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HomeMy WebLinkAbout11906 W. 32nd PlaceL 2G(`76a-71 3 %('o V0. V INSPECTION RECOR INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/form ispx?fid=79 INSPECTION REQUEST LINE: (303) 23 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 uo Nor Your %-nnr-rp-ip- wrinr 1 n Onnrnuni [)t 1 ha ehnvn Incnnfio%rn�- Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing uo IYOi %.over unoerorouno or rsPinwnn_.,%lan vvnrk[ wrinr in annrnuml Ulf Tho ehnvn Incr►ei.f:r...e. Rough Inspections Date Inspector Initials -r- Comments Wall Sheathing Mid -Roof 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 t o Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certific. 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 L Inspection Type: Job Address: i 6 (, w- ( Permit Number: a o 17 b)� i; 3 I" /L ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- Date:- �" % �'�� Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201702753 PERMIT NO: 201702753 ISSUED: 06/28/2017 JOB ADDRESS: 11906 W 32nd PL EXPIRES: 06/28/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Prez TL asphalt shingles with 37 sq. *** CONTACTS *** OWNER (303)238-2346 CAVE GEORGE A SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,000.00 FEES Total Valuation 0.00 Use Tax 294.00 Permit Fee 267.70 ** TOTAL ** 561.70 *** 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 Ay4-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 manufacturera€'"s 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&#39;s 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 - 201702753 PERMIT N0: 201702753 ISSUED: 06/28/2017 JOB ADDRESS: 11906 W 32nd PL EXPIRES: 06/28/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Prez TL asphalt shingles with 37 sq. 11 by my signtu are, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfor ed and that all work t per to re iiss disclosed in this document and/or its' accompanying approved plans and specifications. h—�—e7 Signature of OWNER or CONTRACTOR (Circle one) Date I, This permit was issued based on the information provided in the permit application and accompanying dans 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 original permit fee. 3. If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding 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 appYov'L; of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is s c to i e I d irisp n. 1Y,_ Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick l � X 7<3 From: no-reply@ci.wheatridge.co.us Sent: Friday, June 16, 2017 10:25 AM To: Permits CommDev 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. YOU WILL BE CONTACTED WHEN YOUR PERMIT o 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. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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 Property Owner Email Address 11906 W 32nd PI George Cave 303-238-2346 Field not completed. 5� (-e7 C, 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Interstate Roofing 019938 3037639114 Contractor Email Address jwiles@interstateroof.com (permit pick-up instructions will be sent to this email) Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No L1_ roof? Description of Roofing Certainteed Prez TL Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 37 material selected above? Does any portion of the No L/ property include a flat roof? If yes, how many squares Field not completed. on the flat roof? z TOTAL SQUARES of all 37 l/ roofing material for this project Provide additional detail house, 6:12 pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 14000 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 John Quante Email not displaying correctly? View it in your browser. 3 AMl FIMYNisa �S referraustocom IN- TERSTATE R 00F1NG Submitted To�-r __-c-4ye- - Date ACCREDITED BUSINESS Email _a. cA\je_ n ecld,Cr 5±Af.'c Phone 0A.->'�9-234;foAlt. Phone City _,LJA6nJ elir State, Zip Insurance Company Claim# 0 X7544 - 01 Policy# �a +iii �t0 Z4 -(Z Scope of Work and Materials o be Provided. The scope of work and matenals identified below are the scope of work recommended by Interstate Roofing Inc.; however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. Shin le Manufacturer (�:T_4 jcfg� Type Color S7P-5 (aTInt Tear off _ layers of composition shingles Tear off one layer of wood shingles ❑ Install Decking (7716" OSByI Install new felt S J P �►1�it:.(o i Pnstall pre -painted eave metal to code - Color Srown' Charcoal Tar. Gray White int. _ aitey(s) will be closed ❑ Valleys will be open idge(s) to be color -coordinated Ridge(s) will be "High Profile Ridge" color -coordinated shingles Install new pipejacks Replace Vents as needed He -flash chimneys and all wail abutment as needed and if possible (stucco or siding may be a deterrent) &Install In. ft. of series ridge vent Install In. ft. of ice & water Shield to code Install -tj2— nails per shingle ❑ Clean out gutters year workmanship warranty Interstate Roofing, Inc. will provide general liability insurance coverage of 52,000,000. general aggregate Make a magnetic sweep of driveway and yard for removal of any nails Remove all debris resulting from above o 9P Speccai Instructions 1p � ✓rt.r- ✓Gb� S 64 /,e The approximate costs of the services based on damages known at the time this contract is entered is `p Interstate Roofing, Inc., however, will perform the scope of work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofing, Inc. shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or increases in costs become a part of this contract. , Approximate Dates of Service: "f BALM LS These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor Notice: It the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part t of article 4 of title 10, C.A.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent toss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or check on mylo behalf and behalf of Interg§tate R It ;1/ OW -avid f��/? 7941 .Ot - Cid q 71? Deposit Amount: Si,iro ( Date: A'/ Rep. Initials: interstate Roofing shall hold In trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has r1=.trn1,tLr=ctcondItIons, a }ority of the roofing work on the property. I (We) agree, by signing below, to all both front & back of this agreement ~ Date of Acceptance li J Lop�) tient Signature(s) y Representative Corporate Headcluarters Colorado Springs Office Fort Collins Office Choy ne Office Black Ins. Agency 10001W. 47th Ave 2161 N. Academy Blvd. P. 970 482.7722 F 970.682.1018 1010 S Greeley Highway 9600 € Arapahoe Rd M5 Denver, CO 80211 Colorado Springs, CO 80909 Toll Free 877.898.8144 Cheyenne, WY 80211 Engle—,,, Co 80112.3:26 P 303.753 9114 F. 303.789 3790 P 719.471.9752 F. 719.597.4444 www.irnerstateroof,com P. 307.634.2553 (303) 397-7820 www, interstateroof.com info @ i nterstateroof, com I 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: D Job Address: Permit Number: D b) % to AI o )\ 6 Tt ►y ❑ No one available for inspection: Time V AM/PM Re -Inspection required. No (^ja(( � � IC When corrections have been made, call for re -in pection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line 03) 235-2855 Office - (303) 237-8929 Fax INSPECT NOTICE Inspection Type: Job Address: Permit Number: 2 ?f_3 J No one available for inspection: Time LLAM/pm Re -Inspection required: Yes A When corrections have been made, call for re -inspection, at 303-234-%/� 5933 —Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division - (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: R�► h'' Job Address: (l 9 0 4, , '3 a P / Permit Number: h, G P-0 IC rn 4 r P. R 17 6 N J e 1"7 . ❑ No one available for inspection: Time/ L AM/PM Re -Inspection required:" Yes o *When corrections have been ►»a e, call for re spection at 303-234-5933 J Date:_!j - ` I i _Jnspecto 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: Job Address: 11Y,9 of Permit Number: ®Vl(" i E] No one available for inspection: Time : Sr. AMtpM) Re- inspection required: Yes When corrections have been made, calf fo re-inspection at 303 -234 -5933 Date: !a� Inspector: /� DO NOT REMOVE THIS NOTICE ♦ 16 4 i CITY OF WHEAT RIDGE Building Inspection Division r000 0r(303) (303) 234 -5933 Inspection line 235 -2855 Office • (303) 235 -2857 Fax INSP� NOTICE Inspection Type: A m-" Job Address: 1 / L ). 3P� r Permit Number: ❑ No one available for inspection�M ime `'1:�1 � AM� Re- Inspection required: Yes (No; When corrections have been made, calf for re- inspection at 303 -2 5939 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: o4 Job Address: t> 6 L.k-) Permit Number: f f I ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No When corrections have been made, call for re- inspection at 303 -234 -5933 Date: > . % r inspector: - D NOT O O MOVE THIS NOTICE s CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax IN-SPECTION NOTICE Inspection Type: ;10 Job Address: /Z90G) z~ J Y 121_ Permit Number: l l X34 2 Ohl ~)a11a ❑ No one available for inspection: Time AM PM Re-Inspection required: Yes No When corrections have been made, calf for re-inspection at 303-234-5933 Date: r~2 71 0/ Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE ~-j Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Pre)-' Job Address: 11gLi! (e). 2214; P/, Permit Number: P V, ' ~r,rfT- rOL?1 0 ❑ No one available for inspection: Time a AM¢PM;1 Re-Inspection required: e s No ~ "When corrections have been made, call for re-inspectionl(~ait 3,03-234-5933 Date: 110) Inspector: n„<. 1 DO NOT REMOVE THIS NOTICE f City of Wheat Ridge Residential Roofing PERMIT - 091689 PERMIT NO: 091689 ?.ISSUED: 08/26/2009 JOB ADDRESS: 11906 .:W 32ND. PL EXPIRES: 02/22/2010 DESCRIPTION: Reroof 37 sqs ***:CONTACTS owner 303/238-2346 Cave sub 303/763-9114 Lorin Hanson 01-9938 Interstate Roofing Incorporate PARCEL `INFO ZONE CODE: UA "USE: UA SUBDIVISION::. 0692 >BLOCK/LOT#: 0/. **:FEE SUMMARY ESTIMATED.- PROJECT -VALUATION.: 6,549.00:. FEES Permit Fee 181.10 Total Valuation .00a...m.~..°` Use Tax 117.88 nj giz TOTAL 298.98 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' inside exterior walls. Subject to field inspections. I hereby certify;. that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of :Wheat Ridge, or covenants, easements or restrictions: of record; that all measurements shown, and allegations 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 p it. Plans subject to field inspection. Win`=contractor/owner Signature of Wte 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 receivedprior to expiration date. An extension may. be granted. at the discretion of. the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half . the amount normally required, provided no 'changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one `(1) year. If changes. have been or if suspension or. abandonment exceeds one (1) year, full fees shall be paid for anew 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 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. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an 'approval of, any violation of ..the provisions of the building codes or any other ordinance, law;;. rule or regulation.:. All. plan review is subject to field inspections. Signature of ilding :Official .:date INSPECTI R VEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BEMADE BY 3PM ANY :BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. . ~~o~ :^:HE4l,D0 i u m °Ot oR a6o City of Wheat Ridge Residential Mechanic PERMIT - 070047 PERMIT NO: 070047 ISSUED: 01/18/2007 SOB ADDRESS: 11906 32ND PL EXPIRES: DESCRIPTION: replace 40 gallon water heater CONTACTS gc 303/421-2161 owner 303/238-2346 Joseph Cave 01-7835 Blue Sky Plumbing PARCEL INFO ZONE CODE: UA SUBDIVISION: UA USE: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 700.00 FEES Permit Fee 38.49 Total Valuation .00 ~ Use Tax 12.60 TOTAL 51.09 Comments: Subject to field inspection I hereby certify that the setback distances proposed by this permi[ 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; triat 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 £u responsibility Eor compliance with the Wheat Ridge Building Code (I.B.C) and all other , applicable pKpat 'dge O' a s, for c under this permit. Plans subject to £ield inspection. Siqnatuv4 o£ contracto /owner ~ date 1. This permit was issued in accordance with the prwisions 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 espire if (A) the work authorized is not commenced within sixty (60) days from issue date or (H) the building authorized is suspended or abandoned for a period of 180 days. 3. If this permit expires, a new permit may be acquired for a fee oE one-half the amount nosmally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner shall be done that will change the natural £1ow of water causing a drainage problem. 5. Contractor shall notify the Huilding 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. 6. The issuance of a pezmit or the approval oE drawings and specifications shall not be construed to be a pexmit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan rev6is subjpct t inspections. date INSPECTION 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. ..,01/17/2007 08:16 3634240495 BLUE SKY PLUMBING VI 1 ~nill~ll\V AI\N ✓4YIrFav1 • VVL,irISf\ I InW\ BUILDINGCNnPOF WHEA'1' RlpGE 23~~28b5 7500 WEST 29TH AVENUE WHEAT RiDGE, GO 80215 Value: ---)00. C/t PropertyOwner•: C`..:i1t. Phone: (3 cs) proparty ;4ddreSs : Vk~-). Contractor License No. "3~j . . 1 Phone : ~~YZ.~ ~liew~~iq Company: -C„~"j~,~/ ~~.rvi OWNERlCONTRACTOR SIGNA'fl1RE OF UNDERSTANDING ANO AGREEMENT I here6y cerSify lhet Ihe selback distancesp ~pos ulaGuns e Ihe Glty of W~+eat Ridge er And do nDt vlofate appGCable aMinances, l covenanls, easements or r¢striClinns of record: that all mea9ur¢ments shawn, and allegaiions made are accurate; thal I havp read and agree !o abide 6y all wnditlens prinled On tbis appliratian, and thal I assume full respansi6ifrty (or comPlianr~ W~ h~o ~ derRltiis permiting Code (11.8.0.) and ell o(her appliCdble 4Vhe`at Ridge ordinances, (6W N EI3)(C ONTRACTOR) oescrivtion: y()~c`I ✓~u~'""`~`~ 14t .h.at we~.kes'" Approval: Zoning : Era Approval: emw~ Appfoval' Dccupancy : Wails : Use ; eUILDING DEPARTMENT USE ONLY Roof : Staries Permit Fee : SIC PAGE 02 Date -7 ( 0 t~' Sq. Ft. : Residentiai Units: EIeoErical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration OaFe: Expiration t7ate : Expiration Oate : Apprcival : Approval: Approval; (1) 7H5 penTi( µMq Issued In ex0~~ wN1 ihe prowsianE +el lorltl In yopuf apptimtian and Is Sub ~ tv Nc law9 af t+e SIBIe ei Coh~ade Bnd ta NB ZONng q¢gulaGOna and SUd~-~ Code el Wheat Ridge, Celora0o er any othe! appfpble ord~nB~s of ~e CNy. (y) This pEfTn sh211 Ezplre d(A)1hc wofk auNOmed I: nol [Ommenced WNnn SuV (60) dByS Vorn ISSUG dele 0f (91 the btAlding aWhorhaC is %uspended or abandorx.M for a peAod of 120 dey5. pMvideO (3) ong~inalpls~nsa~iro~~s.p~iYcauo~i~ a~~da"Yaus~pensWnorananodonm~eniihisnot¢~i~eeede~eonl~e(rtjyeard., ~cha pesareamadeo if w9~pennsi ~Ilob~btl~~nt e■eectls one (1) year. MI fees ahall he paltl hr a new peniL Ho wwk el an manner ehall be dene Lhal veill ehange the nelural Aow M wakr oausinp 8 tlroinaqa prebl¢m, (Sj ' Canltadvr OheW nagy thc BuIICInp ln'~ecMnvrenN•luur (24) nours m advance far an fnspadons anO Shall rM6~~e wAtlBn apploval 001115D~~ Card be~Ot9 ~o~dnnpwHhsuax9sbc haeesvleheoh• naranspproval of,anyWolationottnepmvlslons (5) 'fhe is5uance ot a peimil orio appro;ral aldrewinps and r.pecitiatiens snaii not te conawea ~o x T perm~t tvr, nr am eMer aNinanm taw. Nle or regula4on. . ~bief Euilding Inspector For Mayor Use Tax : Total : ~ $•00 TWIS PERMIT VALID CALLw234 5933 24 HOURS PRIOR TO~I SPEC710N ECTOR AND MAYOR