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Property Address;: ..
Property Owner {please prim }: 15 � carp
Mailing Address: (if different than property address)
Address:
City, :Mate, Zip; 1 s '
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« «. nv Name: License #: Ex2iration r ate: Trade/Professiovii x «
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Credit Card Payment Use credit card listed on rile. Date:
Print name* Signature:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
17867
Date: 10/11/2004
Property Owner< DENNIS MILLER
Property Address: 4673-75 HOLLAND ST
Contractor License No, : 22000
Company: Cedar Valley Exteriors. Inc.
Phone: 909-2713
Phone: (763) 755,2221
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$4,234.62
$144,70
$0.00
$50.82
$195.52
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 Wheat Ridge ordinances. for work under this permit.
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
RE-ROOF 16 SOS. 3-TAB OWNES CORNING. (TOWNHOME, ALL ONE BUILDING)
BUILDING DEPARTMENT USE ONLY
zdE;cQm~:
Approval,
Zon ing :
IIII!IIldl~<;;:"-
1111' ,_....m.,.-
Approval:
p~;Wo~mll_
Approval:
Occupancy:
SIC: q. t.:
"-" he
h anuf;,f"f1'rr~" rom.'!
tsfromtem 1'..
Doc~men ins ctHV' ,"hleh sPecify
onsltefor .finarJ:!aveke.- msl1;!iC'! tn meet
roofing mate nd wina gusr---i3C (90
no MPH three-seco
MPH wind load-UBe).
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:
(4)
(5)
(6)
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 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 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 job.
The issuance it or~OfdFa\,!"ings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provi,i i1d' I!boe~nance. law. rule or regulation,
(1)
(2)
(3)
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
Date,
APPLlCA TlON
PropertyOwne,,\)eY1()\ S, M ,(Ief
PropertyAddress:l{C.l3-1S"' N' 140110(\0 S~(To\rnhome)
Contractor License No.: :;; d 00 0
companYc..rda( VOcIIC-l1 Cxte.i or I,
Phone, ('303) Clo'1- )./13
Phone: (703)7rr- ;)-.?-;l- (
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit applicatiOll are accurate, and do not violate
applicable ordinances, rules Of 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
aU conditions printed on this application and thai I assume full responsibility for compliance with the W'heat Ridge
Building Code (U.B.C) and all other applicable Wheat ' ances, for work under this permit.
DATE110/1
Construction Value: $ L{ J3 '-I.(oJ..
Permit Fee: $
Plan Review Fee: $
Use Tax: $
(OWNER}(CONTRACTOR): SIGN
(OWNER)(CONTRACTORI' P TEa clITr (tAV <; 04P
DATE
Total Fee:
$ ,qS.S-:l
DESCRIPTlON:l2-e,_rDC>+ lCo S~LJa~ 3-To.lo O~S:,
(lOvvnhom e- cdl O}"le 6 ud 01. lY'lj)
BUILDING DEPARTMENT USE ONLY
Cern I ~
SIC:
SqH:
ZONING COMMENTS:
Approval,
Zoning,
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units,
Plumbing License No:
Company:
Mechanical License No:
Company:
Electrical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordsnce 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 permllshall 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 days.
(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 orwfll be made in the original
plans and specIfications and any suspension or abandonmlnt has not exceeded one (1) year. If changes have bien or if suspension or abandonment exceeds one (1)
year, full fees shall be paid fora new permit.
(4) No work of any mannar shall be done that will change the natural now of water causing a drainage probllm.
(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 the job.
(6) The Issuance of a permit or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provisions of
thebuHdingcodesoranyotherordinance,law,ruleorregulation.
Chief Building Inspector