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Home My WebLink About10395 W. 33rd AvenuePERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201705810 201705810 10395 W 33rd AVE Residential Re -roof shingles with 30 sq. ISSUED: 08/09/2017 EXPIRES: 08/09/2018 to install Owens Corning Duration Storm asphalt *** CONTACTS *** OWNER (303)232-6359 MERRITT STEVE SUB (303)646-9110 Robert & Sarah Burgett 140105 Crown Royal Builders, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 035 G✓. �3R� INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/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 Initials Comments Electrical Sewer Service Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 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 f % 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 City of Wheat Ridge Residential Roofing PERMIT - 201705810 PERMIT NO: 201705810 ISSUED: 08/09/2017 JOB ADDRESS: 10395 W 33rd AVE EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt shingles with 30 sq. *** CONTACTS *** OWNER (303)232-6359 MERRITT STEVE SUB (303)646-9110 Robert & Sarah Burgett 140105 Crown Royal Builders, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES " Total Valuation 0.00"' . Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed.. City of Wheat Ridge j Residential Roofing PERMIT - 201705810 �w PERMIT NO: 201705810 ISSUED: 08/09/2017 JOB ADDRESS: 10395 W 33rd AVE EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt shingles with 30 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further est that I am le thorized to include all entities named within this document as parties to the work to be performed and twork to be pe is disclosed in this document and/or its' acfompanying approved plans and specifications. Signature bf 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, po Flans 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 maybe subject to a fee equal to one-half of the original permitfee. 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 Officcial and is not guaranteed. 4. No work of anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holdy er 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 subject to field inspection. Signature of Chi ut mg Officia MOMA-FDate REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. vi Ro BURL ERS, Inc, 5311 juniper CI • t .oldan, CC] 80403 Office; 303-67.6-9110 lnax, 30341.6,5883 Representative r V `"— - _c4d2n -I.ZLh_ /_1 y[,,, Crown royal Builders, Inc. agrees to furnish all materials an¢ la ►RRR[W;tl�lymraoffm gU*�z W.�zmvdg-z Address / o t J 5 G+l t 411.0 CQNTRACT Date 20 ry for the work (specified below) on premises located at: Phone r U a[ree[ I V l..l[y A LS� I/ We the owner agree to pay upon substantial completion the sutra of: Ct.Gn.e.t- SPECIFICATIONS FOR LABOR AND MATERIAL $ TERMS AND CONDITIONS (please read oarofutly) VRecover roof with Color of shingles Manufacturers Warranty M^ _ Doulbkl all eav .s 'renr off f�}ituslall fell J. -C •}- W � IP lie-kish Chimney and/or Skylights V-11 A, New Vtilleys l -M Gouge & Galvanized Nall, (P Replace plumbing jacks H Qq /r UPIlaint rod( shacks to match & Install ctnt a ,,ing /)OVent, 1n t fpPatio or flat goof fp 5' Year guarantee labor, Crown Loyal Builders, Inc. to furnish all material and labor I? Permit furni6hed by Crown Royal Builders, Inc. Clean-up & haul off all trash from roof (� Roll yard with magnetic roller to Gutters cleaned of roofing; debris Signature T Date Vt'G,tWccx. All proposals subject to approval of management. INSURANCE ALLOWANCE AGREEMENT I/we agree to retain Crown Itoynl Builders, Inc. to replace and/or repair roof with like material on the property aforementioned, contingent upon Crown Royal Builders, Inc. ob twining my Insurance company's approval and payment to have said work done. It Is understood anti aerced that Crown Royal Builders, Inc. Is to contact my insurance carrier and meet with their representative in order to discuss the repair or replacement work to be done on ilia property. Upon Ionce carrier's and Crown Royal Builders, Inc.'s agreement to ilia extent of the damage!: and cost of fixing,thom, Crown Royal Builders, Inc, may befsold ;in to work on properlyMIMEOWNER'S OUT -Op -POCKET EXPENSE WILL NO I5XC1MD HOME'.OWNIR'S INSURANCE POLICY 31DUj� C'l'li j,11,FOR WORK AGREED UPON BETWEEN THE INSURANCE CARRIER ANDCROWN ROYAL i3Ulf, ERS, TNG, Homeowner also agrees to provide all necessary doCulrlee oon for claim (Also providing all pertinent documentation to facilitate payment from Insurance Carrier/or Mortga's Company.) Crown Royal Builders, Inc. reserves the right to file for supplemental claim due to material or labor Increases due to a stoat) environment or if insurance measumnents are proven to be incorrect. Owner agrees that the equity in this property Is security for this contract, This Contract shall become binding only upon written acceptance hereof by the Contractor or by an authorised Agent of the contractor, or upon commencement of the work. This contract constitutes the entire understanding of ilia parties, and no other understandings, collateral m otherwise, shall be binding unless in writing and signed by both parties, Labor Warranty does not cover damage to roofs caused by lightning, galc (50 MPH), hurricane, tornado, hailstorm, Impact of foreign objects or other violent 9loflrl or casually, o. damage to roofs due to settlement, distortion, failure or cracking of the roof deck, walls, or foundations. The contractor shalt revoke labor wArranty if contract is not paid In full,'lliq labor warranty is non -transferable, The maledal Is non -transferable unless otherwise skated by the mamufcturer. All material is guaranteed to be as specified. All work is to be completed In a workmanlike manner according 10 standard practices. Any alteration or deviation from the above speciffcaltons involving extra cast will be exeemted only upon written orders, and will beconnc an extra charge over and above the estinnale. Labor and material warranty coveramo only. The property owner is to carry fire, tornado, and other necessary insurance, Crown Royal. Builders, Inc, Is not responsible for molt( or mlldew. The warranty is limited to roof leaks and replacement of missing shingles, but does not Include repair or reimban crrrent for water damage to the interior of. the home. Crown Royal Builders, Inc. is not responsibD for any damage to concrete or driveway, Upon substantial completion of, Ilia roof, final payment will be due. If not paid within 30 days a notice charge of 1.5% per month will be charged on account balances not paid I ffull. The client agrees to pay all expenses of collection, including reasonable attorney fees, and $ This proposal may bbc withdrawn by us if not accepted within3-6 days, 1+" ►" _ .. M Signature (Insurance Co.) (folic, No.) (Clairn No) (Mortt[age Co.) fMorti:ai`e No) Signature Signature uaue /T ,aDvd OT89S€€OZL AaIXMC Wd €V:80 LT0Z-VZ-unr Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 3, 2017 4:13 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 10395 W. 33rd Ave kQ--- Property Owner Name Steve Merritt Property Owner Phone 303-232-6359 Number Property Owner Email Field not completed. Address 1 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Crown Royal Builders, Inc. Name Contractor's License 140105 Number (for the City of Wheat Ridge) Contractor Phone 303-646-9110 Number Contractor Email Address rob.crbuilders@gmail.com Retype Contractor Email rob.crbuilders@gmail.com Address DESCRIPTION OF WORK / Are you re-decking the No roof? Description of Roofing Owens Corning Duration Storm Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES / 30 (pitched + flat) of all roofing material for this proj ect Provide additional detail Tear off 1 layer of existing shingles, roof pitch 4/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 9000.00 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 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 Sarah Burgett Email not displaying correctly? View it in your browser. K i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: %` ZA Job Address: /0_3q5 bd 330_ C_LN� Permit Number: 2 2/%,5F10 ❑ No one available for inspection.: -Time/. f AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' 31 • 17 Inspector: �w r/ i4 -- 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: S _ Job Address: -3 �� t.�i 3 �r 14 Y,6f_: Permit Number: 20/'_/0 ij No one available for inspection: Time` -fes ' AM/PM Re -Inspection required: Yep' No , When corrections have been made, call for re -inspection at 3:234-5933 Date:-/ Inspector: w DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ` (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: f4et) Job Address /Permit Number: 104 � f d „� X19,7 i 1 i J ❑ No one available for inspection: Time 30 AM/I�M) r Re- Inspection required: Yes r When corrections have been made, call for re- inspection at 303 - 234 -5933 Date. 't ()rq Inspector: Yr A ` k P A, DO NOT REMOVE THIS NOTICE t r t INSPECTION RECORD OccDDancylTvDe '&'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 Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR - Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath F Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof - r Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. **NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER I* - � � CITY OF WHEAT RIDGE Building Inspection Division (3 03) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address /Permit Number 16 �> fa): P 1 �� i ❑ No one available for inspection: Time ! �6 AM l r. Re- Inspection required: 'Yes lo f IS "When corrections have been made, call for r - inspection at 303 - 234 -5933 �. Date: Inspector: DO NOT REMOVE THIS NOTICE -~-~5`S ...M1'~p .°+-G'r°' ' .tl._~;T-~~i•`nF k _ . . _ i . . . : .i . . .S 1 / 4' 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: Job Address/Permit Number: ,a3 7.< c~. 33Ri? .4l&£ epSe> Gss -.,eAq l,~sp i, .a j a ~ ~ , . . . ` ~t. t t ~ ; a ❑ No one available for inspection: Time 30 AM/PM ~ ; Re-Inspection required: es No ~When corrections have 6een made, call /or re-inspection at 303-234-5933 3 3. Date: G~i7/oS Inspector: # i , DO NOT REMOVE THIS NOTICE ~ ~ , BUILDING DEPARTMENT (303) 235-2855 CITY OF WHEAT RIDGE * * Correction Notice 3 ".Job Located at ~ I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- ` erning same• You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date DO NOT REMOVE THIS TAG 1~<FORM WR6-22 ~ ~ . . . 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 : 95-991 Date :5/15/95 Property Owner : LANG ANNE F Property Address : 10395 33RD AV Contractor License No. : 17564 Company : Buckhorn Roofing OWNER/CONTRACTOR SIGNATURE OF UN.DERSTANDING 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 rewrd; 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 f~.~G, aJ/ZtTeG DATE s -15 -v~' Description : REROOF Phone: 232-6359 Phone : 987 1783 Construction Value : $2,730.00 Permit Fee : $54.00 Use Tax : $40.95 Total: $94.95 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: u ° .on m ENNEROMMM (1) This permitwas issued in accordance with the provisions se[ forth in yopur applica[ion and is sub~ect to the laws of ihe State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ortlinances of t~e City. .(2) This permit.shall expire if (A) the work authorized is not commenced within sixty (60) days fmm issue date or (B) the building authorizetl is suspendetl or abandonetl Por a period of 720 days. (3) If this permit expires, a new permR may be acquired for a fee of one-half the amount normally required, provitletl no changes have been or will be matle in ihe original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonmen[ exceeds one (7) year, full fees shall be paitl for a new pertni[. (4) No work of any manner shall be done thatwill change the naturel Bow ofwater causing a drainage problem. (5) Contractor shall no5fy ihe Builtling Inspector twenty-four (24) hours in atlvance for all inspections and shall receive written approval on inspection cartl before proceediing with successrve phases of the job. (6) 7he issuance of a pertnit or the approval of drawings antl specifca[ions shall not be cons[rued to be a permit for, nor an approval of, any violation of the provisions of the n Idin9 code~ ther qrtlinance, law, ru 9ulation. Ch' f Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION N a DEPARTMENT OF PLANNING AND DEVELOPMENT Application Number : BUILDING IPlSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Phone : 2.1 1- 6~3ff Property Address : Contractor License No. G Com an : P h o n e P Y 41 fio ,:~p - OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurare, and do not violate applicable ordinances, mles or reguiations 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 responsibihty 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 : Zdf1[i~~'6hlmentsx Approval: Zoning : d1;na'9RW1rqenf0::: Approval : Construction Value : „2 7 sO a~i7 - Permit Fee : Use Tax : Total: c/ ~L S i~ BUILDING DEPARTMENT USE ONLY Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Company : Company : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : _j iftosuired J Plans Required j J - (1) This permit was issuetl in accortlance with the provisions set forth in yopur applicalion and is subject to the laws oF the State of Coloratlo and lo the Zoning Regula[ions and 8uiltling Code of Wheat Ritlge, Cobratlo or any olher applicable ortlinances of the Ciry. (2) This permit shall expire if (A) the work authorizetl is not commenced within sixry (60) days from issue date or (B) the builtling authorizetl is suspentled or abantloned for a penod ot 720 tlays. (3) If Nis pertnit expires, a new pertnit may 6e acquiretl for a fee ot one-half the amount normalty required, provided no changes have been or will be matle in the original plans antl speafcabons antl any suspension or a6andonment has not exceeded one (1) year. It changes are made or if suspension orabandonment ezceetls one (1) yeac PoII fees shall be paid for a new permit. (4) No work of any manner shall be done thal will change the nalural Oow of water causing a tlrainage pmblem. (5) Contractor shall notify the Buiiding Inspector hvenry-four (24) hours in atlvance for all inspections antl shall receive written approval on inspection card befo2 pmceetliing with successive Ohases of the job. (6) The issuance of a permlt or the approval of tlrawings antl specifications shall not be construed to be a permi[ for, nor an approval of, any violation of the provisions of the building cotles or any other ordinance. law, mle or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION