HomeMy WebLinkAbout6155 W. 39th Avenuei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �� It _t.
Job Address: 15
Permit Number: �-2-nl7r,e' 7
❑ No one available for inspection: Time, AM/PM_,,/
Re -Inspection required: Yes,,'No
When corrections have been made, cafrfor re -inspection at 303-234-5933
Date:-//, 1 I Inspector:y
DO NOT REMOVE THIS NOTICE
► ' City of Wheat Ridge
� s
i
`( Residential Roofing PERMIT - 201708297
PERMIT NO: 201708297 ISSUED: 10/13/2017
JOB ADDRESS: 6155 W 39th AVE EXPIRES: 10/13/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 18 sq Pitch = 4/12
*** CONTACTS ***
OWNER (989)621-1491 HERBRUCK MAUREEN
SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00
FEES
Total Valuation 0.00
Use Tax 147.00
Permit Fee 156.75
** TOTAL ** 303.75
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201708297
PERMIT NO: 201708297 ISSUED: 10/13/2017
JOB ADDRESS: 6155 W 39th AVE EXPIRES: 10/13/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 18 sq Pitch = 4/12
1, by my signature, do hereby attest that the work to
applicable building codes, and all applicable munici
by the legalow�eer of the property and am authorize
this Dermit.lrfizrl!her attest that I am leeally authoud
all worKto be vkrfiQrr6eti is
xformed shall comply with all accompanying approved plans and specifications,
%les, policies and procedures, and that 1 am the legal owner or have been authorized
tain this permit and perform the work described and approved in conjunction with
include all entities named within this document as parties to the work to be
in this document and/or its' accompanying approved plans and specifications.
Signa re of OWNER/ or CONTRACTOR,- i cle one) Date
1. 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.
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 anmanner shall be performed that shall results in a changeof 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
applicable code or any ordinance or regulation 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
7
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, October 12, 2017 2:02 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
S
Follow Up Flag:
Follow up
Flag Status:
Completed
c.,
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
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
6155 W 39th Ave, Wheat Ridge
Darrell Herbruck
(989) 621-1491
41
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
Herbruck signed contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
formula roofing
Name
Contractor's License
110274
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
3036008696
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
4560 Columbine St
(Primary address of your
business)
Contractor Email Address
formularoofing1 @gmail.com
Retype Contractor Email
formularoofingl @gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
18
the entire scope of work:
"
Project Value (contract
7000
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
42
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 18
part of the PITCHED
roof?
Describe the roofing GAF Timberline HD
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional Tear Off and Install Ice & Water with new Drip Edge
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
43
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 dominick orrino
Email not displaying correctly? View it in your browser.
44
AGREEMENT
45611 iLMll bbm 51t.
MULA
AntEMud
FAk 303.1500.l.ils54 If
Building 5olu?ons for Colorado
custorticr Name: Darrell Herbruclt
Address: 6155 W 39th Ave
Wheat Ridge&O 80033
(tustomer.Phone: X989) 621 1491 Pb#2
Email:
IRsumlice: Am.. Nat. Fam
Adjuster Name:
Claim; 0514311H242-
Adjuster
5hf311H242
Adjuster Phone:
Shingle Manufacturer: GAF
Sfylc ofShingtes: Timberline HD
Color of Shingles.:. Charcoal
.Number of Squares: 17.02
Tcar off ii of layers: 1
install Felt: synthetic
RgplacePlambing. Jat:ka 1
Replace Roof Vcnts, 6
Ice and Water Shiet&eaves, pen -&.rations, valley$
Nailing rattem:: 6 nail
Drip.Edge:.full perimeter
Appropriate.CountyXity Code Requirements
Clean-up and hauloffall Msh from roof
R6€1 yard and drivew.iiy with magnetic roller
Clean gutters of roofing debris
Formatx R & R. will fitlmish all material,& labor
Permit pulled by formula R 8t.. R
All new roofs guaranteed for 5. years
All repairs guaranteed for 96 days.
Additional Warranty:
System Plus
Homeowner
-Customer
Initial?,
Customer
laitials
E
Cirssamcr
lairlals
Customer
Customer Sid
.Rep:. Dustin: Pitney
Phone: 1303.).521-8673
Email: dustin@formularoofint. corn
Pitch: 4/12
Stories:
Adjuster .F.maili
Trailer
.Access: good
Formula Roofing & Remodeling will perform all repairs as.outlined and approved
by the Floroeowaar's insurance company, includiiigsupplements.
Gutters replace 21W $1287.59.
Windows. nolle
Screens/Glazing Bead none
Paint norle
Femc/Deck none
Siding none
Additional Comments: ACV -only policy. Customer understands they
must:pay the depreciation: OOP
By signing this contract 1, the properfy:oivner, agree to the above listed Aver Ik being completed
as nuttiaed.
rnsurancoClaias; II}•.s�gningtltiscUntrri�tidohcrebygivclJimitcclPa+,verofAt:orney.toFnnntdtt
RnoSug dt:Rrmrx[c[ing authdrixing.rny ta-gurance contpaayto speak with my contractor formula Roofing
& Remodeling on riiybehalf wif[t anyand till dealiags.regerdingthe current. claim listed in Fh[s contram
Limited Power.of Attorney is to be withdrawn when Forrrulfn Roofing & Remodeling is paid:in full.
Formula Roofing &0: ctnodebng will bill my insurance company for en work, including code required
tvgrknucessary, which, in rcosi.cases, is payable by my insurance company. T; the insured: ivitl norbe
responstbte for any monies not paidbytheinsuronce company except for the deductible and optional
upgradci listed aur con rmcct unless rietification is made prior, to wo&being eontpfetM,. or in
cases of "No Code, Coverage' of" idga-Recotcrable Depreciation" on myinsuranw policy. Carle items are
rcgWrdd to camplywith city/county cck and are not optional. Formula Roofing & Remodeling wilireluest
lhe.finat inspection with the appropriate CiiylCounty Aafltority:Fonnula Roofing & Reaiodelingzvill perform
auy and all supplemental work ap*nd by ilia property owner's insumacc company. Any, additional funds
allocated for additional work os part of ttria claim will bepiyable to FonnvIa RoofingA Remodeling
once the Work Sas been comp[cial and fauds have been released:
THE "TERi14S AND. CONDITIONS OF THE MMEFMEiNT" PRINTED ON THE BIACK OF
THIS PAGEAREJNCORPORATED INTO; AND FORMA PART Or THTS:AGREEMENT
Cornracror shWhold in tradr any payment rcceWad Trom Owner until Contractor has delivered
roofing materials to the site or has perfarmed:a majority of the raofiug work do the prnpcity,
whichever occurs first.
Deposit Received: $ 3700 (dile by day of build)
Approximate. date of service commencement, early Nov. 2017
insurance claims proceeds: Oweer to remlt.AAC V insui•anee.paymeut no laieirthan dame of
ser ire commencement.
13nal,paymeai dud upon completion'of scope afwork as agreed upon, receipt orinsi ram
pi,oceeds. (if appiicabte),and/or approval of, building department final iaspaction.
Upotxsigning ofthc contractthe.owner reserves the right to a three day rescission perlad. irthe
coned after that tbt*a day period, cusionmerwill pay 25% of contract.price.
rliattlre: Date:
Total.Cost: s 7423.31 + Supplements Forinnla Representative: Date: 10/?/ 20174
Fxcludiogpatmitand Bode require -ml
" 1 City of Wheat Ridge
Residential Plumbing PERMIT - 102768
PERMIT NO: 102768 ISSUED: 12/21/2010
JOB ADDRESS: 6155 W 39TH AVE EXPIRES: 12/21/2011
DESCRIPTION: Replace tankless hot water heater
* ** CONTACTS * **
owner 404/274 -1990 Iam Ricketon
sub 303/426 -5145 Dewey Dunlap 02 -1247 Dunlap Plumbing & Htg. Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0419
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Permit Fee 93.35
Total Valuation .00
Use Tax 45.00
** TOTAL ** 13&.35
x
Conditions:
Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors
are required to be installed in every sleeping room, in hallways outside of
sleeping rooms, and on every level of the structure. Carbon Monoxide detectors
are required to be installed within fifteen(15) feet outside the entrance to
each sleeping room.
Subject to field inspections.
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 own r 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 atte that I am legally authorized to include all
entities named within this document as parties the work to be perform d and hat all work to be performed is disclosed in
this docu nt and /or its ' - ac mpanyin9 approved p ans and specifications.
c
Signature Af O OrV C bg-
1. 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.
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 original permit 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 permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field in ec
Signature Ch" Building Offical Date
INSPEC ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM. ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
12/21/2010 11:46 3034261728 DUNLAP PLUMBING PAGE 02102
'at
R�W
Building & Inspection Services Division
7500 W. 20"' Ave., Wheat Ridge, CO 8QO33
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection line: 303-234-5933 Building Permit Application
I
P �Addre�,,;.
Property Owner (please pt
Malting Address: (if cliff <arent fflin property address)
Date:
Plan #
Permit ff
A
! " jf�
Address:
City, State, Zip:
7 7,
J LA 1 14—
Controotor: Fin l ;
Contractors City License #: Phone:
Electrical: Plumbing
City License # C ity License
Vast, of
"A
Squares .... ... . .. BTU'S Gallons r Amps ft
OWNI?,R/("ONTRA("'l'.0)ISI(',NA'1'1.)I.IE )FNDERSTANDING AND A
I. huub� cer4fv that the.w1back dislan(xiq plopo-set U
by dos lionnii afrAicanon are M111
of 0
rules 01 l Y o f Wh Ridge or cov
e. % enanls CaWnleots 01 Ivstrictioll"; C
allegations olade are acculalc. 1.1101 1 have;Qad and ajelccl to j ri ( j e 1,.N an condilions in ini
lospondbilily lbr conaplimlee with apIlliGabic city of' Wheat R idge eodo and raditralax"
this apiAleltion; (hill I are file lef?,a) ow ner or have been aothorized by tile legal owner of
and aill also allqlalri�'Cd Ill, the legal ownia of any entity included on this "111111 ration to I
(ou'AT,12) (CONTRACTOR) ff
Mechanical.
City License #
[Contract Value:
1 : 7R07view Foe (due al falle of sabonitt0l):
le and d not v a gip icable ordi nances,
fn , ,errtj: lion all inNI,'111lauentS shONvo and
! ,I (it tl applicatioa And (hal I assume full
frar work. under any lvroli( issued based (m
the. poperi e) pea forro llau dcscvilwd wol k
q tilat enjit, on taus al)flicillaal-
fliff"N'1130 (CONT'RAC1
if
L uA r
000lJPANQY
Bldg Valuation:
1 I MANDE:
SIC NA1
— I 1 1 'LY
E T LiSt ON
PAR N
I) it [ Q nor revlyw- reguirod
Mechanical.
City License #
[Contract Value:
1 : 7R07view Foe (due al falle of sabonitt0l):
le and d not v a gip icable ordi nances,
fn , ,errtj: lion all inNI,'111lauentS shONvo and
! ,I (it tl applicatioa And (hal I assume full
frar work. under any lvroli( issued based (m
the. poperi e) pea forro llau dcscvilwd wol k
q tilat enjit, on taus al)flicillaal-
fliff"N'1130 (CONT'RAC1
if
L uA r
000lJPANQY
Bldg Valuation:
A I
ISSUED 07/27/2010
< EXPIRES: 01/23/2011
change, upgrade electrode system
.00
34.og
120.22
2005 NEC.:
ions.
distances proposed by this permit application are accurate, and do not violate applicablE
of the City of LWheat Ridge or covenants, easements or restrictions of record; that all
ns made are accurate, that I have read and agree to abide by all conditions printed on thi
1 responsibility for compliance with the Wheat Ridge Building Code '(I.B.C) and all other"
for work under this permit. Plans 'subject to field inspection.
9 4(D� l0
date
rdance with the provisions set forth in your application and is subject to the laws of the
oning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ays from the issue date. Requests for an extension must be received '. prior to expiration
nted :. at the discretion of the Building Official.
permit may be acquired for a fee of one-half the amount normally required, provided no
ads in the original plans and specifications and any suspension or abandonment has not
nges -:have been or if suspension or abandonment' exceeds one (1) year; full fees shall
done that will change the natural flow of water causing a drainage( problem.
ilding Inspector twenty-four (24) hours in advance for all inspections and shall receive
card before proceeding with successive phases i. of the job.
a approval of drawings and specifications shall not be construed to be a permit for, nor':
of the provisions of the building codes or any :other ordinance, law, rule or regulation.
field inspections.
sl date
(30.3)234 -5933 BUILDING OFFICEI: (303)235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE 'FOLLOWING BUSINESS DAY.'.
Cit of
I
1
h, c at d Date:
0
COMMUNITY Dr.VELOPMENT ,ge
Plan #
Building & Inspection Services Division Permit
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Per mit Application
's
's
Ify ifstress
A
61
Property Owner (please print): Uca Phone: ,
Mailing Address: (if different than property address)
Address:
City, State, Zip:
I 906*iow
Contractors City License M Phone:
Aq —np, - qu
§—
Electrical: Plumbing: Mechanical:
City License City License City License #
apt Value'.
\00K sc V ontr eRt-4
I eA co Review Fee (due at time of submittal):
Squares _ BTU's Gallons Amps _ Scl Ft. $
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, casements 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on *VP C
dd i ation to list that e tity on this application.
I
CIRCLEONE (OWNER) (CONTRACTOR) or (AUTHORNIZEDR;P ESEN VE) o (0 R) (CONTRACTOR)
PRINT NAME: 10" Y�-jetj� SIGNATURE. DATE:
N ILI WIM
Bldg Valuation:
♦ 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: r�. �g ,✓ r 1
Permit Number: li-
. S�,.�t s- lv f i�1TSg
,�
❑ No one available for inspectio ime AM /PM
Re- Inspection required: Yes No
When corrections have been mad , aB j or re inspection at 303 - 234 - 5933
Date: Inspector: {E
DO NOT REMOVE THIS NOTICE
� � � � �i4v nf tlVhn�t 72icl�ro
x`
;. PERMIT NO: 101806
r JOB ADDRESS: 6155 Wi39TH AVE
r;
DESCRIPTION: T /o: Install 17 sqs of 30 yr Arch.
** CONTACTS * **
09/21/2010
3: .01/17/2011
)293 Hermes Renovations Inc.
Lit of
Y �;�
» 11�at l id Date:
C,OMMUNITY I3EVE;LOPMEN7 - -
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address:+ � 1 �5S LO / 3 r"
Property Owner (please print): S --e U < Phone: �O� 3 2 y Y6(
Mailing Address: (if different than property address)
Address:
City, State, Zip:
' - H e V OA Q
Contractor,: �f 5 e✓� Va ��
Contractors City License #: D ( OZ l r i) Phone: ZD • 0 ( 950
;S k Contractors:'
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Desciap#ioli vwork �I
�7c t ✓C' �i Contract Value a
l f� $
Review Fee (due at time of submittal):
. Squares
BTU's Gallons Amps SCI Ft. $
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 records 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 applicable City of Wheat Ridge . codes and ordinances for work under any permit issued based on
this application; than am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application..
CIRCLEONE: , ((OWNER) (CO r (AUTHORIZEDREPRES TATIVE) of (OWNER). (CO- TRACTOR)
PRINT NAME: I RQ'� �4Lf�S SIGNATURE: DATE:
, ✓ X , � ar 1 ,. r Pali � �� � / F °i h / e� � � � � ✓� �
! �O)tln(Jr � 7 /' v lr" ,r , %:-•� a <i �i� I � �� ✓� C r 'J e �a'i r % e '
,];BV�BWQr''r i �,, � i � � � ./ y tut g ar ✓ 1 '� r'�y.✓ a ' !�� � q � 5'�r .
1 � r �)rv� or ' � ' ✓' / 6 5� r D2° J a'✓"jgf+ SG���y a'rv[.3?s'is �a 2� � �a � +' �
Bldg Valuation $
City of Wheat Ridge
Residential Fence PERMIT - 101714
PERMIT NO: 101714: ISSUED: 07/08/2010
JOB ADDRESS:., 6155 W:39TH AVE %EXPIRES: 01/04/2011
DESCRIPTION:: 264 LF of 72 fence &!36 LF of42" fence.
t
** CONTACTS * **
owner 303/489-5533 Ian`Ricketson
gc 303./433 -7301 Mark Scavo ! 01-9544 Standard Lumber & Hardware Co.
**
TOTAL * *' 140.98`"`�`�
3itions:
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number;
e BUILDING INSPECTION LINE -303- 2345933 Date:
a CITY OF WHEAT RIDGE
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7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303- 235.2855)
eat P� APPLICrA1"ION
Property Owner: ,�qK otfo+ JD3 i Sg , 3
Property Address: GISS fa- 3grn/fve. #I Phone:
Contractor License No.: 19544 � 3
company: Standard Fence Company phone: 303- 433 -7301
4680 Jason St., Denver, CO. 80211
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT $UtI(Ilrl pDept.Valua tionFigure; $ �
I 5
hereby certify that the setback distances proposed by this permit application are -9=
accurate, arKi do not violate applicable urdnances, rules or regulations of the city of VatUe:$ ,� as �•+-
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 Permit Fee:$
conditions printed on this application and that I sume full responsibility for Plan Review Fee:$
compliance with theMeat Ridge Building Code (I. ) a all other applicable Wheat
Ridge Ordinances, for work under this per s s bject to field in s pe ction. iZZ�e� Tazs.:$
( OWNER)( TRAC ) SIGNSO— ......Total:$
ONTRACT 'PRINT.. 1 �•�sd� OATP �� {0
Use of Space(descrlption): Fence, see attached diagram.
Description of work:
Sq. Ft sddod
BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.:
Z ONING COMMENTS:
Approval: 5 5
Zomng d -3-
BUILDING COMMENTS: , ..
Approval .. ..
PUBLIC WORKS COMMENTS
Approval:
IRE DEPPRTr+1CNT CiOMMCNTG: - �- ._.,..,.. -.
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing, License NO: Mechan(cal License NU.
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions setforth 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 r)em+lt shall exnire if (A) the work authorized is not commenced within sixty (90) days from issue dale or (B) the building
authorized is suspended or abandoned for a period of 180 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 have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora newpermit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
'i (5) UOnractor Snail notlry Tne Bustling luspeclul tvwcuty -fuur (24) h4ur5 in advance for an Inapcetiono and :hail receive wrltton
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. All plan
review is subject to field inspections.
Chief Building Official
DIVISION OF STANDARD LUMBER & HARDWARE CO.
4680 JASON STREET • DENVER, COLORADO 80211 • PHONE: 303- 433 -7301 • FAx: 303-477 -6326
Recd. in Ofc.
Comp. Due n
NAME T-er
Work Order No.
Permit Applied
Phone
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