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Home My WebLink About3900 Garrison Street8 Ex rpfM,d .014� � X1)1 -7A-7)1777 v INSPECTION RECORD � � INSPECTION REQUEST LINE: (303) 234-5933 occupancvT�e . Inspector Initials Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. 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 vas UL rVul l.Uf1CrP-7P_ rrinr 1 n Aannrnuml 1 lr 1 nn nnnvn anc.,e..t:.,.,� Underground/Slab Inspections Date Inspector Initials Comments Electrical 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. Sewer Service Fire Inspection / Fire Protection Dist. Plumbing Final Plumbing UV IYVL liVVer Unuer round or rseiownn-siap worK mor 10 Approval Of The Above Inspecti.ns Rough Inspections Date Inspector Comments Initials SII Sheathing lap ,�7 L Mid -Roof 7 G 17 67 AI 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. ••-W. p.........� ---Ulu u10 ivuyii lio'pGl.UullJ GIG will itaIJU Hurn ine Tire uistnct ana electrical low voltage by the Building Division. For notification of your assigned inspection time window please email insptimerequest(ii),ci.wheatrid-e.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ERMIT NO: OB ADDRESS: OB DESCRIPTION: Cit of Wheat Ridge Residential Roofing PERMIT - 201702127 201702127 3900 Garrison ST Shingle and install shingles 40 SQ AS � - ,,,',\�Cm- Cmc - ISSUED: 06/19/2017 EXPIRES: 06/19/2018 new decking using Certainteed Landmark Asphalt ** CONTACTS *** WNER (303)422-4201 SCHILLEREFF HERBERT G �C (719)488-2800 Gerald/Teresa Fristoe 160257 Integrity Roofing & Painting ** PARCEL INFO *** ,ONE CODE: UA / Unassigned USE: UA / Unassigned IUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,405.00 FEES 'otal Valuation 0.00 --1x 281.51 'ermit Fee 267.70 * TOTAL ** 549.21 ** 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 A'/2 -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&€R"s 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's 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. 1* � 4 � City of Wheat Ridge V, Residential Roofing PERMIT - 201702127 PERMIT NO: 201702127 ISSUED: 06/19/2017 JOB ADDRESS: 3900 Garrison ST EXPIRES: 06/19/2018 JOB DESCRIPTION: Shingle and install new decking using Certainteed Landmark Asphalt shingles 40 SQ *** CONTACTS *** OWNER (303)422-4201 SCHILLEREFF HERBERT G GC (719)488-2800 Gerald/Teresa Fristoe 160257 Integrity Roofing & Painting *** 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: 13,405.00 FEES Total Valuation 0.00._ Use Tax 281.51_ Permit Fee 267.70 ** TOTAL ** 549.21 *** 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 Al/z-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 manufacturera€ms 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's 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 - 201702127 PERMIT NO: 201702127 ISSUED: 06/19/2017 JOB ADDRESS: 3900 Garrison ST EXPIRES: 06/19/2018 JOB DESCRIPTION: Shingle and install new decking using Certainteed Landmark Asphalt shingles 40 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 t e 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as partes 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. - � Y 'ItC ) Signature of OWNER or CON-RACTOR (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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date W REQUESTS MUST HE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick r? D 1 4 O a I a -3 - From: no-reply@ci.wheatridge.co.us Sent: Saturday, June 10, 2017 7:39 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 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. 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. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 3900 Garrison St Wheat Ridge CO 80033 Herb and Lorna Schillereff 303-422-4201 Field not completed. Yes CONTRACTOR INFORMATION Contractor Name Integrity Roofing and Painting, LLC Contractor's License 160257 Number (for the City of Wheat Ridge) Contractor Phone 719-488-2800 Number Contractor Email Address benb.irp@gmail.com (pen -nit pick-up instructions will be sent to this email) Retype Contractor Email benb.irp@gmail.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the Yes roof? Description of Roofing Certainteed Landmark Lifetime Laminate Asphalt Shingle Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 37 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3 on the flat roof? TOTAL SQUARES of all 40 roofing material for this project 2 Provide additional detail Remove and replace all asphalt shingles and flat modified here on the description of bitumen roof. 4:12 pitch shingles. Synthetic felt. 6 nails per work. (Is this for a house shingles. Ice and water shield installed at eaves 2' past bearing or garage? What is the wall and at valleys. Replace all flashings. roof pitch? Etc) Project Value (contract 15,749.35 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 Benjamin R Buchholz Email not displaying correctly? View it in your browser. 3 Colorado Springs OlTice Denver Office contact((i integritvroofingandpaintint coin 115 North Union Blvd 7900 E Union Blvd, Ste 1100 Office: (719) 488 - 2800 Colorado Springs, CO 80909 Denver, CO 80237 Fax (719) 488 - 2860 Denver: (303) 209-0152 c c. Owner.�/�✓ C / Project Manager.9d Address:_ i /� (0,4g Jc /1 X- J Yr Project Manager Phone: e /A / 6t� City/Zip: [ leL f�e A � ? Insurance Provider: /dry" A Client Primary Phone: O .?=y�e� - ��d`* � /nsurance Adjuster: Client Alternate Phone: YClaim Number: ©—o7C [[ 6 / _ ( Client Email: (Adjuster Phone: a / L 0 'S' --0-43-3 WE HEREBY PROPOSE TO FURNISH LABOR AND ;MATERIALS ACCORDING TO THE SCOPE OF WORK SPECIFICATIONS BELOW: Tear off. --I— layers of composition layers of wood on �<- house garage other ❑ Apply Decking: OSB ZP IyWOO1— Shingle Fasteners: �I Type of Nails g Nails per Shingle j Install Plumbing lacks: _ _3 in 1 4" >C- Retro Replace Exhaust Vents: 4" 6" Felt: _ 15 Ib. 30 lb.entheti�Undcrlay�ment 1Vindstorm Stoner Strip: ��W `l. Eavese Drip Edge: Z�C' c Color _Type New Valleys: 1/2" Cut closedWater Shield in valleys Valley Metal Re -flash Chimney with: Step _,Nf Cricket X 1 WS Counter ❑ Install new flashing around skylights: Step _Diverter IWS Apron Roof Box Vent Turbine Vent __ Ice and Water Shield Kick Out tugss sty muunug unu ramong, LL,t- (--we") will perform the Scope.of Work for the Total Contract Amount (to be determined), which is estimated to be approximately S el plus any approved insurance supplements when warranted and agreed upon by insurance and permit fees. We exp t the work to commence approximately: 201Z and require approximately _ days. SPECIAL INSTRUCTIONS: ,1v Owner ("you") hereby authorize Integrity Roofing and Painting. LLC to communicate with your insurance carrier and meet with their representatives and discuss all matters related to the insurance coverage and the scope of services, and you authorize your insurance company to release to us all information and documents concerning your property, policy, and insurance claim. You promise to do all things reasonably necessary to ensure that we receive the insurance proceeds as intended by this contract. including but not limited to immediately endorsing and delivering to its insurance checks in payment of the insurance claim. The exact Total Contract Amount is determined in communications among you, the insurance company and Integrity Roofing and Painting. LLC. Integrity Roofing and Painting, LLC requires the insurance company to pay present day fair market value utilizing Xactimate pricing. You will pay us: your deductible, the cost of pre -selected upgrades (if any), and the roofing portion of your insurance proceeds which ordinarily includes roof replacement cost value (RCV), overhead and profit, sales tax, permit tees and insurance supplements. There will be no additional out of pocket evpcnse to you e\cept the tnsurncc tleductihle and any t w ncr prc-selected upgrades You must have replacement cost coverage. If you do not, then you agree to pay the deductible plus non-recoverable depreciation. This cancellation policy applies only to residential roofing services as defined in C.R.S. 6-22-102: Pursuant to C.R.S. 6-22-104 you may rescind a contract for residential roofing services and obtain a full refund of any deposit made to us within 72 hours after entering into this contract. Pursuant to C.R.S. 6-22-104 if payment for the roofing work will be made from the proceeds of a property and casualty insurance policy issued pursuant to C.R.S. Title 10, Article 4, Part 1, then: (1) you may also rescind a contract for work on your residential property, for which payment would be made from insurance proceeds, within 72 hours after receiving notice from your insurer that the claim is denied in whole or in part Pursuant to C.R.S. 6-22-105, we cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of am insurance deductible applicable to the insurance claim for payment for roofing work on the covered residential property. Integrity Roofing and Painting. LLC does not assume liability for improperly ventilated roof systems. Owner is advised to consult with an engineer or architect to confirm adequate ventilation prior to installation of new roof. _ (client signature) We shall hold in trust the actual cash value (ACV) Insurance payment received from you until we have d iv red roofing materials to the jobsite or have performed the majority of roofing work on your property. These funds must be rec ' tore work begins. Additional erms and conditions on the reverse side are part of and included in this contract. B tFis contract you agree to ALL e onditions on the fr t e reverse sides of this page. (Client initials) e )/O ne S1 nam res V vy Roofing and at ng, LL Renresentative fsturintrrrnt Date S i3 J 7 1 Attic Ventilation: Ridge Vent ❑ Install side wall Flashing fiascntep Ridge Cap: Shingle:--`�� - Paint roof vents to match Yard will be magnetically swept for nails Clean up yard and haul offrooftng debris I acknowledge the colors I have selected. Client Signature _ _Diverter IWS Apron Roof Box Vent Turbine Vent __ Ice and Water Shield Kick Out tugss sty muunug unu ramong, LL,t- (--we") will perform the Scope.of Work for the Total Contract Amount (to be determined), which is estimated to be approximately S el plus any approved insurance supplements when warranted and agreed upon by insurance and permit fees. We exp t the work to commence approximately: 201Z and require approximately _ days. SPECIAL INSTRUCTIONS: ,1v Owner ("you") hereby authorize Integrity Roofing and Painting. LLC to communicate with your insurance carrier and meet with their representatives and discuss all matters related to the insurance coverage and the scope of services, and you authorize your insurance company to release to us all information and documents concerning your property, policy, and insurance claim. You promise to do all things reasonably necessary to ensure that we receive the insurance proceeds as intended by this contract. including but not limited to immediately endorsing and delivering to its insurance checks in payment of the insurance claim. The exact Total Contract Amount is determined in communications among you, the insurance company and Integrity Roofing and Painting. LLC. Integrity Roofing and Painting, LLC requires the insurance company to pay present day fair market value utilizing Xactimate pricing. You will pay us: your deductible, the cost of pre -selected upgrades (if any), and the roofing portion of your insurance proceeds which ordinarily includes roof replacement cost value (RCV), overhead and profit, sales tax, permit tees and insurance supplements. There will be no additional out of pocket evpcnse to you e\cept the tnsurncc tleductihle and any t w ncr prc-selected upgrades You must have replacement cost coverage. If you do not, then you agree to pay the deductible plus non-recoverable depreciation. This cancellation policy applies only to residential roofing services as defined in C.R.S. 6-22-102: Pursuant to C.R.S. 6-22-104 you may rescind a contract for residential roofing services and obtain a full refund of any deposit made to us within 72 hours after entering into this contract. Pursuant to C.R.S. 6-22-104 if payment for the roofing work will be made from the proceeds of a property and casualty insurance policy issued pursuant to C.R.S. Title 10, Article 4, Part 1, then: (1) you may also rescind a contract for work on your residential property, for which payment would be made from insurance proceeds, within 72 hours after receiving notice from your insurer that the claim is denied in whole or in part Pursuant to C.R.S. 6-22-105, we cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of am insurance deductible applicable to the insurance claim for payment for roofing work on the covered residential property. Integrity Roofing and Painting. LLC does not assume liability for improperly ventilated roof systems. Owner is advised to consult with an engineer or architect to confirm adequate ventilation prior to installation of new roof. _ (client signature) We shall hold in trust the actual cash value (ACV) Insurance payment received from you until we have d iv red roofing materials to the jobsite or have performed the majority of roofing work on your property. These funds must be rec ' tore work begins. Additional erms and conditions on the reverse side are part of and included in this contract. B tFis contract you agree to ALL e onditions on the fr t e reverse sides of this page. (Client initials) e )/O ne S1 nam res V vy Roofing and at ng, LL Renresentative fsturintrrrnt Date S i3 J 7 1 i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Y► -1 l 19 1SHt Job Address: 3 500 Co,01,Y" S v-7 57 Permit Number: 2 01702 /L 7 ❑ No one available for inspection: Time 0,15 OPM Re -Inspection required: Yes dQ When corrections have been made, call for re -inspection at 303-234- Date:- 7/,7 112 Inspector: r; tiP 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: �20'- Job Address: q0o �TA iSc>rj S7 - Permit Number: Z) Z_-) ❑ No one available for inspection: Time C=� `f G _, AM/PM Re -Inspection required: Yes �lo l� 1 When corrections have been made, call for re -inspection at 303-234-5933 Date: 7 � 7 Inspector: I I I� DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Opp- Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOTICE ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspectioeu at 303234-5933 Date: © Inspector: 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 INSP NOTICE Inspection Type: 01 rn � Job Address: e- „ ` i Permit Number: r ' n LAA ❑ No one available for inspections e Re- Inspection required: Yes Lj * When corrections have been made, call fo " sp dtio t 0V.044 Date: Inspector: 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 INS N T Inspection Type Job Address: e Permit Number: r� I ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call for re-insp 303 2345933 Date: l inspector: DO NOT REMOVE lS NOTICE City of Wheat Ridge ! Residential Roofing PERMIT - 091775, PERMIT NO: 091775`•. `ISSUED.: .08/28/2009 JOB ADDRESS:. 3900 GARRISON.. ST 'EXPIRES: 02/24/2.010 DESCRIPTION: Remove and replace 38 'sqs. of asphalt shingles and modified CONTACTS gC 303/984-0481 Joe H. Wicker 01-9890 Andy & Bob's Roofing / Gutters PARCEL INFO ZONE CODE: UA "USE: UA SUBDIVISION:` UA BLOCK/LOT#: 0/ - **FEE SUMMARY ESTIMATED PROJECT. VALUATION.: .10,700.00- FEES Permit Fee )253.90 Total Valuation .00 Use.. Tax 192.60 TOTAL 446.50 Conditions:` ,111 6 nail installation mid roof inspection required.. Board sheathing spaced more thana 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. I hereby certify; that the setback distances proposed by this permit application: are accurate, and do not violate applicable ordinances,' rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record';: that all measurements shown, and allegations made are accurate; that I have read and agree to abide. by all conditions printed on this application and that I assume full responsibility for compliance with. the Wheat Ridge Building Code (I.B.C) and all other. ' " applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. 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 ISO days from the issue date. Requests for an extension must be received prior to expiration date. An 'extension may be granted at the discretion ofthe :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 u:. 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 'F an approval of, any violation of the provisions of the building codes or any other ordinance, law;rrule or regulation. All. plan review is subject to fi d'inspec bons. ra Signature of Chief Building7t1 date " INSPECTION REQUEST'] INE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. v- a City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application Date: Plan Permit W/ 75 Property Address: '3!Oo 7ar rison S+, Property Owner (please print): 00-b SC W)P(2t^& ~P Phone:'563-1yi '2_19(20, Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: r ~ o Jr ?841- 0j /Y/ Contractor License Phone: jo Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (descript!i~on) 5gCy,5, construction value: $ /O9/l70.OO Description of work; f~.@/YiOL'L' I a CI~C~ ~ lade_ With (as calculated per the Building 'Valuation Data sheet) rTaMkd ttCf`I7' S`C?i'ICSj-(botiota ~ .S~ii~Yyty~t'5 .3.5 Sc®, 6z' Plan Review (due at time of submittal): $ iol QS$~~Tf'I~us} ~IQS~O~C7~ic¢;7a'IC:.L_'~7G'~f~a3j 61 uYneo 'Sc p ap shy over -91af &W-k-xkio C3sdss) Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEONE:: (OWNER) ({{CONTRACTOR) or PERSONAL EPRESE dTATIVE of (OW R),(C ATOR) PRINT NAME:r3E' It. Uii@~C,L?C' SIGNATUR - . Date: g-0 UCF.'HK-I-Ih CNII UJ,t UNLY