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Home My WebLink About6780 W. 36th AvenueCity of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: October 19, 2017 Reason: Customer cancelled permit; permit #201704748, for 6780 W. 36th Avenue is closed. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 201.48 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 270.67 (acct 01-500-02-505) Total: $ 472.15 TO: RoofCorp of Metro Denver Inc 6890 S. Tucson Way #106 Centennial, CO 80112 Thank You! Kms. Cmc Permit Technician hCity of W COMMUNITY DEVELOPMENT / V P06 zil�_s 49) '/4ja o City of Wheat Ridge Municipal Building 7500 W. 29"' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29`h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): '�Oc (_ L rp l : t J 1 f e+fc� Address: 6 "221?0 '_'I1 �-( 1 ,-) C In i City: ii;t'l��ilG`t� State: Zip: 0(_) // Phone: � (� � �,� i 7`� Fax: 3t-1 " r ` � ? Email: C' ! !'1-� � 4J�i /�� l (-�1 (? Permit #: `� / U Permit Address: 6 '77 (W Reason for request: Printed Name: c' _ 2 L Signature: r Date: For office use only This request has been:A A rove ❑ Denied Refund Amount: $� 9 P Approved by: rl. / Date: www.ci.wheatridgexo.us � 4 a City of Wheat Ridge Residential Roofing PERMIT - 201704748 PERMIT NO: 201704748 ISSUED: 07/25/2017 JOB ADDRESS: 6780 W 36th AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration storm Class 4 asphalt shingles with 27SQ Pitch 4/12 *** CONTACTS *** OWNER (303)918-8286 CASADOS RICHARD & CHERYL SUB (303)548-5000 Alan Parkes 021001 Roof Corp of Metro Denver Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,889.00 FEES Total Valuation 0.00 Use Tax 270.67 Permit Fee 251.85 ** TOTAL ** 522.52 *** 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 one half 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 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. ,.' A ® City of Wheat Ridge Residential Roofing PERMIT - 201704748 PERMIT NO: 201704748 ISSUED: 07/25/2017 JOB ADDRESS: 6780 W 36th AVE EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration storm Class 4 asphalt shingles with 27SQ Pitch 4/12 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 t e property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further est hat m le ally authorized to inc ude alI entities named within this document as parties to the work to be performed a}tha 11 wo be�per�disclosed ' is document and/or its' accompanying approved plans and specifications. Signf OWNER or CONT ACTOR (Circle one) Date 1. This permit was issued base 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 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 Budding 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issr granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica le a or any ordree or r gaol on of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz ,�eC From: no-reply@ci.wheatridge.co.us Sent: Monday, July 17, 2017 2:58 PM To: Permits CommDev \ '" Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina -75 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 Property Owner Name Property Owner Phone Number 6780 W 36th Ave Richard & Cheryl Casados 303-918-8286 Property Owner Email Field not completed. Address $ D a �'1 Do you have a signed Yes contract to reroof this property? 27 It will need to be provided at the time of No permit pick-up. CONTRACTOR INFORMATION Contractor Name Roofcorp of Metro Denver, Inc. Contractor's License 021001 Number (for the City of TOTAL SQUARES of all Wheat Ridge) roofing material for this Contractor Phone 303-766-2444 Number Provide additional detail Contractor Email Address permits@roofcorpinc.com Retype Contractor Email permits@roofcorpinc.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Duration Storm, Class 4 Shingle Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 27 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 of all 27 roofing material for this proj ect Provide additional detail Ptich - 4:12 here on the description of i work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 12889 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 Victor Aguilar Email not displaying correctly? View it in your browser. 3 i685 S. Colorado Blvd, Ste 240 6890 South Tucson Way Denver, CO 80222 ■ Centennial, CO 80112 (303) 766-2444 ROOFCORP Of Metro Denver Inc. . 1 Not just another house... BBB It's your home! AGREEMENT FOR ROOF INSTALLATION V" Gold Star Award A+ Rating ADDRESS: GKe) o� ,J% -J lki City C.� ��e<' Zi4�- DATE: T OWNER: (� `� L , ,( ! SALES REP: "AlAbr PHONE: home: r-0/.?3zn(t/- cell: T6 6� / (/-7/6 work/email: If this contract is for an insurance or manufacturer defect claim, AGREEMENT SHALL BE CONTINGENT UPON INSURANCE COMPANY OR MANUFACTURER APPROVAL. Roofcorp Inc. hereby agrees to supply all materials and labor necessary to install roof as specified below: ✓ New roofing material: manufacturer: 41% ating: color: LJ ✓ Remove and dispose of existing:_layers of shingles k wood shake other ✓ Install new manufacturer approved underlayments on entire roof. Felt grade shall be #� i L ' w 904- ✓ Remove existing valley and replace. New valley material shall be - ✓ New plywood/OSB decking shall shall not__y be installed. ✓ Remove trash and debris from property and use magnetic sweep for nails. ✓ Replace/install new flashing as required by code. ✓ In addition to manufacturer warranty, Roofcorp will provide 112 W5 year transferable workmanship warranty. ✓ Upon request homeowner shall receive a wn'tten)invj?ice with liie�n, jwaiver and 5 year roof certification. Misc items:, /moi u`r �6Lr�t '"�fL SKk'�I rli v1✓ In the event there are hidden layers of existing roofing found, damiged decking is replaced, damagdd/deteriorated siding is replaced, code upgrades are required, or other mist repairs are needed, customer understands that Roofcorp shall submit a supplemental claim to insurance company and shall be paid full recovered amount of supplemental claim including overhead profit. In the event that said required additional items are not recovered from insurance company, customer agrees to reimburse Roofcorp for said repairs on �material and labor basis. e j Insurance Company/Manufacturer: )� tom— '�'t'" CLAIM # &.'D// I ��/� Phone: �X 5 f- �l, t v"Fax: Type Of Loss 7 t Z I Adjuster Name: Adjuster Phone #: Email: S ,, Full Replacement Coverage Yes k No _,Actual Cash Value Coverage Yes _ No, Code Upgrade Coverage Yes No Roofcorp hereby agrees to replace roof to above specifications fo,insurance company RCV (Replacement Cost Value) revacil LN TOTAL $ t J�►� b �. TOTALAPPROVED BY SURANCE $ Payment terms: Payment is due upon completion and shall be cash or check. In the event the city inspections are delayed, customer agrees to pay 90% of contract price (or first insurance check) within 10 days of completion and balance once inspection is closed ou rlf payment is made with credit card there shall 7 an addition arge of 1.5% added to balance paid. Date:' Owner Date: %� ;J `�� Authonzed Roof Agent PLEASE MAKE ALL PAYMENTS PAYABLE TO "ROOFCORP" i) Once signed by both parties. this agreement shall become a legally binding. ii) Replacement of bad decking shall be an additional charge of no less than $40 per sheet. Vents, flashing etc not required by code shall be additional. iii) This contract constitutes entire agreement. No changes or verbal otherwise shall be part of this contract unless agreed upon by both parties in writing. iv) Homeowner has the right to cancel this contract in writing within 3 days of signing with no penalty. v) Warranties are as stated above and shall be limited to exterior repairs only. Interior damage shall not be covered under said warranties. vi) Homeowner is hereby notified to remove all pictures, mirrors, breakables from walls or shelves. Homeowner also understands that there may be significant amounts of dust and debris which will fall into attic and/or garage and should cover or remove items as necessary. ii Afinance charge of 1.5-., per month shall be apptted to cutstannd ng balances that are not paid within 10 days of invoice. unless waging fa insurance proceeds. Owner hereby agrees that all insurance proceeds shall be paid to Roofcorp for work conducted under this agreement. In the event a claim is approved and owner does not proceed with installation or materials are restocked, owner shall be responsible to pay a 20% cancellation/restocking fee based on replacement cost value. In addition, owner shall be responsible for all legal, attorney. court and collection agency fees required to collect said debt. Said fees shall be added to total amount owed. viii) Owner understands that not all claims are approved. Initials Initials F 4' City of Wheat Midge Permit Fee 86.13 Plan' Review :Fee 55.98 Total Valuation .00 Use Tax 32.62 TOTAL ' 174.73 F, C~ >Conditions: MR: Both structures are 8' or less in height and must have '5' side and rear setbacks. rand Note:Owner/Contractor is responsible for locating proeprty lines constructing improvements according to the approved plan and required {,development standards. The City is not responsible for inaccurate information submitted within the.: plan set and any construction errors resulting from inaccurate information. 01- I hereby certify that the setback distances proposed by this permit application are accurate, and do not violat( ordinances, rules or regulations of the city of wheat Ridge or covenants, easements or restrictions of record; 1 measurementaXshovm, and allegations made are accurate; that 'I have read and agree to abide by all conditions pr: O ~i. ~~oFw"E~Tgo City of Wheat Ridge Building Division Date: 01-1 1Ll' TT_ m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan Cj I C o Inspection Line: 303-234-5933 o<oRro Permit 0,3 Building Permit Application Property Address: 1 ~a 14311 ~c., dlj P Property Owner (p/ease print): [2 r,- d`D Cua S ( ris Phone: 32 y-2Z 1)8)2 Mailing Address: (if different than property address) Address: r i t~1 _ City, State, Zip: UJ7`4L 266Z, 5= Contractor: t e Contractor License Phone: Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Use of space (description): pb-5-f- [bra C p Construction Value: $ I D Description ofwork: , (as calculated per the Building Valuation Data sheet) /'✓\bvt e xg"Shuq .6, x t0' P iLj 6o ~ -I o code- Plan Review (due at time of submittal): 56. cm cepkir i 4ptttr d9 $t' ,yew ice 17K". ~3 fli1 - u~~h fBkio -t cry , y is Sq.."Ft./L.Ft added: Squares BTU's _ Gallons Amps 90-1-111 C1 Pu 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCEO (OWN- (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: ` i.r NATURE: Date: /,O fey fh~ / .',t e nArt w a Y 3 a I I VII r I I I~j -fi f I S T kl 0 ly o - -L S e)jJgl0/ ~ City of Wheat Ridge Residential Electric PERMIT - 081130 PERMIT NO: 081130 ISSUED: 09/29/2008 JOB ADDRESS: 6780 W 36TH AVE EXPIRES: 03/28/2009 DESCRIPTION: Replace existing 125 AMP splitboss panel w/ new no new loads CONTACTS owner 720/341-9770 Bob Lantz gc 720/341-9770 Michael Cantral 08-0237 P& L Electric LLC **.PARCEL INFO ZONE CODE: UA SUBDIVISION: 0479 USE: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,500.00 FEES Permit Fee 70.25 Total valuation .00 Use Tax 27.00 TOTAL 97.25 . . . Conditions: Must comply w/ 2003 IRC & 2005 NEC. I hereby cerCify that the seCback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations o£ 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 an this application and that I s ume full responsibility for compliance with the Wheat Ridge BuildingCOde (I:B.C) and all other applicr.Mgi,{v'heat_Ai~dances, for work under this permit. Plans subject to field inspection. ~'.-7 c~int a or/owner date L. This permit was issued in accordance with the provisions set forth in your application and is subject m the.laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Aidge, Colorado or any other applicable ordinances of the City. .2. This permit sha11 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 espires, a new permit may be acquired for a fee of one-half the amovnt 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, £ull fees sha11 be paid for a new permit. fl. No work of any manner sha11 be done that will change the natural Elow of water causing a drainage problem. .5. Contrac[or shall noCify the Building Inspector twenty-four (24) hours in advance for all inspections andshall 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 mnstrued to be a permit for, nor an apprwal of, any violatio of the provisions of the building mdes or any other ordinance, law, rule or regulation. Al1 plan review is bj t field inspections. `Signature of Chief su' ing fficial . date `INSPECTION REQiFEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 :REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 4 F°""~T~,~ City of Wheat Ridge Building Division ~ '°m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-235-2857 c~LORP~~ ~ Inspection Line: 303-234-5933 Property Address: Property Owner (please print): Building Permit Application / 7-1, Date: crjrA, L Plan Permit F[W) Phone: 7 (G ^3 ~770 Mailing Address: (if different than property address) Address City, State, Zip: Contractor. z- c- - Contractor License (J•~ J~ Phone: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: /O.i Z_ c.,_(~ Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Construction Value: $~~)M Use of space (description): DBSC~ipti011 Of wo~k: (as calculated per the Building Valuation Data sheet) _ /(6f@~ Plan Review (due at time of submittal): $ I/'e T ~l !y GSS ~iGG~ P~ /,/1iA tiPUJ ~GU~ P~ ~v c~ iU cv ~ tr ~f 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 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 Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) /(CONTRACTOR) ~o./,rPI~R SONAL REPRESENTA yE of (OW ~ NTRATOR) PRINTNAME:SIGNATURE: ..G~ Date:~- ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: . Reviewer: DEPARTMENT USE ONLY r BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer. FIRE DEPARTMENT:: ❑ apprOVed W/ COmments ❑ di5approved ❑ no revieW reqUired Bldg VdlUdtion: $ ~'-JEPARTMENT 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 9692 10/27/99 Property Owner : Property Address : 6780 W 36TH AVE Contractor License No. : 20005 Company : Pubiic Service Co. of CO Appliance Repair Phone : 422-1580 Phone: 722-7587 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permlt 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 accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork underthis permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Install water heater Construction Value : $579.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $8.69 Total: $32.19 Use : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur applicalion and is subject to the laws of the State of Colorado antl to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ortlinances of the City. (2) This permit shall ezpire if (A) the work authorized is not commenced within sirty (80) days from issue date or (B) ihe building authorized is suspended or abandoned for a period of 120 days (3) IF this pertnit expires, a new pertnit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in ihe original plans and specifcations and any suspension or abandonmen[ has not exceeded one (1) year. If changes are made or if suspension or abandonment ezceeds one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall be tlone that will change ihe naturel Flow of watercausing a dreinage problem. . (5) Coniracior shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection cartl before proceediing with successive phases of the job. (6) The issuance of a permit or the approval of tlrawings 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 o[her ordinance, law, rule or regulation. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: 61 Ve-ly17 4AA17'Z PropertyAddress: fo780 i,-l• -Y6 ~ '`f/''e • W4 po3 hone:3o3 `~zZ-/ScYa Contractor License No. : '2- poo,5- Phone : 3v3 7~' ~587 Company : oa,Sc O OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : 579. ~o 5 I hereby cedify that the seWack distances proposed by this pertnft application are accu2te, P@ftTlif F88 : ' , SO ~:xG• S and do not violate applicable ordinances, rules or regulations of the City o( Wheat Ridge or wvenants, easements or restrictions of recoN; that all measurements shown, and allegations made are accurate; that i have read and agree to abide by all conditions printed on this U5e T2X : appliwtion, and that I assume fuli responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. TOt21 ~(OWNER)(CONTW+CTOR) SIGNED:~ lr DATE /0 USB : Description : C(-)a -k.c ie'-f T6Z BUIIDING DEPARTMENT USE ONLY 40+T~CM; m Approval: Zoning : EgCdiF- MbMMZM Approval : Approval: Occupancy : Walis Electrical License No : Company: Expiration Date : Approval : SIC : Sq. Ft. : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company: Company: Expiration Date : Expiration Date : Approval: Approval: (i) This permd was Issued In aaortlance wiN the pmvisions set lorth in yopur applica6on antl Is su6ject to the laxs al the SUIe o1 Cobado and lo the Zoning RegulaUOns anE Buildirp Code of VJheat Ridge, ColoraEO or any oNer applicable ortlinances o( the Ciry. (2) This peimd shall expire il (A) the work auUwrized is nal mmmenced wiNin sixty (60) days from Issue Oate a(8) the buildinp auNaizeE is suspenECd w abaMOned for a period of 120 tlays. (J) If ihis pemut expires, a new pemul may be atquired for a fee ol one-hzll the artaunt nortnalty requim0, provideC n¢Uanges have 6een a will be made in ine ariginal plans and speafi[aUons and any suspension w abanEOnment has not exceeded one (1) year. II changes are made or if suspension a aEandonmenl exceeds one (1) year, lull fees shall he paid lor a new pertnfl (4) No work ol any manner shall be Oone Ihat vnll change the natural flow ol water wusing a dainage prohlem. (S) ConlracYw shall rroti(y the BuilCing Inspeqo r twenry-four (24) hours in advance for all inspeclions and shall receive wntten approval m inspection cartf belore proceeEiing wiUi successive phaxs of 1he'ob. (6) iTe issuance ol a pertnil or ihe appravel o~tlrawings anE sped(iraUons shail not Oc conswed to be a permil fw. rar an approval ol, any WolaUon ol the provislone . ol Ihe building codes a any other wtlinance. Ww, mle or reguWGon. . 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 m W ~ ~ M G) ~ F ~ ~ W (L ~ I 2 w 2 aZ 000 W y J >-O LLJ 0 V W }hppJ zrEr'. ~ W~ I~ 0 w V Q Z Q z O)- W - ~ :E:DU F- m cr a W a m 4 fD ~ x L O a W m ~ W a 3 < L N C N c X y~j W j W a 3~ s m A N a ~ 2 F ¢ ~ w a I ? ~ \ N i I o a W d ~ ~ z ¢ ~ ? 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N Q O J = O a N U d P a `o 3 0 T U ~ w U a 1«2 T O do°; o~a uE p` n r 0 9 O m a^ E o m o 3 n t o 'Z 0 o ¢ ^ E c ~ a o„ o ~ t m o m°• m o 3> c oo 0 - 3 b~> o p~ m p > c ` o x o « n R V r p~ m'r non m Oo 0 a p O C O~ r Y Z C O ~ O O ~ c' e o 9 p E - o 0 o t t0- E ~ o u ,b._ ~ N 0 City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: October 19, 2017 Reason: Customer cancelled permit; permit #201704748, for 6780 W. 36th Avenue is closed. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 201.48 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 270.67 (acct 01-500-02-505) Total: $ 472.15 TO: RoofCorp of Metro Denver Inc 6890 S. Tucson Way #106 Centennial, CO 80112 Thank You! Kms. Cmc Permit Technician hCity of W COMMUNITY DEVELOPMENT / V P06 zil�_s 49) '/4ja o City of Wheat Ridge Municipal Building 7500 W. 29"' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29`h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): '�Oc (_ L rp l : t J 1 f e+fc� Address: 6 "221?0 '_'I1 �-( 1 ,-) C In i City: ii;t'l��ilG`t� State: Zip: 0(_) // Phone: � (� � �,� i 7`� Fax: 3t-1 " r ` � ? Email: C' ! !'1-� � 4J�i /�� l (-�1 (? Permit #: `� / U Permit Address: 6 '77 (W Reason for request: Printed Name: c' _ 2 L Signature: r Date: For office use only This request has been:A A rove ❑ Denied Refund Amount: $� 9 P Approved by: rl. / Date: www.ci.wheatridgexo.us Y O �U 0 �W �U) a� 02 m m LL a 0 r O le to O Z m O ,nn co a o. i rn— �N O � r V d 0 0 2 w a CL Y O wU 0 N mW A U) a� 4) M M N J m N IM L)2 'O C m O ra od U2 0 T FAI