HomeMy WebLinkAbout3702-3712 Allison Street2017b60
INSPECTION RECORD
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 inspection
Occupancy/Type
"S
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To ADaroval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie,
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
r-1
_V_ A
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.
ror iow vorcage permits - Rease oe sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201706400
PERMIT NO: 201706400 ISSUED: 08/22/2017
JOB ADDRESS: 3702 Allison ST EXPIRES: 08/22/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 43 sq
*** CONTACTS ***
OWNER (303)424-2641 LEINO DEANNA ROSE
SUB (303)237-2251 Ron Sandt 018157 Ron Sandt, Roofer
*** 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: 18,673.32
FEES
Total Valuation 0.00
Use Tax 392.14 Asis
Permit Fee 346.95
** TOTAL ** 739.09
*** 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.
K2
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201706400
201706400
3702 Allison ST
ISSUED: 08/22/2017
EXPIRES: 08/22/2018
Residential Re -roof to install asphalt shingles - 43 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 attes 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.
`-3
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying Flaps and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 issu granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicab cod or a� rdmance r regulati n of this jurisdiction. Approval of work is subject to geld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 2o 1 l 0 6 qOO
From: no-reply@ci.wheatridge.co.us
Sent: Saturday, August 19, 2017 9:35 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 Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
A�
3702 & 3712 Allison Street
Deanna Leina
303-424-2641
L11116 wfw
ME
M
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
DeeLeino Signed Proposal.pdf
CONTRACTOR INFORMATION
Contractor Business
Ron Sandt Roofer
Name
Contractor's License
018157
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 Address
(Primary address of your
business)
303-519-4860
PO Box 4269 Evergreen, CO 80437
Contractor Email Address kchergo@aol.com
Retype Contractor Email kchergo@aol.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 43/
the entire scope of work:
r
Project Value (contract $18,673.32
value or cost of ALL
materials and labor)
Are you re -decking the No/
roof?
6
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
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? What is the roof
pitch? Etc)
No /
Yes
43
ice & water shield, roofing felt, owens/corning duration
dimensional shingles
Asphalt
full tear off & re -shingle of entire home & attached garage,
detached shed, all gutters & accessories (pipe jacks, etc.) 4/12
slope
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
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.
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 Ron Sandt
Email not displaying correctly? View it in your browser.
Ron Sandt, Roofer
PO Box 4269
Evergreen, CO 80437
(303) 237-2251
TO: Deanna Leino August 14, 2017
303-424-2641 Hm
303-907-7329 Cell
SUBJECT: Roof replacement at 3712 Allison St. Wheat Ridge, CO 80033
MATERIAL AND WORK DESCRIPTION:
Tear off the old asphalt shingle roof to the original felt over the entire home & garage. Dry the roof in with
one and one half courses (48") ice & water shield (ice & water shield required by Wheat Ridge code, #7 on
Wheat Ridge handout) and new #30 lb. roofing felt as a base for the new shingle roof & to protect the home
against the weather while work is in progress. Recover the entire home with new 30 year dimensional
composition shingles including new starter & ridge in accordance with all the manufacturer's
recommendations. Furnish new pipe jacks & caps for all the pipes & weave them into the new roof. Line
valleys with #90 lb. rolled roofing and close valleys. Clean up and haul away all roof trash upon completion
of the work.
All work shall meet or exceed the building code. Three (3) year warranty against defects in workmanship
with the exception of ice dam buildup in the wintertime. The price includes all material, labor, license,
taxes, and insurance. Price does not include permit. Permit will be billed at cost over & above the quote.
All material and labor is guaranteed to be as specified. The above work shall be completed in accordance
with the specifications submitted and completed in a substantial workmanlike manner for the sum of
eighteen thousand six hundred seventy-three dollars and thirty-two cents ($18,673.32), plus the cost of the
permit, with payment due in full upon completion of the work.
Any alteration or deviation from above specifications invoiving extra costs win be executes only upon
written orders, and will become an extra charge over and above the bid. Alf agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry fire tornado and other necessary insurance
on above work. Public Liabilitv on above work to be taken out by lion Sandt. Roofer.
Respectfully submitted by Ron Sandt for Ron Sandt, Roofer.
This proposal may be withdrawn by us if not accepted within 30 days.
ACCEPTANCE OF PROPOb
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Pavment will be made as outlined abo ;r - .
nate accented: S I Ig I I i
Signature: —L1
Date : 0 i i 6 i t! signature:
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:
Permit Number:
z
❑ No one available for inspection: Time " 6/0 �/PM
Re -Inspection required: Yes 1-49
When corrections/have been made, call for re -inspection at 303-234-5933
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) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: LI I()
Job Address: `7 6-L Atli
S
Permit Number: Z '7 k7 (o q C2&`)
i.
IJ No /i � r .
No one available for inspection: Time AM/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: 12' Inspector:G
DO NOT REMOVE THIS NOTICE
r.-
INSPECTION RECORD OccDDancvlTVPe
'V 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.
i tY 4
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB=
'. FOUNDATION INSPECTIONS
DATE
INSPECTOR INITIALS
COMMENTS:
Footings /Caissons
Stemwall. / (CEG) Concrete
Encased Ground
Plumbing (Underground)
Reinforcing or Monolithic
-
Weatherproof/ French Drain
Sewer Service Lines
Do NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Water Service Lines
ROUGHS
INSPECTIONS FOR PLANNING & ZONING, FIRE AND,PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
?, POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED -
r;
CONCRETE SLAB FLOOR '
Electrical (Underground)
iMechanical.'.
Plumbing (Underground)
-
-
Heating (Underground)
Fire Department
Do NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
"R.O.W & Drainage
ROUGHS
INSPECTIONS FOR PLANNING & ZONING, FIRE AND,PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
'Barking & Landscaping ;
Sheathing
- "`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 `
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. -
y.
:Lath'/ Wall tie
Mid -Roof
`.Electrical Service
y,
'Rough Electric
Rough Plumbing
�^
F�
Gas Piping.
`Rough Mechanical
=`
'Y
':ABOVE INSPECTIONS TO BE SIGNED. PRIOR TO PROCEEDING
Framing
.`Insulation
Drywall Screw
`FINALS
E=lectrical
Olumbing
iMechanical.'.
Roof
`Building Final
Fire Department
"R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND,PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
'Barking & Landscaping ;
- "`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 `
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. -
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF O CCUPANCY IS ISSUED
r
` PROTECT THIS CARD FROM THE WEATHER
IF
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Inc, i=
Job Address: L j " C ~
«'tf NA-❑ 56"\j 5/
Permit Number: 02
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, calf for 7reinspe tion at 303-234-5933
Dater Inspector:
P
DO NOT REMOVE THIS NOTICE
`Ili
CITY OF WHEAT RIDGE
Building Inspection Division
x(303) 234-5933 Inspection line
(303) 235-2855 Office * (303) 235-2857 Fax
INSPECTION NOTICE
r
Inspection Type: 1" lfror
Job Address/Permit Number: ?71
r l 41/,;~
r
1
3
f 3
k~
t
t J
C
E No one available for inspectiog Time AM/JAM e
Re-Inspection required: Yes 'Vo f
L
` When corrections have been made, call f r re-inspection at 303-234-5933
7
t i
}
Date: Inspector: I(,
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
Res. Add Structure PERMIT - 093652
PERMIT NO: 093652 ISSUED:. 10/26/2009
JOB ADDRESS:, 3702-3712 Allison St EXPIRES: 04/24/2010
DESCRIPTION: Install 192 sq`. ft shed
CONTACTS
owner 303/424-2641 Deanna Rose Leino
sub 303/216-0242 Ted. Peterson 01-7557 Ted's Sheds:.
**PARCEL INFO
ZONE CODE: R-2 ` r.USE: R3
SUBDIVISION: UA ,BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Permit Fee 108.30
Plan Review. Fee
70.40 Total Valuation .00
ii~~ II~m t
Use 'Tax {;V l~vu/j~ e
54.00
',TOTAL
.232.70
Conditions:.
AT: Approved. Subject to field inspection. R-2.
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 Whe Ridge Ordinances, for work under this permit. Plans 'subject to'.. field inspection.
/1/5/02
signature of. contractor er 'date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the. laws of the
state of Colorado and to. the Zoning Regulations and Building Codes. of Wheat Ridge, Colorado or any other applicable
ordinances of the City.'.`
2 This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension maybe granted at the discretion of'. the Building Official`.
3 If this permit expires, -.a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans'. and specifications and any suspension or abandonment has not
exceeded one :(1) year. If changes have been or if suspension or abandonment exceeds one (1) year,. full fees'. shall
be paid for anew permit.
a. No :work of any manner shall be done that will change the. natural flow of water causing a drainage problem.
o. 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.
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, l. rule or regulation.
All;plan y~v is subject to field inspections.
3ignatul of ief. Building Official date
CNSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
:
ZEQUESTS MUST. BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
F""E?T p City of Wheat Ridge Building Division
m 7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
°oLOlxno° Inspection Line: 303-234-5933
Building Permit Application
Property?~ddress -70,2,
7 a f} LL/ S p✓l/ 5 ~Y4 EC T-
Property Owner (please print) N rv',9 e-~ 05-& L C-) ti/a Phone: eS 9,~9, t12-6 r/ /
Mailing Address: (if different than property address)
702~2~`f 3,)- S'/ w
Address: ,S/~yl 30
City, State, zip: (,v N C g T I~ , C ~D D y
Contractor: CT) r5 Jr f r C~ S
Contractor License M Phone: U D a y
Stib Contractdrs
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: $ IA 6*1ZVX 3aoa, 00
Description of Work: (as calculated per the Building Valuation Data sheet)
/z x (6m 1 6 5H.G-V (QZ 51T r F- Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: L 2 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.
CIRLCE ONE:: (OWNS (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) I
PRINT NAME: _ ROSG-_I6urt,NATURE: ^a -~~r( 49
Date:
Plan eCl.-
Permit
Bldg Valuation:
s
c
2
Please Dote:
Owner / contractor is responsible for locating property
lines and cens'uncting improvement3 according to the
approved plan and required development standards.
The City is not responsible for inaccurate information
submitted within the plan set and any construadc-a
errors resulting f.-om inaccura~e rl'cma ,ion.
' City of Wheat Ridge
Residential Roofing PERMIT - 092339
PERMIT NO: 092339 ISSUED: -.09/14/2009
JOB ADDRESS: 3702-12 ALLISON ST EXPIRES: 03/13/2010
DESCRIPTION:. Reroof 36.5: sqs -
***CONTACTS
owner '.303/424-.2641 Deanna Leino -
sub 303/237-2251 01-8157 Ron Sandt, Roofer
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0564 BLOCK/LOT#: ,0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 13,768.00
FEES r {s
Permit Fee 308.50 f~CY~,`F~.ty
Total Valuation ,00 l ;"0
....247.82
Use 7Tax
TOTAL 556.32
Conditions:
;6 nailinstallation. & mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2'.:.inside 'exterior walls.
'.Subject to field inspection.
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
K
e 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
state of Colorado and to the Zoning Regulations and Building Codes: of. Wheat Ridge; Colorado or any other applicable
ordinances of the city..
2. This permit. shall expire. 180 days from the issue date. Requests for an extension must be received prior to expiration
v date. An extension may, be granted at the discretion of the Building Official.
3. If this permit. expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
:.changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
G- 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
a<` written approval on. inspection bard 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 apermit for, nor'
` an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
' A1Lplanrev'ewsubject to field inspections
®
r Signature Ch' Building official .(date
INSPEC ION REQUEST LINE: `(303)234-5933 'BUILDING OFFICE: (303)235-2855
y:,REQUESTS MUST BE MADE BY 3PMANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.,
i
W HEgT
of R City of Wheat Ridge Building Division Date:
a m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan
o Inspection Line: 303-234-5933
Permit#:
Building Permit Application
Property Address'
Property Owner (please print): I/ Phone' Sc '11122
/ 7f W
Mailing Address: (if different than property address)
Address:
City, State, Zip: zt✓1&"-71- a~F-
a,,1.J Cry38
Contractor: o
✓ S -;?~sGbi
i
Contractor License
C /JP/ 7
Phone:
:1,
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: $ 1.3 76.,
Description of work: (as calculated per the Buildinq Valuation Data sheet)
%EAiP of /JL( pGA pnt~c / S , Plan Review (due at time of submittal): $
eN ~S/EiJ &o A*c Dfi~lf..~s'ie~✓i!L S%1ini~C~ /E'oo.~
j✓E1-cJ F.era.~~is~.n °~S' -
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.
C)RLCE ONE:: (OWNER) CQNTRACTOR or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: /94Z . Ss9i.1C7i SIGNATURE: zi Date:
41
Bldg Valuation: