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Home My WebLink About4677 Dudley Street4 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: t-1 Oct - A) Q o o Job Address: L46,77 Q v ley �- Permit Number: 'c> O t -7 o a 7 3 R Zq ❑ No one available for inspection: Time! 0 z, 33 q PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: `6 1151- 4 12' Inspector: T b DO NOT REMOVE THIS NOTICE GIN, cil' W heat l�Ldgc City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at 1— or fax to 303-237-8929. Party requesting permit extension:&6kD- V'rTe—Z A 4AAd* fr1� S6,r- :SCf e4 i ors I n e-_ Permit # ZO 1'10 2'7 Sag Property Address: `4 b-11 7DU4,A I Cy S re- e4 - Phone# ��_C�13" 63q%Email Address: 0llsk6L& tpXPAgriors .ccw-1 Reason for extension request:Need -I b g-eSG�le->dV f;hpj IYlspec,-:4-ion Number of days requested: 90 Printed Name: too -I Date: 8/�t S For office use only This request has been: lApp ved I._ Denied Extended until: q)3)13 Approved by: Date: 2 ) 3) /g - 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: �,✓' ' %' Permit Number:"C�/G ❑ No one available for inspection: Time 612 `-/ l A /PM Re -Inspection required:�CYes I When correct'ons have been made, call for re -inspection at 303-234-5933 Date:I� h� Inspector: DO NOT REMOVE THIS NOTICE r-; 4 aY i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: %1 (Styt Job Address: Djo(4 C ,� 9-t Permit Number:y) ��_ ') 3:2 ❑ No one available for inspection: Time K - Yl AM/�l�lf� Re -Inspection required: Yes i/ao. When corrections have been made, call for re -inspection at 303-234-5933 1 Date: Inspector: DO NOT REMOVE THIS NOTICE ✓^7 f7 A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax IN�S�(PECTION OTICE ( Inspection Type: ` " - �)L 'S �-,/�- Job Address: � 01911% S7_ Permit Number: 2-01" / Q Z 1,7 S ❑ No one available for inspection: Time �'.% `s` "AM/PM Re -Inspection required:�Yeslo When corrections have been made, call for re-inspe9tion at -"303-234-5933 ire r r Date: ' l Inspector: 1..:L); DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201702738 PERMIT NO: 201702738 ISSUED: 06/28/2017 JOB ADDRESS: 4677 Dudley ST EXPIRES: 06/28/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with ROOF DECKING - 14 sq. *** CONTACTS *** OWNER (303)881-2147 PALMATEER HENRY D JR SUB (303)913-6397 Kirk Johnson 170216 Energy Star Exteriors 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: 4,691.75 FEES Total Valuation 0.00 Use Tax 98.53 Permit Fee 125.05 ** TOTAL ** 223.58 *** 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 A;4 -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 manufacturera€"s 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's 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. City of Wheat Ridge Residential Roofing PERMIT - 201702738 PERMIT NO: 201702738 ISSUED: 06/28/2017 JOB ADDRESS: 4677 Dudley ST EXPIRES: 06/28/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with ROOF DECKING - 14 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 o e of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with this permit. I u, r attest that I am legally authorized to include all entities named within this document as parties to the work to be perfrmed a d t all work to be pert -or ed is disclosed in this document and/or its' accompanying approved plans and specifications. natute of \Q or ONTRACTOR (Circle one) Date �"- This permit s e ased on the information provided in the permit application and accompanying plans and specifications and is subject to the ¢� 1' nce with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit lal pire 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 originalpennit fee. 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 pen -nits is at the sole discretion of the Chief Building Official and is not guaranteed. 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. 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. The issuance or granting of a permit shall not be construed to be a permit for or a val of, an violation of any rovision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work ' ect to fi ecti Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 15, 2017 4:14 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 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. 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. Permits are currently being processed within 3-5 business days, subject to change based on volume. W /C VXAV4e, 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 4677 Dudley St. Wheat Ridge, CO. 80033 Property Owner Name Joyce Palmateer Property Owner Phone 303-881-2147 Number Property Owner Email Field not completed. Address 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 Energy Star Exteriors Inc. 303-921-8849 Contractor Email Address shai@energystarexteriors.com (permit pick-up instructions will be sent to this email) Retype Contractor Email shai@energystarexteriors.com Address DESCRIPTION OF WORK Are you re -decking the Yes 1/ roof? Description of Roofing GAF Timberline HD Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 14 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? z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 14 V Roof Pitch 4/12 Main dwelling Project Value (contract $346-00, 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 Kirk Johnson, Energy Star Exteriors Inc. Email not displaying correctly? View it in your browser. 3 � Energy Star o Exteriors CONTRACT 8120 Sheridan Blvd. B-311 Westminster, CO 80003 Ph 303-913-6397 Customer Date 1,. T Address % Billing Address City_ City State Up State Zip Home Phone C II ) �t Email ,i43 Roof Iver/type/style ( Color move ase Felt Valley �dge 45 -1st PcFree Metal Edge P--`6olor ��pe Flashings — Vents Ja-tack Caps 21 Clean up and haul off roof debris Gutter Removal &Replacement e'erI VCy ail Magnet used ground house liIAr�6 C,-- wtect Landscaping lob in red by ESE D weway Inspection ;� Permit add cost $ G� Of. Ltd. Warrant yrs. LJ Contractor 10% C&P $ tk —� Workmanship warranty: 2 yrs (Warranty terms apply) 1 - Each Yz--C Make Checks ya�le to;_Energy Star Exteriors $ i a upon execution of contract/material de (Any payments made prior to commencement will be held in trust until The materials }re del' eyed and the work begins) $ �7 WWZ, , (Balance) upon completion of work* `Energy Star Exteriors reserves the right to file for supplemental insurance claims when necessary, which shall become a part ofthis agreement. Energy Star Exteriors, as the contractor, is entitle to the full 0&P provided by the insurance company. INSURANCE ALLOWANCE AGREEMENT Customer authorizes Carrier to pay ENERGY STAR EXTERIORS directly for all agreed upon work. (Initials) Building Owner(s) (Customer) hereby retains Energy Star Exteriors (ENERGY STAR EXTERIORS) to repair/replace the roof and/or gutters upon the above stated property, contingent upon ENERGY STAR EXTERIORS' receipt of Customer's insurance company (Carrier) approval and payment of said work. Customer understands and agrees that Energy Star Exteriors will review said work proposal with Carrier's representative. Work will commence only after ENERGY STAR EXTERIORS and carrier agree upon the extent of damages and the cost of repairs and replacements. This agreement is for full scope of insurance proceeds not excluding deductible, depreciation, overhead, and profit, therefore CUSTOMER'S OUT OF POCKET EXPENSE WILL BE CUSTOMER'S INSURANCE POLICY DEDUCTIBLE AND ANY NON RECOVERABLE DEPRECIATION for work agreed upon between Carrier and ENERGY STAR EXTERIORS. AS PER CO LAW SB38, ENERGY STAR EXTERIORS CANNOT PAY WAIVE OR REBATE THE DEDUCTIBLE IN PART OR IN WHOLE. Customer agrees to provide all necessary documentation for the claim, and any documentation necessary to facilitate payment from the Carrier or Mortgage Company. Carrier only pays for installed materials. All surplus material is property of ENERGY STAR EXTERIORS. Replacement of deteriorated siding, decking, fascia board, ventilators, flashing, or other materials is not included and will be charged as extra unless otherwise stated above. Customer may be required to supply all electricity necessary for the work. Lien waiver submitted upon final payments. ENERGY STAR EXTERIORS is not responsible for interior personal items . All work is to be completed in a workmanlike manner according to standard practices. The Customer hereby acknowledges that ENERGY STAR EXTERIORS may be subject to delays due to inclement weather or material shortages, which are each beyond the control of ENERGY STAR EXTERIORS and therefore accepts any delays that may occur by one or all of these circumstances upon completion of said work. Customer grants access to the property as is necessary for the setup and execution of work. Any changes from the above specifications involving extra costs will be executed only upon written order and will become and extra charge over and above the estimate. WARRANTY TERMS: Energy Star Exteriors agrees to repair any defect in workmanship for a period of two (2) years following work completion. ENERGY STAR EXTERIORS' liability is limited to its cost to affect any warranty repairs. Warranty does not cover damage to roofs caused by lightning, gale (>50mph), hurricane, tornado, hailstorm, or other violent storm, impact of foreign objects or damage to roofs due to sett ej�ent, distortion, failure or cracking of the roof deck, walls, or foundation of building. This WARRANTY is null and void if payment, or any other terms of the contract have not been met. T IS WC RRANTY IS NONJRANSFERABLF II sta/S`ements on%. =side side apply to contract. Accepted by Insured: Insurance Co.: Energy Star Exteriors Rep: . 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: 11588 Date: 12/7/2000 Property Owner: Property Address: 4677 DUDLEY ST Contractor License No.: 17187 Company: Conner Construction Co. OWNEH/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 420-5040 Phone: 744-1096 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 a~ree to abide by all conditions printed on this application, and that I assume full responslbili f compliance ith the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe t . ge ordinan I for work under this permit. ~ DATE Total: $3,392,00 $97.25 $0.00 $50.88 $148.13 Construction Value: Permit Fee: Plan Review Fee: Use Tax: (OWNER)(CONTRACTOR) SIGNED Use: Description: REROO 17 SQ-- 25 YR DIMENSIONAL! REMOVE 1 LAYER BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : Approval: Oc:cupancy : 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 yapur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Bulldin~ Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shalt expire If (A) the work authonzed 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 pennit expires, a new permit may be acquired for a fee of one.half the amount nonnally 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 proceedii with successive phases of the job. The i n 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 uil n~)'ny other ordinance, law, rule or regulation. , / / I>o/i Chief Building~spector m (8) 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) ~\ON Property Owner: /,(,;,;vK #;h"!1ke-.-G Property Address: ~77 ~ 57: Contractor License No. : Company: {b~ ~*-~........ OWNERiCONTRACTOR SIGNATURE OF UNDE.qSTANDING AND AGREEMENT Building Permit Number: Date: Phone: Y,?o'90YD r hereby certify that the setback distances procosed by this permit apolic3tion are a~curate, and del not violate applicable Ordinances, n.Jles or regulations of the City of Wheat RIdge or covenants, easements or restrictions of record: that all measurements shawn, and allegatIons made:lre accurate; that [ have read and agree to abide by aH conditions printed <;1" this , . application, and that I assume full responsibility ~ r compliance with the Wheat Ridge Buildmg Code (U.B,C.) and all other applicable Wheal ge oldinan , for worn under th~~L (OWNER)(CONTRACTOR) SIGNED 2 DATE-1T- Phone. 7W-I"?~ Construction Value: jJJ9.;(, t7V Permit Fee: Use Tax. Description : ~ 17 ~ - 2'3 '7/2.. ;;/~~n... y 4-~ /-4 <'-c- BUILDIN DEPARTMENT USE ONLY Total: Use: . 'lL'J~' E-f~"-J"U'P: SIC: Sq. Ft.: Approval: Zoning: :ff ~10!> 2.'01!lL'!....Llll~ Approval: ~~~.- 1. Approval: Occupancy': Wall$: Roof: Stories: Residential Units: Electlical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Apprclval : Expiration Date: Approval : Expiration Date: Approval: (1) (2) (3) This permit was issued in ao:::ordance with ltIe provisions set faith in yopur applicaUon and is $Ubject 10 Ute laws of tI'le State of Colorado and to ll'Ie Zoning Regulations and 9uild1n9 Cod. oI'M1eat Rk:lge. COlOrado or any otner applicable ordinances of the City. This permit snail expinl if (A) tn. wort( a~ is not ecmmeneed wittun sixty (60) days from issue date or (8) tn. building authorized is suspended or abandoned for a Period at 120 days. If this permit expires, a new pennjt may be acquired for a fee of cne-halt ttl8 amount normally required. pro1ridea no Changes have been or will t:le made in tl'le anginat plans and spedllcaUoos and any stlSQetlsiCln or abandonment has not l!XCeeded one (1) year. If changes are made or if suspenSion or aDandonment excee<:ls one (1) year, tul! f89.shai1 be paid for a new penmt. .. No WOl'X of any manner shall be done ltlat will Change the natural tlow of water cauSIng a dralnage PfOblem. Contractor snail notify !he 8uiJding Inspeaor twenty-four (24) naurs in advanC8 (or an inspections and sI'lall receiva Written approval on inspection card before ~n>eeedllng .... 'ua:essive ..... 0'''. icO. . The issuance of a permit or tne ~nMII of drawinqs and spedtlcations shall not be construed to be OJ permit ror. nor an approval at, any violation ot the provisions ot!tle budding codes or any other Ordinance. law, /\lIe or regUlation. (4) (5) (8) Chief Building Inspector ,; " l," '\..-J' 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) ........"..~.......:.-.....,.'.r...,..,.",-~";; ,c , Building Permit Number: 11425 Date: 10/31/2000 Property Owner: Property Address: 4677 DUDLEY ST Contractor License No.: 19312 Company: Deer Creek Plumbing OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone : 420-5040 Phone: 697 5583 (OWNER)(CONTRACTOR) SIGNED DATE Total: $300.00 $23.50 $0.00 $4.50 $28.00 Construction Value : Permit Fee: Plan Review Fee: Use Tax: 1 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 89ree to abide by all conditions printed on this appliQation, 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. Use: Description: INSTALL 50 GAL. WATER HEATER BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: 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 yopur application and is subiect to the laws of the State of Colorado and to the Zoning Regulations and Buildin~ Code of Wheat Rid~e, Colorado or any other applicable ordinances of the City. (2) This permit shall expire If (A) the work authonzed 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 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 suspens10n or abandonment exceeds one (1) year, full fees shall be paid fOf 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 Insfector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases 0 the/.ob. The I ~it or the approval 0 drawings and specifications shall not be construed to be a permn for, nor an approval of, any violation of the provisions of th ui I{I I; any other ordinanca, law, rule or regulation, ~~ (8) BUILDING INSPECTION DIVISION - 235-2855-' . . CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 --"-"'t;1 . .... " .. ~ ......... ,......, . Date: lO - ;;;7'6 '-(9Q A PPU c.""T I 0 N Property Owner: QQ \ rYlo. te:. cx- Property Address: J...\ lo 11 \)vd ~ ':') S~ Contractor License No.: l q 3> \;;;J. Company: Deer CwJ::::: P\ bj . OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT . Phone: ~d() ~ c::;ot...\O Phone: <.90'[7 - '5 ~3 ..."1;." Construction Value: Permit Fee: Use Tax: -300- d5.SD L\.5O I he"'bY certify that the setback distances proposed by this pennK application a", accurate, r nd do not violate applicable ordinances. rules or regulations of the City of Wheat Ridge or covenlntt, 'Isements or "'strlctions of ",cord; thlt In measu",ments shown. and lllegatlons mldt Ira ICCUrale; that I have ",ad and ag",e to abide by an condlilons printed on this ,. a"pllellloll, Ind that I assume luli responsibility for compliance wKh the Wheat Ridge Building COIN (U.B.C.) Ind ali other IppHcable Wh.lt Ridge ordinances. for work under this pennH. ' , (OWNER)(CONTRACTOR) SIGNED~~ DATE W ,.:v;-lJ Total: .;;;l<f>. - Use: Description :JjnS:, m \ \ gC\l. WIT. BUILDING DEPARTMENT USE ONLY ".:111'11',r,!1.1IiliIUIl' SIC: Sq. Fl. : Approval: Zoning: :jlll :'l!t~'l~~t~llj)u UJl.U Approval: :Jllltl,. }j:),.'....r~+.!~u.LulJLL'.....,... Approval: Occupancy: Walls: Roof: Stories: Residential Units : Electrical license No : Company: Plumbing License No : Company: Mechanical License .No : Company: ExpIration Date : : !\pplOVll: Expiration Date: Approval: Expiration Date : Approval: (1) TIll. _ wal IIOUO<f In __do."" _Iha proYislonl lei forth In yopur appllcaUon .ne! II ._10 Iha _ of Iho SIoIa of ~ .ne! 10 Iho ZonIng RoguIIlIon. .ne! BuildInG COda of _II RkIao, c_ Of .ny other a""llcable ordinance. of tho City. 121 T!lli _ .hall e.pro "(A) Iho __ I. not commenced within Ihdy (110) day.""'" _ _ Of (8) Iho ~ _od Is .uspendod Of Ibllldol,ad for I peftod or 120 d8ys. (3) "thI, permtt expire., I new permit may be acquired for . fee of one-hatf the amount nonnIfty requIntd, provtded no chl.S hive been or win be made In Ule Oftgfnil plena Ind IpecllkatIonl -.1d Iny IUlpenlIon or lb8ndonment he. not exceeded anti (1) year. If cMnges.... made or If suspension or lbelldollnent _one (I) ye._. futl_ _ bopald lor. __ l4.1 No - of Iny manner _ be _Ihll wtlI ~ tho nalural_ of w.... causing a drolnaga probIam, ContrIIctor ,hall nottfy the Building InIPIdor MInty-four (24) hours In ldv8ince for I" 'ilSpedIonl and thai receIYe written approval on Inspection C8rd before _ling with .uc:r:oso"" "".... of Iho /011. (8) The I..u.~ of. penntt or the IIppC'O'nl of drawing. Ind lpedftcation. shen not be construed 10 be . permfl for. nor In Ipprovel of. In)' vtotation of Ihe provfttonI 01 the building codes or Iny other ordtntInce, 1rN, rule or regulation. Chief Building Inspector S3