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HomeMy WebLinkAbout3620 Vivian Court36L0 �,,,a^ �-�'I7oGq2 2 INSPECT10111 fi", �nIS16EC'rlO ONLINE FORM: N RECORD Cancellations INSPECTION Ci w Occu ant must be submitted via TION R REQUEST heatridge.Co. LINE. us/inspection"J"'D�� Inspectio m before 8 (303) 234-5933 ns will not be a.m• the da Request an ' Performed Y of the inspe�ti_ �IZinspection before 11:59nless this card is P.M.pm�ght) to receive Hosted om InspeCtor Must Si an inspection the f, e Project site. Foundation inspections- gn ALL Spaces pertinent to this g business day.,, Pier Date Inspector project �- Concrete Encased Ground (CEG) Initials Comments Foundation / P. E. Letter Under DO Not Pour Concrete Prior To ground/Slab Inspections Electrical Date Inspector Ap royal Of The Above Ins pectlo Sewer Service Initials hS --�-- Plumbing Comments Do Not Cover Under Rough Inspections round or SelOw/In_Slab Wall Sheathing Date InspectorNork Prior TO q royal Of The Mid -Roof Initials Comments Above Ins pections Lath / Wall Tie !(� Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Insul�o pr)'w--all Screw / Nail Final Inspections —�- Landscaping Date Inspector ROW p g &Parking / Planning Dept, Initials Drainage / Public Comments Floodplain Ins Works Dept. Inspection if a Inspections from these Fire Inspection( PAlicable) one week in entities / Fire Protection Dist. advance, should d a Final Electrical inspections call 303- For landscaping and quested inspections call 303-235-2846. For ROW Parking -final Plumbing contact the Fire Protection 861. For fire inspections drainage 'inal MechanicalDistrict for pections oof Your project. nal Window/Doors ial Building )TE.• All items Accu must be coin panty is issued, Approval and approved b low volts ppro va/ of the Fina/ o ve din Planning, 5e permits -Please g' Pub/ic Works, F11 e ' Building Division. be sure that roughg inspection does not constitute a naFuth Build ' int and Build' before a Ce OCCU inspection, are completed from nificate Occupancy Is Not P m the Fire District and e e of al lowvolta e Permitted Until q Certificate Protect This Card From of Occu g The panty Is Issued Weather City of wheat Ridge fin PERiyIIT -201706927 Residential Roo g ISSUED: EXPIRES etal 201-706 92'7 Stone Coated NO: 3620 Vivian CT roof to install )DRESS: Residential re- inspection x/12 (third party ;SCRIPTION: ,ONTACTS *** t (120),256-0994 (303)2'74-1111 owwm� PARCEL IN *** CODE: DIVISION CODE: FEE SUMMARY tal Valuation e Tax :rmit Fee TOTAL ** BpAy DON Manuel Rocha UA / Unassigned LAGES, 2403 / ,,PPLEWoOD VIL— 09/04/201-1 09/09/2018 pitch = roof with 39 sq. 021129 Horn Brothers USE: PROSPECT V BLOCK/LOT#: ESTIMATED FEES 0.00 485.65 426.20 911.85 Roofing UA / Unassigned 0 / VALUATION: 23,126.00 PROJECT N- - ** COMMENTS *** roved midroof quire an app riDr to final tions req installed, P roof shingle installations is the entire *** asphalt It of the roof required °n Sheathing and *** CONDITIONS 1, 2014 �5 perc( or overlay) is exists. December (new half inch sheathing must be Effective conducted when 25 sheathing the are required ection; tion of roof ANy gap exceeding one Per of insp Install with one hundred P Asphalt shilgeeand water shield approval. sheath angthe same times be complete. ave spaced or board shingle the roof e when p be called in the mid -roof may 6 nails per. 3 feet abovetion roofs may 25-�5 percent °f extending ections. Roof ventila mid- and deck with a minimumA° ladder insp instructions, complete to the roof require all roof to be fastened rake metal is cturer installato eric or similar Save and required to be provided or manufa on of elastom is required. codes and/ inspecti technical lace is licable a final manufacturer has been and secured in p with app n order to pass roval from the address) required to comply ent• and app at (pro? 1 brand name) is is more string inspection the roof roof materia a letter Of lication of for l whichever t -the aPP inspection. type roof coverings lation instruction final stating tha instal the time of will be representative with thebe on site at arty inspection dropped applied in accordan equired to 3rd P needs to be is OVER 6/12 PITCH: CARD roof covering for ROOFS AND THE ORIGINAL PERMIT SIGNED by the inspections report The report MUST BE & Final Roof inspectionRidge. Midroof the 3rd party City of Wheat require dhe permit Desk at the Off Homeowner. Property Ad The City of Wheat Ridge p dress Th * permit er rm Check List ed Date 7 property wrier lnf0"-;�--0�.r!"atiQQn rm Owner Addre Inspection Cins lector inforrnat. Inspector Nao Pany ton in e Spector Contact info. L hearbY ac�knOwledge theroof / am 0 1 that are under 6112 0 -w1e d hearby must be ""Vecti y the ng is 6112 Or and found acknowledge the Inspected b 18C as to be in complia Over all roofs 11 as all ity of c- With the min - the referenced b - , ulding Dept. ure and e 2012 IRC and 2012 ZPro Manufacturer's Aert wne .my consent ernent OfAckn e City Of Whe SpWj uIlding Ridge ti company tOreferenced ab I ins; n Inspection. give This original do roof with'n seven da s the roofing check list Permit Y -s Of the "nal insPection. must be submitted 751)0 counter 2nd floor to the Chief W. 29th Ave Wheat Ridge Subrnit vi, Ern whea CO 80033 Drafted Date: //2G// Please add note to reverse ____ —~= The City of Wheat Inspectio n ChRidge Check List notes Roof 1 Mid-Roof ❑ N/A Ins ecti=pn N/A ❑ Pass PPass ❑ Fail ❑ N/A ❑fail ass CJ N/A D rail Structural roof components Pass Verify that ntS Pass Flashjn no more than 21a I] Fail If new 9 for roof and walls layers of shingles exist N/A sheathing Pass permit description Is installed veil N/A Q Fair ption fy that it is El N/A Pass ❑Fair Verify sheathing Valuation listed i Pass Cricke 9 nail pattern must be ad n the O N/A ❑ Fail tS and saddles see policy lusted ❑ N/A Pass ❑ Fa;l V�rirf y B vent must ha here needed Y & Proceedures) Pass ❑ N/A Q Faa Verify vent caps boot same gauge Pass �N/A E3 Fail fY no flashings as p�Pe ❑ N/N/A Pass n Pass u Fail Step flashing shall be re damaged or ruste ❑ NSA Fair Verify scuppers allow min. of 4x4 d ❑ N/A Pass ❑ Fa;; Underla Ice and water shield 21 for Proper drainage Per shingle ❑ N/A Pass C] Fall Yments 2 'n eated Pass Verify must fo►lo wall spaces ❑ N/A ❑ Fair fy roof slope far w 2012 IRC / Pass Drj ❑ N/A [] Fair Pedge shall have proper drainage 2012 IBC Pass N/A C] Farr m `ipedge should extend of 21' overlap Pass (] Fair 90 Pedge shall be rhe d own Chani aly aisle,+ past roof LB roll rooting shall not led 12 deck less than be OC N/A Patios, a p rt slope. Exception applied fo roof slopes ps N/A El Pas, ❑ Flail Modified12 s, open on three sidedetached with garages, N/A ❑Pass C3 Vii' Above Bitumen, M �n slope of N/A ❑ Pass ❑ Fail Below roof of insulation IR-25 TPO min slope 1/4: N/A ❑ �a of reside 12 slope Pass Belo ntjal R_38 ❑ F3;, w roof commercial Modified Situmen R-32 Must be installed - M' TPO min slope rP specifications- accordance with the 1/4.12 slope i Roof warran ns- Must have manufa manufacturer N/A s `'----S1?►n les Re u-r with the address on n ctures letter o f s ❑ F?3ir 'rents a fetter for [� N/A Metal roof shingles shall final inspection O N/A Pass 0 Fair 3:12 not be installed on slo ❑ Fr;, valley flashin Pe less Metal Valle 9 shall be the sa centerline Y flashing shall exten me material e with a d a min of „ as roof rib built-in at the own' of 3/4 �. $ fro N/A Til a Roo a min. Of 41, w line with sectionlash diverter� the ❑ Pass fS Rei' ujrements D F i; ns overlapping a Clay and concrete the shall Slopes 4:12 and under have a have slope u 2-1/212 double underlayment Company Name: Inspector signature: ©ate of Inspection: The City of Wheat Ridge Inspection Check List notes Mid -Roof N— tes JC zc) V,✓,C�,eL The property' Address Th rd City of Wheat Ridge Permit Number �2 Party Form Check Permit Issued _ .�,I Date C.., List � ,- - 2� Pro finer inf, Perty Owner Info orrnation Prormation Property Owner Address t L� Ins ector infor Inspection Co matio InsPector OM n Name Inspector Contact info. n * I hearbY ack�ector Sterne that are underowledge the roofnt and Ackno d l hearbY ackns/12 must be ins eam inspecting �s 6/1 pn�nt and found to must the room wed by the City of 2 or OVer all roofs !BC as be in co g system Wheat Rid well as Pliance with the for the refer Ridge Buidin recommendatio all City of Wheat Ri minirnu enCed building8 Dept. Inspector: an e . dge Policies requirements nts of has been In fications. the 201Pected 2 l and 20s Procedure and Manufactuuerfs 2 Pro a ®a *I hearb droner te: Y acknowled staterneryt °f b ny consent for knowledge that 1 am the Ackno�r►ed in lieu of the the listed ement Pro a City of third -Party ins net of the building �oery owner/ Ag Wheat Ridge Buildinection C°mPany to vreferenCed above ,—_ - g Divisi©n inspection. m r ns d I give This ori n Y oofi Pec"v tion F30din gnat document as 9 Offc w;thin Savewell as the rooftn Date. heck pe°p ON in Person h days of the final inspection must be submitted 7 7500 mit counter 2nd floor to the Chief 'heat RidBth Ave Submit via E Oe CO gp Kccok marl 0�3 ci.''vheatrid e. co. us Drafted Date: 7128/17 ('40 Please � � " l V1, / 4� add note to revers e side The City Of Wheat Ridge Inspection Check List notes Final Roof Lon Fail Iii N/A IJ PassI V Fail All Pass Lj Fail Structural roof components Verify that no more than 2 la Fail Flashingfor roof and gallsYrs Of shingles exist El PassFail If new sheathing is installed verify that it is all pe listed in lh(, Verify sheahing nail Pattern ( See adjusted) I A F permit description (Valuation must be F] Fait Proceedures) where needed Fail Crickets and saddle,, policy & Verify B vent mus Pas, fail must have boot same gauge as Pipe Verify vent caps N/A y no Veri I f PasI I L -J I Fail f1l,hings are damaged or rusted - I I -�tePflOshing shall be rnin. Of 4x4 Piece Per shitjgj,�� L❑I EI Fail Verify scuppers Pas'; ❑ raq allow for Proper wrall s F� [15-S Foil Ice and water shield 2'in heated paces I j Pas,; E-A Fait UnderlaYments must follow 2012 IRC /2 IR LJ Pas" Verify roof slope for proper drainage l,jg D rail Dripedge shall have If min of 2" Ove" Ej Fail Dripedge shoul r1ap -JLJ d extend down min 2" Vail fail Dripedge shall be mechanicaly Pc'St roof dock not be applied to roof slope 90 LB roll roofing shall 12" 0(, less than 2:12 slope, Exception, detached garages, patios carports, open on three sides with min. slOp(-_' Of ges, N//k 17 1 C� Fan Fail Modified Bitumen, EPDM, -Tpo mill slope '114:12 slope rjll� -j Pass Above roof insulatiC�J ranon R-25 1� N/A F1 Below roof residential NIA,s. Below roof C tal R-38 UJI rail Modified Bit commercial R-32 unlen, EPDM, TPO min slope 114-12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of et�) I P warranty with the address of, the letter for N Ripi !::': —, (nal itl,13 Fall Metal roof shingles shall not be installed 00 slope P NJ [lass I J F- a i 3:12 less if N/A EJ rail Metal valley flashijjShall be the same M. -Ito Metal valley flashing material _1�3 roof g shall extend a min Of 8" fror-n 1he center -line with a min. of 3/4 " high splash dive rib built-in at the flow fine with F _. Tila min. of 4" ections OVP!-!,'-)Ppinq;.j n Pass ail Clay and concrete the shall have a min- 2-112:12 slop(-, Slopes 4.-12 and under regUire double un derlavi-nellt �n V/ (-4- The City Of Wheat Ridge Inspection Check List notes Final Roof Notes - Z.Z- 00r'1P-1r'Y Name: Date of InspeCtion: �/ij y a A 41 City of Wheat Ridge v � Residential Roofing PERMIT - 201706927 PERMIT NO: 201706927 ISSUED: 09/04/2017 JOB ADDRESS: 3620 Vivian CT EXPIRES: 09/04/2018 JOB DESCRIPTION: Residential re -roof to install Stone Coated Metal roof with 39 sq. Pitch = 7/12 (third party inspection) *** CONTACTS *** OWNER (720)256-0994 BRAY DON SUB (303)274-1111 Manuel Rocha 021129 Horn Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,126.00 FEES Total Valuation 0.00 Use Tax 485.65 Permit Fee 426.20 ** TOTAL ** 911.85 *** 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) 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. o i . City of Wheat Ridge Residential Roofing PERMIT - 201706927 PERMIT N0: 201706927 ISSUED: 09/04/2017 JOB ADDRESS: 3620 Vivian CT EXPIRES: 09/04/2018 JOB DESCRIPTION: Residential re—roof to install Stone Coated Metal roof with 39 sq. Pitch = 7/12 (third party inspection) I by my signature do hereb 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 or to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. -- /-7 Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 an 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 granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable co r a�nyt oordiinance 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. Dan Schultz From: Sent: To: Subject: Q)17Uv1V7 no-reply@ci.wheatridge.co.us Friday, September 1, 2017 7:43 AM �1 CommDev Permits Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION bL Property Address 3620 Vivian Ct Property Owner Name Don Bray Property Owner Phone 720-256-0994 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email humberto@hornbrothersroofing.com Address 129 I1 d 1 r 1 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 Yes Don Bray.pdf / CONTRACTOR INFORMATION Contractor Business Horn Brothers Roofing Name LL Contractor's License 021129 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) 7203912444 2325 S JASON ST Contractor Email Address humberto@hornbrothersroofing.com Retype Contractor Email humberto@hornbrothersroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 39 the entire scope of work: Project Value (contract3126 value or cost of ALL materials and labor) Are you re -decking the No roof? Does the scope of the No tz project include a flat roof (less than 2:12 pitch)? 130 Does the scope of the )q� project include a pitched roof (2:12 or greater �C✓� pitch)? Provide any additional Remove Stone Coated Metal and install Stone Coated Metal. detail here on the description of work. (Is this for a house or age? What is the roo pitch? Etc) ` 7 SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of Yes Yes Yes Yes Yes 131 fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Humberto Cruz Email not displaying correctly? View it in your browser. 132 Phone 30U!4-27 111 T' P Wl-IQ In Business Since 1984 HORN BROTHERS ROOFING OWNER 0 COLORADO COMPONY 2325 S. Jason Street • Denver, Colorado 802 R 1 ZIP&6 _ MAPSCO SPEC [REPAIR OR REPLACE WITH STYLE OF SHINGLE � [COLOR OF SHINGLE TEAR OFF 21 -YES ❑ NO MANUFACTURERS LIMITED WARRANTY//J�}f '/�/f°� YEAR(S) [1 COMPANY'S LIMITED WARRANTY -5 " �—e- YEAR(S) $-VALLEY ['CLOSED ❑ OPEN TYPE ['RIDGE MATERIAL0�'i TYPE EDGING (( A .L_ COLOR SIZE _ LSTrEPLACE PIPE JACKS REPLACE LP VENTS `rj" / aINSTALL#9e-MT & Vet'// � I&W 2rEAVES (' VALLEY (PENETRATIONS EXTRA WORK CLEAN-UP & HAUL OFF ROOFING TRASH q CLEAN OUT GUTTERS & ROOFING TRASH T [� PROTECT LANDSCAPE WHERE NEEDED R !� COVER POOL AND/OR DECK IF NEEDED," V v f, PAINT ROOF STACKS COLOR AP4y F L_ I ROLL MAGNET Z 3. ly 05f 5(p ei IS (f Sl<Y r WE HEREBY PROPOSE to furnish labor and materials in accordance with the When accepted by Company, this be omes a bindingcc ract sub' to BILLING AGREEME� 1 .141'WPal, /I //1"e-, ACCEPTED BY WITNESS INSURANC MORTGA E T� ADDRESS M Fax 303-462-117 NOrP- M'' REPRESENTATIV I � DATE BILLING ADDRESS CITY STATE ZIP SPECIAL ATTENTION AREAS 11 -SOLAR PANELS .................. ........ ❑ YES � NO PGUTTERS (ANY OLD DAMAGE) . /��.�, YES LINO -SKYLIGHTS: HOW MANY SIZE La/}�5 ❑ PITCH: ANY AREAS UNDER 4/12 .. �. �............. N YES ❑ NO FLAT AREAS: SOFFIT Q OPEN OR ❑ BOXED [� LEAKS: WHERE [-INTERIOR DAMAGE: WHERE / Y DOES DRIVEWAY HAVE CRACKS ................... YES ❑ NO DIAGRAM or NOTES EXISTING TYPE ROOF, C AGE0t'1— PITCH r �i ACCESS �! AIL STEEP? - 2 -STORY ger or or >ns, set out herein, for the sum of $ 8 "Contract Price". and all term_*as set out herein. .7 f ACCEPTED BY / DATE SALESMANe'T CLAIM NO. JACCOUNT NO. -CAW— STATE ZIP L INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB ION INSPECTIONS DATE COMMENTS: - aissons - - / (CEG) Concrete round E2E Electrsc�I:Sen _ g or Mo nolithic F INE r ooftFrench Drain vice Lines - Water Service Lines `INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD EE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. _ rVUH NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR E Electrical (Underground) I rwmDlnq (Underground) I I I - - I ROUGHS '? Sheathing :. Plumbing Mid -Roof �;' Electrsc�I:Sen liping I.Mechanical I q R, Insulation �' Drywall Screw INSPECTIONS T FINALS Electrical :. Plumbing Mechanical Roof Building Final .Fire Department - R.O.W & Drainage `INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD EE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE 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 ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Ui il-Atl e 7— Permit Number: 149/i'oi RfO - APP%, s rr> 7 A,�s7Xs/€(_') ❑ No one available for inspection: Time L S AM Re- Inspection required: Yes (No�j When corrections have been made, call f or re at 303 - 234 - 5933 Date: Z/,//v Inspector Ze DO NOT REMOVE THIS NOTICE f , ;RMIT NO: IJV 10'.' 920.66" Cit -f Y C OMMUNITY DEVELOPMENT CommuNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Date: Plan # Permit # Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Property Owner (please print): Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Contractors City License #: Phone: 8 66"CO#0 Electrical: Plumbing: Mechanical: City License # City License # City License -infi6da"&' - 7 - ;,- � , f I f r q6i�ci I - I I tJ ®per CT/ vs w Cont act lar:, Ir Review Fee (due at time of submittao: Squares BTU's Gallons Amps Sq Ft. $ — I I OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or UTHORIZED REPRESENTA f LLVEJ 0 ER) PRINT NAME: SIGNATURE: DATE: Bldg Valuation: