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HomeMy WebLinkAbout4505 Pierce StreetPERMITbf JC% 92 - ADDRESS: ` 56S- P)'or neS� JOE CODE: INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. -� I 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. -� I 204 Plumbing Underground Int. _ 205 Plumbing Underground Ext. 206 Water Underground 1 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 -� I 304 Sheer ir-sPcct;0r: _ 305 Insulation 306 Mid -Roof 1 307 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 Rough Plumbing Commercial F35 hower Pan SEE OVER FOR ADDITIONAL INSPECTIONS '-�A � -4- (-) 4��- - rjoc- 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 3 - ! y -1q -Fb 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 3 - ! y -1q -Fb 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 413 Building Final Inspection Note: All items must be completed and approved by Panning, 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: c -S a - r Job Address: �-0 5'-c. S e r e -e Permit Number: -D c I -7 a s.5 -,;) o e ❑ No one available for inspection: Time AM/0 Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 i 4-1 /,,E- Inspector _T_V_11) DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:[ Qq- � pwl 1Z60-( Job Address: 705, P, °1_a. Permit Number: Zd17H'7 5 Ft'fia/ Rog Ate- hpmvioJ. ❑ No one available for inspection: Time r 6/13M Re -Inspection required: C9 No When corrections have been made, call for re -inspection at 303-234-5933 Date: V0 0 Inspector: hale Low DO NOT REMOVE THIS NOTICE 0 i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office - (303) 237-8929 Fax INSPECTION N TICE Inspection Type: Job Address: Permit Number: :'��/D c -Or, i{s ❑ No one available for inspection: Time AM/PIT;; Re -Inspection required: Yes ;-No When corrections have been made, call for re -inspection at 303-234-5933 j Date: ,r Ins ec-tor: p - DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708205 PERMIT NO: 201708205 ISSUED: 10/11/2017 JOB ADDRESS: 4505 Pierce ST EXPIRES: 10/11/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 34 sq Pitch = 4/12 *** CONTACTS *** OWNER (720)975-6748 ALKAYAM KELLIE SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth 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: 8,738.00 FEES Total Valuation 0.00 Use Tax 183.50 Permit Fee 188.45 ** TOTAL ** 371.95 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708205 PERMIT NO: 201708205 ISSUED: 10/11/2017 JOB ADDRESS: 4505 Pierce ST EXPIRES: 10/11/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 34 sq Pitch = 4/12 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 partes to the work to be perfo edan{dthat all worko be py{e�rf%ormed is disclosed in this document andl/or its' acc�o�mpany%ing approved plans and specifications. Signature of OW ,TE or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 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 ordinance -eg or regulation �of this jurisdiction. Approval of work is subject to field inspection. Al [tori. ! axh:4 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett Fz1 I (V �—Lo From: no- reply@ci.wheat ridge.co.us Sent: Tuesday, October 10, 2017 12:05 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 bL Property Address 4505 Pierce Street Property Owner Name Kellie Alkayam Property Owner Phone 720-975-6748 Number (enter WITH dashes, eg 303-123-4567) 29 a C Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. thackbarth@comcast.net Yes Attach Copy of Executed Kellie Alkayam1.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) T. Hackbarth Roofing 020443 303-433-6762 Contractor Address 9751 W 44TH Ave., #103 (Primary address of your business) Contractor Email Address thackbarth@comcast.net Retype Contractor Email thackbarth@comcast.net Address DESCRIPTION OF WORK TOTAL SQUARES of 34 the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 8500 a J No Pitched roof (2:12 pitch or greater) 30 both? (check all that apply) What is the specific pitch 4:12 of the PITCHED roof? How many squares are 34 part of the PITCHED roof? Describe the roofing GAF Timberline materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional Main Dwelling - Tear off existing shingles down to deck, detail here on the replace with new description of work. (Is this for a house or garage? Etc) 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 31 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. Name of Applicant Todd Hackbarth Email not displaying correctly? View it in Vour browser. 32 ACCREDITED BUSINESS 9751 W. 44"' Ave. Ste. 103 Wheat Ridge, CO 80033 T. Hackbarth Roofing Residential & Commercial Since 1990 Office: 303.433.6762 Fax: 303.679.3072 ThackbarthRoofing.com Customer Name: Date: ''7 Contact Info: Phone #: L> �i—i S — C'1 Ll ", Cell #: E-mail: Property Address: Street#: f�t �� �' ' �` S! City. milk �� L40 State: GO zip: rp Insurance Com&)4 any: -1t.0 ; 5 Claim Date of Loss: Type of Loss: 1A4 / Company Rep:�l��`�Phone #: I authorize T. Hackbarth Roofing to work directly with my insurance company on my behalf and to furnish all material and labor as listed below Total Amount of Estimate $ i�c._err ` ' �.\ ` � is tt-mac->rj �f (Agreed upon price with the Insurance Company) The owners out of pocket expenses will not exceed their insurance deductible in the amount of $ L Cttf-AVC-F 16L, (Unless upgrades are added) § Process payments of Contract price shall be made as follows: llows: A.lfi t � C4, c'° � 40 r 1 c of` 1 r>�6 f jet, 'Y 7 Sc" r=` (ltvtL l.: �.. �. ili5v,Vtu' ,t'lx--..`S(.� ��L., V, Il l`". i-A"I1t-� Policy Specifications: Non -Recoverable Depreciation Recoverable Depreciation J Code Up -Grade Coverage Your project will begin once T. Hackbarth Roofing receives the initial down payment check. Final payment is due to T. Hackbarth Roofing once received from Insurance Company. All insurance supplement payments invoiced to insurance company to correct shortages in Original estimate will be paid to T. Hackbarth Roofing. We will furnish the following materials and labor as listed below: Tear off all layers of existing roof material: (layers) New Shingle: Initial Shingle Initial Install felt paper to match existing: 151b --X_30lb Install Pipe Jacks_ 3/1 _�4/1 Install Furnace Vents ca3°xS°5°x7° I 70x90 Special Instructions: Fascia color: Protect all landscaping, pools, a/c units Paint vents to match roofing material Haul off trash/debris and magnetic sweep Other Terms and Conditions: If deductible is more than stated above, customer agrees to pay the difference. In the event that Insurance Company only agrees to pay for repairs, neither party is bound by this contract. Customer agrees to provide a copy of Insurance Claim Report to T. Hackbarth Roofing upon receipt. A cancellation fee of 20% will be charged if customer cancels contract after insurance company has agreed to replace the roof. ** IF FOR ANY REASON THIS CLAIM IS DENIED THIS AGREEMENT SHALL BE VOID** By signing this contract you are authorizing T. Hackbarth Roofing and their affiliates to do the work as as outlined above. Please r the reverse foradditional Terms. and payments will be made Property wner r Authorized Rep ignature Date Hackbarth Roofing Rep. Signature ~ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 5934 BUII.DING INSixECTION DIVISION - 235-2855 C{TY OF`WHEAT RIDGE Date : 9/29/97 7500 WEST 38tH AVENUE WHEAT RiDGE, CO 80215 Property Owner : Property Address : 4505 PIERCE ST Phone : 424-1055 Contractor License No. : 18057 : Gompany : Modelco Electric Phone : 451 6236 OWNER/CONTRACTOR SIGNATURE QF UNDERSTANDING AND AGREEMENT ConsVuction Value : $200:00 1 hereby ce ond do nM cauenaMS,: (OWNER)(CONfRAGTOR) SIGNED_ Description : FURNACE Pertnrt Fee : $25.00 Plan Review Fee : S0•00 UseTax: $2.40 Total: $27.40 BUtLDING DEPARTMENT USE ONLY - Approval: Zoning; Approval : Approval ; Occupancy : Wails : Roof : Stories SIC : Sq. Ft. : Residentlai Units : Electrical License No : Plumbing License No : Mechanicai ticense No : Company : Company : Company : Expiration Date : Approval c+l (z) (3) (5) (8) Expiration Date : Expiration Date : Approval : Approval : 0 0 ~awbied a~ 181N, a n~esueeacaonaoanwromezonu~o ays tmm ftue daft w(e) ms iwumV aww;zea is susWdea a a«re(t~yeared• ~t~diar~ipesarc~•«'sus~pan bnpoaoamale ninmem wr (24) tqun in aAVerce tw aM GspeUioni aiwd ahallroc,iva wAttan eppmval on diapactlon caM beMre e~M epeclAeatlan shaN not be =strtbd to be a pemYt tor. nw an approval a. any Wdation of Me provisions r a RpuleGOn. , iief Building Inspector THIS PERMIT VALID QNLY WHEN 81CaNE0 BY THE CNIEF BUILDING JNSPEC70R AND MAYOR CALL: 234.5833 24 HOURS PRIOR TO INSPECTION 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 : Date : Property Owner : u tl' 67&14 ~ Property Address : ~~J J'~ ~ Phone : Contractor License No. : rF i 5 , Company : ~1~,/~~.1/~ c~ ~ Phone : Ct % / -i 2 ~C G'6 ^ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurete, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ritlge or covenants, easements or restrictions of record; thal al measurements shown, and allegations made are acwrale; that I have read and agree t bi e b II conditions printed on this application, and Ihat I assume full responsibr m i e with the Wheat Ridge Building Code (U.B.C.) and all olher applicable Whe idge or ~ ces, for work under this pertnit. /s (OWNER)(CONTRACTOR) SIGNED DATE Description : >U E ~ Zoriinr~3Frfin~s~~ Approval: Zoning : BUILDING DEPARTMENT USE ONLY Approval: P,dtitiq1ll(6P ~K~Cof►SRl~ts~ Approval: Occupancy : Walls Electrical License No : Company: Roof : Stories Plumbing License No : Company: Construction Value : ',4U61„ LIJ Permit Fee : Plan Review Fee : Use Tax : Total : SIC : Sq. Ft. : Residential Units : Mechanical License No : Company : Expiration Date : Expiretion Date : Expiration Date : Approval: Approval: Approval: ig 6PI!W~2~Qite~jg~ M 6,P,13fiS!RSQUfr8tl~9 n [EIES1tiC018'tlmo (1) This pertnil was IssueO In aaardance wiU the Orovisions set lorlh in yoWt ap011wlion and Is suqect to ihe laws ol the SUIe o/ CdpaCO and to the Zonin9 Regulations anE BuilEing Cotle of Wheat RiEge, Colorado ar any other applicaEk ordinances ol the Ciry. (2) This pertnit shall expire A(A) the work authonzed is not commence0 vnNin sixy (80) days Irom issue tlale or (B) the Wiltling aWafized is suspendetl or abanEOne0lor a period of 120 Oays, (J) If tnis pertnil expires. a new permrt may Ce acquired lor a fee o( one-halt the artrount normalty requireE, proviEed no Uianges have Deen or will be made in the original plans antl speuficafions and any suspension or a0andonment has not exceeCed one (1) year. It changes are maCe or il wspension or a0andonment exceeES one (7) year, lull fees shall Ee paiC for a new pertnit. (a) No work ol any manner shall be tlone that will change the naWral Ilow of waler causing a tlrainage pro0lem. (5) Coniractor shall notity the Building Inspector twenry-laur (24) haurs in advance br all inspeclions anE shan receive written a0P«l on inspectian fard before proceetliing witn su[Cessive phases of ine 1oo. (6) The issuance ol a permit or the approval ol d2wings anE speaficatlons 5hali nol be consWe0lo De a pe"il lor, nor an aOPrava10l, any violation of the Drovisions of the builEing codes or any oNer ordinance, law, rule or reguladon. 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 Property Owner : Property Address : 4505 PIERCE ST Contractor License No. : 18111 Company : Cooper Heating & Cooling OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiy that the setback distances proposed by this peMit application are acarate, and do not Wolate applicable ordinances, ruks or regulationa of the City of Wheat Ridge or covenants, easementa or restricdons of record; that all measurements shown, and aliegations madeare accurate; that I have reed and agree to abide by all condkions printed on this appliptbn, and.that I assume full responsibility for compbance with the Wheat Ridge Building Code (U.B.C.) and ell other epplkxbla Wheat Ridge oMmancea, for woAc under this pertnR. (OWNER)(CONTRACTOR) SIGNED DATE Description : REPLACE FURNACE BUILDING DEPARTMENT USE ONLY ~ SIC : Sq. Ft. : Approval : Zoning : Approval : Approval : Occupancy : Walls : Roof : Stories : Residential Cfnits : Phone : 424-1055 Phone : 466 4209 Construction Value : $1,900.00 Permit Fee : $60.50 Plan Review Fee : $0.00 Use Tax: $22.80 Total: $$3.30 Electrical Lieense No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) rnu permn w88 iseaed ~n accomance wim ma provisrom Set ronn ~n yopur ePPUwtio,.nd ie eu uea ro me iaws a me srem a caoraao ana ro me za,v~p Resula6ons antl Buqtli~ CoCe of Wheat Ridge, Cobredo or any oG~er appNCeble orCinances N Ciq. aTh brsan~~ al p~eriod of 21 tl~ ays~ aulharizetl is frot oommencetl wNhM saly (e0) days trom issue tlale a(B) Me buildirp auUwrizetl is suspantled or (3) H ihis parmit erzpires, e newpe mut msy be acquired br a tee of one~haHthe emouM rrortnalry required, provided no chergea have been orw~ll be maEe in the arlynal plans and spedfiaLOns antl eny suspension w abenCanment has not eucoeded one (1) year. If changes are made or N suapensbn or abembnment ezceeds one (1) yeer, futl feesshefl be peitl Mr ariev pertnit. (4) No vrork of any msnner slrell be done ihet wlll changs the naturel Aow of wffier causUp atlralnage problem. (5) ContraGw s oUy the BuiWing InsDeclor hvenlyfour (24) fqurs in advarke for all inspectlons eiM shali receive written approval on inspec6on carE before pr~ceetliing wa:esaivephesas of Uu 1ob. (e) hT e isauen a pe N or the~+J p~oval of drawings and spe~cationa ahe11 not be conawed to be a pertnR for, nor an approval of, eny vblatbn of ihe provisbns of the bul cDdWor a9ypu7{r oMinance; law, nde or re9ulation. . THIS PERMIT VALID 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 : G I 1(~1ci_7 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner: ii 5m`'0- `5 P' ~ ` ce CS+ 424 - 1o s ~ Property Address : -c Phone : Contractor License No. : 16 i i~ Company: Cpopo_ }}tD ~ ' nCL_' Phone: 4(,~-4209 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 restriaions 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 tor wmpliance with the Wheat Ridge Building Code (U.B.C.) and all other appli:able Wheat Ridge ordinances, for work under this pertnit. (OWNER)(CONTRACTOR) SIGNED Q,;r DATEc'1IIbirt7 Description: Zn51c) U IoC),Coo I-Lt, Construction Value : Iqoo - Permit Fee : ~Oo - ~50 Plan Review Fee : Use Tax Total: 83, 5G BUILDING DEPARTMENT USE ONLY Zoning'C"ommenZS7 SIC : Sq. Ft. : Approval : Zoning : Buifding'Commentsi] Approval : . Public' Wo'Fks'C"ommentsi] 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: - ~ 'P ans'Required~ °Plan's Required~ ~ .-P.lans'Required.a,n7 (i) mis permit was issued in accor0ance with the provisions set torcn in yovur apoiifation and is subject to the iaws of me State of Coioraao ana to me Zoning Regulations and Building Cotle of WOeat RiCge, ColoraCO or any other apPliwble ortlinances of the Ciry. (2) This permit shall expire if (A) Me work auNOnied is not commence0 within sinty (60) tlays hom issue tlate or (8) the building authonzed is suspenCeE or aOanCOnetl lor a penoC of 120 days. (3) II this permit ezpires, a new permM1 may Ee acquireC for a fee of one-half the amount normally require4 providetl no changes have Deen or will be made in the original plans anC specifcations antl any suspension or abantlonment has not ezceetlea one (1) year. II changes are matle or rt suspension or a0andonment exceeds one (1) year, full lees shall be paid for a new pertnit. (4) No work of any manner shall be tlone Mat will change Ne naNral flow ofwater causing a Orainage pmDlem. (5) Contrador shall notiy the Builtling Inspedor twenry-four (24) hours in advance (or all inspections and shall receive wntten apProval on insDection cartl before pmceetliing with succe55ive phases of lhe7'ob. (6) TTe issuance of a pertnit or lhe appraval of tlrawings antl specifcations shall not be construed lo be a pertnit for, nor an approval o[ any violation of the provisions of Ne Duiltling coEes or any oNer ortlinance, law, rule or regulation. 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