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Home My WebLink About4753-4755 Holland StreetCERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 091747 Issued: 09/10/09 Stipulations: Repair Structure from Storm Damage This certificate verifies that the building constructed and/ or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 4753-55 HOLLAND ST Parcel Number: U0058 Owner: Sam Lombardi Contractor: Roger Peterson PHI Homes Inc. 11953 W. 56th Cir Arvada, CO 80002 For the Following Purpose: Residential Remodel Coyer Editions NO change shall be made in the USE of 2003 ICC/2005 NEC this building without prior notice 2003 ICC/2002 NEC and a new Certificate of Completion 1997 UBC/2002 NEC from the City of Wheat Ridge. Sprinkler,,System Inspector Zoning Administrator CER-TIFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES f 09/12/09 10:36:20 City of Wheat Ridge Page 1 bp70l-ls PERMIT INFORMATION -091747 mmackey PERMIT INFORMATION: Permit: 091747 Permit Type: Residential Remodel Permit Dt: 08/28/2009 Expires: 02/24/2010 Address: 4753-55 HOLLAND ST Parcel Cd: U0058 OWNER: Sam Lombardi Address: City/St/Zip: LAND PARCEL INFORMATION: Zone Cd: Unassigned DU: 0 SetBacks-Front: 0.0 Funct Use: Unassigned Last Zone Dt: Left: 0.0 Subdivision: Unassigned Annex Dt: Right: 0.0 Cant Type: Miscellaneous Lot: Block No: 0 Back: 0.0 Legal: JOB DESCRIPTION: Rpr struct from fallen tree. Roof/Drywall/paint/minor elec FEES QTY DUE PAID: Permit Fee 18,900.00 399 .50 399 .50 Plan Review Fee .00 259 .68 259 .68 Total Valuation 18,900.00 .00 .00 Use Tax 18,900.00 340 .20 - 340 .20 999 .38 999 .38 CONTACTS: owner Sam Lombardi 3034228719 gc CL3 PHI Homes Inc. Roger Peterson 11953 W. 56th Cir Arvada, CO 80002 3034670076 SUB CLA Gill Electric Lawrence Gill 6000 W. 32nd Ave. Wheat Ridge, CO 80033 3032371483 GC CL1 PHI Homes Inc. Roger Peterson 11953 W. 56th Cir Arvada, CO 80002 3034670076 PERMIT CONDITIONS: JS: Approved as submitted. Work shall comply with P.E. letter. Subject to field inspections. Must comply with 2003 IRC, 2005 NEC, and all applicable City of Wheat Ridge Municipal Codes. APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 08/28/09 CREATED FROM APPL# 09-0268 INSPECTION INFORMATION: 4 TYPE CONTR# CALLED CNCL WHO REQ DT INS DT STATUS 1 FRI :Framing Rough Insp. 02-0791 08/28/09 no CCI 08/31/09 08/31/09 COMPLETE 2 MID: Midroof Insp. 02-0791 08/28/09 no CCI 08/31/09 08/31/09 COMPLETE 4 ERI: Electrical Rough Ins 02-2483 08/28/09 no MV 08/31/09 08/31/09 COMPLETE 5 INS: Insulation 02-0791 08/31/09 no KC 09/01/09 09/01/09 COMPLETE 6 bfi: EUilding Final Insp 02-0791 09/10/09 no KC 09/10/09 09/10/09 COMPLETE 7 efi: Electrical Final Ins 02-2483 09110109 no KC 09/10/09 09/10/09 COMPLETE 8 rof: ROO£ Inspection 02-0791 09/10/09 no KC 09/10/09 09/10/09 COMPLETE INSPECTION RECORD Occupancy/Type 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. 11 l INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons cp �; `�y Stemwall / (CEG) Concrete Encased Ground -b Reinforcing or Monolithic ¢ /o E'.{' /!C Weatherproof / French Drain L - '1 Sewer Service Lines Water Service Lines - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) *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 Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing /p 9q Lath / Wall tie cp �; `�y Mid -Roof -b Electrical' Service ¢ /o E'.{' /!C Rough Electric L - '1 Rough Plumbing Gas Piping :INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical *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 ABOVE INSPEARONS TO BE SIGNED PRIOR TO PROCEEDING framing - ( -04 1 /p 9q Insulatiori' cp �; `�y Drywall Screw FINALS Electrical /p 9q `Plumbing Mechanical .Roof ¢ /o E'.{' /!C Building Final L - '1 Fire Department R.O.W S Drainage :INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '.Parking & Landscaping. *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 OCCUPANCY NOT 'PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE � j Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: /3t / �!� a�2', sir ✓�G d �c kG Job Address: 57 Permit Number: 0717nl ❑ No one available for inspection: Time 3 "105 AM /PM Re- Inspection required: Yes 9' * When corrections have been made, call for re- inspection at 303 - 2345933 Date: clllole y Inspector: m f 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) 235 -2857 Fax INSPECTION NOTICE Inspection Type: t Job Address: '/759 11e1111au? SP` Permit Number: 6 E 4 ❑ No one available for inspection: Time 7 `rte AM /PM Re- Inspection required: No 'When corrections have been made, call for re inspection at 303 - 234 - 5933 Date: <✓�i Inspector: t° DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division I (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: '511 - ✓u Job Address: uif 3 -^ flnff,�' Permit Number: 04 f , "A Gm l ❑ No one available for inspection ` Time ft af7 �M Re- Inspection required: Yes 00 "When corrections have been made, call for re- inspection at 303 - 234 -5933, ff e } S1 P Date: , �, Inspector: /�, � j�e , P DO NOT REMOVE THIS NOTICE ♦ 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: C. " Job Address: °a S~ Ys° r~ 10~r~u7 Permit Number: ❑ No one available for inspectior Re-Inspection required: Yes 9 When corrections have been made Dater Inspector: DO NOT REMOV me AM/PM for re-Inspection at 303-234-5933 NOTICE City of Wheat Ridge Residential Remodel PERMIT - 091747 ]!?;Ir PERMIT NO: 091747 ISSUED: `08/28/2009 JOB ADDRESS: 4753-55 HOLLAND ST EXPIRES: 02/24/2010 DESCRIPTION: Rpr struct.. from fallen tree..Roof/Drywall/paint/minor elec.. CONTACTS-.*** owner 303/422-8719 Sam Lombardi gc 303/467-0076 Roger Peterson '.02-0791 PHI Homes Inc. SUE 303/237-1483 Lawrence Gill 0.2-2483 Gill Electric * * PARCEL INFO ZONE CODE: UA: `USE: :UA SUBDIVISION: UA BLOCK/LOT#: 0./. **`FEE SUMMARY .:ESTIMATED PROJECT VALUATION: 18,900.00 FEES ,+4 Permit Fee 399.50-)a J{. G Plan Review Fee 259.68 -v--74s Total Valuation .00 Use Tax 340.20 TOTAL 999.38 Conditions: JS:Approved 'as submitted. Work ;shall :comply with P.E. letter. Subject to field inspections.: Must comply. with 2003 IRC, 2005 NEC,:. and all.. applicable City, of Wheat Ridge: Municipal codes.. `f,. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules Jir regulations of th?City of Wheat Ridge. or covenants, easements or restrictions of record; that all measurements.,sho3q and a1legationsi, de are accurate; that I have read and agree to abide by all conditions printed on this application a,d'" hat I agsume full egpgngibility for compliance with the Wheat Ridge Building Code.(I.B.C) and all other.. applicable0rya Meat RidgeP rdimance for work undeF this permit. Plans subject to field inspection. Signature oI ontractoiY%owner date f 1. This p` it 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. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage 'problem. 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 apermit for, nor an approval. of, any violation of the provisions of the. building. codes or any other ordinance,. law, rule or. regulation. All plan revi i ject to field inspections. Signature bf h e uilding 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.' ~oFw"TRO City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Date: Plan A U"t ^C.-L& O Permit Property Address: ~73 I 1 ~G Property Owner (please print): -ri,, i t~fv.brnf'd Phone: 03-gZ7--8719 Mailing Address: (if different than property address) Address: City, State, Contractor: Contractor License Phone: 72,0 - 3 / + - ZS L4 6 20¢~ Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Gllil (-/ecfri L Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description) Description of-works RV6,it J~n.tckre_ 6-d 6epltcc ciyU Sq. Ft./L. Ft added: u IPx Construction Value: $ o I (as calculated per the Building Valuation Data sheet) M Z~, , IZer~ Plan Review (due at time of submittal): $ a_ Squares BTU's Gallons Amps OWNEWCONTRACTOR 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 oth plicable Wheat ge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) Cor PERSONAL REPRESENT IV of (O E ) NTRATOR) PRINTNAME: SIGNATURE: Date: Bldg Valuation: $ WEECYCLE ENVIRONMENTAL CONSULTING. INC. 5375 Western Avenue, Suite B Boulder, Colorado 80301 (303) 413-0452 Fax (303) 413-0710 August 12, 2009 PHI Homes Roger Peterson 4892 Van Gordon Unit 202 Wheatridge, CO 80033 Re: PCM analysis on August 7, 2009 for 4753 Holland St. Wheatridge, Colorado 80033 Dear Mr. Peterson: David Sawitsky, a State of Colorado certified AMS (Air Monitoring Specialist) with Weecycle Environmental Consulting, Inc. performed a final visual and air sampling using Phase Contrast Microscopy (PCM) analysis of final clearance samples collected on August 7, 2009 for 4753 Holland St. Wheatridge, Colorado 80033. The samples were analyzed at Weecycle Environmental Consulting Laboratory, and the Project Supervisor was given a verbal summary of the results within 2 hours. The analytical results are presented in Table 1 of the enclosed report. The analysis was performed in accordance with the PCM method outlined in the NIOSH 7400 Method. The visual inspection and clearance sample results, which were below the MAAL (Maximum Allowable Asbestos Level), render this containment free of debris and clear of asbestos. Weecycle's job number for this project is 09-02372. If you have any questions, please call Lauren York at (303) 413-0452. Submitted By: Lauren York State of Colorado Asbestos Inspector #3748 C:\DOCUME-l\Owner\LOCALS-l\Temp\Holland St. Clearence.doc y q 11 r GOLDEN ENGINLLRWG GROUP LLC PHI Homes 11953 West 56`h Circle Arvada, Colorado 80002 Attn: Mr. Roger Peterson Re: Inspection Report 4753 Holland Street Wheat Ridge, CO 80033 July 31, 2009 Per your request, Golden Engineering Group, LLC has performed an inspection of the property located at 4753 Holland Street, Wheat Ridge, Colorado. The purpose of our inspection was to assess the extent of structural damage caused by a large Cottonwood tree that fell onto the southwest corner (rear) of the structure. The tree, which was located in the back yard of the property, was blown over as the result of high winds associated with a storm that occurred the night of July 20, 2009. Due to the potential for structural instability, the property was identified by the City of Wheat Ridge (City) as Hazardous and it is now unoccupied. This report outlines the extent of damages known at this time and the recommended steps to take during the repair of the structure to ensure the safety and integrity of the structure. Background The following information is based, in part, on our inspection of the property that took place on July 24, 2009. The structure is a ranch style duplex built in the 1970's. For the purpose of this report, the front of the structure faces east and therefore there is a north and south unit to the duplex. The south unit (4753 Holland St.) was damaged by the falling tree. The duplex is a traditional wood-framed structure secured to a concrete crawl space foundation which appears to be constructed as an 8" grade beam on a continuous footer set appropriately below frost grade. The exterior and interior walls are framed with 2" x 4" common fir studs at 16" on center. The observed headers are made of solid 4" x 10" beams set on 2" x 4" trimmers loaded to the foundation through the floor system. The floor system is constructed with wood joists bearing on the foundation walls at the perimeter and on an interior grade beam in the center. The exterior sheathing is an asphalt board used commonly during the time of construction. The exterior veneer is a mix of brick masonry and hardboard painted siding. The headers over windows are wrapped with hardboard painted trim. The roof system is a hip design framed with manufactured trusses. The roof pitch is approximately 4 in 12. The sheathing is''/:" plywood with a tar paper weather barrier and 3-Tab shingles. There are currently two layers of shingles on the roof. 16542 West 551n place Golden, Colorado 80403 Office 303.216.2850 Fax 303.216.0325 4753 Holland Street _ Wheat Ridge, CO Storm Damage Assessment Report Page 2 of 6 July 31, 2009 The interior walls are gypsum board with painted texture. The texture was tested and found to have 4% crystalline asbestos. The floor coverings are carpet and pad in the affected area. The structure is heated by a hot water boiler system. There does not appear to be a cooling system in place. The contents from the occupants are still in place. There is a large amount of debris scattered over the occupants' personal belongings. Dust resulting from the impact is spread throughout the home. The water from the storm did penetrate through the opening left by the tree impact but until the contents are removed we cannot assess if any damage occurred to the floor system. Damage Assessment The Cottonwood tree in the back yard was blown over as a result of the trunk being snapped several feet above the ground surface from the force of high winds. The tree fell onto the southwest corner of the roof over a bedroom. The tree fell at a nearly forty-five degree angle to the home striking over the tops of both windows in the bedroom. The impact split through the roof plywood decking and crushed the hip and common jack trusses and continued into the headers of the windows which were ripped from the wall framing forming a large hole through the roof and wall system. Although the majority of the impact was vertical, there was a rotational component which caused the brick veneer to sheer and fall away form the walls slightly. The rotational force has created the greatest potential for future wall system failure if disturbed by anyone removing contents or making repairs. As a result, this unit was closed by the City until repairs could be made to secure the wall and roof system. Foundation Assessment The tree caused damage to the roof system, the wall framing system, the brick veneer, the windows, the drywall, and the contents. However, based on our observations to date, there does not appear to be damage to the foundation system. There are no visible cracks in the foundation grade beam walls and the foundation has not undergone downward movement or settlement as a result of the impact. Based on these observations we believe the foundation will not need repairs or adjustments of any type. Wall and Roof Stabilization With the destruction of the top plates and headers, the wall system cannot support the roof system repairs required. Before rebuilding the wall system, temporary support of the roof must be made. We recommend installing a temporary beam under the trusses in the affected area supported by 4" x 4" posts which in turn are supported on a temporary double 2" x 8" plate applied over the at least three floor joist spans. After these beams are in place, a representative of this office must inspect the supports before construction can continue. Before framing the walls, the brick veneer must be removed approximately four to six feet beyond the extent of the west and south walls of the bedroom. Care should be taken to avoid large section removal as the veneer is already pulling away from the wall structure. After the brick is safely removed, the 4753 Holland Street Page 3 of 6 Wheat Ridge, CO July 31, 2009 Storm Damage Assessment Report walls can be reframed and sheeted with double top plates and double 2" x 10" headers over the windows. It is important to ensure adequate pressure blocking to the foundation under the trimmers supporting the hip master. Once the wall system is in place, the roof can be repaired. Roof Structure Repair Recommendation The primary concern for the structural integrity of the roof system is the damage done to the hip master which bears on the north end of the west window header in the bedroom. The hip master carries the load of a common full span truss on a twenty-four inch center plus the additional loads added by the hip and common trusses attached to it. The stresses are carried through the truss members at connecting points supported by steel plates. These plates appear to have loosened and there are splits in some of the members. In it's current condition, we believe the potential for a future catastrophic failure of the truss under full loading is likely and recommend it be replaced or supported adequately to handle the expected live and dead loads the truss must carry. We considered two options: 1) remove the existing truss or installing a sister truss next to it; and 2) re-supporting the truss in place. In our evaluation we considered the cost of removing a full width portion of the roof required to fit a new truss to the cost of partial roof removal and the installation of a support beam to carry the roof loads. From a value engineering standpoint, the second option is the better of the two. Option 2) will cost less, be quicker to install, and cause the least disturbance to the roof decking and drywall below. Minimizing disturbance is critical considering the cost of further contamination to the structure from asbestos if additional drywall needs to be removed. Our recommendation is to apply two 14" x 1 Laminated Veneer Lumber (L.V.L.) members along the full length of the damaged hip master. The beam shall be applied to the north side of the truss at the bottom chord. This will limit the need to cut back bottom ceilingjoists of the hip and common trusses thereby reducing the potential for cutting into the drywall ceiling below. The double member shall be connected to the existing truss at each gusset connection using' x 6" bolts. In addition, the top connecting plates shall be reinforced with plywood gussets nailed to the truss with 8p ring shank nails spaced no more than three inches on center. This will ensure the top chord loads will be fully transferred to the beam below. Access, where needed to install the support beam and the upper gusset reinforcements shall be made by removing small sections of the roof between the hip master and the next truss to the north. Before replacing the roof deck openings, this office shall inspect the truss repairs to ensure the intent of the remedial design is met. For the smaller truss repairs, rather than ordering small hip and common jack trusses, these remaining damaged trusses can be refrained on site with standard dimensional 2" x 6" top rafters and 2" x 4" ceiling joists. While under construction, these members and their connections must be inspected by a member of this office. This inspection can occur with the hip master inspection to limit travel costs. 4753 Holland Street Wheat Ridge, CO Storm Damage Assessment Report Conclusions Page 4 of 6 July 31, 2009 The structural integrity of the roof and wall systems was partially destroyed by a tree falling onto south duplex unit. However; the foundation system does not appear to be damaged and construction to reestablish the structure may commence as soon as possible. This office recommends temporary support be put in place to keep the roof from failing during repair to the wall system. The walls must be repaired and then the roof truss system can be repaired by adding a supporting beam to the hip master truss which was compromised by the impact of the tree. This office will perform field inspections to ensure the structure is supported and repaired as outlined in this report. Our report is based on the information available to us at this time. Should additional information become available, we reserve the right to determine the impact, if any, the new information has on our opinions and conclusions and to revise our opinions and conclusions if necessary and warranted. Should you have any questions or need any further clarifications, please do not hesitate to call me at 303.216.2850. Sincerely, /q OBA~°Pj 4AU1 cs 3'1665 a 'l Jonathan P. Friedman, P.E. Golden Engineering Group, LLC File: 7-24-09-inspection Report 4753 Holland 4753 Holland Street Page 5 of 6 Wheat Ridge, CO July 31, 2009 Storm Damage Assessment Report AREA OFIMPACT vxoas x ns 57TCKFRAME HIP AND COMMON L~ BRACE DAMAGED HIP MASTER MEMBERS WITH 2X6 TOP CHORDS WITH 2-14"X1314" L. V.L. AND 2X4 BOTTOM CHORDS (7YP) N FOLLOW ENGINEER LETTER FOR ATTACHING TO TRUSS 1i1 / ' ( 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: 10349 4/10100 Property Owner: Property Address: 4753 & 4755 HOLLAND ST Contractor License No. : 20623 Company: JA Roofing Inc. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 892-1122 Phone: 238-5734 I hereby certify that the setback distances proposecl by this perm~ 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 aUegations made are accurate; that I have read and 89,ree 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 orclinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description: Add 1 layer to existing 2 layers Tamko 25 yr, 3 tabs shingles BUILDING DEPARTMENT USE ONLY Approval : Approval: Occupancy: Roof: Stories: Walls: Electrical License No : Company: Plumbing License No : Company: Expiration Date : Approval: Expiration Date : Approval : Construction Value: Permit Fee: Plan Review Fee: Use Tax: Total: $2,800.00 $83.25 $0.00 $42.00 $125.25 Use: SIC: Sq. Ft.: Residential Units: Mechanical License No : Company: Expiration Date: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws oftha State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other a{)pllcable ordinances of the City. (2) This permit shall expire if (A) the work. authorized is not commencecl withm sixty (60) days from issue date or (B) the building authorized Is suspended or abandoned for a period of.120 dar.s. (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 are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pennlt. l4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. S) 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. (6) The Issuance of a pennit 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 :~~:"~iz1;::."~- 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: APPUCJ\TIDN Property Owner: JD~^,.J. .:J""'AlI'f cS A 4(('<<(1- Property Address: if 153.j... <I 7 5\5~ ;.I" / / AN J sf Contractor License No.: J;2D & d 3 Company: -.- A f'I " ~ '>.oJ, . ~~LS tt~J .....LA/(". OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone :,k> 3 '?''1 i:. II G z. 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 applicab Wheat Ridge ordinances, for work under this pennit. /' Phone '.j,',? Q3'?' s-7J<j Construction Value: "C/ {) ""'0 Permit Fee: Use Tax: (OWNER)(CONTRACTOR) SIGNED' v DATEo/-!( ..,.J Total: D crpton.:J "R",,,.,. J,"" //'IJY> 1:0 es i i . (\OO r, ~~ v CA....- ;<~-v.e Use: :3 /,46$ ..$),;<-15'/e$ BUILDING DEPARTMENT USE ONLY ~lJg."'PIJ1l\lents:) Approval: Zoning: . ~!IgI~:mmeI'lWl Approval: !;1;I~!!S'!!Y.~mlJJ!lJlJSil Approval: Occupancy: Walls: SIC: Sq. Ft: 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 aeeordance witt'. the provisions set forth in yopur application and is subject to the Laws of the State of Colorado and to the ~oning Regulations and Buildin~ Code ot WheEl: Ridge. Colorado or any otner applicable ordinances of the City. This permit shall eXf)lre if (A) the wort iluthonzedis not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned, for a,penod of 120 days If this permit expIres. a new perml' 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 iI 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 wif,b successive phases of the job. 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 ttle provisions of the building codes or any other ordinance, law, rule or regulation. (4) (5) (S) Chief Building Inspector