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HomeMy WebLinkAbout4540 Allison Streeti r ;:.CITY OF WHAT RIDGE �'(303) Building Inspection Division(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 4 5-40 Permit Number: c r � ❑ No one available for inspection: Time'_`%f"AM/RSM Re -Inspection required: Yes` No When corrections have been made, call for re -inspection at 303-234-5933 a Date: :�. T 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:'1` Job Address: 4 "�, `k0 A J-) Permit Number: �2 r; ! S: o , ❑ No one available for inspection: Time AM/6 Re -Inspection required: YesN0 When corrections have been made, cafll or re -inspection at 303-234-5933 Date: It� 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: Job Address: �� t1 i Permit Number: s .�s ❑ No one available for inspection: Time , ' #PM Re -Inspection required: Yes (1-90 When corrections have been made, call for re -inspection at 303 -234 - Date: ? Inspector DO NOT REMOVE THIS NOTICE i CITY PF WHEAT RIDGE BuitdtN inspection'biv bn (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -30b A/1 (v - c? Job Address: q 5ly o 11111isL4 Permit Number: 2 01 P O Z- f f l a. ❑ No one available for inspection: Time ; wPM Re -Inspection required: Yes ` When corrections have been made, call for re -inspection at 303-234-5933 I -Z �. Date: l Inspector: DZ e Liv -f DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201802898 PERMIT NO: 201802898 ISSUED: 10/31/2018 JOB ADDRESS: 4540 Allison St EXPIRES: 10/31/2019 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 19 sq Pitch = 4/12 Duplicate for permit#201707262 *** CONTACTS *** OWNER (303)590-4730 BOWMAN BRIAN P SUB (303)364-3647 Sanara Ramos/Cristian Ramos/Ef 170362 American West Roofing, Inc. *** 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: 7,834.44 FEES Total Valuation 0.00 ** TOTAL ** 0.00 *** 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. 8806. 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 - 201802898 PERMIT NO: 201802898 ISSUED: 10/31/2018 JOB ADDRESS: 4540 Allison St EXPIRES: 10/31/2019 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 19 sq Pitch = 4/12 Duplicate for permit#201707262 I, by m signature, do ,herattest 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this e li I furthe ate that I am legally authorized to include all entities named within this document as parties to the work to be perform"and he ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. nature offeOWNk&= or CONTRACTOR (Circle one) Date e 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. Re nests 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 originalpermit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 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. 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. 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 Chlef Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City cit W heat idgc COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29" Ave. Wheat Ridge. CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permits(a'jci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Permit # Zol %- O 7Z -(p z_ Property Address: J` Phone # ,-,,./ 3VI- 3(x/7 Email Address: CLUB esjko (a Mal 6 Reason for extension request: 0t1 {' 6olt0 r% md w)oo & rYlfL Uig K ayy Number of days requested: 1 Printed Name: t"CA)LO105 Signature: Date: ©3 I ( g For office use only This request has Approved by: Xenied %-w%.ci.whevtridge.co.us Extended until: Date: /C3/ l%f 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: ��"�, �.r ,�,` .f j�I�'-i� ) i .� Job Address: (/5�O �1 11so; _S4, Permit Number: "? 0(V O Z6� 3 v f .y ❑ No one available for inspection: Time KMl'M Re -Inspection required: Yes 6 When corrections have been made, call for re -inspection at 303-234-5933 Date: (0/Zj / Inspector: �10/ (_aec 71,�- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Bdilding Inspection' Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE / - Inspection Type: 0 a CCI, "s s o n s p ,,e f'S Job Address: LI SL/ 0 A A 5 e f) � Permit Number: & 3 3 �a S S o���✓' �Q��v e d ❑ No one available for inspection: Time '3: 3 7 WPM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: I E / /)!a Inspector T�b DO NOT REMOVE THIS NOTICE City of Wheat Ridge ,r® Homeowner Patio Cover PERMIT - 201802633 PERMIT NO: 201802633 ISSUED: 09/27/2018 JOB ADDRESS: 4540 Allison St EXPIRES: 09/27/2019 JOB DESCRIPTION: Removal of Patio cover with concrete patio replaced with new larger patio cover and 120 square ft deck constructed with pressure treated wood. *** CONTACTS *** OWNER (303)590-4730 BOWMAN BRIAN P *** 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: 3,000.00 FEES Total Valuation 0.00 Plan Review Fee 60.68 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 217.03 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. City of Wheat Ridge Homeowner Patio Cover PERMIT - 201802633 PERMIT NO: 201802633 ISSUED: 09/27/2018 JOB ADDRESS: 4540 Allison St EXPIRES: 09/27/2019 JOB DESCRIPTION: Removal of Patio cover with concrete patio replaced with new larger patio cover and 120 square ft deck constructed with pressure treated wood. 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 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 originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of anew 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 o permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable or any or nce or regulation of this jurisdiction. Approval of work is subject to field inspection. fim" Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat I�dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: PermitsPermits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: �,qo Property Owner (please print): Phone: 3- 1VO - q Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City State Zip: Architect/Engineer E-mail: Contractor Name: "P (-)) A P City of Wheat Ridge License #: Phone: Phone: Contractor E-mail Address: For Plan Review Questions & Comments (pleas phfi) CONTACT NAME (please print): 00 CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Sq. FULF t? O BTUs Amps Squares Gallons Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) -�D0C) °�- 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: ((OWNS (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) CONT CTOR) Signature (first andlast name): —3plk -- / DATE: //�/?_ Printed Name: 1ilb/n lR1-)/. ),h, /i �� DEPARTMENT USE ONLY 1 ZONING COMMMENTS: OCCUPANCY CLASSIFICATION- V,07,v I 1 � Reviewer: 9/t-7 // Ir CONSTRUCTION TYPE: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 6 City of Wheat i ce COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s): Project Property: 44 Jago tu((� Project Type: � ([� O_ QU, k �— h eLL Notarized signature of Applicant State of Colorado } County of ss —! Y f�— L by The foregoing instrument was acknowledged by me this G da of ens 20 r , a r\ cxJ r� .� TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires --6-2420 !j Notary Public ozo Reviewed for Zoning Compliance by the �► Ar City of Wheat Ridge Planning Division - r APPROVED DATE; Lam, -Zol f COMMENTS: uwnencontractor Is responslole Tor locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Landscaping removed or damaged during construction must be replaced prior to final inspection. Cay or /" WheatP- MUWriY DEwtopmEmT APPROVED Reviewed for Code Compliance "louZ1 (I Plans E miner Date VaNdle, 91 ; The nsoonce of o permit or apworol of PAM specificoaons ondeoepawot Own not be a permit lot or an oPPro l ol, orry elolotion to any @1 "W provajons M the bidldit code or qIam City ardma--Pem4b codes or other ordkw m of ek Crry rhoanot be raid. a a M lVc,r1 Jj C - k P4. 6 - Reviewed for Zoning Compliance by the City Of Wheat Ridge Planning Division APPROVED BY. DATE: ill =,(— ----------- COMMENTS: 14 _J Az - Wheat Ridge uilding � a. <Aaqqee !T-Na4d cill of 'N CKICAN :ST ROOHNC, May 9, 2018 City of Wheat Ridge Building & Inspection Services 7500 W 291h Ave. 2°d Floor Wheat Ridge, CO 80033 To whom it may concern, Due to the cancellation of the following projects, we would like to request that the two building permits listed below be closed or cancelled by the Building Department. American West Roofing did not perform any work at either property. Permit No: 201707262 Job Address: 4540 Allison St Issued: 09/14/2017 Expires: 09/14/2018 Owner: Brian P Bowman Permit No: 201705549 Job Address: 3995 Moore St Issued: 08/07/2017 Expires: 08/07/2018 Owner: Patrick S Quinn Please feel free to contact me if you have any questions or need any additional information. Sincerely, i)2l- Sandra Ramos �' � 14400 Smith Road, Aurora, Colorado 80011 • Phone: 303.364.3647 • Fax: 303.341.1561 Website: www.awestroofs.com • Email: info@awestroofs.com !� rr PERMIT: ADDRESS: fit) `f U;'JOB CODE: INSPECTION RECORD Wa Inspection online form: http:/www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. City of Wheat Ridge Residential Roofing PERMIT - 201707262 PERMIT NO: 201707262 ISSUED: 09/14/2017 JOB ADDRESS: 4540 Allison ST EXPIRES: 09/14/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 19 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)590-4730 BOWMAN BRIAN P SUB (303)364-3647 Sanara Ramos/Cristian Ramos/Ef 170362 American West Roofing, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 1 *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,834.44 FEES Total Valuation 0.00 Use Tax 164.52 Permit Fee 172.60 ** TOTAL ** 337.12 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201707262 PERMIT NO: 201707262 ISSUED: 09/14/2017 JOB ADDRESS: 4540 Allison ST EXPIRES: 09/14/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 19 sq Pitch = 4/12 I, by my signature, do hereby attest that the work to be to shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized by the legal owner of the property and am authorizes to obtain this permit and perform the work described and approved in conjunction with this�ermit. l further attest that 1 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. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. and received nor tolthe date of expiration. tAn extension of no morethant 80 days made be granted at the di discretion of t be the Chiin ef Buildin Official and may be subject to fee equal to one-half of the original permit tee. g g 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a 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 applica,bJgx,ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official a Date REQUESTS MUST BE WADE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. PERMIT: Z X 17(, _? E ADDRESS: �,1 1��,'�c�? �t JOB CODE: INSPECTION RECORD (- /�z Inspection online form: http:/www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls i106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int, 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. ► ' , City of Wheat Ridge "( Residential Roofing PERMIT - 201707262 PERMIT NO: 201707262 ISSUED: 09/14/2017 JOB ADDRESS: 4540 Allison ST EXPIRES: 09/14/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 19 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)590-4730 BOWMAN BRIAN P SUB (303)364-3647 Sanara Ramos/Cristian Ramos/Ef 170362 American West Roofing, Inc. *** 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: 7,834.44 FEES Total Valuation 0.00 Use Tax 164.52 Permit Fee 172.60 ** TOTAL ** 337.12 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201707262 PERMIT NO: 201707262 ISSUED: 09/14/2017 JOB ADDRESS: 4540 Allison ST EXPIRES: 09/14/2018 JOB DESCRIPTION: Residential Re—roof to install Tamko asphalt shingles — 19 sq Pitch = 4/12 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 all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 6 -?7: Z__ �� - - I 9-ZO 17 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-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 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 REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 10 170 T� 6 L From: no-reply@ci.wheatridge.co.us Sent: Monday, September 11, 2017 6:33 PM 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 Property Address 4540 Allison Street Property Owner Name Brian Bowman Property Owner Phone 303-590-4730 Number (enter WITH dashes, eg 303-123-4567) 17 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 Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business American west Roofing INC. Name j Contractor's License 170362 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) 303-364-3647 14400 Smith Road Aurora, CO 80011 Contractor Email Address awestroofs@gmail.com Retype Contractor Email awestroofs@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 19 the entire scope of work: Project Value (contract ("7834.44 value or cost of ALL materials and labor) Are you re -decking the No roof? 18 Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched _ roof (2:12 or greater (� l � �1 16 pitch)? A Provide any additional Remove and replace 19 sq. of Tamko shingles for house detail here on the description of work. (Is this for a house or garage? Etc) 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. I attest that everything Yes stated in this application is true and correct and that falsifying 19 information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Sandra Ramos Email not displaying correctly? View it in your browser. 20 ROOF Tear -Off Maul and Dispose of Shingles Asphalt _,*, Wood Shake Other Add Layer of Shingles, Remove and Dispose Roofing Felt - 15 Ib.-II—C 30 Ib._ Other Starter Shingles Shingles Brand: Type: Ridge Cap Low Profile _Y,_ High Profile _ Drip Edge 2x2_ 2x4 -& Color: Flashing - Pipe Jack Furnace Vent Cap and Storm Collar 5"X 6"_ 8" Roof Vent - Turtle Type )( Turbine Exhaust Cap - Through Roof Chimney Flashing - Small _X Average_ Large_ Skylight Flashing Additional Charge for High Roof (>2 Stories) Additional Charge for Steep Roof (7112 to 9/12 Slope) Ice & Water Shield Satellite Dish - Detach & Reset Install Sheathing - 7/16" OSB or Other: Swamp/Evaporative Cooler - Flashing - Detach & Reset Ridge Vent GENERAL CONTRACTOR SERVICE AGREEMENT Home Phone: Insurance Co:��% Claim No: Adjuster: / f UNIT QUANTITY SQ g SQ SQ It• SQ SQ� LF LF Each Each Each Each Each Each SQ SQ FLAT ROOF Tear -Off, Haul and Dispose Roll Roofing Roll Roofing - Self -Adhering Drip Edge 2x4 GUTTERS/SIDING Remove Gutter / Downspout SF rT Each SF Each LF Permit (TBD - Will be added as supplement) UNIT QUANTITY SQ SQ LF LF LF LF SF LF SF LF SQ SQ 7.33 C _ _ IL &N - VA • . We ro op�s� r sh all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST $ J•- w (insurance proceeds) plus any supplements that may apply to your claim. Upon approval of your claim, American West Extenors will rile 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. American West Exteriors, as your General Contractor, requests a fair and equitable settlement agreeable by both your insurance company and American West Exteriors based on competitive market rates for labor & materials with no additional 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 inIrurance company deny a full roof replacement, you will not be obligated to this contract and may enter into an acceptable repair agreement with American West Exteriors. All work is installed per the manufacturer's installation instructions & the local building codes. • I hereby authorize and/or instruct the insurance company and all lie o ers to include the name American West Exteriors as Co -Payee on any subsequent loss draft or checks after today's date as indicated below. • 1 hereby authorize and/or instruct any representative and/or third party agent of American West Exteriors to obtain any and all information necessary to complete the funding process relative to the claim number listed above. EBB— • I hereby authorize and/or instruct American West Exteriors to Act as my General Contractor for the above mentioned claim number and instruct my insurance company to release the customary 10% overhead & 10% profit for scheduling and coordinating any and all trades needcd.?�Z • I understand this contract may be cancelled within 3 6 i ess days from the date listed below. The cancellation had to be submitted to American West Exteriors by midnight on the third business day. f� This contract is subject to American West Exteriors management review & approval. I accept the above terms of this contract and authorize American West Exteriors to proceed. Owner Signature: Representative Signature: 4 JM— Owner Name: Company Representative:RPA ��� Acceptance Date: %— S Management Approval: at 4A American West Exteriors 114400 Smith Road, Aurora, CO 80011 1303.364.3647 1 Fax: 303.341.1561 Revised: 10/08/2014 Install Gutter - Aluminum up to 5"X 6" ,�C� r V Z Install Downspout - 2" x 3"X 3"x4"_ ++�� P Remove and Replace Soffit Remove and Replace Fascia Remove and Replace Siding /t t/ Remove and Replace Trim OTHER Shed: Tear -off & Install Shingles Garage: Tear -off & Install Shingles SF rT Each SF Each LF Permit (TBD - Will be added as supplement) UNIT QUANTITY SQ SQ LF LF LF LF SF LF SF LF SQ SQ 7.33 C _ _ IL &N - VA • . We ro op�s� r sh all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST $ J•- w (insurance proceeds) plus any supplements that may apply to your claim. Upon approval of your claim, American West Extenors will rile 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. American West Exteriors, as your General Contractor, requests a fair and equitable settlement agreeable by both your insurance company and American West Exteriors based on competitive market rates for labor & materials with no additional 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 inIrurance company deny a full roof replacement, you will not be obligated to this contract and may enter into an acceptable repair agreement with American West Exteriors. All work is installed per the manufacturer's installation instructions & the local building codes. • I hereby authorize and/or instruct the insurance company and all lie o ers to include the name American West Exteriors as Co -Payee on any subsequent loss draft or checks after today's date as indicated below. • 1 hereby authorize and/or instruct any representative and/or third party agent of American West Exteriors to obtain any and all information necessary to complete the funding process relative to the claim number listed above. EBB— • I hereby authorize and/or instruct American West Exteriors to Act as my General Contractor for the above mentioned claim number and instruct my insurance company to release the customary 10% overhead & 10% profit for scheduling and coordinating any and all trades needcd.?�Z • I understand this contract may be cancelled within 3 6 i ess days from the date listed below. The cancellation had to be submitted to American West Exteriors by midnight on the third business day. f� This contract is subject to American West Exteriors management review & approval. I accept the above terms of this contract and authorize American West Exteriors to proceed. Owner Signature: Representative Signature: 4 JM— Owner Name: Company Representative:RPA ��� Acceptance Date: %— S Management Approval: at 4A American West Exteriors 114400 Smith Road, Aurora, CO 80011 1303.364.3647 1 Fax: 303.341.1561 Revised: 10/08/2014 INSPECTION RECORD ODCUpancvlTvpe 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. •- To THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Lath /Wall tie Stemwall / (CEG) Concrete Encased Ground Mid -Roof ' Reinforcing or Monolithic Electrical Service Weatherproof / French Drain M. Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) L. UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing - Lath /Wall tie Mid -Roof ' Electrical Service Rough Electric M. Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO 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 & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping ` 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 DI VISI ON DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER .r ♦ 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: yJ`~ C f%i a00 Permit Number: i r ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No "When corrections have been made, call for re-inspection at 303-2345933 Date: / f Inspector: NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE r Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Az4 L Aitw=- Job Address: YSYp AIZISa 4 7- Permit Number: t97F;%7 e9 ❑ No one available for inspection: Time 2 l3S 4BM Re-Inspection required: Yeso When corrections have been made, call for re-inspection at 303-234-5933 Date: 611,p inspector: = /~c 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: ssAlW A:nl-- Job Address: k5'11,9 r(WiSoa✓ 5T Permit Number: ✓2'.32Y~ /.9✓SYiYdI'' !J/tdfRTc'k' ~~.~3.4`i~ib f•' ` Yr-€"i`~ i vEf ❑ No one available for inspection: Time P/•"OS (AMGPM Re-Inspection required: Ye - No "When corrections have been made, call for re-inspection at 303-234-5933 Date: __,fl e~ 3l%a Inspector: DO NOT REMOVE THIS 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: Job Address: L454°ii tSc>" Permit Number: G c 71' ~r f El No one available for inspectio Time 1 IAMPM Re-Inspection required: Yes Ib When corrections have been made, call for re-inspection at 303-234-5933 Date: 0 { 3 1 Inspector: r~u DO NOT REMOVE THIS /NOTICE City of Wheat Ridge Residential Roofing PERMIT - 093770 PERMIT NO: 093770 ISSUED: 11/02/2009 JOB `ADDRESS: 4540 ALLISON ST EXPIRES: 05/01/2010 DESCRIPTION: Reroof-.'15 sqs ***CONTACTS owner 303/463-5822 Brian Bowman sub 303/825-5273 08-0138 Colorado Roofing & Exteriors **'PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:: 0311 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED.': PROJECT VALUATION: 5,500.00. FEES Permit Fee 162.90 Total Valuation 00 'f Use Tax 99.00 **.TOTAL .:261.90 Conditions:' 6 nail installation& mid-roof inspection required. Board sheathing spaced more than ;a 1/2 of an inch apart requires plywood overlay on entire roof. Iceand water shield required from eave edge to 2' inside exterior.. walls. ***Contractor/Property owner shall provide ladder(s) secured in place for inpsections.'.. 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 hat I assume full 'responsibility for compliance with the Wheat Ridge. Building Code (I.B.C): and all other applica Whe. Rid e Or nances, for work under this permit. P~lQanys~ subject to field inspection. 1// ~ Signa ure o conL actor owner date L. 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. 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. 1. 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. No work of any, manner shall be done. that willchange the natural flow of water causing adrainage problem. 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, rule or regulation. All plan review subject to field inspections. ignature 111'r Building Official date iNSPEC TON REQUEST :LINE: (303)234-.5933 :BUILDING!. OFFICE: (303)235-2855 S tEQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR:` INSPECTION THE. FOLLOWING. BUSINESS DAY. of W"E'TR City of Wheat Ridge Building Division Date: m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Plan ° - ° Inspection Line: 303-234-5933 V °~oRPO Permit 1 L Building Permit Application PropertyAddress> 1,54b 411j,5e)n ot~`• t6)4e4d,764 8j0033 Property Owner (please print): gr j'A,x I3t0t~d hto0O .Phone: 3o~3 00 --S-?2-2- Mailing Address: (if different than property address) Address: City, State, Zip: /r Contractor: Colorado rho l-''al ~ CnkfnrrGYS Contractor License Phone: 503) 1121) Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: y Approval: Approval: Use of space (description): /t' P ~/►f~~ Construction Value: $ Dgscri jitioft Of „work; (as calculated per the BuitdinG valuation Data sheet) Plan Review (due at 6me of submittal): $ 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. CIRLCE ONE:: (OWNER) .(CONTRACTOR) or PERSONAL REPRESENTATIV of (OWNE (CONTRATOR) PRINT NAME: SIGNATURE: Date: X L27 Bldg Valuation: $