HomeMy WebLinkAbout10545 W. 36th Placei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: zl
Job Address: j <��
Permit Number:
❑ No one available for inspection: Time I l , ((..AM/P
Re -Inspection required: Yeso�)
When corrections have been made,kcaf%for re -inspection at 303-234-5933
Date:_`' ) ~ ) -� Inspector: 0 -
DO
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanical PERMIT - 201901450
PERMIT NO: 201901450 ISSUED: 07/16/2019
JOB ADDRESS: 10545 W 36th P1 EXPIRES: 07/15/2020
JOB DESCRIPTION: Replace 80K BTUs, 96o efficiency gas furnace in mechanical room; Replace 4
ton, 1.6 SEER AC unit in backyard; no electrical
*** CONTACTS ***
OWNER (720)424-8510 GRONSKI JOSEPH J JR
SUB (303)901-5467 TERRANCE GOODROAD 140228 DIRECT ENERGY SERVICES RETAIL
*** 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
A/C Replacement
60.00
Furnace Replacement
40.00
Total Valuation
0.00
Use Tax
189.00
** TOTAL **
289.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 perforin the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include ali entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying)tans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. per mit 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 original permit 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 shal l 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 perm' shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code Vey ordinance o Pgulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building 6fficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook �,o 1q0j yS
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, July 16, 2019 7:12 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Categories: Kim
Residential Replacement Air Conditioner/Evaporative Cooler Permit
Application
This application is exclusively for RESIDENTIAL REPLACEMENT AIR
CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential replacement
AC or Evaporative Cooler
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
10545 w 36th pl
joseph Gronski
720-424-8510
Field not completed.
Credit card auth.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
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)
Direct Energy Services
140228
3039015467
Contractor Email Address terrance.goodroad@onehourair.com
Retype Contractor Email terrance.goodroad@onehourair.com
Address
DESCRIPTION OF WORK
What type of replacement Replacement Air Conditioner
unit are you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located
(for example, rooftop,
backyard on ground etc)?
4
16
backyard on ground
Is electrical needed for re- No
hook?
Project Value (contract 9000
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
E
issued based on this
application.
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.
Person Applying for Terrance Goodroad
Permit
Email not displaying correctly? View it in your browser.
�0 nUI� S-0
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, July 16, 2019 7:09 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories: Kim
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
10545 w 36th pl
joseph Gronski
303-424-8510
Field not completed.
Credit card auth.pdf
CONTRACTOR INFORMATION
Contractor Business Direct Energy Services
Name
1
Contractor's License 140228
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-901-5467
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address terrance.goodroad@onehourair.com
Retype Contractor Email terrance.goodroad@onehourair.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 80
What is the efficiency 96
(%) of the unit?
Is the unit GAS or gas
ELECTRIC?
Where is the furnace or mechanical room
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 9000
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 work Yes
may not begin on this
property until a permit
z
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.
Person Applying for Terrance Goodroad
Permit
Email not displaying correctly? View it in your browser.
PERMIT:
ADDRESS:
INSPECTION RECORD
JOB CODE:
r
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
------------
Foundation Inspections
Date Inspector
I
102 Caissons / Piers nitials
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections Date Inspector
I'
Comments
201 Electrical / Cable/ Conduit nitials Comments
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
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
Date Inspector
Initials
SEE OVER FOR ADDITIONAL INSPECTIONS
Comments
Inspector Comments
iugh Inspection (continued)
Date Initials
6 Rough Mechanical Residential
7 Rough Mechanical Commercial
18 Boiler / Furnace
19 Hot water tank
20 Drywall screw and Nail
21 Moisture board / shower walls
22 Rough Grading
23 Miscellaneous
Inspector
Comments
Date Initials
=final Inspections
102 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
Inspections from these entities shall be requested
411 Landscape/Park/Planning
one week in advance.
412 Row/Drainage/Public Works
For landscaping and parking inspections please
413 Flood plain Inspection
call 303-235-2846
For ROW and drainage inspections please call
414 Fire Insp. / Fire Protection
303-235-2861
415 Public Works Final
For fire inspections please contact the Fire
416 Storm Water Mgmt.
Protection District for your project.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
Approval of the Final Building Inspection does not
before ll Certificate of Occupancy is issued.
constitute authorization of occupancy.
by the Fire District and
For Low Voltage permits please be sure that rough
inspections are completed
Electrical low voltage by the Building Division.
,,-? /17 ,,,1 n /0 / / /� L--
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:
Job Address:
Permit Number: _�2e-y-ly e—
❑ No one available for inspection: Time %? AWRM
Re -Inspection required: Yes No�,
When corrections have been made, call for re -inspection at 303-234-5933
Date: �> r' % Inspector: - 7 � /�
DO NOT REMOVE THIS NOTICE
t �
i CIfYYOF WH'EbT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L/ 0 9 - P, ":,1.
Job Address: ! o syS W 3& +t' P I
Permit Number: � 01-7 o -7 U 9 _S—
r__1
S—
S o -A', 4- j, 4- s J `E' !! r
t
C r-o_e S -yeJ)�,'l
0
❑ No one available for inspection: Time 3 u &M PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection of 303-234-5933
Date: It /)/Q /1--2—Inspector: _7T1!>
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: LI o R - � f•,g
Job Address: 105-145-- w 3 tot/'
GP 1
Permit Number: got-) n-7 L/9 5—
a /e,` –,�. 1 41 S <
❑ No one available for inspection: Time/ 0 -- Q�LeyPM
Re -Inspection required: Cres) No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1( g &7 Inspector: T�
DO NOT REMOVE THIS NOTICE
L -r
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTICE
t o stI s w 3 to P)
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C a r)
S
Car) relied
� Con c
rac �' �t,� e'
CI / e `ice IMe G -4e- r .
❑ No one available for inspection: Time Q AIS/PM
Re -Inspection required: De No
When corrections have been made, call for re -inspection at 303-234-
/ 5933
Date: jj l -7 117 Inspector: --
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: i�=T,'
Job Address: .fir 5X
Permit Number: 0
❑ No one available for inspection: Time
Re -Inspection required: Yes Ifo
When corrections have been made, call for re-inspection/at 303-234-5933
Date: ' - orf Inspector
DO NOT REMOVE THIS NOTICE
A , City of Wheat Ridge
Residential Roofing PERMIT - 201707495
PERMIT NO: 201707495 ISSUED: 09/21/2017
JOB ADDRESS: 10545 W 36th PL EXPIRES: 09/21/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 28 sq Pitch = 3/12
*** CONTACTS ***
OWNER (303)518-4382 GRONSKI JOSEPH J JR
SUB (303)797-8600 Kevin Trizna 170246 M4 Roofing & Gutters
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,822.57
FEES
Total Valuation 0.00
Use Tax 332.27
Permit Fee 299.40
** TOTAL ** 631.67
*** 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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201707495
PERMIT NO: 201707495 ISSUED: 09/21/2017
JOB ADDRESS: 10545 W 36th PL EXPIRES: 09/21/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 28 sq Pitch = 3/12
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 the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this permit. 1 ttest that I am Wally authorized to include ali entities named within this document as parties to the work to be
performed,a d that a work to rmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER r CONTRALTO a one) Date
I . This permit was issued a e information provided in thepermit application and accompanying Flans 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 Building Official and is not guaranteed.
4. No work of an 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, any violation of any provision of any
applapable code or any ordinance or regulation 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
2C/I7(l �7V(IS
From: no -reply@ ci.wheatridge.co.us
Sent: Friday, September 15, 2017 3:28 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow 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)
10545 W 36th PI
Joseph Gronski
303-518-4382
205
�ti�l ti�
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
Field not completed.
Yes
Gronski Contract (1 ).pd
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
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)
M4 Roofing & Gutters
170246
3037978600
Contractor Address 4719 S Santa Fe Circle
(Primary address of your
business)
Contractor Email Address rhonda@m4roofing.com
Retype Contractor Email rhonda@m4roofing.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
15822.57
Pitched roof (2:12 pitch or greater)
206
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)
3/12
28
GAF Armorshield II
Asphalt
Tear off and reroof
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
207
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 Rhonda Bedwell
Email not displaying correctly? View it in your browser.
208
a'as
M4 Contracting, LLC
$ 4719 S. Santa Fe Cir, Unit 2
Englewood, Co 80110 MRMBER
g Phone, 303.797-8600
Fax: 303-797-8601 •
�r
Owner Data c1
Address1 711,fL Email T_
City, State Zip,64i{ - , i isl L�,6 C_ e) ?,'' Home Phone
Joh Location �Cell Phone
W Tear Off W 2 / 3 layers of existing shingles ® Wood shake tear off
install 15# 130# felt papernthetic under aymen
[Vinstall Certainteed /(O�P! Tamko / Malarkey / Owens Corning
qjA
® Shingle Color: l I ttso
❑nstall decking (7/16" OSB)
1] Install Ice and Water shield
Install new step flashing: Color: Black / Grey /Par
Mill
[Install new drip edge on rakes Color: , White / Other: f�
Instal new drip edge on eaves Color: 1 ,! White / Other:
(3 Install new roof ventsjk
Paint roof vents and stacks to blend with shingle color
ail & seal new pipe flashing and vents
lf�Glean up & remove debris
(� jvlagnetize yard for nails
Clean gutters
rovide local building permit
anufacturer's warranty based on which shingle is installed
rovide a 60 -month installation warranty. (Not valid until account is paid in full)
IJ Approximate Dates of ServiceI
�Gutte'r-size: 1:15" ❑6"
Total Gutter Length:
Total Downspout Leng h
?4> 1/1Downspouts: 13-2"x3"[33")
Color:
LJReplace,,,AIU Other
LF
LF
Replace AI❑Other�
The approximate costs of the services based on damages known at the time this contract is entered is $
M4 Contracting, LLC, however, will perform the scope of work approved by the insurance company for the amount of the insurar
approved proceeds, with no additional cost to you except for your deductible. The final scope and price agreed on between
insurance company and M4 Contracting, LLC shall become the final contract price for the insurance approved scope. You will
responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is riot covered witl
the scope of coverace provided by your insurance policy. Supplemental claims billed by M4 Contracting, LLC that are approved by t
insurance company for additional work or increases in cost become a part of this contract,
When the insurance company and M4 Contracting, LLC agree upon a price, that amount will be the final contract amount and M4
Contracting, LLC will install the roof. M4 Contracting, LLC will receive all insurance proceeds for the work completed by I04 Contracting, I.I.C.
if the insurance company does not approve the roof replacement, then this contract is null and void. Mil Contracting, Lt.0 shall hold in trust
any payment from the property owner until the roofing materials have been delivered to the jobsite or has performed a majority of the
roofing work.
M4 Contracting, LI_(: Reprosontat ve � Cate
We'4y withdraw this Proposal if not accepted Win 10 days.
Acceptance of Proposal - M4 Contracting, LLC is authorized to do the work as spodfiod in the TERMS above.
owi+`nnerlA orize` Agent Data r
have read and understand the terms and conditions listed on the back side of this page. Homeowner Initials:
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8007 WEST COLFAX AVENUE
5360 WASHI NGTON ST
LAKEWOOD, CO 80214
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USA Ph:(303) 237-1687
R 0 0 UCT DESC R WTION
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PRODUCT / DESCRIPTION 190DELIVERY
DATE
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Masters Grande 2 -LITE (X15) DES
Stucco -Frame 22 #3/8" x 22 -1/2" Oriel :50.0000 , of Pr6m.Sash 5- I
Left Mass.. 3 /4 "- Double 1/8 LOWE 366 NEAT & 1/8 OBSCURE
Rgt. Glass: 3/4" 118 LOWE 366 NEAT x;1/8 OBSCUR
Mixed Gas WHITE Space
Screen Extruded FULL BETTERVUE
* *U Value - 0.28 SHGC =0.22 VLT= 0.52 **
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Stucco -Frame 57 -1/4 " x 78 -1/2 °" 136 -UI, ICES Handles
Left Glass: 3/4"-Double 1/8 LOWE 366 NEAT TEMP & 1/8 TEMP C ILONIALFLAT 2V/6H, ICES
Rgt. Glass. 3/4"-Double 1/8 LOWE 366 NEAT TEMP & 1/8 TEMP COLONIALFLAT 2V/6
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Screen.. 1580 HALF PET SCREEN
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`1I
City of Wheat Ridge
��. PERMIT NO: '101414 ISSUED:. 06/04/2010
JOB ADDRESS:.: 10545 W 36TH PL - EXPIRES: 12/01/2010
,DESCRIPTION: Install 162 lfof 6' fence
s'
* ** CONTACTS * **
owner 303/424-8510 Joseph Gronski
{, ** PARCEL INFO
ZONE CODE:
e* SUBDIVISION:
**
R-1 '
0640
USE: U.A
:BLOCK /LOT #: 0./
FEE SUMMARY
**
ESTIMATED
PROJECT VALUATION: 1,944.00
FEES
Permit Fee
.
3500
< Total Valuation
.00
?' Use :Tax
34.99
:TOTAL * *-
..69.99
Conditions:
s
* MR: Fence shall
meet the requirements
of Section
26-603 and shall be located
;"'outside of hte
100 year floodplain.`
MR,
am bl e
City of
Wheatde
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29` Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address; J O S 4--5
Property Owner (please print):
Date:CO�L� .
Plan #r�
Permit #
Phone: jD
Mailing Address: (if different than property address)
Address:
City, State, Zip:
contractor:
Contractors City License #: Phone:
Sub Contractors
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Descriptfonofwork t✓D z K (.Z
aSt pnC CO ttt b LT
Contract Value: i o [�A
A
I 'T
V I ReviewrFe (du t me
e6are of submittal):
Gallons_
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: SIGNATURE: DATE:
I Bldg Valuation: $ 1
INSPECTION RECORD' OccupancVtTVpe
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.
Electrical -
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
'INSPECTOR
INITIALS
COMMENTS: -
Footings /Caissons
Stemwall /. (CEG) Concrete
Encased Ground
-a •{
Reinforcing or Monolithic
Building: Final
Weatherproof /.French Drain
Fire Department
Sewer Service Lines
R.O W & Drainage
Water Service. Lines
:Parking & Landscaping
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' / Wal(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 '
-a •{
Building: Final
Fire Department
J
R.O W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
:Parking & Landscaping
* *NOTE; ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS :BEFORE A
CERTIFICATE OF OCCUPANCY.'ISISSUED. RNAL 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
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ` (303) 235 -2857 Fax
INSPECTION NOTICE
' r
Inspection Type: m'4
Job Address /Permit Number: /f2k, fey, 4 I J X212
i
v
i .
❑ No one available for inspection: Time Q o/) A M
i Re Inspection required: Yes /N 1
4
When corrections have been made, caller r -inspection at 303 - 234
i
Date: °! Inspector: - €
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r 4000r, Residential Roofing PERMIT - 092095
PERMIT NO: 1 092095.'.. .`ISSUED: 0.9/08/2009
JOB ADDRESS:. 10545 W 36TH PL :.EXPIRES: 03 /07/2010
DESCRIPTION: Remove and replace 28 rigs. of asphalt shingles
** *CONTACTS * **
gc 303/659-8241 Alfredo Ramos 06-0036 Ramos Roofing Co.
* *- PARCEL INFO **
ZONE .CODE: UA USE: UA
SUBDIVISION:.. 0640 ':BLOCK /LOT #: 0./
** FEE SUMMARY ** ESTIMATED ' - .PROJECT :VALUATION: 13,820.00
FEES
Permit Fee ' 272.10
Total Valuation .00
Use Tax 212.76
* *'.TOTAL ** .484.86
Conditions
6 nail installation .& mid -roof inspection required. Board sheathing spaced more
than 'a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' insider exterior walls.'
Subject to :field inspection.
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.
Signature of :contractor /owner date
1 This permit was issued in accordance with the provisions set forth in your application' and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of 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 maybe 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 l(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a , . new permit.
3. No `:work of any manner shall be done that will change the natural flow of water causing 'a drainage': problem.
Contractor shall notify the Building inspector twenty four (24) hours in advance for all inspections and shall receive`
written approval on inspection card before proceeding with successive phases '. of the job.
5. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, norl
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review i subject to field inspections.
Signature of Building 'Offici al ':'date
INSPECT N REQUEST LINE: (303)234 -5933 'BUILDING OFFICE: (303)235 -2855'
REQUES S MUST BE MADE BY 3PM ANY BUSINESS ::DAY FOR >INSPECTION THE FOLLOWING BUSINESS DAY.
m City of Wheat Ridge
Building Permit Submittal List
c0 40R Pp
The following items are required for the inor building permit submittal for the
property located at 105�+S w . 7�k� �� If any of the required items are
not included in the submittal, the submittal will be considered incomplete and
returned immediately without review.
Minor permit is defined as: fence installation, signage, decks or covered
patios, concrete work in excess of 500 square feet, sheds, garages and
over the counter permits.
You do not need to submit a site plan with over the counter permits.
This sheet must be submitted with the building permit application. Please initial
beside each required item, signifying that it has been included.
Review Required by: ❑ Building ❑ Planning ❑ Public Works
SUBMITTAL DOCUMENTS:
PLANS:
❑ One (1) site plan Contents of plans detailed in the minor permits handout
❑ One (1) Elevations /details page
DOCUMENTATION:
❑ One (1) completed building permit application
❑ One (1) property deed
❑ One (1) building permit submittal list
Call the inspection line before 3 p.m. for a next working -day inspection
City of Wheat Ridge Community Development Department
7500 W. 29 Avenue Wheat Ridge, CO 80033
Building Division - 303.235.2855 Planning Division - 303.235.2846
Inspection line- 303.234.5933 www.ci.wheatridoe.co.us
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♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECrTION NOTICE
Inspection Type: n 'I
Job Address: 1 r) ;r'X16 to,
Permit Number: r) 4D n
r.n
l/n E?vrf4~ ~rP(t l i, { ~'~~{1C 5F Nfi. r~
❑ No one available for inspections: Time 1 ARITM )
Re Inspection required: Yes IfV0)
*When corrections have been made, call for re-in action at 303-R34-5933
Date:
. `~f - D r; 02 Inspector: r.
DO NOT REMOVE THIS NOTICE
46&x WHE4l
ot ORP9City of Wheat Ridge
Residential Mechanic PERMIT - 080226
PERMIT NO:
080226
ISSUED:
03/12/2008
JOB ADDRESS:
10545 W
36TH PL
EXPIRES:
09/08/2008
DESCRIPTION:
90K BTU
furnace.
& 4 ton A/C & 40 Amp circtiut.
CONTACTS
owner 303/424-8510 Joseph Growski
gc 303/232-4254 Beverly Gorshern
02-1981 CANDLELIGHT HEATING & AIR, INC
PARCEL INFO
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0640
BLOCK/LOT#:
0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 14,000.00
FEES
, . . . .
Permit Fee 308.50 Total Valuation .00
use Tax zsz.oo '~~bQ003~
TOTAL 560.50 .
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 Huilding Code (I.B.C) and all other
app]apable Whgat Ridge Ordinances, for work under this pexmit_ Plans subject to Eield inspection.
Sigxfature of contr~or/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 ezpire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted aC the discretion of the Building Official.
3. If this permit ezpires, a new permit may be acquired for a fee of one-half the amount nosmally required, prwided 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, Eull fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Suilding Inspector twenCy-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
: 6. The issuance of a permit or the apprwal.of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions oE the building codes or any other ordinance, law, rule or regulation.All plan reviews ject to field inspections.
Signature of C ef lding Official - date
INSPECT20 REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
m 7500 W. 29th Ave., 4 at Ridge, CO 80033
~ Office: 303-235-285t ~ Fax: 303-235-2857
~ a Inspection Line: 303-234-5933
~GORP~
~
Building Permit Application
Plan
Permit
Property,Atldress:
Property Owner (please print):
Phone:
Mailing Address: (if different than property address)
Address:
State,
Contiactor
Contractor License v Phone:
Sub C:ontr~ctors;<
Electrical City License Plumbing City License Mechanical City License
Company: Company Company: C,,,, l,
Exp. Date: Exp, Date: Exp. Date:
Approval: Approval: Approval:
Use of space (descnption): Construction Value: $ ~ ~G
(as calculated per 1he Building aluation bata sheet)
pian Review (due at time of submittal): $
6C-
Sq. Ft./L.Ft added: Squares -911- BTU's qU- Gallons Amps _Lta_
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDWG AND AGREEMENT . I hereby certiy 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 showq and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full
responsibiliry for compliance with the Wheat Ridge Building Code (I.B.C) and ail oiher applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to ion.
CIRLCE ONE:: (OWNER) ( ONTRACT or PERSONAL REPRESENTATIVE~of (OWNER) (CONTRATOR) p'
PRINT NAME ~(.L.W A~V ~ SIGNATURE: ~,~A{L~i J Date: " Z OD
. . ,
;
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line r
(303) 235-2855 Office ' (303) 235-2857 Fax
i
OtOR
INSPECTION NOTICE
Inspection Type: Job Address/Permit Number: ibSyS cv. 7,~77-I ?L . J
a8r~?gG ~
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❑ No one available for inspection: Time ~ AM/PM ~
.1
Re-lnspection required: Yes No h
- :
When corrections have been made, cal/ for re-inspection at 303-234-5933
Date: 3 .2_/ ,9 Inspector:f~
DO NOT REMOVE THIS NOTICE
~
3
^EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-1340
BUILDING INSPECTION DIVISION - 235-2855 Date :7/6/95
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : GRONSKI JOSEPH J JR
Property Address : 10545 36TH PL
Contractor License No. : 1096
Company :
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 Nfieat Ridge ordinances, for work under thi ermit.
CONTRACTOR SIGNED DATE
Phone : 424-8510
Phone :
Construction Value :
$1,330.00
Permit Fee :
$45.00
Plan Review Fee :
$0.00
Use Tax :
$19.95
Total:
$64.95
(OWNER)( )
\
Description : 220 CIRCUIT FOR HOT TUB. RUN SEPARATE CIRCUIT FOR FURNACE, SET GFI OUTLET ON
nGCk
v BUILDING DEPARTMENT USE ONLY
~~'i@pML G:!~tLp. f~Wift
Approval:
Zoning :
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: Approval: Approval:
'~p~~p~'{fj
S:FaR~..Wy~,~•~,~,~~.^uV~~1f~Fi~^Y`:k. ..:F,'iEfi.M1,'BaSN?~.:<n~::w`<:? \ n
(1) This perm'rf was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge. Coloredo or any olher applicable ordinances ofthe Cdy.
(2) This permR shall expire if (A) the work author¢ed is not commenced wdhin sixty (60) days from issue date or (B) the building aulhor¢ed is suspended or
abandoned for a period of 720 days.
(3) If this permd expires, a new permd may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in fhe
original plans and specifications and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abandonment
ezceeds one (1) year, full fees shall be paid for a new permtt.
(4) No work ofany manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contrador sh fify the Building Inspector twenfy-four (24) hours in advance for all inspections and shall receive written approval on inspecfion card before
proceediin 'h ccessi~ phases of the job.
(6) The issu ce of permR r the approval of drawings and specifcalions shall not be constmed to be a permd for, nar an approval of, any violation o(ihe
provisi s ofihe mid' codes o.r a~ny ~o 'er o~r 'nance, law, rule or regulation.
2-
Chief Bui ing Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-1368
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :7/10/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : GRONSKI JOSEPH J JR
Property Address : 10545 36TH PL Phone : 424-8510
Contractor License No. :
Company: Phone:
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 applica6le 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 ap lication, 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 undpe'r this permit.
(OWNER)(CONTRACTOR) SIGNED \i3-asrt<a>F~ & X9 DATE
Description : HOT TUB
Construction Value :
$1,330.00
Permit Fee :
$33.00
Plan Review Fee :
$0.00
Use Tax :
$3325
Total:
$66.25
BUILDING DEPARTMENT USE ONLY
R"~W
Approval:
Zoning :
t
Approvai:
~i~ sa. . .x~t
:,rz:,a.~::a:::.~s~..
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 : Approval : Approval :
~t1€'~
w`P~~~1'IiY~~3>~?~~"i~ pda ~;p~x [tp ~~°j p! if
az~'m.ch1~ra',~x~.ca~.aiJ
(1) This pertnil was issued in accordance wilh ihe provisions set forih in yopur application and is subjed to the laws ofthe State of Coloredo and to ihe Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinancas ofthe Cily.
(2) This perm8 shall expire if (A) the work author¢ed is not commenced wAhin siMy (60) days Gom issue date or (B) ihe building authorized is suspended or
ahandoned for a period of 120 daYs.
(3) Iflhis permit ezpires, a new permtl may be acquired for a fee of one-halfthe amount normally required, provided na changes have been or will be made in ihe
original plans and specifications and any suspension or abandonment has not exceeded one (7) year. If changes are made or if suspension ar abandonment
exceeds one (1) year, full (ees shall be paid tor a new pertnil.
(4) No work of any manner shall be done that will change ihe natural flow of water causing a drainage problem.
(5) Contractor shall notify ihe Building Inspedor iwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card hefore
proceediing vrilh successive phases of the job.
(6) The i suance of a permil or ihe approval of drawings and specifcations shall not be construed to be a permN for, nor an approval of, any violation of the
prov' ons ofthe buildin cades or any other ordinance, law, rule or regulation.
~
ef Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
MSM~___
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
` e
Property Owner : ce,
~~~°r~`n c) • Y tiv,S Y `
~
Property Address : I a S'-S lZ . . Phone :
Contractor License No. :
Company: Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this pertnit 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 1 assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge,orlilinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNE
Description :
(S 0.Gv.
)05
Construction value :
Permit Fee :
Use Tax :
Totaf :
Electrical License No :
Company:
Expiration Date :
Approval :
a „r~an~eeq
Plumbing License No :
Company:
Expiration Date :
Approval:
Im
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This pertnit was issuetl in accortlance with the provisions set foRh in yopur application and is subjec[ to the laws of the State of Coloratlo antl [o the Zoning
Regulations and Builtling Cotle of Wheat Ritlge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within siMy (60) days from issue date or (B) the building authorized is suspendetl or
abandoned for a period of 120 days.
(3) If Ihis petmit expifes, a new permit may be acquired for a fee of one-half the amoun[ nortnally requireQ providetl no changes have been orwill be made in the
onginal plans and specifications and any suspension or abantlonment has not exceedetl one (i) year. It changes are made or if suspension or abantlonment
exceetls one (1) year, full fees shall be paid for a new permit.
(4) Nb work of any manner shall be done fhat will change the naWral flow of water wusing a drainage problem.
(5) Contrector shall notify the Builtling Inspec[or lwenty-four (24) hours in advance for all inspections and shall receive wnrien appmval on inspecfion cartl before
proceetliing with successive phases of the job.
(6) The issuance of a permi[ or the approval of tlrawings antl specifcations shall not be construed to be a permit for, nor an approval of, any violalion of the pmvisions
of the building cotles or any o[her ordinance, law, rule 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
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