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Home My WebLink About4770 Teller StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Furnace/Boiler Replacement Date: Monday, June 13, 2022 2:11:29 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Furnace/Boiler Replacement This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 4770 teller Property Owner Name diane Clark Property Owner Phone 303-514-6469 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email DC090339@GMAIL.COM Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" diane Clark Dvmt auth form 6 13 22.Ddf CONTRACTOR INFORMATION Contractor Business Fix -It 24/7 Name Contractor's License 180142 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-659-3400 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@fixmyhome.com Address Retype Contractor permits@fixmyhome.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs Sok What is the efficiency 80 (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 11323.00 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Chad E. Caruso Pe rm it Email not displaying correctly? View it in your browser. From: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Air Condiboner/Evaporative Cooler Date: Monday, June 13, 2022 2:15:03 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Air Conditioner/Evaporative Cooler This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is this a new install or Replacement of Existing Unit replacement for an existing AC unit? Is this Residential or Residential Commercial? Property Address 4770 teller Property Owner Name diane Clark Property Owner Phone 303-514-6469 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email DC090339@GMAIL.COM Address Attach City of Wheat diane Clark pymt auth form 6 13 22 ndf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business fix it 24/7 Name Contractor's License 180142 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-659-3400 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@fixmyhome.com Address Retype Contractor permits@fixmyhome.com Email Address DESCRIPTION OF WORK What type of Air Conditioner replacement unit are you installing? How many tons is the 2.5 unit? For AC - what is the 13 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit backyard on concrete pad located (for example, rooftop, backyard on ground etc)? Is electrical needed for No re -hook? Project Value (contract 11323.00 value or cost of ALL materials and labor) Yes I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Chad E. Caruso Pe rm it Email not displaying correctly? View it in your browser. A i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -�G - a.6- Job •G - Job Address: Permit Number:�p/% ❑ No one available for inspection: TimeAM%PM,) Re -Inspection required: Yes /'No When corrections have been made, call for re -inspection at 303-234-5933 Date: (� ' -%D' / % Inspector: )e,/ r, t ' 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 available for inspection: Time x j(..) AM_�Pw Re -Inspection required: Yes No When corrections have been made, call for re-inspection/at 303-234-5933 Date: % Inspector: ),wr�- DO NOT REMOVE THIS NOTICE INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT:+/40164((r ADDRESS: �7 -)o �t , JOB CODE: tggWt % i. Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. - 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. - 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: l 65 Wr - ADDRESS: �'% 77c %%k-S� ',-L JOB CODE: Sel-, Rough Inspection (continued) Date Inspector Comments Initials 316 Rough Mechanical Residential Comments 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank " 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning' Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works'' 413 Flood plain Inspection" 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. City of Wheat Ridge Residential Sewer Repair PERMIT - 201709646 PERMIT NO: 201709646 ISSUED: 12/19/2017 JOB ADDRESS: 4770 Teller ST EXPIRES: 12/19/2018 JOB DESCRIPTION: Repair on the sewer line, front yard only up to 10 feet. *** CONTACTS *** OWNER (720)722-7167 FULTON ROBIN SUB (303)288-0400 Corp. 017959 Roto Rooter Service Co. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00 FEES Total Valuation 0.00 Use Tax 63.00 Permit Fee 93.35 ** TOTAL ** 156.35 *** 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 Sewer Repair PERMIT - 201709646 PERMIT N0: 201709646 ISSUED: 12/19/2017 JOB ADDRESS: 4770 Teller ST EXPIRES: 12/19/2018 JOB DESCRIPTION: Repair on the sewer line, front yard only up to 10 feet. I, by msignature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicaby le 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. further.attest that I -ggally authorized to include all entities named within this document as parties to the work to be fprme bd that all w to erfermed is disclosed in this document. -and/or its' accompanying approved plans and specifications. Siature of O" E& Q CONTRACTOR (Circle one) sate I. his permit was issue ased on the information provided in th 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•ot,granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicabld code dor any ordinance or regulation 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. City of Wheat Iii ,c OMMUNiTY DEVELOPMEN I 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: , �- Pian/Permit # ;�9b (,q 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: Property Owner (please print): Q M �i I Phone4 ") Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Phone: Contractor: i Vic , Pz c + to 7) Contractors City License #:.6 17 507 Phone -L7= 4 % )) j, Contractor E-mail Address: `� . i L@ ('C'w For Plan Review Questions & Comments (please print): I-- _ CONTACT NAME (please print): I. ILA, � I Phone: CONTACT EMAIL(p/ease print): CA, �i ° �U I � � � J�.: &`\ Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL '] 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 PAIR or REPLACEMENT �PLUMBING SYSTEM/APPLIANC RE AI r REPLACMENT ] ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (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.) -� Sq. FULF Amps 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 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 on the application. CIRCLE ONE: (OWNER) CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: l �� ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY 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: 1111Z6 Job Address: 21—) / wS Permit Number: Dol %O 5 ❑ No one available for inspection: Time AM/PIT' Re -Inspection required: Yes (No,.) When corrections have been made, call for re -inspection at 303-234-5933 Date: ?* %S' % 7 Inspector: �OV61/4 4_ 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 NN��OTI�CjE Inspection Type: 1`M1 Job Address: 0 -e-% S Permit Number: fi %0 5 W ❑ No one available for inspection.: Time • �� ' AM/PIT Re -Inspection required: YesNo When corrections have been made, call fof re -inspection at 3%0,3 234-5933 Date: ?* /?, / Inspector: �01V6//k DO NOT REMOVE THIS NOTICE 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: 7e) Permit Number: /0 S 1� ❑ No one available for inspection: Time ' /PM Re -Inspection required: Yes(No,/ - When corrections have been made, cal/ for re -inspection at 303-2 3 4-5933 Date: �/-?—Inspector: DO NOT REMOVE TH/S NOT/CE t i City of Wheat Ridge ®� Residential Roofing PERMIT - 201703925 PERMIT NO: 201703925 ISSUED: 07/13/2017 JOB ADDRESS: 4770 Teller ST EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 31 sq *** CONTACTS *** OWNER (303)514-6469 SUB (303)763-9114 CLARK DIANA L Scott Riopelle 019938 Interstate Roofing Incorporate *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,050.00 FEES __----- Total Valuation 0.00 Use Tax 169.05 Permit Fee 188.45 ** TOTAL ** 357.50 *** 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) 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 Residential Roofing PERMIT - 201703925 PERMIT NO: 201703925 ISSUED: 07/13/2017 JOB ADDRESS: 4770 Teller ST EXPIRES: 07/13/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 31 sq I, by my signature, do hereby attest til at the work tio`btperformed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and tha} I am the legal owner or have been authorized by the legal owner of the property and authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest t performed ht I am le I authorized to include all entities named within this document as parties to the work to be ormed and that all wor to er e d in this document, and/or its' accompanying approved plans and specifications. 7= / Z -/7 Signature of OWNERCO CTOR (Ci cle one) Date I. This permit was issu d ed on the informaf provided in the permit application and accompanying pplans and specifications and is subject to the compliance wit currents, 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 maybe 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicgWc4,ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official v Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 2 0 170 J qv5- From: no-reply@ci.wheatridge.co.us Sent: Friday, June 30, 2017 12:16 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application - This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4770 Teller St Diana Clark 3035146469 jwiles@interstateroof.com 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 Interstate Roofing Contractor's License 019938 Number (for the City of Wheat Ridge) Contractor Phone 3037639114 Number Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No j roof? Description of Roofing O/C Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 31 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 31 roofing material for this proj ect Provide additional detail house, 4:12 pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract8050 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 John Quante Email not displaying correctly? View it in your browser. 3 rreue�ewonnransay.—....._ . . referralist Com INTERSTATE - ROOFING Submitted To 2— _ ACCREDITED BUSINESS 9. pY Email f Phone. Alt. Phone Street _ City State ZIP' Insurance Company Claim# _ policy# Scope of Work and Materials to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing Inc.: however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. Shincle Manufacturer Type Color Int. ❑ Tear off _,_, ' layers of composition shingles ❑ Tear off one layer of wood shingles ❑ Install Decking (7116" OSB) ❑ install new felt ❑ Install pre -painted eave metal to code - Color Brown Charcoal Tan Gray White int., ❑ Valley(s) will be closed - ❑ Valleys will be open f:) Ridge(s) to be color -coordinated ❑ Ridge(s) will be "High Profile Ridge" color -coordinated shingles ❑ Install new pipejacks ❑ Replace Vents as needed ❑ Re -flash chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) ❑ Install in. ft. of series ridge vent ❑ Install In. ft. of ice & water shield to code ❑ Install nails per shingle ❑ Clean out gutters 0 5 year workmanship warranty -❑ Interstate Roofing. Inc. will provide general liability insurance coverage of $2,000,000. general aggregate ❑ Make a magnetic sweep of driveway and yard for removal of any nails ❑ Remove all debris resulting from above work ❑ Special Instructions The approximate costs of the services based on damages known at the time this contract is entered is $ Interstate Roofing, Inc., however. will perform the scope of work approved by the insurance company for the amount of the insurance approved proceeds, with no additicna; costs to you except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofine. Inc shall become the final contract price for the insurance approved scope- You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are approved by the insurance company for additional work or Increases in costs become a par, of this contract. Approximate Dates of Service These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S.. to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate. or promise to pay, waive, or rebate all or pari of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent toss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Rooting, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. I (we) further authorize Interstate Roofing, Inc. to pick up in person any toss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: $ pate: Rep. initials: Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered rooting materials at the residential property site or has preformed a majority of the roofing work on the property. I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Date of Acceptance Client Signatures) Representative Corporate Headquarters Colorado Springs Office Fort Collins Office Cheyenne Office Black Ins. Agency 1000 W 47th Ave. 2161 N Academy Blvd. P- 970 482.7722 F 970.682.1018 1010 S Greeley Highway 9600 E Arapahoe Rd 4205 Denver, GO 80211 Colorado Springs, GO 80909 Toll Free 877 898.8144 Cheyenne. WY 80211 Englewood, Cc 80112-3726 P. 303-763-9114 F. 303-789.3790 P. 719 471 9752 F. 719.597.4444 w'ww.interstateroof.com P. 307.6342553 (303) 397-7820 www. interstateroot.com info @ interstateroof.cam Certificate of Completion Building Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Permit#:201500956 Issued: 08/13/2015 Stipulations: 10 ft x 22 ft Champion Patio Cover. 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 belowt 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: 4770 Teller SE9 Owner: CLARK DIANA L 4770 TELLER ST WHEAT RIDGE CO 80033-3412 Contractor: For the Following Purpose: Residential Miscella Co Editions NO change shall be made in the USE of 2012 ICC/2014 NEC this building without prior notice 2006 ICC/2011 NEC and a new Certificate Of Completion 2006 ICC/2005 NEC from the City of Wheat Ridge. Other AZo�na�-ng A=nistra�tor� CERTIFICATE MUST BE POSTED BY FRONT DOOR OF COMMERCIAL OCCUPANCIES FOR OFFICE USE ONLY City C)f Date: CD7- A W he -at Rj d �ge COMMUNITY DEVELOPWNT PlanlPennif # Zo (5- Building & Inspection Services Division 7500 W291h AVe.' Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application 70 s5j7j. Nooftip** (please pfiI A�q " Address.- ME M MUMMEMEM M= M Plumbing: KIRCij� License # Phone: ffffg�� Complete all information on BOTH sides of this form f • ill i Iw ! NEW COMMERCIAL r 0 ELECTRICAL SERVICE NEW RESIDENTIAL STRUCTURE 0 COMMERCIAL ROOFING COMMERCIAL ADDITION El RESIDENTIAL ROOFING RESDENTIAL ADDITION 0 WINDOW COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, MECHANICAL SYSTEM/APPLIANCE PLUMBING SYSTEM/APPLIANCE " ELECTRICAL SYSTE�APPLIANCE REPAIR or REPLACEMENT OTHER Sq. FULF ,�P Btu's Gallons Amps Squares tither RESIDENTIAL Au_ilding Permit - Plan'Review Workshe t F r Address: q 'e'_1 A- V- Zoning: R-2. Lot Size: / -6 6 sq. ft. Lot Width: ft. Property in the flood plain'? Pt,) Ifyes, add surveying condition FLD. Type of project (applicable survey conditions in parenthesis): Accessory ISP, Il C ear sate plan none if in floo lain (FLIM}`' Ll Addition ILC and site plan if w/in 2' of setback or in floodplain, (FND) if in floodplain (FLD) 0 New ILC and site plan yes (FND) if w/in 2' of setback (NRS, if in flood la Maximum Lot Coverage:-- 4 -to % 5' 24 0 d sq. ft. Existing Improvements: Proposed Improvements: House: sq. ft. Hous /addition: sq. ft. Shed: sq. ft. Shed: sq. ft Detached garage: sq ft. Detached Garage: sq. ft. Other: sq. ft. Other- sq. Total Existing sq. ft Proposed+Existing��.. sq. ft Lot Coverage % Lot Coverage % Required Setbacks: FR A6 S S /0" R Provided Setbacks.- FR S_ 5-1 S r R *,go For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition FND. Maximum Height: ft. ProposedHeight: ft. Maximurn Size: sq. ft. Proposed Size: sq. ft. Parkland: If the permit is for new construction, have parkland dedication fees been paid? If no, add condition PFEE, notify owner, and notify building—division, Streetscape: Does the permit result in any of the following conditions? [3 Construction of new roads L3 Platting of new lots Q New development U Additions that increase floor area by 60% or more (see formula) (proposed floor area.......__ — existing floor area _ ) / existing floor area ___ = iia inc. if any box is checked.. SF/DUPLEX—Is there existing 0 Curb U Gutter U5 -foot sidewalk adjacent to the property? if curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the_n,,,_v*t_ft_Lvvwd. GENEaiL INFORMATION Schedule: 025778 Parcel ID: 39-231-05-045 Status: Active Property Type: Residential Property Address: Ms.. TELLER ST WHEAT RIDGE CO 80033 3412 Mailing Address: SAME ADDRESS AS PROPERTY PROPERTY DESCRIPTION Subdivision Name: 169400 - MULi6AN ORAN.QE 1 rolm'"'MR! =441HIA, M*R PROPERTYINVENTORY Property Type RESID Year Built: 1959 Adjusted Year Built: 1959 Design: Ranch TAX I NFORMATTON J_rSjgWrer Information, .. ......... ........ moll 101010� M M-1 U I !"121 M r1* M IV 11 V N "M V M -M- WN IBM= 76 z rziox'� l rziox'� htikti�l*fi?4t38doi#ddl,7t�rpA` fed s. z,fi°p 9� ZZ .Ica➢}di�i ��i4l lalY 4x��, cc w *A e w *A w SHEET No, -L---- oF-A--- le'JCALCULATED SY-16- , DATF-A4M/L?-- 04615KSid!A-U�3-6-- DATE---- JOB L- _w. IEE T JOB. j ,,_ CUSTOMER: PI N WINDOWS DESIGN LOADS: -p- * _4eof Cke SNOW LOAD 'SE WIND LOAD 100 MPH, EXPOSURE EXISTING 2X ROOE RAFTER AT OVERHANG. 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VAKIEFIP �5�1;-1`111, "NUIL VOMPII 510 A - �,VIIH A NN$1A,1`A PRIP z lal'14,71 :at 9X �' 14 W 61� 6,C), X PILW CXX) P9 POF '" AVIP LAUR OV01K D P,9 Ps' 03 4 Z 4X "71 F i 01 Z z YeS fav lot A MKS LUM "I" MrtIr"INEN11, 6'1'1� 6 X L�V6 ~x 17 LPIWVTI��1111F 0 A wax Nzwo A MNIVAUM IMIRPIN",.t YE'lr, ,X, 1"5 0 Ia'CP 12'0'l P'T' 1" L " �Ta LE-r"2F "Of'Ll, ?-A::TNW,5,T, AU5,7 %AL MA A WMIMMUM, PIEN19111416 5i Y" o�,�Cyc')a P751 �,'P' A MINI,P,%�V FW1r-PMtK1- It 2" IP -,12 -,I-� 1ANN 1X1,'5 N0 C'0%E: S IOU X, I X 9 1 / 2l' �NtO,'..tC Py F,,7tlT,-6 V I It, 10, 91, T, PIN', NA%-� "'t '�'AMAC N,4, 1N I"'Y 01,,� BE ul T W 5" F&TAK IQ C04311 VAT F15%1 1TATP AWAT 500 W YATER5 511 Cr 01"N EX U7 ill P" ]ETHE =-- 64,VANU�E-P PEP A6,"N't 91PP'EiD" CGMECOCV, r,p0r;LU; 114 024,AU VA','tl FZ,7-�, Fu� U.Kv 5 Or "T 7 MW, Z21 V11, I'* a cc 0 0 0 pq 0 M z L z 0 z U) 9X 4 14 W 0 a 03 4 Z Z z 20 0 W a DATE: 11/14/13 SDOE NTS Dmm by WG DAT-' "114,113 SCALENTS DUE SHEET: 5 COWF 5 server 2 /8/2013 4:33:52 PM PAGE Ru LO 0' G PRODUCTS 3960 MEDFORD DRIVE LOVELAND, CO 80638 1/003 Fax Server T ula 1269209 # 5M,RP6 CLARK/020113 Phone: 800-827-4369 Fax- 800-601-3227 117 "Viv 0 merimaxbp.com I CON101 CONSERVATION CONSTRUCTION 8007 WEST COLFAX AVENUE LAKEWOOD, CO 80214 USA Ph�(303) 237-18A CON103 co SHIP CONSERVATION CONSTRUCTION 5360 WASHI NGTON ST TO DENVER, r-O 80216 USA Ph: (303) 237-1687 P"ODUCT' DE-SCR 001 VW 3800 3 LITE LJDER a P/e<? res I MMEDIA TEL Y with any cerrectlons, DONOTre- send Origil7al Order Forn7. Thank you, M � m L —To—TAL. CONTINT " TED LINE PRODUCT/ T / D E RIPTION ::� �QTY�. RE � QU E STE D * * U - Value =0.29SHGC =0.22 VLT= II.51 ** LIV RY UNIT �EXT�' I CE 0 38002L 2 3 2 LITE 132/22/13 Craftsman Po it 2 - (XO) WHT Stucco: -game 62 -3/4 " x 22 -3/4" G 1:513.13130% of 13p.Sasij 86 -UI Left Class: 1/8 LOWE 366 (NEAT & 1/8 CLEAR Rgt, Class: 1/8 LOWE 366 NEAT & 1/8 CLEAN Mixed Gas WHITE Spacers Scre Extrude HALF EEI IvERVUE * *U- Va1ue =13.29 SHGC=0. VLT 0.51 ** 005 VW38002L 3800 2 LITE 3 Q /22/13 Craftsman Portrait 2 -LITE (XG) WHT Stucco -Frame 46 -7/8" x 22 -718 " Otie1:50.000% of Op.Sash 70 -Ul Left Blass:. 1/8 LOWE 366 NEAT & 1/8 CLEAR Rgt. Glass: 1/8 LOWE 366 NEAT & 1/8 CLEAR Mixed Gas WHITE Spacers Screen: Extruded HALF BErTERVUE * * U- Value =0,29 SHGC =13.22 VLT =0,51 ** 006 V p 3 � 8 � 0 0 2L 1 .3800 2 LITE tt2(22/� 3 Craftsman Portrait 2-LITE (XG) WHT Stucco-Frame 38 -3/4" x 22'3 /4" Orsel:50. 00% of Opa.Sash 4-Ul Left Glass: /8 LOWE 366 NEAT TEMP & 5/32 DELTA FROST TEMP Rgt. Glass: 1/8 LOWE 3616 NEAT TEMP & 5/32 DELTA FROST TEMP Mixed Gas WHITE Spacers S cree n: Extruded HALT BETTERVUE * *U -Value 0.29 H C =13.22 VLT =0.51 ** 007 VW620022 2 132122/13 l�tease respond IMMEDIATEL with any corrections, CSC NOT re send original Order Form Th; nk you. SUBTOTA T [_T!TA T 0 _ �L.: L 11 NI 1 j !, —D se rver 2/8/2013 4 :33:52 Pm PAUL 3/003 Fax Server TO 3950 MEDFORD DRIVE L§ REP C, LOV LAN , CO 8o638 Phone., 800- 827 -4369 H + -PED ,.W 60 Fax: 800 -601 -3227 °Lt DENVER AR O 3 �� r �a I N �� G1N 1 = ° l =t'. L7TJ E'T tty C d7t1 101 _ � .5h MPNT T,FRa,Ar$ NET 30 TAX Co N ON aE �^c a CTION s�r4�d 8 H ^ TSOLDW try Ls� +�4VtY�..1 CON a RVATIO T To WOOD, CO 80 14 53 I CCON TRU TION 0 VA HINGTON I h ( } 237 -1687 F : {3C}) 237 1 8C} T DENVER, A sT CO 80216 PI"4 ° (30)237_ Q TY ._ . ` ORDERED LIV R TOTE U NIT PRICE Xt. PRICE 4&5 02/22/13 . 3 07:441p JOssica loveiess cav&wt pri Aiu~ 40v"� C-P owl wtb-ft*PMU)* IPXKU or YOU b. or 6e"awn b g, ofCcaserv"W C."nxbm c"p " ' City of Wheat Ridge 'Oor Residential Roofing PERMIT - 091553 PERMIT NO: 091553 `ISSUED: 08/24/2009 `JOB ADDRESS:. 4770 TELLER ST EXPIRES: 02/20/2010 DESCRIPTION: Reroof 35 sqs - * * * CONTACTS owner 303/325-3970 :Greg Johnson sub 720/269-4910 Jon. Dahlenburg 02-1376 Dahlenburg Roofing PARCEL INFO ZONE CODE: VA USE: 'UA SUBDIVISION: 0009 BLOCK/LOT#: 0/ ` **-FEE SUMMARY ESTIMATED PROJECT VALUATION: 13,619..00 ' FEES Permit Fee 308.50 r'% Total Valuation ,00 s N m / Use Tax 245.14 ; s f ~c~. s: **'TOTAL ..553.64 F Conditions: 6 nail installation mid-.roof inspection required. Board sheathing spaced more thanes 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield. required from eave edge to 2' inside exterior walls. r 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 s, application and that i assume full responsibility for compliance with the Wheat Ridge. Building Code -(I.S.C).and all other. applicable wheat Ridge O inances, for work under this permit. Plans subject to field inspection. r" Sign t. of contractor~owner :date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the ;laws of the x.' State of Colorado and to. the Zoning Regulations and Building Codes of Wheat Ridge,.. Colorado or any other: applicable ordinances of the City.' r: 2. 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 E, 3. If this permit expires, a new permit may be acquired for a fee of one-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:. shall be paid for a new permit: - , 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. u; 5. 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. l.. 6. 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, any violation of the provisions of the building: codes or any other ordinance, law, rule or regulation. ' All plan review 1s subject to field inspections. W, s Signature of . it ding Official :date INSPECTI R UEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS ST BE MADE BY 3PMANY BUSINESS DAY FOR -INSPECTION THE FOLLOWING BUSINESS DAY. r. a of "'"E?Tq City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 °o<oRna° ° Inspection Line: 303-234-5933 Building Permit Application Property Address:; C/ 7 7 p Te //e.- 5 7 Property Owner (please print): Mailing Address: (if different than property address) Address: State, Date: 0 Plan Permit v Phone: ~3^.325` - Contractor: Da le-"a- 4024~ Contractor License Sub'Gontractbrs Electrical City License Company: Phone: 20-ae?-5~910 Plumbing City License Company Mechanical City License Company: 70 Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Description of work:(as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ CO- 04 3s,0 Sq. Ft./L. Ft added: Squares BTU's Gallons Amps 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: SIGNATURE: Date: s 1 Bldg Valuation: $ 1 ' DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13026 BUILDING INSPECTION LINE - 303-234-5933 Date : 10/26/01 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 4770 TELLER ST Contractor License No. : 17787 Company : D& D Roofing Inc. Phone : 424-9273 Phone : 287-3043 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurete, and do not violate applicable ordinances, rules or regulations of the City of Wheal 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 W,hE$t Ridge or rapeces, for work under this per it. L' ~ (OWNER)(CONTRACTOR) SIGNED~ DATE 4i './Q ~ ConstructionValue: $3,108.00 Permit Fee : $97.25 Plan Review Fee : $0.00 Use Tax : $46.62 Total : ~ $143.87 Use: Description : RECOVER EXISTING ONE LAYER OF 3-TAB ROOFING WITH NEW 25 YR 3-TAB SHINGLES I =_1 BU ILDING DEPARTMENT USE ONLY : 4R1104:0~g~'~ SIC: Sq. Ft. Approval : Zoning : Approval : PIONOW~ 00Am Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application antl is subject to the laws of Ihe State of Coloratlo antl lo the Zoning Regulations and Builtling Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City. (2) This permit shatl expire if (A) the work authorized is not commenced wilhin sixty (60) days trom issue date or (B) ihe building authonzed is suspended or abandoned for a period oF 120 days. (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans antl specifications antl any suspension or abantlonment has not exceetletl one (1) year. If changes are matle or if suspension or abandonment exceetls one (1) year, full fees shall be paid for a new permit. (4) No work ot any manner shall be done that will change the naNral flow oF water causing a drainage problem. (5) Contraclor shall notiy the Builtling Inspector twenty-four (24) hours in atlvance for all inspeclions antl shall receive written approval on inspection card before proceediing with successive phases oF ihe job. (6) Th uance ofa, ertnit or ihe approval of drawings antl speciflcations shall not be construetl to be a permit for, nor an approval of, any violation oF the vi 31ding odes or any other ortlinance, law, rule or regulation. / ryy,..- ChiefBl Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner :~A~tCc C 1 HR K Property Address : 141'70 -TELL-F-K 5T' Phone : 30-~, LI2q - q27 3 Contractor L.icense No. : \ -1 -1 1~07 Company:DS-D 12vo~'.rJ6 ~.n1C OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit appliwtion are accurete, and do not violate appliwble ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibiliry 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 G~ DATE JO""/of Phone :303 3c)q'7, Construction value : 3 k c)qj Permit Fee : Plan Review Fee : Use Tax : Total : DesCription: ,R¢COVQr 'J ane lerY¢p- DF 3 TAPj Kc~(;!J6 cJ~ch I~l~w 25;~ 3=TE}.RJsh'lVJ~~ BUILDING DEPARTMENT USE ONLY Zoni~gsCo5ilm~nts~ SIC : Sq. Ft. : Approval : Zoning : _ oC"=mmentsa BuifdihW Approval: Pu Approval : Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : ~ ~Plaii~li~. [red~ E ~P,IaiiW eq~IM 11Pfl (t) This Dertnit was issuetl in accordance with the pmvisions set forth in yopur application and is subjecl to the laws of the State of Coloratla and lo the Zoninq Regulalions and Builtling Cade of Wheat Ridge, Colo240 or any other apPliwble orCinances ol the Ciry. (2) This permil shall expire d(A) ihe work authonzetl is not commencetl within sizry (60) tlays from issue aate or (B) the building auNOrizeO is suspentled or abandoned for a period of 120 tlays. (3) If this permit expires, a new permR may be acquireE Por a fee ol one-hatl the amount normally required, proviCeE no changes have been or will 6e made in the original plans and speci(Wtions and any suspension or aCantlanment has nol exceeded one (1) yeac If changes are maCe or il suspension or aEandonment exceetls one (1) year, NII (ees shall be paitl tor a new pefmit. (6) No work of any manner shall be done Nat will change lhe naWral Bow ot water wusing a drainage pro0lem. (5) Contractor shall notiy the BuilAing Inspector twenty-lour (24) hours in advance for all inspections and shall receive wnnen approval on inspection cartl before proceetliing with succes5ive phases of Ne o0 (6) The issuance of a permit or ihe approval o~drawings and specifcalions shall not be consirue0 ro be a permit br, nor an approval of, any violation ol Ihe provisions o( the building codes or any other ortlinance, law, rule or regulatioa Chief Building Inspector For Mayor THIS PERMIT VALID ONIY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION tiq4 c0 aT