HomeMy WebLinkAbout4220 Upham Street,l7e; S-01 S
4�INSOjahhM F�-- INSPECTION RECORD
PECTION 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
Occupancy/Type
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
Initials
Comments
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
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For iow voltage permits — mease oe 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
A City of Wheat Ridge
Residential Roofing PERMIT - 201705013
r•= -:MIT NO: 201705013 ISSUED: 07/28/2017
3'L ADDRESS: 4220 Upham ST EXPIRES: 07/28/2018
JC) -3 DESCRIPTION: Residential Re -roof to install GAF Armourshield II asphalt shingles with
re -decking 22.15 sq
house and garage
*** CONTACTS ***
OWNER (303)229-2409 DE PINTO RICHARD J
SUB (720)949-0051 Scott Mansfield 170326 Paragon Partners
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,423.02
FEES
Total Valuation 0.00
Use Tax 155.88
Permit Fee 172.60
** TOTAL ** 328.48
*** 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.
�(
4 i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time % AFM/PM
Re -Inspection required: Yes I. o)
When corrections have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: (� i' l % Inspector: a
DO NOT REMOVE THIS NOTICE
r City of Wheat Ridge
Residential Roofing PERMIT - 201705013
PERMIT NO: 201705013 ISSUED: 07/28/2017
JOB ADDRESS: 4220 Upham ST EXPIRES: 07/28/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Armourshield II asphalt shingles with
re -decking 22.15 sq
house and garage
*** CONTACTS ***
OWNER (303)229-2409 DE PINTO RICHARD J
SUB (720)949-0051 Scott Mansfield 170326 Paragon Partners
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,423.02
FEES
Total Valuation 0.00
Use Tax 155.88
Permit Fee 172.60
** TOTAL ** 328.48
*** 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.
41 City of Wheat Ridge
` Residential Roofing PERMIT - 201705013
PERMIT NO: 201705013 ISSUED: 07/28/2017
JOB ADDRESS: 4220 Upham ST EXPIRES: 07/28/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Armourshield II asphalt shingles with
re -decking 22.15 sq
house and garage
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 owner of the grope and am authorized to obtain this permit and perform the work described and approved in conjunction with
thisp rmrt. further attes{ that am legally uthorized to include all entities named within this document as partes to the work to be
perfo ed nd that all wort a perfo is disclosed in this document and/or its' accompanying approved plans and specifications.
r
Sitateof OWNER o CONTRACTOR (Circle one) ate
1.ermii was issued ased on the information provided in the permit application and accomFanying plans and specifications and is
ct to the compliance with those documents, and all applicable statutes, ordinances, regula ions, 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 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
w •
Signature of a lding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz _J�/l
From: no-reply@ci.wh eat ridge.co.us
Sent: Thursday, July 20, 2017 5:29 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
4220 upham street
Richard Depinto
303-229-2409
Property Owner Email Field not completed.
Address` )�, Z y
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business Paragon Partners LLC
Name
Contractor's License
170326
Number (for the City of
Wheat Ridge)
Contractor Phone
7209490051
Number
Contractor Email Address
info@paragonpartnersco.com
Retype Contractor Email
info@paragonpartnersco.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes
roof?
Description of Roofing
GAF ArmourSheild II
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
22.15
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
22.15
�Vl
(pitched + flat) of all
roofing material for this
project
z
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
house and Garage
480 J V-) ,Q�
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant David Mraz
Email not displaying correctly? View it in your browser.
3
(720) 949-0051 ( (970) 776 - 9525-
Property
525-
Property Owner: t
Job Address:
bf
Date: / ,r Roofs For Troops
U
Insurance Carrier:
AAA
Mailing Address:
Claim p:
City, State, 21p:
t
t
y
Project Mana er:
! g PM's Phone ir:
Main Phone p•
f ernate Phone p:
7-41 /
ProjectManager's Email:
Property Owners Email:�-Y,
AA v
PM's u .rvisor.pervisor's Phone p:
0-1-177
coM
Work to be completed as follows:
Permit Furnished, Jurisdiction: sed Valleys en Valleys
El ar off #_.Mayers of Comp ition I layers of Cedar mm�riie �0%oty_ �nstall Satellite _r%& rro{w►9t^11
spect Decking Install Decking S per sheet stall Rubber Pipe Jacks Install Furnace Caps
Install Drip Edge, Color To ilk-���(,� ninl all Turtle Vents, Color To Mh.�
��In.t'al
aves ❑ Rakes /In
Pipe Jacks & Turtle Vents to Match
a &Water Shieldp flash Sidewalls, Color ��LAys Eaves
^ St p Flash Chimney
F-1 stall 1S # Felt Oth. C, f%1���j.� i G ;ar And Cover Property And Yard s Needed
9
Ingle Manufacturer G A�Tan Up & Remove Trash Clean Out Gutters
ingl ype r epYard With Magnet
5 gle Color Work To Be Completed Per Applicable Building Codes
Ridge Cap arranty: Five Years Labor For Roofs, One Year For All Other Work
Q Manufacturer's Warranty Paragon Partners LLC $2,000,000 Liability Insurance
Special Instructions /Additions/ Work:
Work to be completed for full replacement cost value of Insurance proceeds plus supplements
it for estimated amount $ 2 1, 51 Xe k
[] Work to be completed as per above specifications in the amount of:
Paragon Partners LLC shall hold in trust any payment received from you until Paragon Partners LLC has delivered roofing materials to the site or has
performed a majority of the project.
" Code Requirements: all work will be done according to applicable building codes. All work completed as required by applicable building codes
will be billed to Insurance Carrier. Any costs associated with building code requirements not covered by the Insurance Carrier will be the
responsibility of the Property Owner.
d- qq s
Approximate date(s) for contracted work to be completed:
Note: the listed dates of service are approximate and not a guarantee and may be amended based on weather,
material availability, property owner's request for delay, or other unforeseen delays.
Paragon Partners LLC Iia ity insurance held by B -W Insurance Agency, LLC. Insurance agent is Kim Steffen. Phone (303) 730-0044.
Property Owner is _ is not intending to make payment from the proceeds of a property and casualty insurance policy. If the
Property Owner plans to pay for the roofing services through an insurance claim, the Paragon Partners LLC cannot pay, waive or rebate the
homeowner's insurance deductible in part or in whole.
If insurance proceeds are to be used to pay for the contracted work, Paragon Partners LLC cannot pay, waive, or rebate all or part of the
insurance deductible applicable to tkV insurance claim for work to be completed. Contractor is authorized to speak directly with my insurance
carrier on my behalf. AC Int.
Property Owner has the right to rescind this contract pursuant to 5838 Section 6-22-104 of Article 22, Title 6, Colorado Revised Statutes and
obtain a full refund of any deposit within 72 hours after entering into the contract. Refund of any deposits or payments following rescission of
this contract will be made within 10 days of rescission. if you plan to use the proceeds of a property and casualty insurance policy to pay for the
roofing work, you may rescind this contract within 72 hours after you receive written notice from the property and casualty insurer that your
claim has been denied in whole or in part. However, Paragon Partners LLC is entitled to retain payments or deposits to compensate Paragon
Partners LLC for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. Paragon Partners
LLC is also entitled to compensation for costs incurred for any custom or non -returnable materials that may have been ordered priur to any
contract rescission.
All payments must be made directly to Paragon Partners LLC.
Upgrades / change ordejs / addenapns to be paid upon owners acceptance of written agreement
Down Payment,. 14 AA + i, V W = a4vl i Date : L 11 -6%/ T P. P. LLC Initial
I (we) agree, by signing below, to all contract conditions on all pages of this agreement.
Date of Acceptance: —/41( — / Property Owner's Signature:
Date of Acceptance : Property Owner's Signature:
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: AA-1�
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/FSM
Re -Inspection required: Yes (N -10 -
When corrections have been made, call for re -inspection at 303-234-5933
Date: 'c Inspector:
i
DO NOT REMOVE THIS NOTICE
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
14617
10/9/02
Property Owner: Richard DiPinto
Property Address : 4220 Upham St.
Contractor License No. : 20263
Company : Norco Home Improvement Inc.
Phone: 303-884-5556
Phone : 697-3364
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 accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibilily for com liance with the W heat Ridge Building
Code (U.B.C J and all other applicable W he Ridge inances, for work under this perm/i¢
(OWNER)(CONTRACTOR)SIGNED ~f/ DATE_~~[~
Construction Value :
$5,120.00
Permit Fee :
$125.25
Plan Review Fee :
$0.00
Use Tax :
$61.44
Total:
$186.69
Use
Description : 10 Replacement Windows
/1q a=
BUILDING DEPARTMENT USE ONLY
Zor1,;rtg ComfrienW SIC : Sq. Ft. :
Approval :
Zoning :
Buiirl(ng Comments:
Approval:
Pi.16166Works Commantsr
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This permit was issuetl in accordance with the provisions set fotlh in yo0ur application and is su6ject to the laws of the Slate of Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This pertnit shall expire i( (A) the work authorized is not commencetl within sizty (60) days from issue date or (B) the building authorized is suspended or
abandoned tor a period of 120 days.
(3) If this permit ezpires, a new permit may be acquired for a Fee o( one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications antl any suspension or abandonment has not exceetletl one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceetliing with successive phases of the job.
(6) The issuance of a p i or thal of drawings and sPecifcations shall not be consirued to be a Permit tor, nor an approval of, any violation of the
provisions of tfle'i" din other ordinance, law, rule or regulation.
Chief Building lnspectoril/
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING IN5PECTION LINE - 303-234-5933
CTl'I' OF WHEAT RIDGE
7500 WE5T 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2555)
~~UCATION
Property Owner:
Property Address:
Contractoz License No.:
Company: _Z 0 °2
08 UNDERS°LANDING AND AGREENffiVT
I heazby catify that tha setback diilancas proposed by tlils patunit applicatioa are
accucata, and do aot violate applicabla ordiasnces, niles or iagulations ofthe City
of Wheat Ridge or covenanfs, aasemeats or ieatrictions of record; thai all
measuremeMs shown, ead allegations made are accurate; that I have read and
agree to ebide by all conditions pziated oa tlvs applioations aod that I aasume fult
responsibility for compliaace wifh the Wheat Ridge Building Code (U.B.C) and
aR other appliceble Wheat Ridge Ordinances, for work mdar' t~s peimiG
(0W1,MXCON7XACT0R):
Building Permit Number. `17((f 17
Date:
~ll,~a y
Phone :
L'OIISCIllCYlOIl V31ue: J 1~0 'Y
Permit Fee:
Plan Review Fee:
T icP TaY•
TOt31:
Description:
BUII,DING DEPARTMENT U5E ONLY
SIC: Sq.Ft.:
Approval:
Zoning:
Approval:
01affim~.~"Wo
Approval:
Occupancp: Walls: Roof. Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
E:cpirafion Date: Expiration Date: Expiration Date:
Approval: Apprwal: Apprwal:
(I) I'hia pewit wav uzued in accoidance wiUt tlie piwisions set foxth in yaa applica2on and is subject to tlw laws of the State of Colomdo md to the Zoning
Regula4oas and Hvild'mg Code of Wheat Ridgq Colozada oc ury othec appliceble ocdinmcm ofthe City.
(2) This pexmit shaLL expire if (A) the woilc mt6aozad u not commenced within axty (60) dayz firom usve Aate or (B) the btit[liog autAodmd is suspmdvl or
ebandoned for a paiod of 120 deys.
(3) I{ tyie PorciS expum, a aew pamie may Ee acquixed for a fm of one-halfthe unount nomalty ieqvired Provuded no chmgm have bem or will be mnde in
the ouginel plms md specificalions and a¢y suspmsion m ahanclovmm[ has aot ezceeded o¢e (1) Year. If changee 6ave been or if suspmsion or abandwmmL
ezcaads one (1) yeaz, fullfers sLaLL be paid fox a new pmuiR
(4) Noworkofaaymennes6nll bedonethalwillahangetbemtutatflowofwater cauting adninegepm6lma
(5) ConGaetotshall notifytheBuildinglnspeetoxtwmTy-fouc(24)hmusinadvaneefolallirtspectioasandshall roeeivewrittmepprovalonmsp«4onessdbefwe
proceedingwi*hsuccessivephazw ofthejob. (6) The issueace of a pmmit or the appxov+l of dnwings and specifiwtions s1uR mt be cooshued m 6e a pennit fo; nor an apprwal of, anyvidaROn of the
pcovisioas afthe btild'vig codes or my othec ocdimncq ]aw, rvle orroguLaCoa
C}llP.f Bll1Sd1IIg •,•syECf02
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : !f c/~*~J
Property Address : 4zZ40 41J05~40"`Sd0" Pnone :P4-.a3/9I`
Contractor License No. : m a. ~vE4-
Company : s E L f-.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurate,
antl do not violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or
covanants. easements or restnctions of recorcl: that all measurements shown, antl allegahons
made are accurate; that I hava read antl agree to abide by all conditions printetl on this
application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applieable Wh Ri or a s, for work untler this pertnit.
(OWNER)(CONTRACTOR) SIGNED ~ DATE
Description :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
BUILDING DEPARTMENT USE ONLY
Phone: 83/-ZOS/
Construction Value : 340e ,
Permit Fee :
Use Tax:
Total :
Electncal License No :
Company :
Plumbing License No
Company :
Mechanical License No :
Company :
Expiration Date :
Approval :
_j ; Pfgns R&quired
Expiration Date :
Approval :
_3 PfAns Required J
Expiration Date :
Approval :
J ! P00lij.
(1) This permit was issuetl In accortlance with the provisions set krth in yopur appiica6on antl is suoject to the laws of the SWte of Coloratlo antl ta Ne Zoning
Regulations and Builtling Cotle of VJheat Ritlge, Coloraao or any other applicaDle ortlinances of the City.
(2) This permR shall eaptre if (A) the work authonletl is not commencetl within sixry (60) tlays Gom issue Oale or (B) lhe 6utlEing authonzetl is su5pentle0 or
abanAOnetl for a penod of 120 Cays.
(3) If this pefmit expifes, a new pertnit may be aCquifetl lOr a(ee O( One-half ifle amouni nortnally reQUifetl, provitletl no changES have Oeen oI Will De matle in tlle
original plans antl 5pecifiraUOns antl any suspension or abantlonment has not exceeEetl one 11) year. If changes are made or if suspension or abanEOnment
exceeds one (t) year. (ull fees shall be paitl (or a new permit.
(4) No work of any manner shall be tlone ihat wlll change tne natural flow of water Cdusing a tlrainage problem.
(5) ConVaCtof Sh211 noliM1/ thC BUilding InspeCtor lWenty-bur (24) hours in aavanGe tor all m5pecnon5 an0 sllall reCerve writlen approval On inSpeIXion Cartl bePore
proceetliing with successrve phases of the job.
(6) The issuance of a permR or the approval of tlrawings antl speci(ICations shall nol oe construea to De a permR for. nor an approval of. any violaBOn of Ifle provisions
o( the buflding yotles or any other ortlmance, law. mle or regulation.
ing
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION