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Home My WebLink About9801 W. 32nd AvenueCity of Wheat Ridge Residential Roofing PERMIT - 201701901 PERMIT NO: 201701901 ISSUED: 06/11/2017 JOB ADDRESS: 9801 W 32nd AVE EXPIRES: 06/11/2018 JOB DESCRIPTION: Residential Reroof: remove and replace with Owens Corning 18 squares **REVISION**Add redecking to permit; Added valuation $2300.00 *** CONTACTS *** OWNER (303)233-5202 PISNEY MICHAEL SUB (303)819-2792 John Theodorakis 170198 Lumin Systems *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,300.00 FEES Total Valuation 0.00 Use Tax 174.30— Permit Fee 188.45 ** TOTAL ** 362.75 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding Al/z-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€iMs 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's 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 - 201701901 PERMIT NO: 201701901 ISSUED: 06/11'/2017 JOB ADDRESS: 9801 W 32nd AVE EXPIRES: 06/11/2018 JOB DESCRIPTION: Residential Reroof: remove and replace with Owens Corning 18 squares **REVISION**Add redecking to permit; Added valuation $2300.00 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 authorized to obtain this permit and perform the work described and approved in conjunction with this perm rt. I fu er attest that I a leg ll authorized to include all entities named within this document as parties to the work to be performed anal tht all work to be�rfo d is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of WNER or ItONTRACTOR (Circle one) Date 1. This perruitWas issued based on the information provided in the permit application and accompanying plans and specifications and is subject toh compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permi all 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. ordmance�r ulat' n this jurisdiction. Approval of work is subject to field inspection. b Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Rj�c COMV V heatMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: T Add to Permit # \ 1 01 JD1 q 0 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'"" Property Address: Phone: Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Comnanv: Z Contact Person: jd)_�'M -Tlu-.o"kPhone: 36-3— 9/9 ` fA7q'-L' Contractor: `Z 4A4 ji/�-� Contractors City License #: 2 (� / � � Phone:_30 81 el - o% 7 q Contractor E-mail Address: ' =6d EJaQ7_ Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: AIJJ 5hzuil��n, ki 7%a�' �m�mr7. J Sq. Ft./LF 5a) Btu's Amps Squares Gallons Other Additional • Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 17 -zoo 0d 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: (WNER (CONTRACTOR) or (AUTHORIZED REP TA T! o WNER) (CONTRACTOR) PRINT NAME: %"(I) SIGNATURE: DATE: DEPARTMEN1% USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: a Permit Number: ❑ No one available for inspection: Time/ f i,�) ,AAM/PM Re -Inspection required: Yes 'wo--) When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: / (7i Vj�' DO NOT REMOVE THIS NOTICE 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: ?� Job Address: W 3c3LAid aA-q Permit Number: DoZ ❑ No one available for inspection: Time I AAWPM Re -Inspection required: Yes /No% When corrections have been made, call for re -inspection at 303-234-5933 Date: /&--7117Inspector: DO NOT REMOVE THIS NOTICE R 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: /? bF Job Address: t� cti• 1 t ,o Permit Number: CI r LlNo one available for inspection: Time U) V/PM Re -Inspection required: �2for �� When corrections have been made, re -inspection at 303-234-5933 Date: k C I �� Inspector: DO NOT REMOVE THIS NOTICE „ 4 City of Wheat Ridge V _ 1A1111� Residential Roofing PERMIT - 201701901 1 PERMIT NO: 201701901 ISSUED: 06/11/2017 JOB ADDRESS: 9801 W 32nd AVE EXPIRES: 06/11/2018 JOB DESCRIPTION: Residential Reroof: remove and replace with Owens Corning 18 squares *** CONTACTS *** OWNER (303)233-5202 PISNEY MICHAEL SUB (303)819-2792 John Theodorakis 170198 Lumin Systems *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,000.00 FEES Total Valuation 0.00 Use Tax 126.00 Permit Fee 140.90 ** TOTAL ** 266.90 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturerae'"s 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's 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. t' City of Wheat Ridge Residential Roofing PERMIT - 201701901 PERMIT NO: 201701901 ISSUED: 06/11/2017 JOB ADDRESS: 9801 W 32nd AVE EXPIRES: 06/11/2018 JOB DESCRIPTION: Residential Reroof: remove and replace with Owens Corning 18 squares I, byy myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applic lb a building cods, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the le al owner,of t e' roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this pe m t. I further att%t that I am legally authorized to include al[ entities named within this document as parties to the work to be per or a and th all work to be performed is disclosed in this document and/or,its' accompanying approved plans and specifications. Signatu of OWNEI or CONTRACTOR (Circle one) Date* I , This4 = ermit wa sued based on the information provided in the permit application and accompanying plans and specifications and is subjo�t 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 Officjal and maybe subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is ub*t to field inspection. Signature of Chief Building Official Date l_� REQUESTS MUST BE MADE BY 11:S9PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. LUMIN GENERAL CONTRACTORS Michael Pisney Customer 9801 w 32 Address City Zip Roofing Damage ❑✓ Siding Damage 21 Gutter/ Down. Damage ❑ Paint damage 0 33455 Meadow Hill Lane Elizabeth, Colorado 80107 info@luminsystems.com Phone & Fax: 888-90-LUMIN (58646) GL Info: MHIA 303-975-6133 5:9/17 5/8 Date Date of Loss 241-0409 Customer Phone Number Approximate Date of Service Mpisney@yahoo.com Customer Email Address Window Damage ❑ Attic Damage ❑ Screen Damage ❑ Interior Damage ❑ Stucco Damage ❑ Visible Mold ❑ Deck/ Patio Damage ® Emergency Repair ❑ Lumin General Contractors, LLC ("Lumin") will invest its time and expertise in assisting the property owner with the insurance claim. This proposal is contingent upon the insurance company settling the claim with the assistance of Lumin and will be void ab initio if the claim is not approved by the insurance company. The insurance company and LUMIN will determine and set the price and scope of the claim. LUMIN is authorized to invoice the insurance company for additional repairs/ supplements, as necessary. The property owner and LUMIN will agree to the work as specified on the insurance adjuster's claim summary. This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and does not obligate the property owner or LUMIN unless repairs and payment are approved by the insurance company. By signing this agreement, the property owner agrees to use LUMIN as its restoration contractor to complete the insurance scope of repairs. In the event the property owner cancels this agreement after insurance approval, the property owner shall pay LUMIN a fee based upon work performed and expenses incurred for parts, materials and overhead. The property owner's initial out-of-pocket expense is the insurance deductible. Any expense over the deductible will only apply in the case where: (1) the property owner wants to upgrade product; or (2) property owner's insurance policy only covers the actual cash value of the loss (if property owner carries an ACV policy they will be responsible for the non-recoverable depreciation amount), or (3) Property owner's insurance policy does not include "ordinance and law" coverage. If the property owner does not have "ordinance & law" coverage, the property owner will be responsible for all costs not covered by the insurance settlement of complying with current government laws and codes. CANCELLATION POLICY: LUMIN shall invest substantial time and resources in preparing to perform the scope of work described in this agreement and shall suffer losses if the property owner cancels the work. Therefore, the following cancellation policy shall apply in order to partially compensate LUMIN for such preparation work. If the cancellation occurs: Following the initial consultation with the property owner Following property inspection by LUMIN Following preparation of estimate Following LUMIN's consultation with insurance adjuster Following settlement with insurance company Am fam INSURANCE COMPANY CLAIM # ,L 5/9 PROPERTY OWN R DATE Thank You! Then the property owner pays LUMIN: $0.00 $0.00 $50.00 $200.00 10% of total settlement INSURANCE PHONE EXT. 18000 Approximate Cost of Project (This is not a set price, just and idea) Pete Borlase 5/9 COMPANY REPRESENTATIVE DATE INFORMATION PROVIDED BY PROPERTY OWNER; COVENANTS. The property owner warrants that all information provided to Lumin General Contractors, LLC (hereinafter referred to as "LUMIN") is complete and accurate to the best of the property owner's knowledge, i t being understood and agreed by the property owner that LUMIN is relying upon property owner's information in the preparation of this agreement and the performance of the work described herein. The property owner represents and warrants to LUMIN that he or she owns the premises described in this agreement and has the authority to enter into this agreement without any other consents. It is the responsibility of the property owner to obtain approvals required by their home owner's association or other group with jurisdiction over the property. STANDARD OF CARE. The services provided by LUMIN in connection with this agreement shall be performed in accordance with generally accepted principles and procedures, consistent with the level of care and skill ordinarily practiced by roofing and restoration specialists currently providing similar services under similar circumstances at the time the services described herein were provided. The property owner shall provide LUMIN written notice of any claim or default under this agreement. LUMIN shall then be afforded the opportunity to inspect the premises and respond to the claim either by making a monetary settlement offer or offering to remedy the construction defect in accordance with applicable law. ENTIRE AGREEMENT; INTEGRATION; GOVERNING LAW. This agreement is the entire agreement between the parties concerning services to be provided to the property owner by LUMIN and replaces and supersedes any prior or contemporaneous negotiations, oral representations, agreements or understanding among or attributable to the parties hereto. No verbal agreements of any kind will be honored by LUMIN. This agreement and all performance thereunder shall be governed by and construed in accordance with the laws of the state where the property is located. If the property is located in the State of Colorado, LUMIN and property owner hereby expressly agree that any and all claims arising from the work by LUMIN shall be subject to the rights, remedies and procedures set forth in the Colorado Construction Defect Reform Act, C.R.S. section 13-20-802 et seq. If any provision of this agreement is held to be invalid or unenforceable by a court of competent jurisdiction, the validity of the remaining provisions shall not be affected thereby. The terms and conditions set forth herein are hereby integrated into all agreements by and between LUMIN and the property owner, whether or not explicitly stated therein. MISCELLANEOUS. Finance charges of one and one-half percent (1.5%) per month will be added after thirty (30) days of completion if the charges incurred under this agreement are not timely paid in full. If collection and/or legal action is taken by LUMIN in connection with this agreement, LUMIN shall be entitled to reasonable attorney and court fees and costs. LUMIN reserves all its legal and equitable remedies for non- payment, including, without limitation, the right to file a lien against the property. All excess materials shall be the property of LUMIN. Performance hereunder by LUMIN is contingent upon labor strikes, material shortages, accidents or delays beyond the reasonable control of LUMIN. This agreement may be canceled by LUMIN within 30 days. LIMITED WARRANTY, Lumin General Contractors is not a manufacturer. If any equipment or materials are used or purchased by LUMIN for use on-site, the manufacturers' warranties, if any, of the equipment and materials are provided solely by the manufacturer. LUMIN provides a two-year warranty on LUMIN's workmanship, subject to normal use and conditions and the other terms and conditions set forth herein. The following conditions are unrelated to LUMIN's workmanship and are excluded from warranty coverage: damage caused by settling of the foundation or the premises, fire, misuse, maintenance failures, lightning, windstorm, hailstorm or other weather conditions or casualties. Unless LUMIN's scope of work includes such areas, LUMIN is not responsible for any damage below the roof; liability is limited to the roof repair only. LUMIN is not responsible for damage caused by improper original construction, faulty framing, wiring, plumbing, masonry, drywall cracks, bracing, roof decks or pre-existing conditions. LUMIN is not responsible for decayed siding, paint and sheetrock damage caused by vibration or otherwise. LUMIN is not responsible for damaged electrical cable, air conditioning or plumbing lines which are installed within six (6) inches of the roofline. LUMIN is not responsible for any structural movement, settling, vibrations, cracks in drywall or driveway due to the roofing or loading process. During the normal course of work, it is possible that dust and dirt may infiltrate into the attic space during installation or removal of roofing tiles, particularly slate and underlying felt. LUMIN will not be responsible for clean-up of attic space or any other interior areas. It is the responsibility of the property owner to notify LUMIN if the premises contain exposed decking such as cathedral ceilings so that proper length nails can be used. LUMIN's limited warranty for roof work is conditioned upon the property owner's performance of general roof maintenance, including the matters set forth herein. Please be advised that the accumulation of leaves or pine needles in gutters or roof valley produce what is commonly referred to as "water dam," which can force water under the roofing and produce leaks through the roof structure. These leaks can travel along roof joints, etc. and produce interior damage at points far distant from the leak. Water dams and ice dams are the responsibility of the property owner to prevent. Adequate ventilation is necessary to keep attic temperature close to outside temperature, helping to prevent the deck delamination at the roof and the formation of ice dams in gutters and valleys. Adequate ventilation is essential to the life of asphalt shingles. Inadequate ventilation may result in moisture condensation and can cause rotting of the wood deck and/or blistering or curling of asphalt shingles, which is not a defect in the shingle, but is a direct result of moisture being drawn through the shingle by the sun. Installation or relocation of antennae or other equipment on the roof may cause leaks unless proper sealants are used at any point where screws or other anchoring devices enter the roof. Avoid all unnecessary roof traffic, particularly on concrete tiles, as it can damage tiles and greatly diminish the life of the roof. Leaking can occur in or around the chimney, unless it is periodically tuck -pointed. The flashing compounds around the chimney and vent pipe areas require normal maintenance on an annual basis. These areas should be inspected periodically for cracking or indication of weathering and must be reflashed accordingly. SB12-38: 1. LUMIN does not claim to be or act as a public insu rance adjuster adjusting claims for losses or damages. 2. In accordance with Colorado Revised Statutes (C.R.S.) Section 6-22-105, LUMIN may not pay, waive, or rebate, or promise to pay, waiver or rebate, all or pa rt of your insurance deductible. 3. Pursuant to C.R.S. Section 6-22-104, you may rescind this contract within 72 hours following your receipt of notice from the insurance company that your claim has been denied in whole or in part, unless the denial was related to a request for supplemental roofing services if the damage requiring the supplemental roofing services could not have been reasonably foreseen as a necessary and related roofing service at the time of the initial roofing inspection by LUMIN or the execution of this contract. 4. LUMIN shall hold your payments in trust until the delivery of roofing materials to your site or until LUMIN has performed a majority of the roofing work described in this contract. Antoinette Kulick (�,-iqol From: no-reply@ci.wheatridge.co.us Sent: Thursday, June 8, 2017 10:09 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 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. 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. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address 9801 w 32nd ave Property Owner Name Mike Pisney Property Owner Phone 303/241-0409 Number Property Owner Email mpisney@yahoo.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Lumin Systems Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number 170198 303/819-2792 Contractor Email Address john@luminsystems.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a new permit for a residential roof? Are you re -decking the roof? Description of Roofing Material How many squares of material? Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes No Owens Corning 18 Remove and Replace roof Project Value (contract 6000.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a z 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 John Theodorakis Email not displaying correctly? View it in your browser. STEPHENS ACRES SUBDIVISION PART OF THE NW 114 OF SECTION 27, T. 3 S., R. 69 W. OF THE 6TH P.M. CITY OF WHEAT RIDGE, COUNTY OF JEFFERSON, STATE OF COLORADO I ON Alf 0 • Squares _ BTU's _ Gallons Ama 00404W (OWNER) (CONTRACTOR) gr (AUTHORJZED REPRESENTATIVE) of (0 fCONTRACTOR) hgA"4Z wwto: Reviewer: FIRE DEPARTMENT:: 0 approved 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 : 95-283 Date :2/7/95 Property Owner Property Address Contractor License No. Company STEPHENS MARY C 9801 32ND AV 18055 M&R ROOFING INC 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : REROOF Plumbing License No : Company: Electrical License No : Company : Expiration Date : Approval: Phone: 233-5202 Phone: 795-1400 Construction Value : $3,560.00 Permit Fee : $63.00 Use Tax : $53.40 Total: $116.40 Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval: (1) Th is permit was issued in accordance with the provisions se[ forth in yopur applica4on and is suh7'ect to the laws of the S[ate of Colorado and to the Zoning Regulations antl Builtling Cotle of Wheat Ritlge, Colo2do or any other applicable ordinances of the Ciry. (2) This pertnit shall expire if (A) the work authorized is not commenced within sizty (60) tlays from issue tlate or (B) the builtling authorizetl is suspentled or abantloned for a period of 720 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half Ne amount normally required, provided no chanqes have been or will be made in the original plans and specifcations and any suspension or abandonmen[ has noi exceeded one (7) year. If changes are made or if suspension or abandonment ezceeds one (1) year, full fees shall be paid for a new pertnit . (4) No work of any manner shall be done thatwill change ihe naturel0ow of watercausing a drainage problem. (5) Contrac[or shall notiry the Buildin9 Inspectortwenty-four (24) hours in advance for all inspeclions and shall receive written approval on inspection card before proceetliing with ccessive phases of ihejob. (6) The issuancep~permit or the approval of drawings and speciFlCations shall not be wnstrued to be a pertnit for, nor an approval of, any violalion of the provisions of the buildir~§ cydes or Vy ofher ordinance, law, rule or regulation. Chief BXiIding Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 02107l1995 14:35 303-3470784 M R ROOFING DEPARTMENT QF PLANNING AND DEVELOPMENT 8uilding PeRnit Number : BUILDING 1NSPECTION DlVIS10N - 235•2855 ~e~ : CI'1'Y QF WHEAT RIDGE 7900 WEST 29TH AVENUE WHEAT RIOGE, CO 80215 PAGE 04 PropertYOwner; & 6~-eveh5 Phone : ~ 5 -,5,)a c~ Properiy Address : 1,301 3 ~ N11 /Y()~, Contractor Licensa No. : ! r Phone: Com n ~ v ~ m Da.(, ~ G- /)Ue OWNERlCONTRACTOR 5lGNATURE OF UNDERSTANOING ANp AGREEMENT . I hareby cartiry that ihe ael6ack disWnCaa proposed by thia permi[ applic9tian ere and do not violate appIicaCb ardinante6, rulea ar roguWfiona af fhe Cdy of Wheat wvenants, easamaats or rcstriUions of rocard; that all rtteasurcmenq ahown. ani made are accurata; that I have reau and a ree to anine o an contlrtions pnnteu a sppncauon, and tnat i asaunre run resauns~itit for coma~wnca wilh Ina wneat RN Code (U.B.C.) and ali uther appliceble Whe e ard n , rxrork undarth (OWNER)(CONTRACTOR) SIGNED D I 7'ES Description ~-}'fls a -i tra ~ Approval BUILDING DEPARTMEP : I xOning : Approval: I ' I, j Approval: ~i Ocqipancy : Walls : Roof : ~ CansVUCtion Value : 3s-zG, 0-e Permit Fea : 6 3 0-/ Use Tax : .S3 . uG Total f' b ' `~L" $0.00 3 d USE ONLY Stories : Residendat Units : eIecVical License No : plumbing License No : MecFianical License No : Company; Company: Company: Expiration Date : Expiratlon Date : Expiredon Date : Approvai : Approval : Approval : 2 mommillom 0 0 o) ThLi "**b iESUed in accardBnCa WIVi Vq prCVlylpiy 9i110M 1n y00W ApWiWI'qli 1NG 1f 9YOIK1 t0 NY iYwY 0f tl1Y SbtY OfCOlWitlO PM IO tlW ZOnin,y RtyuWtlons antl Bu00~p CaDe IN Wheal R~tlpa. 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