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Home My WebLink About4705 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: MID lz� Job Address: :4]-Q5 Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call fqr e- inspection at 303-234-5933 Date: 2I ) Gi Inspector: c (�� DO NOT REMOVE THIS NOTICE A , City of Wheat Ridge Residential Roofing PERMIT - 201704825 PERMIT NO: 201704825 ISSUED: 07/26/2017 JOB ADDRESS: 4705 Upham ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with ROOF DECKING - 20 sq. *** CONTACTS *** OWNER (720)229-1244 SIDIQYAR KARIMA MOHD SUB (720)242-6404 Rex Corly 150303 Masterpiece Roofing & Painting *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,702.50 FEES• Total Valuation 0.00 Use Tax 140.75 Permit Fee 156.75 ** TOTAL ** 297.50 *** 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704825 201704825 4705 Upham ST ISSUED: 07/26/2017 EXPIRES: 07/26/2018 Residential Re—roof to install Tamko Heritage asphalt shingles with ROOF DECKING — 20 sq. signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized gal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with i t. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be -d and th all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 7r3ii 7 Acture of OWNER or CONTRACTOR (Circle one) Date 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. 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. 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. No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspec and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Divis n. The is r a f n ermi sha not be construed to be a permit for, or an approval of, any violation of any provision of any applic rdi Ltion of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz =� ( AU From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 18, 2017 11:52 AM To: CommDev Permits 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? / -17 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 4705 Upham Street Mohd Sidigyar 7202291244 Field not completed. 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 Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Masterpiece Roofing & Painting -- (90 363 7202426404 Contractor Email Address nate@masterpieceroofing.com Retype Contractor Email nate@masterpieceroofing.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing ReRoofing 20 sq with Tamko Heritage 1 layer on a 4/12 pitch Material Select Type of Material: Other (specify below) If "Other" is selected Dimension/Architect above, describe here: How many squares of the 20 material selected above? No Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? Field not completed. TOTAL SQUARES of all 20 roofing material for this proj ect Provide additional detail ReRoofing 20 sq with Tamko Heritage 1 layer on a 4/12 pitch here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 5n n o 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 Nathan Gates Email not displaying correctly? View it in your browser. C Angiers list° MASTER,,PIECE ROOFING & PAINTING Property Owner ("Owner") ik U4 M -b, 116k. v M ON d Errlail � S y?, Street ("The Property") AA4? City Stated Zip 17v Home Phone Mr. Cell . e)d'7a "d 66 Mrs. Cell Insurance Company Al aK Claj # 60 3 � C D C I Adjuster CLAS -a.A Gu cA. - A�Tyiojo % 5ca r) Phone .7 t - c f J (.? Shingle ManufactureEstimated Xactimptte Price ! o>o 0 Year30 Color i-. Down Payment T , �- Tea,Koff 3 layer(s) of ph /shake/tile shingles Balance PZ.0-5' .SV��$Tf �aQ 'u stall Sheathing_ "OSB_1/2"CDX plywood First insurance check, deductible & upgrades are duprio to scheduling the job. W ere The estimated dates of service for this job aree — w(,z9cof�a ns all fel t_151b_ 01b other VPs7cF Z�L Improvements in exchange for Insurance Scope. _ 'e& Water shield to code r I Breakdown and Supplemental Proceeds �nstall Metal Drip Edge. Color U (A—t `c6 Owner authorizes Masterpiece Roofing ("Contractor") to contact the Owner's insurance _�6 nail pattern on single (+20mph wind resist) company regarding damage to the Property. Owner understands that the Contractor — alley(s) will be _closed _open (�stall new pipe jacks _ Install new vents as needed —mall In. ft. of vent -a -ridge Re -flash chimn brick ood size V/ e -flash wall abutment as needed if possible �5tucco or siding may be a deterrent) VYa'gnetic clean up & haul away all job related debris sweep of the yard for removal of nails ear workmanship warranty will assist the Owner in obtaining appropriate property insurance damage adjustments, gaining approval of damage for repair and obtaining funds to repair Owner's Property. Owner authorizes Owner's insurance company to discuss all matters directly with Contractor, or their representative. Owner agrees to provide Contractor with any and all insurance information, claim number, insurance loss data information and adjuster's report provided to the Owner by the Insurance Company. Upon authorization of the Owner's Insurance Company, for a price agreeable to the Contractor, Owner agrees that the Contractor shall perform work prescribed by the Insurance Company's loss data sheet or adjuster's report which includes the estimate of repair as set forth in the insurer's claim file plus any upgrades selected by the Owner. Special instructions 0eC fF 11 , 'Le � ot&4 A;61—A-irin Gr e M A g7e: Owner is obligated to pay only the deductible required by the Owner's Insurance Company plus any upgrades requested by the Owner. Owner further agrees to endorse insurance checks payable to the Contractor or to pay the Contractor an eqLLaI amount. Owner owes the Contractor nothing in the event the Insurance Company does not authorize the repairs. Contractor shall hold in trust any payment received from you until Contractor has delivered roofing materia s at the site or has performed a majority of the roofing work on your property. Owner has the right to rescind this contract and obtain full refund of any deposit within 72 hours after entering the contract. Contractor cannot pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property. Otherwise, Owner understands that this is a binding agreement. If the Owner breaches this agreement before commencement of the work, Owner agrees to pay the Contractor for the actual work performed. Owner understands that, aside from upgrades, a summary of the work to be performed, a description of materials to be used or a list of standard features included, the total contract price, or description of the basis on which the price will be calculated, is embodied in the insurance loss data information provided by the Owner's insurer. Further, Owner authorizes the Contractor to submit supplemental requests to the Insurance Company for additional payment required for omitted items from adjuster scope or due to price fluctuation caused by supply/demand issues orotherwise unknown at the time the contract was entered. Owner warrants that this contract is signed without any reliance upon any representations or promises by the Contractor, or its agents, except those that are specifically written in this contract, and that no additional promises or representations have been offered as inducement for signing. Owner also acknowledges reading all the Terms `and Con tions on the reverse side of this document. aJ L efQ 147 r Date � Property Owner Representative ,G�� Property Owner 7700 E. Iliff Ave., Suite D, Office: 720-242-6404 www.masterl2ieceroofing.com Denver, CO 80231 kcorley.masterpieceOemail.com TERMS AND CONDITIONS 1. All contracts are subject to approval of Management and our Credit Department without exception. 2. All checks for payment must be made payable to Masterpiece Roofing. There will be NO exceptions. Owner will still be liable to Masterpiece Roofing for payment of this contract if check is made out to any other entity or person. 3• If any provision of this agreement should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this agreement shall not be affected thereby. 4. Owner further agrees that any insurance payments received by Owner are held in trust for the benefit of the Contractor. 5. Payment in full shall not be delayed while waiting for the city, county or appropriate building inspection department to inspect the work. Owner understands that the city, county or appropriate building inspection department is not within the control of the Contractor. 6. Contractor shall not be liable for failure of performance due to labor controversies, strikes, fire, weather, inability to obtain material from usual sources or any other circumstances beyond the control of the Contractor, whether of a similar or dissimilar nature. 7. Should a default be made in payment of this contract, charges shall be added from the date thereof at a rate of one and one half percent per month (18% per annum) within a minimum charge of $2.00 per month and if placed in the hands of an attorney for collection, all attorney's fees and costs shall be paid by the Owner. 8. If this Contract is cancelled by the Owner later than 72 hours from execution, and after insurance negotiations have begun, the Owner shall pay Masterpiece Roofing twenty-five percent (25%) of the contract price as liquidated damages, not as a penalty, to compensate Contractor for time and skill involved in the insurance claim process. 9. Owner may rescind this contract within 72 hours after the Owner receives written notice from Owner's Insurance Company that the claim is denied in whole or in part and otherwise explained in C.R.S. §6-22-104. Owner shall give Notice of Rescission in writing to Contractor by US Mail, email or personal delivery. Contractor shall return any deposit within to days, minus amounts for actual work performed. lo. The Contractor's Limited Warranty does not cover damage to roofs caused by lightning, gale (50 mph), hurricane, tornado, hailstorm, impact of foreign object, other violent storm casualty or damage to roofs due to settlement, distortion, failure or cracking of the roof sheathing, walls or foundation of the building. 11. The Contractor is not responsible for any damage below the roof due to leaks by excessive wind, ice or hail during the period of the warranty. The Contractor's warranty covers the roof only. 12. The Contractor will not be held liable for any structural movement, settling, cracks in dry -wall, cracking or breaking of driveway during the roofing or loading process and minor scratching or denting of gutters. 13. All pictures, wall hangings, lights, collectibles, etc., both indoors and out MUST be secured by the Owner. Any damage to personal items during installation will not be the responsibility of the Contractor. The Contractor will not be responsible for nail damage to tires, pets, etc. Pets should not be left unattended during installation. 14• Any alteration or deviation from specifications involving extra cost will be executed only upon written orders and will become an extra charge over and above the estimate. 15. The Owner is to carry fire, tornado and other necessary insurance. 16. This contract and labor warranty shall not be assigned and are nontransferable unless specified in writing. 17. The Contractor shall revoke the labor warranty if this contract is not paid in full. 18. This Contract constitutes the entire understanding of the parties and no other understanding, collateral or otherwise, shall be binding unless in writing and signed by both parties. 19. This agreement is composed of a front and back page and all materials incorporated herein by reference and shall be considered the entire agreement by the parties. Any representations, statements or other communications not written in this Contract are agreed to be immaterial and not relied on by either party and do not survive the execution of this contract. 20. This Contractor has the right to order excess materials. All excess materials belong to the Contractor. 21. The Contractor reserves the right to file for supplemental insurance claims if the insurance adjuster's measurements are used and prove to be incorrect. 22. At no additional cost to the Owner, the Contractor reserves the right to file for a supplemental insurance claim due to an increase in costs. 23. Supplements paid by the Insurance Company for additional labor or materials needed beyond the original scope of repairs are part of this contract as if contained herein and will be paid to Masterpiece Roofing either by the Owner or the Owner's Insurance Company. 24. Owner acknowledges Masterpiece Roofing as a General Contractor and as such will be entitled to lo% overhead and lo% profit if approved by the Insurance Company as part of the claim. 25. Owner is responsible for the Homeowners Association's (Covenant) approval of roofing products and color. 26. Masterpiece Roofing is not responsible for damage to stucco, siding or wall abutments as a result of installing new flashing. 27. Masterpiece Roofing is not responsible for satellite dish realignment. 28. Contractor carries workers' compensation, automobile and commercial general liability (bodily injury and property damage) insurance. A Certificate of Insurance identifying our insurance carrier and the types and amounts of coverage and our insurance contract information is attached or will be provided to Customer and is incorporated herein by reference and should be considered as part of this contract. 2q i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NO Inspection Type: 1 /' Job Address: Permit Number: ❑ No one available for inspection: Time i ` "J" 7 AM/�PJI Re -Inspection required: Yes i No i When corrections have been made, ca for re -inspection at 303-234-5933 Date:'' J Inspector: DO NOT REMOVE THIS NOTICE ' DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13170 BUILDING INSPECTION LINE - 303-234-5933 Date CITY OF WHEAT RIDGE : 11/26/01 7500 WEST 29TH AVENUE WHEAT RIDCaE, CO 80215 - (303-235-2855) Property Owner: Property Address : 4705 UPHAM ST Phone : 736-2100 Contractor License No. : 17152 Company : Precise Plumbing Phone : 534 0881 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Use: Description : REPLACE WATER HEATER, READY FOR INSPECTION M3 BUILDING DEPARTMENT USE ONLY , ~OW, SIC : Sq. Ft. : Approval : Zoning : e..m 0-10 .a... 11~~~iv#~ Approval: Approval: Occupancy : Walls : Roof : Stories : Residential Units : Construction Value : $593.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $23.50 Electrical License No : Company: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval : Expiration Date : Approval : (1) This permit was issuetl in accordance with the provisions set forth in yopur application antl is subject to the laws of the Slale of Colorado and to the Zoning Regulations and Building CoOe of Wheat Ridge, Colorado or any other applicable ortlinances of the Ciry. (2) This permit shall eapire if (A) the work authorized is not commencetl within sixty (60) tlays from issue tlate or (B) the builtling authorized is suspended or abandonetl for a penotl of 120 days. (3) If this pertnil expires, a new pertnit may be acquired for a fee of one-hal( the amount normally requireQ providetl no changes have been or will be made in the original plans and specifications and any suspension or abantlonmenl has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, NII 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 draina9e problem. (5) Contrector shall noti(y the Building Inspector lwenry-four (24) hours in advance for ail inspections and shall receive written approval on inspection card betore proceediing with successive phases of the job. (6) The i e ance o/ ayq mit or the approval of tlrawin95 and specifications shall not 6e consiruetl to be a permil for, nor an approval oF, any violation of the pr sio s q~/ii~ding cotles or any other ordinance, law, rule or regulation. / l ief Building lnspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUII.DING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : Contractor License No. : Company : Pr P cis c"00/~-'7 <%^9 .;Z;~ c_ ,T ; OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hersby eertAy Na[ Me setback tlisfanees proDOSeC oy this permrt aPCUeatwn ara accurate. ana Oo not violate aoobnbb orainances. ruba or reguuuoro of Na Cdy of 1Miea[ Ridge or COVSnan[S, easementl w rcsVltfloM1l Of I!Wltl: Nat aY meuufRrtflMf shOWfl. ano a1lOgitpns ;maas are aecunce: that I have reatl anA ayrae m a0da Dy a0 eanaqions pnntsd on this app4atlon, ana mat I assuma full rwponspYqy tor compdancs rqn yie Whsat Ritlqe Buildirg CoOS (U.B.C.) ana all oNer appucabb VVASat Ridys oramances, for work unOSr this psrm2 (OYVNER)(CONTRACTOR) SIGNEDA ~~_pA7E cl, Descnption :c e ~ -4-,- 4~0 j ~'r Rd eC'e/. jq 5e. , c%o~ BUILDING DEPARTMENT USE ONLY ' IA103tE0lf2aAiffW Approval : Zoning : 21909231EM Approval ~~aR M Approval : Occupancy : Walls '5~o S U,f i 7i s-z Roof : Stories : Residential Units : Phone : ~".3v3) Phone : ConsWction Value : 3/03 ' Permft Fee : zih~SJ' Use Tax : ,Qp-o^5 ft''O'' Tofal : 2 Electncal License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiretion Date : Approval: PlTns'R~qulred~'?1 " Expiredon Date : Approval: Expiration Date : Approval : I - Flrin Reilutrod." :1 a rpAmmmulfitlmil (i) This xrmn was nwea n armrvanea w"m me POvsnns sM lasf n yoow aoWraOOn ana u suqM ro tlhe is" U tM Sta4 d CobraOO ana m Oit Zarq Repwaoons ana Budartg Coee d whaat Rwqe. Co:oraoo p alry otnw sopunON orawnces al tna Cily. f27 rnis pamirt snyi eipva d (A) Iha waK auaqntq u not comrneneee w,pun fury (60) CaYS han issw Nq w(BI the DuYCUq au7ianzae u wtpuqW or awMOnea rw a panoo ol 120 Caya. (a) ifws oem+n a:wroa. a naw wrmt ^uY o~ +cauna ror s ~w W on~n Te ~mount nomuW ieauuW. nrohaW ro Uarp~a ruv~ ew~ a w~ M mw~ n iM uyuo Wona ana sDealboont ana +nY susornwn a swneonn+em naa na *anw~o ma (1) y*r. N esoesaf one t 1) rear. MI faes sNU De 090 for a naw osmvl, ~s ara rrua~ a d wapmfion or aW~qomwq (4~ No wOtk Of ]Ity rtglfnH fNp 0! OOf1! IMI WYI Wn" pW 11atyy flpw d Wi1K CiYLnq i 0fiY4Qe pf00". f 5) Cono-actor snmi raury me BwWmq lnsoeaa nvamy-tour t247 noun in swanca ror an mspacoona ua +nW racarva wnrten no0forsi on intwmon ura eUUr~ OroceeCnnq wnn su~sessrve Dnases ol tne pD. (61 T~e uswnce of i Dermrt or Ne aOWwai Of OrJwmqs an0 SDea/caCOns snall nol Ds COnsWatl Io Oe a pertM (y. Iqf an aPProva1 a. any nqsDen Of IM prWyDna ot me oummnq coees or any omer oramancs, uw. m:e a reqwuon. Chief 8uddinq Inspector For Mayor THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234S933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 WESr29thAVENUe BUILDING INSPECTION DIVISION PERMIT N0. ME94#5672 234-5933 P.O. BoXe38 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. . JOB ADDRESS y 7 0;C GZ 9/'""""~ ~ CONTRACTOR ~~/C G°~~ ~ ADDRESS 93 3 S W y y`f""~. ' CITY el ZIPCODE `Er"933 PHONE yzz" LICENSE NO. 1. TVPE Ground❑ OWNER . ADDRESS PHONE ZIP CODE CONTRACT PRICE $ g~ v `V DATE 2-- "ly-yP WoiIU Proiec 2. MATERIAL SIGNS 3. ILLUMINATION Yes❑ No❑ TyDa INSPECTION TICKET 4. SET BACN FROM PROPERTV LME N_ S_ E_ csvscify wnicn is tronrl ❑ ❑ O Joe }I~I. 7YPE 5olidO More 7AOn BO% ODenD Lut ADDRESS FENCES MATERIAL ~ 3. SET BACK FROM PROPERTY LINE N_ S_ E_' (SDetitywhicAis }ront) ❑ ❑ ❑ -~Sc DATE: BLDG. PERITM~." OTHER 12. PERMITB pRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,1 (SETBACKS OR PROJECTqNS INCIUDED) BLDG. CONTR. SUBCONTflACTOR Al DATE INSP. REQ. '~2 o-dz TYPE OF INSP. INSPECTION MADE_ _L G REMARKS L STREET NAME SF10W DISTANCES FROM THE MAIN BUILDING TQAOJOINING HOUSES, STREET! DiSTANCE TO PROPERTY IINES, NOT MAXIMUM OR AVERAGE DISTANCE. W.R. FORM 619 APPLICATION FOR PLUMBING; ELECTRI%.taL; IVICVflMl~IliM~ r~nrv'-. THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BVTHE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WOflK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE NO._y_n1_ PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUMINUM WIRE UNDERSIZE B IIIEGAL fL00R BSM IST 2ND 3RD 4TH NQ FUEIICkcMQn Go{QlROpwm EIeeSolm p~p, WATER CIASET FORLEO AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS /G o SHOWER AIR CONDITIONING-BN LIGHTIN6 SINN OTMER HEATIN~ C,ARBAGE DISP REFRIGERATION S'ISTEM POWER SUB-GFCUITS WATER HEATER Rafri aranf Caloup UTILITY (RANGE, DISPOSER, ETC ) AUTO. WASHER Painds CMr • FIXTURES DISH WASHER AUTOMATIC SPRINKIER SYSTEM WIRING MOTORS 9 CONTROLS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FD(TURES REMARKS.~~~ / le"~ z OeQ~Z_ I hereby ocknowledqe thot this opplico- tion u conect and understond lhot I connOf Harf this projetf until thie oppli- ealion is apOroveC. I shall com0ly witA fha lawa oi the State of Colorodo ond to tha Zoninp Requlalions and Bwldinp Code offhe Cily of Wheat Ridqe. Any violation of tAe above terms will couse immediate revocation of thie Oermit hwieams stu^^w,. PERMIT FEE 5-, rv use Tax hd TOTAL FEE AP~ 1 CHIEF BUILDIN~ INSPECTOR, City of Wheat Ridqe Date Issued Ff CALL2345933 24 MOURS IN ADVANCE FOR INSPECTIONS DEPARTMENT 0F COMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION 237-8944 ExT. 255 P.O. BoX 638 CITY OF WHEAT RIOGE, COLO. PERMIT NO.M921118325 THIS PERMIT VAUDONLY WHEN SIGNED BY THE CHIEF BUILDING mSrG~iUrt nnv Rc~ur FOR JOB ADDRESS CONTRACTOR ' ADDRESS _r-),5C~I qTY ~enJ~'~ ZIPCODE ~~al~ . 1, I OWNER QADORESS PHONE ~ +y 1I~fS- 14~~n ^ta'l ZIP CODE I i ~ONTRAGT PRICE $ PH ONE `1'1 `7-!2QLALJ LlGtrvst rvO . i I. TYPE Ground❑ Woll❑ Proiectiny❑ Otnsr SaDFoce 2. MATERIAL Totol Sauon FNt ❑ ❑ S T Elal. Parmit No. SIGNS No 3. ILLUMINATION Yes YD T BACK FROM PROPERTY LINE N S_.- E W Zo^e- Approved' Zone l"gaclm 4. SE d ' (Specity whith is front) ❑ ❑ ❑ ❑ +e DieaOMO lid❑ Mon Thon 80% ODSnE3 S Lest Thon 80% OM^ o 1. TYPE HNpM MATERIAL FENCES SET BACK FROM PROPER7Y LINE N 3 _ 5__ E W Zons_ Apprwed,Zon~ Impeetw . ved i (SDecify whieh it front) ❑ ❑ ❑ ❑ aappro D I. OTHER 2 3. pRAW SKETCH OR SHOW BELOW,THE PENCE,SIGN,OR OTHER STRUCTURE,GNIHv DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) oe q`' ( ~ SPECIFV NORTH STREET NAME ( A n ^ - SFIOW DISTANCES FROM T!ff MAIN BUILDING TUADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGUTAR lATS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPIICATION WIIL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DMSION. pERM1T WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHW THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE UGENSE N0. BOWL 9 CONTROLS ~ FLOOR DRAIN I HP PERMIT FEE ~ • ~ ~ I Mreby acknowledpe thot this opplke- - . tien n aorrect ond unde.stond mat I USE TAX G.a-u cannot start this projed until this appli- $ eotion ie o00roved. t sholl comply witn TOTAL FEE /_3 the lowa of the Sfote of Cobrodo and fa di APPROVED ~ np the Zoninq RsQulations ond Buil DISAPPROVED . , Coee ot the city ot Wheat RidQe. AnY se ill i CHIEF BUILDING SPECTOR,City of Wheat Ridqe cou violation ot the abova terms w / immediate revocation of ihia Dermit. 2- 30 Dote Issued ~yo eant~ 9i0nawn MECHANICAL PERMIT OT VALID UNLI KIZ V IG'/' q CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS