HomeMy WebLinkAbout3690 Pierce Streete ®i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTIC -,,,
Inspection Type: qO 3
Job Address: er—>
Permit Number: ( ?� ''-
❑ No one available for inspection: Time�_M/PM
Re -Inspection required: YesNo
When corrections have been made, schedule for re -inspection online at:
h tfp ✓/www. ci. whea tridge. co. u nsPecfion
Date:-( l Inspector:,
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 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 ano th all work e formed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature O or CONTRACTOR (Circle one) Date
I . This'ermit wa 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 I80.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 pennit 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 anmanner 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 issuanc or granting of El permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicabl o or any ordi ce or regulation of this jurisdiction. Approval of work is subject to field inspection.
,1�,ItA_:
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Electric PERMIT - 201902435
PERMIT NO:
201902435
ISSUED:
11/19/2019
JOB ADDRESS:
3690 Pierce St
EXPIRES:
11/18/2020
JOB DESCRIPTION:
Electrical service change -
200 amps; 125 amp feeder to existing panel in
garage
*** CONTACTS ***
OWNER (303)931-2114
WILLIAMS DANIEL E
SUB (720)879-2253 NIGEL GIRAUDIER
130055 ELECTRICALL 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:
3,500.00
FEES
Total Valuation
0.00
Use Tax
73.50
Permit Fee
109.20
** TOTAL **
182.70
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/
2012 IRC & 2017 NEC. Subject
to field inspection.
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 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 ano th all work e formed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature O or CONTRACTOR (Circle one) Date
I . This'ermit wa 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 I80.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 pennit 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 anmanner 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 issuanc or granting of El permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicabl o or any ordi ce or regulation of this jurisdiction. Approval of work is subject to field inspection.
,1�,ItA_:
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Pidgc
comm Y DEVELOPMENT
Building & Inspection Services
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitsCcDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: i
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): 17Gr1-' e 1 W' tIic,K4 S Phone: rho gal
Property Owner Email: da✓1 O, l l� 0%vo5 .0,rch \f ` " l - c c-41
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor Name: >_ �_EC` C/�L- - LL
City of Wheat Ridge License M
Phone: 7z o Y) -7 g -- z 05 5
Contractor E-mail Address: I (AF=L C� F -)E` c ^z" - C L
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): 7�` �''d% Phone:
CONTACT EMAIL(p/ease print): + 6"� �- �" - t` ' �Z ) CAL --i--- C o
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
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 highlighted fields, if applicable.
❑COMMERCIAL
SIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
�1cf ls2CtvTu-k9 5r -?4'v; U t v`
Sq. FULF
125-- Gw%)2 z.
l
4� .
BTUs
Gallons
r�/r2c-�vi(C—f PraAz-!�-"e
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
35Gd
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER)(CONTRACT R) or ( U ORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
Printed Name: Ajl -Cr t—
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
1670 Nrc&S INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci-wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Oce anc /T e
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
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Appro ove Inspections
Underground/Slab Inspections Date Inspector -----
Initials Com s
Electrical �.-
Sewer Service
Plumbing
Do Not CAVAr I Inrinrnrno inA �0-1....•n _ C11-1- u. _
- - ---•"--, ..-...Gw ..�+�
r ��� 1 V Hp rovai UT in ections
Rough Inspections Date Inspector
Initials
Comments A
w.;alWSheathing - t✓✓
Mid -Roof Z�
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
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection /Fire Protection Dist.
Final Electrical
contact the Fire Protection District for your project.
Final Plumbing
Final Mechanical
Roof
�� Q
Final Window/Doors
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before Certificate
a
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 insnactinnc aro rn-1_+_,4 F....., u.. r:__ r,:_.-. _.
ivision.
- - --. -I.. VIVULIKai ww voltage
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
01 City of Wheat Ridge
Residential Roofing PERMIT - 201706327
'ERMIT NO: 201706327 ISSUED: 08/18/2017
TOB ADDRESS: 3690 Pierce ST EXPIRES: 08/18/1018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 29.59 sq
** CONTACTS ***
OWNER (303)931-2114 WILLIAMS DANIEL E
3UB (303)804-0303 Tom Brown 070055 Northwest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,946.15
FEES
Total Valuation 0.00
Use Tax 229.87
Permit Fee 220.15
** TOTAL ** 450.02
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
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.
F
f _
i CITY OF WHEAT RIDGE '
Building Inspection Division
(303) 234-5933 Inspection line %r
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECT,IIOO(N" NOTICE
Inspection Type: /� l
Job Address:
Permit Number:O/71 19& 7
{
❑ No one available, for inspection: Time Aljr/I/PM
_ 1
Re -Inspection required: Yes (No
When corrections have been made, call forre-inspection at 303-234-5933 '
Date: 7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201706327
PERMIT NO: 201706327 ISSUED: 08/18/2017
JOB ADDRESS: 3690 Pierce ST EXPIRES: 08/18/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 29.59 sq
*** CONTACTS ***
OWNER (303)931-2114 WILLIAMS DANIEL E
SUB (303)804-0303 Tom Brown 070055 Northwest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,946.15
FEES
Total Valuation 0.00K;
Use Tax 229.87 -
Permit Fee 220.15 E
** TOTAL ** 450.02
*** 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) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
® Residential Roofing PERMIT - 201706327
PERMIT NO: 201706327 ISSUED: 08/18/2017
JOB ADDRESS: 3690 Pierce ST EXPIRES: 08/18/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline asphalt shingles - 29.59 sq
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 r rty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this rther att at I am legally authorized to include all entities named within this document as parties to the work to be
pe and that be performed is disclosed in this document nd/or its' accompanying approved plans and specifications.
Sfg re o R or CONTRACTOR (Circle one) 3ate
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from -the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief dmg Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 2®170 �32,7
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 16, 2017 1:41 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION \
k
Property Address 3690 PIERCE ST
Property Owner Name DANIEL & JENNA WILLIAMS
Property Owner Phone 303-931-2114
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Ihammons@northwest-roofing.com
Address
85
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Yes
170408 - Contract.pdf
CONTRACTOR INFORMATION
Contractor Business Northwest Roofing
Name bL
Contractor's License 070055
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
3038040303
2425 S Colorado Blvd #280
Contractor Email Address Ihammons@northwest-roofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Ihammons@northwest-roofing.com
29.59
10946.15
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
86
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof-
Type
oof
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
Yes //
29.59
GAF TIMBERLINE HD
Asphalt
HOUSE / 5/12
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
Yes
Yes
Yes
Yes
87
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant LEILA HAMMONS
Email not displaying correctly? View it in your browser.
88
YANOWAWW
Be. •!i
Vince 1%3
2425 S Coloirado Boulevard, Suite 280 I Deriarer, CO 80222 1 (303) $04-M3 I fax (M) 84fi-5545
North West Rcialing Estimasair
D&W
urn" --ingliq 1 17 ------
Vo %A", Zip Job Lw7"-�/r*mvftW&t,,
- T
kisiman" Como" Policy a
L —41c
Ur'" of wort and Materials W bollvovhlllede r1 Pe a# wrrk and rn e, Itifid
Off Ltro,
0 in,"a O"i,ml 7 16 n c, -.r,< CHECK DECKING
DIV
4 wo Metal Dr%p Ede war
Year Manufacturee, Warranty
Color InItuilA
071--
kllld VAfWts With ke and Water Shield Uridertayme—
E] rJo@- valley With Parried metal
m4ldge,, W be color coordinated shingles
Erlraint Paul Stacks To Match Shtng* Color ALL
1911'-placo Low Profile Vents -PCIA— Turbine Vents
6?1Nonh West Roofing 3 Year Labor W*rranty
Qr1--1".I Stop Flashing Er --step Flashing Chimney
MINorth West Roof n will Pfovtde General Liability Insurance of at least 51,000,000.00
lean Up and Haul Off all Trash
Pr—pl.tecl and Clean UP Landscaping
151,rlp4n around bushes and shrubs
0-ICII.I. out Gutters
U<-, yard with magnetic roller
�,-tt Furnished by North West Roofing
CHem'Ugnaturer
Rop(Mituthis Signature
PUEBLO
(119) 633-7773
M&MM
A 8vug" tris ar-0-.1 tt,s fto—v Ae—,
to t*,,! tpreV e t,-4 -X,4
"eplaf#rne-t ,,r reaar Cue !,J "torn, Ti. -I torts--.
obqro the Morne,,*-,irt or North 11111*9 P00%V -,rt4 tne S4-..
200`av"d bi' tt',O Corroa-mi and acce-,!" by North West
Roofire u0 x^ xovoeat of --,- clam, North West Roofing
Complete :Peed c.work A! tho prce ar"atuo !0 r -e
comparo and!* North West P40fing
the home"ror e'cepz 1W 9,e:r o�
.t*'t!,ote eed
*4 become, the ftma; contract ;XXe 4 j North Wei L2Q2ftX
wrante oroceeds aro Llan ,e^., 1,-, .--,o
completed try West
Approxxor"imift Costs of the Services S15
Shah Ele The Agreed Upon Cost
,, Vwers, poof,,g and (0,7
eCarrier Thew RCV Cost n,
,.S
lt the Property Owner Plans to use The Proceeds Of a Property
and Causality linurance liceicy, Part I& ArX*4cfTitle 10,
accordance to Title 10 C R- S , section 6-22-105. the roofing contractor
cannot Pay ware rPtiate Mmese to Pav of warve rebate or arr, ct
msurance deduct,bie avp�abje to the InsurarKe claim for payment f
ar
the work on the covered property
Deposit Amount 5.2, 0-0,
North West Roofing " hold in trust any paymierrt from the
Property owner until materWs are delivered or have performed a
-BiOritii of the roofing work on the prop". *A4gy not kx*jde any
additional taxes, base service left and or U*Viements that P"Tairi
to the claim.
AApp�15�EM�pproximate Dates of Service: 10 DAYS AFTER A45REEME
These dates of service are subject to change due to unusual de",
transportation Of materials, Ordinary weather delays, Or by any other
causes beyond the reasonable control of Contractor
0 SPECLA'LINMUCTLONS
C Rfm—
Dat_
eof �Acceptx�n-c--_______„___`���
(800) 333-1704
DENVER
(303) 804.OM3 I fax (888) 84&-s545
SL— WV.- Ttm"
tilt
A14ert, OOT, 'was d
FORT M LINS
1970) 484-9430
Scanned -b -y CamScanner
i CITY OF WHEAT RIDGE
Building Inspection Division
- (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTME
Inspection Type:
Job Address: logo P; -��
Permit Number: 706.3 a-2
❑ No one available for inspection: Time
Re -Inspection required: Yes �No
When corrections have been made, call for re-inspe M30 -234-5933
Date: (?' dy' �� Inspector: 9 M57,-`
DO NOT REMOVE THIS NOTICE
I
DEPARTMENT OF GOMMUNITY DEVELOPMENT
BUILDING INSPECTION DIVISION PERMIT N0. MM93#4269
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY TME CHVEF BUILDING MSPECTOR AND RECEIPTED BELOW.
p'e ^ APP ION FOR MISCELLANEOUS PERM T
JOB ADDRESS `1'C/ D ~ ' OWNER (5 i I G
CONTRACTOR E RA-I11 N C- ADDRESS`/ rne
ADDRESS ZLp 0.~ (~J" t x i~Y~ ~'IF' t~ PHONE Y';Lr4 -i / ZIP CODE 3
CITY tl~~/S-t~m ! an ~S_~{'f ZIP CODE i L CONTRACT PRICE
PHONE '7'P(~.: s1sLb-L LICENSE NQ;~.Li DATE q a a 19
L TYPE GrounA
2. MATERIAL_
SIGNS 13, ILLUMINATION Yes❑ No❑
FENCES
4. SET BACK FROM PROPERTY LINE N_ :
(Spseify whith ia tront) ❑
1. TYPE SolidO Mon Than BO%
MATERIAL
3. SET BACK FROM PROPERTY LINE
(SDStify whicA is tront)
N_ S_
E_ W_
❑ ❑
Lut Thon f
E_ W_
❑ ❑
OTHER IZ'
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,GIVII:ia
(SETBACKS OR PROJECTIONS INCLUDED)
INSPECTION TICKET
y
JOB
ADDRESS _ J 0 \Y3~~z3ei~b~.
_ n~ c,
yyp t0793
DATE: I I-14 BLDG. PERMITN q Z C
PERM ITM
BLDG. CONTR. ~tX .
SUBCONTRACTOR
wt. '
DATE INSP. REQ. T
TYPE OF INSP. u
INSPECTION MADE ~ N- -C J
HEMARKS (y
STREET NAME
SNOW DISTANCES FROM THE MAIN BUIIDING TPADJOINING HOUSES, STREETS,AND
DISTANCE TO PROPERTY IINES, NOT MAXIMUM OR AVERAGE DISTANCE.
W.R. FORM 6-19 j
APPLICATION FOR PLUMBING; ELECTRICAL;
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BV THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN TNAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDER SIZE 8 ILIEGAL
FLOOR
BSM
I5T
2ND
3RD
4TH
NQ
FIJEI+CirW Ono Gaf 0II Propa» E Sda
Np,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
NEW SERVICE ° AMPS
CHANGE SERVICE-AMPS
LIGHTING
WASH BO'NL
BATH TUB
SHOWER
SINK
FpT WATEH - 8TU
STEAM - BTU
AIR CONDITIONING-BTU
OTNER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Ra}ri eront GrOu
UTILITY (RANGE, DISPOSER, ETC )
AUTO. WASHER
Poundt CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS 9 CONTf70L5
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWER$
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
I hereby ocknowladQe that this a0plico-
tion it wrrect and understand thot I
cannot stort thie Oroject unril tnia appli-
ootion is opproved. I shall oomply with
1M lowf of Ihe Slofe of Colorodo ond 10
fAe ZoninQ Repulalionn ond Bwldinq
Code of ihe City of Wl+eat Ridqe. Qny
violotion ol the above terme will cause
immraiate revoCafiOn of ihi3 permil
PERMIT FEE ` 3, G°-el no VI4LIY unLco~ 1
' ~ rya
uSE 7Ax
Q -a5 i3
TOTAL FEE $ Y ~C/
APPROVED
CHIEF BUILDINO INSPECTOR,City Wheat Ridqe