HomeMy WebLinkAbout10765 W. 35th PlaceCity of Wheat Ridge
Residential Roofing PERMIT - 201708867
PERMIT NO: 201708867 ISSUED: 11/03/2017
JOB ADDRESS: 10765 W 35th PL EXPIRES: 11/03/2018
JOB DESCRIPTION: Permit for a reroof: Install 25 squares total: 16.77 squares 6/12 pitch
Owens Corning duration asphalt shingles and 8.18 squares 1/12 pitch
*** CONTACTS ***
OWNER (303)420-1488 HALL MARILYN K 0
SUB (720)402-6702 Jeremy Smith, Jacob Hazen -Pete 170373 Dark Sky Group 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: 7,500.00
FEES
Total Valuation 0.00
Use Tax 157.50
Permit Fee 172.60
** TOTAL ** 330.10
*** 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 repoft 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 sgi:,3re
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 �ir.a!
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201708867
PERMIT NO: 201708867 ISSUED: 11/03/2017
JOB ADDRESS: 10765 W 35th PL EXPIRES: 11/03/2018
JOB DESCRIPTION: Permit for a reroof: Install 25 squares total: 16.77 squares 6/12 pitch
Owens Corning duration asphalt shingles and 8.18 squares 1/12 pitch
I, by my signature, do hereby attest that the work to be performed shall comply withal I accompanying approved plans and spccihcati()ns,
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 \& ith
this ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work -to he
performed an k to be perfo disclosed in this document and/or its' accompanying approved plans and specifications.
It -6- l
Signature OWNER or CONTRA R (Circle one) Date
I. 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, 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 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 originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and�procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all rec uired
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 regulati o is jurisdiction. Approval of work is subject to field inspection.
711_`46� -- , - �� "tom
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Antoinette Kulick 1"o (7-7 0� U
From: no-reply@ci.wheatridge.co.us
Sent: Friday, November 3, 2017 12:07 PM
To: CommDev Permits
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 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)
Property Owner Email
Address
10765 W 35th Place
Tom and Marylin Hall
720-314-0465
mkohall12@gmail.com
13
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Hall Contract Scan.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Dark Sky Group Inc
Name
Contractor's License 170373
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-331-7944
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 11717 Anderson Ave Franktown CO 80116
(Primary address of your
business)
Contractor Email Address
Jeremy@darkskyinc.com
Retype Contractor Email
Jeremy@darkskyinc.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
25
the entire scope of work:
Project Value (contract
7500.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
roof, pitched roof, or
greater)
both? (check all that
apply)
14
What is the pitch of the
FLAT roof?
How many squares are
part of the FLAT roof?
Describe the roofing
material for the FLAT
roof:
Type of material for the
FLAT roof:
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)
1/12
8.18
Modified Bitumen
Rolled
6/12
16.77
Owens Corning Duration Shingles
Asphalt
House
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
Yes
Yes
15
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.
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 Jeremy Smith
Email not displaying correctly? View it in your browser.
16
DARK SKY GROUP INC
Building Contractors
11717 Anderson Ave Franktown, Co
SERVING THE FRONT RANGE SINCE 2009
Licensed and Insured for your protection M Ka ' 1 �'1 TA114" �i�►''�
720-ZA4 - -I 0!5 -
PROPERTY OWNER / CUSTOMER: WORK TO BE PERFORMED AT (if different location):
Name Tov^e. JA ul I Address
AddressCity, State
City, State Email Address
Telephone Date t130 2017
This agreement does not obligate Property Owner/Customer (you) or Dark Sky Group Inc. in anyway unless and until your claim is APPROVED by your insurance
company and the insurer's specifica i Oar ccepted by Dark Sky. When that occurs, Dark Sky will complete all work in accordance with the insurance company's
approved scope of work. (Initials he event that the insurance company denies your claim in full, this contract will terminate, and neither Dark Sky
nor you are obligated to one another.the "scope of work" is agreed upon and approved by the Customer's insurance company, Dark Sky will work for the
insurance proceeds ONLY with NO additional out of pocket expense to you except the deductible under your Insurance policy, which you must pay under Colorado
law. You authorize Dark Sky to obtain labor and material for the APPROVED scope of work. Upgrades and any other additional work not associated or covered
under the claim will be considered to be a change order and will be a separate cost and contract between you and Dark Sky. Upon completion of the agreed scope of
work, a final invoice will be sent to the insurance company on your behalf. The final invoice for the Replacement Cost Value "RCV" will become the final contract
price Dark Sky will receive all insurance proceeds, including supplements from the insurance company, only for the work completed by Dark Sky.
(Initials
SCOPE OF WORK:
❑ Existing Roofing:
❑ Remove Roof Covering: Type
❑ Existing Shingle Color: 1'Ynu%M wodfy—
❑ Existing Underlayment)15lb o 301b o Synthetic
o Existing Ice and Water Shield: o N-Xes (Eaves _Rows o Valleys)
D Gutter Apron/ Drip Edge: o N(XYes atEaves)kRakes)
❑ Existing Ventilation: o Turtle)�,Ridge o Other
o Existing Plumbing Vents)eAuto Caulk o Other (Painted o Yes, o No)
❑ Gutters,
Gutter Type: o Steel o Alum o5" D6" (Painted o Yes, o No)
Downspout: o 2x3 o 3x4 (Painted o Yes, o No)
Gutter Protection: o Yes ❑ No
❑ Windows:
Window Material: o Vinyl o Wood o Alum Clad
Window Type: o Casement D Slider o Single Hung
❑Double Hung ❑Patio Slide DPatio French
Glass Type: D LoE2 D LoE4 o Grids D Argon
❑ Exterior Painting:
Elevations to Paint:
❑ Front D Left o Rear o Right
❑ Paint Trim (Follow Elevations ❑ Yes, o No
o Windows o Corners o DoorsGutters o Downspouts o Soffit o Fascia
Notes 15,6 1Z Ii�_" Cams-Irc W6OC9/.rea
❑ Replace Roofing:
+ Shingle Type
+ Color Selection c5r
au S Aux
+ Underlayment)c5lb o 301b o Synthetic .�//r1�
+ Ice & water shield o No Wes (Eaves Rows4alleys) I I
+ Gutter Apron / Drip Edge o Yes (Colo ki , —) j r
+ Ventilation: o Turtle Xidge
+ Paint Vents�vatch Shingle o Other
Color of Gutters _
Color of Downspouts
Type and Color
Window Manufacture/Series
interior Finish
Exterior Color
Paint Manufacture & Type
Color Selection
Trim Paint Manufacture
Trim Color
❑ Furnish all materials, labor and necessary permits
❑ Remove debris resulting from the approved scope of work.
❑ Delivery instructions: Driveway (o Left, ❑ Right), o Roof Load D Other
❑ Warranty: Dark Sky warrants its workmanship for two years after completion of the scope of work. (Extended warranties are available)
INSURANCE COMPANY Sc --Cf— e-0 CLAIM / POLICY l (o 11,11sG° 0 y 0 -ZLk'VDPr7
• Dark Sky holds a National General Building Contractor Certificate; standard industry practice is to assess a 20% fee in excess of the retail labor rate for each trade
performed. As such this fee is an incurred cost and will be included in the final invoice. The charge is part of the Replacement Cost Value "RCV" and is to be
reimbursed from the insurance company if not already allowed. (Initials
• Estimated Date of Roof Installation: 14 days from agreed scope and receipt of deposit (50% of Estimated Cost or ACV of Claim)
• Cancellation: You have the right to cancel (rescind) this contract and receive a full refund of any deposit within 72 hours after signing this contract. You must
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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: _30lo 1
Job Address: O /
Permit Number: 170 8
❑ No one available for inspection: Time Ocf AM/PM
Re -Inspection required: YesNo
When co/rre tions have been made, call for re -inspection at 2a3 -234 -
Date: �( Inspector:
DO NOT REMOVE THIS NOTICE
♦ i, A i CITY OF WHEAT RIDGE
Building Inspection Division 1
(303) 234-5933 Inspection line
(303) 235-2855 Office (303) 237-8929 fax
INSPECTION NOTICE
f
Inspection Type: Allffi..tlr(ft !I
rt,
Job Address: Ir,-7l6 Ltd
Permit Number: D(1;7151{
i
i
❑ No one available for inspection: Time II V~, 00*M
Re-Inspection required: Yes to
*When corrections have been made, call for re-instectton at 303-234-5933
Date: br,)-r:r)'(ry Inspector: rf,i'~ Iz r"oY
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
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 / 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
c'a
m¢" LV IQCQ
Roof
1Building 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
r Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax -
INSPECTION NOTICE
Inspection Type: i crr-t cG ( r""")
Job Address: 107th 1p_ f
Permit Number: r)'?
No one available for inspection: Time AM/ 6
I- Re-Inspection required: es No
"When corrections have been made, call for re-inspection at 303-23 5933
r. 1
i
Date: 10-IK-61 Inspector: i _
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
=E
Residential Mechanic
PERMIT
- 092954
l
PERMIT NO: 092954-.
ISSUED:.
10/02/200.9
JOB ADDRESS:.. 10765 W 35TH -PL
EXPIRES:
03/31/2010.
DESCRIPTION.: Replace 125,000 btu :hot water boile
r
***:CONTACTS***
owner 303/947-8067 Tom. Hall
sub 303/233-8199
02-0256
CCI PLUMRTNG
PARCEL INFO
ZONE CODE: UA 7'USE: UA
SUBDIVISION: 0640 'BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,830.00
FEES
Permit Fee 126.50
Total Valuation .00
Use 'Tax
'.68.94
TOTAL 6~
195.44
Conditions:
I`
Subject to field inspections.
' 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 ma are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full spo sibility for ,that
with the wheat .Ridge , Building Code 1(I.B.C) and all other
u ap cable Wheat Ridge Ordinanc for ork under this permit. Plans subject to field inspection.
i
Si ture of co tractor/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 Wheat 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 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 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 a new permit.
rrs 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
IS ,
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 a permit. for, nor
se an. approval of, any violation of the provisions of the building codes or any other ordinance, law,. rule or regulation.
All plan review object to field inspections.
e
Signature of Building Official date
w INSPEC N REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
-
I'REQUES S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
~r
F".
o-
pF WHEAl
v gy'`'m
~rORPpp
Date:
Plan
Permit
Building Permit Application
Property Address;: 107(,6 ~ tj 3 S f ,p j,
Property Owner (please print):EL
Phone: PD
Mailing Address: (if different than property address)
Address:
City, State,
Contractor:
Contractor License Phone:
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ ~9~3e
(as calculated per the Building Valuation Data sheet)
O~solption of work-
v ~ Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's ; a Ions Amps
OWNERICONTRACTOR 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 1 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) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: - Date:
City of Wheat Ridge Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Bldg Valuation: $
DEPARTMENT 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
10174
2/29/00
Property Owner :
Property Address : 10765 W 35TH PL
Contractor License No. : 20435
Phone : 420-1488
Company : VLB Abie Residential Roofing Phone : 733-6433
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Rldge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Construction Value :
$2,475.00
Permit Fee :
$83.25
Plan Review Fee :
$0.00
Use Tax :
$37.13
Total:
$120.38
Use:
Description : Tear off existing tar and gravel on garage, replace @ modified
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(i) This permit was issued in accortlance with the provisions se[ forth in yopur application and is suhjectto the laws of the State of Colorado and to the Zoning Re9ulations and Building Code of Wheat Ridge, Cobratlo or any other applicable ordinances of the City. -
(2) This permit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue date or (B) the building authorized is suspended or
abantloned for a periotl of 120 days.
(3) If this pertnit expires, a new permit may 6e acquired for a fee of one-half the amount normally required, provided no changes have been or will be matle in the
original plans and specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension oPa'bandonment
exceeds one (1) year, full fees shall he paid for a new permit.
(4) No work of any manner shall be tlone thaf will change the natural Flow of water causing a drainage problem. (5) Con[rec[or shall notify the Building Inspectorhventy-four (24) hours in advance for all inspecUOns and shall receive wriHen approval on inspection card before
proceediing with successive phases of thejob. ~ (6) The issuance of a permit orthe approval of tlrawings antl specifcations shall not be construed to be a permit For, nor an approval of, any violatidn of the provisions
of the buil "n- cotles or any o[her ordinance, law, rule or regulatioa Chi uil ingln~ ctor ' All~
Feb-22-00 02:54P DEVREVFAX 303 235 2857 P.02
DEPARTMENT OF PLANNING AND DEVELOPMEI IT Building Permit Number :
BUIIDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 297H AVENUE
WHEATRIOGE,co 80215 APPLICATIoN
Property Owner :__j_c3m
°roperty Address : (071LpVD_ u3 • 3`~~~~ 'v
Contractor License tvo. : 2_oLj3aJ
Company :
OWNERlCOM1lTRACTOR SIGNATURE OF UNDERSTANDING AND AGREE 1AENT
! nereby certify that the setback distances proposed by this pertnit appliptian are acr,: rete,
and da not violate applicable ortlinflntes, rules or re9uladons of the Ciry of YVheet Ridi e or
covenants, easemenu or restrictians of record; that all measurements shown, and ilie 7ations
made are accurata; that I have read and agree to aDitle by all conCitions pnnted on thi
apAlication, and Nat I assume tult rcsponsibility for compliance wi[h the Wheat RiQge I•uil6ing
Code (U.B.C.) antl all other appiicable Wheat Ridge ord"n nces, for wotlc under this Fe Tn~it.~
(OWNER)(CONTR4CTOR) SIGNED~
-'t-
Qescription :
Phone -S&S' 4 2 0- 1
Phone :
~J
Construction Value :
Permit Fee :
Use Tax :
Total :
Use
,
on; (P
Zd~fli~'Cdfi~f3A17~:;
Approval:
Zoning :
31111.110111111
Approvai :
Approval:
BUILDING DEPARTMENT l'SE ONI.Y
Occupancy : WalJs
SIC : Sq. FL :
Roof : aries ~ Residentia! Units :
Eleclrical License No :
Company:
Expiration Date :
Approvai:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) Shis pamit waa iuuea in acmrmnoe witli tna pmvisians ut rorin in yoour aooiieauon ana s euo1 aet ro tne isws ot tne Stnte ot CoioraCO and to tne:.omng
Regulaliona antl 0uilCing Code of Wheat Ridpe, CobnCO w any oNer aDPliuole oNinanc rs o! Ne Ciry.
(3) This pertnH ahaii "p,re A(A) Ne woek auMOnzaC is not commencea wiNm aiary (80) tlaya om lesua Cate of (B) Ne Duiloing authortzW is auzpendeC er
abanOOneE for a penotl of 720 Cays.
(3) I} mis pennil expires. a new yertnit rryy Oa acyuiretl (pr i he of one-hatt tlie artwunl nOrmF ly requireC, pron0etl no Chanqes have OeM or will Ce mitle in Ne
. onpinal pWna antl epeqfiqqflns aM any au7penelon or aDanOOnment haa not excsedaE o, a(7) year. If cnanqes are ma0e of if suspemion or aOanCOnmanl
asceaEa one (t) yeu. NII feea shall be paitl for a new parmit
(a) No work of any manner ehall De done mat will ehanpe tha neNrai ftcw of wahr wusinq a tl alnaye pmplem.
(5) Contractor WII noGM the 8ui1Ein9 Inapwtor twenry-fpw (24) houn in aEwnu br fil inspe :tlons and ahall meeive weiUen aPProval on inepeebon mrd belan
pmrw*aun9 wim wccessiva phaaea of tlu b.
(6) Ths issuanc! of a yertnit or Ne aDP~Hl ol E2winps anC specfiraGOns mall not 6e conslr ed W be a gemut for, nor sn appiavat al, sny violaEOn a( tlw pmvisions
of Ue buitGinq coCes or any oMe atlinanm. Ir.r, iule or rpuhuon. .
Chief Building lnspacior
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