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HomeMy WebLinkAbout3099 Pierce Street1* � � i City of Wheat Ridge �� E -Res. Sewer/Waterline Repair PERMIT - 202101257 PERMIT NO: 202101257 ISSUED: 06/14/2021 JOB ADDRESS: 3099 Pierce St EXPIRES: 06/14/2022 JOB DESCRIPTION: Repair 10&#39; of sewer line in front yard and install cleanouts. *** CONTACTS *** OWNER (303)257-2915 VAN VORST MURRAY SUB (303)287-9009 BRAD WAKEHAM 130022 TRENCH RIGHT 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: 41500.00 FEES Total Valuation 0.00 Use Tax 94.50 Permit Fee 125.05 ** TOTAL ** 219.55 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Sewer/Waterline Repair PERMIT - 202101257 202101257 ISSUED: 06/14/2021 3099 Pierce St EXPIRES: 06/14/2022 Repair 10&#39; of sewer line in front yard and install cleanouts . I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 06/14/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Monday, June 14, 2021 10:14:52 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3099 PIERCE ST Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" MURRAYVANVORST 191819aPPSTAP&sN OFFICE@TRENCHR IGHT. COM CONTRACTOR INFORMATION Contractor Business Trench Right Name Contractor's License 130022 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-287-9009 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email OFFICE@TRENCHRIGHT.COM Address Retype Contractor OFFICE@TRENCHRIGHT.COM Email Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line water line repair? Length of repair 10 Location of repair FRONT YARD (backyard, frontyard, etc) Provide additional INSTALL CLEANOUTS details including installation of clean- o uts. Project Value (contract 4500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for WILLIAM LOHMAN Permit Email not displaying correctly? View it in your browser. _30Y P1101 -re "sh C7 03 726 INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occunanc•r'"ype y 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 Initials Comments Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Do Not Pour Concrete Prior To ADaroval Of The Above Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service Plumbing t, Do Not Cover Underground or Below/In-Slab Work Prior To ADDroval Of The Above Insnections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof t, 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 Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For iow voltage permits — Piease 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 CITY OF WHEAT RIDGE, Building Inspection Division �. ..T (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: iil Job Address: C) i E. R Permit Number: DL is s O-1 773 C �) a f, ti SI'e c 7 r` 0 A) ❑ No one available for inspection: Time ; 6 AM/PM Re -Inspection required' Yes No C P/% / rC AL When corrections have been a e, call for re -inspection at 303-234-5933 Date- � ~ �' Inspector: DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE, Building Inspection Division �. ..T (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: iil Job Address: C) i E. R Permit Number: DL is s O-1 773 C �) a f, ti SI'e c 7 r` 0 A) ❑ No one available for inspection: Time ; 6 AM/PM Re -Inspection required' Yes No C P/% / rC AL When corrections have been a e, call for re -inspection at 303-234-5933 Date- � ~ �' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: goy Job Address: Cl 10)WCC ST Permit Number: 2101-"7 0?_? 3 (11 to one available for inspection: Time ��/ AM/._,M Re -Inspection required: Yes No When corrections have been made, call for re-tnsaecfion at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703736 PERMIT NO: 201703736 ISSUED: 07/11/2017 JOB ADDRESS: 3099 Pierce ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF DECKING - 29 sq (28 sq pitched / 1 sq flat) *** CONTACTS *** OWNER (303)257-2915 VAN VORST MURRAY SUB (303)862-9841 David Kole 160113 Colorado Western Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,718.63 FEES_, s Total Valuation 0.00 ' Use Tax 204.09 Permit Fee 204.30 ** TOTAL ** 408.39 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of wheat Ridge Residential Roofing PERMIT - 201703736 201703736 3099 Pierce Residential DECKING — 29 ST ISSUED: EXPIRES Re—roof to install asphalt composition sq (28 sq pitched / 1 sq flat) 07/11/2017 07/11/2018 shingles with ROOF I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable bung 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 performed ancthat a4lf�vork toy be performed is disclosed in this document end/or its' accompanying approved plans and specifications. nature of OWNLRV orQCONTRACTCircle one) Daly Thij 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. 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 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 and procedures 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. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 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. The issuawe or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c dQe;or any rdQ it►awe or reg ation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 031 ZSE From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 9:31 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 3099 Pierce St Property Owner Name Murray and Tammy Van Vorst Property Owner Phone 303-257-2915 Number Property Owner Email Field not completed. Address �- q0 b"', '� j Do you have a signed No contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Dav C� ��1 f�� f n GrSi,i N 00 Contractor's License 160113 Number (for the City of Wheat Ridge) Contractor Phone 3038629841 Number Contractor Email Address kolecwc@gmail.com Retype Contractor Email kolecwc@gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? Yes Asphalt Composition Shingles Asphalt Field not completed. 28 Yes 1 TOTAL SQUARES of all roofing material for this project Z l Provide additional detail This is a remove and replace of the existing damaged shingles here on the description of on the roof of the house. The pitch on this roof is 9:12 z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant David Kole Email not displaying correctly? View it in your browser. 3 C\WDCOLORADO Address: City/State: 8395 Sweetwater Road Lonetree, CO 80124 Telephone: (303) 862-9841 WESTERN CONSTRUCTION AGREEMENT 6-zq-17 Zip: SO 7–f E -Mail: Home Phone: Cf is Work/Cell Phone: Sales Rep: Phone: �93��a��s��s Storm Date:5�9 9 THE CONSUMER PROTECTION/ROOFING BILL DOES NOT ALLOW A ROOFING COMPANY TO WAIVE, PAY OR REBATE ANY INSURANCE DEDUCTIBLE Approximate/Scope of Services/ Materials & Costs Based on Current Known Damage Report ReplaNe wit : Shingle lAlanufacturer �LwS Lines�CIA' V-tt Color ar M nufacturer Warranty Labor War nty: 15— year(Guarantee against leaks) _;.R tarter ip and Ridge &R Pipe Jacks Attic Vents Type: _Turbine_u� T rtle_Ridge_Other _Paint of stacks to match shingles ce ac ter Shield R&R Valley Metal _R&4 R Step Flashing_R&R Chimney Flashing _Lg_Md_Sm _R&R Rolled Roofing &Modified Bitumen _D&R Satellite Dish, Qty_Special Instructions Roof Pitch:_7/12-9/12_10/12-12/12_over 12/12 Steep C arge sq, Replace Decking (7/16 in. OSB) l� _R&R Skylight, Qty_ _D&R Swamp Cooler TOTAL SQUARES 30 APPROXIMATE COST $ APPROXIMATE DATE OF SERVICES DAMAGE REPORT COLORADO WESTERN CONSTRUCTION LIMITED WARRANTY 5 YEARS REPLACEMENT OR REPAIR ON WORKMANSHIP GENERAL CONTRACTOR. Homeowner acknowledges COLORADO WESTERN CONSTRUCTION as a general contractor and as such shall be entitled to overhead and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead and profit. TERMS: By signing this Agreement, you, the homeowner, authorize COLORADO WESTERN CONSTRUCTION (the "Company") to act on your behalf and pursue your best interests with your insurance company in determining an appropriate roof and/or siding replacement or repair at a "price agreeable" to both the insurance company and Company with no additional costs to you except for your insurance deductible. When the "price agreeable" is determined it shall become the basis of the final contract price which consists of INSURANCE PROCEEDS INSURANCE DEDUCTIBLE (the "Final Contract Price") and you authorize Company to obtain lab rand materials in accordance with the Final Contract Price and the specifications set out herein and on the rev rse side her a d to ac mplish su replacement or repair. Accepted by (Homeowner): i" ---�X —Date:�� (Print Full Name) (Signature) Insurance Representative Agreement: It is understood that Colorado Western Construction will be contacting my insurance representative and or meeting on my proerty to deter ine Tpe loss (property damage) and compensation for loss (amount to be repaired) Insurance Company . Claimf[tf"©` Property Owner Signature: Date ! COI ORADO W FSTFRN CONSTRUCTION SHALL HOLDT6f TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL COLORADO WESTERN CONSTRUCTION HAS DELIVERED MATERIALS OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY City of Wheat Ridge Residential Roofing PERMIT - 201703736 PERMIT NO: 201703736 ISSUED: 07/11/2017 JOB ADDRESS: 3099 Pierce ST EXPIRES: 07/11/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt composition shingles with ROOF DECKING - 29 sq (28 sq pitched / 1 sq flat) *** CONTACTS *** OWNER (303)257-2915 VAN VORST MURRAY SUB (303)862-9841 David Kole 160113 Colorado Western Construction *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,718.63 FEES_, s Total Valuation 0.00 ' Use Tax 204.09 Permit Fee 204.30 ** TOTAL ** 408.39 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of wheat Ridge Residential Roofing PERMIT - 201703736 201703736 3099 Pierce Residential DECKING — 29 ST ISSUED: EXPIRES Re—roof to install asphalt composition sq (28 sq pitched / 1 sq flat) 07/11/2017 07/11/2018 shingles with ROOF I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable bung 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 performed ancthat a4lf�vork toy be performed is disclosed in this document end/or its' accompanying approved plans and specifications. nature of OWNLRV orQCONTRACTCircle one) Daly Thij 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. 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 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 and procedures 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. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 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. The issuawe or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c dQe;or any rdQ it►awe or reg ation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 031 ZSE From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 28, 2017 9:31 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 3099 Pierce St Property Owner Name Murray and Tammy Van Vorst Property Owner Phone 303-257-2915 Number Property Owner Email Field not completed. Address �- q0 b"', '� j Do you have a signed No contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Dav C� ��1 f�� f n GrSi,i N 00 Contractor's License 160113 Number (for the City of Wheat Ridge) Contractor Phone 3038629841 Number Contractor Email Address kolecwc@gmail.com Retype Contractor Email kolecwc@gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? Yes Asphalt Composition Shingles Asphalt Field not completed. 28 Yes 1 TOTAL SQUARES of all roofing material for this project Z l Provide additional detail This is a remove and replace of the existing damaged shingles here on the description of on the roof of the house. The pitch on this roof is 9:12 z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant David Kole Email not displaying correctly? View it in your browser. 3 C\WDCOLORADO Address: City/State: 8395 Sweetwater Road Lonetree, CO 80124 Telephone: (303) 862-9841 WESTERN CONSTRUCTION AGREEMENT 6-zq-17 Zip: SO 7–f E -Mail: Home Phone: Cf is Work/Cell Phone: Sales Rep: Phone: �93��a��s��s Storm Date:5�9 9 THE CONSUMER PROTECTION/ROOFING BILL DOES NOT ALLOW A ROOFING COMPANY TO WAIVE, PAY OR REBATE ANY INSURANCE DEDUCTIBLE Approximate/Scope of Services/ Materials & Costs Based on Current Known Damage Report ReplaNe wit : Shingle lAlanufacturer �LwS Lines�CIA' V-tt Color ar M nufacturer Warranty Labor War nty: 15— year(Guarantee against leaks) _;.R tarter ip and Ridge &R Pipe Jacks Attic Vents Type: _Turbine_u� T rtle_Ridge_Other _Paint of stacks to match shingles ce ac ter Shield R&R Valley Metal _R&4 R Step Flashing_R&R Chimney Flashing _Lg_Md_Sm _R&R Rolled Roofing &Modified Bitumen _D&R Satellite Dish, Qty_Special Instructions Roof Pitch:_7/12-9/12_10/12-12/12_over 12/12 Steep C arge sq, Replace Decking (7/16 in. OSB) l� _R&R Skylight, Qty_ _D&R Swamp Cooler TOTAL SQUARES 30 APPROXIMATE COST $ APPROXIMATE DATE OF SERVICES DAMAGE REPORT COLORADO WESTERN CONSTRUCTION LIMITED WARRANTY 5 YEARS REPLACEMENT OR REPAIR ON WORKMANSHIP GENERAL CONTRACTOR. Homeowner acknowledges COLORADO WESTERN CONSTRUCTION as a general contractor and as such shall be entitled to overhead and profit, as allowed by insurance industry standards. This only applies if the insurance company allows for overhead and profit. TERMS: By signing this Agreement, you, the homeowner, authorize COLORADO WESTERN CONSTRUCTION (the "Company") to act on your behalf and pursue your best interests with your insurance company in determining an appropriate roof and/or siding replacement or repair at a "price agreeable" to both the insurance company and Company with no additional costs to you except for your insurance deductible. When the "price agreeable" is determined it shall become the basis of the final contract price which consists of INSURANCE PROCEEDS INSURANCE DEDUCTIBLE (the "Final Contract Price") and you authorize Company to obtain lab rand materials in accordance with the Final Contract Price and the specifications set out herein and on the rev rse side her a d to ac mplish su replacement or repair. Accepted by (Homeowner): i" ---�X —Date:�� (Print Full Name) (Signature) Insurance Representative Agreement: It is understood that Colorado Western Construction will be contacting my insurance representative and or meeting on my proerty to deter ine Tpe loss (property damage) and compensation for loss (amount to be repaired) Insurance Company . Claimf[tf"©` Property Owner Signature: Date ! COI ORADO W FSTFRN CONSTRUCTION SHALL HOLDT6f TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL COLORADO WESTERN CONSTRUCTION HAS DELIVERED MATERIALS OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY , ~~qHE4t~~ ~ ~ . . . . . . . . . . . . . . . City of Wheat Ridge °aW Res. Add Structure PERMIT - 070473 PERM3T NO: 070473 . . ZSSUED: 05/22/2007 JOBADDRfiSS: 3099 PZERCE ST EXPIRES: 11/18/2007 DESCRIPTION: PATIO COVER PER ATTACHED PLANS COISTACTS OWNER 720/217-7122 . MURRAY/TAMMY VAN VORST PARC&L ZNFO ZONE CODE: R-2 USE: R-3 SUBDIVISION: 0576 . BLOCK/LOT#: .0/ FEE SUNIMARY ESTIMATED PROJECT VALUATION: 1,450.00 FEES" .,,~..K~~ Permit Fee 70 . 25 ~~s~pp O@ /►IA/M~M19f, IMfI~ PlanReview Fee . Z . I. 45.00 tfi8f InORl1~~~~ kss" ~ Total Valuation ry~get iQQ ►►Iph guK ~ ~ Use Tax 26.10 onaTte fa'ft►►ai roof MWeOWn- "OC TOTAL 142.01 . comment s: Oamer / wnuaoMr is rosponstble forlocatieg ProFortY lines ead consWetkg knprovements accorGing m tho BM: Approved pending field inspections. eppmvedplanaadrequi[eddevelopmeutstandards. The City Is not responsible for inaccotate informatton TxC : oK submitted wPthin the plaa set and any constructioa ermcs raulHng from Laccurate infotmatioa I heseby certify that the eetLack dietancee propoeed by thie pexmit applicationare accura[e, and do3wt violaCe applicaDle ordiaances, rulee or tegulatione of Che City of Wheat RS9ge or covenante, eaeemente or reetrictions of record; that all meaeuremente ehown, allegatione made areaccurate; that I have read and a9ree to abide by all conditione printed on thia application anC t.I ae[n ne full reeponeibility for compliance with the ifieat Ridge Building Code (I.B.C) and all other app~ itte idge O ciancee, for work under Chie~✓perm('~t. P1 a eubject Co field inepection. ~7 ( ( ~ Signatune of contrako/owner dat 1. Thie pemit wae Yseued is accordance vith the provieione eet forth in your application and ie euDject Co [he lawe of the State of Colorado and to tRe 2oning Regulatione and Building Codee of Wheat Ridge, Colorado or any other applicable . ordinances oftheCity. 2. Thie pemit ehall expire 180 daye from the iseue date. Requeete for an exteneion muet be received pzior to expiration date. An.extenaion may be granted at the diecretion of tlie Building OEficial. 3. If thia pemit expiree, a new pemit may be acquired for a fee of one-half the amount normally required, provide8 no changeetiave been or will be made in the original plane and epecificatione and any euepeneion or abandonment hae not exceeded one.(1) year. If chan9ee have been or if euepeneion or abandonment exceede one (1) year, full feee ehall be paid for a new permit. 4. No work of any manner ehall be doae that will change the natural flow of water cauaing a drainage problem. 5. Contractor ahall notify the BUS1dSng Inepec[or twenty-four (24) houre in advance for all inepectione azW ehall receive wzitten.apprwal oninapeceion card beEore proceeding with eucceaeive phaeee of the job. 6. Theiee ce of a permit or.the approval of drawinge and epecificatione ehall not be conetrued to be a pemit for, nor an al of, any olation of Che proviaiona of the building codee or any other ordinance, law, rule or regulation. A1z review A.~ject to field inepectione. Signature o{-Chief Buildln9 Offical date INSPBCTION R8Qtt83TLINBs (303)234-5933 BUILDING.OFFICE: (303)235-2855 REQUESTSMUST SE MAD& BY 3PM ANY BUSSNESS DAY FOR INSPECTION.THfi FOLLOWING BUSINESS DAY. - o~4CIP oF WHEqr ` P City of Wheat Ridge Building Permit Number: Community Development Department Dace: ~O~ORP00 SIL~GLE AND T6~~~AMILY BG'ILWNGPERUIT.! 1PPLIG~ ~ION ' Property Ownei: M U' Property Address:305iG( Conhactor License No.: Company: Phone: OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I BuildinqDept ValuationFigure: $ I hereby certify that the setback distances proposed by this permit appiication are accurale, and d0 not violate applicable ordinances, rules or regulations of the City of W heat Ridge or covenants, easements or restridions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all wnditions priMed on this application and that I assume full responsibility for compliance with the W heat Ridge Building Code (I,B.C) and all other applicabie Wheat Ridge Ordinances, forwork under this permit. Plans subject to field inspection. (OWNER)(CONTRACTOR): SIGNED. DATE (OWNER)(CONTRACTOR):PRINTED DATE Value:$ Permit Fee:$ Plan Review Fee:$ e Taaf: Tota1:$ Use of Space (description): Description of work: C i7x ~y~ Sq.Ft.added . BUILDING DEPARTMENT USE ONLY SI COMMENTS: Approval: Zoning: G COMMENTS: ApprovaL . . '.-i'.;I~..:.... WORKS COMMENTS: ApprovaC , DEPARTMENT COMMENTS: Approval: Walls: Roof: Stories: Units: Ft.: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permiiwas issued in accordance with the provisions set forth in your application and is subjeclto the laws of the State of Coloradoandto theZoning Regulations and Building Codes of Wheat Ridge, Colorado or anyother applica6le ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) 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 of one-halfthe amount normally required, provided no changes have been orwill be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. Itchanges have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work ot any manner shall be done that will change the natural flow of water causing a drainage problem. (5)ConVactor shall notify~lan B~,~%mg Inspector lwenty-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, anyviolation of the provisions ofthe building codes or any other ordinence, law, rWe orregulation. All plan review is subject ta£eld inspections. } Invnlny VaNVofS7 PtcG ~'4 I.UMaraqf;i:~~C. Phone:7o`IO'a/I- )l~~ Chief Building Official Residential Worksheet (SF/Duplex) Submittal requirements: Copy of Deed F Site Plan (to scale) F] Elevations ~ AddieSS: 303S 1i,rt,e, S't• Zoning: F"2 Use: ~S Lot Size: 12A~ sq. ft Lot Width: Property in the flood plain? Maximum Lot Coverage: 40 % Proposed Improvements: House: Addition to House: *Shed: Detached Garage: Proposed Lot Coverage: (Total) 601b Z fr. sq. ft. Existing Improvement(s): sq. fr. House: I ~ 371 sq. ft. sq. ft. Shed: sq. ft. sq. ft. etached Garage: Sko sq. ft. sq. ft. Other: sq. ft. Total: l~3 sq. ft. % sq. ft. Required Setbacks: FR 3o Provided Setbacks: FR / s 5 ~5 s S IS x s`E-° s Z`' x Maximum Height: ~S ft. Maximum Size: ~ sq. ft. Proposed Height: ft. Proposed Size: ~ sq. ft. Access Notes For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the si[e shall be surfaced with concrete, asphalt, brick pavers or similar materials. For all uses other than one and two family dwellings, no vehicle en[rances or exits may be closer thau 25' to any property line, except when used asjoint access for two or more lots. In residential zone districts, curb cuts shall be at leas[ 10 feet and not more than 24 feet in width. One and two-family dwellings may have horseshoe driveways, provided that [he street accesses are at least 30 fee[ apan, measured from the interior edges. For all uses, one access point per propeRy is permi[ted. *Metal sheds in excess of 120 s.f not allowed. Landscapina Notes For one-and two-family dwellings, one tree for every 70 feet of street frontage is required. 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. Street trees required: Street trees provided: I T~ . I Y1a~°14ow. ~F~ ~ contrs~°t is Te4P°~yem~u~ stan~~' 6 ~ an~ a p a~~ o= n ble {or in a~p~~c~ion e City is not~ n~e P~an $e ~~atc ir.iar> 1~ ~un• submjnedvn ltin€f:o'nina' ertocs cesu 4 . ~ < < . , - - -i _ ~ . ~ ~ ~ ~ ~ 'J O . 01 ~ i i ON SiTE PL~~NS MUS~' ~~E ON SIr~~E FUR'~~~~~~~CTION CHI . BUI 1NG OFFICIAL JOF KH~,4 ~O m i ~ °oioaa~o Wheat Oidge Building Department Gt~=/8 aJ ~31 lILDING OFF;all I DATG . i'irlity of permiC Tuance of a parmit or appraval of plans, specifcations .~canputations no lbeappYmiffor,~ror apprrnalot,aoyviolationlp. any Cty ordinances. arly W me provisiona of Ihe building code a r ermils presuminy to give authorify or ncel e prrnisions oi the tiuilding codes or olher ordinae y sball rwt 6e valid. ~ m S s ~ li ~t , , : I I ~ o - o ° ~ 4 ~ ~ cp, E `N ~ ro ~ Now to Use this Guide Provide two sets of plans and complete the following: 1 COI11pletC t115 BWld111J GUIdC by filling in the blanks on page;two, and indicating which construction details will be used. - M' ~o 2 Provide 2 Plot Plans (site plan) showing dimensions'af your project:~r addition and its relationship to existing buildings or structures on the property and the distance to existing property lines drawn to scale. 3 Fill out a building permit application. The majoriry of permit applications are processed with little delay. The submitted documents will help determine if the project is in compliance iwith building safety codes, zoning ordinances and other applicable laws. The Colorado Chapter of the International Code Coancil is a professional organization seeking to promote the public heaith, safery and welfare to building construction. We appreciate your feedback . and suggestions.To obtain a master copy of this building guide, please write to the ` k Colorad'o Chapter of the International Code ~ Council, P.O. Box 961, Arvada, CO 80001. This handout was developed by the Colorado Chapter of the International Code Council as a basic plan submittal under the 2000 International Residential Code. It is not intended to cover all circumstances. Check with your Department of Building Safety far additional requiremenis. City_of'Wkeat ~'dqo Butl4ing Divuion , 7500'W. 29''Ave. ` Wheae Rufge, CO 800" (303)235-2855 • J F u b g- 7je Directions ' `a;crce 1. Fill in the biai 2 ~materials which ~t d • 1 will be used t uilde <u~u~ ~l se print legibly. ~ 2. Indicate in th $hec~o ~e~ils from page 3 will be used. Please note if any of the sides of your carport addit' are ser t the property line, that side of the carpoR must be enclosed with a r.~eed w Il a ~ 0 L~ Alternate Details B and C. You must however, keep at least two sides q°~uilding code requirements. Zoning approval is iequited. rt eg to c nfo pe e~tst~gd p r miI{ s instructions, induding low slope application and required inspecrtions 4~~a ~ , t - ~ ' erin ATm Underlayment 5X /N IgWb Sheathin ~ ' ~ ~%t 2examWitca 2xrafters sacecO.C. ~ (example:2x8~eflersspaced24'O.C.) 11~/471 I Overhang r o closer than 2 feet to property line Beam splices to occur „ „ over posts with 1 1/2 , bearing ~ ❑ Detail Detail B • ~i ~i AlternateA i OAlternate6 a X / d beam ~(seepa9e3) ( (seepage3) (exemple:(2)2'x7o') auaing S anA? „ -~r" aximum ~Y~ p (example: 12' 0') ^ rise 8" Detail C A O at door V I O Altemate C r ~ ~y . y.yi (seepage3) w s'-$- minimum Siding (brNfemate6only) I Isolate from Slab , . , . ~ . nR n S ~ post ~ . ° . . , ~ , , . v, . yT ' (examplex4') ~ h spaced6 8 apart C te Slab x~ 3'-0" _buaMpfe s•) minimum " i ter Pier 8 . , , 4 Footin " T 2 • , ~ ; . r c This h wa:/l~oped by the il bas b " ( C o Chapter of the " submittal under as a j► mc IllStern o ' e 20rn irc Residential Check w u s a es It is not intended hryour Department of o cov ~ . ~ ~ ~ ilding Safely for additional require e i[s. 2 ~~J~7L Existing roof rafters or tmsses Galvanized metal joist or rafter hangers EYtend underlayment from new roof a minimum of 18" onlo existing roof Remove existing fascia r Cont 2z ledger Secure ledger to wall with 4'h" x 3/8' min. lag bolts @ 16' O.C. Locate lag bolts to penetrate lop plate or studs Note: Remove bridc veneer at rop of wall wall before installing continuous 9x ledger 2x blocking tie downs required ~1 el;~- Galvanized metal posUbeam connector resistive p~j~t 1/2" Galvanized\ slab ~ column base w/ 1" spacer to concrete Existing Roof 2x6 secured to existing roof with iers at each raRer or truss Roof tie downs required \ Solid 2x fire 518' type 'X' exterior gypsum sheathing vanized metal Ubeam connector _ E#erioisiding - Infill belween posls w/ 2x4's @ 16' O.C. Bottom plate shall be treated wood or Foundation redwood Minimum 3 112" concrete slab olate Isolate Slab LL" ~ " + Anchor bolt from Slab ~ 7" minimum " Penetration ' Check local ~ninimum 3 -0 building iameter >:i. minimum departmentfor oncrete isso~ ~ ~ ~ swelling soils caissons may be required This handout was develope o Chapter of the International Code Council as a basic plan submittal under the 2000 International Residential Code. It is nol intended to cover all circumstances. Check with your Department of Building Safety for additional requirements. 31 yment a minimum of 18' under existing roofing felts Solid 2x blocking Roof tie downs required C:7 ~ No closer than 2 feet to property line 5/8' rype "X" exterior gypsum board soffit Infill between posts w/ 2x4's @ 16" O.C. Galvanized column base w/ 1" spacer to concrete Anchor bolt T' minimum penetration , minimum ' Footing N--'I Sample Site Plan PropertyLine I - • - . • . J ~ Feet ~ Garage or Carport or ~ Shed 1 1' ~ J ~ ~ 1 0 I R i HOUSE ~ ~ ~ ~ e Setback Side 5etback Y U I ~ U ~ L O i l1 I ~ NOIZTH 5cale:l"- 51DEWALK ~ List sRuare footagc af ' ALL EXI571NG and , PROPOSED structures I tocaud on the property. ~ ~ ~ ~ ~ ~ ~ ~ I I ..T. STREET DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : 95-568 Date : 3/22/95 Property Owner Property Address Contractor License No. Company VANVORST MURRAY 3099 PIERCE ST 17747 Dick's Custom Roofing Phone : 234-0045 Phone : 989 6833 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cert'rfy 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 covenanls, easements or restridions of record; that all measurements shown, and allegations made are accurate; that I have read and a9ree to abide by all conditions printed on this application, and that I assume full res ibility for coi pliance with the Wheat Ridge Building Code (U.B.C.) and all other applicabl Wh t Fiidge r inances, for work under this permit. (OWNER)(CONTRACTOR) SIGNEU DATE2~~ Description : REROOF ~5 Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to ihe laws of the Stale of Colorado and to the Zoning Regulations antl Builtling Cotle of Wheat Ridge, Coloredo or any other appliwble ortlinances of the Ciry. (2) This permit shall expire d(A) the work euthonzed is not wmmenced wRhin sixly (80) Aays hom issue date or (B) the builtling authonzed is suspended or abanEOnetl for a penatl of 120 tlays. (3) I( this permit expires, a new pertnil may be acquired for a fee of one-half the amount normally required, provitle0 no changes have been or will be made in the original plans antl speciflcaUons and any suspenaion or abanEOnment has not exceeded one (1) year. If changes are matle or H suspension or abandonment enceetls one (1) year, tull fees shall be paid for a new pertnit. ' (4 No work of any manner shall be tlone that will chanqe the naturel fiow of water causing a droinage proDlem. (5~ Coniraclor shall notify the Building Inspector lweny-four (24) hours in advance for all inspectionsand shall receive written approval on inspection card be(ore proceediing with succes5~ve phases ot the ob. (e) The 1 ssuan4fd' a permjf or the approval o~drewings antl apecifiwtions shall not be construed to be a pertnit for, nor an approval of, any violaUOn of the provisions of ihe building {btles q0any other ortlina9ce, la}v, rule or regula4on. Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Construction Value : $2,085.00 Permit Fee : $54.00 Use Tax : $31.27 Total: $$5.27 ! t'~II_51.9) DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Company : ~ L)~5 iJ STT wl Application Number : Property Owner : V-0 N 1/OZ~S j Property Address Contractor License No. : F7" ~ Date : Phone : p~`5 'Y` cv 4- Phone : S9_V S OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN I hereby certify that the setback distances proposed by this permit application are accurate. and do not violate applicable ortlinances, rules or regulations of the City of Wheat Ridge or coveqants, easements or restrictions of record, that all measurements shown, and allegation made are accurete; that I have reatl antl agree to abide by all contlitions printed on this appliwtion, and thal I assume full responsibiliry for compliance with the Wheat Ridge Buildin Code (U.B.C.) antl all other applicable~]Aegt Ridge orcJmances, tor work untler [his permit. (OWNER)(CONTRACTOR) SIGNED V IG~Ge--:~~/~'~~'fE rS~ 9 Construction Value : a Permit Fee : ~ C~O_19 s Use Tax : 9 ~ T Total ~S BUILDING DEPARTMENT USE ONLY a-9906B4lt~ents:; Approval: Zoning : ,~-S~n18i~tsN Approval : Paib : ~ : r,ks,~,Comments: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No . Mechanical License No : Company : Company Company : Expiration Date : Expiration Date Expiration Date : Approval : Approval : Approval : _j Plans Required (1) This permit was issuetl in accortlance with the pmvisions set fonh in yopur application and is subject lo the laws of the State of Coloratlo entl to ihe 2oning Regulations antl Builtling CoOe af VJheat Ritlge. Coloraao or any other appliwble ordinances of the Ciry. (2) This permit shall expire rt(A) the work authorizetl is not commencetl within sixty (60) days from issue tlate or (B) the builEing authonzed is suspended or abandonetl for a period of 120 Eays. (3) It this permit expires, a new permit may be acquiretl for a fee of one-haif the amaunt normally requiretl, provitletl no changes have been or will be matle in the onginal Dlans and specifcations and any suspension or aoantlonment has not ezceetled one (1) year. If changes are matle or i( suspension or aban0onment ezceeds one (1) year. full fees shall be paid for a new permn. (4) No work of any manner shall be tlone that will change the natural Bow o( water causing a drainage problem. (5) Contractor shall notity the Builtling Inspector hvenry-four !24) hours in advance for all inspections and shall receive written approval on inspectian caN before proceetliing with successrve phases of the job. (8) The issuance of a permit or the approval of tlrawings ano s0ecifications shali not be constmetl to be a permit (or, nor an approval o(, any violation of the provislons of the builtling cotles or any olher ortlinance. law. mle or regWauon. 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 INSPECTION TICKET I JOB ADDRESS DATE: ~ -13 BLDG. PERMITk PEflMITN BIDG. CONTR. 99---'W~-T SUBCONTfiACTOR DATE INSP. REQ. 5- TYPE OF INS . INSPECT N A E ~,8'-3 REMARKS J W.R. FORM G19