HomeMy WebLinkAbout6285-6295 W. 32nd AvenueP Z
ERMIT, - / 70 ADDRESS: 4&S:0�� -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
- C6 — )g
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
- C6 — )g
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 re11cei{ve an inspection the following business day
PERMMI-r � � ADDRESS: )� � l J V T _ B CODE:
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
,Dv --R FC,. ' ADDiTI0NAi_ n,':�P'=C'TiUNS
i CITY OF4HEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Ll o
Job Address: to aQ S-
Permit Number: -aO 1 -70 5- ro S 4-/
❑ No one available for inspection: Time -3 0 AM05
Re -Inspection required: Yes (9)
When corrections have been made, call for re -inspection at 303 -234 -
Date: I 4S Inspector
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT -
201705654
PERMIT NO:
201705654
ISSUED:
08/08/2017
JOB ADDRESS:
6285 W 32nd AVE
EXPIRES:
08/08/2018
JOB DESCRIPTION:
Residential Re -roof at 6285 & 6295
W 32nd Ave to
install Tamko Heritage
asphalt shingles with ROOF DECKING
- 36 sq
*** CONTACTS ***
OWNER (303)437-8426
WALDNER DENNIS
SUB (303)296-8551 Production
019898 AVI, Inc.
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT VALUATION:
12,064.50
FEES
Total Valuation
0.00
Use Tax
253,35
Permit Fee
251.85
moi:
** TOTAL **
505.20
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
.- - 'f
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201705654
201705654
6285 W 32nd AVE
Residential Re—roof at 6285 & 6295 W
asphalt shingles with ROOF DECKING —
ISSUED: 08/08/2017
EXPIRES: 08/08/2018
32nd Ave to install Tamko Heritage
36 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attesthat I am legally authorized to include alt 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/gr its:accompanying approved plans and specifications.
-,--P�
Signature of OWNER o CON CTOR (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. 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 Budding
Official and maybe 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 obtamed. 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, an violation of any provision of any
applicab opr�a�n�y 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.
Dan Schultz 70170) 6 b
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, August 1, 2017 1:43 PM
C
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories:
Dane
L
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 6285-6295 W. 32nd Ave 'I
Property Owner Name Dennis Waldner
Property Owner Phone 3034378426
Number
Property Owner Email waldner.realestate@q.com
Address
$SO,5`2V
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Field not completed.
Contract
CONTRACTOR INFORMATION
Contractor Business
Avi Roofing Inc
Name
Contractor's License
0119898
Number (for the City of
-
1 '
Wheat Ridge)
Contractor Phone
3032968551
Number
Contractor Email Address
production@aviroofing.com
Retype Contractor Email
production@aviroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes
roof?
Description of Roofing
Tear off 1 of 1 layers and install 36 sq of Tamko Heritage
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
36
material selected above?
Does any portion of the
i
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
36 sq. 5/12 pitch�!I
(pitched + flat) of all
z
roofing material for this
project
Provide additional detail 5/12 Pitch- House
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 1pg7-gr-
value or cost of ALL (( rrr
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 Cara Meyer
Email not displaying correctly? View it in your browser.
C
["IV ED ru i L 2 4 2617
MW
1290 E. 58th Avenue
014PAND AGREEMENT Denver, co sorts
;r
r
may'- E-mail: office@ aviroofing.con,
PHONE: 303-296-8551 w—v.aviroofing.com g
FAX: 303-296-8557 E
Dennis WaldnerEmail: waldner.realestate@q.com
Phone 303-437-8426 Other Phoi 0
t
1 Address: 9485 W 9th Ave Lakewood CO 80215
CO 80033
ddress: 6285-6295 W 32 nd Ave Wheat Ridge
Terms and Conditions on the reverse side of this Proposal & Agreement, to furnish all materials, labor and
)of±ng, Inc. ("Contractor") agrees, subject to the Additional
nent necessary for the work specified below located at the address stated above:
TO BE PERFORMED AND MATERIALS TO BE SUPPLIED:
DESCRIPTION OF WORK
36.00 sqs TAMKO HERITAGE COLOR /< G : _ltitials
e Manufacturer & Field Squares
±ff existing roof layers & haul away 1.00 layers
new hip & ridge cap and starter materials.
base felt Rhino
valley material.
Ice Guard on eaves, valleys and penetrations.
2 X 2 rake flashing and 2 x 4 eave flashing.
8X8
ve and replace plumbing flashings and heat flashings and caps as needed
a
all new roof vents & bath vents I
plywood MG OSt3 inciuded
new ridge ventilaton, roof vents and turbines
KIT 0 total
facturers Warranty TAMKO MASTERCRAFT AVI Workmanship 5 Year Warranty Permit by AVI
)OF HOUSE Yes GUTTERS Yes
le Detached No DOWNSPOUTS Yes
No
1 No Shed 2
TOTAL COST
CONTRACT PRICING:
$16,650
GLE ROOFING COST $1,949
FER AND DOWNSPOUT COST $0
t
)OWS $0
JG $0
T $0
%IR $0
N $0
4L $0
REPAIRS $0
RHEAD AND PROFIT $0
ERIAL TAXES TOTAL CONTRACT PRICE: $18,599
PERMIT COST TO BE BILLEQ TO THE INSURANCE AS AN EXTRA.
Payments to be made as follows: 50% is due upon delivery of materials. The balance is due upon completion of work.
All collected prior to the job starting will be held in a separate account until the job is at least 50% complete.
money
If payment is made by credit card a 5% service charge will apply.
SPECIAL INSTRUCTIONS:
HOME OWNER HAS A 3 DAY RIGHT OF RECISION.
APPROXIMATE START DATE OF WORK IS
PRICE DOES NOT INCLUDE LEAD MITIGATION.
NEW DECKING IS REQUIRED AVI WILL GIVE YOU A CHANGE ORDER
DECKING WILL BE INSPECTED AFTER THE ROOF IS TORN OFF. IF
AND REPLACE EXISTING IF REQUIRED BY CODE OR DAMAGE.
t
00 PERSHEET TO LAY OVER EXITING DECKING, $65.00 TO REMOVE
`
acement of deteriorated decking, fascia boards, roof jacks, ventilators, flashing or other materials, unless otherwise stated in this Proposal & Agreement are not included
furniture, awnings, or other outdoor fixtures prior to the start of
will be charged as an extra on a time and material basis. Owner is responsible for removal of all outdoor
/ metal. The contractor shall not be required to perform work relating to asbestos or polychlorinated biphenyl
9
Nork. Owner to prime and paint any replaced wood and or
cost of removal or cost to render harmless this material in the event that such material is discovered. This Proposal &
3). Owner will be responsible for the additional
in writing within that time by Owner, or unless the expiration date is extended in writing by the contractor and
!ement will expire in ten (10) days from date unless accepted
Owner before the extended expiation date. Also, after 10 days from the date below, Contractor reserves the right to
Proposal &Agreement is thereafter accepted by
in accordance with costs in effect at that time. All proposals are subject to approval of Contractor's Management.
QJ
>e its price
s±gnmg a ow you agree to t. e a ove prices, spec± ±cat±ons aii con ±t±ons are satls actory an are ere y accepte oo mcg, nc. ±s aut Drize
to do the work as s ified.
20
This made this _Z day of G
agreement —
%2 DateL
:tomer Signature
I have read and understand the Additional Terms and Conditions are part of this Proposal & Agreement.
By signing this agreement
07/05/17
Don Delisa
Date
A41 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:] 4A1 7 --
Permit Number: . O/ go 976 5-61
❑ No one available for inspection: Time/✓ " —AM/PM
Re -Inspection required: Yeses
_)
When corrections have been made, call for re-insp do , at 303 -234 -
Date: C1'� ?f 1 �7 Inspector:
DO NOT REMOVE THIS NOTICE
FOR OFFICE E USF ONLY
' City of ;tete.
J9
Plawpermit# r, -L\
Building & Inspection Services Division
7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan Review
Office: 303-235-2555 * Fax: 303-237-5929
Inspection tine: 303-234-5933
Building er `it Application
Plasse,completeall highlighted mess on both sides of this form, Incomplow appacations may not s .
Property Address.
306-,� 77
Property Owner Email. -
Address: (if different than property ,address)
Address:
Arch tectiEngine r E -mail. -phone..
Contractor:
ctort
Contractors City License Phone
ContractorE-mail rens: � � � i 0
Sub Contractors:
Electrical: Plumbing: Mechanical:
Wk City License ## W,R. City License # W.k City License ##
Other City Licensed ab: Other City Licensed Sub:
City License ## City License
Complete all information on BOTH sides of this for
J
NEW COMMERCIAL
F j MM,.ELECTRICAL
. j SERVICE UPGRADE wjl
NEW RESIDENTIAL
gy ►MCOMMERCIAL
COMMERCIAL
j#ii#RESIDENTIAL!
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL
ce. :.!Mr j ACCESSORY
,Ri.. YMit (Garage,
g:w r d deck
r «
RESIDENTIAL
rWij ACCESSORY
j`as YIbs
E (Garage, shed, deck', etc.)
MECHANICAL
A j ••j REPAIR
1M ii ykr REPLACEMENT jk A
PLUMBING sysTEM/APPLIANCE
REPAIR
• Aaw. iM lIF j
CMENT
ELECTRICAL
SYSTEM/APPLIANCE
twA REPAIR
16 j;Yr REPLACEMENT
OTHER (Describe)
Sq. FULF Btu's Gallons
Amp , 2� Squares Other
FOR OFFICE USE ONLY
City of Data:
JK'�Wh6atp-j,dge
UNn-y DEVE , ��'MFi�PtanlPermit # i
Building & Inspection Services Division
75(}0 W, 29th Ave., Wheat Ridge, CO 80033 Pian Review
Office: 303-235-2555 * Fax: 303-237-8929
Inspection Lime: 303-234-5933
Building er it Application
w.x.xp�rrwzc r r; ....+r+rrsa;+ Rr s1s031 7R4eet ##V SIF iIM +
Property Address.- 62 4
PrcaWy Owner (please print); � �� 7 �cn
Property Owner Small.
ailing dress: (it different than property address)
Address:
City, estate, Zi 5coh�h 1 3 -
+ch to rngln r -mall: Phone,
Contractors City License : Phone:
C ntr rotorf-mall areae: uc m t 64
SubContractors:
Electrical: Plumbing: Mechanical;
Wk City License # WA. City License # W.R. City License #
Other City Licensed Sub: tither City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this for
! b.
0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL
wA ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc')
MECHANICAL REPAIR
rrr a. +. o REPLACEMENT
rR r A
PLUMBING
MSYSttilli"PPLIANCE
REPAIR
M. iF A YYM or
rr ■F. A
CMENT
_REPLACEMENT
OTHER(Describe)
)unt cit materials to be used, etc.
5q. FULF Btu's Gallons
Amps Squares Other
�,; ♦ • � x 0
I
1Z C),P -A C f 7 �, j C,, z,
e
�q C c A ite
Sq. FUL F Stu' s Gallons
Amps Squares Other
„ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 8608
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 3/10/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 6285-95 32ND AVE Phone : 437-8462
Contractor License No. : 18538
Company : PREFERRED MAINTENANCE phone : 422-2625
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
i hereby certify that the setback distances proposed by this pertnit 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 8uilding
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED . ~ DATE -~0-
Description : R F
Construction Value :
$2,175.00
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$32.63
Total:
$115.88
Use:
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subjec[ to the laws of the State of Colorado and to the Zoning
Regulations and euilding Code of Wheat Ridge, Coloratlo or any other applicable ordinances of ihe City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the buildinq authorized is suspentletl or
abandoned for a period of 120 days (3) If this permit expires, a new permit may 6e acquired for a fee of one-half the amount normally requiretl, provitled no changes have been or will be made in the
original plans and specifications antl any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abantlonment
exceetls one (1) year, full fees shall 6e paid for a new permit
(4) No work of any manner shall be done that will change ihe na[ural flow of water causing a dreinage problem.
(5) Coniractor shall notify ihe 8uilding Inspeclor hventy-four (24) hours in advance for all inspec[ions and shall receive writlen approval on inspection cartl before
roceediing with successive phases of the job.
(6) pThe issuance of a pertni[ or the approval of drawings and specifications shall not be construetl to be a pertnit for, nor an approval of, any violation of the provisions
of ihe buildlog codes grany olher oMinance, law, rule or regulation.
_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
APPLICAMo N
PropertyOwner:
1),poP)
1>6-NMS
Property Address :
0,2 S S- 5.5
Phone :~7- $ yG ~
Contractor License No. :
( gs 3; g
Company :
p~~G-AR-C.)
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application areaccurate,
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 wnditions printed on this
application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordmances, for work under this permit.
(OWNER)(C ONTRACTOR) SIGNED ` DATE? !J-7-
Description : a g s~ 3-~ n ~P o~c--a, ra 6-; t
/ - Cfi%&-e- v~f -17 ~0-,
Construction Value : ?:5
Permit Fee :
Use Tax :
Totai :
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
bulftlin o-~ Approval:
E.UUtili~~Vl18YI~
Approvai
Occupancy : Walls : Roof : J Stories : Residential Units :
Electrical License No :
Company:
Piumbing License No :
Company:
Mechanicai License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This pertnit was issuetl in aaortlance with the provisions set forth in yopur appliwtion antl is subect to the laws of the Sfate of Colo2do and to the Zoning
Regulations and Buildin' Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City.
.(2) Th is permit shall expire d(A) Ne work authonzed is not wmmencetl within sixty (80) days hom issue date ar (8) the building authorized is suspended or
abandoneG for a periotl ot 72o tlays.
(3) If this pertnit expires, a new pertnit may be acquired for a fee ot one-half the amount nortnally required, provitletl na changes have been or will be made in the
original plans and speafiwtions and any suspension or abantlonment has not exceeded one (t) year. It changes are matle ar it suspension or abandonment
exceetls one (1) year, full fees shall be paid for a new pertnit. (4) N. work of any manner shall be done ihat will change ihe natural flow of wa[er causing a dreinage problem. (5) Cont2ctor shall notify the Building Inspeclor hventy -four (24) hours in advance for all inspections antl shall receive written approval on inspection card before
proceetliing with successive phases of the 7~ob. (6) The issuance of a pertnit or the approval of drawings and speGfications shall not be consWed to be a pertnit for, nor an approval of, any violatiomof the provisions of ihe huiltling co es o other ordinance, law, rule or regulation. Chief 860-ding lnspector