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HomeMy WebLinkAbout3920 Quay Street1-7 INSPECTION ECT ON RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occuaancy/"wne )ff F _ Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. 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 Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections Rough Inspections Date Inspector Initials Comments Wall Sheathing r Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof 7 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 low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201702117 PERMIT NO: 201702117 ISSUED: 06/19/2017 JOB ADDRESS: 3920 Quay ST EXPIRES: 06/19/2018 JOB DESCRIPTION: RESIDENTIAL REROOF - TAMKO HERITAGE 30 YR COMP ASPHALT SHINGLE IN RUSTIC CEDAR COLOR - 34 SQ. *** CONTACTS *** OWNER (303)638-0545 SIPPERLEY NICOLE GC (303)257-4611 Derek Blea 140232 Del Sol Realty Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,700.00 FEES Total Valuation 0.00 Use Tax 203.70 Permit Fee 204.30 ** TOTAL ** 408.00 *** 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 A1/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer&#39;s technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. i CITY OF WHEAT RIDGE -1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: r" -T -b _ Job Address: ,R-() 6> LI rte., S Permit Number: x017 n 01 1 I NbT e-acl�l NOT 0 era ❑ No one available for inspection: Time )AM/PM �,Ee-Inspection required: E No Re C) v,- P -Pt When corrections have been made, call for re -inspection at 303-234-5933 Date: &fA 01/17 Inspector: U DO NOT REMOVE THIS NOTICE A ® City of Wheat Ridge Residential Roofing PERMIT - 201702117 PERMIT NO: 201702117 ISSUED: 06/19/2017 JOB ADDRESS: 3920 Quay ST EXPIRES: 06/19/2018 JOB DESCRIPTION: RESIDENTIAL REROOF - TAMKO HERITAGE 30 YR COMP ASPHALT SHINGLE IN RUSTIC CEDAR COLOR - 34 SQ. *** CONTACTS *** OWNER (303)638-0545 SIPPERLEY NICOLE GC (303)257-4611 Derek Blea 140232 Del Sol Realty Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,700.00 FEES Total Valuation 0.00 Use Tax 203.70 onn Permit Fee 204.30 * * TOTAL * * 408.00 *** 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 Ash-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 manufacturerdErms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer&#39;s technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge u, Residential Roofing PERMIT - 201702117 PERMIT NO: 201702117 ISSUED: 06/19/2017 JOB ADDRESS: 3920 Quay ST EXPIRES: 06/19/2018 JOB DESCRIPTION: RESIDENTIAL REROOF - TAMKO HERITAGE 30 YR COMP ASPHALT SHINGLE IN RUSTIC CEDAR COLOR - 34 SQ. I, by msignature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicaby le building codes, and all applicable municipal codes, policies and procedures, and that 1 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 attestithat I am/le authorized to include all entities named within this document as partes to the work to be performed and Haat all wA k to be ertormed is disclosed in this document and/or its' accompanying approved plans and specifications. ?(I /, - Zo Signature of 'OWNER 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 plans 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 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 an 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 approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval' wo is subject to geld inspection. Signature of Chief Building Official Date REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. c�b170a1�7 Antoinette Kulick From: no -reply@ ci.wheatridge.co.us Sent: Friday, June 9, 2017 1:35 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those Alt documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. /� r��(vl` a 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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 3920 Quay St. Wheat Ridge, CO 80033 Nicole Sipperley 303-638-0545 Field not completed. Yes CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Del Sol Realty Services 140232 3039481988 Contractor Email Address shelbyholland09@gmaii.com (permit pick-up instructions will be sent to this email) Retype Contractor Email shelbyholland09@gmail.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Tamko Heritage 30 yr comp asphalt in rustic cedar color Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 34 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 34 roofing material for this project 2 Provide additional detail Complete tear off of existing materials and re -roof the primary here on the description of residence and garage. Pitch 5/12. work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 9700 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 Derek Blea Email not displaying correctly? View it in your browser. 3 1716 Office: 303-948-1988 111995 W Belleview Dr. Littleton, CO 80127 Homeowner: Date: 1j���% f�j/y s Date: 5'-7 17 - Address: 7340,5_ iv), � Phone #: 702 ---% 71 LRLi E-mail: Insurance Co.: �{ �(xl�(/S Deductible: Insurance Claim #: Adjuster: ) Adj. Phone #: 1 7 - Sgrl, -.-87�y'� HOMEOWNER BY LAW MUST PAY DEDUCTIBLE Exist. Shingle: _F1 �' 6-� Layers: 1 SQS: Shingle Brand selected: �( L4614_t /� Color: 4,5 Ice and Water YES NO GUTTERS ES l NO Color: ($175/sq) Synthetic Underlayment 5#: 30# ($75/sq) Ridge Vent ($15/ft) YES NO High Profile ($5/ft) 30 yr I.R. ($35/sq) ES NO PAINTING YES NO WINDOWS YES NO SCOPE OF WORK Tear off all existing roofing and underlayment. Install new underlayment per code including ice & water shield if required. Install owner's choice of shingles, new pipe jack boots, vents, flashing, and drip edge per code. Del Sol will get a permit with the city/county that the address is in the jurisdiction of. Cleanup ofgutters, all decks, porches, and driveway, including magnet roll and haul away of debris. Any previously attached roof ornament or functional piece shall be reattached as before unless otherwise requested by owner. Sheds and/or detached structures are not assumed to be included unless specifically indicated and agreed upon. Additional charges may occur if sheathing is damaged or deemed not to code and required to be replaced. Roof Estimate Upgrades Amount Payments Received RCVRoof Est.: jtej fo Exer9A AQ l ENIOT,a r A4Z Ali- Vp ACV/Pmt.1 Deductible: a � � -me ieDA (rUU J- SW gAgCE Deductible: - Estimate Total: Supplement FINAL TOTAL DUE: PLEASE SE9 AD ITIONAL TERMS ON BACK OF THIS PAGE Homeowner Signature,- !�' ��n Print Name: �a 1' -Yate: 5-z- - / Sales Rep Signature: Print Name: IqAkk So-bi, A Date: C-41-1 ACCREDITED BUSINESS Ki ____ I NOTES: All checks payable to Del Sol Roofing: 11995 W Belleview Dr. Littleton, CO 80127 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: /4 /1--r /-� Job Address: 3 r' -2 yL/4'1/S Permit Number: 6 / % Q ❑ No one available for inspection: Time.-�AM/PM <: Re -Inspection required: Yes �No) When corrections have been made, call for re-insp6ctiq 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: /?o F Job Address: _ ? Permit Number: _L®/- ❑ No one available for inspection: Time ,` AM/PM Re -Inspection required: ;'Yes % No When corrections have been made, call for re -inspection at 303-234-5933 t 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: c �_ Job Address: -3 �'2 C_ ud Permit Number: (.._ O P-1 0 /2 ❑ No one available for inspection: ime ` " ` AM/PM Re -Inspection required: Yes C1V When corrections have been made, call for re-inspeEtiop at 303-234-5933 Date: Inspectorj` f , DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office * (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: - fl 0/-- Job Address: W 2 5 0, L; /-I 'I Permit Number: IJ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Inspector: DO NOT REMOVE THIS NOTICE City of Date: 5 COMMUN i Ty DEVELOPMENT planipennit # Building & Inspection Services Division Z 7500 W. 29" Ave., Wheat Ridge; CO 80033 Plan Review Office: 303-235-2055 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: ernris i.h:strid e;oo us Building er it Application Mailing Address: (if different than property address) Address: , City, Stag, i, Arrchi e+ctlEngin ' E-mail: phone*. Contractors City License #: Phone: ContractorE-mailAddress: e 4�/7 ? Sub Contractors: Electrical: Plumbing: Mechanical: W,R. City License # W.R. City License "# WR City License # Other City Licensed Sub: {ether City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form «s• COMMERCIALNEW STRUCTURE R ELECTR.. # SERVICE UPGRADE NEW RESIDENTIAL • #ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WI. i• REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc') RESIDENTIAL # #x. STRUCTURE (Gara r*.. ..... ■ MECHANICAL # RR# REPAIR R # REPLACEMENT 1i R } �RlRs PLUMBING SYSTEM/APPLIANCE RIR# R R kR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENTi 2 Sq. FULF Stu's Gallons Amps Squares Other ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line _.(303) 235 -2855 Office • (303) 237 -8929 Far INSPECTION NOTICE Inspection Type: j t-,-F Job Address: S%al) u,i i 44- Permit Number: /©/ 3 f 9 n n Y V ❑ No one available for inspection: Time .10 , G; M ), PM Re- Inspection required: YeCNo k When corrections have been made, call for re- inspection at 3a3 -234-5933 Date: C t ff Inspector. .. DO NOT REMOVE THIS NOTICE X Use Tax * *.. TOTAL ** z; Conditions: n Jv 3.93 ?.83 ,ed on job site. If one or the c ! =Signature o REQUEST Official date INSPEC ON LINE: (303)234 -5933 BUILDING OFFICE: (303)235-2855 'REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. INSPECTION RECORD Occupancy /Type IV - INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Sheathing Stemwall / (CEG) Concrete Encased Ground -oath / Wall tie Reinforcing or Monolithic Mid -Roof Weatherproof / French Drain Electrical Service Sewer Service Lines Rough Electric Water Service Lines Gas Piping CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Fire Department ----------------- ------------- ------- R.O.W & Drainage - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing -oath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRO CITY OF WHEAT RIDGE -- Framing 06/61/10 7:55 AM cdbb o Insulation - Thpeas R -Brown Drywall Screw RECEIRT NO:CDb004580 AMOUNT OPSP Reraof 30.3 sqs with 442.83 FINA 181369 Electrical Permit Fee 253.98 Use Tax _ 188.93_! Plumbing PAYMENT RECEIVER — AMOUNT Mechanical MC 4868 4422..83 83 Roof Auth Code: 012628 Building Final TOTAL 442.83 Fire Department ----------------- ------------- ------- R.O.W & Drainage - INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦��4 _• y City Of Wheat j�idge Date: COMMUNITY DEVELOPMENT Permit #:���� Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Facsimile Building Permit Application Property Address: �)L)e--l) (-1'J 1Ct Property Owner (please print) "bC�6 \\ MaiiingAddress: (if different than property address) Contractor: 4 Contractor License #: one: Sub contractors: Comoanv Name; LiGen$e #: Exoiretion Date: Trade /Professlon: Approval: Use of sppace (( description): Dazed tlonoTwork:i(`' r �CIC� tg, O Plan Review (due at time of submltaIN $ Sq. Ft./LFt added: Squaressb•3 [BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distance& proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Most Ridge or oovanants, easements or restdctians of record; that all measurements shown, and allegations made are accurate; that t have read and app byy toe to abide all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridgga Building Code (I.E.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field Inspeetton. CIRLCEONE:: (OWNER) (CONTRACTOR) or PER65NAS RES DLT.A:[�h NE) (CONTRATOR) PRINT NAME: E t I � SIGNATUR ! Date: 1� TONING COMMENTS: Zoning; Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY aUILDING DGPARTMENTCOMMENTS: OCCUPANCY: Reviewer. FIRE DEPORTMENT.: 0 approved w/ comments O disapproved D no review required I Bldg Valuation: $ Credit Car Pay ant: Us credit c rd listed Print nam '� �.I Sign; Z/Z 0000000000 6Ui300J ;samgTJcu Wd EG :bO LZ-AEW -OIOZ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 76477 BUILDING INSPECTION LINE -(30S-2S4-5985) Date : 11/20/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: KELLY W ELCH Property Address : 3920 QUAY ST Contractor License No. : 18464 Phone : 463.8444 Company : B& F Heating & A/C Phone : 431 8914 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit appliration 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 prinled on this applicalion, and that I assume full responsibilily for compliance with the Wheat Rid9e Building Code (U.B.C.) and all other applicable Wheat ances, for ork under this permit. (OWNER)(CONTRACTOR) SIGNED ~/lt- DATE II L'~ Construction Value : $6,575.00 Permit Fee : $181.10 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $181.10 Use: Description : INSTALL 100K BTO FURNACE & 2.5 TON A/C UNIT, & 200 AMP SERVICE CHANGE (TAX ID 0411C) BUILDING DEPARTMENT USE ONLY ZanrQdViimm~ SIC : Sq. Ft. : Approval : Zoning : 1130069 CQ"WihkS6 OKAY Approval: DM P"N 1e~4VakkG9A r}Ats Approval : Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : 17875 Plumbing License No : Mechanical License No : Company :Coffman Electric, Inc Company : Company : Expiration Date : 2128/2005 Approval : DM Expiration Date : Expiration Date : Approval: Approval: (1) This permit was issued in accordance with ihe Omvisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not wmmenced within sixty (60) days (rom issua date or (B) tha building authonzed is suspendetl or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes hava been or will be made in the original plans and specifications antl any suspension or abandonment has not exceadad one (1) year. If changes are made or if suspension or abandonment exceeds one (i) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the natural Oow otwater causing a drainage problem. (5) Contredor shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspeclion cartl before proceediing with successive phases of the job. (6) The issuance of a permit or ihe approval of drewings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the bu' n codes or a other ordinance, law, rule or regulation. t Chief Buildi Inspector " PI'base sign Terms and Conditions on reverse side of page. Nov-13-03 013:43 (4"~7~ P_02 ~~.1~1 g." ,,,,orsc~ uvN urvI51UN - 235-2855 - _ V. ,J CITY;OF WffE.aT RIDGE 7$i~p EST 29TH AVENUE WHEA RIDGE, co soz,s APPLICATio N Pr )pertlY C7w+her PraEertyAddrms Ci c;A..,~.~ F'hone rlJ~ ;k~ft~'il Contracto - LiC@nse W. t ' i ra -`7 Ll t3 WtJ E K2/C.ryNTRAC7 OR f ne'nby cz UfY fhat tha e efbi arA tla nM ralale apPllc sble cavenan, a, eastmenls o ~ ree madt aft' gccurate; [hAt hai apphcaliun and tRat I aa aum Ga1e (U.B. ; ) ard all att M o (pWNERi(t~ON7ftAC7L R) SIYBN@6 _i DeSCriFtion . N.M. 2 .,~tl li' Apprava Zoning : ummzl Approval p SEMMMMMM j ApprovaE : C7ccurancy : Vyed, Electric.31 i_icense Mc : ~/0; Company , f Expirati<rn pate : Approvol : (i} ?riscrorm~wae A+9u'a`+p# and 11'.'b ['ennlflteill 2LihtlOM9 f01 i (3~ If'iispe:milenD in tl{ Np wcak (5f CCOtfdCl proca!d ie7 Tn> neu • B4 r". f 1C'C171rlc. iE OF UNDER5TANpING AND AGREEMENT C01151fUCiipfl V8€U8 prGpossd ey this pem,q appiiution aro aawate Permit Fee ruks or ngvNatane ot the Ciry Olyy~n q~pe a. ecud: that ail meswramrnta etrom, aM aikgattone igroe m abNm Dy aA corWHionx Adefad on this USB TeX : ub fpr comyNance wqh tha Wheat RiOge BuNtlinQ h'. . Ieqe oNinanas, fw woflc under thb permit. i, , Tatal : DAIE =u- - 71 USE: ~ BUILdING DEPARTMENT USE ONI.Y SIC Roof Stories : R(sidentlal Units Plumbing License No : Company : Expiratbn Date : Approval : +Hb gn DWANOb fet bM In yppur aoolit Mechnnical ticense Comp any : Expira tion Oate : Appro ral : mtl ks tW~ct b 7ro Wn MIM 5p10 ot ColoraCC a!c We Zmny u...J r».. ice oomnwnceo wMm aIY1y I80} Mys hvn uwa Wb or (8) tiq t aiCir.q wlhp,zaa,e ~ sperACq a Eor a fre d omntWt ~y amounl M~mdly repdreE. pwiOM no d~npt! ~sw Wen a!1 be made mew or atlindanmint haa MI uineditl One (9) Year. II danqeS ne msM1 or A suipbnnu a sus'Manrt~eM 1 tlN N)lltl'l1110W Wlhf tJllevp i tlf~NYap! pIOWlT, our R~1 lwun M advana kr dl m?~s uie ahMl nuiva wr ~ten aPF`TMr+al on in~0 aon c~b be4,re +w rCecftatlCna slull not bt contNied m De s OKm M. Aat 4 n a0Mws1 d. +nY M, tion af 7ha Pw,m:om imrpuWron. 1 N