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4690 Balsam Street
PERMIT:Z� �1031l `"t ADDRESS: �kJOB CODE: INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground I Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection continued g p Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. 4' 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: `-- Job Address: (gq O 16AL:S�M sr Permit Number: ❑ No one available for inspection: Time Re -Inspection required: Yes /'No When corrections have been made, ca7T Date: Wf� ' Inspector: re -inspection at 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 4 INSPECTION NOTICE Inspection Type: 4)11 Ccs Job Address: 4('!ao Sh y Y'1 Permit Number: 00 Q OS j COE-- n A L {x -IM 2� �,_ Co w1(2 ILA aO Job L Zn VZLE Q q rte, to one available for inspection: Time �U �AM/ M Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 3031234 - Date: -!3 L<;g /P' Inspector: i // �/, , - (K 4 DO NOT REMOVE THIS NOTICE City of Wheat Ridge j�. Residential Roofing PERMIT - 201703118 PERMIT NO: 201703118 ISSUED: 07/03/2017 JOB ADDRESS: 4690 Balsam ST EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 32 sq. *** CONTACTS *** OWNER (303)523-2525 ARVIN NICK SUB (720)526-3007 Chad Whisenhunt 170169 Hall Ryan Construction *** 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: 10,500.00 FEES Total Valuation 0.00 PAID Use Tax 220.50 Permit Fee 220.15 ** TOTAL ** 440.65 *** 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. 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 per� it. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be perms ned 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 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 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. 4. No work of an 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 codeor any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official `'-s' 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 - 201703118 PERMIT NO: 201703118 ISSUED: 07/03/2017 JOB ADDRESS: 4690 Balsam ST EXPIRES: 07/03/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 32 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this per� it. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be perms ned 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 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 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. 4. No work of an 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 codeor any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official `'-s' 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. Dan Schultz Z01703H From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 21, 2017 4:42 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane 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 5 business days, subject to change based on volume. 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 4690 Balsam St. Nick Arvin 303-523-2525 ZL S 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 Hall Ryan Construction Contractor's License 170169 Number (for the City of Wheat Ridge) Contractor Phone 720-201-1382 Number Contractor Email Address jtedwards@hallryanconstruction.com Retype Contractor Email jtedwards@hallryanconstruction.com Address DESCRIPTION OF WORK Are you re-decking the No 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 32 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? 2 TOTAL SQUARES of all 32 roofing material for this project Provide additional detail Tear off down to deck and install new GAF. 5/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract $10,500 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 Joe Ted Edwards Email not displaying correctly? View it in your browser. 9 BILLING ADDRESS: HOME PHONE #: -'t-5 CITY/STATE: WORK PHONE #: DATE: Q Grade of Shingle: 6W� Q Style of Shingle: '7—,`,"h e,- Q Color of Shingle: r Q Ridge Material- -0 Valley: G /y.; P -e Q Vents: S -e-1 /c Power Vent : Y N Q Plumbing Stacks: Q Metal Edging: Q Tear Off: Ye No :j::_La Q Felt:_ / S / Ice &Water YE& r- 0 Pitch: J - &W , p Stories 1' wp Q Remove trasli from roof, gutters and yard O Protect landscaping where applicable O Roll yard and driveway with magnetic roller Q Furnish Permit SPECIAL ATTENTION AREAS TYPE COLOR SKYLIGHTS �K. GUTTER DAMAGE (VN SIDING DAMAGE SCREEN DAMAGE Y SHUTTER DAMAGE Y DECK DAMAGE Y AS COVER POOL Y DRIVEWAY PASSAGE EMERGENCY REPAIR Y�p CHIMNEY: /7 P LEAKS: G" INTERIOR DAMAGE: 7 P Insurance Co.: ! PC-. Claim #3 s?v - o &1 JO Mortgage Co.: Acct.# Ph# Address: City / State: Zip Field Supervisor: Management Approval: DELIVERY INSTRUCTIONS COMPANY'S LIMITED WARRANTY Two Years on Replacement & One Year on Repairs Warranty Certificate & Waiver Issued Upon Final Payment General Contractor: Homeowner acknowledges HALL RYAN CONSTRUCTION as a general contractor and as such will be entitled to -,� P °!o overhead and /D % profit, as allowed by r,r` insurance industry standards. Insurance/Mortgage Company Note: I hereby authorize the insurance and /or mortgage company below to make any checks payable jointly. Terms: This agreement does not obligate the homeowner or HALL RYAN CONSTRUCTION in any way unless it is approved by the insurance company and accepted by HALL RYAN CON- STRUCTION. When "price agreeable" is detepined it shall become the final contract price of $ /,Zi L and the homeowner authorizes HALL RYAN CONSTRUCTION to obtain labor and material in accordance with the "price agreement" and the specifications set out herein and on the reverse side hereof to accomplish the replacement or repair. Accepted by Homeowner on: Date: (O /hl Payment 11j1W`fhod: PAY UPON_ COMPLETION OF EACH TRADE By: You, the OW S, may cancel at any time prior to midnight of the r third busine ay 72 hrs) after the date of this transaction. Salesman Sign (initials) roucv Ivumoer: vw"uuls..)o UaLUL111uluu. Uz)/11/6V1/ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 5/11/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). IRODUCER Bell—Scott Insurance Group CONTACT CO7.@rOOfe:rSChOi CelnSuranCe . COm PRONE (972) 938-9676 aC Ne: (877) 937-7521 Roofers Choice Insurance P.O. BOX 2567 Waxahachie, Tx 75168 E-MAIL ADDRESS- _ INSURERS) AFFORDING COVERAGE NAIL # INSURER AGemini Insurance Company 10833 NSURED INSURER B: Ohio Security Insurance Company 24082 INSURER C : INSURER D: Hall Ryan Construction LLC INSURER E: 4124 S. Niagara Way Denver, CO 80237 INSURER F • rnvcQAr_cc r FRTIF1rATE NUMBER• RFVISION NIIMRFR! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR .TR TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF I, DD POLICY EXP MM/DD/YYY LIMITS COMMERCIAL GENERAL LIMLITY CLAIMS -MADE ® OCCUR 10/17/2016 10/17/2017 EACH OCCURRENCE $1,000,000 DAMAGE RE T D 50,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $1,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY ❑ JE Q FI LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMPlOP AGG $2,000,000 $ 3 AUTOMOBILE LIABILITY ANY AUTO OWNED FV SCHEDULED AUTOS ONLY AS UTO HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 03/16/2017 03/16/2018 COEa acciMBINEDdentSINGLE LIMB $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accdent UMBRELLA UAB EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETEN I $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOWPARTNEWEXECU I WE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA A PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ )ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) ;ERTIFIGATE HOLDER CANCELLATION City of Wheat Ridge 7500 W 29th Avenue Wheat Ridge, CO 80033 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jack Scott ©1988-2015 ACORD CORPORATION. All rights reserved. (CORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD City of W heat l j-dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: {Ir Plan/Permit # 0 Plan Review Fee: s Building Permit Application PAID Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***—'' Property Address: etrrN 617 Property Owner (please print): Ll"17 Phone:.3G 3-W-���J� Property Owner Email: Mailing Address: (if different than property address) Address: S'C-i11, , State, Arch itect/Engineer: 111,14 Architect/Engineer E-mail: A,,& Phone: Contractor: Contractors City License #: / 761 / � -/ Phone: _/�C `264 -1.59 Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # , (."-7 Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT 0 ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT / OTHER (Describe) e lmyve cld, c� >< ftsr`a � �u��s 4,r� 'e � 5 cy, c � y (For ALL projects, please provide a detailed description of work to be performed, including durrent use drt areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) � lf� vm �e1�L�CC�r<y� j-� l�llr'� J r r 1e re Sq. Ft./LF �2, OC 0 :.51 P Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE)1 of (OWNER) (CONTRACTOR)i Signature (first and last name):J y� ,�xL a✓ / �� � DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ Office: 303-235-2855 * Fax. 303-237-8929 Inspection Request Line: 303-234-5933 IMIMEMM E3 tmoww COMMUNITY DEVELOPMENT DEPARTMENT Building Inspection Division (303) 234 -5933 inspection line (303) 235 -2855 office ' (303) 235 -2857 Fax - INSPECTION NOTICE , Inspection Type: 4 > EGG /31 P-' Job Address /Permit Number: kery la.Pt'irw L' ?` �'e " ❑ No one available for inspection: Time sr: /a AM /PM Re- Inspection required: Yes_ When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: 1217Z—e — Inspector: �`.> DO NOT REMOVE THIS NOTICE I J\ 0 C0 3 U OM w w M O W V ° W O a j U LO m Q � O O N " N � O M U w ° o & O r� Fe- (D 0 Z U) z w CL F Z I O N .Q d w C O w N O CL _N L V N t N a) 7 a) m E o' c �3 N O V N c N C 0 v d CL N C L �° i a L d V C O x c as n U O 0 Q >, a m W O U) Z U) a`) L Q 2 0 0 a � U U < 0 (D p 3 O O -)00 000 m O C0 3 U z � g w w V O a H U o LL m W m `O � O O z U U w E a x m (D 0 Z U) z w CL F F - z z w f w LL J m Q w d U a � s O V a J z C7 a O w U a L- Q 0 O W m O Q o W Q CL U d U) z O J c N z U W 0_ m Z N c w C O L U c L\ J N U z O Z O °o LL N Mn U c LL m 3 (D (n ` 2 o Of w a L cu ° ) 3 N U) m i K w w V O a o LL m W m `O � O z U U w E a x LL O LU Q LL F- LL! W 0 Q (� 5 Lu Cl) 2 LU Z cl) H LV Z LL a w � U v W C. 0.0 = O C) Z w U w Z a IL V U r Let w w V z cD m Z U) w w m � O V a w Z 0 O m W Q CL J z z J o i 0 O O J o LL o Q of D �Z O LL 0 U U 6 C N C U W c Q z LL W c LL V c s a @ O O d' E N (D o LL (6 �a m Y LL 0 0 z O 0 m U U lT C d U U) W U N o It E � LL p Q L U N O! ti K c � LL O LU Q LL F- LL! W 0 Q (� 5 Lu Cl) 2 LU Z cl) H LV Z LL a w � U v W C. 0.0 = O C) Z w U w Z a IL V U r Let V m Z uj � O V Z 0 W CL J o i 0 o o Q �Z LL 0 U U 6 C N C U W c Q z LL W c LL V c s ( D E m LL @ O O d' E N (D o LL (6 �a m Y LL LL O LU Q LL F- LL! W 0 Q (� 5 Lu Cl) 2 LU Z cl) H LV Z LL a w � U v W C. 0.0 = O C) Z w U w Z a IL V U r Let P; ? Comments - KS.: 'Must comply w/2003 IRC & 2005 NEC 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 :appllost' and that I assume ful re onsibility for compliance with the Wheat Ridge Building Code (I.B.C),and all other . r' appli e'Whas Ridge. O finance f work :under this permit. Plans subject -. to field. inspection r., Signatu f con ract r /owner 'date f �F< 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 an other applicable r:. g 9 9 4 Y PP ordinances of the City. 2. This permit .shall expire 180 days from the issue date. Requests for an extension must be received prior to .expiration date. An extension may be granted at the discretion, of the Building Official 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 11;, 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 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 proceeding with successive phases of the job � 6 The issuance of a pe it or the approval of drawings . and specifications shall not be construed to be a permit for, nor an approval ny olation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan re ( ubject to field inspections. a Signature of Coef Building .official .`.date INSPECTION 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. _ m City of Wheat Ridge COZORP, Res. Miscellaneous PERMIT - 070940 PERMIT NO: 070940 ISSUED: 09/05/2007 ,;. JOB ADDRESS: 4690 BALSAM ST EXPIRES: 03/03/2008 ` DESCRIPTION: wall mnt handrails, grabbars, stormdoor, 150A service change * ** CONTACTS * ** ' owner '.303/424 -8747 Kathleen Bower ` gc 303/421 -8109 : Gary A. Foutch 02 -1043. Colorado Custom Trim * * PARCEL INFO ZONE CODE: UA USE: r -3 SUBDIVISION: 0311 BLOCK /LOT #: 0/ * *FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 15,800.00 ,. FEES Kermit Fee 344.90 Total Valuation 00 t'l 1- Use Tax 284.40 r�i (�j a' ** TOTAL ** 6 P; ? Comments - KS.: 'Must comply w/2003 IRC & 2005 NEC 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 :appllost' and that I assume ful re onsibility for compliance with the Wheat Ridge Building Code (I.B.C),and all other . r' appli e'Whas Ridge. O finance f work :under this permit. Plans subject -. to field. inspection r., Signatu f con ract r /owner 'date f �F< 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 an other applicable r:. g 9 9 4 Y PP ordinances of the City. 2. This permit .shall expire 180 days from the issue date. Requests for an extension must be received prior to .expiration date. An extension may be granted at the discretion, of the Building Official 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 11;, 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 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 proceeding with successive phases of the job � 6 The issuance of a pe it or the approval of drawings . and specifications shall not be construed to be a permit for, nor an approval ny olation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan re ( ubject to field inspections. a Signature of Coef Building .official .`.date INSPECTION 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. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: of w " - BUILDING INSPECTION LINE - 303- 234 -5933 - Date: -. - CITY OF WHEAT RIDGE m 7500 WEST 29TH AVENUE PLC WHEAT RIDGE, CO 80033 - (303 - 235 -2855) ° pCnRAO O MINOR APPLICATION Property Owner: Property Address: W'?6Rrl 'S T Phone:?03 " 1J J"7y Contractor License No.: U' C7 0.4- Company:ee/!(/ CQST��/ TGP�'� Phonea0.�-J —�' /dp Cf ✓l OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildiny Dept. Valuation Figure: $ t 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 Value:$ - WheatRidgeorcovenants, easements or restrictions of record; that all measurements - - shown, and allegations made are accurate; that I have read and agree to abide by all Petni t Fee:$ - conditions printed on this application and that I assume full responsibility for Plan Review Fee:$ compliance with the Wheat Ridge Building Code(I.B.C) and all other applicable Wheat Ridge Ordinances, for work under permit. Plans sube t field inspectio - Use Tax: nerc9..Y)..0 7 Total:$ U s e of S p a ce (d e s c r i p t I o n): 4Y."d 1-4, J 6'x ks 4- 70'-�j dCaf- Description of work: (ebc S'o - y/ GP I 1 7eg" " Va ( l Sq. Ft. added Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) - This permitwas issued in accordance with the provisions set forth in yourapplication and is subjectto 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 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 for anew 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 proceeding with successive phases of thejob. (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. uilding Official Electrical Licen e No: Plumbing License NO: Mechanical License No: Company: W Company: Company: Description of Work (Exhibit A) project BOWER, KATHLEEN Item Description 4690 BALSAM STREET, WHEAT RIDGE, CO 80033 Total C Concrete Work 1 [CONCRETE WORK Note: Costs shall induce excavation, bsdfiq base anchor compelling, form fabrication and setting, steWhaestrretmorcmg ,nng. and w fibers, placing n min. 3000 pg concrete fran ready -mix budr, finish. w curing, and vieathar profecFion, all as nng, expansion and tract joints edging. the one year warranty, for naming of these wet rtace Once crew has on. left damage salt or ice meltin sibie. under - .eventual sudece tracts 111 6' or less: - and damage due to expansive soils or free roofs under Property g Products' and concrete.] _ - _ p perty placed has;" Replace Concrete Drive and Slab at Garage Door. Remove broken and sunken concrete driveway ( approx 20 and the area of slab inside the garage at northeast garage door opening (approx 2'X 8'). Form and pour new min. 4° concrete slab on compacted base w/ mesh reinforcing with Positive drainage toward the street and form a lip at the garage door opening to keep water from coming into the garage. . $4,80Q.00 2 Replace Concrete Walk: Remove existing sidewalk at the south side of the garage, compact and Provide proper base, form and pour new concrete side walks (approx 29513') w/ expansion joint . sealed at the foundation wall. New walk shall be raised and with slope away from the foundation for drainage. $750:00 Gutters/Downspouts 3 Reset Gutters/Move Downspout Move the downspout from the southeast comer of the garage, seal old opening or replace section gutter and reset gutter to slope to the west Add new downspout at the west end that extends along the porch roof over the walk and discharges past the new sidewalk into the yard insulation 4 Attic Insulation -Add: Provide and install blown-in rock wool or cellulose insulation to add to the approx 4' existing in the house attic to reach the R -rating as required by the local code. Approx.1000 sgtt $1,001};00 Flooring 5 Carpeting: Remove existing carpeting and dispose of and provide and install new carpeting on the 1st floor living room, entryway, hallway and master bedroom. Carpet shall be dense, low -loop or cut pile nylon, 35 oz min., w/ Scotchguard stain release (color as selected by Owner) over new pad (51b., bonded 1/2). Owners shatI the responsible for moving small valuables, but the contractor shall be responsible for moving large items such as beds, couches and refrigerators. $2,500: Printed: 8/10107 11-30- 34AM Page 7 of 8 COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: 78357 BUILDING INSPECTION LINE - `(303- 234 - 5933) Date : 2114/2005 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303- 235 -2855) Property Owner: Kathleen Bower Property Address : 4690 Balsam Phone `. 303 - 424 -8747 Contractor License No.: 22175 Company: A -1 Roofing Phon 727 -1110 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Valuation $5,963.00 I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee `. $162.90 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 Plan Review Fee : $0.00 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 Use Tax $107.33 Code (U.B.C and all other applicable W / he " J Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED L/� L.— �'i[7�`� ���� (�j Total $27023 . Use: Description : install elk 40 year 31 sq. BUILDING DEPARTMENT USE ONLY 2ong? SIC : Sq. Ft. Approval S be Zoning : Doc uments from the Manu tion w shall �Y onsite for final rt➢Of insiF?2Ci•=£O3'6 F2ITB rG'Cd Bu d n9 Comm ra ragfrs:g vmacerials Pavebeera installed to meet Approval : 116 t�cH three- second wired gust - - -IBC (90 �s omtrUents !vWI wind load - CJPC)• Approval Occupancy: Walls : Roof : 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 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 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 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 of a perms rthe approval of draw' g d specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of th dd6 dcsbr any othe i ,law, rule or regulation Chief Buildi Spector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: of w " ^ ' y BUILDING INSPECTION LINE - 303- 234 -5933 Date: a CITY OF WHEAT RIDGE n 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033.(303-235-2855) 4 C Ol ORnO� APPLICATION Property Owner: YA-hf`JP2y\, VWWA -- PropertyAddress: A-1,_QCtD 'Pj(),;150-VV�. - Phone:(.3a✓>�' ' "`�'��� Contractor License No.: 2Z -l"16 - Company: A -1 9-00 -" Phone:(3( �j21�11C7 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 w�oo�rk under this permit. , 1, y- ( OWNERNOONTRACTOR ):SIGN nn it . Li ``,,,�..����7t�y nnyy�� DATE iL (OWNER)(CONTRACTOR):PRIWED I1L0..f 1IK, c1A(11A� A DATE I0 Description: 0X1r 1 2t )2 e>DkaU U-XA S lwcf - 31 Sq +.t[� & 1 Hk 40 y Sq. Ft. added Value:$ t 5q ID' >- L'X7 Permit Fee:$ Plan Review Fee:$ Use Tax • . Total:$ Expiration Date: Expiration Date: Expiration Date: Approval: Approval: 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 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 for anew 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 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. Chief Building Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: COMMUNITY DEVELOPMENT DEPT. Inspection Services Division (303) 235 -2855 Correction Notice Job Address: rz�r igA rw" When corrections have been made, call for re- inspection at 303- 234 -5933 Date: Z Inspector DO NOT REMOVE THIS NOTICE OYO4/2OO5 05;09 13039857966 Al ROOFING PAGE 01102 ZM A -IRoo !rag 1364 S. Wadsworth Bad. Suite 202 Lakewood, CO $0232 Phone: (303) 727.9110 Fax (303) SWO280 My Cell Phone Plumber. To: (jW 04 ti4ugkt VA&U, 9a 1�1 rw�: .,o Date seat: �ls , 2oa5 cc; Phone: NurnDer of Pep ®s (Inc. this one):_, g�; ,,,_ fss3 f ¢.sue f S -FyLe �t , z �Ca�1 cu . c�to ��fd jOb a<��&ID ���SgVt 03)04/2005 05:09 13039857986 Al ROOFING PAGE 02/02 ��ntS 1S 'cam SU���� W R UsR,dL N aY MANUFAC URE34 FOR POL.1 WMW i GENERAL ruil)E INE ONLY VERIFY vMH WRUTUNwARRANTY ' 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 13443 2/20/02 Property Owner: Property Address Contractor License No. KEN & KATHLEEN BOWER 4690 BALSAM( ST 20120 Phone: 424 -8747 Company : American Exteriors Inc. Phone: 794 -6369 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) SIGNED DATE Description : INSTALLATION OF VINYL WINDOWS r 117 V,�.� t\ BUILDING DEPARTMENT USE ONLY SIC 2/19/92 Occupancy: Walls Roof Electrical License No : Company: Expiration Date Approval: Plumbing License No: Company: Expiration Date: Approval: Sq. Ft. : Stories: Residential Units : 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 Slate 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 issua tTpf a permi the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisjp of ti odes or any other ordinance, law, rule or regulation. Chief Building Ins ector Construction Value : $9,970.00 Permit Fee : $181.25 Plan Review Fee: $0.00 Use Tax : $149.55 Total: $330.80 Use : - Sep -22 -98 10:18A OEVREVFAX DEPARTMENT OF PLANNING AND DEVELOPME JT BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 P.03 Property Owner: �� e7 �c TVL�<2C $&CO39 Property Address: q& 9() j6cd sa*+ / Phone: C3Q �yc7y 87 y Contractor License No.: tpo f 1_R 0 Company: , 4 r"1 , i l -i �QY tit_ Phone:' Ox7f�0� OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREI MENT Construction Value: T7 W -� Ihereb ce that the setback distanc m Y ?Y proposed by this the application are acc Irate, Permit Fee: r, / wi , ___6 and not violate applicable ordinances, rules or regulations s of e City Wheat Ric I or covenants. easements or restrictions of r that all measurements shown, and all �q ati tions 1 7 d� made are accurate; that 1 have read and agree agree to abide by all co he printed id m s Use Tax 'T 1/ application. and that l assume cull responsibil' for compliance with the Wheal Ritlge! 3uilding Code (U.B.C.) and all other applicable Whe ge ordinan s, for work under this p it. Total :O $0.00 (OWNER)(CONTRACTOR) SIGNED /J LATE Use Description: X0 6�C&C fe1- 0 Vf ° tRGf"asr75 BUILDING DEPARTMENT JSE ONLY a I 3 , l L '> , .. �C : q. FL: " Approval: Zoning : FEB 1 2 2002 mv �d Approval:16.6 y�r��Ov l� Approval Occupancy: Walls: Roof: ; tones: Residen Electrical License No: Plumbing License No: Mechanical License No: Company: Company : Company: Expiration Date Approval : (1) This (2) Ra j abar P) if Ink 0) N o S) C. (a) nv Expiration Date: Approval: 303 235 2857 Building Permit Number: Date: Expiration Date Approval: C r ts»ns set !ortle In pyxx ar ar ::f wbia� to 0 taws ct U.q Star¢ cf Colorado and W tw Zoning ge, Colorado Pr any other applicable ordinal : of the city_ ¢ed 4 M mnmenced Wetun silty (a0) dal eon Issue date w (e) the building auagnzed if wfpered dr nuired for a fee of one half 0!e amount nor ally required, provided M tlranges nave been orwie be nude in Ibe pension ar abandonment nos not exceeded ;nett) year. It Uanges are made o d suspension a' abandonment or a new permit I c haNe the natural now of water causing a lninage Problem. lwentpfour (24) hours in advance W all ins, _ -.Bona and shall receive wren appn val on InapeeGdn cad berme awbps and specifications shall not be omf rued to be a pemut to, nor an approval of. any vldiatidn of the pin ifbnf law. rule W regulation. thief Bui7iing InsOdIr Fol Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIE F BUILDING INSPECTOR AND MAYOR CALL: 234 -5933 24 HOURS PRIOF TO INSPECTION "Please complete both sides of appl cation form with submittal" 1 �