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Home My WebLink About3090 Pierce StreetINSPECTION 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 PERMIT: l,q6.?-YS'z ADDRESS:96)?'c,-e,�7 , 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 / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Jl ILS I J r _ �; t '19tf 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 Jl ILS I J r _ �; t '19tf ((J 307 Metal / Lath / Stucco (� 1 308 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 PERMIT:C49Z'1(-/ADDRESS:,-z�U9G �W, JOB 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 Final Inspections Date Inspector Initials Comments 401 Gasline 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 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. The City of Wheat Ridge Third Party Form Check List Property Address 30 (?C) '5�4-- Permit Number Permit Issued Date Owner Information Property Owner Information Property Owner Address ;,k Inspector Information Inspection Company Inspector game JBA : G" Manlove ,en C—M" Inspector Contact info. P10 i87 -.r�-^ "s.:3k{a...: tukspur. C0 80I IS CNI 720-443 5280 EnuiL gary.mrnlcwe�grmil coin Inspector Statement and Acknowledgement * I hearty acknowledge the roof I am inspecting is 6/12 or over_ All roofs that are under 6112 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with t e minimum requirements of the 2012 IRC and 2012 IBC as well as alt City of Wheat Ri e Policies and Procedure and Manufacturer's recommendatia and soffit s. Inspector: _,A:� kI hearby acknowledge that i am my consent for the listed ti, lieu of the City of Wheat Propery Owner/Agent: Date: 3 ) of the building referenced above and I give ion company to perform my roof inspection Date: -2�( Page 1 of 2 This original document and permit card, as well as the rooting check list, must be submitted tc the Chief Building OfficialLvrt[1in s vendys-of the final iris -4c— on.' Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 .C E I V E D ,SPR 0 3 2m Draft Date: 7/26.!17 ��c� P r The City of Wheat Ridge The City of wheat Ridge Page 2 of 2 Inspect ' otes Inspection Checklist Notes MID -ROOF Company Name: JBA C Company Name: JB;ASMU S I %n� SU Inspector Signature: Inspector Signature 'tiorr Date of MID -ROOF Inspecti Date of FINAL Inspection: op Ins iiDD)e - ion [71 WA Fall L] K...A rail Structural roof components Fai: Verify that no more than 2 layers of shingles exist P.INSi niii Flashing for roof and walls tJ� pass [1 rao If new sheathing is installed verity that it is listed in the permit description (Valuation must be adjusted'. 0 E] Fail Verify sheathing nail pattern zSee Policy & Pror-'edures) El IVA Ems/;Pdt.% C 1 rail Crickets and saddles \4Mere needed r'] wA '/Pass » Fail Verify B vent must have boot same F1 WA L-E] Fail gauge as pipe Verify vent caps El 11NeA aa!; 0 Fail Verify no flashings are damaged or rusted EJ ti. A P. UI roil Step flashing shall be min. of 4x4 piece per shingle ;'.4 F-1 rail 'd Verffy scuppers al1mv for proper drainage P-s 0 Fail lee and water shield Tin heated wall spaces 0 Fail Underlay-ments must follow 2012 IRC '.1 2012 IBC [:1 UJ F.H VerWj roof slope for proper drainage E] :_L� LJ r.,f Dripedge shall have min of 2" overlap Pas-; E] Faii Dripedge should extend dovert min 2" past roof cle-ck Hi A .0 F.ii Dripedge shall be meGhanicaly fastened 12" OC P E-_] F.ii 90 L6 roll roofing shall-, not be applied to roof slopes lens than 2:12 slope: Exception, detached garages, patios, carports, open on three sides vvith min- slope of 1:12 E] t4'0.% 7- maw [71 r.ii Modified Bitumen, EPIDM, TPO min slope 114--12 slope El v."A L_ Pam. r.i, Above roof insulation R-25 F1 WA Below roof residential R-38 Fail 13910W roof commercial R-32 F -I Fall Modified Bitumen, EPDM, TPO min slope U4:12 stope, must be installed in accordance YMh the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Recluirements E] r3T' Metall roof shingles shall not be installed on slope less 3:12 0 El Fail Metal valleyflashing shall be the same material as roof [J, rail Metai valley flashing shall extend a min of 311 from the centerline with a min- of 3/4 ' high splash diverter rib built-in at the flow line with sections overlapping a a min- of 4" Tile Roofs Requirements E�; r -a;' Clay and concrete Idle shall have a min. 2-V2:12 slope Slopes 4:12 and under require double undeflayment Company Name: JBA C Company Name: JB;ASMU S I %n� SU Inspector Signature: Inspector Signature 'tiorr Date of MID -ROOF Inspecti Date of FINAL Inspection: INSPECTION RECORD 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 day PERMIT: A :I� � [ ADDRESS: �O�(� �) P,� JOB CODE6 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 / Cable/ Conduit 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 Date Inspector Initials Comments 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 SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT:'ADDRESS: 30�O P1P/!'LQ,S�- JOB CODE: fE 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 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 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: (-JG `7- ( tl�, ) ung Job Address: l o go P e rr c- <:74 Permit Number: a o 295 C 1) 'L -7 ❑ No one available for inspection: Time y4, M PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: li E Inspector: =7t:b DO NOT REMOVE THIS NOTICE Am a *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. [, 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 perform the work described and approved in conjunction with this ermit. I further attest that I am ]e ally authorized to include all entities named within this document as parties to the work to be performed an�that all work to be pertortned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in 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 applicable code or any ordinance or�,regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Ch efBui ding Official Date REQUESTS MUST BE MADE BY 11:59P4 ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Plumbing PERMIT - 201800527 PERMIT NO: 201800527 ISSUED: 02/26/2018 JOB ADDRESS: 3090 Pierce ST EXPIRES: 02/26/2019 JOB DESCRIPTION: Remove and replace 50 feet water service & backflow preventer in front yard. *** CONTACTS *** OWNER (303)513-1798 GIFFIN PETER D SUB (303)430-1911 Felipe Ramos 021881 Plumb Pros *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00 FEES Total Valuation 0.00 Use Tax 58.80 Permit Fee 93.35 ** TOTAL ** 152.15 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. [, 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 perform the work described and approved in conjunction with this ermit. I further attest that I am ]e ally authorized to include all entities named within this document as parties to the work to be performed an�that all work to be pertortned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in 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 applicable code or any ordinance or�,regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Ch efBui ding Official Date REQUESTS MUST BE MADE BY 11:59P4 ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Whe at R i0gle Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Request Line: 303-234-5933 Building Permit Application (Complete all highlighted areas) Date: Plan # Permit # Property Address: & g o J5_± Property Owner (please print): Pe_+,::. - collf4i� Phone: 303 -5r_13 - 17'79 Mailing Address: (if different than property address) Address: 30 1� City, State, Zip: (.A)J Contractor: Contractors City License #:j -gT 1 2 Phone: Sub Contractors: , Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work: (Fully describe work to be performed - Attach additional sheet if necessary) [qo0:5c'm- 40 er C -1r, V5 tjrt_ Copr—r ?,.P:A) C;+"j�-- 504-t f k; Contract Value of all work: ,v,, yarct, Review Fee fdrie at time of submittal): Squares BTU's ____ Gallons,—,____ Amps ___ _ Sq Ft OWNER/CONTRACTOR SIGNATURE OFUNDERS't-ANDING AND AGREEMENT I hereby certify that the setback distance. prollosed, !-,N this Pernik application are accurate and do) not violate applicable ordinances, rules or regulations of the City of'WheaT Rid ' gc or co\oiants, easements or restriction,, of record: that all measurements shown and allegations made are accurate: chat I have lead and agree to abide by all conditions printed or this application and that I assume full responsibility for compliance with applicable City of'W'heit Ridge codas and ordinances fi)r Nvork- under am pcnint issued based on this application: that I am the Ic , cal owner or havc been authorized by the legal owner of the. property to per-fonn the described work and am also authorized by the lo --al k-11- of anti villitN included on this application to list that entity oil this application, CIRCLEO.VE, (01VVER) (COATRACTOR) Lr (Al TifORtZEDRf.'Pfll-,',VE,4'T4]'Ifl,) tP1'(0JIAFR) (C'0A'TR,4CT0R) PRIM NANTE: ZONING COMMENTS: Zoning: Reviewer! BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS, Reviewer, SK;NATURE: DEPARTMENT USE ONLY DATE: OCCUPANCY: FIRE DEPARTMENT:: 0 approved wi comments 0 disapproved C no review required I Bldg Valuation: $ City of Wheat Ridge ` Residential Roofing PERMIT - 201702457 PERMIT NO: 201702457 ISSUED: 06/23/2017 JOB ADDRESS: 3090 Pierce ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential Re -roof to install Northgate burnt sienna asphalt shingles with 14 sq. *** CONTACTS *** OWNER (303)513-1798 GIFFIN PETER D SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,958.00 FEES Total Valuation 0.00 Use Tax 83.12 Permit Fee 109.20 ** TOTAL ** 192.32 *** 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 A% -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'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. Antoinette Kulick OQ7004S_7 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 13, 2017 3:30 PM 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 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 3090 Pierce st wheat ridge co 80214 Property Owner Name Peter Griffin Property Owner Phone 3035131798 Number Property Owner Email Field not completed. Address � 19a.3�- 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 Apex roofing consultants 100355 3036915035 Contractor Email Address jmartinez@apexdenverroofing.com (permit pick-up instructions will be sent to this email) Retype Contractor Email jmartinez@apexdenverroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Northgate burnt sienna Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 14 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? 2 TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of 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) 14 tear off to decking replace with northgate and pitch of 5 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 Jose Email not displaying correctly? View it in your browser. 3 A BESTMffl C THE .j. Colorado Community Media 7332 South Alton Way, Suite 13K Centennial, CO 80112 Office: 303-691-5035 Fax: 303-265-9725 CustomerTl'/_�i� Cl/Q SPECIFICATION U Mfg. of Shingle _tea ROOFING CONSULTANTS APEXDENVERROOFING.COM =S -/.T_ U Style / Color f1d,;ZC D1-Z:f U Warranty-- L -Aga f 911,- Z ❑ Valley (:2 Vents 7tIA7 -6 U Drip Edge 2x2 Color n U Drip Edge 2x4 % K t Color U Layers f_. L6�JZ-J 2 Story - tomt c) J Chimney Flash Pipe Boots U Bath Vents -- —7 Stepflash ❑ Ice &Water Shield-_ Rows Z U Modified Bit Color `--- U Decking'/2 0SB&ACi5 U Skylights: How many? MEP Size _�" U Permit Furnished: g4- Y U N PAYMENT SCHEUDLE % Contract Price Due Upon Signing Balance Due Upon Completion of Each Trade •^ ME Date 6 -JVN l 7�' Consultant n( Estimated Start DateZ tFinish�..Al' j-? Number of Squares J y =$Q Agent SPECIAL INSTRUCTIONS ' ' f 1,-,: z- Poor f 11�,;2 (!�4L C- 006-S Ac, -6 F 1 �U / ( A5 f (—`-PctS _J+j5C,> i tt' SK`fLV-Gtf! Debris Removal TPD Tax ,�Q D Permit -c` _ 1 Overhead/Profit i P 2 TOTAL *PLUS PERMIT AND SUPPLEMENTS_ Terms: This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and is subject to insurance company approval. This does not INITIAL obligate client or Apex Roofing Consultants, unless repairs are approved by homeowner's insurance company. By signing this agreement the homeowner authorizes Apex . ofing Consultants to pursue homeowners best interest for all repairs ata price agreeable to the insurance - -- company and Apex Roofing Consultants at NO COST TO THE CLIENT EXCEPT FOR THE INSURANCE DEDUCTIBLE The final pricb/(�— agreed on between the insurance company and Apex Roofing Consultants shall become the final contract price. The specificationg IINNMAAI are set out herein and on the reverse side hereof to accomplish the replacement or repair. Apex Roofing Consultants is hereby authorized to perform at their discretion all insurance prescribed repairs for the price of full scope of insurance proceeds agreed upon by my insurance company and Apex Roofing Consultants. The terms and specifications stated and special conditions are accepted. THREE DAY RIGHT OF RESCISSION: I have hereby been notified that I may cancel this agreement at any time prior to midnight of the third business day after the date of this agreement; 2`31 ACCEPTED BY: �� - DATE: wl_� _17 CONSULTANT: DATE:--f�l�7;f' VERBAL COMMITM ILL NOT BE HONORED AND MAKE ALL PAYMEgS TO APEX ROOFING CONSULTANTS. THIS AGREEME C NSISTS OF THE FRONT AND BACKSIDE OF THIS DOCUMENT. CLIENTS RESPONSIBLE FOR H.O.A. OR CO NANT APPROVAL FOR SHINGLES. *Insured by Pinnacol, Policy #4165472 FOR OFFICE USE ONLY City ofDate: q/ i 211 COMMUNrry DEVELOPMENT plawpennit Building & Inspection Services Division ( 3 S 7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan Reviow Fee: Office: 303-23542355 * Fax: 303-237-8929 Inspection Line: 313-234-5933 Email: erns di,rheatrid ewct#:i Building er lt Application Please Complete all highlighted ted dress on, both sides of this fom.1n leto s1p11 tons may not tai processsd Property Address Property Owner (please print). �i�w .�. � � ` Prone. Property Owner Email: Mailing Address. (if different than property address) Address. P"I Ajt City, State, Zip: 66 Ar hite ngineer E-mail: Phone: Contractors City License #: Phone: 366 Contractor E-mail Address: 1 a c..i C9, e7kt4q� .. L Sulo Contractors: Electrical: Plumbing: Mechanical: W.R. City License ## W.R. City License ## W.R. City License ## Other City Licensed Sub: Other City Licensed Sub: City License # City License ## Complete all information on BOTH sidles of this fear Q COMMERCIAL RESIDENTIAL ori tion cif ork: (Check all that apply) Q NEW COMMERCIAL STRUCTURE Q ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRICTURE Q COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESIDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT Li OTHER (Describe} amount of materials to be used, etc.) r ss g31F.4 Sq. UL _ btu°s Cancans Amps Squares Other I FOR OFFICF, USF, ONLY I Building Perm Application «" Please complete all highlighted are on hoth sides of this form. lnoo ptlete applica may not be processed Property Address: .5 0 9 0 PIERCC S- ` l t-s Rioc- Pro perty Owner (please print): P � � � � ,rte# hone - 3 - . 'i' Property Owner Email: Mailing Address: (if different than properly address) Address + • a Electrical: Plumbing: Mechanical: W.R. City License W R, City License# W.R. City License Other City Licensed Suer: Other City Licensed Sub: City License # City License ## Complete all information on BOTH sides of this form Em F;TIOT#T*=- 0904779MOT007111011F.70M C"AVE - 1 -z- Sq. FtILF Btu's Gallons Amps Squares --Lf- other I Project Value: (Contract value or the cost of I Llmaterials and labor included in the gnJIM project) C 0 1 ZONING COMMMENT& OCCUPANCY CLASSIFICATIOW Reviewer. BUILDING DEPARTMENT COMMENT . PUBLIC WORKS COMMENT& Reviewer: City of Wheat Ridge Building Department 7500 W. 29th Ave. Wheat Ridge, CO 80215 (303) 235-2855 Bob- (303) 235-2850 Darin- (303) 235-2853 It has been brought to our attention that the property at may be in need of the following: ❑ Fence or wall permit ❑ Roofing or 5iding permit ❑ Deck permit ❑ Sprinkler permit ❑ Shed permit ❑ 5ign permit ❑ Driveway or walk- way permit ❑ faccavation permit ❑ Demolition permit Xinterior/6rterior Remodel~~ permit 5~'~ hOU~" ❑ Detached/AttachedGarage permit ❑ Addition to residence permit ❑ ❑ Please cali or stop by City Flall within 7 days for information. Thank you. City of Wheat Ridge Build(ng Inspector Date • DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12562 • _ BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 8/2/01 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 3090 PIERCE ST Contractor License No. : Company : Phone: 274-8413 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 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 accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Descriptian : 10 X 12 FOOT STORAGE SHED (NO FEE PERMIT) Construction Value : $0.00 Permit Fee : $0.00 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $0.00 Use: BUILDING DEPARTMENT USE ONLY . r ~ SIC : Sq. Ft. : Approval : MLC COMPLIES W/ R-2 REGS. 7131101 Zoning : R-2 7/31101 MUST BE ANCHORED ON ALL FOUR CORNERS Approval: BG . APProvai : . 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 issuetl in accordance with the provisions set forih in yopur application an0 is subject to the laws of ihe State of Colorado and to the Zoning Requlations antl Building Code of Wheat Ridge, Colorado or any other applicable ortlinances of the City. (2) This permit shall expire if (A) the work authonzetl is not commenced within siMy (60) tlays from issue tlate or (B) the building auMOrizetl is suspendetl or abandoned !or a period ot 120 days. (3) If this pertnit expires, a new permi[ may be acquiretl for a fee of one-half the amount nortnally required, provitled no changes have been or will be made in ihe original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are ma0e or if suspension or abandonment exceeds one (1) year, tull fees shall be paid !or a new permit. (4) No work of any manner shall be done that will change the naturel flow of water causing a drainage problem. (5) ConVaclor shall noUfy the Building Inspector lwenty-four (24) hours in advance for all inspections antl shall receive written approval on inspedion card before proceediing with successive phases of the 1ob. (B) The issuance of a permi[ or the approval ot drewings antl specifcations shall not be construed to be a permit for, nor an approval of, any violation oFthe provisions . ding cotles or any oNer ordinance, law, rule or regulation. otthe ief Buil in Storage Shed Placement Permit (for storage shed that DO NOT exceed 120 sq h in Floor area) Department of Planning and Deuelopment citvotwneatRidge NO FEE PERMIT 7500 West 29m Auenue Wheat Ridge, CO 80215 - 303-235-2855 Proper:yOwner. /'~~1z;/L' (-i~~f/p2 ✓t'~C~- Property Address: Phone: 3G'~ 2 7</ Contractor: Phone: -76 j _ 2 -,-Z` OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed for 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 responsibilir compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work der this pegyit/ (OWNER/CONTRACTOR) Description: /r Date: 7_3~e - 0 / Use:41wu erl;S'v~-•-v Zoning: R- a Building Setbacks - Side: ~r Rear:/~ ~ Front: Sq. Ft.: /ZD Sb 1'2~- Zoning Comments: Approval: Building Comments: le .Qvre~ vn o 7 r Aovr^ cvr4 CrS Approval: ~227 ~ (1) No work of any mannershall be done that will change the natural flow of storm water causing e proble v (2) Owner/ contractor shall notify the building departmentlwenty-four (24) hours in advance for all insp ' s . s jreceive written approval an inspection. (3) The issuance of a permit or approval of drawings shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any ordinance, law, rule or regulation. (4) Sheds must be propedy and securely anchored at all corners. PLEpSE NOTE:Owner / contractor is responsible for locating proper4l lines and consUUCtlng improvements aceording to the approved plan and required deuelopmentstandards.ihe City is not responsible for inaccurate informatian submiued within the plan set and any construction errors resulting irom inaccurate information. Co s Administrator ___----91 lOl d0,01 Hl?!ON 3H1d03N11 H1f10S z O ~y O 1„8ti,1bo68S o Q ,L'9L ~T1 ~t ~ 7. . w I~~,{ Y M 0819 -•3' . m ~ ~ - 1G ~ M„84,Ibo6BS I I (1 ~ I:i .L'~ rd Z 0 N I ,0 01 ~ s ~ r~E A A D ~ \ \ ` m m r 'tpo I bo68N ~I I~ ('M'0'a ,05 ) 3f1N3Ad 1S1£ 'M 1~ ' ' I ~ D ~II 0 Z 0 N ~ O n ~ I I II II 1 ~ / - ~ ~ 8 li ~ m ~ ~ ry'i ~ ~ ~ ~rn Im 0 =I ~ o ^ ol ~ W 0 ?D ~ O K ~ O x r. ' D O n m 0 ~ 0 ix y O C m i 0 I n N ~ o i3 m n Ic z ~c ol ~I N C D ! W O O lo-ol 3„8b,1tpo68N ! n1 4~ V ~ _ 'C Ic 0 ~ L'98 N U Certificate of Campletion AND/OR Compliance CITY OF WHEAT RIDGE 7500 W. 29TH AVENUE WHEAT RIDGE, COLORADO 80215 THIS CERTIFICATE VERIFIES THAT THE PROPERTY DESCRIBED BELOW, DOES COMPLY WITH THE WHEAT RIDGE BUILDING CODE, ZONING AND OTHER RELATED LAND USE AND DEVELOPMENT LAW S OF THE CITY OF WHEAT RIDGE FOR THE FOLLOWING PURPOSE. PERMIT # 12366 Interior Repair OWNER: Ann & Peter Griffin ADDRESS: 3090 Pierce Street PROPERTY ADDRESS: 3090 Pierce St., Wheat Ridee, CO 80033 DATE 7/23/01 CHIEF BUILDING OFFICII ZONING ADNIINISTRATOR DEPARTMENT OF PLANNiNG AND DEVELOPMENT Buildiog Pcrmit Vumbcr: BUILDING [NSPECTION LINE - 3113-234-~933 Date: C[TY OF WHEA"C RIDGE 75110 WEST 29TA AVF.NUG WHEAT RIDGE, CO 311215 - ks03-735-2855) ApPLlca rrorv , , PropertyOwnecL?yr.L LZt~-~--- . ` ProperR, Address.:k 9",/'«-.<•,~ ,-S~ PhoI nc Y% /Y Contrac.or License No.: Companv: Phona OAl?'I?ILCOVT2.ACTOR A1GS,ITCRC OF USDLItS'1'.AVDLAG UU AGBI:IiV14:5'1' f hcurirv certibL that tha setbzck distnnces prupaseA ha this pemiit npplic:rtion ure uxur:na, und do no[eiolut„ applicahle ordinuncos_ rtdcs or swlutfoas oYtic Citv ot Nhcm 2fdga ur wvenmncs, auvcnrms or rostrictions ot racocA: thut all mrasurements ehown. and alicgnlioas madc vre accuram: thut I hm'c raJ unA ;c r~biJ: bv "II condition. vrintcd nn'.hi> upnliciG~.,~. -md h i 1 ..o¢.,.a !iill rospon.vbilitv tor complianua wrth the 141ia:¢ Ridge BuilAing Coda (li.l3.C) vnd aII othac .ipplicable Whent RiAga Ordinuppa~ or work undar tliis pennit (Ott11bER)(C0MR4C1'OR).SIGNED.'~, ~:1TT ✓ ~ Construction Value~!,"~,~°`. Pennit Fee. PI1n Review Fee: I lCP TAY' Total: f;',~/ Descnpnon:A~,f n<c I nv k Eu r + ✓a ~.~J ~ ,i(, < ~ i _ ~r, . ~ E f y.~,~;_.i ~ r~+~ /~:/~rt ✓~~qr cC ~ i 1.~,,... % BUILDING DEPr1RTNIENT USE ONLI' SIC: Sq.FI: Zonucg Camments: Approval: Zoning: Httildtng CorntuevCs: Approval: j.y/~l Pa61ic dVorks Conunenrs: APProcal OccuptmcN: Walls: Roof: Stories: Residential Units: Electrieal Lieense No: Plumbing License No: MechunicuL_License No: Company: CompanV: Companv: Espiration Date: Expiration Date: Expiration Date: Apptoval: ApprovaL ApprovaL: ( I) This pcmiit wes issuaA in ueord'nvice wtlh th pr visions xet [orth in cour n{ pliurmn anA :s : Iaect m the P' .1 he Smte rt". nla,sdo nnd t> the ~onivc Regulntioas =md BullAing Cod, ot 1Vh~h~ Ridge Color.do o,.amxheT appGcehlo ordiwmes otthe Cin. This permit shull axprte if (A) thc worh:i thn~zed s n rt:ommemeJ w thln s en (60) Jtvs ikrnr ss e Jm r._, h.. Lr iJn . wnhnr zed s.uspanJed ~ .ibxndoned far i penod n! I "0 duvs. nnl I' n¢m.l,.~ pndt~,:.t~_ 'l-I~1II;1.m.n".rrvll I"I h.ev~- nu -h onS, nal pl ns nnd sp"it .ii Ins evd n ~-p.. vas _...mdonmcnc ki~ n rt ~sc..ulecl irc 11 l 'ir II ~h. ,n,,, hrc.. heen 1.u.p,n,,,v or; I vid inmcnt ...cead nno (I ) yaar, IWI ams shall bc peid Ioc a new permi[. (4) Vowodcolanymarinarshu116eAonzIhotwillchanbethenaWrnlOowot,vatcrcausivgadninagepmblem. (5) Contracror shxll w[i'Ty the BuilAiRg Iaspecmr twenm-(our (2-1) hours in aAvnvice foir zll irspectiure amd xhall :cceivc onucn ppmval on inspec[ion cnrA bcfore pmccoding with mccessrvc phases ol thejoh_ (6) Tha nwancu ot n p.:rmlt or Iho ~ppmvnl at dnwinS aad -.pecitlcations shail mt be umotmed m he n permit tbr_ nor i nppmvnl oC -sic'vio intion ~)I the pmvisinas nl !ha huildirg rodes nr um othcr anlinancc. Inw_ rulc or rcgWntion. 4B1111Chie/g [ns~ ~A/,0~0ro/"' ! ~ ~ DEPARTMENT OF PLANNING AND DEVELOP,NiENT Building Pcrmit Numbcr: BUILDiNG [NSPECTION LINE - 3113-234-1933 Datc: C1TY OF WEIEA'C R[DGE 75011 WEST 29TH AVF.NUG WHEAT RIDGE, CO 302 IS - t3U3-235-2355) ApPLIC4 TIOIV PCOpeRVOWIICLZ'?rza2_~-,~~~_" /c i ~r~ `s _,.:.a«G~*.~ t " PropertvAddress. ti' Plto , Sf ~e.; Contmctor License No.: Company: Phone: oNcNo:aICoN ne.Vcroiisic~~,rn.laeuri:Nncas,r.~,Nmmc ~mo_~sucr~u~.~r I hcarhy c.rtiftthat tha salbnck dismncav proposed bv this pcmiit applica[iun ir< . ecumG. and do not violalcappli'ablc oi'dinan Ya nilas arrculYtionS oYtho C'itv of \6'hout Rndge or wvanun¢, ausamcnts or rostoc[ions olrccord. dmt :ill monsuramen[s shown, and :illeSaGons made ure uccurata th'vt I hwe rud nnd e t, ihids hv JI -ndition, n'mt.1 nn ~!•ie .~ppIrtiti-,< md I i. I :mvum_ !i:il raspons'ibilitV tor wmplianw %vith the l9hea.t Ridgo Bulldftig Cade (U.S.C) und nll othu applicnbla Wheat 2fAgz Ordinunt s or work undar this pannil. IOIPVFR)(CONTRACTOR):JIGFGIY~:~i 1'1__ D.-ATE Construction VaJue.%: //Permit Fee. Plan Reciew Fee: f iCP Tar' TOtal: Description:,~c.yr'rc~.c / 17 . /"I«« < - . ~ Zanuig Canunents: 9pproval: Zoning: c..uzanuems: Appioval //6y/~v v Fvblic luorks Ccm}menfs: ?,pproval Occupancv bVaLLs: Electrical Liccnsc No: Companv: SIC: Sq.Ft: Roof: Stories: Rcsldcn[ial Units: Plumbing License No: Mechanical.License No: CompanV: Compan}~: Espiration Date: E.Npiration Date: Expiration Date: Approval: Approval: ApprovaL l:7 1'his permit wns issuul m. ' orzlnn~a .ui[h h~ ~,ra. sio~s st f~rch m co~~ ry~lic~no~ nnd i. -~h~cct .o ~e L c,( the SGUe of Colx~da and : t ?~ung 2eS Inti~..,ndBmldiqgt,~I.ot~VhuxiR Iy,~.rlornAoor oth¢npVlicrll .rd7wnccxoi.haCle:. (3) This permit shnil exprze If (A) the uor1:: tn r md n,t comrn,n.ed withrn n.n (ef) dn}. mo»ac d-tm , ou. tne budd g i fn. ei,zd s.mj...vdul ,r .ibnvdoncd ibr n p..noci d I'_0 :I,rvi. }.1 If S, t~<oir..e n _ I c11 2d Ic:~ i io-hNll'. n.itn-i r-1 ~ ~ - __n. r~ iha~r~gin<IplumnnnsFaha>>.nd-m:s~,..xic~xa:m' m~ml:~sr~~sccd~d~.~~~~ r.li~h.n~ n~a~r rlw~pcn~ononl~ndcrmu't eadxnna~IJyeaetulltccsshallhapnid[o, a newpermit. (1) h`o wnrA ut vnv m¢nnershall he dona tha[ will chanh the neweal ilow o[ wet x enusing n dninaga Vmblem. (7 Contraetor sholl nodN the I3uildine Lnspecmrtwenry-Cou, (31) houa in ndvanccfon ell ivspections end shall rccen cIermen oppmval on insostlon cnrA btlorc pmereding with successive phurs o[ thI,jab. (6) The . umce ol' a peemit r thu -ipproval n drnvlnu and sl.ecincati. ns -hall mt be clistn i m he a permit i. eor n,ipi r:d oC rnr Jr~lution ~II the pmmsiom nt ihe builAiny codu nr any othcr ordinuncc lai¢ mle I, rs,ulntina ~.~lll;f~g Ins r 1-, )~~i ,or r~•9 r~ ~ il, > ~~[v^~ _C. r . , BUILDING DEPARTb[ENT USE O:YLI' . . , . R"Mr , -w , . _ . imoo DE URtDING tNSPECT ON G AND DEVELQPMENT Building Permit Number : 7067 DNISION - 235-2855 C17Y OF WHEAT'R1DGE Date : 5/14/98 ` 7500 WEST 28TH AVENUE WIiEAT RIDGE, CO 80215 Property Ownee : Property Address : 3090 Pierce Phone : Contrector Llcense No. : 19384 Company : Fox Electric phone : 9341958 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $250.00 t nereby cerNry mac u,e setbadc aiamnoea proposed by tnis pem,n applkaaon are accurate, and do not violaba applkabb ordinar~cee, rubs or reyulations otthe CRy oi Wheat Ridye or Permit Fee : . $25.00 covenaMs, eaaements a iestrtdWns of rewrd; ttiat all measuromenb ahwvn, and auegatwns Pian Revit+w Fee : $W0.00 made are accuate; tliat t-!)ave read andageo to abide ~ aq conditionsuPmrihtsd on thb appqcatlort, a~! ihed 1 esstime full respo~hs~N tor a~ee wim the eat ttiage euiidiny . . Use Tax : $3,75 Gode (U.B.C.y aeid aU othar appNcabb Wh ~ ord nar~cas, for wo nder this pennft. (ONMER)(CONTRACTOR) SIGNED ~ , DA7E Op TOt31 : $26.75 Use: Descripdon : Remove damaged meferhousing and mast, drive ground rod BUILDING DEPARTMENT USE ONLY Approvai : Zoning : Approval : APProval : Occupancy : Walls SIC : Sq. Ft. : Roof : Stories : Residential Units : Eleatricai License No : Plumbing License No : Mechanical License No Cnmpany: Company: Company: Expiration Date : Expiration Date : Expiretion Date : Approval : Approval : Approval : ..(t)This pMnit wo fNtMd In a0eadanca witlh Me PmWabns aet faM h yapur applica6on entl ib wdect lo Ne lews of tl7e Stab of Cdorado and to the Zoninq rtegulstlons eM = Cade m Nmeate R~ cowredo w uy on rcr apqicade orainan~es a a~ cny. (3) LO ~b mt coha (7)yev, NR}eee ahell Oe ptlE' br a n~ew pmmit (a No wwx a any mamiersnau eo dwa awrt w~ dwnpe ms neaua~ now a waar aweing a ara~~pa woaem. (5~ Cortt[SClor MaN rogry tl1s 6WWYip ImDaebr Wienty-kur (24) laun M advarae for all Inapeclfons and shell reeaNS.wril~ approval on Inapeelbn nid befora witl~:sucoabh~s due~ of 1M Wb (e) . m m~u~ e~~ a`~°'«~~~oo°b.' ena~~sp 4~ e anan na ca ~a,sm,ea ro ne e aam~ ror, nor an a~mvei a, am ~wistwn m me a~sions THIS PERMIT VALfD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234.5933 24 HOURS PRIOR TO INSPECTION 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 PropertyOwner: ~y~G-~ ~LO/'s Gfi?~rout~ Property Address :5py-, phnZc:~- Phone : Contractor License No. : /~y,3fi/ Company : lz~k7 Z-7'Z/72"' Z Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ConStruction Value : SI-'.Oa I hereby ceAily that Na setback distances proposed by this permit application are accurate, Pgfmlt F8@ : and do not violate applicable ordinances, rules or regulations of lhe Ciry of Wheat Ridge or covenants, easements or restridions of record; that all measurements shown, and allegations made are accurete; thal I have read and a4ree to abide by all cond@ions printed on this Use Tax : application, and that I assume full responsibil't for compliance w@h the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat '~e ordinances, f"ork under this pertnit. Total : $0.00. (OWNER)(CONTRACTOR) SIGNED '4/GL/CL v/.+• 1-7 uAi e~-i> >a USB : Description : ,orn9az-v i~iv~y P151 BUILDING DEPARTMENT USE ONLY Z-qmffzgmlgmm Approval : Zoning : gmldmqj~ Approval: Approvat: Occupancy: Electrical License No : Company : Wails : Roof SIC : Sq. Ft : Stories : ResidenGal Units : Mechanical License No : Plumbing License No : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (7) This permil was Issued In aaorEance wiM the pfwisions stl Iqth in yopur applinUOn and Is su0ject to tla laws N the State d CdonEO and lo the Zonirq RegulaUans and Buldiny Code M Wheat "e, Cobndo or am/ other appicade adinances of t~e Giry. (Z) This 1n a peA~oO of 1Z0 Cays~ a~~~ ~ml ~n sixty (80) Oays M1om lssue tlata w(8) Na WiWinp auUwAZeE b suspenAM w aEa II this pemtil azpirea, a new, pertM may be aWuired for a lee d one-hitl Ne amount normsly reQuired, provided ra Uianyes Iwve Cam a wip Oe made in Ne original plans anC specifiotbns and a(ry suspension u ahandmmenl tus not exceedcO me (1) yeu. II Guipes are rtude or i! auspenabn a abantlmment exceeOs orre (1) year, lull (ees ahail be paW (or a new permil (a) No work o1 arry manner shatl be done that vrill dwnqe the natwal Ibw of waler nusing a dninaye problem. (5) Contnctor shall noliy ihe BuiWinq Insoeuor lwenry-four (24) hours in advance ia all inapections ana shan receive writlen appoval an Inspeaion aN De1ae proceeEiing vriU suaessive Ohaxs of Ne bE o ihe buiabvp oodePs ata~ry~ o~Ne%Ei~f e. Ww nn~le a rep ahan rot ee aonswee m be a pemiit fa. nor an apprwal of. any vbiatbn of Ine proNsbna 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