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Home My WebLink About2600-2610 Upham StreetOQl 7t,)-7 i�3 40 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 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 Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing /. Mid -Roof Lath / Wall Tie i 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 appro-�, e i n%,- a, Publir V!ork.s, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Bu/'elir?ca "�,,iz _ir.,ar r :;^ riot cor,stitate au.ho;ri-aiic�n of occupancy. *For low voltage permits — Please be sure that rough inspections are comr!.=:tees 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 A r City of Wheat Ridge Residential Roofing PERMIT - 201707133 PERMIT NO: 201707133 ISSUED: 09/11/2017 JOB ADDRESS: 2600 Upham ST EXPIRES: 09/11/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 31 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)916-1666 HIBLER MATTHEW C SUB Michael F. Boyd 018879 Michael F. Boyd *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee, 188.45 ** TOTAL ** 377.45 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201707133 PERMIT NO: 201707133 ISSUED: 09/11/2017 JOB ADDRESS: 2600 Upham ST EXPIRES: 09/11/2018 JOB DESCRIPTION: Residential Re—roof to install asphalt shingles — 31 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 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 CON TOR (Circle one) Date 1. This permit was issued based on a information provided in the permit application and accompanying plans and specifications and is subject to the compliance with th se documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days er 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 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 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 coge or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 1 From: no-reply@ci.wheatridge.co.us Sent: Friday, September 8, 2017 7:49 AM 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 Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) L_ 2600 Upham Street Matthew Hibler 303-916-1666 Property Owner Email Address 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 n/a Yes 2600 Upham Street.pdf CONTRACTOR INFORMATION Contractor Business Boyd Roofing Name , Contractor's License 018879 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) 303-808-2054 2201 Raleigh St. Contractor Email Address mfboyd1@comcast.net Retype Contractor Email mfboyd1@comcast.net Address DESCRIPTION OF WORK TOTAL SQUARES of 31 the entire scope of work: ` Project Value (contract 9000 value or cost of ALL materials and labor) Are you re -decking the No roof? F Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No Yes 4/12 31 30 year shingle Asphalt 1 layer off 1 layer on. 30 year Tamko shingle 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. Yes Yes Yes 3 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. 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 Mike Boyd Email not displaying correctly? View it in your browser. Proposal Roofing Contractor Michael F. Boyd 2201 Raleigh St. Denver, Colorado 80212 Cell 303-808-2054.Office 303-458-3805 • Fax 303-458-0321 Proposal Submitted to: Matthew Hibler PH#: 303-916-1666 Property Address: 2600 Upham Street City, State, Zip: Wheat Ridge, Colorado 80212-7052 Date: 9/1/2017 We hereby submit specifications and estimated for: 1. Remove hail damaged roofing 2. Install ice and water on the eves and all new underlayments with drip edge 3. Install a 30 year shingle in accordance with all city and manufacture codes and specifications We propose hereby to furnish material and labor, complete in accordance with above specifications, for the sum of: Nine Thousand dollars and zero cents ($ 9,000 ) Payment to be made as follows: Deposit $ 4,500 Balance due upon completion $ 4,500 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation for above specifications involving extra costs will be executed only upon written orders and will become and extra charges over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire, tornado and other necessary insurances. Acceptance of Proposal - he above prices, specifications and conditions are conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: ` Z ,A al -7 Authorized signature. -A- bt^, Note: This proposal may be withdrawn by us if not accepted within 14 days Signature:�"'""�►- Signature: A r City of Wheat Ridge Residential Roofing PERMIT - 201707133 PERMIT NO: 201707133 ISSUED: 09/11/2017 JOB ADDRESS: 2600 Upham ST EXPIRES: 09/11/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 31 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)916-1666 HIBLER MATTHEW C SUB Michael F. Boyd 018879 Michael F. Boyd *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee, 188.45 ** TOTAL ** 377.45 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201707133 PERMIT NO: 201707133 ISSUED: 09/11/2017 JOB ADDRESS: 2600 Upham ST EXPIRES: 09/11/2018 JOB DESCRIPTION: Residential Re—roof to install asphalt shingles — 31 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 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 CON TOR (Circle one) Date 1. This permit was issued based on a information provided in the permit application and accompanying plans and specifications and is subject to the compliance with th se documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days er 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 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 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 coge or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 1 From: no-reply@ci.wheatridge.co.us Sent: Friday, September 8, 2017 7:49 AM 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 Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) L_ 2600 Upham Street Matthew Hibler 303-916-1666 Property Owner Email Address 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 n/a Yes 2600 Upham Street.pdf CONTRACTOR INFORMATION Contractor Business Boyd Roofing Name , Contractor's License 018879 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) 303-808-2054 2201 Raleigh St. Contractor Email Address mfboyd1@comcast.net Retype Contractor Email mfboyd1@comcast.net Address DESCRIPTION OF WORK TOTAL SQUARES of 31 the entire scope of work: ` Project Value (contract 9000 value or cost of ALL materials and labor) Are you re -decking the No roof? F Does the scope of the project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) No Yes 4/12 31 30 year shingle Asphalt 1 layer off 1 layer on. 30 year Tamko shingle 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. Yes Yes Yes 3 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. 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 Mike Boyd Email not displaying correctly? View it in your browser. Proposal Roofing Contractor Michael F. Boyd 2201 Raleigh St. Denver, Colorado 80212 Cell 303-808-2054.Office 303-458-3805 • Fax 303-458-0321 Proposal Submitted to: Matthew Hibler PH#: 303-916-1666 Property Address: 2600 Upham Street City, State, Zip: Wheat Ridge, Colorado 80212-7052 Date: 9/1/2017 We hereby submit specifications and estimated for: 1. Remove hail damaged roofing 2. Install ice and water on the eves and all new underlayments with drip edge 3. Install a 30 year shingle in accordance with all city and manufacture codes and specifications We propose hereby to furnish material and labor, complete in accordance with above specifications, for the sum of: Nine Thousand dollars and zero cents ($ 9,000 ) Payment to be made as follows: Deposit $ 4,500 Balance due upon completion $ 4,500 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation for above specifications involving extra costs will be executed only upon written orders and will become and extra charges over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control.Owner to carry fire, tornado and other necessary insurances. Acceptance of Proposal - he above prices, specifications and conditions are conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: ` Z ,A al -7 Authorized signature. -A- bt^, Note: This proposal may be withdrawn by us if not accepted within 14 days Signature:�"'""�►- Signature: L)� 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: U It Job Address: (, u L) U104 S Permit Number: 7 -7 v % � ❑ No one available for inspection: Time /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: I ` (`" �( 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: M 1 Q Job Address: '7. U P,ArVk T Permit Number: to one available for inspection: -Time mime 2 CXR AMC Re -Inspection required: YesQ_1! No When corrections have been made, call for re -1 ection aj.363-234-5933 Date: ah -Inspector: ' DO NOT REMOVE THIS NOTICE GAN, of 0 :)N � A" ry Dwuor 'k �,,IUNI MENT FOR OFFICE USE ONLY -6ate _- Plan1permit * 1),t) ( �0 61`1 �1 t 111 Z=111 11111 1 !Irll � ills Address: &rchi ecV inSgr ArchitectlEngineer E-mail: - Phone: Electrical: V.I. City License # Other City Licensed Sub" City License # Plumbing, W, R, City License# Mechanical. WR City License # Complete all information on BOTH sides of this form M M - 11 — 1111111 "I'll "I'll 11111 0 NEW COMMERCIAL STRUCTURE 0 ELECTRICAL SERVICE UPGRADE 0 NEW RESIDENTIAL STRUCTURE -,COMMERCIAL ROOFING 0 COMMERCIAL ADDITION RESIDENTIAL ROOFING 0 RESDENTIAL ADDITION WINDOW REPLACEMENT 0 COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT 0 ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT 0 OTHER (Describe (For ALL projects, please provide a Aetailed description of work to be performed, including current use of areas, ♦mOft,n� 11 liance size and efficiencjj,_�,e and amount of materials to be used, etc.) OVIC", 1 0 6 of MUM C MM Amps Squares 00ter Project Value: (Contract value or the cost of all materials and labor included in the SlAire project) S'-1.000 088"NEWCONTRAX"FOR SIGNATURE OF UNDEWSTANDING AND AGREEMEN71' I hereby evrtify that the setback distances proposed by this nnit application arewcurate and do not violate appliaible ordinances. rules or regotiation,s of the City of Wheat Ridge or covenants, casements or restrictions of record: that all measurements shown and allegations ruade are accurate. that I have read and agree to abide by all conditions printed on this appliaition and that I assume full re,s w sibility for compli 1 a a oce with applicable City ol'Wheat Ridge codes and ordinances for work, under any permit issued 1xised on this application; that I ara the legal owner or have been authorized by the legati owner of the property to perform the described woork- and arra also authorized by the legal owner ofany entity included on this application to list that cnfity� on this application. CIRCLEONE: (01V14IER) (CWMICTOR) — (AV7110RIZEDREPRESENT ATI of (OWATER) (CONTRAC70R) (7 LR_I,N"f NAMF/—, A (A SIGNATIJRF:�' Building Division Valuation: $_ Data City of �.� .� jj�'Wh6atl?s,,jd� Building & gInspe tion Services Division 7590 W. 29th Ave., Wheat Fridge, CO 80033 Plan Review Fee Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line; 393-234-5933 Email. errnits c .vie tr d e. ea.us Building Permit plication Please complete all highlighted hted areas on both sides of this form. Incomplete applications may not be processed. Property Address. Property Owner {please print � �� Whine: , 1 Property Owner Email: Z' 's Mailing Address: {If different than property address} Address: City, State, i Ar hltect/Engirteer E-mail: Phone: Contractors City License #. Phone: Contractor E-mailAddress: Sub Contractors: Electrical: Plumbing: Mechanical; W.R. City License # W.R. City License # W.R, City License Other City Licensed Sub, Other City Licensed Sub: City License # City License # Complete all information on RUTH sides of this for ot ., that asp 0NEW COMMERCIAL STRUCTURELECTRICAL NEW RESIDENTIAL STRUCTURE ,fir ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING M. RESDENTIAL ADDITION !REPLACEMENT COMMERCIALO ►- shed,- RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL r.. A SYSTEM/APPLIANCE IRR. • !• REPLACEMENT _. w 2co A Sq. FULF Btu's Gallon$ Amps Squares Other x Date: City of j h6atj� �Wf� i tit iUNn-y DEVELOPMENT plan1permit Building & Inspection Services Division 7500 K 291' Ave., Wheat Ridge, CO 80033 Man Review )w Office.- 303-235-2355 * Fax: 303-237-5929 Inspection Line: 303-234-5933 Email:gffl is ci.wheatricl e.co. s BuildingPermit Application +axxx vadxww xx A'r%fua wxc,xw aYxx %14x,7 f%fX xx:.:. I Property Owner (please print): IQ,�Rlf Phone: w C itv. State, Zir)- _ . Architect/Engineer E-mail. hone; Contractors City License M. Phone.* Contr ctorE-mail Address: Sub Contractors: Electrical: Plumbing: Mechanical: WR City License # W.R. City License #i WR City License # Other City LicensedSub: Other City Licensed Sub: City License # City License Complete all information ars BOTH skies of this form • b* ! 111 MF ! '.. • 111 ! * - • f ! ! v DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-948 BUILDING INSPECTION DIVISION - 235-2855 Date :5/11/95 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : 2600-10 UPHAM ST Phone : 238-4361 Contractor License No: : 17832 Company : Lon Smith Companies Phone : 291 0300 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $3,724.00 I hereby certify that the setback distances proposed by this permit application are accurate, Peffilit F2e : $63.00 and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or easements or restrictions of record; that all measurements shown, and allegations covenants Plan Review Fee : $0.00 , made are accurate; that I have read and a9ree to abide by all conditions printed on this application, antl that I assume full responsibility for wmpliance with the Wheat Ridge Building ermit this fk d f U52 TaX : $55.86 . er p un r wo Code (U.B.C.) and all other applicable W Ridge ordinances, CC DA75S'Lr Q5 Total' $118.86 _ (OWNER)(CONTRACTOR) SIGNED Description : REROOF Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : on m (1) This permit was issued in accordance with the provisions set forih in yopur application and is sub"ecl to Ne laws of ihe State of Coloredo and to the Zoning Regula0ons antl BuilCing Code of Wheat Ridge, Colorado or any oNer appliwble ortlinances of e City. (2) This permit shall expire if (A) the work authorized is nol commenced within sizly (60) days from issue date or (B) the builtling authorizetl is suspended or abandoned for a penod ot 120 days. (3) If this permit expires, a new permil may be acquiretl for a fee o( one-half the amount nortnally require0, proviCetl no changes have been or will be matle in the original plans antl speGfications antl any suspension or abandonment has not exceeded one (1) year. It changes are ma0e or it suspension or abandonmen[ exceeds one (7) year, full fees shall be paitl br a new pertnit. (4) No work of any manner shall be tlone that will change the natural flow otwater causing a drainage problem. (5) ConVaclor shall no6ry the Builtling Inspector twenry-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before VTroceediing with suaessive phases of lhe job. (6) bWIOi pocodes mlany qlhePorQinanke, aw~nu$e or d regua0ontions shall not be construetl to be a permit tor, nor an approval of, any viola6on ofthe pmvisions oF the Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 7= DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : Contractor License No. : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback tlistances pmposed by Ihis permit application are accurale, and do not viola[e applicable ortlinances. rules or regulations ot ihe City of Wheat Ridge or coveqants, easemenis or restrictions of record: that all measuremen[s shown, and allegations made are accurate; [hat I have read and agree to abide by all conditions pnnted on Ihis application, and that 1 assume full responsibility for compliance with the Wheat Ridge Building Code (LLB.C.) and all other applicable Wheat Ridge ordinances, for work under lhis permd. (OWNER)(CONTRACTOR) Description : TE Application Number : Date : xm - q3(o I Qf '0-300 Construction Value : 3= Permit Fee : (0~5 .0c) UseTax: Gjt,g(p Total: N .<gcp -T-o-rklcro 3 -ka~o 3~. 8 BUILDING DEPARTMENT USE ONLY ZaY►[ng;~'btnments: Approval: Zoning : B MCSmmentsi Approval : P~;Works_qomments: 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: JJfJp'fis1Requiredl _ Plans,Required ; I J~►~~~~py~IP~'i~ (1) This permn was issuetl in arcorCance wim the pwvisions set fonh in yopur applicalion and is subject lo the laws of the Stata of CUoraEO and ta Me Zoning Regulahons and 6uiltlm9 Cotle of VMeat Riage. Colora0o or any olher applicahle orainances ol the Ciry. (2) This permit snall expire if (A) lhe work authorized is not commencea within sixry (60) days from issue Uale or (B) the building auNOnzed is suspendeE or abanAOnetl lor a penotl of 120 days. (3) If ihis permit exprtes, a new permit may be acquiretl for a fee of one-half the amount normally requiretl. providatl no changes have Eeen or will De matle in Ne original plans and specificauons and any suspension or aDandonment has not exteeded one (1) yeac II thanges are made or if euapansion or abandonmenl exceetls one (7) year, full fees shall Oe paitl for a new Oermtl. (4) No work of any manner shail Oe tlone tnat wi0 change tne natural flow o( water causin9 a tlraina9e problem. (5) Contrector shall notiry the BuAUinq Inspecmr twenry-four (24) hours in atlvance for all inspecbons and shall receive written appmval on inapection wN Oefore proceetliing wnh successrve Dhases of the 1ob. (6) The issuance of a permrt or me approval of tlrawings and specilicalions shall not be construetl to be a permit for, nor an ap0roval of, any violaUOn o/10e provisions of the bwlding wtles or any oiher ominance, law. rule or regulation. Chief 8uilding Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION