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Home My WebLink About4669 Dudley Streets s City of Wheat Ridge Residential Roofing PERMIT - 201706525 PERMIT NO: 201706525 ISSUED: 08/24/2017 JOB ADDRESS: 4669 Dudley ST EXPIRES: 08/24/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)420-9794 VAN CLEAVE SANDRA J SUB (303)815-0640 Daniel Vogel 019494 Vogel Roofing 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: 6,682.00 FEES Total Valuation 0.00 Use Tax 140.32 Permit Fee 156.75 ** TOTAL ** 297.07 *** 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) 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. 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. q 66q bid f�,sf. 2'0 1706 0m� INSPECTION RECORD INSPECTI N ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type 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 following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To A proval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. 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. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather I* ti A 41 City of Wheat Ridge 'J Residential Roofing PERMIT - 201706525 PERMIT NO: 201706525 ISSUED: 08/24/2017 JOB ADDRESS: 4669 Dudley ST EXPIRES: 08/24/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 26 sq *** CONTACTS *** OWNER (303)420-9794 VAN CLEAVE SANDRA J SUB (303)815-0640 Daniel Vogel 019494 Vogel Roofing 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: 6,682.00 FEES Total Valuation 0.00 Use Tax 140.32 Permit Fee 156.75 ** TOTAL ** 297.07 *** 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) 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. 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. v f City of Wheat Ridge Residential Roofing PERMIT - 201706525 lr!�*00 PERMIT NO: 201706525 ISSUED: JOB ADDRESS: 4669 Dudley ST EXPIRES: JOB DESCRIPTION: Residential Re -roof to install asphalt shingles 08/24/2017 08/24/2018 26 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 oferoperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I forth ftes at I am legally authorized to include all entities named within this document as parties to the work to be performed and all b peri" ed is disclosed in this document and/or its' accompanying approved plans and specifications. f'ZZy// 7 Signature of OWNER o CONTRACTOR: (Circle one) Date 1, This permit was issued base hr-infarnration provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. Z. 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 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permits all not be construed to be a permit for, or an approval of, an violation of any provision of any appIM-i 1 code or an- ance P r ulation 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. Dane Lovett Zo17 6 J 1 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, August 22, 2017 4:41 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application CS 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 b Property Address 4669 Dudley Property Owner Name Sandy Van Cleave Property Owner Phone 303-420-9794 Number (enter WITH dashes, eg 303-123-4567) 49 Property Owner Email Field not completed. 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 Scan 0039.pdf Contract CONTRACTOR INFORMATION Contractor Business VOGEL ROOFING INC Name X, Contractor's License 019494 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 3038150640 1346 S JASON ST DENVER CO 80223 Contractor Email Address dannyv.vogelroofing@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? dannyv.vogelroofing@gmail.com 26 No 50 Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? 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 oof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) No Yes m OWENS CORNING DURATION Asphalt TEAR OFF AND RE ROOF (DETATCHED GARAGE IS BARN STYLE AND HAS 2 1/2 SQS 12:12 PITCH SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full 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 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 51 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. 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 Daniel VOGEL Email not displaying correctly? View it in your browser. 52 VOGEL ROOFING INC 1346 S. JASON ST DENVER, CO Homeowner's Name: Address: C� ( I J;�o1 City. 14-) State: Zip Code: Glome Phone: Cell: 3 (303)815-0640 SCOPE OF WORK AGREEMENT 0 The contract price and scope of work is: S Payment Schedule is as follows: Down Payment $ . O� upon signing this Contract. Additional. $_ the day of starting work, delivery of materials and all necessary tools. > �u Additional: $+ after completion of: / C', /� Additional. $ � after completion of : (-7 �r/ ,4k S Balance. $ �- payable upon final completion. Initials: The Homeowner (s) may cancel this agreement at any time before midnight of the P business day (72 hours right of rescission) after the date of signing this agreement by mailing a notice of cancellation to the above address, emailing Vogel Roofing Inc. dannyv.vogelroofing@gmail.com By signing this agreement below, I/We acknowledge that i/We have read both sides of agreement, understand and agree to all terms and conditions and no other conditions apply unless es t 's a e me Homeowner or Agent Signature Date 11 7 Homeowner or Agent Signature Date Vogel Roofing Inc Date JLIZI i .. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC Inspection Type: AY Job Address: Permit Number: ,X, ❑ No one available for inspection: Timet 1m/pm Re -Inspection required: Yes o When corrections have been made, call for re -in ection at 303-234-5933 1 Date:!(_ �! Inspector~`''' DO NOT REMOVE THIS NOTICE 16. 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:/Gl %.�Lei. Permit Number: G�/'�j�G ❑ No one available for inspection: Time �� !'� ` AM/PcM Re -Inspection required: Yes Ifo:, *When corrections have been made, call for re -rection at 303-234-5933 Date: r-11 Inspector: n DO NOT REMOVE THIS NOTICE l 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: —I 1 Job Address - Permit Number: _ ,,?0 /fr 4 15-,` S m ❑ No one available for inspection: Time AL t , AM45�. Re -Inspection required: Yes No When corrections have been made, call for re -inspection at M3-234-5933 Date: J)—Inspector: V�, DO NOT REMOVE THIS NOTICE 1 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. INSP.6CTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS Footings /Caissons - Mechanical Stemwall / (CEG) Concrete Encased Ground Roof I Reinforcing or Monolithic - Fire Department Weatherproof/ French Drain R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Sewer Service Lines "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 OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Water Service Lines YOUR NO VONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) I. Heatin ( Under g round) Do NOT POU ROUGHS Sheathing Lath / Wall tie Mid -Roof a r ` Electrical Service u� Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECT Framing Insulation Drywall Screw TO BE SIGNED FINALS Electrical Plumbing - Mechanical Roof I Building Final Fire Department R.O.W & 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 OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. r.. L)CCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED- PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSFcl N4NOTIC Inspection Type: Job Address: fa Permi t Number: (39 ~23 0 3 e 1-1 No one available for inspection: Time I (PM Re-Inspection required: Yes (zo *When corrections have been made, calf for ti inspection at 303-234-5933 Date: l~~s 1® Inspector: DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE " ;#w Building Inspection Division ° (303) 234-5933 Inspection line 0or (303) 235-2855 Office • (303) 235-2857 Far INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 4;:22Ll~/~~~~ ✓ ❑ No one available for inspection: Time T AM/ -PAM ~ Re-Inspection required: Yes "When corrections have been made, call for re-inspection at 303-2345933 Date: /a Inspector: DOINONO - T REMOVE THIS NOTICE " ' City of Wheat Ridge Residential Roofing PERMIT - 094303 PERMIT NO: 094303 ISSUED:< 12/01/2009 JOB ADDRESS: 4669 DUDLEY ST- EXPIRES: 05/30/2010 DESCRIPTION:' Reroof 18.33 sqs CONTACTS owner 303/420-9794 Sandy Van Cleave sub 720/530-6331 Alfred Farias 09-0042 Citywide Roofing LLC **.PARCEL INFO ZONE CODE: UA iUSE: UA SUBDIVISION:. 0215: 'BLOCK/LOT#: 0/. FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,450.00. FEES Permit Fee 181.10 Total Valuation 00 Use '.Tax 116.10 TOTAL r 297.20 Conditions:; 6 nail installation & mid roof inspection required.'. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shieldrequired from eave edge to 2' inside exterior: walls. ing Official :date r LINE: (303)234-5933 BUILDING-OFFICE:.: (303)235-2855 ' KADE BY 3PMr ANY BUSINESS DAY FOR INSPECTION THE :FOLLOWING BUSINESS DAY. of ""E?>q City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 ~~V==4 ° Inspection Line: 303-234-5933 O(ORPO O Building Permit Application Date: Plan Permit #:U Property Owner (please print): jam (/n ['/gayer Phone: 3a3. 410.97?0 Mailing Address: (if different than property address) Address: City, State, Zip: C~: lt/.A X2&4r /_JC- Contractor License 09-02 Phone: 363.1j0.11),)41 Sufi Cogtrac#ors, 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): AryW Construction Value: $ 4tsb Descrlpfion ofwotk ~ d r<e (as calculated per the Building Valuation Data sheet) ~t~11 A~~tma Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares /A9.5,5 BTU's Gallons Amps OWNERICONTRACTOR 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 other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. C/RLCE ONE:: (OWNE (CONTRACTOR r PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: 4,J SIGNATURE Date: /00 DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) 12646 8/20/01 Property Owner: Property Address: 4669 DUDLEY ST Contractor License No. : 17152 Company: Precise Plumbing Phone: 420-9794 Phone: 534 0881 OWNEI~/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee: Plan Review Fee: Use Tax: (OWNEH)(CONTRACTOR) SIGNED DATE Total: $663.00 $29,60 $0,00 $0,00 $29,60 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 1 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. Use: Description: REPLACE WATER HEATER, READY FOR INSPECTION BUILDING DEPARTMENT USE ONLY _i1i1i1l@_~ !f.\illmimJlR~i Approval: Zoning: SIC: Sq. Ft.: llll11111fi1l1i11l11111 Approval: .~ 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 the State of Colorado and to the Zoning Re,gulations and Building Code of Wheat Ridge, qolorado or any other. appli<::able 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/'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 oft uilding cod or any other ordinance, law, rule or regulation. 16l (6) Inspector DEPARTMENT 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: Contractor license No, : '-I CCc; t?&"O"'~ ::;7;' I 7/ r;2.. Company: fJr'cJ:;~ /,.{..,., (/,,?.:z;.c.- Phone: I,/,;? O~ 9' ? .9y 1-3,;3) Phone: F.Yf/-o ?'i"/ - / OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: C;; 6 .3 Permit Fee: ;;1. ?,-~Cll Use Tax: sP"'''S 1'0-0:>. I hensby certify that the ,etblde: distances propOSed or this pennrt IPtUlc:ation are accurate. and (~O not violate IPPlICable oralnanee.. rules or regUlations of the City of Wheat Ridge or covenlnts. easements or restndJons of recotU: tnlr I" measurements Shown. anCl .'JegatJOns rmaot' are aCCUr2le: lIlat J have read and 89tee to abide I>y aU COnclillon. Pnntecl on lIlis applICation. and lIlall allume full responsmoljly for con1I>IIanC8 Wll/IlIle Wheat Ridge Building Code (U.B.C.) and all olller applICable Wheal Aidge oromancn. forworl< under Ill'. pe.-. (OWI'IERJ(CONTRACTOR) ~IGNED~ .~y- ........~ DATE . Description: ,.e;",4ce. e;1..{'"/,, 4"'4>- ~r / '......7 tC"'or /''''y''' r:-'OYJ Total ; ~ 7. CC1 BUILDING DEPARTMENT USE ONLY :.(~:J i . .. I II..,. . ,. Approval: Zoning: -'J.;l &iJ. .... .X,::"l.t!.4lJ 1 '--'- Approval: r-""""'- Approval: Occupancy : Walls: Roof: Stories: Residential Units : Electncallicense No : Company: PlumbIng liCense No : Company: Mechanical License No : Company: Expiration Date: Approval : ..J ~8~ufriKf~ Expiration Date: Approval: iI :. Pflha ~ulnld.~ .J Expiration Date; Approval: . ~UbR;a - (1) ThIS permrt was I'SUed an .c::c:oraanc:e WfCl"l me ~ MllIDnn In )'0DUr .Dt*:abon ana II suo,ea eo tf'Il Iawa 01 the Sw.. of CoIor.Ido anGlO N Zoning R:!'9Wauons ana Bulkllng coal or 'M'Le.1 RIdOI. COloraao or any omlN' IOpucatNe OfOINlnces of tn. City. (2) This l)ef"mlt sna" axon: If (AI tne wonc. lucnonzea " nol c:ommenc:eg WlD'Un IIXCV (50) dlyl trom ISSue dati 01 (8) the tluiIdJnO IUtnonzecllS IUIpended 01 lloanc:I!oneG tor a penoo ot 120 day.. (3) It tJ'llS petmn 'XDU'8'. . new permq m.y ore KQ~ for I f.. 01 on..n.I1 1M .mounl nonndy recrUllecl. ptOVIGed no c:nang.. h8ve Deen 0( will De".,... the OIlO1M1 pl.ns and sD8Oftc:attons ancI any SUSHnIIOn Of 'DandonmenI nls not IXceeoeG one (1) y'''', I' c:tlangeI ar. maa. Of " IUspenaeon Of aOAIadolI.ro...K e.m::eeas one 11) ye.,. rutl tees II\aI be DaICl rot. new oemwt (4) HiJ won: of any manner SI'l.1I tle done INI 'MIl d\anqe Ene nltutalllow of wlter CluSlnq. d,..lNIg1 problem, (5) ContraCtOr snail nonly tne 8uddrng Insoeaor twenty.lour (24) nout1l11 .CIV.nee tor .1IInspecfJC)nS and snaa tecerve wnften .gPl'OYIIl on JnspecDOn canI DeIcn prx:eeollnq WI'" succeSSIVI onases 01 me .100. (IS) TI'le ISsuance ot a permll or tne .""rOY'1 of dt2wl"9S ,na soeofJc:atlOns snlll not De ccnSU\.Iea 10 De I permit for. not an approval ot, any ~DCln 01 en. ptOYlSIOna ot l1'le OUIIClnQ cooes Of any olt\er ordlnana. 13w. ru;e 01 regULaltOn . Ctuef Budding Inspector For Mayor THIS P ERMIT VALID ONLY WHEN SIGNEO BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION