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6865 W. 36th Place
INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day � PERMITIg C)dl�Z ADDRESS: 1%(�`PL- JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cablei Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 1205 Plumbing, Underground Ext 1206 Water Underground a - /S"- 1$ 7-b iJ e ✓I S r -e 9)vl r—e Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof a - /S"- 1$ 7-b iJ e ✓I S r -e 9)vl r—e 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS t '�f"PERMIT- 6- 11--) CJOB CODE: Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous 17110 b L Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 17110 b L 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 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: t/0 P" nq Job Address: (0 � 5 L, ,�64 Permit Number: ZOJ` QQUO? f- ❑ No one available for inspection:Time ;! `6MI�M Re -Inspection required: Yes 0O/ When corrections have been made, calTfor re -inspection at 303-234-5933 Date: V/ 7%4 Inspector: "J 1,,,V 4 ff 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 u91—F; *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201800402 PERMIT NO: 201800402 ISSUED: 02/08/2018 JOB ADDRESS: 6865 W 36th PL EXPIRES: 02/08/2019 JOB DESCRIPTION: Residential re -roof with laminated asphalt shingles. Squares: 17; Pitch: 4/12 *** CONTACTS *** OWNER (303)885-3692 GARRAMONE JACQUELINE L SUB (303)948-0337 Mike Bye/Bill Szymanski 150175 ProWorx Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,700.00 FEES Total Valuation 0.00 Use Tax 98.70 Permit Fee 125.05 ** TOTAL ** 223.75 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201800402 PERMIT NO: 201800402 ISSUED: 02/08/2018 JOB ADDRESS: 6865 W 36th PL EXPIRES: 02/08/2019 JOB DESCRIPTION: Residential re -roof with laminated asphalt shingles. Squares: 17; Pitch: 4/12 I, byy myy ignature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicabl building codes, and all applicable municipal codes, p ides and procedures, and that I am the legal owner or have been authorized by the leg 1 ner f the prope authorized to obtain th ermit and perform the work described and approved in conjunction with this ermi I rth attest that I e a y horized to include a entities named yyithm this document as parties to the work to be pert rmed hall work to pe ormed ' disclosed in this docu t angor its' aompanying approved plans and specifications. III Signal re'of UWNER or CO' ACTO (Circle one) Date I. Tis permit was issued based on the info tion provided in the permit application and accompanying plans and specifications and is baect 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permitho der shall notify a Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proud or conceal work without written approval of such work from the Building and Inspection Services 6. The issuple o ant' of rmit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicabod anxd' a ulation 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. tlififro;ttll�.ti4t-l�33 FaDix:303-848.0237 Email:info@Praey=rxCo.cam WebS1t9:WWw.Pr0W0rxCO.00M Mi flllAaE IN PREFERRED THE USA corcroR rtainT . I Inmtnrrtann / Attention to Details.' } �1� V�'V4're 1 V ,/4. �.•ti+'ir ��� �'•'FK M�V!i.�,,.+��'ir Repair / Replace Gutters Repair Leaks I Where? ^:a ft'proposeto fumlSh materla lA labo la complote' ork.ift accordan With ipedftedon8 a1 VD. for=#iii, 1urft Qf. - st tt ialtmi'i gad I tBWNtnow- Suppieirti * OrKluotlb Totai'.li!#natmt ApprroxN»aEe�tlatee of aer+�s - CUSTOMER HAS THE RIGHT TO RESCIND THIS CONTRACT & OBTAIN A FULLREFUND OF ANY DEPOsrr WMM 72 HOURS AFTER ENTERING THE CONTRACT. M CUSTOMER PLANS TO USE PROCEEDS LiF A PROPERTY'& GASUAfa`r INSURANCE POLICY TO PAY FOR THE RQ9FiMo wOHK; YOU MAY ra r+vvna ..r . �.. yw, .n...»•� ••• » • • -•- NOTICE FROM THF INSURER THAT YOUR CLAM HAS BEEN DENIED, HOWEVER, PROWORX IS ENTITLED TO RETAIN PAYMENTS OR OEPOSffS TQ COMPENSATE PROWOFIX FOR WORK ACTUALLY PERFORMED IN A WORKMANLIKE MANNER CONSISTENT WITH STANDARD RWFIN13 INDUSTRY PRACTICES. COLORADO SENATE, HILI. 38 COMPLIANCE: PROWORX.CANNOT PAY. WAIVE, REBATE OR PROMISE TO PAY, WAIVE OR REBATE ALL OR PART OF ANY irsctgn NCE �r!i,, A .# FOR AkyMFNT FOR WFttIl:.WORK ON YOUR PROPERTY ACCEPTED BY DATE:I 13Y signing above, thPhi r authorizes PmWont to pursue an agreeable repiacementtrepair price with the insurancQ pang, alongside the homeowner'sbest interroposal dogs riot Obligate the homeowner unless approved by the insurance company & ProWcrx. The customer's out of pocket expenxceed the deductible amount plus any added upgrades and/or additional requested Work by the customer. This .. . . a a ...,. t e front and backside of this dm-umant, I etyiese++T6iit Cure'a+aw v, tv++�w an.. CO;,,.i.,,,.w C^, - . PR©WORX REP: I'S&S 11119, "�E //�'] ppe�cc ,,�.�,,rr .- . • :.. ..: .. (�, . iihlT #: (3 � When the insuranceGo. and ProWaoex court to t agreerrlenf an prk�, will ba the°ii aft xtract arrrruurt. Praworx will rec+elve all-iasurance praceWs for the ward completed. PraYt[orx She (told In trust any p�yme. ved from the ccustomw ur" p niaterlats have 6o*n elailivered to your prgwdy..- 4 0iftmw lniti - -t womROIL In") i Remove Layer_i. Underla ent Material AI r ^, Roaf Pesch: _ __� F ` : `l Brand of Shingle i :' , Drip Ed e T e !'° Valley Underla ent S le of Shin to ,.M. '. Drip Edge Color i ice/Water Shield t_a�n++ tf-j Qoior oT Sningie 1 �,ra+a• . +r .�__ .. _ _ f�taan t1n B Haul Off Trash IT Product Wwanty MAAA Replace Pipe Jacks: # ProWorx to furnish Permit Ridge NI&tetiai ,., ', Step Flashing` Venting/ Qty. Type t Counter Flashin . I Inmtnrrtann / Attention to Details.' } �1� V�'V4're 1 V ,/4. �.•ti+'ir ��� �'•'FK M�V!i.�,,.+��'ir Repair / Replace Gutters Repair Leaks I Where? ^:a ft'proposeto fumlSh materla lA labo la complote' ork.ift accordan With ipedftedon8 a1 VD. for=#iii, 1urft Qf. - st tt ialtmi'i gad I tBWNtnow- Suppieirti * OrKluotlb Totai'.li!#natmt ApprroxN»aEe�tlatee of aer+�s - CUSTOMER HAS THE RIGHT TO RESCIND THIS CONTRACT & OBTAIN A FULLREFUND OF ANY DEPOsrr WMM 72 HOURS AFTER ENTERING THE CONTRACT. M CUSTOMER PLANS TO USE PROCEEDS LiF A PROPERTY'& GASUAfa`r INSURANCE POLICY TO PAY FOR THE RQ9FiMo wOHK; YOU MAY ra r+vvna ..r . �.. yw, .n...»•� ••• » • • -•- NOTICE FROM THF INSURER THAT YOUR CLAM HAS BEEN DENIED, HOWEVER, PROWORX IS ENTITLED TO RETAIN PAYMENTS OR OEPOSffS TQ COMPENSATE PROWOFIX FOR WORK ACTUALLY PERFORMED IN A WORKMANLIKE MANNER CONSISTENT WITH STANDARD RWFIN13 INDUSTRY PRACTICES. COLORADO SENATE, HILI. 38 COMPLIANCE: PROWORX.CANNOT PAY. WAIVE, REBATE OR PROMISE TO PAY, WAIVE OR REBATE ALL OR PART OF ANY irsctgn NCE �r!i,, A .# FOR AkyMFNT FOR WFttIl:.WORK ON YOUR PROPERTY ACCEPTED BY DATE:I 13Y signing above, thPhi r authorizes PmWont to pursue an agreeable repiacementtrepair price with the insurancQ pang, alongside the homeowner'sbest interroposal dogs riot Obligate the homeowner unless approved by the insurance company & ProWcrx. The customer's out of pocket expenxceed the deductible amount plus any added upgrades and/or additional requested Work by the customer. This .. . . a a ...,. t e front and backside of this dm-umant, I etyiese++T6iit Cure'a+aw v, tv++�w an.. CO;,,.i.,,,.w C^, - . PR©WORX REP: 'A�- Dina Kemp From: no -reply@ ci.wheatridge.co.us Sent: Thursday, February 8, 2018 2:03 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) 6865 West 36th Place Wheat Ridge 80033 Jacqueline Garramone 303-885-3692 Property Owner Email Field not completed. Address 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 im-q06O.pdf Contract 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) Contractor Address (Primary address of your business) ProWorx 150175 303-948-0337 5938 South Van Gordon Street Littleton, CO. 80127 Contractor Email Address info@proworxco.com Retype Contractor Email info@proworxco.com Address DESCRIPTION OF WC's" TOTAL SQUARES of the entire scope of wor 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 both? (check all that apply) oof (2:12 pitch or greater) 2 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) 4/12 17 Laminated Aspahlt Shingle Asphalt Remove and Replace Laminated Asphalt Shingle on 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 to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 3 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 William Szymanski Email not displaying correctly? View it in your browser. 4 M i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0 C - J) Job Address: / 9 & S G,i 3& Permit Number: 9 c 18 0 0 1-1 o 3 ❑ No one available for inspection: Time`s - 3(�; AM PM Re -Inspection required: Yes(No When corrections have been made, call for re -inspection at 303 -234 - Date: a ks- ) S Inspector: DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City of Date. COMMUNITY DEOi t,Ot' 1 i Plan1perm "# rc .. w..? . Building 8 Inspection Services Division 7500 W. 29th Ave., Whet Ridge, CO 80033 Plan Rahe w Fee: Office: 303-235-2855 *l=ax: 303-237-8929 Inspection Line: 303-234-5933 Building` it Application PlOas# complete all: highlighted areas on both sides of this form. Incomplete applications may not be pr Property Address. Property Owner Email,-...- Address: mail. Ci Address: r Arch tectl ng neer E-mail: Phone. Contractors,City + .' phone. `...� Contractor E-mail Address. � �� �. � , o Sulo Contractors . - Electrical: Plumbing: Mechanical: W.R. City License # W.k City License #I W.R. City License Other City Licensed Sub: Other City Licensed Sub: City License # City License ## Complete all information on BOTH sides of this for NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE! NEW RESIDENTIALSTRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY . « E (Garage, shed, deck, etc.) = RESIDENTIAL ACCESSORY STRUCTURE . MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ELECTRICAL 1 1««y REPAIR « X«. WNT # «... « i ! sur a vi matertais to oe us a, etc.) g,,,.,JAk (D( - r -s. Sq, FULF tu's Gallons As Squares Other DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14681 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 10/22/02 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner. Property Address Contractor License No. KETTERMEN 6865 W. 36TH PLACE Phone: 303-423-8084 17713 Company : Aron Heating & A/C Phone : 431 1556 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the settiack 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 agreeb by all conditipfss printed on this application, and that I assume full responsibilit or mpliance wit ~fie Wheat Ridge Buildin9 Code (U.B.C.) and all other applicable Whe~y i ordin aee r work under this permit. (OWNER)(CONTRACTOR)SIGNEF/ DATE D-.?Z-C7 ~ . Description : FURNACE REPLACEMENT Construction Value : $1;900.00 Permit Fee : $66.20 Plan Review Fee : $0.00 Use Tax : $22.80 Total: $89.00 Use: BUILDING DEPARTMENT USE ONLY ~Lon`i~Coo mEnts"~~ SIC : Sq. Ft. : Approval : Zoning : : ~ , , 51~.4~',Q~fl~]@Il.. l . . Approval: OK/MLC . ~ ~ablieMWor 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 subjed to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of 1he City. (2) This permit shall expire if (A) the work authonzed is no[ commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 720 days. (3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in ihe original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full 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 dreinage problem. (5) Contractor shallnotify the Building Inspec[or hvenry-four (24) hours in advance for all inspedions and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a permit orihe approval of drawings and specifications shall not be consirued to be a permit for, nor an approval of, any violation of the pmvisions of the building codes or any other ordinance, law, rule or regulation. . Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pemtit Number: BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) ~~~CATION' Properry Owner: ~ e 5Gf ,e i /)~7 e/7 / Property Address: ~ G S 3 G~ Phone :~1 Contractor License No.: Company: Phone: OWIVER/CONTRACTOR SIGPIATURE OF iRVDERSTANDING AND AGREEMENT Construction Value: I heazby certify that the setback dis[ancu proposed by ttis pexmR application aze accurate, and do not violate applicable ordinances, niles or regulations ofthe City of Wheat Ridge or covenznts, euements or restrictions of record; that all measurements shown, and allegations made aze accurate; that I have read md agree to abide by al1 condifions printed on this applications md that I assume fiilt responsibility for compliance with tha Wheat idge Buil i Code (U.B.C) md all other applicable Wheat Ridge Oidinan work un this peemit / (OWNERXCONIRACI'OR):SIG DA1'~ Description: Permit Fee: Plan Review Fee: T Tea Tax Total: Eleclrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: j Expirafion Date: Expiraflon Date: Eapiration Date: Approval: Approval: Approval: (1) This peunit waz isrued ia accordance with fhe provisions set forth in your application md is subject ro the laws of the SWte of Coloiado md to the Zoning Regila¢om md Btilding Code of Wheat Ridge, ColoiaAO or any ofS¢ applicable ocdinancu oftLe City. (2) '17tis peimit shall expue if (A) Qw work aufhoeizeA is not commenced within sixty (60) days from issue dah ot (B) the btilding aut}wrized is suspended or a6andonedtor apeaod of 120 days. (3) If flvs pemit erzpires, a new yeanit may be acquiced for a fee of one-half the amount nomiaRy reqvued, prwided no changes have been o[ will 6emade in the origiualplavs md specifications md any suspension or abaadomneat has not uceeded me (1) yeaz. if c6anges have been or if suspension or abando=unent exceeds one yeaz, full fees shall bepaidfor a new pe¢oit (4) Noworkofanymannesshallbedonethatvrill cliangethenatucalflowofwater ca`sing adrainagep[oblem. (5) Conhacto[stullnotifytheBuildinglnspectortwenty -faur(24)hmusinadvanceforallinspectionsandshall xeceivewrittenapprwalonivspec4oncazdheFom p[oceeding with successive phazes oFfhejob. (6) The issuance of a peauit ot tlte appxoval of dmwivgs md specificalions sfiaR not be conshued W be a pemu[ for, nor a¢ appxoval of, anyviolalioa ofthe provisions of the building codu oi any other ordiuaocq law, mle oriegulalion. Chief Building Inspector