HomeMy WebLinkAbout4530 Holland StreetPERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701548
201701548
4530 Holland ST
Remove and replace
roof - 55 squares
ISSUED: 06/05/2017
EXPIRES: 06/05/2018
*** CONTACTS ***
OWNER 303-358-2832
RODRIGUEZ RICK
SUB (720)284-8831
Nk
Brent Roper
160146 BLLR dba
Ropa Roofing
* PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE.:
UA / Unassigned
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
18,000.00
FEES
Total Valuarion
0.00
Use Tax
378.00
°ermit Fee
331.10
k* TOTAL **
709.10
r** 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 k/2 -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€Tms 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.
1-70 1
TION RECORD ,/-' o��u an�yiT�e
INSPECTION �' �
`! INSPECTION REQUEST LINE: (303) 234-5933.
Inspections will not be perforined unless this card is posted on the project
Call the inspection request line before 11:59 p.m. to receive an inspection the following busine i . --
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments Initials
Pier
Concrete Encased Ground (CEG)
1
Foundation / P.E. Letter -
. I_
Do Not Pour
Concrete Prior 10 A proval VT 1 ne Above Ins ec1.IVn-
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
4
Sewer Service
Plumbing
Lath / Wall Tie
r% , KIM r`rwnr 1 1nrlarnrnilncl nr ReIoW/In-Slab Work Prior 1 o APprovai vT 1 ne f'lrpove I11bPVtAIVI I,
Rough Inspections
Date
Inspector
CommentsInitials
Wall Sheathing
4
Mid -Roof
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Inspector
Date Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
i Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
L
Final Plumbing
Final Mechanical
;
Roof
i Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
l— c....... t"- c;— n; -f,;,+ —A o1—frionI In\A/ vn ltana
-For low voltage permits – rlea5e uu Swe uiaL iuuyii 1110PUul--— ... V-- --- -••-- • •• _.__..__ _--_ _ _ -
by the Building Division.
"For Inspection Time Window - Please email IlnSptimefequesttCl�Cl.Wheatl ICIge.CO.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
IV � I Q, ICITY OF WHEAT RIDGE
Building Inspection Division
r -(303) 234-5933 Inspection line ,
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P_ 0r+
Job Address: qs*;� POU&V 5T
Permit Number: 2'QI_�-?I SU j
❑ No one available for inspection: Time AM/RM
Re -Inspection required: Yes rNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:J`�! C
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701548
PERMIT NO: 201701548 ISSUED: 06/05/2017
JOB ADDRESS: 4530 Holland ST EXPIRES: 06/05/2018
JOB DESCRIPTION: Remove and replace roof - 55 squares
*** CONTACTS ***
OWNER 303-358-2832 RODRIGUEZ RICK
SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 18,000.00
FEES
Total Valuation 0.00
Use Tax 378.00
Permit Fee 331.10
* * TOTAL * * 709.10 ------ --
*** 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 A/2 -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€rms 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 - 201701548
PERMIT NO: 201701548 ISSUED: 06/05/2017
JOB ADDRESS: 4530 Holland ST EXPIRES: 06/05/2018
JOB DESCRIPTION: Remove and replace roof - 55 squares
I, by my signature, d ere y attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable buil mg es, Inc all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal offer he poperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. 1 fib he is est hat I am legally authorized to include all entities named within this document as parties to the work to be
performed and 11 w k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature op R or CONTRACTOR (Circle one) Date
I . This permit was i sued 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 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 procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of 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 protceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or grantinJ��a,
hall n t ed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any o gulatio sdiction. 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.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.
City of
V`%heat d
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: (7i
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 4530 Hollan
Property Owner (please print): Rick Rodriguez Phone:303-358-2832
C
Property Owner Email: N/A
Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer E-mail:
Contractor:
Contractors City License
Contractor E-mail Address:rcluaroofinudgmail.c;om
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 720-284-8831
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ESIDENTIAL ROOFING
ElRESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Remove and Replace Roof
Sq. FtJLF
Amps
Btu's
Gallons
Squares 55 Other
IProjeot Value: (Contract value or the cost of all materials and labor included in the entire project)
It 18,000
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, riles or
regulations of the Cite 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 frill responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that I ani the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized b\ the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNS) (CONTRACTOR) $J
(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): Brent Roper DATE: 6/2/17
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
A CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:-��
Job Address: _/5� �(� /�%®G� ��✓O S�
Permit Number:
❑ No one available for inspection: Time1e/i =.AM/�
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: IT:Inspector: f� /
DO NOT REMOVE HIS NOTICE
"'i!l",!I"""~~~N:J~r"\""""""'P ""'~l"MC'."', ", '''''',,,,,,. ,. "'~'f""",'~8~Rr~c""""""r'""'"'.""",", """'!1f'TI'.". "1J."""",."~,.."...,,j,,,""'''' "1"'" ,,~.Jt J
"''bEPARTrleNTOF PLANNING AND DEVELOPMENT Building Permit Number: 5405
BUILDtNG 'N$PECTION DIVJSION . 235"2855
ClryOF WHi;AT ~IDGE Date: 7/8/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CQ 80215
Property OWner:
Property Address: 4530 HOLIiAND ST
Contractor License No. :
Company:
Phone: 423-5930
Phone:
OWNERlCONTAACTORS~NATURE OF UNDE~STANDING AND AGREEMENT
I hlll8by certlfYlhaI~~ cllslaltC8$ propooed by"is permit BPplicBlion Bre accurate,
ancl clo not violate applk:ableollfinances, rules or regulajions of the City of Wheat Riclge or
covenanl$, eas_lJIsor testrIdiOns ofrecortl: that allll1easuremenlS shown, encl ellegations
macIe are accurate; thetl hav!Oree<I en<! agree to ebicle !ly all conclltions printecl on this
apj)1lcetlon, ,and~, tlilSll" ume full reaP!"', "sibillty for CO"!P'laRC6 wllh the Wheel RIcIge Building
CocIe (u.s" C.) and<aJ1 other epPIlceble~ Ridge Ordl'""'"",.' , ~OrkJ1'ncler this pennll.
(OWNER)(CON'TRACTOR) SlGNE~_ 2":;:;jI~DATE? - '8-
Description; 4' FENCE, 180 FT LONG'
Construction Value:
PeilTlit Fee:
Plan Review Fee :
Use Tax:
Total:
$2,000.00
$63.00
$0.00
$40.00
$103.00
BUILDING OEPARTMENT USE ONLY
SIC:
48 FENCE ALONG FRONT PROPERTY LINE
Sq. Fl.:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Plurrlbing License No :
Company :
Mechanical License No :
Company:
Electrical Licen$e No :
Company:
Expiration Date:
Approval:
Expiration Date:
APPrPval :
Expiration Date :
Approval:
. . .
(1) =~==~~r~~::'=r~=~'t"c~thelaws oflhestat8ofCOlonl<loan<ltoIheZOn!ng
(2) == ~,.:=~~1he~ authoriZed Is "9lcommenced wiIhlil sIxly (eo) days from issue dale or (8) the I)ulIdlng _ed Is suspended or
(3) ll1hispermit ~ ~=:~ may, be acqulr8d for a lee of one-!1all the amount normally JeqUlred. provided no chang<iS ~ been.or ",,"be made In the
orIglI1liI pions and. and any suo_ or Bbendontnent h8I not..- one (1) year. II chang<iS are made or 11__ or allendonJnent
~.". (1) y..... run_ohoO be paid Jbr a _ permit.
(4) No wor!< 01 any -al1elf be clone IhaI WlU ~Ihe neturol!low of water ClllII!>fIa dralnllll" problem.
(S) ~, al1elf'l1CllIIy tI1e Il\III<IIng ln~ twenty-foi,lr (24) houri In advance for aO ,nllpadions and ohall_ _ approval, on InspecIIon CIld_
_Ilngwllll~_ofthelob. ,
(6) '!be ~ of a permit or tilt a_I of drawlngo ~ specificalIonollhall not be cons\I'Ued to be a permit for. nor an approval 01, any vIolallon oIlhe p<ovIsions
oUhetJUlldlng cod8sorany ,other'ordinanoe" law, rule;or regulation.
Chief BUilding Inspector
,
THIS P~MITVALlD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-6933 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
jpropertyowner: flD(IJ~t{~3 G
) Property Address: ~ 5th
Contractor License No. :
Company:
Phone:
'I.. Phone:4 20 -5'? 3 0
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
onstruction Value: 2/;;00 [.f-
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this pennit 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 (U,B,C.) and all other applicable "at Riclge Ordinance'l,WOrk under this penni!.
(OWNER}(CONTRACTOR) SIGN~ F ::1,~-t1 ,(J DATE~- f- q7
X Description: I
Total:
Z0l11n1f'J:;omrneIHS;j 7 .8, "f"f"
Approval: ~ 46" tl.Vvl.'
ZOning : ~Z-
Bmrdlng;,Comments--:!
Approval:
f:nlil~ks1!,>omlTle!)lS;]
Approval:
Occupancy: Walls:
SIC:
Sq, Ft:
&~ &XrY1I-~\,~,
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
riI !.e~~--Wl._
Expiration Date:
Approval:
IIlf.llml~!qqtID"
Expiration Date:
Approval:
. ~l!.1mB..I!QUIr.e.~
(4)
(5)
t6)
This permit was Issued In accordance with lhe provisions set forth in yopur application and Is subject to the laws of the Stale of Cokn:do and to the Zoning
Regulahons anc:l Building Code of \^/heal Ridge, Colorado or any other applicable ordinances of the City.
This permIt shall expire If (A) the wor!<. aulhonzed is not commenced within sixty (60) days from issue dale Of (B) the building authorized is suspended Of
abandoned to( a ,period or 120 days.
If this permit expIres, a new permIt may be acquired for a fee of one.half the amount nonnally 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 01' if suspension or abandonment
exceeds one (1) year, fun fees shall be paid for a new permit.
No worX or any manner shall be done that will change the natural now 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 berore
proceedung with successive phases at the/'Ob,
The issuance of a permit or the approval 0 drawings and specifications shall not be construed 10 be a permit for, nor an approval of, any violation of the provisions
of Ihe building codes or any other ordinance, law, rule or regulation.
(1)
(2)
P)
For Mayor
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
tf,.., .
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i''''" J ,+~nlm~,y ''''''''1_\1''''''''lIJI,l''~!ll\!!IIllI!ll!I)~~!II![~".m",ru,lIm"""~~~I~i'',,,,~,?ry,'1''l'"""",,,,,,,,,,U. .,,! IU.,L4""i~~1W1I'i""a~,1".iI',~
, DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 4736
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 3/19/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property OWner:
Property Address: 4530 HOLLAND ST
Contractor License No. :
Company:
Phone: 423-5930
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Description:
Total:
$2,046.00
$75.50
$0.00
$40.92
$116.42
Construction Value :
Permit Fee:
Plan Review Fee :
Use Tax:
I hereby cerIIfY thati setbeck distances proposecl by this permtt application are accurate.
and do not yiolate e lk:able orcllnances, rules or regulations of the City of Wheat Ridge or
covenants. easemen or restrictions of record; that all measurements shown, and allegations
mede are aCCUl'llte; thetl heye read andll\!ree to abicle by ell conditions prinlecl on this
applicelion, enclthat I assume full responSI i11ty for compliance with the Wheat Riclge Bulkling
CocIe (U.B.C.) and all other applicBbIe W RlcIge orcllnences, for 0 Mer this permtt.
DA;jj-jer-
(OWNER)(CONTRACTOR) SIGNE
PRIVACY FENCE- 6' FROM FRONT
TO PROPERTY LINE
HOUSE TO THE REAR, 42" FROM FRONT OF HOUSE
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Fl. :
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 perrnftwas Issued In aaxllllance with the provt_s set rorth In yopur appUcatIon and Is subiectto the laws of the S1ate of Colorado and to tho Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other appllcatNe ordinances of the City.
(2) this permit shall expire If (A) the work authorized Is not commenced within sixty (60) days from Issue dato or (8) the buDding authorized is suspendad or
abendoned for a period of 1~0 s.
(3) tfthlS plim11ltexpires, a new may be acquired for 8 fee of on&-hatfthe amount normaUy required, provided nochengea have been or will be made in the
original plans and speciflca 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 feea shall be paid for a new permit.
(45) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
() Contractor Shall notify the Bulldtng InsD8Ctor twenty-four (24) hours in advance for all Inspections and shall receive wrttten approval on Inspection card before
proc:eedUng with s_ phases 01 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
or the building codes J any other orolnance. law. rula or ragulotion.
f!-~L ~
Chief Building I~or
THIS 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:
Property Address:
Contractor License No. :
Company:
;: ~ c E <..S4 "lldo:;;4. (
I-IO;/d,))j 4/6 -3 C)
s-f.
Phone: 1-1,;2 2'
~" > '0
- ',', ,,' ..,",
-...: ......,
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
;;J. () L16. -
7S-, 50
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 (U.B.C.) and all other applicable W t Ridge ordinances, fa .' ork der this permit.
(OWNER)(CONTRACTOR) SIGNED ,DAT~ -;0 "~
o / I)
Description: rr,v'I'I(,Y Fent f' G .,e>1r - '-);2.
BUILDING DEPARTMENT USE ONLY
'''>'1/
LjO.92.
Total: J 10 ' t.o
f:ronr- i3~f))
S,J.c.
SIC:
Sq.H:
ZOJ!!.~Q~
Approval:
Zoning:
!3J!1'(Ii~01!!!mtnJ!lJJ
Approval:
p.,.OijJ~~.QmmI!D~
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
. .~reJI~
Expiration Date:
Approval:
. lr.J!.!l.mMfQltltl~
Expiration Dale:
Approval:
.
.~i::.I:..
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and 8uildin$! Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work authonzed is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
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 issuance of a permit or the approval 0 drawings and specifications shall nol be construed 10 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.
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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