HomeMy WebLinkAbout8820 W. 32nd AvenueCity of Wheat Ridge
a E -Res. Window Replacement PERMIT - 201802165
PERMIT NO: 201802165 ISSUED: 08/02/2018
JOB ADDRESS: 8820 W 32nd Ave EXPIRES: 08/02/2019
JOB DESCRIPTION: Remove and install 8 windows like for like, no structural changes. Ufactor
.32 or better.
*** CONTACTS ***
OWNER (303)232-0235 ROSEN, JULIANE
SUB (303)574-9594 Rick Rose 080085 Window World of Denver
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,501.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 94.52
** TOTAL ** 144.52
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 properly and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permtt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perome and that
all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit maybe required to be obtained. Issuance of anew 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a ermit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable vm)6r any ordmlit 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.
City of
"� Wheat jK dge
COhtMM
UNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29'" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date.,
Plan/Permit #
Plan Review Fee:
Building Permit Application
' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "'
Property Address: '? ZD W 77,&%"
Property Owner (please print): _T (A I 1 a n e (Zo ftn Phone: 3 0 3- q 6 E— g if.
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Am. hitect/Enaineer:
Architect/Engineer E-mail: Phone:
Contractor: U1 i
0
Contractors City License #: 0 � U 0 �— Phone:) 5 2L - v) s q `t
Contractor E-mail Address: Gc mro E Lv i rd oo w 0 H d -w -i ory , r oM
Sub Contractors:
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE g COMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc,)
Sq. FtJLF
Amps
Ll' let Carr IL1 lct Sq es
A(( 031 t& fr,(- fbr c r b -f- V e -
Btu's
Squares
w -i ndocus
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$_450!
OWNERICON'TRACTOR SIGNATURE OF UNDERSTAINDING AND AGREEMENT
1 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 trade 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 apphcable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application,- that I am the legal owaer
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) - _ r CA_ UTHOJUZED
PRwrNANtE.Tasha Engh
Bt]ILOtJ(3GEP'AR71�lr f]pMA(chTS:
of (OWNER) OQNTRAL70R
DATE: (� a
Building Division Valuation: $
Sales Person:
9 - SHON ROMINES
Dealer Name:
881420 WINDOW WORLD OF DENVER -N/A
Bill To:
Order Notes%
ASSMIATED MATERIALS'
1 A C O It T 0 i A 1 E a
Delivery Notes:
Ship To:
Phone: (303)574-9594
Quote Name:
FIGURELLI, MARIO
Customer
Acknowledgement
Quote Dace
8!212018
Date Ordered
Quote Not Ordered
Fax:
Project Name:
FIGURELLI, MARIO
QUOTE #
RUSH
STATUS
PO#t
1909922
No
None
Line Item # Qty Width x Height UI Description
1 1 46.75"X 35.5" 83
.- 46.75 ----
I Comment / Room:
KITCHEN
3A02 -New 4000 Series XX 46 3/4 x 35 112
Frame Width = 46.75, Frame Height = 35.5, Sash Split =
Even
Operation / Venting = XX
Frame Option = Standard 81ock Frame, Composite
Reinforcement
Frame Color = White
SolarZone ThermD Elite, Double Strength, IE Liners,
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
LI -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= ASO -A-90-09290-00001
Header Expander, Foam Wrap, Net Overall
Line Item Notes:
Line Item # Qty Width x Height UI Description
2 1 82.125" X 59.25" 143
82.123
Comment I Room:
LIVING
3A03 -New 40011 Series XOX 82 1/8 x 59 1/4
Frame Width = 82.125, Frame Height = 59.25, Sash Split
= 114 - 112 -114
Operation 1 Venting = XOX
Frame Option = Standard Block Frame, Steel
Reinforcement
Frame Color = White
SolarZone Them1D Elite, Double Strength, IE Liners,
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
LI -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= Aso -A-90-09290-00001
Header Expander, Foam Wrap, Net Overall
Line Item Notes:
Sliver AAMA Label ONLY
Page 1 Of 3
'Ell,
.- 46.75 ----
I Comment / Room:
KITCHEN
3A02 -New 4000 Series XX 46 3/4 x 35 112
Frame Width = 46.75, Frame Height = 35.5, Sash Split =
Even
Operation / Venting = XX
Frame Option = Standard 81ock Frame, Composite
Reinforcement
Frame Color = White
SolarZone ThermD Elite, Double Strength, IE Liners,
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
LI -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= ASO -A-90-09290-00001
Header Expander, Foam Wrap, Net Overall
Line Item Notes:
Line Item # Qty Width x Height UI Description
2 1 82.125" X 59.25" 143
82.123
Comment I Room:
LIVING
3A03 -New 40011 Series XOX 82 1/8 x 59 1/4
Frame Width = 82.125, Frame Height = 59.25, Sash Split
= 114 - 112 -114
Operation 1 Venting = XOX
Frame Option = Standard Block Frame, Steel
Reinforcement
Frame Color = White
SolarZone Them1D Elite, Double Strength, IE Liners,
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
LI -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= Aso -A-90-09290-00001
Header Expander, Foam Wrap, Net Overall
Line Item Notes:
Sliver AAMA Label ONLY
Page 1 Of 3
QUOTE #
RUSH STATUS
PO#
1909922
No None
3A02 -New 4000 Series XX 34 x 35 318
Line Item # Qty Width x Height UI Description
3 1 58.375" X 35.5" 95
1
1
58.375
Comment/ Room:
MASTER
3A02 -New 4000 Series XX 58 3/8 x 35 112
Frame Width = 58.375, Frame Height = 35 5, Sash Split
Even
Operation 1 Venting = XX
Frame Option = Standard Block Frame, Composite
Reinforcement
Frame Color = White
SolarZone ThermD Elite, Double Strength, IE Liners,
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
U -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= ASO -A-90-09290-00001
Header Expander, Foam Wrap, Net Overall
Line Item Notes:
Line Item # Qty Width x Height
UI Description
4 3 34" X 35.375"
70
3A02 -New 4000 Series XX 34 x 35 318
Frame Width = 34, Frame Height = 35.375, Sash Split =
Even
Operation / Venting = XX
Frame Option = Standard Block Frame, Composite
I
Reinforcement
Frame Color = White
SolarZone ThermD Elite, Double Strength, IE Liners,
'n
m
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
U -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= ASO -A-90-09290-00001
34
Header Expander, Foam Wrap, Net Overall
Line Item Notes:
Comment I Room:
BEDBATH
Lime Item # Qty Width x Height UI Description
5 1 58" X 35.5" 94
1
C:�>
1
68
Comment /Room
BED 1
3A02 -New 4000 Series XX 58 x 35 12
Frame Width = 58, Frame Height = 35.5, Sash Split =
Even
Operation / Venting = XX
Frame Option = Standard Block Frame, Composite
Reinforcement
Frame Color = White
SolarZone ThermD Elite, Double Strength, IE Liners,
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
U -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= Aso-A-90-09290-OD001
Header Expander, Foam Wrap, Net Overall
Line Item Notes:
Page 2 Of 3
QUOTE # RUSH
STATUS
PO#
1909922 No
None
Line Item # Qty Width x Height Uj Description
6 1 34.125" X 35.5" 71
Comment 1 Room:
FRONT BATH
ATTENTION
3A02 -New 4000 Series XX 34 118 x 35 112
Frame Width = 34.125, Frame Height = 35.5, Sash Split =
Even
Operation / Venting= XX
Frame Option - Standard Block Frame, Composite
Reinforcement
Frame Color = While
SolarZone ThermD Ellie, Double Strength, IE Liners,
Glass Breakage Warranty
Lock Height = Standard Lock Height
Standard Screen
U -Factor = 0.27, CR = 60, SHGC = 0.21, VT = 0.48, CPD
= ASO -A-90-09290-00001
Header Expander, Foam Wrap, Net Overall
Une Item Notes:
Please note that all weights provided are estimates and subject to change based on actual order shipment.
For Informational Purposes; All windows are viewed from the outside looking In.
NOTICE: The rating information provided on this quote is !rased upon the NFRC ratings at the time of quote.
Such ratings are subject to changes in the standard by the applicable regulatory agencies and will be finalized at
the time of manufacturing. All ratings printed on the NFRC Label will supersede the NFRC rating set forth in the
quote. Any charges made to an order after submission may also result in changes to the NFRC rating.
Customer shall be solely responsible for determining whether the product ordered meets their jurisdiction's
requirements.
This order Is subject to AMI's Standard Terms and Condflions, which can be found here:
http://www. a ssoclatedmaterials.co mfrools.htm I
I have reviewed thls order and certify that it Is correct I understand that this order is noncancellabie,
nonreturnable, and nonrefundable.
By Authorized Representative
Page 3 Of 3
Total Unit Count 1 8
INSPECTION RECORD
Inspection online fol : http://www.ci.wheatridge.co.us/inspection n
Cancellations must be submitted via the online feowrtmftre 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
PERM IT:ZL%)-1v c'We I ADDRESS: �`�Z®JOB CODE: E: `-
—,
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
metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
T".PERMIT: i "? �d
ADDRESS: 6 0 0 VL) 3�ne! O -Y --c, JOB CODE: ip�
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
a - S- 17
TL
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
a - S- 17
TL
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.
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: Q ® C" -
Job Address: vJ 3 a ad :l
Permit Number: /-70 G C
t' alai Cl \ r-0 l
❑ No one available for inspection: Time = a (AZ)PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
/t
Date: -I'D S' / / -? Inspector: -TS
DO NOT REMOVE THIS NOTICE
a Li
i CITY OF WHEATRIDGE
Building.-Insp6ctiorV Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -5 C � - I)`1 , d
Job Address: a 0 k j 3 a '� , V16
Permit Number: D 1-7 _-�) -7 C G
❑ No one available for inspection: Time AM&
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: t / fla q 4-7 Inspector: Tb
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201709061
PERMIT NO: 201709061 ISSUED: 11/15/2017
JOB ADDRESS: 8820 W 32nd AVE EXPIRES: 11/15/2018
JOB DESCRIPTION: Permit to Install 21.54 squares 4/12 pitch Architectural shingles asphalt
*** CONTACTS ***
OWNER (303)232-0235 ROSEN, JULIANE
SUB (303)495-4909 Blair Andrews 170460 Design Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,855.00
FEES
Total Valuation 0.00
Use Tax 227.96
Permit Fee 220.15
** TOTAL ** 448.11
*** 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.
a..
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201709061
201709061 ISSUED: 11/15/2017
8820 W 32nd AVE EXPIRES: 11/15/2018
Permit to Install 21.54 squares 4/12 pitch Architectural shingles asphalt
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 authorizes to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature sof-'OWNER or CONTRACTOR (Circle one) Date
I . 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 Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, November 14, 2017 9:39 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
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? V,LL How many dwelling units Single Family Homeare on the property?PROPERTY INFORMATION
Property Address 8820 W 32nd Ave, Wheat Ridge, CO 80033
Property Owner Name Juliane Rosen
Property Owner Phone 949-887-7029
Number (enter WITH
dashes, eg 303-123-4567) qq g,
13
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
ROSEN Work Authorization Second Property.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
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)
Design Roofing LLC
170460
303-800-8217
14143 Denver West Pkwy, #100
Contractor Email Address blair@designroofing.net
Retype Contractor Email blair@designroofing.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
21.54
$10,855.00
No
Pitched roof (2:12 pitch or greater)
14
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 21.54
part of the PITCHED
roof?
Describe the roofing Architectural shingles
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
15
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.
Name of Applicant Blair Andrews
Email not displaying correctly? View it in your browser.
16
r�
Design Roofing
& Restoration
Your s=n�'fr;� Contractor
Owner/ Policy Holder
Home Tel. No.
Alternate Tel. No.
Email
Property Address
Work Authorization
for
Repair and Reconstruction Services
Juliane Rosen
949-887-7029
949-855-6909
Shumate9@cox.net
8820 W 32nd Ave
Wheat Ridge CO 80033
Claim No.
Insurance Co.
Deductible
Type of Loss
Date of Loss
Project No. I 17 -CO -ROS
Date 1 11/10/2017
3118510
Pacific Specialty Insurance
Company
Hail
05/08/2017
1. Owner's Authorization & Contractor's Obligations. I hereby retain and authorize Design Roofing LLC ("Contractor")
to perform certain reconstruction and repair work ("Work") on my Property made necessary by the above-described Loss
event. Contractor will furnish all labor, services, equipment, and materials to make the necessary restoration repairs. Al.
Work will be completed in a workmanlike manner according to industry standard practices.
2. Work Scope and Price. The scope of Work to be performed is the roof replacement as set forth in the attached estimate
prepared by my insurance company ("Estimate"). The price is $10,154.66 plus $700.00 for the upgrade to the laminated,
architectural shingles. The Price does not include any additional work authorized by the Owner, any additional work
required to comply with local building codes, and the costs associated with obtaining necessary permits.
3. Contract Documents. This Authorization for Repair & Reconstruction Work ("Work Authorization"), along with the
Estimate, any insurance company -approved supplemental estimates, estimates prepared by Owner's adjuster with
Contractor's advice, and/or change orders shall constitute the contractual obligations with respect to the scope of work to be
undertaken by the Contractor and shall be incorporated by reference herein as if fully restated. Contractor reserves the right
to decline performance of any line item in the insurance company -approved estimates.
4. Payment Terms. I authorize my Insurance Company to release payment directly to Contractor for the Work performed
on my Property. I authorize Contractor to process all paperwork through my Insurance Company as necessary to complete
this Work Authorization. For any additional work authorized, I understand Contractor may invoice me for portions of Work
completed. I agree to pay Contractor the amount of each invoice no later than three (3) days following my receipt of the
invoice. Interest shall accrue on payments not received within such time at the lesser of (i) the maximum lawful interest rate
or (ii) one and one-half percent (11/2%) per month. Any remaining balance due after progress payments are made shall be
paid no later than three (3) days following completion of the Work. Punch list items identified during the final walk through
will be placed on a warranty list and will not be subject to subtractions from final payments. Fifty per cent (50%) of the total
contract price (i.e. total replacement cost value of the Work in the Estimate) is due no later than three (3) business days
prior to the scheduled commencement of the Work. Should Contactor retain the assistance of a third party, including without
limitation an attorney, to assist with collection of unpaid amounts due and owing, Owner agrees to pay Contractor's costs
associated therewith including without limitation reasonable attorneys' fees, court costs, and interest at the maximum legal
rate.
5. Right to Cancel & Acknowledgement. 1 understand that I may cancel this Work Authorization within seventy-two
(72) hours after I have signed this work authorization and/or within seventy-two (72) hours after any portion of my
claim that the subject of this Work Authorization is denied, excluding any supplements. I have read and agree to the
Standard Terms and Conditions on the backside of this Work Authorization.
Terms accepted by: See attached signature page VA&YZV�
Signature of Owner or Owner's Authorized Representative Signz&A of Contractor
Printed Name of Owner or Owner's Authorized Representative
Date
Blair Andrews
Printed Name of Contractor
11/15/2017
Date
Design Roofing LLC
14143 Denver West Pkwy, Ste. 100 ♦ Golden, CO 80401
Tel. 303-376-6155 ♦ Fax 888-213-7886
STANDARD TERMS AND CONDITIONS
"All capitalized terms herein shall have the meaning assigned to them below and on the opposite page of this Work Authorization.
General Notice to the Owner. You are entitled to an exact copy of the paper you sign. This Contract and all materials and Work are subject to the
following Standard Terms and Conditions. Any additional, different or inconsistent terms proposed by Owner, whether in writing or otherwise, are hereby
objected to and rejected. Neither Contractor's acceptance of this Work Authorization nor performance of Work shall constitute its assent to any differen
or additional terms specified by Owner.
Cancellation. The parties agree that either party may cancel this Work Authorization for convenience within seventy-two (72) hours of signing. The
parties further agree that if Owner were to cancel this Work Authorization outside of the 72 -hour cancellation period set forth herein, it would be difficult tc
determine actual damages incurred by Contractor. Based on the amount of time involved, effort expended, and material and labor costs incurred durinc
the pre -construction period, the parties agree that 10% of the total amount of any settlement paid by Owner's insurance company or companies it
connection with the Claim or $1,000.00, whichever is greater, is a reasonable estimate of the damages that Contractor would accrue if Owner were tc
cancel this Work Authorization outside of the 5 -day cancellation period. Contractor and Owner agree that the amount of liquidated damages is fair anc
reasonable and would not act as a penalty.
Limited Warranty. Conditioned upon payment in full of all amounts due Contractor, Contractor warrants that the Work will be free from defects for a
period of three (3) years from the first day the Work is occupied or is ready to be occupied (whichever occurs first) by Owner. For a complete rool
replacement, Contractor warrants that the roof Work will be free from defects for a period of five (5) years from the date of completion. Contractor makes
no warranty to Owner regarding materials installed (other than a warranty of title). The only warranties applicable to the materials installed are those, ii
any, extended by the respective manufacturer. Upon request, Contractor shall furnish to Owner any and all applicable warranty documents. Contractor
hereby assigns to Owner, without recourse, any applicable warranties extended to Contractor. Such assignment shall constitute Contractor's sole
obligation and Owner's sole exclusive remedy from Contractor with regard to defective materials installed. This limited warranty is in lieu of all other
warranties, statutory or otherwise, express or implied, all representations made by Contractor, and all other obligations or liabilities respective of the Work
provided at the Property. Contractor's Limited Warranty specifically excludes defects caused by structural or seismic movement. Unauthorized repairs or
attempted repairs shall void this warranty entirely.
Exclusions to Limited Warranty. Contractor shall not be liable during or following the Warranty Period for any: (a) damage due to ordinary wear and
tear or abusive use; (b) defects that are the result of characteristics common to the materials used; and/or (c) loss, injury or damages caused in any way
by the weather elements. Contractor's limited warranty specifically excludes cracking, etc. of any concrete, drywall, plaster, caulking, sealant, tile, or any
other product subject to movement of any kind. This warranty also excludes any loss caused by or consisting of any mold or microbial growth whether or
not caused by Contractor or its subcontractors or suppliers. Owner further agrees to hold Contractor harmless from all claims for personal, professional,
or property damage related to mold, microbial growth, fungi, mildew.
Disclaimer of Implied Warranties. CONTACTOR DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT
LIMITATION ANY IMPLIED WARRANTY OF WORKMANLIKE CONSTRUCTION, IMPLIED WARRANTY OF HABITABILITY, IMPLIED WARRANTY
OF FITNESS FOR A PARTICULAR PURPOSE OR USE, AND/OR IMPLIED WARRANTY OF MERCHANTABILITY.
Limitation of Liability. Under no circumstances shall Contractor be liable to Owner for loss of time, loss of use, inconvenience, or any other incidental or
consequential damages that may arise from this Work Authorization. Contractor shall not be liable for any damages or losses caused directly or indirectly
by vibrations during the course of the Work.
Pre-existing Conditions. Contractor assumes no responsibility for inferior workmanship and/or materials pre-existing at the Property, damage due to
termites, rot or deterioration, and/or violation of zoning rules/laws.
Hazards & Toxins: Contractor shall not, without further written agreement, be responsible for the identification, testing, sampling, removal, abatement or
remediation of any environmental pollutant, contaminant, hazard, toxin, condition, irritant, material or problem, including but not limited to molds, fungi,
bacteria, mildew, myotoxins, spores or other irritants of any kind or the correction of building, fire, or housing code violations, should they exist.
Assignment of Benefits. If this Work Authorization is for the repair of damages that are compensable under the terms of a contract for insurance
between Owner and one or more insurance companies, Owner agrees that any settlement made between Owner and such insurance company or
companies shall include Contractor as payee and that Contractor may present a signed copy of this Work Authorization or a photocopy of the same to
any such insurance company to include Contractor as payee on any settlement payment made to Owner. Should any amounts paid by any insurance
company to Contractor be insufficient to pay the agreed upon price herein, Owner agrees to pay the difference between any such insurance payment and
the agreed upon price. The holder of any mortgage or lien, including purchase money liens, against Owner's Property is authorized and directed to
release any insurance draft, insurance payment, or the contents of any escrow account received or held by it directly to Contractor after first obtaining
Owner's endorsement thereon, and to include Contractor as a named payee on any draft issued by any such holder.
Work Schedule. The work will begin within a reasonable time after execution of the Work Authorization. Due to the nature of the reconstruction process,
no completion date is specified. No verbal agreements for completion shall bind Contractor to a specific completion date. Performance of this Work
Authorization is subject to delays caused by government agencies, labor strikes, fires, acts of war or terrorism, acts of God, adverse weather conditions
not reasonably anticipated, unusual delays in transportation, Contractor's ability to obtain materials, and/or any other cause beyond Contractor's control.
Trip Charges. Contractor shall coordinate the scheduling of the work start date with Owner, who may be subject to a trip charge of $150.00, to be
determined at the sole discretion of Contractor, should Owner cancel the work start date within (6) six hours of the scheduled time work is to begin.
Supervision Responsibility. Contractor shall supervise and direct the work at Owner's Property, using reasonable skill and attention. Contractor shall
be solely responsible for the construction means, methods, technique, sequences, and procedures for all work performed at Owner's Property pursuant
to this Work Authorization. Owner shall not interfere with Contractor's work forces, subcontractors, equipment, and/or material stored on site.
Insurance. Contractor represents that it carries public liability insurance in connection with the work performed pursuant to this Work Authorization.
Severability. Should any part of this Work Authorization be adjudged to be void, unenforceable, or contrary to public policy, only such void or
unenforceable portion shall be stricken and eliminated hereof while the other portions remain valid and enforceable.
Performance. If Owner fails to perform any of Owner's obligations herein or if Contractor, in good faith, believes that the prospect of payment or
performance to be impaired, Contractor may upon seven (7) days written notice to Owner terminate this Work Authorization while retaining all mechanic's
lien rights as well as right to payment for the full amount of work performed plus reasonable overhead and profit, interest, attorneys' fees, and other
charges due and unpaid.
Agreement. Owner and Contractor acknowledge they have read and understand each of the foregoing provisions and the terms and descriptions
contained in the Work Authorization, Estimate, and other contract documents prior to execution and agree to comply with each term and condition without
reservation. This Work Authorization constitutes the entire agreement between Owner and Contractor. No agreements, representations, or warranties
other than those specifically set forth herein shall be binding on any of the parties unless set forth in writing and signed by both parties.
Design Roofing LLC
14143 Denver West Pkwy, Ste. 100 ♦ Golden, CO 80401
Tel. 303-376-6155 ♦ Fax 888-213-7886
Work Authorization
Design Roofing for
& Restoration Repair and Reconstruction Services
Your ^`:• <=u Contractor
Signature: 4 7d-laee ALLe
Juliane Rosen (Nov 15, 2017)
Email: juliane.rosen@cox.net
SIGNATURE BLOCK
Design Roofing LLC
14143 Denver West Pkwy, Ste. 100 ♦ Golden, CO 80401
Tnl an'IA7A_A14S ♦ P.. ARR-OI I.7RAA
Project No. 117 -CO -ROS
11/10/2017
INSPECTION RECORD Occupancv/T
`VINSPECTION LINE (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 P to receive inspection the following business day.
�1 / ) L h'3L
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
/� o
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
_ n,... w�...no m vn u� Howe nna aeery awrveo
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground).
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Framing
Insulation
Drywall Screw
INSPECTIONS TO
FINALS
Electrical
Plumbing
Mechanical
Roof
/� o
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
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
1
i
❑<No one availab
303
for inspection: Time
e been made.
nspecto
rOT REMO
• "4' City of Wheat Ridge
Residential Roofing PERMIT - 102234
PERMIT NO: 102234 ISSUED: 09/22/2010
JOB ADDRESS: 8820 32ND AV EXPIRES: 09/22/2011
DESCRIPTION: Reroof 23 sqs with 25 yr 3 tabshingles
* ** CONTACTS * **
owner 714/505 -8700 Leon Rosen
sub 303/825 -5273 08 -0138 Colorado Roofing & Exteriors
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 8,402.00
FEES
Permit Fee 188.45 �/,,
Total Valuation . M wJ7'Z -' Use Tax 151.24`.: „m._.
** TOTAL ** 339.69
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 Ri dinances, 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.
S. 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 r "e is ject to field inspections.
Signature of ief uilding Official date
INSPECTI N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division Date:
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Plan #:
0 0 o Inspection Line: 303 -234 -5933
- permit
� Building Permi Application
Property Address
Property Owner (please print):: Zen, zt95er, Phone: - 71 1 4
Mailing Address: (if different than property address)
Address: <_ __ -L
City, State, Zip: 6)64 R;4r- Co ooav 3
Contractor: ColOrGr)o Derr- na �
Contractor License #: O 1 -3 Phone: 3O3
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date: Exp. Date: Exp, Date:
Approval: Approval: Approval:
Use of space (description): 6vs a Construction Value: $ g' qaa
Description of work, (as calculated per the Building Valuation Data sheet)
12ti, 23 s' 41 17 C) if S(,Nren,e Plan Review (due atfimeofsubmittal):S
3 %6
Sq. Ft. /L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that 1 have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: OWNER ( TRAC or PERSONAL REP RESE N TATIVE of ( OWNER ONTRATO
PRINT NAME: q SIGNATURE. j'
.DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
8659
3/23/99
Property Owner :
Property Address : 8820 W 32ND AVE
Contractor License No. :
Company :
Phone: 232-0235
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Adding 1 layer of T-Lok onto 1 existing layer
Construction Value :
$700.00
Permit Fee :
$29.60
Plan Review Fee :
$0.00
Use Tax :
$17.50
Total:
$47.10
Use:
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanicai license No :
Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(7) This permit was issuetl in accortlance with the provisions set forth in yopur application and is subject to the laws of the State of Coloredo and to the Zoning
Regulations antl euilding Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This pertnit shall expire if (A) the woAc authorizetl is not commenced within sixty (60) tlays hom issue date or (B) the building auihonzed is suspentled or
abandonetl for a period of 120 days. (3) If this permit expires, a new pertnit may be acquired for a fee of one-half ihe amount nortnally requiretl, pmvided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (i) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work oF any manner shall 6e done ihat will change the natural flow of water causing a tlreinage problem.
(5) Contractor shall noti(y the Builtling Inspector hventy-four (24) hours in atlvance forall inspec[ions antl shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings antl specifications shall not be consWed to be a permitfor, nor an approval of, any violaUOn of fhe provisions
ofbuiltli desoranyo[her ordinance.law,ruleorregulation.
Chief Building Inspectar
D r
EPARTMENT 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 APPLICATIo N
Property Owner :
Property Address : Phone
Contractor License No. :
Company : Phone :
OWNER/CONTRACTOR SIGNATURE
AND AGREEMENT
Construction Value : ~7~~p
Y
Permit Fee :
I hereby certify that the setback distances proposed by this permit application are accurete,
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 fWl responsibiliry for compliance with the Wlieat Ridge Building
Code (U.B.C.) and all other applicable Wheat ' ge ordinart~es, for work under this pertnit.
h
Use Tax:
Total :
(OWNER)(CONTRACTOR) SIGNED DATE USB :
,
Description :
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
Zoning :
Approval:
Approval:
Occupancy:
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(i) This permit was issuetl in accordance with the provisions se[ forth in yopur application and is sub~ect to the laws of ihe State of Coloredo and to Ne Zoning
Regulations and Building Code ot Wheat Ridge, Coloredo or any other applicable ortlinances of t~e City.
(2) This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the building authonzed is suspended or
abantlonetl for a period of 120 days.
(3) If this permit expires, a new pertnit may be acquired for a tee of one-haltihe amount normally required, provided no changes have been orwill be made in the
original plans antl specifcations and any suspension or abandonment has not exceeded one (i) year. If changes are matle or if suspension or a6andonment
exceeds one (t) year, full fees shall be paid for a new pertni[.
(4) No work oF any manner shall be done that will change the natural flow of wa[er causing a dreinage problem.
of the buildin9 codes or any other ordinance, law, rule or regulation. Walis : Roof
(5) ConUactor shall notiry the 8uilding Inspec[or hventy-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a pertnit or the approval of drewings antl specifications shall not 6e consWetl to be a permit for, nor an approval of, any violation of the provisions
Stories : Residential Units :
Chief Building Inspector