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Home My WebLink About4760 Holland Street�. ' City of Wheat Ridge t Residential Roofing PERMIT - 201704721 PERMIT NO: 201704721 ISSUED: 07/25/2017 JOB ADDRESS: 4760 Holland ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 24 sq *** CONTACTS *** OWNER SELLERS RICHARD A SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing *** 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: 7,900.00 FEES Total Valuation 0.00 Use Tax 165.90 Permit Fee 172.60 ** TOTAL ** 338.50 *** 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 one half 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 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. `r Occupancy/y Type INSPECTION RECORD , INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the wing business day.** Inspector Must Sign ALL Spaces pe 'nent to this project Foundation Inspections Date Inspector ommentsInitials Pier Electrical Concrete Encased Ground (CEG) Sewer Service Foundation / P.E. Letter Plumbing Do Not Pour Concrete Prior 10 Approvai yr i ne Rijuve limp u a Underground/Slab Inspections Date Inspector CommentsInitials Electrical Sewer Service r Plumbing Lath / Wall Tie Arar_--M►a rrra-ar WIllaar.'VVsaI1110AIN0 uivoauraa=iRgL-JIt-] L!V IYVL <rVVGI VII I V1W%A41W W. ............. Rough Inspections Date .. Inspector - -- - CommentsInitials Wall Sheathing Mid -Roof -� r Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector CommentsInitials 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. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 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. :_., n:,.a :-f .,.,.1 Inw v'Ifnna *For low voltage permits — mease oe sure utas luuyl1 tt�NGLA U O a •-- ---- - - by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge J Residential Roofing PERMIT - 201704721 PERMIT NO: 201704721 ISSUED: 07/25/2017 JOB ADDRESS: 4760 Holland ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 24 sq *** CONTACTS *** OWNER SELLERS RICHARD A SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing *** 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: 7,900.00 FEES Total Valuation 0.00 Use Tax 165.90 Permit Fee 172.60 -- ** TOTAL ** 338.50 *** 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 one half 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 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. ' 4 City of Wheat Ridge Residential Roofing PERMIT - 201704721 PERMIT NO: 201704721 ISSUED: 07/25/2017 JOB ADDRESS: 4760 Holland ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 24 sq I, by my 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 thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work be performed is disclo d in this document and/or its' accompanying approved plans and specifications. 17 Signature of OWNER or CONTRACT (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 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 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 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 be a permit for, or an approval of, an violation of any provision of any applicabl a or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ir1.1111...._T Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Top 1% of roofing contractors BBB Address 4760 holland st Wheat ridge CO Phone 3037160408 Aft. Phone Email terri.sellers(a),yahoo. Corn Insurance Company Claim # Ins.Policy # Monarch Construction & Roofing, LLC will be referred to in this contract as Monarch. The scope of work and materials identified below are the scope of work recommended by Monarch Construction & Roofing; Monarch is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. AV Shingle Manufacturer: QSMPns Cortlina TygQ: Duration ColorQuarry greyInt. Ir X Tear off all existing layers (L_ layers) O Tear off one layer of wood shake shingles _ Install Decking (7/16" OSB) _ sheets of OSB are included, each additional sheet will be $65 per sheet Install New Underlayment X 151b. _ 301b. _ Synth.% X Install Pre -Painted metals to code Brown Charcoal Tan Gray White Other White _ _ Int,_ X Valley(s) will be closed with ice & water shield O Valiey(s) will be open X Ridge (s) to be color -coordinated with shingle _ Ridge(s) to be High -Profile and color -coordinated with shingle X Install new pipe jacks X Replace vents as needed X Re -flash chimney(s) and all wall abutment as needed Install Ridge Vent _LF Install Ice & Water shield per code, as well as all vents and skylights X Install 4.6 nails per shingle as required by city/county, codes. X Satellite/ Dish Alignment (each customer will need to contact the providef to re -align dish after roof installation) Int. X Final Inspections will be completed as city/counties allows, I have read the back of contract # 23 Int— -T' X 5 -year workmanship warranty on roofing, all other construction trades will receive a 1 yr, workmanship warranty T_ Extended Warranty Per Sq. $ Circle: Owens Corning Platinum GAF Other: X Monarch Construction & Roofing will provide general liability insurance coverage of $2,000,000 general aggregate X Perform magnetic sweep of driveway and yard for removal of any nails X Remove all trash and debris from work listed White X Gutters LF Size: 5 -inch or 6 -Inch Color: ^ Int. _ Replace Gutter Screens Type: X Insurance funds include Mortgage Company _ es _^� No (If yes please complete the third party authorization form) Int. Special Instructions_ __ _...� _, The approximate cost of the services based on damages known at the time this contract is entered is' 12322,45 determined by Shelter insurance. Monarch will perform the scope of work approved by the insurance company, Monarch will supplement for items priced low, not included or items needed to pass city/county codes, which may increase initial dollar amount that insurance is paying out. Supplemental claims billed by Monarch that are approved by the insurance company for additional work or 'increases in costs become a pad of this contract. The final scope and price agreed on between the insurance company and Monarch shall become the final contract price for the insurance approved scope. Customer will be responsible to pay for any upgrades; deductible, non-recoverable deprecation or additional work authorized by the customer that the insurance company determines Is not covered within the scope of coverage provided by your insurance policy. Approximate Dates of Service: AUgUst these dates of service are subject to change due to unusual delays in transportation of materials, paymentdelays, insurance approval, ordinary weather delays, or by any othercauses beyond reasonable control of Monarch. Monarch will provide communication to customer to show tentative dates. Notice: If the property owner plans to use proceeds of a property and casualty insurantre policy issued pursuant to pan 1 of article 4:10, C.R.S., to pay for the roofing work, pursuart to section 6-22.105, the roofing contractor cannot pay, waive, rebate; or promise to pay, waive, or rebate all of part of any insurance deductible applicable to the insurance claim for payment on the covered residential property. I(we) hereby authorize & instruct the insurance company & lien hollers to include the name of Monarch Construction & Roofing Ll,C as oo-payee on any subsequent loss draft or checks after today's date as indicated above. I (we) authorize any legal representative andior agent of Monarch Construction to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Monarch to pickup in person any loss drafts or checks on my/our behalf and behalf of Monarch. Deposit Amount: Date; Rep. Initials Monarch Construction &Roofing LLC shall hold in trust any paymentfrom the property owner unfll ydooaren 0onsuuchon & Rochng'-LC has delivered roofing materials at the residential property situ or has performed a majority of the roofing work on the property. I (we) agree, by signing below, to all the contract conditions, both front and back of this agreement. Date of Acceptance:6/112/2017 11:52:00 Customer Signature(s):4 rILLN.U.' .' Customer Signature: Monarch Representative: Devon larussl 1206Rw, canAR DR. WM rico LiRMWO, aaLxa PHnR6 fAQi)4Rt ;LT RAX:(aQt3<in.Bfltl RMAIL MtlhtR(nCbp Gk11C-c,tlM "p wwW M RAR{I R SFIRGCOM {a .+x rc'rfoh`it RLcti . Customer Name Terri Sellers Top 1% of roofing contractors BBB Address 4760 holland st Wheat ridge CO Phone 3037160408 Aft. Phone Email terri.sellers(a),yahoo. Corn Insurance Company Claim # Ins.Policy # Monarch Construction & Roofing, LLC will be referred to in this contract as Monarch. The scope of work and materials identified below are the scope of work recommended by Monarch Construction & Roofing; Monarch is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. AV Shingle Manufacturer: QSMPns Cortlina TygQ: Duration ColorQuarry greyInt. Ir X Tear off all existing layers (L_ layers) O Tear off one layer of wood shake shingles _ Install Decking (7/16" OSB) _ sheets of OSB are included, each additional sheet will be $65 per sheet Install New Underlayment X 151b. _ 301b. _ Synth.% X Install Pre -Painted metals to code Brown Charcoal Tan Gray White Other White _ _ Int,_ X Valley(s) will be closed with ice & water shield O Valiey(s) will be open X Ridge (s) to be color -coordinated with shingle _ Ridge(s) to be High -Profile and color -coordinated with shingle X Install new pipe jacks X Replace vents as needed X Re -flash chimney(s) and all wall abutment as needed Install Ridge Vent _LF Install Ice & Water shield per code, as well as all vents and skylights X Install 4.6 nails per shingle as required by city/county, codes. X Satellite/ Dish Alignment (each customer will need to contact the providef to re -align dish after roof installation) Int. X Final Inspections will be completed as city/counties allows, I have read the back of contract # 23 Int— -T' X 5 -year workmanship warranty on roofing, all other construction trades will receive a 1 yr, workmanship warranty T_ Extended Warranty Per Sq. $ Circle: Owens Corning Platinum GAF Other: X Monarch Construction & Roofing will provide general liability insurance coverage of $2,000,000 general aggregate X Perform magnetic sweep of driveway and yard for removal of any nails X Remove all trash and debris from work listed White X Gutters LF Size: 5 -inch or 6 -Inch Color: ^ Int. _ Replace Gutter Screens Type: X Insurance funds include Mortgage Company _ es _^� No (If yes please complete the third party authorization form) Int. Special Instructions_ __ _...� _, The approximate cost of the services based on damages known at the time this contract is entered is' 12322,45 determined by Shelter insurance. Monarch will perform the scope of work approved by the insurance company, Monarch will supplement for items priced low, not included or items needed to pass city/county codes, which may increase initial dollar amount that insurance is paying out. Supplemental claims billed by Monarch that are approved by the insurance company for additional work or 'increases in costs become a pad of this contract. The final scope and price agreed on between the insurance company and Monarch shall become the final contract price for the insurance approved scope. Customer will be responsible to pay for any upgrades; deductible, non-recoverable deprecation or additional work authorized by the customer that the insurance company determines Is not covered within the scope of coverage provided by your insurance policy. Approximate Dates of Service: AUgUst these dates of service are subject to change due to unusual delays in transportation of materials, paymentdelays, insurance approval, ordinary weather delays, or by any othercauses beyond reasonable control of Monarch. Monarch will provide communication to customer to show tentative dates. Notice: If the property owner plans to use proceeds of a property and casualty insurantre policy issued pursuant to pan 1 of article 4:10, C.R.S., to pay for the roofing work, pursuart to section 6-22.105, the roofing contractor cannot pay, waive, rebate; or promise to pay, waive, or rebate all of part of any insurance deductible applicable to the insurance claim for payment on the covered residential property. I(we) hereby authorize & instruct the insurance company & lien hollers to include the name of Monarch Construction & Roofing Ll,C as oo-payee on any subsequent loss draft or checks after today's date as indicated above. I (we) authorize any legal representative andior agent of Monarch Construction to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Monarch to pickup in person any loss drafts or checks on my/our behalf and behalf of Monarch. Deposit Amount: Date; Rep. Initials Monarch Construction &Roofing LLC shall hold in trust any paymentfrom the property owner unfll ydooaren 0onsuuchon & Rochng'-LC has delivered roofing materials at the residential property situ or has performed a majority of the roofing work on the property. I (we) agree, by signing below, to all the contract conditions, both front and back of this agreement. Date of Acceptance:6/112/2017 11:52:00 Customer Signature(s):4 rILLN.U.' .' Customer Signature: Monarch Representative: Devon larussl Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, July 17, 2017 5:07 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 Single Family Home are on the property? PROPERTY INFORMATION Property Address 4760 holland st`/� Property Owner Name terri seller Property Owner Phone Number Property Owner Email Address 3037160408 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number monarch construction 100243 3039811265 Contractor Email Address blowrie@monarchroofs.com Retype Contractor Email blowrie@monarchroofs.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing reroof Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 24 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 24 roofing material for this proj ect Provide additional detail reroof here on the description of N work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7900 value or cost of ALL materials and labor) 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 brie lowrie Email not displaying correctly? View it in your browser. 3 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: Job Address: / &. A -t'" Permit Number: 0/ Q 721 ❑ No one available for inspection: Time AM/IPM Re -Inspection required: Yes No ,:` When corrections have been made, call for re -inspection at 303-234-5933 Dater • Inspector: -C,,, ' DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time ?' AM^�` Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date:— �S inspector: h ®O NOT REMOVE THIS NOTICE 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: 17575 Date: 8/17/2004 Property Owner: Richard Sellers Property Address: 4760 Holland SI. Contractor License No. : Company: Phone: (303) 425-9370 Phone: 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 (U.B,C,) and all other applicable w~ Ridge)lrdina~), f work under this permit. (OWNER)(CONTRACTOR) SIGNElT'" lc.tdl) ;'//A ~ DATE!" - f'1'C'( Total: $3,000.00 $108.30 $0.00 $60,00 $168.30 Construction Value: Permit Fee: Plan Review Fee: Use Tax: Use: Description: Re-roof BUILDING DEPARTMENT USE ONLY ~ Approval : Zoning: ~ SIC: Sq. Ft: Approval: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbin9 License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (5) 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 (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 pennit. 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 of a pennit or t I of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the provision uildi Odes or any at ordinance, law, rule or regulation. (1) (2) (3) spector 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) APPLICATION I,J,L-' 5.< / '/> z/FfiCo !/vd"'"o. 4t Building Permit Number: 1;'5-75' Date: Property Owner: Property Address: Contractor License No.: '--...., Phone: ?v3 -'(25 - "(3'70 Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNOER$T ANDING AND AGREEMENT Construction Value:$ 3f>{j 0, C Permit Fee:$ Plan Review Fee:$ Use Tax:!\; Total:$ rs;- 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.8.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. (OWNER)(CONTRACTOR): SIGNED /(OWNERXCONTRACTOR):PRINTEO ( Description: fO<D F ~. Ft. .deled 2700 DATE BIDLDlNG DEPARTMENT USE ONLY SIC: Sq.Ft: !zONING COMMENTS, Approval: Zoning, BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: 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 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 Wheal Ridge. Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized 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. (3) If this permit expife:$, a new permit may be acquired for a fee of one-hatf the amount normally required, provided no changes have been orwlll be made in the original plans and specifications and any suspension or abandonment has not exc:eeded 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 a permit for, nor an approval of, any violation of the provisions of the buildjng codes or any other ordinance, law, rule or regulation. Chief Building Official