HomeMy WebLinkAbout4480 Yarrow Street,-Z/7 c�,4Ca'
gn YAra2euJ �INSOE'CTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/T yTee
Inspections will not be performed unless this card is posted on the project site. i
**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
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour
Concrete Prior To Approval UT I ne ADove inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
771—(.
Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
771—(.
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
® City of Wheat Ridge
Residential Roofing PERMIT - 201704608
PERMIT NO: 201704608 ISSUED: 07/21/2017
JOB ADDRESS: 4480 Yarrow ST EXPIRES: 07/21/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 31 sq.
*** CONTACTS ***
OWNER (917)501-1650 GENTILE MARIA T
SUB (720)280-3900 Justin Cook/Greg Makowski 140212 Recovery Roofing LLC
*** 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: 11,341.94
FEES
Total Valuation 0.00;
Use Tax 238.18
Permit Fee 236.00
** TOTAL ** 474.18 - - - -
*** 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.
A 4� City of Wheat Ridge
Residential Roofing PERMIT - 201704608
PERMIT NO: 201704608 ISSUED: 07/21/2017
JOB ADDRESS: 4480 Yarrow ST EXPIRES: 07/21/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 31 sq.
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 author►zed
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�per it. I further hat I am legally authorized to include alI entities named within this document as parties to the work to be
P�.o�rr�� a� rl to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 maybe 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 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, 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 M Chief Buil y�, 44ate
REQUESTS MUST BE MADE 1 PM ANY U FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 13, 2017 8:11 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
0
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? W %C �\Jmwov—
How many dwelling units Single Family Home I % pG(� , 7//
are on the property? Lel , 11
PROPERTY INFORMATION
Property Address 4480 Yarrow St
Property Owner Name Maria Gentile
Property Owner Phone 917-501-1650
Number
Property Owner Email mtg@flyinfree.org
Address
dl> 7.(8----
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
Recovery Roofing
Contractor's License
140212
Number (for the City of
Wheat Ridge)
Contractor Phone
720-280-3900
Number
Contractor Email Address
greg@recovery-roofing.com
Retype Contractor Email
greg@recovery-roofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
/
No V
roof?
Description of Roofing
Tamko Heritage 30
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
31
material selected above?
/
Does any portion of the
No V
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
31 V
roofing material for this
project
Provide additional detail
4:12
here on the description of
C
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
11, 341.94
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 Greg Makowski
Email not displaying correctly? View it in your browser.
s
www.Recovery-Roofing.com
303-517-9483
Customer Name:: f
Street Address. °= {
City:,, t= State- ZIP �-0
Phone
Customer Email
Roofing Specifications
Tear Off: ❑ 1 Layer ❑ 2 Layer Other ta,
Underlayment: ❑ 15# ❑ 30# ,`i Synthetic
Brand ofNew Roof: ❑ O.C. ❑GAF' Other��
Manufacturer's Warranty:, ❑ 25 Year ❑ 30 Year ❑ Lifetime
Shingle Type: VCj ter,
Shingle Color.' { , y f �m r H/O:
Roof Vent Type: Box ❑ Ridge ❑ Power iTurbine
Plumbing Stacks:Mn1 ❑ Lead ❑ Other
Ice & Water Shield Per Code
Valley: J, Icee&�& Water Shield ❑ W Pan _
Hip & Ridge: 11 Standard ❑ Enhanced
Metal Edge: To Match Existing ❑ Other
Roof Decking: ❑ CDX ( OSB ❑ Other
Attic Inspection: ❑ Yes No
'Nailing Pattern to Exceed Manufacturer Specifications
` NON NAILABLE SURFACE CLAUSE: Please note that any defective roof
deck/plywood found during tear off of the existing roof covering must be
replaced per state building code. Most insurance carriers do not cover this
cost as part of your claim. Customer will be respsonsible for this copt at:,$ 32
per sheet which includes labor and materls.
Customer Initial
Special Instructions
Q Clean All Gutters of Roof Debris y`
Protect All Landscaping
Furnish Building Permit
Cleanup Daily
Roll Magnet Through Yard
Lien Waivers Provided Upon Final Payment
Quakily Ybu Can Tr%*"' EAGLEVIEW PICTOMETRY
From tljoM Arnertca� LotgOg T E C N N O l O G I E S v.
Rcotng Monu%olxal—
Date: DOL
Insurance Carrier:
Insurance Claim #:
Sales Rep:} -
Siding
❑ Aluminum 10Vinyl Size:
❑ Dutch,16p ❑ Straight
Brandt -
Fascia:
Color:
Soffit:
Tyvek: ❑ Yes ❑ No Insulation: ❑ Yes ❑ No
-Gutters/Downspouts
❑ 5" ❑ 6"" Gutter Color:
❑ 24" ❑ 3x4" Downspout Color:
Additional
® K
Notes
°� � t gi �� �, �' ; ♦ _ � � J''r� v' C.,t. •a a ;y. ` _iu.a .',, ii
i..�-- 1 t � • i� i�..i"�
F��1 31r7__���,�r l-j✓a�sT� ,fid ��;..�a�
�i
Approximate Start Date: I r¢
I Estimate Trade Summary
Roofing Total ${i !
Cautter,r►tel-
i $
Siding & Painting Total I $
Permit Fee's & Supplements $ -T [�. 0
Z2= Total sII
.'g� ct�r
Terms: This agreement is contingent upon insurance company approval and agreed price. This agreement does not obligate the customer or Recovery Roofing
in any way unless it is approved by customer's insurance and accepted by Recovery Roofing. Customer's signature below signifies acceptance of all terms and
conditions of this agreeement. Recovery will seek approval from insurance company for any necessary supplements outside the original scope of work.
Customer's 'out of pocket' expense is not to exceed deductible and any upgrades. Payment due on completion of each trade.
Customer Signature 'Date Customer Signature Date
Mortgage Company:
Account/Loan #:
Delivery Instructions:
Phone #: co 0114
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M T��
Job Address: rx—otj
Permit Number: wo-(! "
❑ No one available for inspection: Time C:_ AM/PM
Re -Inspection required: Yes (Nprl
When corrections have been made, call for -re -inspection at 303-234-5933
Date: 7" C70 7 Inspector,:: ,t \
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: j20�
Job Address: �� u w
Permit Number: z i0 (_1 6>0
❑ No one available for inspection: Time "'MlPM
Re -Inspection required: Yes Noo
When corrections have been made, call for re -inspection at 303 -234 -
Date:— Inspector:
DO NOT REMOVE THIS NOTICE
Inspector Must Sign ALL Spaces pertinent to this project
Co
_� ___��..._�_.� Foundation Inspections T D mments ate Initials
Monolithic Slab Reinforcement
Caissons
iro vi� Four �t";oncrete f-rior 10 A K*J A I RN-A *T#VZ:-Z [opections
Inspecto
Initials
Heating (Below / In-stab)
I I 1!11�qg I I 11�� I Igil
1 71 111211111111
R-w-iiMI
AjVPrtVT'd1 • me rinat ♦ 777.5pec;0577 Wes not consufure authorization • occupancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Prop" Address, —I—Fut
«.- add ress)
A
0
OMi MAC
m tractors;
m
# * r7
• r°
s
v 0
ro ! ...: � R a x -: 4 y � # � , ! R ?F .. ! � 1. 'c • # ...
i
t " • r • • alp
❑ No one available for inspection f' + e AM /PM
Re- Inspection required: Yes
{
e
When corrections have been ma e," I e- Inspection at 303 - 234 -5933
�. Date: r'� � Inspector: f
DO NOT REM NOTICE
REQUEkA KUST BE "* Yd-aPM1A1ilBUS*N1D4 rFOR INSPECTION THE FOLLOWING BUSINESS DAY.
J
Residential Plumbing PERMIT - 102191
PERMIT NO: 102191 ISSUED: 09/16/2010
JOB ADDRESS: 4480 YARROW ST EXPIRES: 09/16/2011
DESCRIPTION: Repair 10 if of sewer line
* ** CONTACTS * **
owner 303/422 -4401 Howard Miller
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0317
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 2,250.00
FEES
Permit Fee 93.35
Total Valuation .00
Use Tax 40.50
** TOTAL ** 133.85
Conditions:
Subject to field inspections.
I hereby certify that the se ack distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regul ns of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and 1 ations made are accurate; that I have read and agree to abide by all conditions printed on this
application and th as me full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat of dinances, for work under this permit. Plans subject to field inspection.
Signature - of contractor /owner date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension 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.
All plan review i s ject to field inspections.
Signature of e uilding Official date
INSPECT N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Cit of
heat ` r. e Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit # t
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 ' Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
rogerty Adtles�; �,y, �a Ytaul�
Property Owner (please print): h 6whow M ASP Phone: _3G9 r %Tiz- yy
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: P, oelm T4
Contractors City License M Phone: 0 3 4 - /,j //
Subr.Conkractors:
Electrical: plumbing: Mechanical:
City License # City License# City License #
bescrimtron +of mror/C
jewe-v /ire !n
Contract Value: oa.
Review Fee (due at time of submittal):
f i $
Squares 10 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 (C / ONT / RA / CTOR) or (AOTHORIZEDREPRESENTAT /VE) - .(OWNER) (CONTRACTOR)
PRINTNAME: �fr/�i� V SIGNATURE: DATE: N4616
,.. ..,..a ,, ... ter.,_._ —. _ . �.�, ...,, �,. �. ,. ,. .. .,�..,. .,..�,,,._.s'2?i,�✓�, c �'.�, .�i �fv r i., U._v �rrt ,,. .`io,._ {',. ..Y r. >.,i
Bldg Valuation:
INVO
JOB DATE 9/16/10 01 ®39929;
I' id INDUSTRIES INC DATE 9/16/10 JOB # 155033
P.O. Box 370 • Watkins, CO 80137
(303) 696 -9599 1 ESTIRffRay CALL (MISewerTony
Fax(303)671-6871 SERVICEMAN PO #
':JOB;INFORMAYION -
B,ILLING I,NFbFiMAT,IbN.
..
NAME
Howard Miller
NAME
ADDRESS
4480 Yarrow
ADDRESS
CITY
STATE
ZIP
033
CITY
STATE
ZIP
PHONE
303 - 422 -4401
PHONE
'DESCRIP,TION:OF SERVICES
.
- - 'ESTIMATE
Excavate and replace 4" sewer line in front of home to spot marked in yard and install dual
$ 4,500.00
sweep cleanouts. Approx: 10'in length and 3'-4 'in depth.
Price includes re- camera of balance of line once line is open.
- Lr Wa
*Includes: Excavation, Plumbers, Laborers, Pipe & Fittings, Bedding, Backfill,
Compaction, Clean Outs, Clean up, Haul Away, Permit and Inspection.
*All items included if necessary
E.*WARRANTY Terms of Warranty: 5 year- Limited Warranty
APPROVAL
\ NATURE
excludes root intrusion, ground movement, acts of nature).
COMMENTS:
THANK
ILF
/
•
SUBTOTAL
TAX
PLEASE PAY
TN S 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 fordamage caused by unstable soil, cave-ins orany 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
wed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection,iwslud;-
� . Pipeline Industries, Inc. shall be entitled to assert a mechanic's
lien for all unpaid materials and labor supplied to building proj6etspMrsuantto Colorado law.
SIGNAT E
ACCEPTAN
OF IN CE
SIGNA RE
I VISA ❑ M/c ❑ AME
CARD # P
PROVAL #
❑ #
CHARGE A/R ACCOUNT#
o e CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ez_-,
Job Address: 41~Z RU ~ Ott cz t C 7-
Permit Number: r12
/ Z f S"
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made; call for re-inspection at 303-234-5933
Date: 5 Inspector: T ~rsr
'IDO NOT REMOVE THIS NOTICE
I
CITY OF W HEAon DID s on
Buildin 5933 In23 io 2"" Fax
(303) -2355 office • (303) spe
City of °Wheat Ridge
Residential Roofing PERMIT - 091315
PERMIT NO: 091315: ISSUED: 0..8/14/2009
JOB ADDRESS: 4480 YARROW ST EXPIRES: `02/10/2010
DESCRIPTION: Reroof34 sqs
***.CONTACTS
owner 303/422-4401 Howard Miller
sub. 720/530-6331 :Alfred Farias 09-0042 Citywide Roofing LLC
**--PARCEL INFO
ZONE CODE: UA USE: 'UA
SUBDIVISION: 0317 BLOCK/LOT#:.. 0/
**.,FEE SUMMARY ESTIMATED PROJECT VALUATION: `10,933.55
FEES
Permit Fee 253.90 3$
Total Valuation .00 MEM~Ct(._k
Use Tax 196.80 5,.
**.'TOTAL* 450.70
..Conditions:
6 nail installation mid-roof inspection.. required.. Board sheathing spaced more
than `a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2'.'inside :exterior walls.
Subject to field inspections.
Ihereby certify that the setback distances proposed b this
by 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
F measurements a own, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
ume f responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicatio d that i jor
applicable he Ridge n
c , for work under this permit. Plans subject to 'field inspection.
1411 Y
si ure of contract /owner date
t
1. This permit was issued in accordance with the provisions set forth in your ..application -and is subject to the laws of the
k; ..State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other. applicable
lordinances of the City.
2. This permit shall expire 180 days. from the issue date. Requests for an extension must be received prior to expiration
date. An extensionmay be granted at the. discretion of. the Building official.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
h 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 fora 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 lob.
6. The issuance of a permit. or the approval of drawings and specifications shall: not be.. construed to be a permit for, nor
11, an :approval of, any vi cation of'the provisions of the building codes or any other ordinance, law,. rule or regulation.
1All plan review i s ct to field inspections.
x
a,
signature of Ch B ding Official .:.date
INSPECTIONS EQUEST LINE: (30.3)234-5933 BUILDING OFFICE: (303)235-2855
y" REQUESTS MUST BE MADE BY 3PM ANY. BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.'
e
of w"E?>q City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
C~CORP~~ ~ Inspection Line: 303-234-5933
Building Permit Application
Date; 0 ~ I I
Plan
Permit O q Property`Address: y/8-( /arrot~ 5~.
Property Owner (please print):
~p W a
1~
Phone: 603) (-/Z Z - yy~
Mailing Address: (if different than property address)
Address:
State, Zip:
Contractor: G q W ;A,! -K
Contractor License Phone: 3o3-~Sfn' ZZ7s
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: nn Approval: Approval:
Use of space (description): &-,00r 7 3HSa S Construction Value: (0933. S$
Des ription of• Work: kc_ rc~~ (as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: s;-- Squares -N 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 appligeble Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. f~
C/RLCE ONE:: (OWNER) (CONTRACTOR) o PERSONAL REPRESENT AT of ;GWNE ) R / /
PRINT NAME: rS\,..-rte SIGNATURE: Date: S-hy/ 5
Bldg Valuation: $ 1