HomeMy WebLinkAbout3974 Parfet Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: % I f - k,-_ -- �
Job Address: 2 9 7'1 ®o r Fc --f- 4 .
Permit Number: 2 O / _� 0 -4 tq
❑ No one available for inspection: Time � V, 13 A /PM
Re -Inspection required: Yes "No -
'\
corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: Q2�1T_
DO NOT REMOVE THIS NOTICE
It
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: 909 E - Z a
Job Address: -1 4 Pc, c5tl -q
Permit Number: t a r--) 5<- ) `/ q
❑ No one available for inspection: Time9 L A /PM
Re -Inspection required: 're No
When corrections have been made, call for re -inspection at 303-234-5933
Date: J a GI 19 Inspectn)
DO NOT REMOVE THIS NOTICE
L/
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: 0 - /ti`1 cl
Job Address: -317-7L/ Pc. ; _4� 4 S
Permit Number: ma c/ -i n 8 t 7 L/
❑ No one available for inspection: Time 1) = I J Ml M
Re -Inspection required: Yes &�
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
-7-t
DO NOT REMOVE THIS NOTICE
r City of Wheat Ridge
Residential Roofing PERMIT - 201708174
PERMIT NO: 201708174 ISSUED: 10/10/2017
JOB ADDRESS: 3974 Parfet ST EXPIRES: 10/10/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 24 sq Pitch = 4/12
*** CONTACTS ***
OWNER (720)475-6141 OBRIEN DAREN P
SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Total Valuation 0.00
Use Tax 189.00
Permit Fee 188.45
** TOTAL ** 377.45
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201708174
PERMIT NO: 201708174 ISSUED: 10/10/2017
JOB ADDRESS: 3974 Parfet ST EXPIRES: 10/10/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 24 sq Pitch = 4/12
I, by ;ma
signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applie building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by thal owner of pr perty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this it.Ifurtherperfod�lj►at wo be performed is disclosed in this docum� and/off s' accompanying approved plans and specifications.
S a! re of OVNER or CONTRACTOR (Circle one) Dlrte
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.
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. Isuance 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' or gra ti 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 y finance or regulation of this jurisdiction. Approval of work is subject to field inspection.
qJ500A.1—
T"44
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett �" 0 / A � 7
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 9, 2017 10:52 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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
0
Property Address 3974 Parfet St
Property Owner Name Daren O'Brien
Property Owner Phone 720-475-6141
Number (enter WITH
dashes, eg 303-123-4567)
13
�� 7,� S
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Obrien Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Core Contractors
Name
Contractor's License 110052
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-295-2220
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 4049 Saint Paul St
(Primary address of your
business)
Contractor Email Address docs@coredoes.com
Retype Contractor Email docs@coredoes.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 24
the entire scope of work:
Project Value (contract - 9000
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
M
Pitched roof (2:12 pitch or greater)
14
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4/12
22
Owens Corning Duration
Asphalt
Re -roof House
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
15
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.
Name of Applicant Brady Burkholder
Email not displaying correctly? View it in your browser.
16
CONTRACTORS
ROOFING SYSTrrMS
Colorado Owned and
Operated Since 2001
Property Owner AL61AW V
Property Addy ss:
City/State: t
Home Phone: ^7 ?5 -
CORE CONTRACTORS, INC.
General Contracting Ft insurance Restoration Bpi +
4049 St. Paul Street, Denver CO 80216
Ph: 303-295-2220 1 Fax: 303-477.5557 Licensed and Insured
"Doing it Right Matters" Westfield Insurance
Compny
AGREEMENT 800-766-a9133
1 eL, Effective Date: el `17 . 1-7
Zip: L `)-5 E -Mail:
Work / Cell Phone:
TERMS: By signing this agreement, the Property Owner authorizes CORE CONTRACTORS, INC ("CORE") to perform the work
and supply the materials as agreed upon by Property Owner's insurance carrier. Homeowner agrees to use CORE exclusively,
and authorizes CORE to obtain labor and materials in accordance with the scope agreed to by the insurance company and the
specifications set out in this Agreement to accomplish the replacement or repairs. The initial proposed scope of services is
attached to this agreement. This agreement does not obligate the homeowner or CORE in any way, unless the damage is
approved by homeowner's insurance carrier,
Roofing Scope:
The roofing system replacement includes all shingles, undertayment,
valley linings and miscellaneous flashings, per tocal applicable
municipal code. This also includes full clean-up of the property. A 5
year Roof Workmanship Warranty included on full roof replacement
only. A one year workmanship warranty included all non -roof
replacements. Roof repairs are excluded.
Additional Roofing scope notes:
Due to the naturerepairl6etated to insurance claims, this contract includes an estimated repair price of the roof system,
approximately $ '0 -- Because the final scope has not been agreed upon with the insurer, this repair price might
change. The amoun of this contract is for 100% of the replacement cost approved by the insurance company for work to be
completed by CORE. Reaching agreement on the full scope of repairs involves considerable time on CORE's part; -we will not
proceed with that phase untess you agree to allow us to do the work once the scope is agreed upon. By signing this cont; act,
you authorize CORE to reach agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the
primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You, the
homeowner, recognize CORE CONTRACTORS, Inc. as a general contractor and as such shall be entitled to overhead and profit,
at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to the scope of
work witt be handled'on the Customer Verification Form. Property Owner agrees that if a scope of work and project cost is
agreed between CORE and the insurance carrier, that they are responsible to pay ONLY the deductible amount per their
replacement cost insurance policy. Any further changes, in addition to the insurance work, must be requested in writing, by
Property Owner.
If, you, the Property Owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 of
Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S.-, THE ROOFING CONTRACTOR
CANNOT PAY, WAIVE, REBATE OR PROMISE TO PAY, WAIVE OR REBATE ALL OR PART OF ANY INSURANCE DEDUCTIBLE
APPLICABLE TO THE INSURA1l E C,� IM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY.
Property Owner's Initials —25 f r _
PAYMENTS ARE TO BE MADE: 1/2 (OR FIRST INSURANCE CHECK RECEIVED ACV CHECK) UPON DELIVERY OF ROOFING MATERIALS,
AND BALANCE UPON COMPLETION OF WORK. WORK TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED
CUSTOMER VERIFICATION FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE ROOFING
CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF
THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. All estimates or contract amounts include a 3.5% discount for cash
or check transactions.
RIGHT TO CANCEL
You, the homeowner; have the right to rescind this Agreement and obtain a full refund of any deposit within 72 hours
after entering the Agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the
roofing work; you may rescind this contract within 72 hours after you receive written notice From the insurer that your
claim_ has been denied in whole or in part.
Property Owner: a Date: Insurance Company:%
Core Representative; Date: tf Claim It; _ t V I
CORE CONTRACTORS, INC ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that;
(a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR PROPERTY MAY
FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID FOR THE CONTRIBUTIONS.
1. Alt contracts are subject to approval of our credit department and office without exception. The person executing this contract
must obtain the approval from the officer of the CORE CONTRACTORS, INC. for this contract to be effective under any conditions.
2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE
AND ONE HALF (1 'f2) PERCENT PER MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN THE
HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL BE PAID BY CUSTOMER ACCEPTING SAID
CONTRACT.
3. CORE CONTRACTORS, INC. shall have no responsibility for damages from rain, fire, tornado, windstorm, or other perils, as is
normally contemplated to be covered by home owners risk insurance or business risk insurance, or unless a specified written
agreement is made therefore prior to commencement of the work.
4. Should legal action be necessary because of any act that might arise during the course of this Agreement, CORE shat, be entitled to
all costs incurred in connection with such action, including a reasonable Attorney's fee.
5. The parties hereto agree that all actions or proceedings arising in connection with this Agreement shall be tried and litigated
exclusively in the State and Federal courts located in the County of Denver, State of Colorado.
6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing or other materials) not covered
by insurance, discovered during construction and required by governing code or necessary for product warranties are NOT
INCLUDED and will be charged as an extra on a time and materials basis unless STATED IN THIS CONTRACT.
T CORE CONTRACTORS, INC. shalt not be liable for failure or performance due to labor controversies, strikes, fires, weather, and
inability to obtain materials from usual sources, or any other circumstances beyond the control of CORE CONTRACTORS. INC.
whether of a similar or dissimilar nature,
8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the Owner, the Owner shall be
financially responsible for all work performed based on the following milestones (percentages are additive).
a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment - 3% of total bid.
b. Substantial agreement or scope confirmation with insurer 5% of total bid.
c. Ordering and scheduling of work - 2% of total bid.
d. Repair Phase: Any line item of physical work that has been started shalt be completed by CORE; if the owner terminates
this agreement while physical work is ongoing, they shall be responsible for all costs related to that line item, plus
general contractor overhead and profit.
9. In addition, the Owner shall be responsible for all other reasonable fees and expenses incurred prior to termination of the
agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors, subcontractor fees and expenses, etc. to
the extent they are not already included in the line items for work that has been completed. Alt fees and expenses incurred pnor,
to termination of this agreement shall be paid by the Owner within 30 days of invoice date.
10. If material has to be reordered or restocked because of a cancellation by the customer; customer will have to pay the restocking
fee assessed to CORE by the supplier.
11. If any provision of this contract should be held to be invalid or unenforceable, the availability and enforceability of the remaining
provisions of this contract shall not be affected thereby.
12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN ON THIS CONTRACT ARE AGREED TO BE
IMMATERIAL, and not relied on by either party, and do not survive the execution of this contract.
13. The maximum liability for CORE CONTRACTORS, INC. shall be the original cost of labor and materials for the repair which customer
agrees shall be Liquidated sum, under any event of default of CORE CONTRACTORS, INC. herein.
14. During the duration of the work the customer's HOMEOWNER'S INSURANCE will be responsible for any interior damage as long as
CORE CONTRACTORS, INC. has taken appropriate action to protect the roof and siding during the repair of the roof and/or siding.
15. CORE CONTRACTORS, INC. is not responsible for existing construction problems of customer's home. If pointed out and notified to
CORE CONTRACTORS, INC. we will try to assist you in correcting the existing construction problems on a time and material basis.
16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE
CONTRACT BY THE PARTIES.
F
INSPECTION RECORD ' OccDpanwlTVpe
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.
Electrical
Plumbing
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
.INITIALS
COMMENTS:
Footings /Caissons
Roof
Stemwall / (CEG);Concrete
Encased Ground
'Building Final
Fire Department
,.
Reinforcing or Monolithic
=I
R.O W & Drainage
Weatherproof/ French Drain
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS,
Parking 12 v. Landscaping..
Sewer Service Lines>
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A r
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY,
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' /!9'
Electrical Service
Rough. Electric
R
' Rough Plumbing
Gas Piping
r
}� Rough Mechanical,.
ABOVE INSPECTIONS TO BE SIGNED PRIOR SO PROCEEDING
O Framing
I :Insulation
Drywall Screw
N
FINALS
Electrical
Plumbing
Mechanical
Roof
'Building Final
Fire Department
=I
R.O W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS,
Parking 12 v. Landscaping..
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A r
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY,
VP
B
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
n
Inspection Type: ' F)0F 1 „
Job Address: J °r f 7 '
Permit Number:
U
Pr - tl ,.
'' m7
¢ ❑ No one available for inspection: 'me AM/
Re- Inspection required: Yes
f
"When corrections have been made, call fd 7't s i at $
Date: Inspector: L
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When correction have been made, call for re- inspection at 303-234-5933
Date: z d o 4 spector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r4000'r Residential Roofing PERMIT - 091604
PERMIT NO: 091604 ISSUED: 08/25/2009
JOB ADDRESS: 3974 PARFET ST EXPIRES: 02/21/2010
DESCRIPTION: Reroof '22sgs
***CONTACTS
owner 720/940-7922 Darren O'Brien
sub 763/427-2007 Ty Adams 09-0128 Patriot Service Network,. Inc.
PARCEL INFO
`ZONE CODE: `UA USE: UA
SUBDIVISION: 0190 $LOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,720.00
FEES
Permit Fee 162.90
Total Valuation 00
Use Tax 102.96
TOTAL 265.86.,5-
Conditions:
'-:6 nail installation & mid-roof inspection required. Board sheathing spaced more. -
:.;thana 1/2ofan inch apart requires plywood overlay on entire roof. Ice and
water shield required from eaveedge to 2' inside exterior. walls.
Subject to field inspections.
Thereby 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 [cheat Ridge or covenants,. easements or restrictions of record; that all
measureme shown, allegations made are accurate; that I have read and agree to abide by all conditions printed on this
applicat on nd that I.a sum ull responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
' applica Is W eat. e 0 in n es, for work under this ermit. .lane subject to field inspection.
j
l
Signs ure of contractor/ r -date
j`
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
a; ordinances. of the City.
s2. 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.
n'. 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 revi w object to field inspections.
Signature o i Building Official 'date
R"
n", INSPECT ON 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..
r.
750WW. heat RidgeBrri/dingDivision
Q City f
29tt' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
y dos
Property Owner (please print): Da r,0-4 ON ~t t.,n, Ph
Mailing Address: (if different than property address)
Address:
City, State,
D]O&: I X47
Plan
pemtn#: C,
(-IIA gun
Qomok ~a~f ~2rf~~ i~L'Y.1Jar~L
Contactor License G - 01-40 Phone: 856 -7 tact - '72-WI
sew ih*tbft
Electrical City License Plumbing City License Mechanical City License ft
Company: Company Company-
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
use of space (description): 2A xm( ConsvucSon Value: S S r'7ZA
- (,on CatduWted Der the Building Valuation Data sheet)
~Ft wtws~ 2 l ca-y-Cr7 2,L• S S~ Plan Review (due at time ofsubmittap: $ -
Z2- ->I a~ S Cocn:~ ?,Vyf- 3 r{gb
Sq. Ft/L.Ft added: Squares BTU'S Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
F hereby =1 the setback distances proposed by this perm@ aPPlieation are accrate, and do not v;o)ata applicable o ihmnom,
odes or of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measkremems shown, are
allegations made are accurate: that I have read and aaggree to abide byy all conditions printed ort this application and that I assume full
reSponW'
is,perfor compliance with the Wheat Ridge Buuddmg Cade (1-13.C) and all other applicable Wheat Ridge Ordinances, for work
wda thmit Plane sa7(4/(
CIF>LCE ONE:: ('Oj WNER) OR PERSONAL REPRES ATIVE L~ 51P)(~(C~/1~TRATOR)
PPI NAME: A iC-~ ~O..n ff~ SIGNATURE: _1tl> SC~_ pate; d3
S00A 00'd LZZO# ~JCMION 801A.18g ;OTJ. ed 69:91. 6003IVZ180