HomeMy WebLinkAbout4285 Newland Street20114'�3�/
INSPECTION RECORD
INSPECTION ONLINE (FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector Comments
Initials
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Mid -Roof
■IGMV101■j•lIl&■iGl2rNr:]ra.errel ir.7±X:r.Td�Z7F_l��ii����.iiiTT7�ZiTT%Z
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
-r-
Comments
Sewer Service
Plumbing
uo root .over unaerarouna or tselownn-51ab work Prinr In Annrnval C)f Tho Ohnva Incnne+finnea
Rough Inspections
Date
Inspector
Initials
-r-
Comments
Wall Sheathing
771V777
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date 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.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
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 from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
❑ No one available for inspection: Time / C .?(_1 AM/PM
Re -Inspection required: Yes &01
When corrections have been made, call for re-insAtio at 303-234-5933
Date: Inspector:f�� l/f
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: / v L_ 0
Job Address:,-/ �7 z/ dIUf) 5
Permit Number: Z U/`)C�' `/ � Z /
❑ No one available for inspection:...Time,,` ` ' AM/PM
Re -Inspection required: Yes (,p_ N
When corrections have been made, call for re -inspection at`303-234-5933
Date: f ' R Inspector:
DO NOT REMOVE THIS NOTICE
., City of Wheat Ridge
Residential Roofing PERMIT - 201704321
PERMIT NO: 201704321 ISSUED: 07/18/2017
JOB ADDRESS: 4285 Newland ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
17 sq.
*** CONTACTS ***
OWNER (720)289-1644 MACCAGNAN PATRICIA
SUB (303)663-5615 Joel/Channa Speckman 080141 All In One Contractors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61000.00
FEES '
Total Valuation 0.00
Use Tax 126.00 -
Permit Fee 140.90 -
** TOTAL ** 266.90
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
s City of Wheat Ridge
Residential Roofing PERMIT - 201704321
PERMIT NO: 201704321 ISSUED: 07/18/2017
JOB ADDRESS: 4285 Newland ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
17 sq.
I, by my signature, do hereby attest that the ork to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes nd all applicab unicippal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of th toper ty and a authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further a s that I am legal y uthorized to include all entities named within this document as parties to the work to be
per d and that work to b erfo is disclosed in this document and/or its' accompanying approved plans and specifications.
(2-
S1j6-fu'r_e of OWNS r CO TRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holdy er 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 issuanc or r ting of a shal o� construed to be a permit for, or an approval of, an violation of any provision of any
applicable co I nce Q��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
0q
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 10, 2017 11:53 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received 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
Property Address
Property Owner Name
Property Owner Phone
Number
4285 Newland Streeet
Patricia & Pete Chavez
7202891644
Property Owner Email joy@denverroofingexpert.com
Address
tDrs C'. .70
l.i
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
All in One Contractors
3036635615
Contractor Email Address alln1contractors@aol.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
joy@denverroofingexpert.com
No �1_/
OC Duration
Asphalt
Field not completed.
16
No
Field not completed
TOTAL SQUARES of all 17 V
roofing material for this
proj ect
Provide additional detail house
here on the description of
PkI
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 6000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Joel Speckman
Email not displaying correctly? View it in your browser.
3
uveridaim Customer Checklist
repair sciutions
For questions or Information please call:
(800)587-4243
Carrier: Am. Family Claim If: 315099647
Customer:Pete Chavez Date of toss:
Contractor: All In One Service Writer: Joel Speckman
The following Vericlaim Repair Solutions checklist provides you with an overview of the program, processes, and benefits ensuring you
receive the highest quality in service and repair workmanship. The payment process will be detailed on the Payment Schedule provided
by the Contractor. Please initial and sign below.
Overview
All In One will provide the following repairs/services for Insurance proceeds:
0 Roof/Siding/Gutters ❑ Textile/Dry Cleaning ❑ Furniture/Cabinets ❑ Tarping/Board Up
O Mitigation ❑ Flooring/Carpet ❑ General Restoration ❑ Tree/Debris Removal
Yout Insurance Canter will review the scope of work prepared by the Verldalm Repalr Solutions Contractor and provide you with an approved estimate of
covered repairs/services. This amount will be payable by insurance proceeds and subject to your deductible and possible policy limits. Insurance
proceeds for work not being completed by a Vericlalm Repair Solutions Contractor will be paid directly to you by your insurance Carrier. if the total of all
Insurance work completed by Verlclaim Repair Solutions Is less than your deductible, then you will owe up to the amount of your full deductible.
Once approved by your carrier, Vericlalm Repair Solutions will provide you and your carrier with a breakdown of the cost and payments. The payment
breakdown will dearly outline any expenses to be paid directly by your carrier and/or you, such as; deductible(s) not previously met/paid, optional
upgrade(s) selected by you, Items not covered by your policy, non•recoverabte depreciation, Insurance proceeds paid directly to you, or Insurance
proceeds paid dlrecly to Verlclaim Repair Solutions. if any changes are made to the scope of work, you will be provided with a revised payment
breakdown for your records.
Program & Process Customer's
Initials
Contractor Reviewed Program and Benefits t
Call Vericlaim Repair Solutions of the number above with any questions or concerns.
Contractor Reviewed Program Warranty --/�}�
Full payment and Customer Satisfaction Form are required for warranty activation. a
Contractor Explained Customer Concierge
171,
Call Vericlaim Repair Solutions of the number above, extension 3590.
Contractor Reviewed Vericlaim Repair Solutions Process ,
Should another contractor br needed to handle additional restoration repairs, Verkiaim Repair Solutions will coordinate the scheduling.
Contractor Provided Contact Information
This includes Important Contractor and Veridaim Repair Solutions phone numbers
Contractor Reviewed Specific Items of Importance
(Far Example: preparing for repots, HOA, combustible oppiiance, pre•exlsting damage!
List Additional Items:
Contract & Payments CuInitialli
Contractor Provided Copy of Customer Checklist
Contractor Reviewed Repair Contract -Work Authorization
Contractor Reviewed Required Deductible Amount of $
I ,seder:fond thot my deductible is due prior to me repoin starting. t further undetstarM that acrodinp to insurance reaWaaons, the
dedwf,ble cannot be wayrd for any reason and no discount ran be provided on In swonce related repairs. 1 also understood that if my
drdurhh/r was paid to another contractor, Veridaim Hepov SOW— will ronfirm thr information with the egerses. If. dedurhtde n not
owrd.,hent -11 be provided on updated eorschMu!<.
Deductible is being paid to: All In One ❑ Another Contractor
Accepted (Must include signed contract/work authorization)
I do hereby understand and acknowledge that I may choose any company
to crake repairs to my home. However, I have selected Vericlaim Repair
Solutions to perform my repairs and my signature authorizes my ,
Insurance canter to make all appropriate repair payments directly to
Vericlalm Repair Solutions. I understand that once repairs have been
completed to my satisfaction, Vericlaim Repair Solutions will issue final
payment to the contractor. Any claim funds not assmisted with work n Com'- J •'� J, r,, `_ ),,� %;I ` i ' �} `�
being performed by Vericlaim Repair Solutions will be paid directly to me
Customer Signature Dale
I will be provided with a payment breakdown before repairs start.
l� Strongly Interested twonn mrrraopproyalbrfnrnob—t—)
!✓/// I do hereby understand and acknowledge that I may choose any company
to make repairs to my home. However, I am strongly interested in having
Vericlalm Repair Solutions perform my repairs. Prior to signing a work
authorization, I would like to know that my carrier has approved the
scope of work. Once my artier provides an authorized/approved written
repair estimate, i will meet with the contractor to sign a work
authorisation which will than serve my as my authorization to accept
Vericlaim Repair solutions as my contractor. (See above for program // 1 { �. r(� tt j1�, F 1 -•j
accepted).
Customer Signature ` Date
I will be provided with a payment breakdown before repairs start.
REPAIR AND RESTORATION WORK
AUTHORIZATION AND INSURANCE
PAYMENT ASSIGNMENT
Nem6er Contractor
Page 2 of
5. Deposit Receipt. Contractor acknowledges receipt of a deposit of $ (which includes an estimated insurance deductible of
$ 16 C'd and $ as a deposit for additional work not expected to be covered by the insurance proceeds) from Homeowner to be
applied for payment of costs payable to Contractor and not paid by the insurance proceeds. If Homeowner determines upon receipt of Insurer's
authorized written estimate not to proceed with the repairs, Contractor shall promptly refund this deposit.
6. Warranty, Damage Limitation and Jury Trial Waiver. Upon full payment for the work, Homeowner shall be provided the Vericlaim
Repair Solutions Warranty Certificate, which shall be the sole and exclusive warranty provided by Contractor for the work. Further, Homeowner
agrees that Contractor's maximum liability to Homeowner for claims arising from this agreement or the work, whether in contract, tort or
otherwise, shall be limited to the amounts payable to Contractor for the work, and the parties waive any claim for consequential damages.
Homeowner and Contractor further agree to waive all right to trial by Jury of any claims arising from or related to this agreement or the work
performed pursuant to this agreement.
7. Homeowner's Obligations Regarding Repairs. Homeowner shall be responsible for the protection of his/her plants, pets and other
personal property during Contractor's performance of the work, and shall remove, cover or protect such items near the work area to avoid
damage.
8. Complete Contract. This agreement, and the documents expressly referenced herein, constitute the entire agreement between Contractor
and Homeowner, and supersedes and replaces any prior agreements and discussions of the parties. This agreement may be changed only by
written agreement signed by Contractor and Homeowner.
05111
Date
VericIairn
repair solutions
Signature of Homeowner(s)
0 A44 V2 -
Printed Homeowner Name(s)
Date
Note: Any applicable Federal. State and/or Local law or regulation
4838-0975-6435.3 required notices or rights to cancel are printed on an altachdd page.
REPAIR AND RESTORATION WORK
AUTHORIZATION AND INSURANCE
PAYMENT ASSIGNMENT
Member Contractor
Page I Of 2
Contractor Information: Company Name: All In One Contractors
Company Address: 14 Inverness Drive East Suite A216
Phone Number. 303-663-5615 Fax Number: 303-663-5616
Company Website Address:
Job Number.
Homeowner Information: Homeowner Name: Pete Chavez 1 Tlal-r 1 C, ra
Address (the "Property"): 4285 Newland Street, Wheat Ridge CO 80033
Phone Number: 720-289-1644 E-mail Address:
Insurer Information: Insurance Company: Am Family Claim Number. 00315099647
Adjuster.
Phone Number: E-mail:
1. Type of Services. Homeowner requests and Contractor agrees, to provide the following work services for the Property (check all that apply):
❑X Roofing / Siding / Gutter ❑ Furniture / Cabinet Restoration ❑ Dry Cleaning / Textile Restoration
❑ General Restoration / Reconstruction ❑ Flooring Restoration
2. Acknowledgement. Homeowner acknowledges that Contractor is an independent contractor member of the VeriGaim Repair Solutions
network, that Insurer is not affiliated with Vericlaim Repair Solutions or Contractor, and that Homeowner Is not obligated by Insurer to use
Vericlaim Repair Solutions or Contractor to perform the repairs. By signing below, Homeowner has agreed to use the VeriGaim Repair Solutions
Program and Contractor instead of having the repairs performed by others.
3. Estimate of Repairs, Insurance Coverage, and Work Authorization. Contractor will provide Homeowner and Insurer a written estimate
of repairs. Insurer will review the estimate, and if approved by Insurer In writing, the estimate will then be Insurer's authorized written repair
estimate. Homeowner authorizes Contractor to perform the full scope of repairs authorized by Insurer. Homeowner acknowledges and agrees
that only Insurer can determine what repairs are covered under Homeowner's Insurance and that Contractor has no authority to make such
determinations) or bind Insurer as to any coverage. Any Initial repair estimate provided by Contractor is simply an estimate and Is not approved
by Insurer until the estimate Is authorized by Insurer. Contractor agrees to perform authorized repairs for the Insurance proceeds payable by
Insurer for such repairs. Homeowner shall be responsible for any insurance deductibles, repair upgrades not covered by insurance and other
charges as provided in Paragraph 4 below.
4. Payment Terms. As payment for the authorized repairs to be provided by Contractor, Homeowner assigns and/or agrees to pay all
insurance proceeds to Contractor, and also agrees to pay Contractor the applicable deductible under Homeowner's insurance prior to
Contractor commencing work. In addition, Homeowner shall pay Contractor for all other repairs and work items not authorized by Insurer as
covered repairs, including but not limited to: optional upgrades which Homeowner selects, non-recoverable property depreciation not payable by
Insurer, and other repairs or work items requested by Homeowner and performed by Contractor which are not covered by Homeowner's
insurance. Insurer shall pay all insurance proceeds for covered repairs not performed by Contractor to Homeowner. Following receipt of
Insurers authorized written estimate, Contractor shall provide Homeowner with a breakdown of the repair costs and payment schedule,
including the costs to be paid by the insurance proceeds and the costs to be paid by Homeowner, which Contractor and Homeowner shall sign.
Any changes thereafter to the work items and payment schedule shall be in writing and signed by Contractor and Homeowner.
Note. Any applicable Federal, State and/or Local law or regulation
4838-0975.6435.3 required notices or rights to cancel are printed on an attached page.
M
`u G � i fN iouir i�
11 0
t
Citj Quest Ridq
03/ 2/2 15 11-57 CUP
Install 40 gallon va
CON11427
US 4285 Newland ST
s ,/ 339#1
8
WTH MO.: 15 , 5685
TOTA
EA w
t
Kim
a
r
-r
1�
M
Malfin resx (if dblerant then propert address)
Addre
ss �dd
an
I Zd If #I a w.1 hLiWv7;,j Signature:
Facsimile Building Permit Application
City of Wheat Ridge
Residential Mechanic PERMIT - 120400
PERMIT NO: 120400 ISSUED: 04/10/2012
JOB ADDRESS: 4285 NEWLAND ST EXPIRES: 04/10/2013
DESCRIPTION: Install 5500 CFM evaporative cooler
* ** CONTACTS * **
owner 720/746 -9041
gc 303/757 -5661
Patricia MacCagnan
Larry D. Bell
01 -7174 Bell Plumbing & Heating
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0404
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,500.00
FEES
Permit Fee 40.00
Total Valuation .00
Use Tax 81.00
* * TOTAL * * 121.00 1360
Conditions:
Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors
are required to be installed in every sleeping room, in hallways outside of
sleeping rooms, and on every level of the structure. Carbon Monoxide detectors
are required to be installed within fifteen(15) feet outside the entrance to
each sleeping room. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named with this document as parties to the work to be performed and that all work to be performed is disclosed in
this document d/ its' accompa ying r plans and specificat' ns.
/0
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued sed 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Signature of Chief Bui // n ical Date
INSPECTION REQUIaST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
a �3.e C fao 3kV-
pq)l
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
of wHEAI BUILDING INSPECTION LINE - 303 - 234 -5933 Date:
a CITY OF WHEAT RIDGE
m 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303- 235 -2855)
OR N' APPLICA TION
Property Owner: /q97 /UA /y.4Gc�iY -4.r/
Property Address: CJaes ST Phone: 7 /gZ/6 , 90
Contractor License No.: /7/7/ /
Company: l3 4 , 4e— �LvM��6 /ACA n'r✓G Phone:
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are
accurate, and do not violate applicable ordinances, rules or regulations of the City of
Wheat Ridge or covenants, easements or restrictions of record; that all measurements
shown, and allegations made are accurate; that I have read and agree to abide by all
conditions printed on this application and that I assume full responsibility for
compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable
Wheat Ridge Ordinances, for wor rider this pit q //D /
(OWNER)(CONTRACTOR):SIG ED /U^1�I_lVl1�t.'A1 DA (// ( /�`�
(OWNER)(CONTRACTOR):PRINTED V
Construction Valuer
Permit Fee:$
Plan Review Fee:$
Use Ta X7S
Total:$ S'S
Description: /it/S %4G L 5370c;) G�-i" l �' f/.4�a2i¢T '�� Coo(��
Sq. Ft. added
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building
authorized is suspended or abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Official
Property Address:
Property Owner (please print).
2MEM
IBIM=
Film
MME��
Squares - BTU's - Gallons _ Amps _ Sq ft
MMEM=
7,!c
4 '
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office * (303) 23 7-8929 Fax
INSPECTION NOTICE
Inspection Type kpq+
Job Address f l iftw , 41
Permit Number
Ei No one available for inspection: Time AMft)
Re-inspection required: Yes No
VE
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: AA-101
Job Address: 1Vt 46
Permit Number: //&
❑ No one available for inZ ection: Time f ;x AM/M�
Re- Inspection required: s' No
When corrections have been made, call for re- inspection at 303 - 234 -5933
rn p i
Date Inspector: _ �..r,s,'
DO NOT REMOVE THIS NOTICE
A 4' City of Wheat Ridge
SOIVISION:'. 0404: :BLOCK/SLOT#: 0/