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HomeMy WebLinkAbout4525 Pierce Streeti CITY OF WHEAT RIDGE f� Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address:=t- Permit Number: c� « c� CJ No one available for inspection: Time 0 AM/PM Re -Inspection required: Yes N�c When corrections have been made, schedule for re -inspection online at: httpJ/www.ci, wheatridge. co. usfinspection Date: ,-f'J u' - Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202002326 PERMIT NO: 202002326 ISSUED: 11/10/2020 JOB ADDRESS: 4525 Pierce St EXPIRES: 11/10/2021 JOB DESCRIPTION: Installing 40 gallon, 40k BTU water heater in garage. *** CONTACTS *** OWNER ( 3 0 3) 918-6482 STEVENSON AMY K SUB (303)458-5988 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21856.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 59.98 ** TOTAL ** 99.98 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � � i City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202002326 PERMIT NO: 202002326 ISSUED: 11/10/2020 JOB ADDRESS: 4525 Pierce St EXPIRES: 11/10/2021 JOB DESCRIPTION: Installing 40 gallon, 40k BTU water heater in garage. 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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation 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 Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Water Heater Replacement Permit Application Date: Tuesday, November 10, 2020 9:51:41 AM Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address (Leave blank if not known) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 4525 PIERCE ST UNTAAY.91:9:10W61Q1 303-918-6482 PERM ITS@APPLEVVOODFIXIT. COM CONTRACTOR INFORMATION Contractor Business Applewood Plumbing Heating & Electric Name Contractor's License 18236 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 Email Address Retype Contractor Email Address DESCRIPTION OF WORK Number of gallons KI8B1E,W- IS61-I: PERM ITS@APPLEWOODFIXIT. COM PERM ITS@APPLEWOODFIXIT. COM IN Is the water heater GAS GAS or ELECTRIC? If GAS, enter # of 40000 BTUs. If electric, enter n/a Where is the water GARAGE heater located (for example, basement, crawlspace, etc)? Project Value (contract 2856 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Permit JOSH WARD Email not displaying correctly? View it in your browser. INSPECTION R CORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co-us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the incno..+i­ Occuupaln�cy�/Type Do Not Cover Underaround nr Rpinu,nn_ci,nh W -1, o_:__ ,•_ Rough Inspections 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 Initials Comments Pier 1� + W eAV 6,p 2-1-1 Concrete Encased Ground (CEG) Foundation / P.E. Letter Rough Electric Do Not Pour Concrete Prior To Approval Of The Above Inspections ons Date Inspector Initials Comments pPlumbingn!!! Rough Framing Do Not Cover Underaround nr Rpinu,nn_ci,nh W -1, o_:__ ,•_ Rough Inspections - -------' ----•"-•• ••-`" l"" VV%J1n VIIV[ 1 V Hp rovai UT the Above Inspections Inspector -- Date Initials Comments Sheathing ��� • l5.1 int-4ev 2'• -L-1 Mid-Roof5 1� + W eAV 6,p 2-1-1 Lath /Wall Tie inspections call 303-235-2846. For ROW and drainage Rough Electric S r Rough Plumbing/Gas Line P�i I Rough Mechanical Rough Framing Rough Grading / r'+ . Insulation Drywall Screw/ Nail Final Inspections Date Inspector -- - Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be ROW & Drainage / Public Works Dept. requested one week in advance. For landscaping and parking Floodplain Inspection (if applicable) inspections call 303-235-2846. For ROW and drainage Fire inspection / Fire Protection Dist. inspections call 303-235-2861. For fire inspections Final Electrical contact the Fire Protection District for your project. Final Plumbing Final Mechanical Roof / r'+ . Final Window/Doors Final Building L TE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate 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 of Wheat Ridge Residential Roofing PERMIT - 201704824 ERMIT N0: 201709824 ISSUED: 07/26/2017 EXPIRES: 07/26/2018 OB ADDRESS: 4525 Pierce ST 'OB DESCRIPTION: Residential Re -roof to install Malarkey Legacy SBS Class 4 asphalt shingles with 31 sq. ** CONTACTS *** )WNER (303)918-6482 STEVENSON AMY K 017636 A to Z Roofing >UB (303)781-8185 Corey Largen ** PARCEL INFO *** USE: UA / Unassigned 70NE CODE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00 FEES Total Valuation 0.00 Use Tax 273.00 Permit Fee 251.85 ** TOTAL ** 524.85 *** 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. 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. ' 41 City of Wheat Ridge s Residential Roofing PERMIT - 201704824 PERMIT NO: 201704824 ISSUED: 07/26/2017 JOB ADDRESS: 4525 Pierce ST EXPIRES: 07/26/2018 JOB DESCRIPTION: **REVISION** Adding decking to existing permit Residential Re -roof to install Malarkey Legacy SBS Class 4 asphalt shingles with 31 sq. *** CONTACTS *** OWNER (303)918-6482 STEVENSON AMY K SUB (303)781-8185 Corey Largen 017636 A to Z Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / EARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,300.00 FEES Total Valuation 0.00 Use Tax 342.30 Permit Fee 315.25 ** TOTAL ** 657.55 *** 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. 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. �,clvli� PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201704824 201704824 4525 Pierce "REVISION" FN ISSUED: 07/26/2017 EXPIRES: 07/26/2018 Adding decking to existing permit Residential Re -roof to install Malarkey Legacy SBS Class 4 asphalt shingles with 31 sq. 1, 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 bythe legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work t�e performed is disclosed in this document and/or its' accompanying approved plans and specifications. c 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. 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 Off�ial 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 o£ma ' rt shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordr regulation.cif is jur'sdic>- on. 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. City of Wheat Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: I !0 )1 Add to Permit # -I k"�) y 0 5 Building Permit Revision/Amendment Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Owner Property Owner Email: ' fe F Mailing Address: (if different than property address) Address: City, State, Zip: Phone: t n Contact Person: Civ -CR Phone: Contractor: Contractors City License #:L1#"' -3L1 Phone:_'3C` Contractor E-mail Address: I Irl C 6(eP 1YW0C fCrS Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Btu's Amps Squares f�.4-(-o o r 1Gj Vage jf✓, 1, Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ l� 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 (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. SIGNATURE: DEPARTMENT USE ONLY DATE: OCCUPANCY CLASSIFICATION: k PUBLIC WORKS COMMENTS: Reviewer: v , PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ rs City of Wheat Ridge Residential Roofing PERMIT - 201704824 PERMIT NO: 201704824 ISSUED: 07/26/2017 JOB ADDRESS: 4525 Pierce ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy SBS Class 4 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 authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that al�work to be performed is disclosed in this document and/or its' accompanyijng approved plans and specifications. 7 Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermitfee. 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 Off-cial 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 border 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 c2kor any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official d Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Roofing PERMIT - 201704824 PERMIT NO: 201704824 ISSUED: 07/26/2017 JOB ADDRESS: 4525 Pierce ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy SBS Class 4 asphalt shingles with 31 sq. *** CONTACTS *** OWNER (303)918-6482 STEVENSON AMY K SUB (303)781-8185 Corey Largen 017636 A to Z Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00 FEES Total Valuation 0.00 Use Tax 273.00 -- Permit Fee 251.85 ** TOTAL ** 524.85 *** 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. 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. PREFERRED (ORRACTOR 4251 S. Natches Ct. Unit K, Englewood, CO 80110 Phone: 303-781-8185 Fax. 303-781-4875 www.denverroofers.com info@denverroofers.com PROPCISALMRAITTEDTO Aft Amy Stevenson 1303-918-6482 - Dave I7-11-2017 4525 Pierce St. 14525 Pierce St. CfrY, 57ATE AND aP CAoE CYN, STATE AND YIP COOS Wheat Ridge, CO 80033-3510 Wheat Ridge, CO EXISTING TYPE OF ROOF: Laminate, Class 4 IR SPECIAL INSTRUCTIONS INSTALL OR REPLACE WITH: Malarkey Legacy Class 4 IR COLOR OFSHINGLE:BlackOak tCUSTINT-1 MANUFACTURER'S LIMITED WARRANTY: Life House, Qeiachpd Garagenrid Shed * Remove shingles to the roof deck. * 7/16" OSB EXISTING NUMBER OF LAYERS: 1 deck overlay of shed, 6 sheets. * Replace roof lack ROOF PITCH: 4.12 rubber boot, vent collars and caps. Paint to match _ SECTIONS LESS THAN 4/12. Detached Garage 3.5/12 roof color. Remove and patch over holes of 7 INSTALLOECKING: 7/16"058 ✓ PLYWOOD passive bents_ Install new 75L o continuous ridge INSTALL FELT: ZS# 3Dtt ✓ vent On Ouse. Install Ice and water shield, per INSTALL ICE & WATER SHIELD: YES V NO SQ FT 700 code on eaves, also In Valleys and around "Replace 'Install METAL EDGE: 2X2 RAKES 2X4 (12(")EAVES COLOR: Whitechirriney. VALLEYTYPE: OPEN CLOSED `/ chimney flashing. REPLACE PLUMBING JACKS: YES yINO #:1ILaminate' VENTS (#): RIDGEVENT (LF): 75 New 10 YEAR GUARANTEE ON LABOR Glass 4 Hail !In 4Z6si-stive shingles ' 7R__ GALVANIZED NAILS, 6 PER SHINGLE _ _$151973 GUTTERS CLEANED OF ROOFING DEBRIS (FXCIUDEs DowNSPOtrrs) ATO Z ROOFING TO FURNISH ALL MATERIAL AND LABOR CLEAN AND HAUL ALL TRASH FROM ROOF PROTECT LANDSCAPE WHERE NEEDED ROLL YARD WITH MAGNETIC ROLLER AtOZ will supplement State Farm for permit fee. PERMIT FURNISHED BY ATO ZROOFING twPPUMENrTOINSU NCEIS"PLICULt7 INSURANCE PAPERS PROVIDED: YES NO ✓ untlnrhe tnmsdtbmnoosx sw 1—ahip mgr ly.—elk—7�nnns�a medein!ug anyabaria: s:sraatyb ro,-ualntnatk c�lcuotherxbesatM tr'lM macvlictuer, t. avrry Ade mquacs tha: fapenerslwe's uMshp7eSj MllSt pcMtatedcrkag!'cthidress of s•Y`el'.`¢. Alnzpaafy ncPr.e:pm...Mcrarpwed esvcstla-�.aYs sreeoatc. A=fe�e mitegpa��Le'aaa.c ';e—ah 2R:vcc:tmn.ehic:esuxd;n uvmat reaagp.ca:um. pad trrnn'OmeitOltsu'a fle�vy .1:k76vti1n3tdmY 4lcNIIcte. a tat gmrmgs not re;Pead'c:e fa mPidar amide.,. neptrcrmcu al detcidatetlrnyxedtttlag fa:6a CPmas..er•Nalws,rN:.�aau+crmaterla's,rmtrs othorw ses:atrdro dm m,rnq, ore"... cdc. axJ wt: LrrtugNsss,cmama:ineand na:eia Fafix We Propose to furnish ail materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST: 5 15,273.78 per insurance proceeds plus any supplements that may apply to your claim. Upon approval of yourciaim, ATO Z ROORNG will file for any and all supplements which may include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per your policy provisions and will become part of this contract as if contained herein. A TO Z ROOFING will negotiate a falr and equitable settlement agreeable by both your insurance company and A TO Z ROOFING based on competitive market rates for labor & materials with no addiUmnal cost to you except for your deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your Insurance company deny a full roof replacement, you will not be obligated to this contract and may enter into an acceptable repair agreement with ATOZ ROORNG. ACCEPTANCE OF PROPOSAL -This proposal becomes a legal Landing contract 72 hours from date of All proposals are subject to approval by Management. atteptatfcd. 1'/,%permonth inters .wflbeaddedontoall awoums30days pan due. inaddiron,costs Cus er agrees that he r she has read, understood and agreed to all terms and reasanaIllc attorney's fee ferrollactuns maybe charged en any account past due ever 30 days. OOn itions set fort k of this contract ?ayment x811 he made as outlined above, fafiure to pay ran co:ispnrze a mechanics Tien fled agaNtstL'l�+-t property. Car:c¢N;.dan ofihetva"act maybeathiewd by payingaameilason feein the amountof S%of ` ^'}�- the contionprice, at returned checks are sweet to a resumed check charge fee. Customer Approval Date ❑Ammer u respomible for paymeruas outlined 1. this contract and payomem to A toi Roafing h not cerffinwnt uponYluvernment inspection and for paymentframhis other Insurance conwamr• Note: This proposal may be withdrawn by us if not accepted within 15 days ATO Z ROOFING is owned and operated by 2 HAIL INC., Brett Gerhardt 7-11-17 A to ZRepresentativc Pppmvat Pate a registered Colorado Corporation. A to Z Roofing Management Approval Date Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 18, 2017 11:56 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 Property Owner Email Address 4525 Pierce St Amy Stevenson 3039186482 Field not completed. os;4,s-� 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 A to Z Roofing Contractor's License 017636 Number (for the City of Wheat Ridge) Contractor Phone 3037818185 Number Contractor Email Address info@denverroofers.com Retype Contractor Email info@denverroofers.com 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? No ✓ Malarkey Legacy SBS Class 4 Asphalt Field not completed. 31 No " Field not completed. TOTAL SQUARES of all 31 roofing material for this project Provide additional detail House and detached garage, 4/12, 1 story, ice/water eaves here on the description of and valleys, new roof edge and penetration metal, ridgevent 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract<1:300 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 D. Corey Largen Email not displaying correctly? View it in your browser. 3 9 i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ No one available for inspection': -Time !� AM/PM Re -Inspection required: Yes ,! No/ When corrections have been made, call for re-insp ctn at 303-234-5933 Date: :J Inspector: �' 6 DO NOT REMOVE THIS NOTICE a 4" 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: Permit Number:A// ©i _ L iL.0 K .5 7— S-0 ,,rte � a Ll ❑ No one available for inspection: Time i '/M/PM Re -Inspection required:jYes" No ( s/ When corrections have been made, call for re-inspe o 303-234-5933 f Date/F 2 - ,'' �' Inspector: DO NOT REMOVE THIS NOTICE A s CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M 1 D Job Address: 45 L1�? VI Y( -LCA zz)', Permit Number: ❑ No one available for inspection: Time' -'Z _1 Re -Inspection required: Yes (N) When corrections have been made, call for re -inspection at 303 -234 - Date: { Inspector: DO NOT REMOVE THIS NOTICE CIRCLEONE,* (O*NER) (CONTPUCTOR) gr (AUTHOPMEPREPMEMArIVE) of (O#NEk) (CONTPUma WARA92M DATE: /0 Sido Valuation.4 City of �Wh6atp �ji�d Date: C 0., UN DE T MMtTY VELOPWNT Plan # Permit # Property Address: Address: azh".j City, State, Zip: A&_ Contractor: l -- iy& Electrical: Plumbing: NMM= CIRCLEONE (OWNER) (CONTRACTOR) 9t (AUTHORIZEDREPRESENIATIYE) of (OWNER) (CONTRACTOR) . .. . ..... MLN NAME: SIGNATU DATE: lfiaffi �� 0 FIRE DEPARTMENT:,: 0 approved w/ comments, 0 0 no revLew required Bldg Valuation: ..... . ... . CITY OF WHEAT Building Inspection V 5 5 ❑ No one available for inspection: Time / 1 AM/ Re- Inspection required: Yes fN When corrections have been made, call for re- inspection at 303 - 234 -5933 .Date: ,>��! Inspector: r DO NOT REMOVE THIS NOTICE a r F. " 41 City of Wheat Ridge 1� Residential Mechanic PERMIT - 110755 PERMIT NO: 110755 ISSUED: 07/01/2011 JOB ADDRESS: 4525 PIERCE ST EXPIRES: 06/30/2012 DESCRIPTION: Install new 80K BTU Furnace and 2 -ton A/C unit * ** CONTACTS * ** gc 303/288 -2299 Sam Johnstone 02 -2414 Now Heating & Air Owner 303/918 -6482 David Stevenson ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0296 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,000.00 FEES a Permit Fee 100.00 Total Valuation .00 Use Tax 126.00 - a ** TOTAL ** 226.00 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. 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. t /� /Jy P �/jwt9 Signature of OWNER Or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appli ble code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspecti Signature of Chief ildi(n6 Offical Date rl INSPECTION 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. 07/01/2011 07:44 3032873619 City elf ., (.c::,1 ?ifhVI t? I) f..•• I t L I PA 1; ,\ License M Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 � Fax: 303- 237 -8929 Inspection Line: 303 -234 -5933 Building permit Application NOW HEATING AIR Property Address: 5/ S S' ®! +aim C ^e 5V' Property Owner (please print): , J Q !i1 Sf t- eh 94, t 7 Ph Mailing Address: (if different than property address) Address: 5- S; 1 -e �o ei YFZ City, State, Zip: / Contractor : / y 0 H/� �7 90 W CL � Contractors Electrical: City License # PWmbing: City License # Description of work: 2: �° y f e -. O F U �v Sauares BTU's - Gallons _ Contr Value: � 5 Review Fee (due of time of submittal): OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT t hereby certify that the setback distances proposud by this permit application are accurate and do not violate app liceblco[dinances, ndcs or regulations of the City of Wheat Ridge or covenants, casements or restrictions of record; that all mcasorements 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 Whoat 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 authorzed by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (C ar (AOT17ORI7EDREPRF5FNTATIVE) of (OWNER) (CONTRACTOR) PRINT NAMP,: ! _ SIGNATURE' __D.1.TE: p DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: OCCUPANCY: Phone: ��/ S�_ PAGE 01 Date: Plan # Permit # �echani City License # PUBLIC WORKS COMMENTS: Reviewer. FIRE DEPARTMENT" ❑ approved w/ comments ❑ disapproved q no review required Bldg Valuation: INSPECTION RECORD Occupancy/Type "'INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 5 eC. 5 _ INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATl PECTIONS DATE Electrical (Underground) Footings /' Plumbing (Underground) :Mechanical Stemwall Concrete ..:Encased -- Heating (Underground) =COMMENTS Reinforcinolithic Building Final M NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Weatherprnch Drain Sheathing Lath /Wall tie Mid Roof Electrical Service QD Sewer Seres' Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS SO BE SIGNED PRIOR TO PROCEEDING - Framing. Water Sers'- 'POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED .CONCRETE SLAB FLOOR Electrical (Underground) Plumbing Plumbing (Underground) :Mechanical Heating (Underground) Building Final DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS: Sheathing Lath /Wall tie Mid Roof Electrical Service QD Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS SO BE SIGNED PRIOR TO PROCEEDING - Framing. Insulation Drywall Screw FINALS Electrical Plumbing :Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING S. ZONING, FIRE AND PUBLICE WORKS .SHOULD BE 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 ISISSUED..'FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF ACERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. UCCUPANCY'NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTE_ THER rF; 1* 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: J Ji2G Permit Number: errs °r -. , G ❑ No one available for inspecti / oi Re- Inspection required: Yes ( r "When corrections have been made, i Date: inspector: DO NOT REMOV AM /PM at 303-234-5933 NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: PF -T - z ~7 , 14rA Job Address: Y~aS Permit Number: exy Y35,2 14 12 /9 /-0 OX 19 AAC ❑ No one available for inspection: Time 6gGPM Re-Inspection required: Yes LN~o *When corrections have been made, calf for re-inspection at 303-234-5933 Date: 1f a /iT> Inspector: c> DO NOT REMOVE THIS NOTICE .*1 'City of Wheat Ridge ru. rVI-111ll. rL N1V111 - V74001Q ISSUED: 12/07/2009 EXPIRES:: 06./05/2010 t water heater Jenson 01-7569 Brothers Plumbing &f. Heating, I USE: UA `BLOCK/LOT#: 0/ ESTIMATED PROJECT VALUATION:: 1,545.00 FEES 40.00 , .00 (I r-E(~l"(7d^ 27.81 67.81 RI-F I to be posted on job site. If one or the other DT BE PERFORMED. ~r INSPECTION RECORD Occugancv/Tvp INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS I DATE I INITIALS NSPECTOR I COMMENTS: I Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid-Roof - - Electrical Service Rough Electric - Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TC Framing CITY OF WHEAT RIDGE Insulation 12/07/09 9:43 AN edbb D wall Screw Brian Colasuonno RECEIPT NO:CDB003492 BPSP Replace 40 gallon ho AMOUNT 67.81 094352 Permit Fee 40.00 t Use Tax MR 27.81 PAYMENT RECEIVED - AMOUNT MC 8372 67.81 Roof Auth Cade: 780737 TOTAL 67.81 ICe epartment R.O:W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Farling Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. E --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 FROM PnjpejtyeAddlpls: g~J Z~ 1~1Ftcc L6n_~ _ Property Owner (please print):. s4ey"' Phone: Mailin Address: g Address: (if different than property address) r City of 7 7 ~L(~ Date: MMi7N[TY DEVELOPMENT Permit r##C*010r Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Co'ntractor' Contractor License NOW DEC 7 2009 8:42/ST. 8:41/No.6800852629 P 1 !t'r'tw'SU t4B: /imoanvame. License Expiration Date: TradelProfession• Ap rovaP Use of sppace (description): 1L1~ ~ul[~r! yU ra/ '/b olrfl 'u Deserrptloii+ofMork: Plan Review (due at time ofsubminal): $ Sq. Ft./L.FI added: Equates _ BTU's QdUO Gallons ==j~P 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 pdnted 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 tons permit. Plans subject to field Inspection. GIRLCE ONE:: (OWNER) oawfiRTe or PERSONAL REPRESENT E of (O TER) (CONTRATOR) PRINT NAME: SIGNATURE: Dale: to/7/o9 ZONING COMMENTS ' ' CpipRai' YID .tSE601Kl~lf'`Y L iPw,az M1:."'~ rvi p - Zoning: Revlewer: . PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS:.000UPANC ReNewen _ FIREDEPARTMENT,: ❑'approved.wt comments disappraved..' ❑.no'raview.requifaa< Bldg valuation: f Credit Card Payment: Use credit card listed on file. Print name R/-EN L'o%lcr~r-.r~ Signature: _ USC T,o -?F9 7 City of Wheat Ridge Residential Electric PERMIT - 093759 PERMIT NO: 093759 ISSUED:` 11/02/2009 JOB ADDRESS:4525 PIERCE ST':: `EXPIRES: 05/01/2010 DESCRIPTION:. 150 amp service change., dryer circuit, and power garage CONTACTS,*** owner 303/469-44G2 Stevenson sub 303%469-4462 JEFFREY M. HANSON 08-0031 HANSON ELECTRIC **PARCEL INFO ZONE `CODE: UA `USE: UA SUBDIVISION:0296. BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,000.00 FEES Permit Fee 126.50 .,E f E* TOTAL 198.50 ILI 1-r-DI z~ =117'", anditions• 1st 'comply w/ 2003 IRC & 2005 NEC. abject to field inspections. hereby certify; that the setback is nces proposed by this permit application: are accurate, and do not violate applicable rdinances, rules or ons o he City of ;Wheat Ridge or covenants, easements or restrictions of record; that all easurements , an leg q de are accurate; that I have read and agree to abider by all conditions printed on this pplicat and the as res ility for compliance with the Wheat Ridge Building Code (i.B.C) and all other opl Is Wheat` d s, r o under this permit. Plans subject to 'Field inspection. i n act .own r :.'date 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 SRidge, Colorado or any other applicable ordinances of the City. 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. ~oF""~'T~ City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 CO<ORA~O Inspection Line: 303-234-5933 Property Address: PC e- Property Owner (please print): ~ Phone: C 7 ~(0<-W6 Mailing Address: (if different than property address) Address: State, Zip: Building Permit Application Date: Plan Permit Contractor: ~-~~Ac5, ,,L J rWWfC` Contractor License Zo7•3 Phone j'~>y(~ -~f~i'~-- Sub Contractors; Electrical City License Company: Plumbing City License#: Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ slrP Description of work (as calculated per the Building valuation Data sheet) ~~LG✓ ~rrdr'iC~ t~~(d(CZ(~(Ce Plan Review (due at time of submittal): $ ~D~Orr C/Mrq j IDq er e_47- Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRAC'rOR 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 fi nspection. C)RLCE ONE:: (OWNERR)) (COONTRACTOR) r PERSONAL REPRESE of_(O R) (CONTRATOR) PRINT NAME:: -7-o ryrt.+t Sc.r,st SIGNATURC' ~ Date: