HomeMy WebLinkAbout11575 W. 32nd Avenuei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: -
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www. cL wheatridge.co. uslinspection
Date: Z -// 4470_?_.n ... nspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704733
PERMIT NO: 201704733 ISSUED: 07/25/2017
JOB ADDRESS: 11575 W 32nd AVE EXPIRES: 07/25/2018
JOB DESCRIPTION: Residential Re -roof to install owens corning duration asphalt shingles with
15 sq
this is for house only, roof pitch is 7/12
*** CONTACTS ***
OWNER (303)260-9191 ADKINS DONNA
SUB (303)880-4870 Tyler Spaw
170348 Rocky Top Exteriors LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,978.00
FEES
Total Valuation 0.00
Use Tax 125.54
Permit Fee 140.90
** TOTAL ** 266.44 .�
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201704733
PERMIT NO: 201704733 ISSUED: 07/25/2017
JOB ADDRESS: 11575 W 32nd AVE EXPIRES: 07/25/2018
JOB DESCRIPTION: Residential Re -roof to install owens corning duration asphalt shingles with
15 sq
this is for house only, roof pitch is 7/12
I, by my signature, do y attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building des, nd all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owne f the operty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. a tte that I am le�ally authorized to include all entities named within this document as parties to the work to be
performed 11 rk to be performed is disclosed in this document and/or its' companying approved plans and specifications.
7Fgg;�
Signatur f R or CONTRACTOR (Circle one) Date
4�. Thi pe i as issued based on the information provided in the permit application and accompanying plans and specifications and is
4,ubject t e compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. his 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 issuance orgranting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject tofield inspection.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 17, 2017 3:11 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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
Property Owner Name
Property Owner Phone
Number
11575 w 32nd ave
Donna Adkins
3032609191
Property Owner Email Field not completed.
Address
1
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
ROCKY TOP EXTERIORS LLC
Contractor's License
LAKEWOOD
Number (for the City of
Wheat Ridge)
Contractor Phone
3038804870
Number
Contractor Email Address
tyler@rockytopexteriors.com
Retype Contractor Email
tyler@rockytopexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
owens corning duration
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
15
material selected above?
Does any portion of the
Yes
property include a flat
roof?
If yes, how many squares
we are not doing any portion of the flat roof
on the flat roof?
TOTAL SQUARES of all
15
roofing material for this
project
Provide additional detail
this is for house only, roof pitch is 7/12
here on the description of
VA
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract $5978.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant TYLER SPAW
Email not displaying correctly? View it in your browser.
DocuSign Envelope ID: D497750MFD2-4A51-8F96-3DB9F8D3AOB8
Rocky Top Exteriors LLC
Date: 7/18/2017
ROOFING AGREEMENT
Claims Managers Name: Tyler Spaw
Homeowner(s) Donna Adkins
Property Address: 11575 w 32nd ave wheat ridge, co 80033
[Ell Story ❑2 Story Email Address:
Telephone (h) (303) 260-9191 (w) (c)
Insurance Company liberty mutual policy No. H3729812287540
Deductible: $5,000.00 Claim: 035506168-01
Other:
Company dba. Rocky Top Exteriors LLC, will install new, full/partial roof and/or other home repair upon approval of
insurance claim by Homeowner's Insurance Company. If Insurance Company does not approve a complete replacement value roof
claim, this Contract will be null and void and Homeowner shall owe Company nothing. The only cost to Homeowner will be their
deductible. Homeowner shall give, endorse over all insurance proceed checks to Company, including any supplement or
supplemental payments made by insurance Company. Company is authorized to do the work outlined in the Scope of Work and
approved by Insurance Company which is attached hereto as Exhibit "A" and incorporated herein by reference. By my signature
below, I agree to the terms and conditions contained in this Roofing Agreement. I acknowledge receipt of a copy of this Roofing
Agreement
This 7/18 day of Dqjc2gibAed by:
061/L 9 AIIA,S
Homeowner ,a. (signature)
Donna Adkins
(printed name)
Homeowner (signature)
(printed name)
DocuSignedlby:
Company:y (signature)
13CFfi0D4F OE49E...
Tyler Spaw (printed name)
DocuSign Envelope ID: D4977509-6FD2-4A51-8F96-3DB9F8D3AOB8
set forth on the Scope of Work is not included in the insurance estimate or the deductible and shall be paid for separately by the Homeowner over and
above the amount of the insurance proceeds and the deductible.
13. Company shall not assume or be held liable for any damages to personal property or physical injury as a result of vibrations caused during the execution of
the work described in this Agreement.
14. Company will make all reasonable efforts to protect the property from any further damages. However Company shall not be held liable for wear and tear
to driveways, parking lots, walkways, lawns, shrubs, or other floral or vegetation caused by truck, equipment, materials, work force or debris.
1s. ANY WARRANTIES ON THE PRODUCTS USED ARE THOSE MADE BY THE MANUFACTURER. COMPANY DISCLAIMS ALL
WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE. COMPANY DOES NOT ASSUME NOR AUTHORIZE ANY OTHER TO ASSUME FOR IT ANY LIABILITY IN
CONNECTION WITH THE SALE OR USE OF ANY PRODUCTS. HOMEOWNER SHALL NOT BE ENTITLED TO RECOVER FROM
COMPANY ANY CONSEQUENTIAL DAMAGES, DAMAGES TO PERSON OR PROPERTY, DAMAGES FOR LOSS OF USE, LOSS OF
TIME, LOSS OF PROJECTS OR INCOME, OR ANY OTHER INCIDENTAL DAMAGES.
16. Company and its insurers shall be held harmless for alleged or actual damages/claims as a result of mold, algae or fungus. Company and its insurers shall
exclude all coverage, Including defense, damages related to bodily injury, property damage and clean-up directly or indirectly in whole or in part for any
action brought by mold, including fungus and mildew, regardless of the cost, event, material, product or workmanship that may have contributed
concurrently or in any sequence to the injury or damage that occurs.
17. Company's performance under this Agreement shall be excused in the event of fire, explosion, flood, severe weather, accident, strike, governmental act,
embargo, shortages of materials, computer system failure, war or military action, riot, civil disturbance or any other event beyond the control of Company
or which materially affects the economic basis of the bargain ("force majeure"). Company's performance in the event of a force majeure shall be excused
for as long as the cause continues, without liability. If the force majeure continues unabated for ninety (90) consecutive days, Company may, at its option,
cancel this Agreement without liability.
18. Homeowner agrees Company's performance under this Agreement shall not commence until the Homeowner pays the insurance proceeds and deductible
to Company for the Scope of Work.
19. You, the Homeowner, may cancel this transaction at any time prior to midnight on the 311 business day after the date of this agreement.
20. 1 (We), the Homeowner(s), have read and fully understand this Agreement. I have been provided with a copy of this Agreement. I have also been
provided a copy of a Notice of Cancellation should I desire to cancel the Agreement within three (3) days from the date hereof.
EXHIBIT "A"
SCOPE OF WORK (Approved by Insurance Company)
]Homeowner Responsible for Payment of Insurance Proceeds and Deductible to Company for this work]
WORK APPROVED BY INSURANCE COMPANY. (A COPY OF THE INSURANCE APPROVAL IS ATTACHED).
HOMEOWNER IS ONLY RESPONSIBLE FOR PAYMENT OF THEIR DEDUCTIBLE.
REMAINING BALANCE TO BE PAID THROUGH INSURANCE PROCEEDS/CHECK(S).
GRADE OF SHINGLE: limited Ilfe time
STYLE OF SHINGLE: Owens Corning Duration
COLOR OF SHINGLE: Estate grey
RIDGE MATERIAL: Pro edge
VALLEY closed
VENTS: I new
PLUMBING STACKS: all new
TEAR OFF: YES: NO:,� LAYERS:
FELT: all new
PITCH: 7/12 23TORY: no
REMOVE TRASH FROM ROOF, GUTTERS AND YARDS
PROTECT LANDSCAPING WHERE NEEDED
ROLL YARD WITH MAGNETIC ROLLER
FURNISH PERMIT
PLYWOOD -2 SHEETS REPLACED FREE OF CHARGE —$40.00 PER SHEET AFTER "WE WILL TRY TO FILE A SUPPLEMENTAL CLAIM
SPECIAL ATTENTION AREAS
-3-
DocuSign Envelope ID: D4977509-6FD2-4A51-SF96-3DB9F8D3AOB8
El ICE WATER SHIELD Z YES D No
✓ EXISTING DRIVEWAY DAMAGE II YES II NO
✓ SKYLIGHTS: none
✓ FELT: all new
✓ INTERIOR DAMAGE: none
WINDOWS: none
SIDING: none
0 GUTTERS' all new except left side - no damage per insurance
Q
PAINTING' none
❑ SPECIAL STIPULATION(S) REQUESTED BY HOMEOWNER.
ADDITIONAL WORK/UPGRADE DESCRIPTION: 1HOMEOWNER RESPONSIBLE FOR PAYMENT OF THIS WORK
WHICH IS NOT COVERED BY PAYMENT OF INSURANCE PROCEEDS OR POLICY DEDUCTIBLEj.
GRADE OF SHINGLE:
SME OF SHINGLE:
COLOR OF SHINGLE:
Roofing - What's Next?
Getting the Claim Filed
1. Your paperwork will be submitted to the Roofing Division at ROCKY TOP EXTERIORS LLC. And it will be handled by your
project manager:
2. ROCKY TOP EXTERIORS LLC contacts your insurance company and attempts to file a claim on your behalf.
a. In some cases, your insurance company will want to speak directly with you in order to file a claim.
b. The results of this call yield a Claim Number for your property.
3. ROCKY TOP EXTERIORS LLC schedules an appointment (date and time) with your assigned Adjuster. Please note - in some
cases this information is communicated directly to you, and is required ASAP to schedule our Roofing Expert.
Getting the Claim Approved
1. ROCKY TOP EXTERIORS LLC Expert meets with the Insurance Adjuster.
2. ROCKY TOP EXTERIORS LLC Expert points out and reviews all damage found to Insurance Adjuster.
a. ROCKY TOP EXTERIORS LLC Expert meets with you and reviews the results above:
1. What has been approved;
2. Our process in replacing the roof;
3. Selection of shingles and colors;
4. Collection of insurance deductible.
3. Insurance Proceeds - Checks
a. Either sent directly to you or to ROCKY TOP EXTERIORS LLC
If sent to you, please contact us and we will pick up or have you mail the checks to us at:
11750 W 2411 PI Circle
Lakewood, CO 80215
b. Your mortgage company may be co -pay. If so, ROCKY TOP EXTERIORS LLC arranges to get your mortgage company's
endorsement.
-4-
DocuSign Envelope ID: D4977509-6FD2-4A51-8F96-3DB9F8D3AOB8
Getting the Work Completed
1. ROCKY TOP EXTERIORS LLC schedules all work to be completed:
a. Contacts you to arrange date of roof installation (weather permitting);
b. Orders dumpster;
c. Orders all materials;
d. Orders permit;
e. Schedules roofing crews to do approved work.
2. ROCKY TOP EXTERIORS LLC, reviews the completed work with you, and ensures your satisfaction.
3. ROCKY TOP EXTERIORS LLC, provides your insurance company with a Certification of Completion letter (if applicable).
4. An additional check (depreciation recovery) or supplemental check maybe issued by your insurance company for the
approved work. This process is the same as "Getting the Claim Approved" in Section 3, above.
Thank you very much for your business.
Tyler Spaw, Owner and Operator
Rocky Top Exteriors LLC
-5-
P, qVC1v--e
This notice may be removed ONLY by
- '! 'M 'F-j
0. kF A- U -A&
INSP ECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the buildin
Call by 3:00 PM to receive inspection the following business day
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
N INSPECTIONS DATE INSPECTOR COMMENTS:
INITIALS c -
issons N
CEG) Concrete
round
or Monolithic
of French Drain M,
ice Lines
cc Lines
E,
IL ABOVE HAS BEEN SIGNED
SLAB FLOOR
nderground)
nderground)
derground)
Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
e
rvice
C
Ing
anical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Fv� I
nt
nage �WP F PLANNING & ZONING, FIRE AND PLI
S S PL'
S S 0 D LE
HOULD BE GALLED AT LEAST ONE WEEK PRIOR TO FI
z
m
c' L ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND, ZONING BUILDING AND -UB 10, POWS
♦ 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: F, „e i )5e z<, - By
Job Address: 1157S � Hsu y E
Permit Number: o
d���"✓� P"ft�s.Pr /Ssir�e/ 7d suis�/� A�2F�PF,�Tv :`� na
❑ No one available for inspection: Time , ✓: r� AM/ES
Re- Inspection required: es No
* When corrections have been made, call for re- inspection at 303 - 2345933
Date: >4 2_ZI9 Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
��i BuilSiing Inspection Division
(303) 134 -5933 Inspection line
J (303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: C'SS
Job Address: /f �5 7 5 " o ).. 7 cl e4 it
Permit Number: 0 i'/-14/fC�
f
❑ No one available for inspection: Time /,l AM
Re- Inspection required: Yes No
"When corrections have been made, call for re- inspection at 303 - 234 -5933
Date`. /a i qi Inspector:
f DO NOT REMOVE THIS NOTICE
STOP WORK ORDER
You are hereby ordered to stop work located at:
VC,
}
♦ i CITY OF WHEAT RIDGE
Bldg Inspection Division
(303) 234 -5933 Inspection line
i
r 000r ul in
J (3 03) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: l ;r = r
Job Address: i `�7 ; 0, 3 i Vo
Permit Number: 00/7v
I
er,•e
❑ No one available for inspection: Time M1 /P
Re- Inspection required: es90
* When corrections have been made, call flar re-In tion at 303234 -5933
Date: Inspector. 2%2 r % -1 7C r
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: �4 paq b l ! &I'A• fanr
Job Address: I I S7
Permit Number: el /2
❑ No one available for inspection: Time A"/'PM
Re- Inspection required: Yes No 1
"When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: �.� �l� Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: � „f,�T
Job Address: i f. - 7r 1 � M p
Permit Number: cm q
❑ No one available for inspection: Time A
Re- Inspection required: Yes /�
"When corrections have been made, call for re- inspection at 303 - 234933
Date -C, Inspector: tT 1(
t ,
DO NOT REMOVE THIS NOTICE
44, City of Wheat Ridge
UATION: 7,500.00
I,
a'
~oF w"Fargo 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
Permit ~l t
Building Permit Application
Property Address: Jr 7J~ G~ 3d ° Q e
Property Owner (please print): Go,( .l s C h r o e d CX Phone: 30 3 q13 R 3 5 a
Mailing Address: (if different than property address)
Address: -)q ~ q 5 , Q U e. nay UJ
City, State, Zip` All(o(o-, Co
Contractor: l~t E~ (I~
Contractor License G1~' -O05 . Phone:
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Re - Sid f, kooS<, Construction Value: $ 7, SUU
Description of work: (as calculated per the Building valuation Data sheet)
with )vm s H~ra'~
Plan Review (due at time of submittal): $
Sq. Ft./L.Ftadded: Squares 4 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 1 have read and agree to abide by all conditions printed on this application and that 1 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 REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: -GAhe U.I n4 SIGNATURE:
- Idyel. ~'J' Date: /d 77 0 1
roo0or, City of Wheat Ridge
Residential Roofing PERMIT - 091705
PERMIT NO: 091705 ISSUED: 08/27/2009
JOB ADDRESS: 11575.W .32ND AVE EXPIRES: 02/23/2010
DESCRIPTION: Reroof.+.18.9 sqs
CONTACTS
owner 303/888-3971 Gary Schroeder
sub 303/789-1107 02-1574 COLORADO PREMIER ROOFING
PARCEL INFO.**.
ZONE CODE: UA USE : UA
SUBDIVISION:. -0191 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 10,341.67
FEES
Permit Fee 253.90 (a_,......`fTotal Valuation .00
Use. Tax 186.15 '
_.aa`.Ma u. z
TOTAL. 440.05
Conditions:..
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 to2' inside exterior walls.
Subject to field inspections.
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 res bility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable. Wheat ge Or n ces, ork under this permit. Plans subject to field inspection.
Signature o -con actor/ caner date -
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.
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 will change the natural flow of water causing a drainage 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 apermit 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 i subject to field inspections.
'.ignature oGMUSI~TIBE Building Official date
INSPECT QUEST LINE: .:(303)234-5933 BUILDING OFFICE: (303)235-2855
2EQUEST MADE BY3PM ANY. BUSINESS DAY FOR INSPECTION.:. THE FOLLOWING BUSINESS. DAY.
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