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Home My WebLink About3680 Holland StreetPERMIT: ? GI��''G'��1 ADDRESS: 5(�'% N��i(�'1 <S�i, " 1% ar OB 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 / 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 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 Date Inspector Initials SEE OVER FOR ADDITIONAL INSPECTIONS Comments Comments Comments 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. 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. ough Inspection (continued) Date InspectorInitials 16 Rough Mechanical Residential 17 Rough Mechanical Commercial 18 Boiler / Furnace 19 Hot water tank 20 Drywall screw and Nail 21 Moisture board / shower walls 22 Rough Grading 23 Miscellaneous Inspector =inallnspections Date Initials 102 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 P 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning 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 Comments Comments 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. 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. City of Wheat Ridge i r Residential Roofing PERMIT - 201708079 PERMIT NO: 201708079 ISSUED: 10/06/2017 JOB ADDRESS: 3680 Holland ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 37 sq Pitch = 5/12 *** CONTACTS *** OWNER (720)232-6142 INSCOE PHILIP DAVID JR SUB (303)933-8655 Greg Ward 090442 Statewide Roofing Consultants *** 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: 11,000.00 FEES Total Valuation 0.00 Use Tax 231.00 Permit Fee 220.15 ** TOTAL ** 451.15 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. e ► I It City of Wheat Ridge Residential Roofing PERMIT - 201708079 PERMIT NO: 201708079 ISSUED: 10/06/2017 JOB ADDRESS: 3680 Holland ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 37 sq Pitch = 5/12 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 o er of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. rther attest that I am legally authorized to include all entities named within this document as parties to the work to be perto d that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. LO i,;k S gn ure f OWNER or CONTRACTOR (Circle one) Date his permit was issued based on the information provided in the permit application and accompanying plans and specifications and is IT bject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. is 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 originalermit 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 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 apphcabli�__code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Z. oV jI/ l q From: no-reply@ci.wheatridge.co.us Sent: Wednesday, October 4, 2017 9:07 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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? t M71 17 How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION ti Property Address 3680 Holland St Property Owner Name Paul Inscoe Property Owner Phone 720-232-6142 Number (enter WITH dashes, eg 303-123-4567) 13 tq c S S - Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract pdinscoe@hotmail.com Yes Inscoe Contract.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Statewide Roofing Consultants Inc. p,L 090442 303-933-8655 5901 Middlefield Road #100 Littleton Co 80123 Contractor Email Address statewideroofingusa@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK statewideroofingusa@gmail.com TOTAL SQUARES of 37 the entire scope of work: Project Value (contract 11000.00 value or cost of ALL -1 materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 14 both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are unknown part of the PITCHED roof? Describe the roofing Gaf materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional NA detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 15 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Greg Ward Email not displaying correctly? View it in your browser. 16 STATEWIDE ROOFING CONSULTANTS INC. 5901 Middlefield Rd. #100 • Li tleton, CO 80123 am: 303 - Fax 303-979-6933 • www.statewideroofingusa.com statewideroofingusa@gmail.com General Contractor • Licensed and Insured Job No. C. o— t 7 o q I/We authorize Statewide Roofing Consultants, Inc. to work directly with my insurance company on my behalf and furnish material and labor as listed below for the amount of $ Property owners out of pocket expense will not exceed their insurance deductible in the amount of (Unless upgrades are added). No down payment is required. First payment due upon delivery of materials. Final payment is due upon completion. All insurance supplement payments made to correct errors in original estimate will be paid to Statewide Roofing Consultants, Inc. We propose to furnish the following materials and labor as listed below: emove /�—� existing layers of roofing material. -�stall Z::!�— pelt underlayment. �'"Znstall new plumbing pipe jacks. Install attic vents. ,,0 7Paint vents to match roof material. ,-Gs—Install ice and water shield as needed in valleys, around skylights, chimneys, etc. " Install Manuf. Warranty yr. Color �❑'" 5 year Statewide Roofing workmanship warranty. `Clean roofing materials out of gutter. Haul off debris and clean area around house with magnet. .. , All work to meet or exceed the local building code(s). Other ❑ 0 Total of all upgrades/discounts $ _ Total out of pocket expense $ Terms and Conditions: If deductible is more than stated above, customer agrees to pay the difference. In the event that the Insurance Company denies the claim for repairs, neither party is bound by this contract. Customer agrees to provide a copy of the Insurance Claim Report to Statewide Roofing Consultants, Inc. upon receipt. A cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof. This contract is void if customer's insurance company disallows the claim. Please read Reverse Side for additional Terms. The above specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined. Statewide Roofing shall hold in trust any payment received from you until Statewide Roofing has delivered roofing materials at the site or has performed a majority of the roofing work on your property. Homeowner Homeowner Date Statewide Roofing Consultants Inc. Cell # Date Agent (Printed Name) 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: L /M/b Job Address: /-/o z c I 4,o� Permit Number: ❑ No one available for inspectio :,Time //I AM/PM Re -Inspection required: Yes No,� When corrections have been mad , call for re-insp�Ztim at 303-234-5933 Date:—.I Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line i (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Typ IL- ,y,17 e- 11de; /- Job Address\z 3 6 S10 / /,-,L - ,g , /vim S� Permit Number: Z-0 i, C e -d I ❑ No one available for inspection: Time// AM/PM Re -Inspection required: Yes) No When corrections have been made, call for re-inspec i6n at 303 -234 - Date: Inspector: 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 NOTICE Inspection Type: '_fid U_? 00 Job Address: S"-0 Permit Number: Z -7 C? ❑ No one available for inspection: Time,.7 AM/PM Re -Inspection required: Yes talo \ When corrections have been made, call for re-inspecflop at 303-234-5933 Date:h-� Inspector:— 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 NOTICE Inspection Type: 121� C i Job Address: 7:� 4 Olt 14 11 a Permit Number: a� G /-) G r) / &', / Anp4?v,ryn Zt7 AJ i Iy o Nl ti en C 4 a, S i k u e d 4 ❑ No one available for inspection: Time 5 .7 2_- AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: '"117 °/ Inspector: DO NOT REMOVE THIS NOTICE '3(�4b �� 1. POccupancy/Type IN PL TI (RECORD INSPECTION REQUEST LINE: 303 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Mid -Roof Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Insulation Drywall Screw / Nail Final Inspections ate 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building qt NOTE: All items must be completed andf 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. "*For Inspection Time Window Requests — Please email insptimereciuest(a)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Deck PERMIT - 201700161 PERMIT NO: 201700161 ISSUED: 02/09/2017 JOB ADDRESS: 3680 Holland ST EXPIRES: 02/09/2018 JOB DESCRIPTION: Covered an existing tile deck with wood *** CONTACTS *** OWNER (303)877-1768 INSCOE PHILIP DAVID JR *** 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: 400.00 FEES Total Valuation 0.00 Plan Review Fee 34.45 Use Tax 7.20 rw Permit Fee 26.50 Investigative Fees 26.50 ** TOTAL ** 94.65 *** COMMENTS *** *** CONDITIONS *** 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 4thgal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with I further attest tha I am le ally authorized to include all entities named within this document as parties to the work to be and that all w e be erformed is disclosed in this document and/or its' accompanying approved plans and specifications. r J y t� 01L f O or CONI RACTOR (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. 3e 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 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 coq oi any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.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 ��Wh6atp MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" 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 I FOR OFFICE USE ONLY I Date: Plan/Permit # X I I 1 ! 1 f �� ( Plan Review Fee: �y n+ (f5 PAM Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: t� �4o11ci.4�ld `fit_ Property Owner (please print):) ��'(�/)(J� I A, ()(?J Phone: Property Owner Email: a Mailing Address: (if different than property address) Address: �lG,�i 11Vf11�1Ci S� City State, Zi b�� 1 l � "�� (' to Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Other City Licensed Sub: City License # 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 ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 4bG6-' 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLEONE:, (OWNER) (CONTRACT R) or (AUTHORIZjEDREPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Sienature (first and last name): �n `JI DATE: 3 DEPARTMENT USE ONLY ZONING COMMMENTS: Y 2 � OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPAFqMENT COMMENTS: Reviewer. Building Division Valuation: $ City of Wheat z e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance 'of hired or professional workers, or, if hiring sub -contractors, list them on the permit. ' o�;,''` f Consultations and inspections will only be performed with the homeowner of record'present"at the project property. Property Owner(s): C1160 - Project Property: Notarized signature of Applicant State of Colorad County of ss The foregoing instrument was acknowledged by me this day of `Ja' 20—x— by (x,12 t � ,I u l',t 0 KATHLEEN MARIE CIANCIO NOTARY PUBLIC STATE OF COLORADO NOTARY ID 19934007112 MY COMMISSION EXPIRES MAY 23, 2017 My Commission Expires IiAi/20 Nlotary Public 0rWh6at icl I_MUNITy DEVELOPMENT Wheat Ridge Building Division Approved Plans Plans Examiner Date vdidity of permit: The issuance of a permit or approval of plans speCifiCatioru and computations shall not be a permit for, or an approval of, any violation to any of the provisions of the building Code or of any City ordinances. Permits presuming to give authority to violate or cancel the provisions of the Building codes or other ordinances of the City shall not be valid. A7E- It- Loll .10 A In n. V i -T 1�4 I ,v 4r Gp kid m 0 1�4 I ,v io wii A Z C CT :.SL : V. (-Ya,,rA. ag).z c7lvV 7 7CW 0 46 11 io CT :.SL : V. (-Ya,,rA. ag).z c7lvV 7 7CW 0 46 11 CD 11115/2013 11.49 AM 130 64326 413032378929 Property Address dlir Address: maiting property sr Date: Plan # P # n: e k Address pity, State, zi q ` "RA Re (due at of 1: Amps , lim 1 e ` ! s CITY OF WHEAT RIDGE Building Inspection Division (303)234-5 933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: �- Job Address: az�^l�� L 11 h Z Permit Number: ziJ4 n ❑ No one available for inspection: Time / S _ AM /PM Re- Inspection required: Yes No When corrections // have been made, call for re inspection at 303 234 - 5933 r Date: / /6J Inspector. DO NOT REMOVE THIS NOTICE ' ' City of Wheat Ridge Residential Plumbing PERMIT - 101189 PERMIT NO: 101189 ISSUED: 05/11/2010 JOB ADDRESS: 3680 HOLLAND ST EXPIRES: 11/07/2010 DESCRIPTION:`. 145 LF`. 4" main sewer from aidewalk to house & dual clean * ** CONTACTS * ** owner gc 303./696 -9599 Steve Wakeham 01-9921 Pipeline Industries, Inc. IS: ,o field inspections. in city ROW rpmiirPC n gpnara7 -P .Prmit frnm DnY.lir wnrkc S� I(�((D JMMARY ** ESTIMATED PROJECT VALUATION: :;5,600.00 FEES Fee 162.90„„' iluation .00 100.80 ** 2F'l 70 IS: ,o field inspections. in city ROW rpmiirPC n gpnara7 -P .Prmit frnm DnY.lir wnrkc S� I(�((D a a 0I City of W heat j�idg Date: COMMUNITY DEVELOPMENT 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 P_roperty Address; 36 f-4y L,4,4(3 S j Property Owner (please print): Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Contractor aiiyc Ae� tvcts i tC- Contractors City License M Phone: Sub = Contractors Electrical: Plumbing: Mechanical: City License # City License # City License # Deserlp3ton;of work: F— hClq,>P.z%z A--to '- i' 5a:,q;x iWiS t awHf hia& Contract Value: tro c : ry Si me vj, mot- ALJ uv I '� pe ry /lp� � x. FS' n $ sa.ao 4A- Review Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of 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. CIRCLEONE: (OWNER) (CONTRACTOR)jar (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE: DATE: 37 '' J , cy'✓ hw l4m p w r'": � f'`fg m e ' „ l� ✓ ? a , , y FIRE DEPARTMENT, p appfoved w/,zaor�lme�(s ❑disapproved Q m4 review reggUed Bldg Valuation $ �.w s r� r✓ a ✓._.✓ / / JOB DATE F L —� ns /i 9/i ' ST IE INC. DATE PO. Box 370 * Watkins, CO 80137 05/11/1 (303) 696 -9599 ESTI MATOR Geoff Fax(303)671-6871 SERVICEMAN 911 V i�IS®t1f 0,1® +� q ( ' 1 J L J JOB # PO# J064NFpRMAT10N `BILLING „l,I,�FpRMAT1ON NAME NAME Discount Rooter ADDRESS 3680 Holland St. ADDRESS P.O. Box 738 CITY Wh STATE ZIP 0220 CITY Wheat Ride STATE CO ZIP 1 80034 PHONE PHONE 250 -2101 F: 940 -0228 ,DESCRIPTION;00"SkRVIC„S - ESTIMATE Excavate /Replace 4” Main sewer to city sidewalk from house. Install dual sweep cleanouts. $ 5,600.00 Approx. 145' in length and up to 10' in depth. *Includes: Plumbers, Laborers, Pipe & Fittings, Bedding, Backfill, Clean up, Haul away, Permit and Inspection. 4WARRANTY Terms of Warranty: 5 Yr Parts and Labor APPROVAL X - ' , ---T -" S ATU RE RE Intrusion or Ground Movement 'Acts of Nature) COMMENTS: THANK YOU ; SUBTOTAL Exchides Utility Conflicts, Rax Shoring, Landscape Repair. TAB PLEASE PAY THIS AMOUNT ®� $ ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave -ins or any other complications. TERMS: Job cancellation fees will apply. Invoices are payable -1 /2 down and balance upon completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to -assert a mechanic's Colorado law. lien for all unpaid materials and labor supplied to building projects pursu ntto l " J` J - J/ - " - SIGNATURE ACCEPTANCE ' OF INVOICE _ - SIGNATURE ❑ VISA E - 1 M/C 1.��1 AMEX CARD # EXP APPROVAL # ❑ CASH ❑ CHECK# CHARGE A/R ACCOUNT # r e�i 3V3 G3 fUYGY SV }beEC By _._ _. _.... 1002/002 —T INSPECTION RECORD Occugancv/Tvoe Iv INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site gglI by 3:00 PM to receive inspection the followina business dav- 1UXGHE I SLAB FLOOR Electrical (Underground) 12/15/10 7:56 AN vilba INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE _ INSPECTOR =1AL5 COMMENTS: Footings /Caissons lath ! Wall tie Mid -Roo{ - — iriwall 1(CEG) Concrete Encased Ground 26,50 Use tar additional -- Reinforcing or Monolithic AMOUNT VS 4159 80.50 Weatherproof /French Drain 012022 - Sewe�ServiceLines 80.50 Water Service Lines POUR 10 CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1UXGHE I SLAB FLOOR Electrical (Underground) 12/15/10 7:56 AN vilba Plumbing (Underground) RECEIPT tvO.CDA005404 Heating (Underground) " DO NOT POUR FLOOR UNrIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing lath ! Wall tie Mid -Roo{ - Rough Electric yy Rough Plumbing Gas Piping Rough Mechanica In Drywall Screw FINALS Electrical Mechanical Roof Building Final Fire Department R.O.W & Draina< Parking & Landsl - NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED "CERTIFICATE OF_ OCCUPANCY -IS ISSUED. -- FINAL.INSPPIT, CITY OF NEAT RIDGE 12/15/10 7:56 AN vilba Gre gory 1 Gard RECEIPT tvO.CDA005404 AMOUNT DPSP Reroof 33 sqs and ,a 86.50 102741 Permit fee additiona 26,50 Use tar additional 54,00 PAYMENT RECEIVED AMOUNT VS 4159 80.50 Auth Code: 012022 TOTAL 80.50 INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BECALLEO AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A vrn a.ercnrlcAlt ut VCCUPANCY NOR PERMISSION FOROCCUPANCY OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY.IS ISSUED ;' PROTECT THIS CARD FROM THE WEATHER. ♦� i! r CITY OF WHEAT RIDGE pplt Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type ,Y5,yAt AmIE Job Address A� Permit Number 1,9.2'7 V/ 7+"� 8 dr:'` �F,��v"ss✓ ,! r_ y '. , d � y;"'.� ? .Vef - e f 1,� / S�d" z l .`5� 7 R Ce? -.Pc j; � '440 A Pet 7—, df J r�oJ2✓'lsr'�� a -f s�r°t�Y✓ e3lrJ [.ad�lG��T" d d S K. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE InspectionType: JobAddress: - ynev Mflflavr�"' Permit Number: 10 �2 _7q/ 0 No one available for inspection: Time )f/1") AM O Re-inspection required: Yes No When corrections have been made, caff for ra-inepRction at 303-234-5933 Date: (0 Inspector: �L"' DO NOT REMOVE THIS NOTICE 0 No one available for inspection: Time )f/1") AM O Re-inspection required: Yes No When corrections have been made, caff for ra-inepRction at 303-234-5933 Date: (0 Inspector: �L"' DO NOT REMOVE THIS NOTICE 12/16/2010 11:47 2 STATEWIDE PAGE 01/01 5312 S. GOdy Street ltttfetnn. Co. 80123 = 4 0 A 303- q -0933 _...._............,� _..- - - -- boo /aD Od / .G ease. eau w r i_! F'm — 'e Reply X ('lease R- X lj (,I for Review To Vvhow H pray Concem: CITY OF kIDcdhh 12/16/10 11.54 AMT Gregary 7 Ward RECEIPT NO:CDD005583 AMOUNT DPSP Reroof 33 sgs;and re 180.00 102741 Sarre Day Inspection 120.00 PAYMENT RECEIVED - — AMOUNT VS 4158 120.00 Auth Code: 037116 TOTAL 126.00 " ' City of Wheat Ridge Faxed Roof Permit PERMIT - 102741 PERMIT NO: 102741 ISSUED: 12/14/2010. JOB ADDRESS: 3680 HOLLAND ST EXPIRES: 12/14/2011 DESCRIPTION: Reroof 33 sqs and redeck * ** CONTACTS * ** owner 303/877 -1768 David Inscoe Jr sub 303/933 -8655 Greg Ward 09 -0442 Statewide Roofing Consultants ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0616 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 12,075.00 FEES Permit Fee 204.30 e Permit fee additiona 26.50 Total Valuation Use Tax 163.35 Use tax additional 54.00 ** TOTAL ** 448.15 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 rcabie -code or- any - ordinance "or" regulation of this jurisdiction. Approval of work is subject -. to field inspt.P Signature of Chydf BlVding, Offical Date INSPECTION RECORD Occupancy /Type 'W INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDZ ECTIONS DA7E INSPECTOR INITIALS COMMENTS: Footing Stemwoncrete EncaseReinforolithic Weathench Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping UNTIL ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PR CITY OF WHEAT RIDGE Framing 12/15/10 7:56 AM cdba Insulation Gregor; J Ua'rd Drywall Screw RECEIPT 11" CDA005404 AMOUNT BPSP Reroof 33 sqs aliu ?e 83.50 FINALS 10274' Permit fee additiona 26.50 Electrical Use tax. additional 54.00 Plumbing PAYMENT RECEIVED AMOUNT Mechanical VS 4158 80,80 Roof Auth Code: 0S20GL Buildinq Final TOTAL 80,50 Fire Department R.O.W & 6ramage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD. r*-rRN,TI FIC4Ting & Lan'SCaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. TE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A E OF OCCUPANCY IS ISSUED.. FINAL INSPECTION By THE BUILDING DIVISION. DOES. NOT CONSTITUTE AUTHORIZATION -- OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 12/1412010 15:47 2 Property Address: Property owner (plei Mailing Address: (ifr Address: W ' STATEWIDE PAGE 02102 �� City of Date: � �e a�t 1 Petmit #: � Cmmu ITY DEWLo � Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 - 2855 * Fax: 303 - 237 -892 Inspection Line: 303 -234 -5933 Use of space ((description): Yvo Description oTwork' �� .� 1 Plan Review (due of time ofsubmittal). S C! A Gr �drlprl BTU's OWNER/CONTRACTOR SIGNATURE OFUN UNDERSTANDING AND AGREEMENT and do not violate applicable ordinances, 1 hereby certify that th p roposed e setback distances b this rift a R lication am accurate, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown, and allegations am responsibility forrcompliancetwith that I haw read and the Wheat Ridge Buildin conditions printed g Code (1,11C) andall otheerappicable Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) PERSONAL REPRESENTATIVE of to _ (CONTRA TOR) eRal SIGNATURE: Dater PRINT NAME: /tlA ' r •L w - .DEPARTMENT USE ONLY . ZOFANG COMMaM1 . zonlhg: Reviewer. PUBLIC 1I 6111KS COMMENTS:. . . Revtew�r: ' BUILDING,DEPARTMENI COMME.k.T3: .. Reiriewer:. . . red Ei)EPARTMIENr O apFrpVed w/ comment& . ❑ disapprOVed .17 no mWow requi Bldg Valuation: �OCGUPpNC`lf.: ' �. Credit Card P ment: Use c dit card listed on file. Print name: Signature: Facsimile Building Permit Application Sub Contractors: License M Ex iration Date: Trade /Profession: Approval: Com an Name• 12/14/10 15:56:52 City of Wheat Ridge Page 1 bp340 -iq ESTIMATE OF VALUATIONS AND FEES mmackey I THE FOLLOWING INFORMATION ARE ESTIMATES ONLY AND NOT ACTUAL VALUES. CODE - -- DESCRIPTION - - -- - - -- VALUATION- - - - - - -- -FEE - -- -USE TAX .00 0.00 0.00 prm Permit Fee 3,000.00 93.35 0.00 totva Total Valuati 3,000.00 0.00 0.00 use Use Tax 3,000.00 0.00 54.00 TOTAL VALUATION: 3,000.00 FEES VALUATION: 3,000.00 PERMIT FEE: 93.35 USE TAX: 54.00 OTHER FEES: .00 TOTAL FEES: 147.35 City of Wheat Ridge r00 00 r- Faxed Roof Permit PERMIT - 102741 PERMIT NO: 102741 ISSUED: 12/14/2010 JOB ADDRESS: 3680 HOLLAND ST EXPIRES: 12/14/2011 DESCRIPTION: Reroof 33 sqs * ** CONTACTS * ** owner 303/877 -1768 David Inscoe Jr sub 303/933 -8655 Greg Ward 09 -0442 Statewide Roofing Consultants ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0616 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,075.00 FEES Permit Fee 204.30 Total Valuation .00 Use Tax 163.35 ,3J ** TOTAL ** 367.65 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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 an applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field i e i Signature of ie uilding Offical Date i. INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 S REQUESTS MUST. BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. INSPECTION RECORD Occupancy /Type ®'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB FOUNDATION INSPEf INSCTOR INITIALS ENTS: Foo tings /Caissons Stemwall / (CEG) CEncased Ground Electrical Service Rough Electric Rough Plumbing Reinforcing or Mono Weatherproof Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PI CITY OF WHEAT RIDGE Framing 12/14/10 3:10 PM d66 / Fren Drywall Screw RECEIPT NDaCDB005573 AMOUNT DPSP Reroof 33 ses 367.65 Sewer Service Lines Pewdit Tee 204.30 Electrical Use Tax 163.35 Plumbing PAYMENT RECEIVED AMOUNT Water Service Lines Roof Auth Cede: 015905 Building Final TOTAL 367.65 C,1NJ 6CCIV illaNtl) CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) - ROUGHS Sheathing Lath/ Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping - Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PI CITY OF WHEAT RIDGE Framing 12/14/10 3:10 PM d66 Insulation GrgoT-y J Ward Drywall Screw RECEIPT NDaCDB005573 AMOUNT DPSP Reroof 33 ses 367.65 FINALS 102741 Pewdit Tee 204.30 Electrical Use Tax 163.35 Plumbing PAYMENT RECEIVED AMOUNT Mechanical VS 4158 367.65 Roof Auth Cede: 015905 Building Final TOTAL 367.65 Fire Department - R.O.W & Drainage INSPECTIONS FOR PLANNING :& ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping - " * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BYPLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED...FINAL. INSPECTION. BY THE BUILDING DIVISION- DOES - NOT - CONSTITUTE AUTHORIZATION - -- OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER .. 12/14/2010 14:53 2 STATEWIDE PAGE 02102 1* � V City of ]�K o pate: v Buil i DEVELOPMENT Permit #: Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 2345933 Facsimile Building Permit Application Property Address: Property Owner (plea Mailing Address: (if different Address: 7/ i Contractor- Contractor License #: address) Sub Contractors: Company Name: License #: Expiration Date: TradefProfession: Approval: Use of sr ace ((description): Description o FLIL.Ft added: ronninmitfinn Value- S q&715. IV Plan Review (due at time ofsubmittao: $ Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby oertify that the aetback diatances pmpoaed 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 aliegatlods made are accurate, that 1 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plans subject to field Inspection. CIRLCEONE :: (OWNER) (CONTRACTOR) PERSONAL REPRESENTATIVE of (0 t ( CONTRATOR) PRINT NAME SIGNATURE: Date: Awl, DEPARTMENT USE ONLY ' .ZONING COMMENTS: zoning R9viaiver. - . . UBLIC W6RK$''c0wiWs: .. HUttunaG DEPARTMENT COMMENTS;' .. OCCUPANI'.`Y: ' Rkbwik hAE•DEPARTMEW.: approVed w/ comments : ❑ dl3approved -0 no review raqutirBN _ r Bldg Valuation: $ Credit Card Payment: Use c r dit card listed on file. Date: D Print name: (� _(( j�� Signature: � r t CITY OF WHEAT RIDGE Building Inspection Division (303),234-5933 inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Av6 - [?XZ44IG- C/},m.) Job Address: ;? 6 S',9 14911A S7 Permit Number: /Dtl o't ❑ No one available for inspection: Time 1 AM Re- Inspection required: Yes When corrections have been made, call for re- inspection at 303 -234 -5933 Date: Inspector DO NOT REMOVE THIS NOTICE s i s CITY OF WHEAT RIDGE Building Inspection Division loo (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: wG - AR7 (",4 Job Address: Zg'c 4fo 1 ,vo 57 Permit Number: /OWEZ 7yf _ ,p &CC/ 0 F ILusf V,rVzq _ s Sm��ft T! ? &7 ?7 . _C1 pr- d f J�iS'lJS G�K.. ❑ No one available for inspection: Time gppM � Re- Inspection required: �e - No f When corrections have been made, calf for I at 303 Date: 3` /P Inspector: �0 DO NOT REMOVE THIS NOTICE