HomeMy WebLinkAbout4777 Dover Streeti CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �-1 _
❑ No one available for inspection: Time/�-� / AM/PM
Re -Inspection required: Yes' No
When corrections have been made, call for re-inspectat 303-234-5933
Date: �-/ � Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703576
PERMIT NO: 201703576 ISSUED: 07/10/2017
JOB ADDRESS: 4777 Dover ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install rolled roofing and asphalt shingles - 18 sq.
(14 sq. pitched / 4 sq. flat)
*** CONTACTS ***
OWNER (303)901-8666 LARSON STEVE
SUB (720)862-3928 Lorin Jackman/Thomas H 170140 Storm Guard of S. Metro Denver
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 a CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,626.00
FEES
Total Valuation 0.00
Use Tax 97.15
Permit Fee 125.05
** TOTAL ** 222.20
*** 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.
1, by rny 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
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perform* and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
I
n1ur6of OWNER or CONTRACTOR (Circle one) Date'
This permit was issued based on the information 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.
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 original permit 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 permits 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 an approval of, any violation of any provision of any
applicable c�le„gr any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official qQV 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.
City of Wheat Ridge
Residential Roofing PERMIT -
201703576
PERMIT NO:
201703576
ISSUED:
07/10/2017
JOB ADDRESS:
4777 Dover ST
EXPIRES:
07/10/2018
JOB DESCRIPTION:
Residential Re -roof to install rolled
roofing and
asphalt shingles - 18 sq.
(14 sq. pitched / 4 sq. flat)
1, by rny 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
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perform* and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
I
n1ur6of OWNER or CONTRACTOR (Circle one) Date'
This permit was issued based on the information 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.
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 original permit 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 permits 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 an approval of, any violation of any provision of any
applicable c�le„gr any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official qQV 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.
Dane Lovett 707 0 � J 7
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 27, 2017 2:02 PM
To: Permits CommDev C
1
Subject: Online Form Submittal: Residential Roofing Permit Application "7�
Categories: Dane
Residential Roofing Permit Application
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person �O
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
Property Owner Name
Property Owner Phone
Number
4777 Dover St
Stephen Larson
303-901-8666
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 �O
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
Property Owner Name
Property Owner Phone
Number
4777 Dover St
Stephen Larson
303-901-8666
Property Owner Email larsons1 @autonation.com
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
Storm Guard of South Metro Denver
170140
7208623861
Contractor Email Address cbiggers@stormguardrestoration.com
Retype Contractor Email cbiggers@stormguardrestoration.com
Address
DESCRIPTION OF WORK
Are you re -decking the Not
roof?
Description of Roofing Asphalt shingle, rolled roofing
Material
Select Type of Material: Asphalt, Rolled
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 14 sq asphalt shingle, 4 square rolled roofing
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 4
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)
Project Value (contract
value or cost of ALL
materials and labor)
18
House and attached garage. Roof pitch is 4/12
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 Casey Biggers
Email not displaying correctly? View it in your browser.
3
Office/Fax: 720-862.3928
56 Inverness Drive East Suite 104
Englewood CO 80112
(This Contract is
Homeowner Name 1:I"��
AddressA 7 % !_
Contact Home:Uwr,4i
Email Address:
stogy u�r�►TM
EXTERIOR RESTORATION
f
Licensed • Bonded • Insured
Contingency Contract
ingent Upon Your Insurance Company's Approval f Yoi2 C
Homeowner Name 2:.
City ),ft Zip: ?5
Work Cell—
ii.} : --.—_
EXISTING ROOF SPECIFI ATIONS Roof Condition:
3 tab N ___ _____Arch.
Pitch /12 *2 Story Yes �� No _�-
LF ValleyLF Ridge
_.._._........__.._--
Plumbing Boots Total #_ 1" 2"
Remove Debris
NEW SHINGLE COLOR
*Color 41 -
Tear Off:
__. _ Felt Lb.
750 Vents #
3" LF Drip Edge
Roll Yard _. _ �- Protect Landscape _ __
BRAND _ 3 tab - _ _Archt.
Power Vents #
_Color
Furnish Permit
__toot__ ____.Customer
t:xisrtw-1DIVG SP� CATIONS Siding Condition:
Type of siding: Brick `- ; V' I Weod� Steel ..� _ — Aluminum
Style of Siding; Lap _ Dutch __
__ ___ _ Faam Backer ._- __ _Wrap None -
LF Fascia Color _ LF Soffit Color
— Vented Plain
NEW S✓", IDZN OR �.—
BRAND
----- -- --_ STYLE Customer Int.
—
SPECIAL CONCERNS:
Acknowledgement: Payment Schedule: Payments Received:
By signature below, Homeowner agrees to ' Deductible $ _ Date:_Amount $_-
pay Storm Guard the RCV/ACV amount —
_
specified in the statement of loss for ust. Suppl. $_ _ Date: —_� Amount $__—
roofing/siding as a materials deposit prior ' Mat. Upgrades $ _ _ Date: Amount___!
to construction. Homeowner agrees Storm Material Deposit $ _ — �— Date: Amount
Guard is entitled to contractors' "Overhead & Mat. Tax Base Service Charge $ Date: —� Amount
;Profit", material tax and base service charge
Final Payment $ TBD $-- ----_ _
that is aid -b _the insurance com an by Insurance Company Date: �_� Amount
at is p y - . --- P y'
L— **Your warranty rights are contingent upon our receipt of full payment for the Work.
See Terms and Conditions, Section 3, on the reverse side of this contract.
ACCEPTANCE OF AGREEMENT
By signing this Contingency Contract, you agree to authorize Storm Guard to assist you in your pursuit of a claim under your
insurance policy and your efforts to reach agreement with your insurer on project scope and price. You may cancel this contract
with no penalty before midnight on the third business day after the date of your signature below, or any time before your insurer
approves your claim, whichever is later. You have no obligation to _Storm_ Guard_under_this Contract unless your insurer approves
Your claim and_5torm_Guard ap�royes the scope and price identified on the loss statement�ou receive from Your insurer. If your
insurer approves your claim, and if Storm Guard approves the scope and price identified on the loss statement you receive from
your insurer, then, by signing below, you authorize Storm Guard to complete the replacement of damaged property identified on
the loss statement with no additional cost to you for insurance deductible, subject to the terms and conditions on the
_._ cost_ _ _ _
reverse side of this Contract. Payments must be made as outlined above. If this proposal is not accepted within thirty (30) days,
it shall be automatically withdrawn.
Accepted by Homeowner on data_
Homeowner Signature #1 , - Homeowner Signature #2
Insurance Company: _ LL1 _ i — _Claim Number: `I 2q �7 �, 51, 6'f'
Mortgage Company: -- —,-..—.--_-__Loan Number: Phone:
Sales Representative:;, WV . LVAL-. Field Manager: 'J"
0/1 , Q
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number: 15318
Date: 4/10/03
Property Owner: LARSON, STEVE & DEBOARH
Property Address: 4777 DOVER ST
Contractor License No.: 18916
Company: Accent Window Inc.
Phone: 431-5827
Phone: 295-1170
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
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 [ 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 Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)SIGNED ;.4~~1~ DATE 'I/o;";;
Total:
$6,700.00
$181.10
$0.00
$80.40
$261.50
Use:
Description:
NEW VINYL WINDOWS AND DOOR REPLACEMENTS. 10 WINDOWS & 1 PQOR
BUILDING DEPARTMENT USE ONLY
iQningl::omment!l.~
Approval:
Zoning:
BuildH19 Comments:
Approval: BG
Publjc Works Comments:
Approval:
Occupancy: Walls:
SIC:
Sq. Ft:
OK 4/7/03
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 subject to the laws of the Slale of Colorado and to the Zoning
Regulations and Building Code of Wheat 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 (B) the building authorized is suspended or
abandoned fOf a period of 120 days.
(3) If this permit expires, a new pennit 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.
(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
proceediing with successive phases of the job.
(6) The issuance a permit or the approval of drawings and specifications shall not be construed 10 be a permit for, nor an approval of, any violalion of the
provis[ons Ih build. s or any olher ordinance, law, rule or regulation.
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
A.PPLICATION
Building Permit Number:
Date:
<(- 7-03
Property Owner:
Property Address:
Contractor License No.:
Company:
j..,o.t&..:'O^ :S~~......... f
"17, 7 ,::>..u~..... .sr
/8"lffD
Ac.c. CrI.f w,;,..d Di.VS
l:Jo4..o6~4L
Phone: ",05- '1)/- 5'8:z.,
Phone: S()~. qo (- 0 ~oS (5ob)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEl'tiENT
I hereby certify that the setback distances proposed by this pennit application are accurate,
and do not violate applicable ordinances, rules orreguJations of the City of Wheat Ridge or
covenants, easements orrestrictions 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 Wheat Ridge Ordinances, for work under
thisperrnit.
Construction Value:$ 4700.:'
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
(OWNER)(CONTRACTOR),SIGNED ~~ e ~- JtlLr---nATE
DESCRIPTION: Nct../ V';j""/ t-J,.,..J.owr and
SCl: A TT 4c..l-/eb SJ..~..J',
AJo",,,-
,t..!, /4t:.e.;H.~/>L fs
#
/0
w,;'d",w,
d:
I
/:)oo/t.5
BillLDING DEPARTMENT USE ONLY
BUILDING COMMENTS: t? P
Approval: I"",
(7 ,/e;
u;" /e? "7
SIC: Sq.Ft.:
~ !ErcIEU~IE!/j
APR 0 i 2003
~~~~-.jg3
.......-....
-~
---
ZONING COMMENTS:
Approval:
Zoning:
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 Wheat 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 (B) 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 nonnally required, provided no changes have been or will be made in
the original plans and specifications and any suspension or abandomnenthas not ex.ceeded one (1) year. If changes have been or if suspension or abandomnent
ex.ceeds 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 natum! flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspectortw-enty-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 building codes or any other ordinance, law, rule or regulation.
is.J vb~
ChiefBuildin spector
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WINDOW SPECIFICATIONS WINDOW OPTIONS GLAZING OPTIONS
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PAGE ~ OF ~
.
DATE ,3/c'3 ,,,j 3
/'
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: 14821
Date: 11/19/02
Property Owner: STEVE LARSEN
Property Address: 4777 DOVER ST
Contractor License No, : 21462
Company: All Seasons Electric
Phone: 431-5827
Phone: 720-733-9032
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 co,!JlPliaAce' e he Ridge Building
Code (U.B.C.) and all other applicable ... ',.!gs'" ." Cler this pe it.
(OWNER)(CONTRACTOR) SIGNED ....> " DATE If I
Total:
$1,100.00
$41.80
$0.00
$13.20
$55.00
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
SERVICE UPGRADE TO 150 AMP
~
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 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.
(2) 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.
(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 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
proceecliing 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
pro' s of the b . ing codes or any other ordinance, law, rule or regulation.
"~' WH'_r "',
~ 0
- Co
U '"
COL OR p.,r;P
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)
APPLICATION
Building Pennit Number:
Date:
Property Owner: ~ ~
Property Address: tfr~~ rdWe1 ~
Contractor License No.: 5S::;2?
CompanY:a@ ~4P-4V ~ ~
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone :,:5bS Lf3/ 5'J>~~
Phone: nO '12:53 7oS-2
//00
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements orrestrictions 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 applicabte:1Vhe t Ridge Ordinances, for work under
::::ON'rRACTORJSI /., ,7 DATE i1~
DESCRIPTION:~ ~ /0 1.0~
Construction Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZqNING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
-------
Walls:
Stories:
Residential Units:
Roof:
Electrical License No: ~'O::t '6 Plumbing License No:
Company:tiU~ ~ompany:
Expiration Date:
Approval:
Expiration Date:
Approval:
Mechanical License No:
Company:
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 Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is notconunenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a ncw pcrmitmay be acquired for a fcc. of one-half the amount nonilally 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 bc done that will changc 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 ofa 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 ofthc building codes or any other ordinancc, law, role or regulation.
Chief Building Inspector