HomeMy WebLinkAbout10485 W. 33rd PlaceINSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: 1(476; S�
ADDRESS: JOB CODE: jZ1ZF
7/17
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Kip V
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
Kip V
206 Water Underground
lg
Do Not Cover Underground or Below
/ In -Slab Work Prior To Annroval of Tha nhnuo lncnar-+i^n.
I r _ _ _ _ . _ . ... - ..- - . v ..-p__-. w
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
Kip V
306 Mid -Roof
lg
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: ADDRESS
JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
403 Final Electrical Residential
317 Rough Mechanical Commercial
404 Final Electrical Commercial
318 Boiler / Furnace
406 Final Mechanical Commercial
319 Hot water tank
407 Final Plumbing Residential
320 Drywall screw and Nail
408 Final Plumbing Commercial
321 Moisture board / shower walls
410 Final Window/Door
322 Rough Grading
411 Land scape/Park/Planning*
323 Miscellaneous
412 Row/Drainage/Public Works**
413 Flood plain inspection**
Final Inspections
Date Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Land scape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
The City of Wheat Ridge
Third Party Form Check List
Property Address /N�5� p
Permit Number
Permit Issued Date
Owner Information
Property Owner InformationS VC K
Property Owner Address c�c
L
Inspection Company
Inspector Name
Inspector Contact info.
Inspector Statement and Acknowledgement
I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge P 'cies and Procedure and Manufacturer's
recommendations and specificatio
Inspector: i32U1 4/ a Date:
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the ow er of the building referenced above and I give
my consent for the listed third -party in ection company to perform my roof inspection
in lieu of the City of Wheat Ridge Bq' ing Division inspection.
Propery Owner/Agent: Date:
This original document and permit card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
❑ N/A
❑ N/A
❑ N/A
Q N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
_ Roof lin5l9eom
❑ Pass
❑ Fail
91 Pass
❑ Fail
El Pass
❑ Fail
t Pass ❑ Fail
❑ Pass [] Fail
A_ -Pass
EPass
i Pass
Pass
Pass
_ Pass
❑ Pass
Pass
Pass
-Pass
ss
2—Pass
0 Pass
❑: Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Pass
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑
Fail
❑ Fail
❑ Fail
❑
Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
Fail
❑ Fail
❑ Fail
❑ Fail
❑ Fail
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
U_'3
07
Structural roof components
Verify that no more than 2 layers of shingles exist
Flashing for roof and walls
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Verify sheathing nail pattom (Seo Policy & Procedures)
Crickets and saddles where needed
Verify B vent must have boot same gauge as pipe
Verify vent caps
Verify no flashings are damaged or rusted
Step flashing shall be min. of 4x4 piece per shingle
Verify scuppers allow for proper drainage
Ice and water shield 2' in heated wall spaces
Underlayments must follow 2012 IRC / 2012 IBC
Verify roof slope for proper drainage
Dripedge shall have min of 2" overlap
Dripedge should extend down min 2" past roof deck
Dripedge shall be mechanically fastened 12" OC
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
Modified Bitumen, EPDM, TPO min slope 114:12 slope
Above roof insulation R-25
Below roof residential R-33
Below roof commercial R-32
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Reuuirements
❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less
3:12
❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-112:12 slope
Slopes 4:12 and under require double underlayment
61,
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name:
Inspector signature:
Date of Inspection: �G, _ �/ n 7
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
Q N/A
J4 Pass
Q Fail
Structural roof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
N/A
E -Pass
❑ Fair
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathingis installed vert that i '
fy t t is listed in the
permit description (Valuation must be adjusted)
❑ N/A
( Pass
❑ Fail
Verify sheathing nail pattern (See Palicy & Procedures)
Q N/A
.Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
'Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
Q N/A
O -Pass
❑ Fail
Verify vent caps
❑ N/A
91 Pass
❑ Fail
Verify no flashings are damaged or rusted
N/A
G4 Pass
El Fail
Step flashing shall be min. of 4x4 piece per shingle
-CMA
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
Q NIA
PLPass
❑ Fail
Ice and water shield 2` in heated wall spaces
❑ N/A
-Pass
Q Fail
Underiayments must follow 2012 IRC / 2012 IBC
Q N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
O -Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
V3 --Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
A?LNYA
0 Pass
❑ Pass
❑ Fail
❑
Dripedge shall be mechanicaly fastened 12" OC
Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 114:12 slope
N/A
❑ Pass
Q Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPC} min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturers letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on dope less
3:12
N/A
Q Pass
❑ Fail
Metal valley flashing shall be the same material as roof
:3 N/A
❑ Pass
[] Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
Q Pass
❑Fal,
Clay and concrete file shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Nates
Company Name:
Inspector signature:
Date of Inspection:
► ' City of Wheat Ridge
`rr Residential Roofing PERMIT - 201708353
I1
PERMIT NO: 201708353 ISSUED: 10/16/2017
JOB ADDRESS: 10485 W 33rd PL EXPIRES: 10/16/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 28 sq Pitch = 7/12 (3rd
party inspector required)
*** CONTACTS ***
OWNER (303)478-7182 JOHNSON STANLEY W
SUB (303)800-8258 Joel Massey, Jonathan Friesen 170165 NexGen Construction, 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: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
► A , City of Wheat Ridge
Residential Roofing PERMIT - 201708353
PERMIT NO: 201708353 ISSUED: 10/16/2017
JOB ADDRESS: 10485 W 33rd PL EXPIRES: 10/16/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 28 sq Pitch = 7/12 (3rd
party inspector required)
I, b 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 ermtt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
p�ned and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Siaa re of OWNER CONTRAC 'rcle one) Date
1, is permit was issued bas -on the inV4mation 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 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 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, an violation of any provision of any
applicable code or any ordina e o egulation 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.
Dane Lovett �
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 16, 2017 11:39 AM
To: CommDev Permits r
Subject: Online Form Submittal: Residential Roofing Permit Application C7—
Follow
` 7Follow Up Flag: Follow up
Flag Status: Completed
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 (enter WITH
dashes, eg 303-123-4567)
10485 W 33rd Place
Stanley Johnson
303-478-7182
37
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
S.W.Johnson@comcast.net
Yes
Johnson, Stanley - Contract.pdf
CONTRACTOR INFORMATION
Contractor Business NexGen Construction, LLC
Name
Contractor's License 170165
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-800-8258
13791 E. Rice PI. Aurora, CO. 80015
Contractor Email Address Admin@NexGenRoof.com
Retype Contractor Email Admin@NexGenRoof.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
28
8000
M
Pitched roof (2:12 pitch or greater)
38
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
7
28
Asphalt Shingles
Asphalt
For main dwelling. Roof and Accessories
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
39
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Joel Edward Massey
Email not displaying correctly? View it in your browser.
40
(&NE>CGEN
OOFING & EXTERIORS
AGREEMENT
,�ccasnrtcc
eusmcss
Homeowner Name:C?.v
a
Address: ol-& �L), �l t� City: l,t; V,Q_ w _ State: CO Zip:
Phone:3 "`! �~ Cell: Email:
Scope of Work
ROOF SPECIFICATIONS Ins ce? Yes 1:1 No
Manufacturer Selection ( /_.eAr(i tai +i
Style.idiY
VY'lnspect All Roof Deck. Sheathing for
V,nstall Ice/Watery Shield According t
® Vnderlayment: lid' 151b ❑ 301b C
�Ior
ripEdge:.Color:stall Hip &R idge Cap hingles
✓Replace Pipe Jack Flashing:
LTJ E,
Replace Roof Vents: Attic: 'Z—EA
EA
Q,Seal All Vents, Pipes, and Flashings
Q lean All Gutter/Downspout Debris
I ljeul Away Debris
ITIONAL ITEMS -
Keserve and Protect Property Daily
Magnetic Sweep for Removal of Nails After Each Work Day
All construction will be completed in compliance with prevailing building codes of the governing municipality and manufacturer's specifications.
INSURANCE CLAIM AGREEMENT
I/We authorize f (insurance Carrier) and their representatives to communicate directly with NexGen regarding the scope of work
to be performed. We also give p isston for NexGen to assist in filing a claim, work with our insurance carrier's adjuster, obtain recent copies of the insurance estimate,
negotiate pricing and supplements, and receive any other pertinent information related to this claim. This agreement does NOT obligate us or NexGen in any way unless the
claim is approved by our Insurance company and accepted by NexGen. Upon insurance company and NexGen Approval, this contract becomes effective immediately and the
final agreed price and scope of work accepted by your insurance company will become NexGen's final work contract and invoice price. Homeowner's out of pocket expense
shall not exceed deductible (unless additional upgrades or non -insurance claim related items are added to the scope of work).
Sball the claim be denied by ' (_j
the insurance carrier this contract is NULL and VOID. �ry
INSURANCE CARRIER: !/t (y'" A CLAIM #: S 3 `7 _ " 01 Date of Loss; '
lu
�1' ✓
ESTIMATED COST OF REPAIRS
Roof $ 17, -7 I L,
Additional Items:
Additional Upgrades or Non -Inst
Overhead & Profit: $
Estimated Cost of Repairs: $ 4
*** In Addition:
Claim Related Items: $
Amount Due Upon Delivery of Materials: $
Customer Initials:
C if S -f--
00
i"d0
ers, Permit Fees will be added to the Estimated Cost of Mrs ***
.Amount Due Upon Completion: $ T�vv , ,a l- .Ai
By signing this agreement, you acknowledge that you have read both sides oft contract.
You understand, and agree to all Terins & Conditions of this agree ent and no other condition apply unless stated here within.
-,
Nomeou nei's Name (Print) �— Da omeowner Signature
NexGen Rep Namc (Print) bate: t �AexGen Rep Signature
13791 E. Rice PI. Aurora, CO. 80015
www.NexGcnRoof.com • 1 -800 -NEW -ROOF • 303-800-8258 • AdminLNexGenlloof:coin
Licensed & Insured
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILOING INSPECTION DIVISION - 235-2855
CiTY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : /o /
Property Address o~, S- w 3 3Phone 7yp~
Contrector License No. :
Company:~rQc,~se .Lr~ . P h o n e : S3yos~r/
OWNER/CONTR.4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hercby certiy that the setbadc tlistances proposed Oy this permrt appiication are accu2te.
antl tlo not violate apphwble ominanees. rules or regulanons of the City of Wheat Ridge or
covenants. easements or restnctions of rccord: that all measurements shown. ana allegations
matle.are accure[e: that 1 have reatl an0 agree to abWe by all contlitions pnntetl onlhis
apPGpdon, and that 1 assume full responswility for eompuance wrth the Wheat Ridge 8uilding
Code (U.B.C.) ana a11 other appucable Whw idge ommanxs. tor work untler this pertnrt.
(OVJNER)(CONTRACTOR) SIGNED DATE ze~
Descnption
Construction Value :
Pertnit Fee : ;ZSt -
Use Tax : 5~,R-s
Total : 2 2.
<Gh;nP" e "
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
¢el_I~
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approvat : Approval :
~ P,fgns;iWqutretl~ ~ -Ffts Required:7 `,7 .4 rP,~f1s_,lnui[~tl~
(1) Thi5 pEmmt wa5 RSUlC In aCmltl30C2 wiItI tlfE plon5qn5 SEt Mtttl In yODUr 2PpIIWG00 2n0 ts SubJeCt W ME 13W5 O( M! St3tB Of COb200 2lIG t0 N! ZOIIIf19
Regulauons ana Builtlmg CoCe of Wheat Ritlge. Coloraao orarry oNer aDplic'able ormnance5 of Ne Cily.
(2) This permn snau expirc A(A) ine wonc auuwnzeu is no[ commencea wimm sixry (60) Eays hom issue tlate or (B) Ne building aulfwnzeo rs susperMetl w
aWntlonea for a penoC of 720 Eaya.
(3) If this permn ezoires. a new cemit may ce acQUirae for a Ix ol onMeM tne amount nortnaly repuireE. OrovitleE no eJhanges nave Deen or will Ee maCe in the
onginai pians ana specrficaoons ana airy suspenswn or aoanaonment nas nM exceeee0 one (1) yeac II cnanges are matle or d suspensron or abantlonmem
exceeas one oI yeac mu leee shau De eaa ror a new xrmrc.
(4) No work ot any manner SOall Oe Eone Na[ will Uange mB natu2l flow ol water C2u9ng a Oramege Droblem.
(5) Convac2or snan nonry tne BmiEing insoeaor twmry-lour (24) hours m aavance lor ail mspecuons ana snall reoorve wntten approvai on mspecuon cam DeWre
proaednng wim successne onases of tne pb.
-(6) The is5uance of a permtt or Ibe appfovat o102wings anG SOeafiCations snall not Ee conSVUeC to De a permg W. nOr en approval ot. dnY violatlOn 0f tlie pfOnsiOns
of tne Emiomg cooes or any other ommance. law, ru:e or reguiauon. - Chief Buiiding Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4145
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 11/5/96
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Praperty Address : 10485 33RD AV
Contractor License No. : 17152
Company : Precise Plumbing
Phone : 238-7496
Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposedby this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the CiTy of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : REPLACE WATER HEATER
Construction Value :
$345.00
Permit Fee :
$22.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$22.00
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
nammm ~ ~~sm
(1) This permit was issuetl in accordance with the provisions set Forth in yopur applica[ion and is subjec[ to the laws of the State of Coloredo and to the Zoning
Regulations antl Builtling Code of Wheat Rid9e, Coloredo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work au[horized is not commenced within sixty (80) tlays from issue tlate or (B) ihe builtling authorized is suspentled or
abandonetl For a period oF 720 days.
(3) If this permit expires, a new permi[ may be acquired for a fee of one-half the amount normalty required, provided no changes have been or will be made in the
onginal plans and speafications and any suspension or abandonment has not ezceedetl one (i) year. If changes are matle or if suspension or abandonment
exceeds one (7) year, full fees shall be paid for a new permit.
(4) Noworkofanymannershall6edonethatwilichangethenaturalflowofwa[ercausingadraina9eproblem.
(5) Contrector shall notiry the Building Inspectorhventy-four (24) houre in advance for all inspec[ions and shall receive written approval on inspection card before
proceediin th successive phases of the7'ob.
(8) The issu of a ermit or the approval of drawings and specifcalions shall not be construetl to be a pertnit for, nor an approval of, any violation of ihe provisions
of the b g~s or any other ortlinance, law, rule or regulation.
Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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