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HomeMy WebLinkAbout4280 Upham Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'd '9 4, - Ld Q -�e ; u n d an o�. Job Address: Iq -.9 'a 0 J) g �O a3 SI - Permit Number: v ©l S D R 4-1 ❑ No one available for inspection: Time a= M PM 'Re -Inspection required: Yeses When corrections have been made, call for re -inspection at 303-234-5933 Date: // A19 Inspector: -1 -b- DO NOT REMOVE THIS NOTICE City of Wheat Ridge a= Residential Plumbing PERMIT - 201802460 PERMIT NO: 201802460 ISSUED: 09/06/2018 JOB ADDRESS: 4280 Upham St EXPIRES: 09/06/2019 JOB DESCRIPTION: Replace 1 in water line from meter pit to inside valve *** CONTACTS *** OWNER (303)424-6496 KNIES WILMA SUB (303)215-1348 Brian Wilkie 060162 Apex Plumbing Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00 FEES Total Valuation 0.00 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 145.85 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building co�e and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of ro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with this" e it. I further t st t am le ally authorized to include ali entities named within this document as partes to the work to be erfrm d and tat A o be performed is disclosed in this documentjand/ox its' accompanying approved plans and specifications. SiMature 0 OWNER of CONTRACT (_fircle one) / D�e 1. Thisp(ermit was issued bias -e -d -o- - e'innfformation provided in the permit application and accompanying plans and specifications and is subject ct to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of*MAD g Date REQUESTS ST BEB1:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of' Wheat �,dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit #� Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** S Property Address: z U 1 LJ P K C Property Owner (please print): (V,:- r v\ �� tij -I::- e s Phone -?t)2 'V ` 'V Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: /` Phone: City of Wheat Ridge License M Phone: Contractor E-mail Address: J `` 14P:5�7-k Pe-- Ci L-7 For Plan Review Questions & Comments (please print): CONTACT NAME (please print)--A��F SE �' Phone:�6s' CONTACT EMAIL(p/ease print): YI/lya C & 414K�k�� u �'1� ^�C� , C& • i Sub Contractors (Must provide Wheat Ridge License No.): 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 # ❑ COMMERCIAL �SIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. / Lf -To Aj Sq. FULF Amps I1111 L I,/ C BTUs Squares Gallons Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ .:ZSoC") OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided a application. CIRCLE ONE: (OWNER) ( OR) r/ASU D REPRESENTATIVE) of (OWNER)) (CONTRACTOR) Signature (first and last name): lit. DATE: �P Printed Name: &C C&— Z—C— ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: i CITY OF WHEAT.RIDGE Bttildng Inspection D sion (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: a o b- J,l V n . Job Address: L/ 9 q a p cz Permit Number: 'a 0 110 6 V K �, C 001 ❑ No one available for inspection: Time 1 i i AM I'M Re -Inspection required: No When corrections have been made, call for re -inspection at 303-234-5933 Date: /9 Inspector: 7_6 DO NOT REMOVE THIS NOTICE M -- - c> � �1�4& S17, INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci..vheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occu�ancy/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 Floodplain Inspection (if applicable) Mid -Roof Z` Concrete Encased Ground (CEG) Lath / Wall Tie Foundation / P.E. Letter Final Mechanical Rough Electric 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 Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing �) r Floodplain Inspection (if applicable) Mid -Roof Z` ! Lath / Wall Tie Final Mechanical Rough Electric Roof Final Window/Doors Rough Plumbing/Gas Line 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. 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. RDW & 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 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 r'ERMIT NO: Ota ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201704468 201704468 4280 Upham ST Residential Re -roof shingles with 25 sq. ilMa ISSUED: 07/20/2017 EXPIRES: 07/20/2018 to install Owens Corning Summer Harvest asphalt *** CONTACTS *** OWNER (303)424-6496 KNIES WILtA J FIFE ESTATE SUB (303)216-0712 Marty Cone 018353 Cone Roofing Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEF SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 -A TOTAL ** 340.60 *** 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 one half 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 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. A � City of Wheat Ridge I Residential Roofing PERMIT - 201704468 PERMIT NO: 201704468 ISSUED: 07/20/2017 JOB ADDRESS: 4280 Upham ST EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Summer Harvest asphalt shingles with 25 sq. *** CONTACTS *** OWNER (303)424-6496 KNIES WILMA J LIFE ESTATE SUB (303)216-0712 Marty Cone 018353 Cone Roofing 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: 8,000.00 FEESMD Total Valuation 0.00 y.. Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** 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 one half 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 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. ,, � 1 #1 City of Wheat Ridge Residential Roofing PERMIT - 201704468 PERMIT NO: 201704468 ISSUED: 07/20/2017 JOB ADDRESS: 4280 Upham ST EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Summer Harvest asphalt shingles with 25 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of theproperty 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 at all work to be performed is disclosed in this document and/or it ' accompanying approved p ns ands cifications. Signature of OWNER or 06NTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 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 Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or a val of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of w rk i bject to field ins ection. A 4 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz PCs 0NJMPIA From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 12, 2017 5:33 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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? ,V /�► � � How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4280 upham st. Wilma 3034246496 Field not completed. ti Do you have a signed Yes contract to reroof this Asphalt property? Field not completed. It will need to be provided at the time of 25 permit pick-up. CONTRACTOR INFORMATION Contractor Name Marty cone Contractor's License 018353 Number (for the City of If yes, how many squares Wheat Ridge) on the flat roof? Contractor Phone 3039612063 Number roofing material for this Contractor Email Address Bmconehead@yahoo.com Retype Contractor Email Bmconehead@yahoo.com Address here on the description of DESCRIPTION OF WORK Are you re -decking the No V/ roof? Description of Roofing 30 year Owens Corning summer harvest Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 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 25 V roofing material for this project Provide additional detail Ranch with detached garage here on the description of z 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) 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 Marty cone Email not displaying correctly? View it in your browser. 3 '<--:�> CONE <�::>< Roofing & Painting, LLC Gutters • Skylights • Home Improvements PROPOSAL FROM: CONE ROOFING & PAINTING, LLC 15263 WEST 51 ST PLACE GOLDEN, COLORADO 80403 303-216-0712 303-961-2063 DATE: PROPOSAL # vV- in% 'c1 PROPOSAL SUBMITTED TO: YZ 8Z) u? 4, m - �'A why j c 4w, 01 003.E RE: We hereby propose to furnish and perform all the labor necessary for the completion of roofing & painting Remove G'�O Layer(s) Haul away all debris. Prep roof surface. Install ice & water sheild with metal drip edge. Install tar paper over entire surface. Upgrade all flashing and metals where necessary. Install new 30 year designer laminate shingles. Six nails per shingle. Protect, clean all grounds. City Permit. Color of Choice. All materials are guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a substantial workmanlike manner. FOR THE SUM OF: SEE ABOVE b Payments made as follows: 50% UPON ACCEPTANCE, 50% UPON COMPLETION *Any invoice not paid on due date will incur interest at the rate of 2% per month or 24% per annum. *If litigation results to secure payment, legal fees will be due to prevailing parties. Any alterations or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's compensation and Public Liability Insurance on above work to be taken by CONE ROOFING & PAINTING. LLC. Respectfully submitted M 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: q®q go r— Job Address: V Mo UD hom 5t Permit Number: ;�Lo /7o y YtiR ❑ No one available for inspection: Time j/ AM/PM Re -Inspection required: Yes No When correct'ons have been made, c r re -inspection at 303 -234- Date: - 03 -234 - Date: d / / % Inspector: M %_ Y DO NOT REMOVE THIS NOTICE 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: F_7� /'i'-) L Job Address: Permit Number: ❑ No one available for inspectkon: Timer/?5_(._"AM/PM Re -Inspection required: �/Yes� No When corrections have been made, call for re-inspec(ion`at 303 -234 - Date:— �..� % %/ Inspector: f 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: Job Address: Permit Number: ❑ No one avai Re -Inspection required: When corrections have been made, call for re -inspection at 303-234-5933 117 J Date: ' ' `� Inspector: 9 DO NOT REMOVE THIS NOTICE r f i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPE TION NOTICE Inspection Type: M±O Job Address: U PI-14M % Permit Number: w / `/q/ 6? - N ❑ No one available for inspecti -Time" AM/PM } Re -Inspection required: Yes NQS When corrections have been made, call for re-msp#cfion at 303-234-5933 + 1 Date:_, Inspectord;z!��l City of �Wheat Midge COMMMIUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Add to Permit # n ((0 W I Building Permit Revision/Amendment Application "` Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "" Property Address: Yv� sl Property Owner (please print): AUIma PhoneT?o3)` z_j Cgg6 Property Owner Email: Mailing Address: (if different than property address) Address: qno 0 fl r\Cil11 s City, State, Zip: W602 Z%'60e- CO 1 Submitting Company: cffmir( '�O� SeVJ,(e� Contact Person: f �rJ P S� Ot>1 Phone: ( 303 2 l0 -crI (I�` c Contractor: P(MIeF 6CQVQkk on ' U*Wk CeS Contractors City License #: Contractor E-mail Address: Phone: () Z (L "-9+c1 Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: q w o 1 e ( 4\<- / � C catose i o Y\ Ir 5th wi( cc�`r Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. ----- CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTA_ �7n REPRFSENTAT/ of (OWNER) (CONTRACTOR) PRINT NAME: -ByC1f I �f r ld SIGNATURE: —4�� DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DATE: 10 ( � 5 6, OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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: I ) 6 - Job Address: y Ciq d U 12220.2) `^4 - Permit Number: -D v I (. O l 5 'R� C> a ❑ No one available for inspection: Time ( 6;) AM/�M Re -Inspection requires(Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date:) lz� 1 ► i I (, Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201601580 PERMIT NO: 201601580 ISSUED: 10/10/2016 JOB ADDRESS: 4280 Upham ST EXPIRES: 10/10/2017 JOB DESCRIPTION: Sanitary sewer line repair in yard only approx 60&#39; of 4" pipe. Installing sweep dual cleanouts. *** CONTACTS *** OWNER (303)424-6496 KNIES WILMA J LIFE ESTATE SUB (303)210-8207 Brandon Weston 110115 Premier Excavation Services *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,150.00 FEES Total Valuation 0.00 Use Tax 56.70M D Permit Fee 109.20 ** TOTAL ** 165.90 l " -,-A- � 7i *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Plumbing PERMIT - 201601580 PERMIT NO: 201601580 ISSUED: 10/10/2016 JOB ADDRESS: 4280 Upham ST EXPIRES: 10/10/2017 JOB DESCRIPTION: Sanitary sewer line repair in yard only approx 60&#39; of 4" pipe. Installing sweep dual cleanouts. 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 o the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I fu er ttest that I am legally authorized to include all entities named within this document as parties to the work to be performed and th t a l work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 10110116 Signature of 60ft or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writingand 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 Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official "1'�� Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat .__ge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application "" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. "' Property Address: ��� U Q4'`f1 VY\ � q Property Owner (please print): W ffi.cI ��k'e S Phon4:"363,0 l� Property Owner Email: Mailing Address: (if different than property address) Address: ZQ Q�G►Y1 S �_ City, State, Zip: �e G.� �_t Cjq ( l Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: (:OcwytAA{ k (m sc-V'Q i cc Contractors City License #: Phone: C303) 7 10 " q lql Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL 0 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck. etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT 0 OTHER (Describe)-'I-jw oy (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) ���u4q SEW-Cli` �k ,\ re, CJI I Y" Lia4J o nl aboo� 60' oC Sq. Ft./LF Amps re A-vv�t`1` ` SW (C Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRArCT`O or (AUTHORIZED REPRE N of (OWNER) (CONTRACTOR) PRINT NAME:—1JYZ7`� ��` C T�/ SIGNATURE: DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ (" )n 1 on )late vpIleations may not bo Sara ♦ s r 1, 1 NEW CO ST ELECT . U PGRA DE NEW R M " L ROO sh COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, de ck, SYSTEM/ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL ELECT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT x .. , RE PAIR o • r :` ; 0,4f - 1 � I rn s en P /76 Ire Btu's G S q. FUL,1M Am ps Squares father Date: Pa n Permit /j,\ Building Permit Application REMMIR "MIM-M-0 Ezl� Plumbing*, City License Dggq.f:Jptlon of &o \ \� \ » » «� }� \ wa » , I RM REMBEEM Sam= FIRS DEPARTMENT,! 0 OPP(*Ved W/ COMMAI$ C crf"WOV" 0 no revL*w M 100'd 'ON M WY 00:11 M/ZIOZAVAON City of Wheat Ridge Residential Plumbing PERMIT - 093208 PERMIT NO: 093208 ISSUED: 10/12/2009 JOB ADDRESS 4280 UPHAM ST !EXPIRES: 04/10/2010 DESCRIPTION: Replace 40 gallon gas shot water heater ***CONTACTS owner 303/424-649G Wilma Knies sub 303/534-0881 Gary Kenfield 01-7152 Precise Plumbing **'PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 975.00: FEES Permit Fee 40.00 Total Valuation .00 n t TOTAL 40.00 Conditions: Subject to field inspections. I hereby certify.. that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record;.`: that all measurements shown, and allegations made are accurate; that I have 'read and agree to abide by all conditions printed on this application and, that I assume full responsibility for compliance with the Wheat: Ridge Building Code "I(I.B.C) and all other-! apply able wheat Ridge 0 ding ces, for work under this permit. Plans subject to field inspection. Signature of contractor owne :date This permit was issued in accordance with the.. provisions set forth in your application and is subject to the laws of the State of Colorado and to. the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other lapplicable ordinances of the City..., This permit shall expire. 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the. Building Official. If this permit expires, :a new permit may be acquired for a fee ofone-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment. has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees l'shall be paid for -a new permit. No :work of any manner shall be done that will change the natural flow of water causing a. drainage. problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. The issuance of a permit: or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, y violation of the provisions of the building codes or any other ordinance, law, role or regulation. All.. pIa e Sew subject to field inspections. ignature C f. Building Official .'date :NSPE ION REQUEST LINE: (303)234-5933 BUILDING OFFICE:: (303)235-2855 .EQUESTS MUST BE MADE BY 3PM'ANY BUSINESS DAY FOR <INSPECTION THE::. FOLLOWING BUSINESS DAY. DEPARTMENT. OF PLANNING AND DEVELOPMENT Building Permit Number. Gl~~~ o BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) APPAUCATION Property Owner: Lr/(/ ~t kj ;P S Property Address: y& sro (%p A S Z Phone .6 03-11ay ~y96 Contractor License No.: / 17 / e- 3. .~h C- Phone: ,S3 Y- 0 OWNYWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hearby 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, amemartts or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this applioations and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge ordinances, for work under this pamdt Construction Value: 7crO Permit Fee: Plan Review Fee: Tiga TgX- ze-4r s Total: z1p (0WM3RXC0NIRAC7CR): 81GNIID ATE Description: ,.vA h-vF 'l+/'~ yi'C /mar e2~ ~6 S Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval:. Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in your 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 ordinanoes of the City. (2) This permit shall expire if (A) the work audicarind is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this pennrt expires, a new peanut may be acquired for a fee of one half the amount annually required, provided no changes have been or will be made in the onginalplaw and specs mtioas and arty susPraaioll or lbandoament pis not mceodod one (I) Year. If changes have bean w if swpewim or abandonment exceeds one (1) year, M fees shall be paid for 4 new penult. (4) No work ofany outwear shell be done that will change the natural flow ofwater cawing a drainage problain (5) Contractor shell ratify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before - proceeding with succassive phases of thejob. (6) , The issuance of a peanut or the approval of drawings and specifications shall not be construed to be a pemut for, nor on approval of,. any violation of the ' provisions of the building codes of arty other arduarice, law, rule or regulation. Chief Building Inspector r z L ~ a LLI a 0 Z ~ ~ ~M W W C Ln ~ Le) N Q LLY LLI M = N ` M 5 M LL ~ o W f+ I ~ X V ~ W L O ~ m d ~ O J a O 7 v > °FA' 3 N ~ d ~ a mN ~ r~ c 10 m ~ ~U 7 N ~ c y O N R M O > d ~ O C -6 p L N ~ L E C ~ ~ 0 OI L ; C Z d a c .0 m O C O 'o ~ ad o ~ ~ ° t5~ ~ ~ ~ E ~ C d d O j C~ a t d y ~ r- L ~ d O 7 V > a~i t ~ ~ r C s. a 0 c P 3 ~ ~ Z Q ri 3 ¢ LL ;,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) Property Owner : Property Address : 4280 UPHAM ST Phone : 424-6496 Contractor License No. : 20552 Company : Protech Mechanical lLC Phone : 920-0851 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or restridions of rewrd; that ail 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 responsibily for eomphance with the Wheat Ridge BuiWing Code (U.B.C.) and all other applicable Wheatitfiidge ordinances, for work under this pertnk. (ONMER)(CONTRACTOR) SIGNED DATE Description : Install furnace and a/c Construction Value : Permit Fee : Plan Review Fee : Use Tax : Total Date : 3/20/00 $38.75 $0.00 $13.88 $52.63 Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : 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) Thig permii wes issued in accordance with the provisions set foM in yopur applicatlan antl is suq ect to the laws M the Stale of Coloredo and M the Zoning Repulations and Buildin~ Code W Wheat Ritlge, Coloredo w afry other epplicable ordinerwes of the Ciy. (2) Thia pertnit shell expire d(A) the vrork authorized is not commencetl within sary (80) days from issue date or (B) the building authorized is suspanded or abandoned for a penotl of 130 days. (3) If this permk racpirea, a new pertnd may be acqulred for a ke of one-half the amount nortnaly required, providetl no chengea have heen or will be made in the original plans entl spedficeYwns antl any suspension or aban0onmeM has not exceeded arre (1) year. If changes are made w H suspension or abandonmant ezceetls one (t) year, full tees ahall be paid for a new pertntt. (4) No work of any manner shall be done thal vnll change the naturel fiow of water causirg a drainage problem. (5) Contractor shall notiry the Building Inspector lweMy-four (24) hours in aCVance for all inspections and shall receive wrilten approval on inspecdon carcl before ThproceediainDOawp~waessive hesesotthe'ob. ~e) Me 6uiBtli'8o' ~cotles oufiv aherorCnsn~tl Iawlnnde otl regce~ p~ions shall not be consWetl to bea pert~il tor, nor an approval M, any violation M Ne provisions m , Building Permit Number : 10268 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 qppLICATIo N Property Owner : Lea''~I 5c'ilaid-Q/n Property Address : 428o UphaM'~51-- Contractor License No. : Company : OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setbaek distanees proposed by this pertnit appliwtion are accurate, and do not violate applicable ardinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restnctions of record; that all measurements shown, and allegations made are accurate; that I have reatl and agree to abide by all conCitions printed on this application, and that I assume full responsibility for complianca with the Wheat Ridge Building Code (U.B.C.) and all other applicable N(heat Ridge ordinances, for work under this oertnit. (OWNER)(CONTRACTOR) Description 44~ lJ Phone 3~3424_&qQ( 49 Phone :30-2ii4w Construction Value : 9'2 5' Permit Fee : Use Tax: Total : Use BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : u ~o Approval: ' Approval: Occupancy : Waiis : Roof : Stories : Residential Units : ElecVical License No : Company: Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (7) This pertnit was iasuatl in axortlance wiTh the plwisions xt iorth in yopur applica6on anA is au0jett to the laws ot the State a( CobnEO anC to the Zoning (Z~ Thegulationa antl BuilAing CaEa o( NRieat Ritlge, Cobratlo or any otna applinEle oidinances M Cia Ciry. pertntt ffiall ezpirc d(A) Me work auMOr¢eC is not commenced wdhin sixty (80) tlays hom issue tlate or (8) the building autnonzed is suspentleE or abanCOnetl Wr a penoA ot 120 tlays. (3) If Mis permit ezpires, a new permi( rtWy pe atquirotl for e ke W ono-helf the artl0unt nortnally requireQ proviCed no t~hanges have Deen or will Ee mBtle in the ex9ca ds one jntl spe~fi~ations anE airy auapensan or abantlonment haa rrot exceeCep ane (1) yeac If Uanqes are matle or if smpension or aDanEOnment year, full fees ehall be peitl fw a new permit (a) No work of any mannM shall he Eone Nat will changa the naNral flow of water causing a tlrainaga problem. (5) Controctor sha11 notlry the Builtling Inapeetor tweMy-four (24) Aoun in aEvance for all inspec6one anC shall rxeive written appmval on inspxtion ord EeNre proteeEiing wiN succeuive phasea of Meq' b (6) TOe issuance of a pemid or the approval o/ Erawings anE spau6o6ons sBall not be mnsWeE ro Oe a permit for, nor an approval o( any viWatlon of the pmviaions of the buiWing coEes or any other ortlinance, law, rule or regulaEOn. Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10251 BUILDING INSPECTION LINE - 303-234-5933 Date : 3/16/00 ~ CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 4280 UPHAM ST Contractor License No. : 19206 Phone : 424-6496 Company : Positively Electric Phone : 423 1807 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setback distances proposed by this permit application are accurate, and do not vialate applicable ordinances, rules or regulations of the Cify of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat f2idge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Wire a/c and reconnect furnace Construction Value : $408.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $6.12 Total: $29.62 Use: 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 forth in yopur application and is subject to the laws of the State of Coloratlo and to the Zoning Regulations and Building Code of Wheat Ridge, Coloretlo or any other applicable ordinances of ihe Ciry. (2) This permit shall expire if (A) ihe work authorized is not commencetl within sixly (60) days from issue date or (B) [he building authorizetl is suspended or abandoned for a period of 720 days. (3) If ihis pertnit expires, a new permM1 may be acquiretl fot a fee of one-half the amount nofmally requiretl, providetl no changes have been or will be matle in the original plans antl specifcations antl any suspension or abantlonment has not exceeded one ('I) year. IF changes are matle or if suspension or abandonment excee05 one (7) year, Full tees shall he paid tor a new permit. (4) No work of any manner shall Oe done that will change the naturel flow of water causing a drainage problem. (5) Contrector shall notiry the Builtling Inspeclor iwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection cartl before proceediing with suaessive phases of the ob. (8) The issuan of a permit or the approval o~drawings antl specifcations shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the b'/ in cod or other ordinance, law, rule or regulation. ! Chief Building In ector _DEPARTMENT OF PLANNING AND DEVELOPMEN7 Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 Date : 3~3 QO CITY OF WHEAT RIDGE 7500 WELT 29TH AVENUE WHEAT RIDGE, CO 80215 Property :)wner : ~~4 e o10~ ~ ~ Property Address : Phone :~/1y-G Contractor License No. : Company Phone:3a,3-4i~3 ~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ConstnJCtion Value : y0Y• I hereby certily 1hat the setback distances pmposed by lhis permlt appliwlion are acatate, rvles or regulations ol the CRy o(VJheat Ridge or nces tli bl !U P8(fT11I F8C : e or na , and do not violate applica covenants, easements or restrictions of record: that all measurements snown, and allegations rinted on this ditions ll Plan Review Fee : p con made are accurate; thal I have read and agree to abide by a me full responsibiliry lor compliance with the VJheal Ridge Building h t 1 C Use Tax . a assu l application, an Code (U.B.C.) an0 all other appliwble Wliea Ritl e ordinances, tor work under this permit. ` 1Y G TOf21: r (OWNER)(CONTRACTOR) SIGNED DATE - ~ • / ~ w> r ~ Description : BUILDWG DEPARTMENT USE ONLY SIC : Sq. Ft. : Cnln~fits~ zoriiriw Approval: Zoning : Bulldtng CLbFn~ieTts- ~ Approval : PQtlI . Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No Company : Company : . Company : Expiration Date : Expiration Dale : Expiration Date : Approval : Approval : ApproYal : 10 ~FI~f13"R~qU1Pq.l~ ~ ~,PI3~!RSi~l11f8U~ (1I rnis pamui was luued In accatanu wiin ina provisbns sel lonn in yopur applialion +nd u suq ecl lo the bws ol IM Slate 01 CobaEO ind to Vx Zoninq Requlalrons aM BWWiny CoEa of Wneal Riaqe, CoionGo w aay otner apDiK+da wd'^+nas ol tha Ciry. (2) iTis pe~t shail eaDire ii (A) the work aui)o~xed Is nol commenced witliin sury (BO) Eays Oom issue Cate a(B) Na Wildinq authorixed'u suspended or a WnOOneE lor a peraE of 120 Oays. _ If Ihis pemni expnes, a new pertnil rtwY be +cOuired lor a fK of one-hall the emount normaly reQuired, prohded na wnges have Deen w will be maae m the onqinal pwN uW speGfiutions anC any wapenslon or aDanEOnmenl Ms nol eviceeOeC one (1) year. I/ Chanqes ue ma0e W il suspension or aOanConmenl eaceede aro (i) year, lull lees snall Ge pai0la a new permil (q No work ol any manner snall De Oone tnal will chanpe the nalural Ilav of waler causing a Oralnage pmolem. . (5) Cminaa snall noUry the BuilAinp Inspector Iwenry-lour (N) hours in aEvance la aII mspeclans anG shatl receive written approval on inspectIon ::a~b miore pTr~eceee'inq witn wccassiveP naus ol the oo. - (6) Ina Gudtllnq co0aa I +~y 1n O~~ePorEnac~a aw,nr9ula or requlai~Qnions shall nol be wnsWCd lo be a pennit lor, nor ~n approval ol, any vidalcn oi Ihe provivons ol Chiel Building Inspeclor For Mayor THIS PERMIT VALID OALLW 345933 24 HOURS PRIOR TO~INSP'E TION ECTOR AND MAYOR