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HomeMy WebLinkAbout4125 Balsam StreetFrom: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Monday, August 16, 2021 1:32:41 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4125 balsam st wheat ridge co 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" david heil 303-421-1553 permits@fixmyhome.com CONTRACTOR INFORMATION Contractor Business fix -it 24/7 application. 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 Yes been 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. Person Applying for Chad E. Caruso Permit Email not displaying correctly? View it in your browser. Name Contractor's License 180142 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3036593400 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@fixmyhome.com Address Retype Contractor permits@fixmyhome.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 60 What is the efficiency 80 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or crawispace boiler located (for example, basement, crawlspace, etc)? Project Value (contract 6975.00 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 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The A a$3ectio�'s/ Underground/Slab Inspections ^ " Date Inspector y Com nwa Initials Electrical V*( Sheath ing Sewer Service Plumbing Do Not Cover Underground or Below/in-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector ligitiols Comments V*( Sheath ing ✓ i -1 Mid -Roof Lath / vVall 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 Z0,5/7 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 p � � 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: 2710V � � Job Address: 6zSa^ 57�" Permit Number: 2L%7i�-Myll ❑ No one available for inspection: Time -SAM%PNS,! Re -Inspection required: Yes �No When corrections have been made, call for re -inspection at 303 -234 - Date: * 3'/ 7 Inspector: 6/41?4-f __ DO NOT REMOVE THIS NOTICE 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: r , ,�/rb Job Address: Ll 1 CPS7Llerc ISal"L 5-t__ Permit Number: Q/70 r_q u ❑ No one available for inspection jime ! r } AM/PM Re -Inspection required: Yes ,No When corrections have been made, call or re -inspection at 303-234-5933 Date:_ 7 Inspector: i r DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC �^ Type: Inspection T e: p Job Address: 611 S S� Permit Number: 2 C,/ 70 37ycl ❑ No one available for inspection: Time E.M/PM v) Re -Inspection required: Yes No"` _ c'l -S H When corrections have been made, call forre-inspection at 303-234-5933 Date:?- lq') f Inspector: `)OO Ci �C 4'�__ DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax %= .Y Inspection T e: p Type: Job Address: INSPECTION NOTIC Permit Number: -- U 70 -3Y (-1 0 ❑ No one available for inspection; Time cl- `J �M/PM Re -Inspection required: Yes No�" When corrections have been made, call for re -inspection at 303-234-5933 Date: ?" lq' ) 7 Inspector: �� r; / DO NOT REMOVE THIS NOTICE City of Wheat Ridge 4 � ® Residential Roofing PERMIT - 201703844 PERMIT NO: 201703844 ISSUED: 07/12/2017 JOB ADDRESS: 4125 Balsam ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 40 sq (36 sq pitched / 4 sq flat) *** CONTACTS *** OWNER (303)421-1553 HEIL LIVING TRUST SUB (303)424-7663 John R. Emrich 170179 Reroof America Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00 FEES Total Valuation 0.00 Use Tax 336.00 Permit Fee 299.40 ** TOTAL ** 635.40 r *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703844 PERMIT NO: 201703844 ISSUED: 07/12/2017 JOB ADDRESS: 4125 Balsam ST EXPIRES: 07/12/2018 JOB DESCRIPTION: Residential Re—roof to install GAF asphalt shingles — 40 sq (36 sq pitched / 4 sq flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with 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 performed and that all wor tie perfcrme l is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. 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 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 changeof 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. 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 %J Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett e7,0 J I I From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 29, 2017 9:47 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application a 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 Q 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. t� 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 Property Owner Email Address 4125 Balsam Street David Heil 3034211553 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Reroof America Contractors 3034247663 Contractor Email Address jpowell@reroofamerica.com Retype Contractor Email jpowell@reroofamerica.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Shakewood/Golden Cedar Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4 on the flat roof? TOTAL SQUARES of all 40 roofing material for this project Provide additional detail Reroof home/Garage roof here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract $16,000 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 Brian Boake Email not displaying correctly? View it in your browser. 3 303-424-7663 IMCU ML A&REROOF 303-456-4013 Fax1jjUs AMERICA 6820 North Broadway �ON Suite H&I CO Lic #: 232269 CONTRACTORS Denver, CO 80221 ACCESS AND AUTHORIZATION Insured: Q,4V-Tt--') 1-1 F�T L -- Address: LA 1 �-- 5 [3 -44- 5A iA 57�� LSH EA r 1Z 370 6 E r, -O, h 62 (2 3 3 Policy#: V C `3 3) q 7 5 13 Insurance Co: A A Ak Claim#: 100,)-- 10 — '3 Li 11 This agreement is for FULL SCOPE OF THE INSURANCE PROCEEDS and does not obligate homeowners or REROOF AMERICA CONTRACTORS CO, LLC. unless the homeowners insurance company approves repairs. By signing this agreement the homeowner authorizes REROOFAMERICA CONTRACTORS CO, LLC. to pursue all repairs at a price agreeable to the insurance company and REROOF AMERICA CONTRACTORS CO, LLC. at NO COST TO THE HOMEOWNER EXCEPT FOR THE INSURANCE DEDUCTIBLE. The final price agreed on between the insurance company and REROOF AMERICA CONTRACTORS CO, LLC, shall become the final contract price of the full scope of the insurance proceeds. Payment will be made separately after work is completed for roofing, siding, gutters, or other repairs. Signature of Insured: Date:' -7 " /q - /7 Service Consultant: ARA -Amari. 2 it O f Inspector: € t DO NOT REMOVE THIS NOTICE 's LVF.x ST�if 5 +, �i .'P Fes' 1 fP I' 'IA P � ❑ No one available for inspection: Time : 6 A M t Re- Inspection required: ryes, No When corrections have been made, callFfor re -ijspe lion of 303-234-5933 Date: ~ /,�` Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 61 CA y P� P55u✓ "� — � l Job Address: lffa; Y UA0IM e "4 Permit Number: /02 7-!5L? ❑ No one available for inspection: Time A IPM Re- Inspection required: Yes [ No When corrections have been made, calf for a - ins ectio at 303 - 2345933 F Date: �d ` �r 3 - f Inspector: DO NOT REMOVE THIS NOTICE r 0000r- City of Wheat Ridge Residential Mechanic PERMIT - 102759 PERMIT NO: 102759 ISSUED: 12/20/2010 JOB ADDRESS: 4125 BALSAM ST EXPIRES: 12/20/2011 DESCRIPTION: Install tankless hot water heater and extend gas line * ** CONTACTS * ** owner 303/421 -1553 David Heil sub 303/975 -8809 Gary & Kimberly Neal 07 -0008 Elkhorn Htg. & Air Conditionin ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0325 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,206.00 FEES Permit Fee 109.20 Total Valuation .00 �gL Use Tax 57.71 ri ** TOTAL ** 166.91 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 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 performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle 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 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 inspection. /v2 oZ0 4d Signature Building Offical Date INSPEC ON EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REOUE S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. F 1J f City of �Wheatd �e COMMUNITY DEVELOPMENT Date: 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 i� o� rt Aild s 1&5 - B Ct ( S Q' vvl f Properly Owner (please print) - �Y)GL V i d 40 j ( Phone: I4a l - I S i s � Mailing Address: (if different than property address) Address: City, State, Zip: p Rio` tract- : CIK hoc n �o in1 I��r� () 1 jlr^, Contractors City License #: Phone: 3)G S- sp y Electrical: Plumbing: Mechanical: City License # City License # City License # OR ;x &k �Descn utlon'of�wor"k ^; re e lJCLR'r ne-otJe, ��4- Ct'(Lk2 is $ontractValue: Review Fee (due at time of submittal): Squares BTU's _ Gallons Amps Sq Ft. l n OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with 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 this application to list that entity on this application. CIRCLE ONE: 1 (OWNER) (CON ;R) or (AUTHORIZED REPRESENTATIVE) of �' of (OWNER) (CONTRACTOR) PRINT NAME: '1� ` I o, 60'r � t� eeA SIGNATURE: ° NX�( y �C _RI / DATE: Bldg Valuation: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303- 234 -5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303- 235 -2855) Building Permit Number Date 77838 10/5/2004 Property Owner: DAVID HEIL Property Address: 4125 BALSAM ST Contractor License No.: 17835 Phone : 421 -1553 Company: Blue Sky Plumbing Phone: 421 2161 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 re onsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable W heatEUdge ordinances, for work under this pprmit.l (OWNER)(CONTRACTOR) Valuation : $2,692.00 Permit Fee : $108.30 Plan Review Fee: $0.00 Use Tax: $32.30 Total: $140.60 Use: Description : INSTALL N€WFURNAM. 125,000 BTU BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.'. Approval: Zoning Approval b�;� orks °C mi Approval Occupancy: Electrical License No Company: Expiration Date Approval: Walls: Roof Plumbing License No: Company: Expiration Date Approval : Mechanical License No : Company: 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 proceediing with successive phases of the job. (6) The r or the approv drawi ngs and specifications shall not be construed to be a permit for, nor an approval of, any violation of the odes er ordinance, law, rule or regulation. Chief Building Inspector Stories: Residential Units : Please sign Terms and Conditions on reverse side of page. BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address Contractor License No. Company: yia5 �t;l5 Ski r OWNER/CONTRACTOR SIGNATURE OF Phone : 4;0 — 15'j3 Phone : 36) - ;_� - 1 0 . I - a 1 (2 f 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 sponsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applica e Whe t Ridge ordinances, for work under this pe it. (OWNER)(CONTRACTOR) SIGNED _DATE 1 s Use: Description : , ()�;+ (6�� BUILDING DEPARTMENT USE ONLY SIC Approval: Zoning : Approval: RUM [c�W bGR2LGpmmen37 Approval: Occupancy: Walls Electrical License No : Company: Expiration Date Approval: ction Value: Permit Fee: Use Tax: Total $0.00. Sq. Ft. : Roof: Stories: Residential Units : Plumbing License No: Mechanical License No Company: Company: Expiration Date: Expiration Date Approval: Approval: (1) This permit was Issued in accordance with the provisions set forth In yopur application and Is subject to the laws of the Stale of Colorado and to the Zoning Regulations and Building Code of Wheal Ridge, Colorado or any o0rer applicable ardinancEs of the City. (2) This permit shall expire d (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-1161f 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 lob. (6) The issuance of a permit or a 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 of regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 -.5933 24 HOURS PRIOR TO INSPECTION 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 Date 9781 11/15/99 Property Owner: Property Address Contractor License No. Company: 4125 Balsam Street 18992 Kegley Roofing Phone: 303 - 421 -1553 Phone: 429 8890 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whet Ridge ordirtance0or work under this permit. (OWNER)(CONTRACTOR) SIGNE ) DAT Construction Value : $3,561.00 Permit Fee: $97.25 Plan Review Fee: $0.00 Use Tax: $53.42 Total: $150.68, Use Description : Remove shingles from house, one layer from garage, Install 3 -tab shingles. Electrical License No: Company: Expiration Date Approval: Plumbing License No: Company: Expiration Date: Approval: Mechanical License No : Company: Expiration Date Approval: (1) This per was Regulations and (2) This permit shall abandoned fora (3) If this permit exp (4) No work of any , nii (5) Contractor shall ni promedung with s (6) The issuano"f a =d 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 ling Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. re if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or A of 120 days, 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 scifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment full fees shall be paid for a new Permit. the natural flow of water causing a drainage problem. our (24) hours in advance for all inspections and shall receive written approval on inspection card before and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions r or regulation. Chief Building I DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 APPLICATION Property Owner: Property Address "a..5 ice,\ Phone: (I a _ `SS3 Contractor License No.: /Yc� "�-- Company: K Phone: o _ c eG� \ i2 cx l n' I c �(2 I SS /b OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances -for work under this permit. (OWNER)(CONTRACTOR) Construction Value : Permit Fee: Use Tax: Total : use Description: 2enY -fie .315 ran vSe ohm 1C�j.� Fors oCe� 3 -- NG b 531` e5. J BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. Stories : Residential Units `. Electrical License No : Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date : Expiration Date : Expiration Date Approval : Approval : 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 perk shall expire d (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 fora new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. r (6) Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before 1 ' proceediing with successive phases of the 1 "ob. j (6) The issuance of a permit or the approval l 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. Chief Building Inspector