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Home My WebLink About4561 Teller StreetOWNER (303)956-3061 SOUTHALL RICHARD SUB (303)386-4649 Steve Burns *** PARCEL INFO 130239 Exceptional Exteriors LLC *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT##: USE: UA / Unassigned *** 0 / FEE SUMMARY *** ESTIMATED PROJECT VALUATION: Total Valuation FEES 7,838.50 Use Tax 0.00 Permit Fee 164.61 ** TOTAL ** 172.60 337.21 *** COMMENTS *** *** CONDTTTnvQ Effective December 1, 2014, asphalt shingle installations require a inspection, conducted when 25-75 approval. Installation of roof sheathing of the roof coveringn approved midroof prior to installation of g (new or overlay) is installed, prior to final ANY roof coverings and is requireOr'roof when spaced or board sheathing with ANY approved inspection be fastened at the roof deckgaptexceedingh a A34ofn6h exists. P g required. Eave and rake metal is required. Asphalt shingles are required to nails per shingle. Ice and water shield is and secured in place is re q A ladder extending 3 feet inspectionsVe the roof eave instructions, P y with applicable codes and/or manufacturers€'"s Inst- Roo installation whichever is more stringent. In order to elastomeric or similar type roof coverings, Pass a final ins manufacturer's g � a letter of inspection and section of technical representative stating that "the a (project address) has been a n oft l from the (roof material brand name roof co in accordance with the instaplationoinstructionhe ofor t inspection. ) roof covering" is required to be on site at the time of final CitY of Wheat Ridge Residential Roofing PERMIT 20170256 - - PERMIT NO: 201702456 JOB ADDRESS: JOB DESCRIPTION: 4561 Teller ST ISSUED: 06/23/20.17 Residential Re -roof to install Laminate Xasphalt (28sq. pitched, 3with 8 - 2.5 sq. flat) shingles 30.5 s . q OWNER (303)956-3061 SOUTHALL RICHARD SUB (303)386-4649 Steve Burns *** PARCEL INFO 130239 Exceptional Exteriors LLC *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT##: USE: UA / Unassigned *** 0 / FEE SUMMARY *** ESTIMATED PROJECT VALUATION: Total Valuation FEES 7,838.50 Use Tax 0.00 Permit Fee 164.61 ** TOTAL ** 172.60 337.21 *** COMMENTS *** *** CONDTTTnvQ Effective December 1, 2014, asphalt shingle installations require a inspection, conducted when 25-75 approval. Installation of roof sheathing of the roof coveringn approved midroof prior to installation of g (new or overlay) is installed, prior to final ANY roof coverings and is requireOr'roof when spaced or board sheathing with ANY approved inspection be fastened at the roof deckgaptexceedingh a A34ofn6h exists. P g required. Eave and rake metal is required. Asphalt shingles are required to nails per shingle. Ice and water shield is and secured in place is re q A ladder extending 3 feet inspectionsVe the roof eave instructions, P y with applicable codes and/or manufacturers€'"s Inst- Roo installation whichever is more stringent. In order to elastomeric or similar type roof coverings, Pass a final ins manufacturer's g � a letter of inspection and section of technical representative stating that "the a (project address) has been a n oft l from the (roof material brand name roof co in accordance with the instaplationoinstructionhe ofor t inspection. ) roof covering" is required to be on site at the time of final INSPECTION RECORD. ONLINE FORM: http://www.ci.wheatridge.co.us./forms.aspx?fid=79 iPECTION INSPECTION REQUEST LINE;,F303) 234-5933 f Occu a c /Tt e ec site - inspections ess day.** Inspections will not be perform receive an inspection posted ?fe fol.�g b" ss the inspection request line before 11:59 P.M. L Spaces pertinent to this projed- Inspector Must Sign AL Inspector Commen :)Dateundation Inspections Initials er oncrete Encased Ground (CEG) oundation I P.E. Letter Do Not Pour Concrete Pn pector )ndergroundlSlab Inspections Date Initials :lectrical ;ewer Service plumbing Do Not Cover -Un de Rough Inspections Wall Sheacrnny Mid -Roof Lath I Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections al Of The Above Inspections round or Belowll n pec inspector Prior To Date Initials Landscaping & Parking I Planning Dept. ROW & Drainage I Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection I Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Comments Of The bove _ Ins Comments ons Inspector Comments Date Initials Inspections from these entities should abde requested one week in advance. For landscaping ng inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections u pe olect contact the Fire Protection District for y project. Roof Final Window/Doors Final Building planning, Public Works, Fire and Building before a Certificate NOTE: All items must be completed and approved by royal of the Final Building inspection does not constitute authorization of occupant . of Occupancy is issued. App leted from the Fire District and electrical low voltage ins ections are comp *For low voltage permits — Please be sure that roughP by the Building Division. ermitted Until A Certificate TheWeather occupancy Is Issue Occupancy Is Not P Protect This Card IL City of Wheat Ridge Residential Roofing PERMIT - 201702456 PERMIT NO: 201702456 ISSUED: 06/23/2017 JOB ADDRESS: 4561 Teller ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential Re -roof to install Laminate asphalt shingles with 30.5 sq. (28sq. pitched, 2.5 sq. flat) *** CONTACTS *** OWNER (303)956-3061 SOUTHALL RICHARD SUB (303)386-4649 Steve Burns 130239 Exceptional Exteriors LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,838.50 FEES Total Valuation 0.00 Use Tax 164.61 ----- ---- Permit Fee 172.60 ** TOTAL ** 337.21 *** 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 A3�-inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€"s 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's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201702456 PERMIT NO: 201702456 ISSUED: 06/23/2017 JOB ADDRESS: 4561 Teller ST EXPIRES: 06/23/2018 JOB DESCRIPTION: Residential Re -roof to install Laminate asphalt shingles with 30.5 sq. (28sq. pitched, 2.5 sq. flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and its' accompanying approved plans and specifications. Signature of OW ', fir. ONTRACTOR (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 cothpliance 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 original permit fee. 3. If this permit expires, a new pen -nit 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 Budding Official and is not guaranteed. 4, No work of any manner shall be perfonned 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, any violation of any provision of any applicable code-or,any ordinance egul titin 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. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Antoinette Kulick (:;;;u( (5c)- �lo M From: no-reply@ci.wheatridge.co.us )S Sent: Tuesday, June 13, 2017 3:27 PM p To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those Residential Roofing Permit Application processed within 3-5 business days, subject to change based on volume. This application is exclusively for new permits for residential roofs and for licensed M contractors only. This type of permit is ONLY being processed online --do not come )S to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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 Property Owner Email Address 4561 Teller St. Richard Southall 3039563061 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 Exceptional Exteriors 130239 3033864649 Contractor Email Address permits@exexco.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material permits@exexco.com No Laminate/Asphalt Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 28 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2.5 on the flat roof? z TOTAL SQUARES of all roofing material for this project 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) 28 Pitch 5/12, house, no separate garage 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 Rob Juenger Email not displaying correctly? View it in your browser. 3 IQ p Exceptional Exteriors, LLC CONTRACT ggg Property Owner(s) Jason and Kara Southall (hereinafter, the "Client") Address 4561 Teller St City Wheat Ridge State CO Zip 80033 (hereinafter, the Cell 303.956.3061 Other Email lasonsouthali@hotmail.com SCOPE OF WORK AS APPROVED BY INSURANCE CARRIER • Tear off all layers • Obtain building permit as required • Install 15 Ib. felt, 30 Ib. felt or Synthetic Undedayment . Adhere to all local building codes in effect as of install date • Install new pipe jacks, painted to blend • Remove and dispose of all debris created during project • Install pre -painted eve flashing Perform magnetic sweep of property to remove loose nails • Install new shingles of your choice . Provide a min. general liability ins. coverage of $1,000,000 • Re -flash all wall abutments and chimneys as needed • Maintain current Worker's Comp. Insurance on crews • Install ice & water shield in all valleys • Provide a 5 year Limited Workmanship Warranty Shingle Mfr. Owens Corning Style Duration Shingle Color Teak Drip Color Dk Brown Gutter Color (If Applicable) London Brown Gutter LF 2S2 Downspout Qty. LF 60 Other Work: Siding Windows Paint Carpentry Other N/A Approximate dates of services Spring -Summer 17 Approximate cost of services (Estimated RCV) $14,936.28 The above items (approximate cost and dates of services) are general estimates based on damages known at the time of contract being entered. Scope of Work will ultimately be performed for the RCV total plus any agreed supplements provided by your insurance carrier. Dates are approximate as well and can be affected by inclement weather, availability of materials, amount of time a lender may take to endorse insurance checks or the amount of time your insurance carrier may take to approve the scope and/or payment of services. Upgrades Shingle Upgrade N/A SI•nthctic Felt N/A Ice and 11"Wer N/A Ridge f"ent NIA Soffit Gents N/A Poirier tents N/A Platinum 1EurrunhY S N/A Upgrade Tolul S N/A Deductible Amount Additional Work ("Out of Pocket") Less Referral Credits Estimated Client Payment Responsibility $ 1000.00 Total Estimated Client "Out Of Pocket" Expense $ 1000.00 Deposit Amount $ 7,468.14 Due upon delivery of materials. Customer agrees to have a payment available the day of delivery NOTES LINE ITEMS EXCLUDED FROM CONTRACT (WORK NOT PERFORMED) 1gh. 22a. 22b = $172.24 Additional work authorized by the homeowner but not included in the above description will be described in a separate addendum (Work Order Confirmation Form). Exceptional Exteriors. LLC and the Client agree to the terms and conditions set forth on both front and back of this contract. Exceptional Exteriors, LLC (hereinafter "Exceptional Exteriors" and "EEL") will perform roof replacement and exterior repairs to the Premises for the Client as approved and specified by Client's insurance company (collectively, the "Scope of Work') for the replacement cost value (RCV) of the insurance claim. The onIX out of pocket cost to the Client is their deductible and any non- recoverable depreciation where applicable as well as any agreed costs for any upgrades or additional work authorized by the Client in writing. Supplemental claims and/or overhead and profit billed by EEL on behalf of the Client and approved by the Client's insurance company for additional work or increases in costs, in addition to this contract shall also be deemed a part of this contract as if contained herein. This contract will become binding upon execution and EEL shall receive all insurance proceeds, including the deductible. Client agrees to provide EEL with all insurance communications, both written and verbal, and to authorize EEL to negotiate with the insurance company on Client's behalf to secure the funds necessary to complete the contracted Scope of Work. EEL shall hold in trust any payment received from the Client until EEL has delivered roofing materials at the Premises or has performed a majority of the roofing work on the Premises. 1. All proposals are subject to approval of EEL management. 2. EEL will perform the Scope of Work in accordance with generally accepted roofing and construction guidelines, adhering to local codes in effect at the time of construction. 3. EEL's standard payment terms are as follows: 50% when material is delivered and 50% when work is completed. Endorse and/ or make all checks payable to Exceptional Exteriors, LLC. Any joint checks issued by Client's insurance company shall be immediately endorsed and tendered by Client to EEL 4. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may also rescind this contract within 72 hours after you receive written notice form the property and casualty insurer that your claim has been denied in whole or in part. However, EEL is entitled to retain payments or deposits to compensate EEL for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. EEL cannot pay, waive, rebate, or promise to pay, waive, rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property. 5. To rescind, send by certified mail or personally deliver a signed and dated copy of the cancelled contract within 72 hours of contract signing, or 72 hours of written notice of denial of claim from the insurance carrier to the EEL address on this contract. Client may also email a signed and dated copy of the cancelled contract to contactus@exexco.com. 6. All excess materials will remain the property of Exceptional Exteriors, LLC 7. Client is responsible for timely securing all required Homeowner's Association approvals of the roofing products and color(s). 8. EEL shall not be liable for failure of performance due to labor controversies, strike, fire, hail, weather, acts of God, inability to obtain material from usual sources, or any other circumstances beyond EEL's control. 9. EEL shall not be responsible for any leaks or water damage below the roof line, or any damage caused by excessive wind, ice or hail during the period of the warranty. 10. Replacement of code required materials/upgrades not covered in Client's insurance policy will be additionally charged to Client on a labor and material basis. 11. EEL will not be held responsible for slight scratching or denting of gutters, oil droplets in the driveway, hairline fractures in concrete, or damage to plants or shrubbery. Furthermore, EEL will not be held responsible for exterior damages such as broken or fallen crown molding or fascia, or interior damages such as cracked plaster/sheet rock or nail pops. 12. EEL's liability coverage insurer is the AHBE Group and can be contacted through Deborah York of York Insurance Agency at 720- 201-9671 13. This contract and all attachments hereto represent the entire contract between parties, and supersede all prior written or oral contracts between the Client and EEL. 14. This contract cannot be changed, modified or terminated by any other contract unless the same is in writing and signed by the party against whom enforcement of the change, modification or termination is sought. 15. This contract shall be binding upon the parties and their respective successors, heirs, legal representatives and permitted assigns. 16. If any one or more of the provisions contained in this contract shall for any reason be held invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any of the other provisions hereof, and this contract shall be construed as if such invalid, illegal or unenforceable provision had never been contained herein. 17. An account is past due when more than thirty (30) days have passed after the roofing work was completed. If an account is past due by 60 days a late charge of $120 will occur. If an account goes to into collections, Client shall pay EEL interest at twenty- one (21 %) percent per annum for all past due accounts. If Client does not pay all sums when due under this contract to EEL, then Client agrees to pay all costs and fees incurred by EEL for its collection, including reasonable attorney fees and costs. EEL reserves the right to place a mechanic's lien on Client's property for any default in the timely payment of amounts due under this contract. . Client shall pay EEL interest at twenty-one (21 %) percent per annum for all accounts 90 days past due. 18. The parties waive the right to a jury trial in any action or proceeding based upon or related to any aspect of the transaction in connection with this contract, or any document executed or delivered in connection with such transaction. 19. Venue for any legal action brought pursuant to or involving this contract shall be in the City and County of Denver, State of Colorado, or any other location mutually agreeable to the parties. 20. All attachments to this contract shall be part of this contract and are incorporated herein by this reference. 21. It is the Client's sole responsibility to provide a safe -keeping area for all pets. EEL shall not be responsible for gates left open during or after its work. 22. After Client has paid all sums due under this contract, the inspection will be called in to the city/county/municipality and Client will receive a five (5) year Workmanship Warranty for the roof and one (1) year for all other work. EEL must be notified of all Warranty claims within five days of the discovery. Exceptional Exteriors, LLC 3679 S. Huron Street, Suite 402 — Englewood, CO 80110 Phone: 303-386-4649 E-mail: contactus(dexexco.com e. �yy .� . May 31, 2017 Jason and Kara Southall Client Si nature Date Printed Name May 31, 2017 Rob Clement Exceptional Exteriors, LLC Representative Date Printed Name 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: FYAT-b Job Address: ZY b Permit Number: c?c)/ a a LlNo one available for inspection: Time All/PN� Re -Inspection required: Yes /No When corrections have been made, call for re -inspection a/tj303�-234-5933 Date: (L' % Inspector: W`/(/(7i 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 v' INSPECTION NOTICE Inspection Type: RO F Job Address: J -e 5�--' Permit Number: 0170 ❑ No one available for inspection: Time V AM/PMS Re -Inspection required: Yes N0�+ When corrections have been made, call for rre-i�nspectiCl'lkr-'�— onat 303-234-5933 Date: /0//Inspector: –� ) DO NOT REMOVE THIS NOTICE CERTIFICATE OF COMPLETION City of Wheat Ridge 7500 W 29th Ave Wheat Ridge CO 80033 Permit# 102664 Issued: 12/22/10 Stipulations: Add 4' Wall, Light, Door, & Drywall in Garage. This certificate verifies that the building constructed and/ or the use proposed of the building and /or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Site Address: 4561 TELLER ST Parcel Number: 39-231-14-031' Owner: Lisa Turner 4561 Teller St Wheat Ridge CO 80033 Contractor: David Schultz L &D Enterprises, LLC 5000 Meade St. Denver, CO 80221 For the Following Purpose: Residential Remodel Code Editions NO change shall be made in the USE of ,,0'06 ICC /2008 NEC this building without prior notice 2006 ICC /2005 NEC and a new Certificate of Completion 2003 ICC /2005 NEC from the City of Wheat Ridge. Sprinkler S stem f B i ding Inspector Zoning Administrator CERTIFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES 12/22/10 14:35:31 City of Wheat Ridge bp701 -15 PERMIT INFORMATION - 102664 PERMIT INFORMATION: Permit #: 102664 Address: 4561 TELLER ST Permit Type: Residential Remodel Parcel Cd: 39- 231 -14 -031 Permit Dt: 12/01/2010 OWNER: Lisa Turner Expires: 12/01/2011 Address: 4561 Teller St City /St /Zip: Wheat Ridge CO 80033 LAND PARCEL INFORMATION: Zone Cd: Unassigned DO: 1 SetBacks- Front: 0.0 Funct Use: Unassigned Last Zone Dt: Left: 0.0 Subdivision: WAGNER - JOHNSON Annex Dt: Right: 0.0 Cant Type: Miscellaneous Lot: Block No: 0 Back: 0.0 Legal: JOB DESCRIPTION: Add 4' wall in garage, light, door, and drywall the ceiling FEES QTY DUE PAID: Permit Fee 2,500.00 93.35 93.35 Plan Review Fee .00 60.68 60.68 Total Valuation 2,500.00 .00 .00 Use Tax 2,500.00 45.00 45.00 ---- - - - - -- --- - - - - -- 199.03 199.03 CONTACTS: owner Lisa Turner 4561 Teller St Wheat Ridge CO 80033 7202717509 gc CL3 LAU Enterprises, LLC David Schultz 5000 Meade St. Denver, CO 80221 3038959979 sub CIA Piper Electric Co. J. David Doherty 5960 Jay Street #A Arvada, CO 80003 3034229219 PARCEL INFORMATION: 10 Structure Type RANC 20 Year Built 1961 30 Property Type REBID - PERMIT CONDITIONS: KC: Approved per plans and notes on plans. Must comply with 2006 IRC, 2005 NEC, and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspections. APPROVALS: REQUIRED INSPECTIONS STATUS: PERMIT NOTES: 12/01/10 CREATED FROM APPL# 10-0414 11/30/10 Given to KC for review. INSPECTION INFORMATION: # TYPE CONTR# CALLED CNCL WHO REQ DT INS DT STATUS 1 FRI:Framing Rough Insp. 10 -0363 12/06/10 no KC 12/07/10 12/07/10 COMPLETE 2 ERI:Electrical Rough Ins 01 -8046 12/06/10 no KC 12/07/10 12/07/10 COMPLETE 3 DWS:Drywall $Crew /nail 10 -0363 12/13/10 no MV 12/14/10 12/14/10 COMPLETE 4 BFI:BUilding Final Insp 10 -0363 12/21/10 - no SCSI 12/22/10 12/22/10 COMPLETE Page mmackey INSPECTION RECORD OccupancvlTvue INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is poste4l on the building site Call by 3:00 PM to receive inspection the following business day. (- L al ° E to, INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB j FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Footings /Caissons Roof Stemwall / (CEG) Concrete Encased Ground Building Final Reinforcing or Monolithic + Weatherproof / French Drain R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Sewer Service Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HA BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Roof Lath /Wall tie Building Final Mid -Roof + Electrical Service R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. tca OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER w ♦ i CITY OF WHEAT RIDGE r Building Inspection Division I (303) 234 -5933 inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 90 't' 0" Job Address: qS (o r T.olerr S Permit Number: / ®a /o6 ❑ No one available for inspection: Time / A PM Re- Inspection required: Yes No *When corrections have been made, call for re ctio at 303234 - 5933 G Date: 1a °a ^�� Inspector: DO NOT REMOVE THIS NOTICE ` I A * r CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office' (303) 237 -8929 Fa 7 ,971 INSPECTION NOTICE'S Inspection Type QiA45' Job Address Permit Number j t j No one available for insp con Tir6e AM /PM te- Inspection required: �',es , i ZN When corrections have been matte for re- inspection at 303 - 234 -5933 r. DO NOT REMOVE THIS NOTICE ❑ No one available for inspection;_ Time AM9 VM— ) CITY OF WHEAT RIDGE t Building Inspection Division J (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE .. Inspection Tvoe r. � =' Job Address y.%i�/ / /jam % Permit Number 1p,a6g� Y ❑ No one available for inspection;_ Time AM9 VM— ) ♦��4' r 4000or- City of Wheat Ridge Residential Remodel PERMIT - 102664 PERMIT NO: 102664 ISSUED: 12/01/2010 JOB ADDRESS: 4561 TELLER ST EXPIRES: 12/01/2011 DESCRIPTION: Add 4' wall in garage, light, door, and drywall the ceiling * ** CONTACTS * ** owner 720/271 -7509 Lisa Turner gC 303/895 -9979 David Schultz 10 -0363 L &D Enterprises, LLC sub 303/422 -9219 J. David Doherty 01 -8046 Piper Electric Co. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0307 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED'PR A N 'i.12 1 500.00 FEES Permit Fee 93.35 Plan Review Fee 60.6 •+ •. Total Valuation .00 a Use Tax 45.011 ** TOTAL ** 199.03 F Conditions: KC: Approved per plans and notes on plans. Must comply with 2006 IRC, 2005 NEC, and all applicable City of Wheat Ridge Municipal Codes. 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 codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of OWNER or 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, 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 original permit 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, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field imso &&i.on. Building Ottical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY Plan # j 1--�� Building 8- Inspection Services Division pernit 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 x Fax` 303- 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Pro}ieriy+ C idress 5SCo4 - 7 7 i,//w S{ Property owner (please print): Lt'jC T�,,„� Pho ne: 7 a7� - .7SU� Mailing Address: (if different than property address) Address: City, State, Zip: C'ot{Crac r: L En d LLL Contractors City License #: Phone: 3 0,q — q — r b`js= 5 q - 7 5 ,8Ui*P0 ractprss Electrical: p ties f rt • c- Plumbing: Mechanical: City License # City License # City License #, C3es�crlF3��ie� rat' orb J d Contract Value: $ asGO Review Fee (due at time of submittal): 7o.re,7c. ma l.:,� $ U0 tU� Squares BTU's Gallons Amps Sq Ft. 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 Wheat Ridge or covenants, easements or restrictions of record;. that all measurements shown and allegations made are accurate; that t 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. - CIRCLE ONE (OWNER) ONTRACTO ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINTNAME: �a.L.� �, sc/ / SIGNATURE: �-- 'J S�� DATE: /! -3G °/G Bldg Valuation: $_,� LO FOO-3 3 Work shall comply with the following codes: 2006 IRC, 2006 IECC, & 2005 NEC. l �J n aHC( st1F c(or.:, doar- 6c-� ap ` lUe'w c{r'Yw�ll an gar�yL Gc9 -L[n4 � new w it ,� • f �f cw / wc�l� o,s y 7 0�� ,RFh a6O� -r �C� U T D ?f!CFi ?7z3C22�° 'IC:;` �z y :;isiliC� :S C Iis `� if35Hua 5")r l5't 5 7 P Inn t +1 :y � P E 1 ;9� aPNPI aa � aatt i sq?1W qi:{A .[ �ina,tctu> ,�r;�� f.�z .rrRf�rlcsGn� Y ^I '!! - r � `i•e " :.--c' yI r rtr�'11F9Y� n aHC( st1F c(or.:, doar- 6c-� ap ` lUe'w c{r'Yw�ll an gar�yL Gc9 -L[n4 � new w it ,� • f �f cw / wc�l� o,s y 7 0�� ,RFh a6O� -r �C� U T D ?f!CFi ?7z3C22�° 'IC:;` �z y :;isiliC� :S C Iis `� if35Hua 5")r l5't �� HEgp ti u' cOt Wheat Ridge Building Department Approved OF FICIAL DATE ti n Validity of " a permit: The issuanc'ar k of pl nns, s and computations shall not be a perm R forO� a oval of, any violadon to -any of the provisions of the building code or of any City ordinances. Pelmita presuming to give authority to violate or cancel the provisions of the Building codes or other ordinances of the City shall not be valid. APPROVED Subject to Field Inspections Wheat Ridge Building Dept. Date: < Sign an checker 1111' �. City of Wheat Ridge o -, Residential Fence PERMIT - 101327 PERMIT NO: - 101327 ' ISSUED: 05/24/2010 a JOB ADDRESS: 4561 TELLER ST r EXPIRES: 11/20/20.10 DESCRIPTION;'. Install 268 lf. of 6' fence * ** CONTACTS * ** 3 can't exceed 6' is zspection.Fence must comply with �aae rn�� I ] l —City of y y i 6 t A Date: e l �� C COM . MUN ITY DEVELOPMENT Plan #/ Building & Inspection Services Division l- 7500 W. 29 Ave., Wheat Ridge, CO 80033 Permit # l �' ZT- Office: 303- 235 -2855 * Fax: 303- 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application PropertyA'ddress /—/.z/ Property Owner (please print): h cr Phone: 7a0 27/ 7.D! Mailing Address: (if different than property address) Address: City, State, Zip: gbn rac : �uv s t�h4 Jyc. Contractors City License M Phone: City License # City License # City License # a.T�._�.ui V'.I +IVr �l �w en+rhS c%�;, (rte �� ., cc..� t.�1•fz.CQ Zl� �:t. Con Value: / / l ,;, V D �LGkJr rLtr/ Review Fee (due at time of submittal): Squares BTU's Gallons _Amps Sq Ft. $ ( 3 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 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) CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) i PRINT NAME: 4,1,,; l ac.- v .L/ao. SIGNATURE: DATE: /'f ✓ ';� � j �M' /� t l�y ^`111,✓ 4'3l 4 '',� �ARTI�� ?�� X l: t�I� � G!^' i`f1 r'""ursr'l»wG„'e 4 /' J l i.' q �. �FIREbEPARTMENT apprOVkC( W/ eo7nmepts 1p zi}sapproved ❑ no1 ,gg''6ed" Bldg Valuation $ y r i f r G A L IS S e BY: 7 V--� DATE: -L! Z `t ` I } A I nM D wHeatq. ~ m City of Wheat Ridge cOLORPResidential Mechanic PERMIT - 060071 PERMIT NO: 060071 ISSUED: 03/02/2006 JOB ADDRESS: 4561 TELLER ST EXPIRES: 09/02/2007 DESCRIPTION: install 75,OOOBTU Furnace CONTACTS gc 303/871-7263 Xcel Energy 02-0005 Public Service Co. of CO Appli owner 303/421-5741 Glenn Haefliger PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,340.00 FEES Permit Fee 144.70 Total Valuation .00 Use Tax 78.12 TOTAL 222.82 Comments: I hereby certify that Che setback distances proposed by this permit application are accurate, and do not viola[e applicable ordinances, rules or regvlations of the City of Whea[ Ridge or mvenants, easements or restrictions of record; that a11 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 whea[ Ridge Building Code (I.H.C) and all other applicable aheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. &A~ 3-z_p4, Signature of [contractor/owner aace 1. This permit was issued in acwrdance with the provisions set forth in your application and is subject to the laws of the Sta[e of Colorado and to the Zoning Regulations and Huilding Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire if (A) Che work authorized is not commenced within sixty (60) days fzom issue date or (B) the building authorized is suspended or abandoned for a period oE 180 days. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided r.o changes have been or will be made in the original plans and specifications and any suspension or abandonment has noC exceeded one (1) year. If changes have been or if suspevsion or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 4. No work of any manner sha11 be done that will change the natural flow of wa[er causing a drainage problem. 5- Contractor shall nocify the Building Inspector [wenty-four (24) hours in advance for all inspections and shall receive written approval cn inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be ronstrued to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, 1aw, rule or regulation. All plan review is subject to field inspections. SigvaturQ date ZNSPECTION REQUEL : (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~~f ~"Jheat Ridae PRESCRIP~ ENERGY CODE BOILERS 1 FURNACES A MINIMUM OF 90'/. AFUE (iAS WATER HEATERS A MINIMUM OF.60,ENERGY FRCTOR ELECTRIC WATER MEATERS A MINIMUM OF.93 ENERGY FACTOR fETBACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC NEAn R•21 WALLS • RJ{ CEILMIGS • R-09CRANII.SPACES CEPARTMENT OF PLANNING AND OEVELOPMENT 8uilding Permit Number : BUILDING INSPECTION DIVISION - 235-2855 ' CITY OF WHEAT RIDGE Date :3 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 • 5e~# 3/54;.s.~. Property0wner: tjlewH ~114FrF~~'4er~ Property Address : ~ ,SC~ 1 'T^e ~ le✓' Jt. Phone :363- Contractor License No. :,!,?0b d J`' Company : OWNER/CONTRACTOR SIGNATURE OF UNOERSTANOING AND AGREEMENT Phone : 3034-7(-?2-7) I hercby certify that the setbadc disfances p'vposed by this pertnit appliCaUon are accurate, and do not violate applicable artfinanms, mles ar reguiatians of the City af Wheat Ridge or covenants, easements ar restricfions af remrd; that ali measurements shown, and aliegations made are axunte; that I have read and agree lo abide by all conditions pnnted on this applicatlan, and that I assume fuli respansitility fyr comqli ce wdh the Wheat Ridge Building Cade (U.B.C.) and all other applicatle Whea idge 1 a ces, for work under this Oe it (OWNER)(CON7R.4CTOR) SiGNED DA / dG Descnpt' n Approval : Zoning : EII[8ttf8fC3FIIff~ Approval : P_II81iMM1l0TK903UffYPf&1S"! Approval Occupancy : Walls ElecYriql License Na : Company : conswction value : ~f3~Q R-~) Permit Fee : 70 Use Tax : 78. 1 Z Total: ZZZ. -JZ~o.oo Use: BUILDING DEPARTMENT USc ONLY Raof : Stories Pfumbing License No : Company : SIC : Sq. Ft : Residential Units : Mechanical License No : Company: Expiration Date : Expiretion Date : Expiration Date : Approval: Approval: Approval: (1) This pmnd vna Issued In aaaWncs w4h the 0iravisio^3 sN IoM in yopur a00(icatm arid Is suOjeC to the Wws of the State al CdaaEO anE lo Ne Znnu+9 RegWatloru and 8 WEing CoEe dtMint RiEge. Cabnao « amY oCier app4ooie ortluuncea al Ne CM. (Z) 71dw pa'rvt s~ail ezp've d(A) U+e w«k aiehanzed u nat mtmKnceE weNn satY (60) aaya hom Issue Wte ar (0) IM bwb4q auuhot¢N is susVerided u a0an0ane0 far a pMaG af 120 dap. (1) 1! No pertM nVi2s, a new OemK nmY be zc9Wrtd !M a lee af ak-tulf the amount narmaW r[qu'ueE. Mff'beC no [han9CJ tuve been a wYl be made in the anq"vul plans anE sOectlicauans and enY?ciapenswn ar aEaManmml tus nM eiceedM ww (1) Ym. If Uufge arc rtuCe u i! susOc+vori a a0arkonnent esCeeds ane (1) year. full kes stnll be Ovd lar a new pemuL . (4) No wak ol ury mamer " Ee dme'hat'MM cha^9a the mWW fl°"' a wakr nuzinq a dninage pobkm. `st conuauu wu muN ft euad,a inapeua tweriN•laur (Zt) Mun h adrancs lar 9II insOeNau and stuq receive wriCm aP7mnl m 4cperibn a~d Odae poceeei'ug vriln ~ucm~lve d~+a af C~e'~ae Tha inuanca al a pertrut u 1fa appvw a(~nwinqa and specMoUans stu4 nol De consWed b be a pemil lu. nof an a00roral d. any'hdatlm of Na poveb^3 . a Ihe WiWinp mdes «amJ olhl adNanm law, rule «rcpulation. . t Chief Buiiding Inspector For Mayor THIS PERMff VAUD ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 2345933 24 HOURS PRIOR TO INSPECTION COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (305-234-5953) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: HAEFLIGER Property Address : 4561 TELLER ST Contractor License No. : 18046 Building Permit Number Date 17414 7/20/2004 Phone : 421-5741 Company : Piper Electric Co. Phone : 422 9219 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the selback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Rid9e or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abid"y all conditions printed on this application, and that I assume full responsibili for mplia e with th heat Ridge Building Gode (U.B.C.) and all other applicable 'o tli nces, fnder this p mit Z2~ Ul (OWNER)(CONTRACTOR) SIGNED r DATE7 Construction Value : $1,800.00 Permit Fee : $$2.16 Plan Review Fee : $0.00 Use Tax : $21.60 Total: $103.76 Use: Description : REPLACE PANEL & FUSES BUILDING DEPARTMENT USE ONLY Zontng`Cg,~tdmeYrta:, SIC : Sq. Ft. : Approval: Zoning : B`~dingyGom~Rtsr.~ Approval: piitilic-worl'ss•Cor~menfat' Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : 18046 Plumbing License No : Mechanical License No : Company :Piper Electric Co. Company : Company : Expiration Date : 2128/2005 Approval : OKIKS Expiration Date : Expiration Date : Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of W heat Ridge, Colo2tlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within siuly (60) days from issue date or (B) the building authorizetl is suspentled or abandoned for a period o('120 days. (3) If this pertnit eapires, a new permit may be acquired for a fee of one-half the amount normalry required, provided no changes have been or will be made in the onginal plans and specifications and any suspension or abandonment has not ezceeded one (1) year. If changes are made or if suspension or abandonment ezceeds one (1) year, full fees shall be paitl for a new pertnit. (4) No vrork of any manner shall he done that will change the natural Flow of water causing a drainage problem. (5) Contrector shall notiy the Building Inspedor hventy-four (24) hours in advance for all inspections and shall receive wntlen approval on inspedion card before proceediing with succassive phases ot the job. (6) The issuapcea rtnit or the appmval ot drawings and specifcalions shall not be construed to be a permit for, nor an approval of, any violation of the p~vi55on uildi u er ordinance, law, mle or regulation. C/ Chief Building Inspec or Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: ~ o BUILDINGINSPECTIONLINE-(303•2345933) Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE `0~oapOO WHEAT RIDGE, CO 80033 - (303-235-2855) APPl.fCAT10N Properry Owner. Phone :~03 Property Address: (P ContracrorL(icenseNo.: t %Dddp Company: \~\Y~' ( ~~rc,C~'~xc~ CO • Phone: '3b3 ~aa. OWNERICOMRACTOR SIGNATURE OF UNDERSTANDING ANO AGREEMENT I hereby cerM1y that the setback distances proposed by this permit applica6on are acarate, and do not vidate applica6le ordinances, rules or regulatlons of the Ciry of Wheat Ritlge a covenanis, easements or restrictlons of record; that all measurements shown, and allegations made are accurete; that I have read and agree to abide by all conditlons pnnted on Mis application and that I tull onsiGiliry fo liance with the Wheat Ridge Building Code (U.B.C) and all other appli tl dinances, underUis permit. (OWNER)(CONTPACTOR): SIGNEO i ~ DATE (OWNER)(COMRACTOR): PRMTED DATE DESCRIPTION: ;9&lgtt Construction Value: $ ~ ~0• Permit Fee: $ Plan Review Fee: $ Use Tax: $ Total Fee: $ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft: ZONING COAIMENTS: Approval: Zoning: BUILOING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: fic:to Plumbing License Na: Mechanical License No: Company: ?i P e CO Expiration Date: ]).,D.<61()5 Aooroval: company: Expiretion Date: Approval: Expiration Date: Approval: (i) This permit was IseueE in aaoMance wilh the proNelons sel forth In your eppliution end is aubjac{ to the Isws of the State of Coloratlo antl lo the Zoning RegulaUOns anO Builtling Cotles of NTeal Ritlge, Coloratlo or any Mher applicable oNlnanca of the City. (2) Thie peimit shall ssplre if (A) the work aulhorizetl Is nol commencetl wXhln sMy (60) Oays irom issue tlete or (B) the Euiltling authorizeC is wspentle0 or a0antlonetl lor a perio0 of 720 tlays. (3) If lhla permil explres, a new pertnil may Oe acquired for a fee ai onahalt the amounl normally reqWreq proNtleO no chan9es have been or will ba made in the on9lnal plans antl speciflcations antl any suepension or abandonment has nM exceedetl one (1) yeac If chenges have been ar It suapension or abentlonment exceetls one (7) year, full leec shall Ee paltl for a new Dermlt. (4) No work ol any mannar shall be done thel will change the naturol flow of water wusing a Oninage Oroblem. (5) Contnclor shall notiy the BuilOing Inspector twenty-four (21) houre in atlvance tor all inepecllons antl shtll receive wnHan approval on inspection ortl Eefore prowetling with succassive phases ot lheJob. (fi) The iesuance of a pemilt or the approval of tlrawings antl sDecillcetiana shall not Ee unslrued lo be a permit tor, nor an approval of, any violetion af the pmNSlans of the buil0ing wdas or any othar orEinence, law, rule or regulation. Chief Building Inspector