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Home My WebLink About4551 Upham StreetPERMIT: ADDRESS: JOB CODE: 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 3 - J y _ / 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 3 - J y _ / 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. INSPECTION RECORD 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 day PERMIT: ADDRESS: '��,,� JOB CODE: IZl� 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 ' •'� j'j� t/ �_`t . 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 ' •'� j'j� t/ �_`t . tfi / 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 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: L1 c G Job Address: (-1 s S- 1 (- Permit Number: -D 0 1-7 Q'9 S a t ❑ No one available for inspection: Time I tG AM;r Re -Inspection required: Yes) When corrections have been made, call for re -inspection at 303 -234 - Date: -m /q //q Inspector: TQ DO NOT REMOVE THIS NOTICE LI A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /L/09- f � r a, Job Address: U n r), S -- Permit Number: 0) -7 0 g S a I A) f) der Se on . &4 resC Te C/. P ❑ No one available for inspection: Time = 0'4 &PM Re -Inspection required:'9 No When corrections have been made, call for re -inspection at 303 -234 - Date: 3 L�09 Inspector: _T_ LL DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division �9�'(303) (303) 234-5933 Inspection line 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: M Permit Number: /)_� 0 Ms 2-1 ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, call to e -inspection at 303-234-5933 Date: 4) I _ Inspector:F`' DO NOT REMOVE THIS NOTICE ► ' City of Wheat Ridge Residential Roofing PERMIT - 201708521 PERMIT NO: 201708521 ISSUED: 10/23/2017 JOB ADDRESS: 4551 Upham ST EXPIRES: 10/23/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 27.42 sq Pitch = 5/12 *** CONTACTS *** OWNER (720)341-2191 GODINA KENNY & LORI SUB (303)804-0303 Tom Brown 070055 Northwest Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,154.48 FEES Total Valuation 0.00 Use Tax 297.24 Permit Fee 283.55 ** TOTAL ** 580.79 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708521 PERMIT NO: 201708521 ISSUED: 10/23/2017 JOB ADDRESS: 4551 Upham ST EXPIRES: 10/23/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Landmark asphalt shingles - 27.42 sq Pitch = 5/12 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 ca municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized by the legal owner of the pro a authorized to obtain thispermit and perform the work described and approved in conjunction with this ermit. I er attest t I e al thorized to include alI entities named within this document as parties to the work to be perfp a that all r ed is disclosed in this document and/or its' accompanying approved plans and specifications. ture of O ONTRACTOR (Circle one) Date I 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, po Flans 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 ermrt 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 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 applicable code ora dinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 6 !��- _�� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. RECOONIZED AS A 2015 WINNER St® _. .ene.nr,00n.0 North ill . ,; ,� �- �� Roo�ixig Since 1963 4465 Northpark Drive, Suite 308 1 Colorado Springs, CO 80907 1 (719) 632-6185 I fax (888) 846-5545 > ACCREGITEDj "BUSINESS Proposal submitted to No West Rooting Estimator Date Q.-.lG�s'O rev (S O- b I Z �-' reet City, State, Zip Job Location/Community 55 ( S�- + CZt'al a So 0 3 ho Insurance Company Policy M mall (� 1 r o1b- ED- 1S33 - O Email Adjuster Claim 9 MOtc4tritla ®„„tish, $ - g -»b x4lbOj 1ab15bICS 14 1 Scope of Work and Materials to be Provided: The scope of work and materials Identified® By signing this agreement the homeowner authorizes North West below will be comoleted by North W—t R—Ann ® Tear Off Layers N ❑ Install Decking (7/16 in. OSB) CHECK DECKING Install 90 lb or Ice & Water Shield in Valleys • «vc-S Install 2 x 4 in. Metal Drip Edge Color RVOLO W1 Initials ® Install new Felt ^ nYe.4,4c, ® R�eoovve�rR�000fww" «="lra1/1+V*—� LIRV1-O(YVtQY K -�=�"—► t't-�kwt� YearManufactureesWarranty Shingle Manufacturer C#Jf 4Wtih}l'>LG>1 Color -RR)t Pkititials M --Closed Valleys - With Ice and Water Shield Underlayment ❑ Open Valley - With Painted Metal Cff Ridges to be color coordinated shingles Replace - Rubber Pipe lacks S ® Paint Roof Stacks To Match Shingle Color ALL Replace - Low Profile Vents �_ Turbine Vents_ ® North West Roofing 3 Year Labor Warranty Metal Step Flashing O Step Flashing Chimney ® North West Roofing will Provide General Liability Insurance of at least 51,000,000.00 Clean Up and Haul Off all Trash Protect and Clean Up Landscaping Clean around bushes and shrubs PClean Out Gutters /g Roll yard with magnetic roller F3 Permit Furnished by North West Roofing I agree, by signing below, to all the contract conditions, troth front & barb of this agreement. len s Signature Representative Signature PUEBLO (719)633-7773 ---s w represent me nomeowners best interest In pursuit of roof replacement or repair due to storm damage. This contract does not obligate the homeowner or North West Roofing until the claim is approved by the Insurance Company and accepted by North West Roofing. Upon Approval of the claim, North West Roofing will complete specific work at the price agreeable to the Insurance company and to North West Roofing. There is no additional cost to the homeowner except for their deductible. The agreed upon price will become the final contract price and North West Roofing will receive all insurance proceeds and supplements for the work completed by North West Roofing. Inttlais ® The Approximate Costs of the Services $ j 6 , 19 • 7 - Shall Be The Agreed Upon Cost Between North West Roofing and (� Your Insurance Carrier. Their RCV Cost Plus Supplements. )� NOTICE If the Property Owner Plans to use The Proceeds Of a Property and Causality Insurance Policy, Part 1 of Article 4 of Title 10, C.R.S., In accordance to Title 10 C.RS., section 6.22.305, the roofing contractor cannot pay waive rebate, promise to pay or waive rebate or any part of Insurance deductible applicable to the insurance claim for payment for the work on the covered property Deposit Amount $ 1 1 GbID . �'9 �' Date 11 t�11or1C � 't North West Roofing shall hold in trust any payment from the property owner until materials are delivered or have performed a majority of the roofing work on the property. *May not Include any additional taxes, base service fees and or supplements that pertain to the Claim. ® Approximate Dates of Service: 10 DAYS AFTER AGREEMENT These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor. (800) 333-1704 DENVER (303) 804-0303 1 fax (888) 846-SS45 SPECIAL INSTRUCTIONS Date of Acceptance FORT COLLINS (970) 4849430 110 I6 Dane Lovett -1.012()� � Z From: no-reply@ci.wheatridge.co.us Sent: Friday, October 20, 2017 2:34 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 v� residential roof? -►� �� How many dwelling units Single Family Home are on the property? PRC)PFRTY INFnRMATIC)N Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 4551 UPHAM ST KENNY & LORI GODINA 720-341-2191 61 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 macarilla@msn.com Yes 170516 - Contract.pdf CONTRACTOR INFORMATION Contractor Business NORTHWEST ROOFING Name o , ,3 Contractor's License 070055 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) 3038040303 2425 S Colorado Blvd Suite 280 Contractor Email Address Ihammons@northwest-roofing.com Retype Contractor Email Ihammons@northwest-roofirig.com Address DESCRIPTION OF WORK TOTAL SQUARES of 27.42 the entire scope of work: Project Value (contract 14154.48 value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or No Pitched roof (2:12 pitch or greater) 62 both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are 27.42 part of the PITCHED roof? Describe the roofing CERTAINTEED LANDMARK materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional 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 63 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 Leila Hammons Email not displaying correctly? View it in your browser. 64 04/10/2015 14;03 #331 P.003I003 Posted on the buildino she Call by ; s folloWng business Mi01 II „��U�IIN � ��M� IIA W■� 10 � I I� ��111 I Ind ,: tf • t:�k: s a :t t Lath el a mid -Roof , Ehxticaf Service Rough Ejecoic Rough Plumbing Gas Piping Rough Mechanical it ♦ • rt; � t �. r • •' i u INSPECTION RECORDCall by i ImN OINSPECTION LINE: (303) 234a33 Inspection$ will not be made unless -this card Is posW on the building site R p.m. receive Inspection« business =Mm R MUST SIGN ALL SPAcEs +. r - * III�IIIf '�**• L ity of Wheat Rj,djje 14:58 CDBA Install 80%, 2 tag 22 `SOU T Bl"'Sp 4551 Udh as SIT, AEjE 4 PAYMENT RECEIVED AMOUNT S " 8B 86.46 AUTH CODE: 610469 TOTAL AL 86..46 OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY 13 ISSUED U •. •, a r � r SSV r SUfLDINO t Rpwow dfs*PMvod t a. "' f N ♦ v w f: f: IM � to 13t 14 ' permit tzs' 0 I; M n � s VNo one available for inspec 6 F 3 e �} 3 P ^� Time i IAO A WPM No IE THIS NOTICE North West Roofing A oenvnr name alnvo 1883 Melissa Mackey, 9/14/2010 We have 4 outstanding permits that have already expired. Can you please issue me an extension on these permits and pay for the fees with the credit card we have on file? The permit #'s that need extensions are: 090732 091259 092132 092235 Please call me if there are any questions you for your help with this. CITY Of WHEAT RIDGE 09/14/10 2:02 PM ed6h Thomas Brown RECEIPT NO:CDB805147 AMOUNT BPSP T /o: install 31 sqs 145.15 - 090732 Extend Expired Permi 145.15 BPSP Reroof 21.3 sqs 99.65 091259 Extend Expired Permi 99.65 DPSP T /o: Install 32 sqs 126.95 1^ 092132 �1J S17 Extend Expired Permi 126.95 1J- BPSP Reroof 24.6 sqs J 126.95 092235 Extend Expired Permi 126.95 PAYMENT RECEIVED ANOUWT MC 4868 498.70 Auth Code: 00201B TOTAL 498.70 2120 south Birch Street, Ste: 200 • Denver, CO 80222 303 - 804.0303 + 303.757 -5097 . Fax l4 - 0000000000 6 ui3 00 J ;sally ;you Wd 00 :EI 7l- da5-0603 ♦��4' City of Wheat Ridge Faxed Roof Permit PERMIT - 092235 PERMIT NO: 092235 ISSUED: 09/11/2009 JOB ADDRESS: 4551 UPHAM ST EXPIRES: 12/31/2010 DESCRIPTION: Reroof 24.6 sqs * ** CONTACTS * ** owner 303/940 -6160 Kenny Godina sub 303/804 -0303 Tom Brown 07 -0055 North West Roofing ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0304 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 10,311.89 FEES Extend Expired Permi Permit Fee 126.95 253.90 Total Valuation 00,,, Use Tax 185.61 ** TOTAL ** 566.46 Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. 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. 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 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 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 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. G. 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 p n v' is subject to field inspections. Signatu of ief Building Official date INSP CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINE S DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ` t0109 C � CCZ ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line ! (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Wes) Job Address: z`6 e)PPAM S 1` Permit Number: Qk:;~-22=3`7 8 4 I ❑ No one available for inspection: Time AM/PM r Re-Inspection required: Yes No "When corrections have been made, call for re-inspection at 303-234-5933 i+ s Date:J } G~ Inspector , ! , , 't- DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: DESCRIPTION: City of Wheat Ridge Faxed Roof Permit PERMIT - 092235 092235 4551 UPHAM ST Reroof 24.6 sqs ISSUED: 09/11/2009 EXPIRES: 03/10/2010 CONTACTS owner 303/940-6160 Kenny Godina sub 303/804-0303 Tom Brown 07-0055 North West Roofing PARCEL INFO -cZONE CODE: UA USE: UA SUBDIVISION: 0304 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 10,311.89 FEES Permit Fee 253.90 , Total Valuation ,pp Use Tax 185.61 TOTAL 439.51 " ..Conditions: ,Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. 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. Ice and -water shield required from eave edge to 2' inside exterior walls. SSubject 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 11. 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 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 exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. -5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. ):.6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan ^ev~$Iew 'subject to field inspections. urrrcral date N REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. W' u t "T-/Cfty of1 T • I _ pate: Permit V.V p...y v., . v Office: 303-235-2855 " l=ax; 303-237-8929 Inspection Line: 303-2345933 License M U - C f * Phone: mm~anv ame License M Expiration Date: Trade/Profession: Approv_ai Use of s ace descri lion : r4 " ro o t' pear- o w d atyers, Plan Review (due at rime ofsubmRlap: $ Sq.FLA.,Ftadded: Squarest:14 LSTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances pproposed 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 aiiagatlans 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 R[d®e Building Code (1.6.C) and all other applicable. Wheat Ridge Ordinances, for work under this permit Plans subject to field inspection. C/RLCRONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE (OW ER) (CONTRATO *19 PRINT NAME: tJ l2 I~✓i/i`CIGY ~1~ SIGNATURE: Date: Bldg Valuatloh: $ Credit Card Payment: Use credit card liated on fi Print name: TO B 12OW ly Signature: 6/£ 0000000000 5UI400J lsam- IJcu Wd t9 Z0 OIAaS-600Z Facsimile Building Permit Application