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HomeMy WebLinkAbout4700 Holland StreetINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 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 �, ; :' orf ', ; PERMIT:�D1, �; `t.lC ADDRESS: , c v' JOB CODE: 1 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 f r 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. f r 206 Water Underground ,✓�` Do Not Cover Underground or Below / 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 f r 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 ADDITIONAL INSPECTIONS PERMIT: & Ob/05 ADDRESS: JOB CODE: A Rough Inspection (continued) Date Inspector Initials Comments 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 - 3 b - I 'i� -7D Final Inspections Date Inspector Initials Comments 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 - 3 b - I 'i� -7D 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. INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 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 �, ; :' orf ', ; PERMIT:�D1, �; `t.lC ADDRESS: , c v' JOB CODE: 1 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 f r 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. f r 206 Water Underground ,✓�` Do Not Cover Underground or Below / 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 f r 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 ADDITIONAL INSPECTIONS PERMIT: & Ob/05 ADDRESS: JOB CODE: A Rough Inspection (continued) Date Inspector Initials Comments 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 - 3 b - I 'i� -7D Final Inspections Date Inspector Initials Comments 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 - 3 b - I 'i� -7D 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 Fax INSPECTION NOTICE Inspection Type: (4 0 9 - - , Job Address: �-1 -7o o 14 m /)G.. J G Permit Number: 0 1 g v b 1 aT-- e a. ❑ No one available for inspection: Time 17)- .5-AMP,_N Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: I 1-3 a /18' Inspector: DO NOT REMOVE THIS NO TWE 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: 306 147%o Job Address: Y-700 Molland S Permit Number: .?'01800105- J "0180010 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, ca or re -inspection at 303-234-5933 Date: 1 V1 C9 Inspector: InT! t DO NOT REMOVE THIS NOTICE A City of Wheat Ridge Residential Roofing PERMIT - 201800105 PERMIT NO: 201800105 ISSUED: 01/10/2018 JOB ADDRESS: 4700 Holland ST EXPIRES: 01/10/2019 JOB DESCRIPTION: Residential re -roof on duplex, one layer removed to deck. Replacing with OC TruDef Storm asphalt shingles. Squares: 32.91, Pitch 4/12 *** CONTACTS *** OWNER (720)314-2844 PYROT PROPERTY MANAGEMENT LLC SUB (720)314-2846 Roger Peterson 020791 PHI Homes Inc. *** 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: 13,213.23 FEES Total Valuation 0.00 Use Tax 277.48 Permit Fee 267.70 ** TOTAL ** 545.18 *** 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. �, A _�City of Wheat Ridge '. "' Residential Roofing PERMIT - 201800105 PERMIT NO: 201800105 ISSUED: 01/10/2018 JOB ADDRESS: 4700 Holland ST EXPIRES: 01/10/2019 JOB DESCRIPTION: Residential re -roof on duplex, one layer removed to deck. Replacing with OC TruDef Storm asphalt shingles. Squares: 32.91, Pitch 4/12 I by my signature, do applicable signature, by the legal owner, of this permit. I fu her a performed anciatafl by attest and all a work Bork to be performed shall comply with all accompanying approved plans and specifications, municipal codes, policies and procedures, and that I am the legal owner or have been authorized thorized to obtain this permit and perform the work described and approved in conjunction with uthorized to include all entities named within this document as parties to the work to be is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of O R or C(�ACTOR (Circle one) Date I. This permitVaissued based on the information provided in the permit application and accompanying pplans and specifications and is subject to thpliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit 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 Budding 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 Budding 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. granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any or any ordinance or regulation 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. 1!�k%'()o / cs- Dina Kemp From: no-reply@ci.wheatri dge.co.us Sent: Wednesday, January 10, 2018 8:34 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dina 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 Duplex are on the property? PROPERTY INFORMATION Property Address Property Owner Name 4700-4720 Holland Street, Wheat Ridge, CO 80033 4700-4720 Holland, LLC Property Owner Phone 720-314-2844 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email pyrot.rentals@gmail.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed 4700-4720 Holland ReRoof.pdf Contract CONTRACTOR INFORMATION Contractor Business PHI Homes Inc Name Contractor's License 020791 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-314-2846 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 11953 W 56th Circle (Primary address of your business) Contractor Email Address roger. phi. homes@gmail.com Retype Contractor Email roger. phi. homes@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 32.91 the entire scope of work: Project Value (contract 13,213.23 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 6 both? (check all that apply) What is the specific pitch of the PITCHED roof? 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? Etc) 4:12 32.91 Owens Corning TruDefinition Storm Asphalt One layer removed to deck- Re -Roof 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 iA 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 Roger Peterson Email not displaying correctly? View it in your browser. PHI Homes, Inc 11953 W 56th Cir Arvada, CO 80002 Contract Agreement Owner/Agent 4700-4720 Holland LLC Property Location 4700-4720 Holland Street Wheat Ridge, CO 80033 Roger Peterson 720-314-2846 roger. phi. homes@gmail.com Brenda Peterson phone: 720-314-2844 PHI Homes will remove single layer of existing roofing and install new roofing underlayment and shingles to code Roof Material: Owens Corning TruDefinition Storm Material and Labor per Insurance for re -roofing 11,173.58 Add for Ice and Water shield 2 rows required on all eaves to meet code 1,495.00 Owner paying Upgrade charge for class 4 Hail Resistent roofing material 544.65 Roofing Contract Total 13,213.23 Warranty The roof shall have a five (5) year workmanship warranty The workmanship warranty is fully transferable. The roof material shall have a limited lifetime warranty as described by Owens Corning The material warranty is transferable one time. Terms and Acceptance of Agreement PHI Homes will provide material and labor to complete the Restoration for the sum of Thirteen Thousap�i-Two Hun)ce ,Thirteen and 23/100 Dollars ($13,213.23) to be paid as follows: On Comoletiw''of bll work to"Custbmer..satisfaction. is Subj¢c,Ko,Xpproval by PHI Homes, Inc. -l� -�.►� .�°� �>" � (�` --�--- �// c%Cid Authorized Purchaser or Agent Date Authorized Purchaser or Agent Daze Claim# 06-1565-5T0 E f INSPECTION RECORD o cupancvlTvp INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: -. INITIALS Footings /Caissons' Stemwall / (CEG),Concrete Encased Ground ? Reinforcing Or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR ) Electrical (Underground) Plumbing; (Underground) 5 BEEN SIGNED s' g; all' f ._ l Si LRough lecl um g ch Ice nin �a 1 �h1h .P:.�c� d NG :rew Building Final o; Fite Deoa c R.OW & INSP y Parking & s11oI 3 NOTE: ALL ITEMETED AND APPROVED BY PLAN %. CERTIFICATE OF OUED. FINAL INSPECTION BY THE RTIFICATE OF OCCUPANCY NOR IONS. FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A ILDING DIVISION DOES NOT CONSTITUTE AUTUORIZA TION RMISSION FOR OCCUPANCY. ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTI E Inspection Type: ~i K{ All Job Address: Ww)o u I U~Y - Permit Number: (59 S El No one available for inspection: Time /rte, AM/PM Re-Inspection required: Yes-When corrections have been made, call for re-inspection at 303-234-5933 Date: 'd Inspector: DO NOT REMOVE THIS NOTICE _2 ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time /,~76- AM/ M'\ Re-Inspection required: es No *When corrections have been made, call for re-inspection at 303-234-5933 Date: c I~ Q Inspector: DO NOT REMOVE THIS NOTICE ♦ 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: r,�- Job Address: Permit Number: CM u-? y No one available for inspection: Time ?' 01) AM/ Re- Inspection required: Yes When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: l2 -/L(-(Dg Inspector: RU DO NOT REMOVE THIS NOTICE F W HEgT v ~ m °o<oRro° City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Property Address: Property Owner (plea Date: Plan Permit Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: &Z L i Contractor License Phone: 7C.-u --31 4 _ 28 Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): 't 1C, D> n Construction Value: q Cd o Description Ot work: (as calculated per the Building aluation Data sheet) 111 i~'I.L l`Cry L1'~~BH+" Z~ Plan Review (due at time of submittal): $ Sq. Ft.fL.Ft added: Squares 32- 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 1 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:: DOWNER) CONTRACTO j2 or PERSONAL REPRESE IVE o O N (CONTRATOR) PRINT NAME: 14W~,+rr' b lp„~ SIGNATURE: Date: LZ Utl'HKt MEN.YiJSE"ONLY ; ; PJFtE DEREaRTMENT P approved wl"commeo ilig ❑ d ypprov d Gino; review required Bidg Valuation: $ Building Permit Application , '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: 11798 2/20/2001 Property Owner: Property Address: 4700 Holland Sl. Contractor License No.: 17152 Company: Precise Plumbing OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 3034257582 Phone: 534 0881 Construction Value: Permit Fee: Plan Review Fee: Use Tax: $364,00 $23.50 $0.00 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 B9ree 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 Total: $23.50 Use: Description : Replace water heater BUILDING DEPARTMENT USE ONLY SIC: Sq. Fl.: Approval: Zoning: Tax 10 # 8002 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) (2) (3) This permit was issued In accordance with the provisions set forth in yopur application and is subject to the laws of ttie 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 proceedilng with successive phases ofthe/'ob. The issuance of a permit or the approval 0 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 ny other ordinance, law, rule or regulation. ~~l (6) Chief Build OEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION. 235.2855 CITY OF WHEAT RIDGE 7500 WEST 29TH A VENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: Property Owner: Property Address: 'I ?,pO /-Ic~ /1",,,,"/ 5--/ Contractor License No,: / 7/ r2, Company: jJ /' e cJ.s <- ;'/ /..n~ 1'/" l' .:z;, c.- Phone: 1(,). ~- ?~,1 '3.3) Phone: 5'Jf'-O?'i'/ - O'NNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: j' C;y- Permit Fee: :l. 3. S"' (.1 Use Tax: $P~".s 1'0-",,- I hereby certrfy that the setback distances proPOSed Oy this permrt apPlication ar. accurate. and do not vIolate agpllClb~ oraln.nees. rules or reguaauons of the City of Whe.t Ridge or covenants, easements or restnc:riona of f8C0f'd: thalt .. measurements shown. ana .JJegatJOns ,.m_ are aCCUl2le: lI1all have read IIld -V- to aDKle by aa _na pnnlecl on lI1is applICation. ana lI1all a..ume full re.~ for comptI8IlCe WIl/1l11e Wheat Ridge Buildirlg CocIe (U.8.C.) ana all oll1er applicable Whea! Ridge """"ances. lar werle uncler 1111' 1NI11T1C. (OWNER)(CONTRACTOR) ~IGNED4 ,~..............~ DATE . Description: r~/,~ce u1o-t'-#',.. 1fV'~~r .J ref',407 rot'" I,~y,.e,[,'o"" Total: 2i SG Approval: Zoning: A. ~CEIVED . :.(~:}l . -.,.. .. ~ BUILDING DEPARTMENT USE.oNl: /,., ,c ".,..' :f:1 [oJlJJ......-:.:.:,il!.4.:li1~-t Approval: ,...., , ;- "- /-'" .- I, ',t ~)/ ential Units : Occupancy: Walls: Roof: '. ~n~t~:'Qfli'II""la:! Approval: Eleclncal License No , Company: PlumbIng License No : Company: Mechanical License No : Company: Expiration Dale: Approval: 3 (PJlh.~urriKl~ Expiration Dale: Approval: ~ :. Pmia ~ulred.~ .:1 Expiration Dale: Approval: . ~P"~uflWl!:a III 121 1" nus DerrM was ISSUed Itl .~nce ..." rhe ~ Nt fot1n III yODUl aDPtlCabOn aM IS $UOfeCI1o the lIwa 01 the State 01 Cckndo ana 10 eM l.aning RegutlbOnS and BudChng CocIe of 'r"hleac RJdge, COloraao Of any ocner IDPMCa_ Of'QINlnc81 01 tl'Ie cny. This pemllt snail ugwe tf fAI tn. wane .uU'lOftZIICIIS nol commencea WItnan IlXIY (60) day. Irotn lSS~ dill 01 (8) !he budding autnonzea II auapencIed Of abandonea for I DenOCI of 120 day&. It ttus petmrt exDtres. . new pemIII may De KQunG lOr . ,.. 01 on..nelf IN amount nonnaUy reQUIIWd. ~ no c:taanoel ftaYe bMn or" 0. tnIlM.. the 0l'IgU\aJ plans and speofic:aoona and any SUSCteftIIOn Of aoanaonmenc nas not DCMOeCI one (1) yell, I' ChMga Ir. mea. or If IUspenIIOn or aD&I~.I_1t e.xceeas one "1 year, fUfl fees IhaI beDalClIor.newoetmft. No wcnc ot any manner sn.d De done Nt WIll Cftanqe N ,..rurw now of Wit., caus,"O I GriNg_ problem. Connctor snail notify me SullC:hng InsDeClOr rwenry-'our (24) haulS In .oy.nee tot all rnspecoonl and anal tecerve wnaen IOl)t'C)W1 on lnspecoon CItO tlefatw proceeGlIng Wltn successrve DnIHI of tne 100. The ISsuance of a oermrt or tne IgP"QY.1 or c2l'3WJnqs ana soeotN:atlOns snail nol De CCln$~ 10 De . permit fat. nor an approval of. any YlCUDOn of tne ~ ot tne DUllorng c:ooes ny Ofner orQlnanc:e. taw. ~;e 01 regucallOn. . I') 151 I" Chief BUllell Inspector For Mayor , THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION