HomeMy WebLinkAbout6000 W. 32nd AvenueProperty Address
Permit Number
Permit Issued Date
The City of Wheat Ridge
Third Party Form Check List
6600 W 32"4.�,_
0 '201 Boa 942
Owner Information
Property Owner Information
Property Owner Address
Inspector
Inspection Company
Inspector Name
Inspector Contact info.
a: // .Caw reNga-
(e'660 w 3 2 1*19 4 Ue, --
766- 46CI- ysi7
Inspector Statement and Acknowledgement
I hearby acknowledge the roof 1 am inspecting is 6192 or over. All roofs
that are under 6112 must be inspected by the City of Wheat Ridge Budding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Pali ' s and Procedure and Manufacturer's
recommendations and ecifi ions
Inspectors Date:
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Building Division inspection.
Rid
Propery Owner/Agent: 4 mate: / P
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to roversa ,5ido
Per
T he City of Wheat Ridge
Inspection Check .List notes
Mid -Roof
Roof Inspection
N/A
❑ Pass
❑ Fail
N/A
❑ Pass
❑ Fail
Structural roof components
N/A
❑ Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
N/A
❑ Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
if new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
[� N/A
❑ Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
00 Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
V Pass
❑ Fail
Verify vent caps
❑ N/A
fC Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Ir Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 113C
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
fit] Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Ir Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
A Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
N/A
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Puss
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
NIA
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Meta! Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on Slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a mint of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Reguirements
NIA
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/212 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Fridge
Inspection Check List notes
Mid -Roof
Notes
CoanpanY Name,
Inspector signature:
Date of Inspections
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
[� N/A
❑ Pass
❑ Fait
❑ N/A
(� Pass
❑ Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
M N/A
Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑Faii
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
�N/A
❑ Pass
❑ t=ail
Verify sheathing nail pattern (See Policy & Procedures)
N/A
❑ Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
05� Pass
EJ Fail
Verify B vent must have boot same gauge as pipe
U N/A
DI Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
❑Faii
Verify no flashings are damaged or rusted
❑ N/A
® Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
l� N/A
Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
[ Pass
❑ Fail
Ice and water shield Z in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ NIA
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OG
N/A'
❑ Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2.12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
.above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPOM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal hoof Shingles Reguirements
j -NiA
❑ Pass
❑ Fail
Metal roof shingles Shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
I"
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow fine with sections overlapping a
a min. of 4"
Tile Roofs Requirements
(� N/A
�"
❑ Pass
❑ Fail
Clay and concrete the shall have a rain. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check Liss: notes
Final Roof
mr%faa
Company Mame: -'% ' J* iCl�iE -
Inspector signature: 1
Date of Inspection;
-.r
City of Wheat Ridge
Residential Roofing PERMIT - 201802999
PERMIT NO: 201802999 ISSUED: 11/13/2018
JOB ADDRESS: 6000 W 32nd Ave EXPIRES: 11/13/2019
JOB DESCRIPTION: Reroof remove and install Malarkey Legacy Asphalt Shingles with 41 total
squares(32 squares house and 9 squares garage). Pitch 6/12.
***3rd Party Inspector Required for Mid Roof and Final Inspections due to
Pitch of 6/12.***
*** CONTACTS ***
OWNER (303)237-4895 GILL LAWRENCE E
SUB (303)670-3048 Terry Harper 018383 Harper Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00
FEES
Total Valuation 0.00
Use Tax 315.00
Permit Fee 283.55
** TOTAL ** 598.55
*** 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% 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% 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 - 201802999
PERMIT NO: 201802999 ISSUED: 11/13/2018
JOB ADDRESS: 6000 W 32nd Ave EXPIRES: 11/13/2019
JOB DESCRIPTION: Reroof remove and install Malarkey Legacy Asphalt Shingles with 41 total
squares(32 squares house and 9 squares garage). Pitch 6/12.
***3rd Party Inspector Required for Mid Roof and Final Inspections due to
Pitch of 6/12.***
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
thisermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed a at all w(rk to be performed is disclosed in this document a d/or it)' accompanying approved plans and specifications.
Signature of OWNER or COI$17RACTOR (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. This permit shall expire 365 days after the date of issuance regardless of activity. Re uests 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.
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 pen -nits is at the sole discretion of
the Chief Building Offial 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.
5. The issuance or granting of I uennit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable or any ord ce 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.
La enia Reimer
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, November 13, 2018 11:34 AM
To: CommDev Permits
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. The Building Division permit counter is open from
7:30 am to 3:30 pm, 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
6000 West 32nd Ave.
Lawrence Gill
Property Owner Phone 303-237-4895
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Scan 2018-11-13 11.27.13.pdf
CONTRACTOR INFORMATION
Contractor Business Harper Services
Name
Contractor's License 18383
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-670-3048
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 37895 Highway 40 Evergreen,Co. 80439
(Primary address of your
business)
Contractor Email Address harperservice@qwestoffice.net
Retype Contractor Email harperservice@gwestoffice.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
41
15000
No
Pitched roof (2:12 pitch or greater)
z
both? (check all that
apply) J �—
What is the specific pitch 6/12
of the PITCHED roof?
r
How many squares ar�i 41 House32 Garage 9
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Malarkey Legacy
Asphalt
Provide any additional tear off old shingles ,drip edge metal, ice shield, felt base, new
detail here on the vents and jacks,etc.
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
3
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Terry Harper
Permit
Email not displaying correctly? View it in your browser.
♦ 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�, kwl.
Job Address:
Permit Number:
o:
❑ No one available for inspection: Time 3 AMZ
Re- Inspection required: Yes �-
"When corrections have been made, call for re- inspection at 303234 -5933
Date: /t> !e? Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECD ..0
OccuaancvlTvpe
'V INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Roof
Stemwall / (CEG) Concrete
Encased Ground
Z
Building Final
Reinforcing or Monolithic
Fire Department
Weatherproof/ French Drain
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
Sewer Service Lines
Water Service Lines
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DON
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Pioina
Rough Mechanical
Framing
Insulation
Drywall Screw
INSPECTIONS TO
FINALS
Electrical
Plumbing
Mechanical
Roof
9l ° /io
Z
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
UccUPANGY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED.
PROTECT THIS CARD FROM THE WEATHER
I'
♦ i CITY OF WHEAT RIDGE
� Building Inspection Division
(303) 234-5933 Inspection line
] 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 5,1
Job Address: 606P 1A).
Permit Number: fY ^t7 T
I
❑ No one available for inspection Time 6;11PM
Re- Inspection required: Yes tNo f
When corrections have been made, calf for re - fns ectloa at 303 - 234 - 5933
Date: g 1 { Inspector:
DO NOT REMOVE THIS NOTICE
�
City of Wheat Ridge
r 4000 r-
Residential Roofing PERMIT - 102031
PERMIT NO:
102031
ISSUED:
08/25/2010
JOB ADDRESS:
6000 W 32ND AVE
EXPIRES:
08/25/2011
DESCRIPTION:
Reroof and redeck 29
sqs with 30 yr GAF shingles
0/
* ** CONTACTS * **
owner Lawrence Gill
sub 303/670 -3048 Terry Harper 01 -8383 Harper Services
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0505
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 17,000.00
FEES
Permit Fee 315.25
Total Valuation .00
Use Tax 306.00 rMn�a TOTAL ** 621.25
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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.
of contractor /owner date
I. 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 review is subject to field inspections.
Building
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.
l ity tti
✓f I A.Q. .h* N SW. ) Y G_. . LSS CC
- L,��Sft iAfll 13( -;,. It)P�tAf��k
Building & Inspection Services Division. I =errrtit # � ,
7500 W. 29 Ave., Wheat Ridge, CO 80033 __ ��� _ � _
Office: 303 -235- 2855'Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
troperty Adr#a ess: /,1200 VV i 32- i
Property Owner (please print): 2�1 L4-) 0 �j Pho
Mailing Address: (if different than property address)
Address:
City, State, Zip: 7y
Con tracto
:
— , — -- —
Contractors City License #: _ Phone: 763 — 10 - 70 3
_ c-eI I 7e3 Z
Electrical: Plumbing: Mechanical:
City License # City License # City License #
bdi6ri A16 o u�rsrkti \
- T t7 v \ 6 vYV YJP!�u CIP & �T` v- _
Contract Value:
Review Fee (due . at time of submittal):
Squares �� BTU's Gallons Amps Sq Ft. $
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. -
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME �,'E(n� �S`(C�,i SIGNATURE DATE:
. ZpK7IN0 GOMMEI�'{S �' � ,� r ,,. � r / �c e Y , ., « ✓ y u .>x a � �;� s .:! v „. r ' z 7"
i r /
.,,�,F
Bldg Valuation:
WY
A1�G4 v
9 $'
ffry
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-2026
Date :10/11/95
Property Owner
Property Address
Contractor License No.
Company
GILL LAWRENCE E
6000 32ND AV
18570
Gill Electric
Phone : 237-1482
Phone : 237 1483
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy 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 aqree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : GAS LINE FOR FURNACE
Construction Value :
$200.00
Permit Fee :
$15.00
Plan Review Fee :
$0.00
Use Tax :
$3.00
Total:
$18.00
Electrical License No : Plumbing License No : Mechanicai License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
Ro' mmmmomm
(1) This permitwas issued in accordance with the provisions set forth in yopurappliration and is 8ubectto the laws of the State of Coloredo antl to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This pertnit shall expire if (A) the work authonzed is not commenced within si~cty (60) days from issue date or (B) the building authorized is suspended or
abandonetl for a period of 120 days.
(3) If this permit expires, a new pefmit 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 abandonmen[ has not exceeded one (i) year. If changes are matle or if suspension or abandonment
exceetls one (1) year, full fees shall be paitl For a new permi[.
(4) No work of any manner shall be done thatwill chanqe the naturel Flow oFwater causing a tlrainage problem.
(5) Conhactor shall no[ify the Building Inspeclortwenty-four (24) hours in advance for all inspections and shall receive writlen approval on inspec[ion card before
proceediing with successive phases of the job.
(s) The issuance of a pertnit or the approvai of tlrawings and specificalions shall not be consW etl to be a permit for, nor an approval of, any violation of the provisions
of fft 4ui!tlift9 cedes er any other ordinance, law, mle or regulation.
Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECIQR tt
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : Q 0 e, 4,-J 3 Z2 Phone : <;L 3 7
Contractor License No. :
Company: Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinanees, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, antl allegations
-made are accurate; that I have read and a9ree to abide by all condkions printed on this
appliwtion, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
r
Description: re.L~qc -v ~j 19-5
v
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
Approval :
Construction Value : ~ CC)
Permit Fee :
Use Tax :
Total :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Alumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
~ PfSns.R`_e'quired ~''1 ]3 Pl(ns Required
(1) This permit was issuetl in accortlance with the pmwsions set forth in yopur application antl is subject to the laws of ihe State of Coloratlo and lo the Zoning
Regulations antl Builtling Cotle of Wheat Ridge, Coloratlo or any other applicahle ordinances of the City.
(2) This permit shall expire rf(A) the work authonzed is not commencetl within sixry (60) days from issue date or (B) the builtling aulhonzetl is suspended or
abandoned tor a period of 120 days.
(3) I( this permit expires, a new permrt may 6e acquired for a fee of one-half Ihe amount normally required, provitletl no changes have been or will be made in the
onginal plans antl specifications antl any suspension or abantlonment has not exceedetl one (1) year. If changes are matle or if suspension or abantlonment
exceetls one (1) year, PoII fees shall be paid !or a new pertnit.
(4) No work of any manner shall be done Iha[ will change Ihe naWral Flow of water causing a dreinage problem.
(5) Contracror shall notiry the Builtling Inspector hvenry-four (24) hours in advance for all inspections antl shall receive written approval on inspection cartl betore
proceediing with successive phases of ihe job.
(6) The issuance of a permit or Ihe approval of drawings antl specifcations shall not 6e construetl ro Oe a permit for, nor an approval of, any violation of the provisions
of Ihe builtling cotles or any o[her ortlinance, law, mle or regulation.
Ghief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION