HomeMy WebLinkAbout11630 W. 35th Avenue��Q YV � SP CTION RECORD �
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
occup�..icy Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
7,
nTjy-
M74
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
;u
Final Window/Doors
Final Building
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 from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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: %) D
Job Address: I b3c W . STI Ali
Permit Number: 20) -?i]z 7'R-�
A City of Wheat Ridge
Residential Roofing PERMIT - 201702787
PERMIT NO: 201702787 ISSUED: 06/28/2017
JOB ADDRESS: 11630 W 35th AVE EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential reroof: INstall Tamko Heritage asphalt shingles 24 squares
house and garage 3/12
*** CONTACTS ***
OWNER (303)422-1701 COPHER CATHERINE V
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
6,168.00
FEES
Total Valuation
0.00
au"
Use Tax
129.53
Permit Fee
156.75
-✓
** TOTAL **
286.28
*** 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 manufacturera€ms 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 - 201702787
PER1,4IT NO: 201702787 ISSUED: 06/28/2017
JOB ADDRESS: 11630 W 35th AVE EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential reroof: INstall Tamko Heritage asphalt shingles 24 squares
house and garage 3%12
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicabble building codes, and all applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this -permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfumed ar that all work to be performed�ts disclosed in this docurAJent and/or its' accompanying approved plans and specifications.
nature of O . ER or CONTRACTOR (Circle one) Date
This permit A6 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.
This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand
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.
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.
No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
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 fropa..t�e Building and Inspection Services
Division.
The issuance or granting of a permit shall not be construed to be a permit for or an approva�'iolatony-e4; y provjsjo ofany
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subjtion
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.
Antoinette Kulick 1
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 1:42 PM
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 3-5 business days, 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. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
11630 W. 35th Ave.
Catherine Copher
303-909-2175
Field not completed.
110
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Urban Exteriors LLC
150142
303-552-4467
Contractor Email Address jennifer@urbanexteriorsllc.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
jennifer@urbanexteriorsllc.com
No
Tamko Heritage
Asphalt
Field not completed.
24
No
Field not completed
z
TOTAL SQUARES of all 24
roofing material for this
project
Provide additional detail house and garage 3/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 5 .00
value or cost of ALL (s I � 9 &57
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 Jennifer Hess
Email not displaying correctly? View it in your browser.
3
s n
Urban Exteriors
Urban Exteriors, LLC
3440 Youngfieid Street, Suite 179
Wheat Ridge, CO 80033
303.552.4467
www.urbanexteriorsk,con
Owner's Name: �`t Insurance Company:
AAA s*
A-1lskle
AAA—*
�V jfeefl 9.,Ak-(6
Boa
em
COLORADO ROOFING ASSOCtAIION
. Phone #: �►P A �--A 6_
Ii�o3D W 3St-1�-,f}ve _--.--- f1/1elti�n
City, 1-
state., _ /_� Zip. ��03 Claim #-
Phoney#`:' `- Project Manager:--
- — - --- &JrC lj G� -
- - f
Mobile #: Phone - Phone #.0 Z �S
___JL_ t
Email • Date:
I/WE, the Owner(s) of the premises described above authorize Urban Exteriors, Ile, hereinafter referred to as "Contractor-, to furnish all materials
and labor necessary to roof and/or improve these premises in a good, workmanlike and substantial manner according to the following terms,
specilications and provisions:
a.Description of the work and the materials to be used: _ /-y�
e-t-A/M Wo l- p -c -t / s ula Ac e r We
Od r V !
RaoG = ACV ^4- A014,4070.KS 01JUS azV,-DW, _rrdv,,/Qwe k
= &,y k� .;,� t t i 5� • R u n7ye, s em�t�S
INSI I NCE: THE ONLY COST To Fl] IE PROPERTY OWNER IS THEIR DEDUCTIBLE PLUS ANY UPGRADES CHOSEN OR ANY NON
COVERED I FEMS "FHAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE IS PAID BY YOUR
INSURANCE COMPANY PER FINAL LOSS INVOICE. 'PHIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY
TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE, OFFERED BE
1NSUFFICiEN 1' FOR CONTRACTOR TO PROPERLY DO 1 HE WORK. THF. SCOPE OF WORK WILL BE DEFINED BY THE
INSURANCE COMPANY LOSS SHEET AND ALL REVISIONS THEREOF. ANY ADDITIONAL WORK MUST BE StIBJEC rTO A
CHANGE ORDER AND/OR CONTRACT SIGNED BY THE PARTIES.
b. Description of any areas that will NOT be worked on:
This list of specifications may be continued on whMquent pages (see page number below).
e. Payment: Contractor proposes to perform the above work. (subject to any additions andivr deductions pursuant to authorized change orders), for the
Total Sum oP$ RGd s, Down Payment $ ✓ /1, 434-31
ptJs alr<l i/)S�f:.yce t ppry, �S Up(1n G�¢.�Ivvy Ol tit -i,4ts
d. Commencement and Completion(( of Work: Substantial commencement of work shall mean either the physical delivery of materials onto the
premises or the performance of any labor�hull be subject to any permissible delays as per provision the reverse side.
-
Shingle Mfg, Type & Color: �fJ Labor 'Warranty . yrs transferable - provided upon payment is full
e. Acceptance: The contract is approved and accepted_ I (we) understand there are no oral agreements or understandings between the parties of this
agreement. The written terms. provisions, plans (ifany) and specifications in this contract is the entire agreement between the parties. Changes in this
agreement shall he done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions of This Contact Are On The Reverse Side And May Be Continued on Subsequent Pages. A copy of the labor warranty is available upon
request. Urban Exteriors shall hold in trust any payment received from you unfit Company has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See
attached Notice of Cancellation fornfan explanation of this right.
ALL J1ST 1 E h DF. PAYA E A E,'T 'RIORS, LL ..
u k
Hotucosner's Si:��
da,c
projectM ger' aura 4 A ate ---
E 7 1 hereby grant tirban Exteriors
mn to speak with my insurance
company for the purpose of resolving this
�cls.
Irbaa Exteriors has permission to
discuss MY claim with my mortgage
comnanv. if annlicable.
x
A 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: VF
Job Address: b 36
Permit Number: ,/7o ?7 q 7
❑ No one available for inspection: Time AM/,Py
Re -Inspection required: Yes Nq1
When corrections have been made, call for re -inspection at 303-234-5933
Date:i Inspector: //(
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy /Type
®'INSPECTION LINE: (303)234 -5933
< Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Plumbing (Underground)
Reinforcing or Monolithic
f
Weatherproof / French Drain
Sewer Service Lines
DO NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
--
Water Service Lines
F'OUGHS
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. `.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Electrical '
CONCRETE SLAB FLOOR
Electrical (Underground)
Mechanical:
Plumbing (Underground)
Roof
f
Heating (Underground)
Fire Department
DO NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
--
R.O.W & Drainage
F'OUGHS
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. `.
Parking .& Landscaping
��w
Sheathing
Lath / W.alt tie
1,
Mid Roof
Electrical Service
Rough Electric
!1
z
Rough Ph mbing
Gas Pipit g
,..Rough
Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
i
Framing
>
r,.
Insul0on.::
�.
bryw<ill Screw
-
FINALS
Electrical '
Plumbing
Mechanical:
Roof
f
Building Final
Fire Department
--
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. `.
Parking .& Landscaping
*`NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY. NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
4' `1/41
V CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 235 -2857 Fax _
INSPECTION NOTICE /�
Inspection Type: Y'i� Y f (Dlr"fi
Job Address /Permit Number: LIK M Pt),
i_
❑ No one available for inspection: Time f` (0 AM &)
Re- Inspection required: 'Yes (No,,/
When corrections have been made, call or re-in pection at 303 - 234 -5933
Date: (T_ o , t p g �n z j_
Ins y.,, X �,,,�, �
DO NOT REMOVE THIS NOTICE
r
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: n a a, n
Job Address
Permit Number: a.,
OW~1 a,
L
Y,
❑ No one available for inspection: Time AM/ M /
Re-Inspection required: Yes( f}
When corrections have been made, call f jsptia~ at 3- 4,5933
Date: Inspector: f is S1
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 091626
PERMIT NO: 091626, ISSUED: 08/25/2009
JOB ADDRESS: 11630 W 35TH AVE EXPIRES: 02/21/2010
DESCRIPTION: Reroof 25 sqs.
***CONTACTS***
owner 303/909-2175 Steve Copher
sub: 303/781-1555 Steve Hilliard 09-0191. Demarco Exteriors Plus
PARCEL INFO
ZONE _CODE: UA USE: UA
SUBDIVISION: 06.80 BLOCK/LOT#: 0/:
**.`FEE SUMMARY ESTIMATED PROJECT VALUATION: 13,216.82
FEES
Permit Fee 308.50 e;
Total Valuation .00
Use Tax .237.90 ~c
**.TOTAL.** 546.40
Conditions:
6:nail installation & mid-.roof inspection required.. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 21 inside exterior walls.
Subject to field inspections.
Thereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances;.. rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record;. that all
measurements. shown, and. allegations made are accurate; that I have read and agree to abide by all conditions printed on this
.:application and that I assume full responsibility for. compliance with the Wheat Ridge Building (Code (I.B.C) and all other
applicable Wheat Ridge Or nances, for work under this permit. Plans subject to field inspection.
FlFl
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. [cheat 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 he 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 anew, permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage.. problem.
5. `Contractor shall notify the Building Inspector twenty-four (24). :hours in advance for all inspections and shall receive
written. approval on inspection card. before proceeding with successive phases of the job.
6. The issuance of a permit or. the :approval of drawings and. specifications shall not be construed to be apermit for, nor
an approval of, any violation of the provisions of the building codes or any other. ordinance,. law, rule. or regulation.
All plan review is ject to field inspections.
0 14
'Signature of C ilding Official :date
INSPECTI REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855..'
REQUESTS ST BE MADE BY:3PM ANY ..BUSINESS ' DAY, FOR INSPECTION THE FOLLOWING. BUSINESS DAY. ?
City of MVtleat Ridge Stt"It Divlsfon oche:
7504 W: 29th Ave., Wheat Ridge, CO 80033 t .
Office: 303-235-2855 * Fax: 303-235-2857 Plan p:
a. Inspection Line: 303-2345933 PennltA: ~C~
Building Permit Application
Property Address; `"f . 3 S ~-C
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
City, State, Zip: n~/ /
Contractor. AFMAIP[o x.45-r,o/`S
Contractor License tt Q 9- A/ 9 / Phone: .35-0 3- 5-f f/ ,1rS,
Sub Contractors:
Electrical City license Plumbing City License Mechanical City License P
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): 11/4 0 f c' Construction Value: S / ce 2
Descrlption of work: (as cafcu)ared were eurfdaw Vabadon asin sireed
Plan Review (ducat ffme or submift ):S
Sq. FtJLFt added: Squares -2s BTU's Gallons Amps
OWNERMONTRACTOR SIGNATURE OF UNDERSTA=NG AND AGREEMENT
I hereby certify Mat the setback distance$ proposed by tbls permit application are accurate, and do not violate applicable ordinances.
rules or regulations of the City of WWI: Ridge or covenants, easements or restrictions of record; that at 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
ar on i~mfor ut.Planssue with t totNMWheeat Ridges Building Code (r. C) and all other applicable Wheat Rage Ordinance, for wok
u gNCrRLCESONE:: (OWNER)G(4A//'~OpRectf
or PERSONAL REPRES~EN.`T~AT-7-Y-~E ofE~RNTRATOR)
PWNT NAME: SIGNATURE Oate°-~'_'~-
ZOMNOCOMMENlS:
Zoning:
Revlevrer:
pueuc WORKScoll"IEN :
Reviewer.
DEPARTMENT USE ONLY
gumNO owARrME w CommEtits: OCCUPANCY:
Reviewer.
FmDEPARTMENr: 0 approved wt coeaments O diupproved El no review required Bldg Valuation: S
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 : 95-271
Date :2/6/95
Property Owner :
VANNOY WAYNE W
Property Address :
11630 35TH AV
Contractor License No. :
17013
Company :
Major Heating & Air Cond., Inc.
Phone : 422-1701
Phone : 424-1622
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 al c3onditions printed on this
application, and that I assume full responsibility for wr~plia ce w' the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe t'Ridge o~in nees or work under this permit.
(OWNER)(CONTR4CTOR) SIGNE ~~'q u~CG D TE 2 V~ S
Description : FURNACE - 100;000 btu
Construction Value :
$1,550.00
Permit Fee :
$37.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$37.00
Electrical License No : Piumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
mm. ~ mumomI
(1) This pertnit was issued in accordance with the provisions set forth in yopur application and is subJ'ect to the laws of the Siate of Coloratlo and to the Zonin9
Regulations and Building Code of Wheat Ridge, Coloredo 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 tlate or (B) the building authorized is suspended or
abandoned for a periotl of 120 days.
(3) If fhis permii 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 antl specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment
exceeds one (7) year, full fees shall be paid for a new permit '
(4) No work of any manner shall be done that will change the natural tlow of water causing a drainage problem.
(5) Contraclor shall notiry the Building Inspector twenty-four (24) hours in advance for all inspedions antl shall receive wriHen approval on inspection card before
proceediing with successive phases of the job. .1.
(6) The issuance of a permit or the approval of tlrawings and specificaGons shall not be construed to be a permit for, nor an approval of, any violatidn of the provisions
of the building codes or any other ordinance, law, rule or regulation.
~ IwE ~G-1(_
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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