HomeMy WebLinkAbout3530 Lee Streeti CITY OF WHEAT RIDGE
91 Building Inspection Division
(303) 235-2855 Office
_1�9r
INSPECTION NOTICE
Inspection Type:
Job Address:PermitNumber:
❑ No one available for inspectio�. AM,%pM
Re -Inspection required: Ye!sr/ No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. uslinspection
Date:? Imo;' Inspector:-" _-
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: _ L F I
Job Address: __� 3-3 0 G ..S'7�
Permit Number: _Zo/ 7 d 0
❑ No one available for inspection: Time Z - E�PM
Re -Inspection required: / es No
When corrections have been made, schedule for re -inspection online at:
httpYAvww. ci. wheatridge. co. uMnspection
Date:/O Z.s ej� Inspector:
DO NOT REMOVE THIS NOTICE
City of
Wheat�gie
COMmuNlry DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 3032352855 F: 303237.8929
Permit Extension Request Form
Permits expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in
writing and received prior to the date of expiration. An extension of no more than 180 days may be granted at the
discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permitsAci.wheatrid eg co.us or fax to 303-237-8929.
Party requesting permit
0
h ac,
Permit # Property Address: d��0 %e
Phone # / Email Address: t/� i I � `N-' `� e �b i%�i
Reason for extension request:
► ► 6A+ old owftl fs , Ces4wyurz ha,5
Number of days requested: ✓y G
Printed Name. 5
Date: /0
*Z9
For office use only
This request has been: x Approved -1 Denied Extended until: 11/21/2020
Approved by: Date: 10/21/2020
w wxi.wheatiidgexo.us
City of. Wheat Ridge
E -Res. Boiler Replacement PERMIT - 201900984
PERMIT NO: 201900984 ISSUED: 05/14/2019
JOB ADDRESS: 3530 Lee St EXPIRES: 05/13/2020
JOB DESCRIPTION: Gas boiler replacement of 135k BTUs, 84% efficiency.
*** CONTACTS ***
OWNER (303)424-1725 HUNTER LAURICE JOAN
SUB (303)798-8783 J. PATRICK QUINLAN 018464 COFFMAN/B & F HEATING & A/C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,261.00
FEES
Boiler Replacement 40.00
Total Valuation 0.00
** TOTAL ** 40.00
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le 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 alI 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 ennit 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.
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 grantilig of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appl e code or any7dinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chfef Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp - 9&�
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, May 14, 2019 11:14 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories: Dina
Residential 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
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
3530 Lee St
Laurice Hunter
303-424-1725
Field not completed.
3530 Lee St - CC Authorization Form.pdf
CONTRACTOR INFORMATION
Contractor Business Coffman/B&F Heating & AC Inc
Name
I
Contractor's License 18464
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-366-1112
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address pschmidt@coffmanco.com
Retype Contractor Email pschmidt@coffmanco.com
Address
DESCRIPTION OF WORK
What type of unit is being Boiler
installed?
Number of BTUs 135,000
What is the efficiency 84%
(%) of the unit?
Is the unit GAS or Gas
ELECTRIC?
Where is the furnace or basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 9261
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 work Yes
may not begin on this
property until a permit
z
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.
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 Patricia J Schmidt
Permit
Email not displaying correctly? View it in your browser.
A � City of Wheat Ridge
r
"r Residential Roofing PERMIT - 201704625
PERMIT NO: 201704625 ISSUED: 07/24/2017
JOB ADDRESS: 3530 Lee ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Presidential asphalt shingles
with 15 sq.
*** CONTACTS ***
OWNER (303)424-1725 HUNTER LAURICE JOAN
SUB (303)237-5179 Curt Marceau 022364 Roofing Plus
*** PARCEL INFO ***
ZONE CODE UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT4: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00
FEES
Total Valuation 0.00
Use Tax 126.00 PAID
Permit Fee 140.90 (�
** TOTAL ** 266.90
*** 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.
..Vr
► A o City of Wheat Ridge
Residential Roofing PERMIT - 201704625
PERMIT NO: 201704625 ISSUED: 07/24/2017
JOB ADDRESS: 3530 Lee ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re—roof to install CertainTeed Presidential asphalt shingles
with 15 sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
ap�ermitfiirtheraI
cable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
bye legal owner ofthe propertyand am authorized toobtainthisthiesthatam legallyauthorized toinclude alpermed 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 thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans
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 any manner 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 ting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable c e py �or�dan�anee�e�rCgula ' 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.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 13, 2017 4:34 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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? vlv\04�
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
3530 Lee St
Laurice Hunter
303-424-1725
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
Roofing Plus
Contractor's License
022364
Number (for the City of
Wheat Ridge)
Contractor Phone
303-237-5179
Number
Contractor Email Address
roofingplusl982@gmail.com
Retype Contractor Email
roofingplusl982@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Certainteed Presidential
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
15
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?
/
TOTAL SQUARES of all
15 v
roofing material for this
project
Provide additional detail
house 4/12
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 6000
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 Curt Marceau
Email not displaying correctly? View it in your browser.
3
Roofing Plus
9550 W 1511' Place
Lakewood, CO 80215
Laurice Hunter
3530 Lee St
Wheat Ridge, CO. 80033
303-424-1725
Scope of Work: (House Roof)
Phone 303-237-5179
roofingplus1982@gmail.com
Roof Contract
Remove existing layer of roofing
Install new Ice & Water Shield along gutter edges (Code)
Install new synthetic underlayment
Install new metal edging along all roof edges (Code)
Install new pipe jack flashings & roof vents (painted)
Install new wall flashing
Install new flashing around A/C units
Re -roof with CertainTeed Presidential I.R. (Autumn Blend)
Haul away all roofing debris from the job site
Price includes all taxes and insurance
Labor and workmanship warranty 5 years
Total Amount Due
Payment Due on Completion of work
June 21st 2017
$6000.00
I hereby accept this roof contract, Roofing Plus is authorized to start work. Payment will be made as
outlined above.
Signatu
Thank you,
Curt Marceau
4
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M - ci
Job Address: 3 S 3 o L i e 574 -
Permit Number: -00 1-7 o N L a5-
c D o ► nt;,e Cy .
❑ No one available for inspection: Time tC = 64 /PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: 9/1
Inspector: Tb
DO NOT REMOVE THIS NOTICE
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before • pm. to receive an inspection, the following business .
Foundation Inspections•.
• . a AOMI= HIM
Concrete Encased Ground (CEG)
as a P.E.
Underground/Slab Inspections
Sewer Service (Underground)
Inspector
Initla s
City t4 W?Plt, K1,05q
Prior To Approval,
Install 40 gallon n
Inspector
Initl
LM w a
a��,, {
pi. E1,3P ED
• ai it «.'.!! i.:. w
inspectorComments
InspectionsFinal
Comments
Initials
Final Electrical
Final 1
Plumbing
�
Mechanical1�t1®
Final: in ■
Landscaping & Parking Planning Dept.
ROW & Drainage Public W c FIN call
inspections call 303-235-2861. For fire inspections
w
-----------
J/ 2/2 I /THU 10:53 AM PA01
TV
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Building DIViSion
7500 W2e Ave., Wheat .i ••,
, CO 80033303-2�6-2865 *Fax* 303-237-892,9
Inspection
Facsimile aujiding Permit Application
Property it r :: ,r a
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I Credit Card payment: " M'
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City of Wheat Ridg• e
- i "r 11 1r;
ifiemorandum
TO: Accounting Department
1 A
FROM: Melissa Mackey, Building Divisio
DATE: May 1611=
Reason: Contractor submitted request (attached) to have permit #201600659 for
3530 Lee St. cancelled.
Please refund: Contractors License$ (
TO: Apex Plumbing Inc.
12275 W. 48h Ave.
Wheat Ridge, CO 80033
201600659 CDA012761 05/04/16 PRM Permit Fee 74,68-
201600659 CDA012761 05/04/16 USE Use Tax 52,20_
TOTAL 126,88-
GL Posting Summary
01-101 BPS PERMIT PAYMENTS
126.88-
0.00
01-500-02-505 BPS PERMIT PAYMENTS
0,00
52.20
01-510-00-516 BPS PERMIT PAYMENTS
0.00
74.68
TOTAL
126,88-
126.88
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
A
Company Name/Name (to whom check should be made out to):-AD(V PIUM biry InL-
Address
:
City:' � State: 0 -dip
Fax:aV-t. -9!51� Email:
Phone(L-D3��-�
Permit #do V U
QDtg!�� Pennit Address:
wzzm��
Printed Name.j)C;QTA&- Signature: Date:151U1210
UMMEM332=
M=
X Approved', I , 0 Denied
MOOM
HE
I
is
)" �.
Refund Amount: $ 22—
4 ,
City of
]R�Wh6ait,p, COMMUNITY DEVELOPMENT
Prawpo its
Building & Inspection Services Division
7500 W. 29' Ave., Wheat Ridge, CO 30033 Plan Review
Office: 303-235-2555 * Fax: 303-237-5929
Inspection Irvine: 303-234-5933
Email: RpjmitsAcJ.wheatrjdge.co.us
Building Permit Application
Please complete all highlighted i te+d areas on broth sic!es of this form. Incomplete plete ap ii ons may not be Process".
Property Address: 353c Lee 5
Mailing Address: (if different than property address
Address:
Ci!Y, State, i
Architect/Engineer E-mail: Phone -
Contractor *e_)� 'Nllrv\�bl
Contractor
one-
Contractor City License Phone;
Contractor E-mail Address-.
Sub Contractors:
Electrical: Plumbing: Mechanical:
Wk City License ## Wk City license ## W.R. City License ##
Other City Licensed Sub: Other City licensed Sub:
City License # City license
Complete all information on BOTH sides of this form
0 NEW ilk • IY ELECTRICAL
F. A wk UPGRADE
1 w }r1.
COMMERCIAL RESIDENTIAL • N yy� COMMERCIAL ROOFING 11F
NEW
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RE
}
:.. A ADDITION WINDOWREPLACEMENT IIF. }
COMMERCIAL ACCESSORY STRUCTURE .r
rage, shed, deck, etc.)
RESIDENTIAL
F1 ACCESSORY • •
E (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
i PLUMBING SYSTEM/APPLIANCE
!IMA !}YR or
REPLACMENT
ELECTRICAL
AYA SYSTEMIAPPLIANCE
REPAIR
Y ! }✓• REPLACEMENT
IF • }
OTHER D"
int of materials to be used, etc.) � w
V 0 Flc,-,,- r' ,49
Sq� FULF Btu's Gallons
Amass Squares tither
1
♦ 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
nspection Type: Fr✓L k
Job Address: 953o 4� 57
Permit Number: 09 yV IZ>
.4 PPkoyt 0
❑ No one available for inspection: Time 3,'. AM
Re- Inspection required: Yes
* When corrections have been made, calf for re-inspection at 303 - 2345933
Date: .� /I' &) Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
u~
Job Address: 353C)
Permit Number: 0"t44 ~l0
❑ No one available for inspection %413M
!PM
Re-Inspection required: Yes
' When corrections have been made, call for re-inspection at 303-2345933
l Date:p /')CI Inspector:
js DO NOT REMOVE THIS N~TICE
f
e.
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P!!/lQ
Job Address:
Permit Number: G)~f L~
❑ No one available for inspection: Time I/ 1/0 AM M
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: a
DO NOT REMOVE THIS NOTICE
► 41 City of Wheat Ridge
Residential Roofing PERMIT - 094210
PERMIT NO: .094210 "r 'ISSUED:' 11/23/2009..
JOB ADDRESS: "3530'LEE ST 'EXPIRES: 05/22/2010`
DESCRIPTION::.Reroof 15 sqs
CONTACTS
owner 303/424-1725 Lo Hunter
sub '.303/237-5179 Curt Marceau 02-2364 Roofing Plus
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION:.: 0642 .BLOCK/:LOT#: 0/..:.
FEE SUMMARY ESTIMATED PROJECT: VALUATION: 4,500.00.':
FEES
Permit Fee 1144.70
Total Valuation .00 Use Tax 81.00~~~% 9
TOTAL 225.70 t ~•"'ai''
Conditions:
6 nail installation & mid-roof inspection required.". Board. sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice. and
water shield required from eave edge to 2' inside exterior walls.
***Contractor/Property owner shall provide ladder(s) secured in place for
inpsections.-
Subject to field inspection.!
Ihereby 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 ade are accurate; that I have read and agree to abide:. by all conditions printed on this
'.application and that I. assume ful responsibility for. compliance with-the.. Wheat Ridge Building Code!.(I.B.C) and all other
applic/a(~ble Whea a dinanc for work under this. permit. Plans subject. to field inspection.
Signature of cont actor/o date
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 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
.:exceeded one.(1). year.. If changes. have been:. or if. suspension. orabandonment - 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. permit or the approval of drawings and specifications. shall not be construed to be apermit . for, nor
an approval o ,.any violation of. the provisions of the building. codes or any other ordinance, law,: rule or regulation.
All plan/§ev is subject to field inspections.
Signatu 'ct& ief Building Official ' date
INSP CTION REQUEST LINE: (303)234-5933 BUILDING OFFICE:. (303)235-2855
REQUESTS' MUST BE MADE "BY3PM ANY BUSINESS DAY'" FOR INSPECTION THE FOLLOWING BUSINESS DAY.
of W"E?T~ City of Wheat Ridge Building Division
m 7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
ooLOaPO° Inspection Line: 303-234-5933
Building Permit Application
Property Address: s t i,4e 9Aa,- Ft'33 _ff&Q Ice Date:
Plan
Permit C1 16
Property Owner (please print):
lib r! / G~
PhoneK:~,
Mailing Address: (if different than
property address)
Address:
City, State, Zip:
Contractor:
Contractor License Q -
,2319?`1 Phone:
) ~ J l
Sub Contractors:
Electrical City License
Plumbing City License
Mechanical City License
Company:
Company
Company:
Exp. Date:
Exp. Date:
Exp. Date:
Approval:
Approval:
Approval:
Use of space (description):
Construction Value: $ ~?JU
Description of, work:
(s calculated per the Building Valuation Data sheet)
j -
yL /C~,d2r✓v Plan Review (due at time of submittat): $
Sq. Ft./L.Ft added: Square
s BTU's Gallons
Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full.
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
-CIRLCE ONE:: (OY~(N--ER~)(CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: /"`R1-zte--crSIGNATURE: -_.®at _