended or
-- lor. period of 120 lIIl'S.
(3) If this permit expirea, I new permit may be ICqUired for a fee of one-half the amount normally required, provided no chlnges hive been or will be IT1IIde in the
originll plans and S~lcll'k:lilk),.. and any suspension or abllndonment has not exceeded one (1) year. If chlnges..., made or If suspension or m.ndonment
excoeds 0IlI (1) YIlt. fulleIs IhIn be pIJd lor. .- pormil
(4l No work Of any ,.."".,.1hI1I be done ttm will Change U'te natural flow of water Clusing a drainage problem.
(5 Contractor aha" notify the Butlding Inspector twenty.four (204) hours in advance for all inspections and shaJl receive written approval on inspection Clm beforIi
proceadiing with __ _ oflhl ioti.
(6) The iuuance of a permit or the 8PPfOV8I of dnlwings and spedfications shall not be construed to be I permit for, nor an approvel of, any violItion ofttle proviIionI
of the building codes or any other orDinance, law, rule or regulation.
Chief Building Inspector