HomeMy WebLinkAbout4389 Garland StreetThe City of Wheat Ridge
Third Party Form Check List
Property Address 4389 Garland St.
Permit Number 202000475
Permit Issued Date 3/3/2020
Owner Information
Property Owner Information Andy Hensler
Property Owner Address 7824 W 109th PI. WESTMINSTER, 80021
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth
Inspector Contact info. 720-940-1180
Inspector Statement of Acknowledgement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby acknowledge the roofing system for the referenced building has been
inspected and found to be in compliance with the minimum requirements of the 2012
IRC and 2012 IBC as well as the City of Wheat Ridge Policies and Procedures and
manufacturer's recoMineadations and specifications.
Inspector: Date:
Pro Owner Statement of Acknowled ement
*1 hereby acknowledge that I am the owner of the building referenced above and I give
my consent for the fisted thin - pec ompany to perform my roof inspection
in lieu of the City of Whe I Btiil D sion inspection.
Property Owner/Agent: Date:
This original document, as well as the roofing checklist, must be submitted to the Chief
Building Official within seven days of the final inspection.
Drop off in person Submit via Email
Permit Counter 2nd Floor
7500 W. 291h Ave
Wheat Ridge, CO 80033
CBC Wheat Ridge Roof Inspection Packet Page 1 of 5
The City of Wheat Ridge
Inspection Check List Notes
Mid-Roof
Roof Inspection
❑ N/A ass ❑ Fail Structural roof components
❑ N/Aass ❑ Fail Verify that no more than 2 layers of shingles exist
❑ N/A Pass ❑ Fail Flashing for roof and walls
❑ N/A Pass ❑ Fail If new sheathing is installed, verify that it is listed in the permit
Y-1ppass description (Valuation must be adjusted)
❑ /A ass ❑ Fail Verify sheathing nail pattern (see Policy and Procedures)
WA ❑ Fail Crickets and saddles where needed
/01--/N/A Pass ❑ Fail Verify vent must have boot same gauge as pipe
❑ N/A ass ❑ Fail Verify vent caps
❑ N/A ass ❑ Fail Verify no flashings are damaged or rusted
❑ N/A Pass ❑ Fail Step flashing shall be min. of 40 piece per shingle
ha�N/A ❑ Pass [3 Fail Verify scuppers allow for proper drainage
/❑ N/A XPass ❑ Fail Ice and water shield 2' in heated wall spaces
❑ N/A V Pass ❑ Fail Underlayments must follow 20121RC/2012 IBC
❑ N/A Pass ❑ Fail Verify roof slope for proper damage
❑ N/A Pass ❑ Fail Dripedge shall have min. of 2" overlap
❑ N/A Pass ❑ Fail Dripedge should extend down min. 2" past roof deck
❑ N/A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC
N/A ❑ Pass ❑ Fail 90 LB roof roofing shall not be applied to roof slopes less than
2:12 slope. Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
101 N/A ❑ Pass ❑ Fail Above roof insulation R-25
N/A ❑ Pass ❑ Fail Below roof residential R-38
N/A ❑ Pass ❑ Fail Below roof commercial R-32
N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturers specifications.
Must have manufacturers letter of warranty with the address
on the letter for final inspection
Metal Roof Shinales Requirements
IV N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
411 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
IkN/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
}�� N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 2 of 5
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
Certified Building Consultants
CBC Wheat Ridge Roof Inspection Packet Page 3 of 5
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
0 N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
�yJ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
(�CJ N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 4 of 5
Roof Inspection
I
❑ N/A
Pass
❑
Fail
Structural roof components
❑ N/A
Pass
❑
Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
ass
❑
Fail
Flashing for roof and walls
❑ N/A
�/
pUPass
❑
Fail
Structural roof components
❑ N/A/l6/
PL Pass
❑
Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ N/A
,^
97/ Pass
�❑"
❑
Fail
Verify sheathing nail pattern (See Policy and Procedures)
needed
�Y(% N/A
Pass
❑
Fail
Crickets and saddles where
✓❑ N/Aass
[3
Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
ass
❑
Fail
Verify vent caps
❑ N/A
g�Pass
❑
Fail
Verify no flashings are damaged or rusted
be 4x4 shingle
❑ N/A/Pass
c3
Fail
Step flashing shall min. of piece per
drainage
Q�N/A
Mk Pass
❑
Fail
Verify scuppers allow for proper
✓
❑ N/A
Pass
❑
Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑
Fail
Underlayments must follow 2012 IRC/2012 IBC
❑ N/A
iCpass
❑
Fail
Verify roof slope for proper drainage
❑ N/A
o0ass
❑
Fail
Dripedge shall have min. 2" of overlap
❑ N/A
/X_ pass
❑
Fail
Dripedge should extend down min. 2" past roof deck
❑ N/A
xPass
❑
Fail
Dripedge shall be mechanically fastened 12" OC
❑ Pass
❑
Fail
90 LB roll roofing shall not be applied to roof slopes less than
IleN/A
2:12 slope: Exception, detached garages, patios, carports, open
on three sides with min. slope of 1:12
�J N/A
/
❑ Pass
❑
Fail
Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Requirements
0 N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the
centerline with a min. of 3/4 " high splash diverter rib built-in at
the flow line with the sections overlapping a min. of 4"
Tile Roof Requirements
�yJ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
(�CJ N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 4 of 5
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
Certified Building Consultants
Page 5 of 5
CBC Wheat Ridge Roof Inspection Packet
ELECTRONIC 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 day
PERMIT: 202000475 ADDRESS: 4389 Garland Street JOB CODE: RRF
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground I Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
v 1
,
Do Not Cover Underground or Below / In -Slab Work Prior To Approvai ur The Above mspecuuns
Rough Inspection
Date
Inspector
CommentsInitials
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
v 1
,
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
202000475 ADDRESS: 4389 Garland Street JOB CODE: RRF
PERMIT:
I InspectorI Comments
Inspection (continued) Date Initials
316 Rough Mechanical Residential
318 Boiler/ Furnace
319 Hot water tank
322
Drywall screw and Nail
Moisture board / shower walls
F I
Miscellaneous
Date
Inspector Comments
Final Inspections
Initials
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
Inspections from these entities shall be requested
411 Landscape/Park/Planning*
one week in advance.
412 Row/Drainage/Public Works**
*For landscaping and parking inspections please
413 Flood plain Inspection"
call 303-235-2846
414 Fire Insp. / Fire Protection***
**For ROW and drainage inspections please call
415 Public Works Final**
303-235-2861
***For fire inspections please contact the Fire
416 Storm Water Mgmt.**
Protection District for your project.
417 Zoning Final Inspection*
418 Building Final Inspection
d approved by
bli
ks, Fire and
before al Certificate of occupancydis issued. Approval lof the Planning,
au Buildingr ng
items mustInspection 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.
*** CONTACTS ***
OWNER (720)984-3921 STARLORD ENTERPRISES LLC
SUB (970)797-1145 JERAMIAH LARSEN 170325 ANCHOR ROOFING LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,453.00
FEES
Total Valuation 0.00
Use Tax 156.51
Permit Fee 172.60
** TOTAL ** 329.11
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH &
OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must 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 Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-754 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 25-750 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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.
City of Wheat Ridge
Residential Roofing PERMIT -
202000475
PERMIT NO:
202000475
ISSUED:
03/03/2020
JOB ADDRESS:
4389 Garland St
EXPIRES:
03/03/2021
JOB DESCRIPTION:
Reroof with Owens Corning Duration
Storm Class 4
asphalt shingles, 6/12
pitch, 29 squares
*** CONTACTS ***
OWNER (720)984-3921 STARLORD ENTERPRISES LLC
SUB (970)797-1145 JERAMIAH LARSEN 170325 ANCHOR ROOFING LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,453.00
FEES
Total Valuation 0.00
Use Tax 156.51
Permit Fee 172.60
** TOTAL ** 329.11
*** COMMENTS ***
*** CONDITIONS ***
ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH.
FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH &
OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must 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 Building Division Policy
BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions,
whichever is more stringent.
MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an
approved mid -roof inspection, conducted when 25-754 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 25-750 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.
LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections.
COMMERCIAL ROOFS: 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.
City of Wheat Ridge
Residential Roofing PERMTT - 202000475
PERMIT NO; 202000475 ISSUED: 03/03/2020
JOB ADDRESS- 4389 Garland St EXPIRES: 03/03/2021
JOB DESCRIPTION: Reroof with Owens Corning Duration Storm Class 4 asphalt shingles, 5/12
pitch, 29 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municippal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorize? to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that I am legally authorized to include al[ entities named within this document as panes 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
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.
1 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 or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordnance 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.
-v��t��»
_1032020 0//34
MIP " Gwlwd St AM0Ni
PAYMENT RECEIVED
PP / 5899 AMOUNT
AUTH CODE: 72133549 329'11
TOTAL
329.11
__
Kimberly Cook A0 )w0q �
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, March 3, 2020 6:33 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new RESIDENTIAL roofing permits and for
licensed contractors only. Permits are processed and issued in the order they are
received. You will be notified if your contractor's license or insurance has
expired. The license and insurance must be current before the permit will be
processed.
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. The Building Division
permit counter is open from 7:30 am to 3:30 pm, 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
RESIDENTIAL reroof
permit?
How many dwelling units
are on the property?
Yes
Single Family Home
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
4839 Garland St. Wheatridge CO 80033
Andy Hensler
720-984-3921
henslerandy@gmail.com
Do you have a signed Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Anchor Roofing LLC
170325
970-666-0321
Contractor Email Address sarah.anchorroofing@gmail.com
Retype Contractor Email
Address
REQUIRED: Credit Card
Authorization Form
DESCRIPTION OF WORK
sarah.anchorroofing@gmail.com
cc auth form.pdf
TOTAL SQUARES of 29
the entire scope of work
Project Value (contract 60
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
No
Pitched roof (2:12 pitch or greater)
6:12
29
Owens Corning Duration Storm Class 4 shingles with limited
lifetime warranty 110/130 war
z
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
Asphalt
house; single story
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
fraud and may be
punishable by fine,
imprisonment, or both.
Yes
Yes
Yes
Yes
Yes
Person Applying for Sarah Hobbs-Office Manager
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD OccupancV/TVpe
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.
%61 Iris 14 T r,A -44 1 A s LP 0
L"
INSPECTOR MUST SIGN ALL SPACES_ PERTAINING TO THIS JOB
- FOUNDATION INSPECTIONS
Water Service Lines
. -.
INITIALS INSPECTOR
COMMENTS:
Footings /Caissons
Plumbing
Stemwall / (CEG) Concrete
Encased Ground
CONCRETE SLAB FLOOR
'
Reinforcing or Monolithic
Electrical (Underground)
:r
-
plumbing (Underground)
s
Heating (Underground)
Sewer Service Lines
.Building Final
ROUGHS.
rr
Sheathing
lath /.Wall tie
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLICS WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. -
"NOTE: ALL ITEMS MUST
Mid Roof
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING. DIVISION DOES NOT CONSTITUTEA
Ele ctrical Ser
'Rough Electric
Rough Plumbing
Gas Pipi
-
RoughMechanical
Framing
Insulation
Drywall Screw..'.
L"
INSPECTOR MUST SIGN ALL SPACES_ PERTAINING TO THIS JOB
- FOUNDATION INSPECTIONS
DATE
. -.
INITIALS INSPECTOR
COMMENTS:
Footings /Caissons
Plumbing
Stemwall / (CEG) Concrete
Encased Ground
Mechanical
Reinforcing or Monolithic
-
-
Weatherproof/ French Drain
X-C
Sewer Service Lines
.Building Final
Fire Department
POUR NO CONCRETE UNTIL ABOVE HAS Id EEN SIGNED
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
FINI~LS
-
EI Rctrical
Plumbing
Mechanical
-
Roof
X-C
.Building Final
Fire Department
R.O.W & Drainage
Parking & Landscaping
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLICS WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. -
"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 CONSTITUTEA
OF A CERTIFICATE OF OCC NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED I INTIL CERTIFICATE OF OCCUPANCY )S - ISSUED
PROTECT THIS CARD FROM THE WEATHER
e `s CITY OF WHEAT RIDGE
' Building Inspection Division
(J (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: i.78c7 la,P ,n 4
Permit Number: 1dd y1 S5
~I
❑ No one available for inspection: Time _/LL 0(i~~PM
Re-Inspection required: Yes ,
When corrections have been made, cad for re-inspection at 303-234-5933
Date:... 7/ate Inspector:
DO NOT REMOVE THIS NOTICE
e s CITY OF WHEAT RIDGE
Building Inspection Division
,6iojop~ VF, (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: f i~✓o- 1 .pct, i--
Job Address: Y35'17 57-
Permit Number: 1,0e:1 W S 1
/89?fl7l3zJ.S if/r°i-.^L 5'F'J~f u/.ri ?``ff.£?t.l ~ Lr,?`-TiwG`
❑ No one available for inspection: Time AMk20
Re-Inspection required: Yes o
When corrections have been made, calf for re-inspection at 303-234-5933
Date: _421 Y //,v Inspector. < c✓
DO NOT REMOVE THIS NOTICE
71
♦ A 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: K, a v_rN
Job Address:
Permit Number:
D
F
❑ No one available for inspection: Time /PM
Re-Inspection required: Yes
6 When corrections have been made, call for re-inspection at 303-2345933
k Date: l Jam( Inspector: 4 r.
DO NOT REMOVE THIS NOTICE
~OFWF1EgT9i City of Wheat Ridge Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-237-8929
CD<ORPOD Inspection Line: 303-234-5933
Prop'ecty Address: Go r 10, 1~c f
Property Owner (please print): L } i i ct (T N N I Phone: :3 U'S ~ Vd
Mailing Address: (if different than property address)
Address:
Zip:
Contractor:
Building Permit Application
Q.
Date:
Plan
Permit
Contractor License D 69/~!~ ? Phone 7 ?c~ 5 7 2 3
Sub' Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date:
Exp. Date:
Use of space (description): r 2 m y ✓ yj ? 7 s «s o r Construction Va7ae ~ 1~ °y
Description Of,work' ' (as calculated per the B%dirrg Va/aiation.Data-sheet)-
r2 d y L W ~h 3 Q ti Plan Review (due at time of submittal); $
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Sq. Ft./L. Ft added: Squares Z BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. -
CIRLCE ONE.: q(OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME:
N yn P csL(,>~i, SIGNATURE: ~-/G.%Lr .2 Date:
DEPARTiVIEfTT tISE ONLY
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