HomeMy WebLinkAbout5671 W. 36th PlaceZ -O/
7( 1✓ �(�,�j, INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
2 �(
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
If
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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: .4._11ri
Job Address: ?'
Permit Number:
❑ No one available for inspection: Time �� A c7m)
Re-inspection required: Yes( No,,,)
When corrections have been made, call for re -inspection at 303-234-5933
Date: ' /,% Inspector:
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT -
201704359
PERMIT NO:
201704359
ISSUED:
07/18/2017
JOB ADDRESS:
5671 W 36th PL
EXPIRES:
07/18/2018
JOB DESCRIPTION:
Residential Re-roof to install asphalt shingles with ROOF DECKING - 33 sq
(26 sq pitched / 7 sq flat)
*** CONTACTS ***
OWNER (303)423-8618 MADRID RAYMOND M
SUB (970)400-7663 Brian Sorensen
170376 Sorensen
Roofing & Exteriors
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS,
OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT VALUAT ,
FEES
Total Valuation
0.00
Use Tax
232.24
Permit Fee
236.00
** TOTAL **
468.24
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
If( City of Wheat Ridge
s
Residential Roofing PERMIT - 201704359
PERMIT NO: 201704359 ISSUED: 07/18/2017
JOB ADDRESS: 5671 W 36th PL EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 33 sq
(26 sq pitched / 7 sq flat)
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, andTai�- n' ' 1 codes, policies and procedures, and that I am the legal owner or have been authorized
by the le of the property and am aut for tain this permit and perform the work described and approved in conjunction with
this pe t. I further a� a am le ally authorized to c e all entities named within this document as parties to the work to be
performe a t all work to be med is i 's document and/or its' accompanying approved plans and specifications.
Z/
7 -
Signature Csa
or CON OR ('rcle one) Date
1. This pued based on the info on provided in the permit application and accompanying Flans and specifications and is
subjecHance wit me s, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This p,pare ays 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 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 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 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 Z_
From:
no-reply@ci.wheat ridge.co.us
Sent:
Monday, July 10, 2017 1:17 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
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Q
Categories:
Danny
4�
Residential Roofing Permit Application
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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 5671 W. 36th PI Wheatridge, CO 80212
Property Owner Name Raymond Madrid
Property Owner Phone 303-423-8618
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Sorensen Roofing & Exteriors, G.C.
Contractor's License 170376
Number (for the City of
Wheat Ridge)
Contractor Phone 9704007663
Number
Contractor Email Address misty@sorensengc.com
Retype Contractor Email misty@sorensengc.com
Address
DESCRIPTION OF WORK
Are you re-decking the YesX
roof?
Description of Roofing asphalt shingles
Material
Select Type of Material: Asphalt, Rolled
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 26
material selected above? ;
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 7
on the flat roof?
TOTAL SQUARES of all 33
roofing material for this
project
Provide additional detail 4/12 pitch
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor) (�
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant MISTY KREBS - SORENSEN ROOFING
Email not displaying correctly? View it in your browser.
3
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ROOFING & EXTEF
ROOFING - GUTTERS- SIDING - PAINTING- WINDOWS - SOLAR
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PREFERRED
coxrlwcTog
G.C.
dTc
Sales Rep
10
Insurer:
❑Wind iieHail
Exterior Repairs
-r
BB
D
CI
❑Other Al
Agent
Roof
❑ Laminated Shingles 30 year (INSTALL) Fence
'Class 4 - Lifetime Shingles (INSTALL) 0 Power Was nd Stain Fence Color__
❑ Remove Existing # of Layers: 0 Custom Stain ra Cost m)
Y —�_ Is there spaced decking? tJ ❑ Repair Fence
Note: Class 4 Shingles are an U grade and may Cost More. ❑ Replace Fence---
y� r eet
Shingle Manufacturer A/C
Shingle Color: yi Ly ❑ CombA/C--- ni
Roof labor Warranty: ears O ReplaceA/CTop -#Units:
Roofing Felfel
eplace ❑Reuse Existin 5 ❑Replace Con ser -#Units
P g g yn etic / Painting
Dri Ed e:lace0PeuseExisdngColor: �PipeJacks:place #3/1 4- 0 Specify areas
&/Lamanco 750 Slant Vent #Color Windows
____
Broan Vent #4" #6' ❑ Replace Screens #
Paint Roof Vent Stacks (Color) C) Replace Beading. feet
Replace Chimney Cap #4"_ #6"_ ❑ eplace Cracked Glass #
#10" Replace Windows -Complete # Pf✓Z j��s
/_ Garage Door
Chimney Cap Flashing #L.F. ! O„[tepair Garage D #
Reinstall Satellite Dish ❑Yes No ❑N/A �ZVi l Replace Garage,' tr
Discard Satellite Dish ❑Yes 0NofZ
❑Skylights ❑Skytubes# t—
Gutters;
Solar Quote oNoeedeedTRe IaceGutter "Jt Replace Downspou�feetIorofGutter _ ��y�e
A ITIONAL DAMAGES OR SPECIAL INSTRUCTIONS:
UPGRADES NOT COVERED BY IN RANO: Sore a too & Exteriors G.C. noted t ilowin are tco ed b insura e:
Ire & Water Shield $ P, V d �7 / j £7
Class 4 Impact Shingles $ ) lg G
Drip Edge at Eaves and Rakes $ J y ✓ —
Owens Corning Extended Warranty $ �- <` -W L,�!_
Sorensen Roofing & Exteriors, G.C. will work to reach r
work will not be preformed unless ill a Pay, agreement on the scope for this ditional work If the insurer declines payment, the addi
Y gree to a , at our own expense, for the ortio ofthe repairs that were ecline Gam/
Bid Price �d ;ted :� ,� /�i /y /y��C�j%��
agreed upon with the insurer. Reaching agreement on the full scope of repairs involves cDue to the unique nature ofrepairs related to insurance claims, this contract does not incln onsiderable tian explicit price because the fins sco
me on SR&E, G.C. part; we will not proceed with
this phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this agreement, you authorize SR&E, G.C. to reach
baagreement on the scope ofrepairs on your behalf. SR&E, G.C. agrees to bid the work using the primary insurance industry pricing database (Xactimate
sed on the scope of workagreed upon with your insurer, including GCO&P markup at customary insurance industry rates of 10%/10% markup on )
Xactimate line items. Any substantial additions or deductions to the scope of work will be handled by written construction change orders.
f the insurer indicates that any line item of the work not covered at full replacement cost (RCV), the client will be responsible for the difference between
11\\11 the replacement cost and insurance coverage. To the extent we are informed ofthose items by the insurer in a timely manner, we will inform you, and
you can decide whether you want to proceed with the work and pay the portion of the costs not covered by your insurer.
Payment Schedule
You agree to make payments on the following schedule (date or construction milestones). You agree to have SR&E, G.C. named, along with you, on all
payments from the insurer that are related to SR&E, G.C. work and that are issued after this contract is signed. If a portion of the insurer's payment is
held by a mortgage company, you further agree to have SR&E, G.C. named, along with you, on all payments from the mortgage company related to SR&E,
G.C. work By using joint checks on the payments, neither parry can cash the joint checks without the other party's consent, which protects both parties.
Failure to make timely payments may delay the work and/or cause collection actions.
Financial PavtnentSchedu1e,,
1. Payment#1// Lv/�
2. Payment#2 / oou(sidt'�t, l t 6. jsr 2. %� lh.��l�t �r
3. Final Payment 14 ys after comple on ofthe contracted work been completed % 100%OF APPROVED INSURANCE PROCEED INCLUDING
,GPO&P
Acceptance of Terms
By signing below, property owner(s) agree(s) to all the contract conditions, including the terms and conditions that are printed on the backs of this contract ifyou
change your mind, and do not want to proceed with agreement, you have three (3) business days to terminate this agreement without any recourse.
Properly r Dat
fj// /l
3>r� `r'a J l � SR&E, G.C. Consultant
7
Date
Itional Property Dwner(I/A) Date
6010 W.10�St -- Suite C -- Greeley, Colorado 80634 -- Phone (970)400 -ROOF - (719)888 -ROOF- (720)600 -ROOF•• Fax (970)-515.5870
SR&E, G.C. - Is in reference to Sorensen Roofing & Exteriors, G.C.
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: .4._11ri
Job Address: ?'
Permit Number:
❑ No one available for inspection: Time �� A c7m)
Re-inspection required: Yes( No,,,)
When corrections have been made, call for re -inspection at 303-234-5933
Date: ' /,% 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: �' 4
Job Address: 1 %1 w �_/
Permit Number: ~%' _ ! ``f, t-/ 3 r
1, 7
f r l
❑ No one available for inspection: Time _ M/PM
Re -Inspection required: Yes No
When corrections! have been made, call for re -inspection at 303 -234 -
Date: f 1! ! ( ! ! Inspector: }
DO NOT REMOVE THIS NOTICE
{ ♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
C Inspection Type:
Job Address:
Permit Number: ❑ No one available for inspectionllpme AM/PM
Re-Inspection required: Yes ; N /
When corrections have been mad, 24~spe
Date: Inspector ction at 303-2345933
r~vv wvi nc~n~
Conditions:
Must !comply w/ 2003 IRC & 2005 NEC
Subject to field inspections.
OFWHEgrR/ City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
U
Office: 303-235-2855' Fax: 303-235-2857
c o Inspection Line: 303-234-5933
p<ORPp
p
Building Permit Application
Date:
Plan
Permit 0qt
Property Address:
Property Owner (please print): r n l /i z) r, 1 , Phone: 3
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License Phone: 2 ~11j ~,f J~
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ , ?.500
Description of work: (as calculated per the Building Valuation Data sheet)
C Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's c~o Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: .((OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: Y{~I'9iyh, &dwt 9 SIGNATURE: Y. ) Date: r~
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer -
PUBLIC WORKS COMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS OCCUPANCY:
Reviewer:
FIRE. DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review: required Bldg Valuation: $
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17070
BUILDING INSPECTION LINE -(503-234-5953) Date : 4/27/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: CORINNE MADRID
Property Address : 5671 W. 36TH PLACE
Contractor License No. : 19232
Phone: 303-423-8618
Company : Belfor USA Group, Inc. Phone : 425-9700
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this permit application are accurate, and
do not violate applirable 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 thatl assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork under this permit.
Construction Value :
$2,400.00
Permit Fee :
$97•3$
Use Tax :
$28.80
Total:
$126.18
(OWNER)(CONTRACTOR) SIGNED DATE USB:
Description : NEW ROOF, TEAR OFF ONE LAYER OF ROOFING
4
BUILDING DEPARTMENT USE ONLY
ZM10 e. SIC : Sq. Ft. : 26
Approval :
Zoning :
~ i t s~~Fomr~e
Approval : OK
U ffli'`~Y~,►br~Cl'~ Qnts.
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to ihe laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any olher applicable ordinances of the City. .
.(2) This pertnit shall expire if (A) the work authorized is not commenced within sizty (60) days from issue dafe or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this pertnit 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 nof exceeded one (1) year. If changes are made or if suspension or a6andonment
ezceeds one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall be tlone that will change the naturel flow ofwater causing a drainage problem.
(5) Coniractor shall noQfythe Building Inspectorhventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of artnit or fhe approval of 9s and specifralions shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of ~ uilding codes or ann o 16ance, law, mle or regulation.
ief Buil ' g Inspector
Please sign Terms and Conditions on reverse side of page.
306 4r- 37o (e 7
DEPARTMENT OF PLANNING AND DEVELOPMENT BuIlding Pemut Number:
oE wHEqr P BTJII,DING INSPECTION LINE - 303-234-5933 Date:
~
CITY OF WFIEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
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C~CORA~~
~~UCA$ 5H[9~1 V
Property Owner: Cc>r < ~ ~
Property Address: S6 7 ~ Lo Phone : `4 k
Contractor License No.: \9232
Company: Phone:303 e42S9:~00
O
O WNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREElY1ElVT
e0
Iherebycertifythatthesetbackdistancesproposedby[hispermitapplicarionazeaccurate, Construction Value:$ Z`-E 00
anddonotvio]ateapplicableordinances,mlesorreguladonsoftheCiTyofWheatRidgeor permitFee:$
covenanis, easements orresh'ictions ofrecord; that allmeasurements shown, and atlegarions
made aze accurate; that I have read and agee to abide by all condirions printed on this Plan Review Fee:$
appiicaAOn and tiiat I assume ful] responsibility for compliance with the V✓heat Ridge
Building Code (LJ.B.C) and all other applicable V✓heat Ridge Ordinances, for work under USe T3X:$
ril;s Pe""'t. Total:$
(OWNER)(CONIRACTOR):SIGNED DATEV1YID
DESCRIPTION: 0 r4c
L, s~- t ( 3 o '-7 c2
-e_X Cr t~-l. a `Q- S F--P C+~- jZ-> GG i 0
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILOING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS: -
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company.
Expirafion Date: Expirarion Date: Expuarion Date:
Approval: Approval: Approval:
(1) This permit was issued iv accordance wifh the pmvisions set forth in }rour appGcafion and is subjec[ W the laws of the State of Colorado and to the Zoning
Regulatious and Building Codes of Wheat Ridge, Colorado or any other applicable ordinauces of the CiTy.
(2) This permitshall expve iP(A) the work authorized is not comme¢ced within sizty (60) days &om issue date or (B) the building authocized is suspended or
abandoned for a period of 120 days.
(3) if this pe*mit expires, a new pelmit may be acquired for a fee of onahalf tLe amount nonhally required, provided no changes have been or vrill be made
in fhe oripnal plans and specificafiovs and any suspension or abandonment has not emeeded one (1) yeaz. If changes have beeu or iF suspeusion or abandoumentexceedsoue(1)year,fullfeesshallhepaidforanewpelmit
(4) No work of any mamer shall be done that wiR change the na[ural flow of water causing a draivage problem.
(5) Cm4actor shail nofify the Bvilding Inspector hventy-four (24) hows in advavice for all inspections and shall receive written approval ou inspec2on cazd
beforepioceedingwithsuccessivephuesofthejob.
(6) The issuance of a pecmit or the approval of drawings and specificafions shall not be conshued to be a permit foq nor an approval of, avy violation of iLe a6'
provisions of the building codes or any other ordinance, Iaw, mle or regulatiov.
Chief Building Inspector
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