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HomeMy WebLinkAbout3701 Sheridan BoulevardThe City of Wheat Ridge Third Party Form Check List Property Address'}o Permit Number e, I '- (, P icy Permit Issued Date to Ica 2-01:7-- Owner a1Owner Information Property Owner Information 0 U 0 L_ , �LL+-A-R-C) Property Owner Address �>-:o t ---, y -z-2- L a acv 3 LV -o Inspector Information n Inspection Company Inspector Name Inspector Contact info. _ 2 Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City hat Ridge Policies and Procedure and Manufacturer's recommendatio a spe nations. Inspector: Date: �z1h *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat Ridge Building Division inspection. % Propery Owner/Agent: t - ? V _ r Date: This original document and permit card, as well as the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26/17 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Final Roof R o q f. 112§jp.��,:.tLq p pa", Fail Fai) Structural roof components 4] rais, , J Fail Verify that no more than 2 layers of shingles exist 1-1;) s c' 1-1 Fan I Flashing -for roof and walls I-&"' I -] Fai I If new sheathing is installed verify that it is listed in the permit description (Valuation Must* be adjusted) 1 -1 I -ail Verify sheahing nail pattern ( See policy & Proceedures) -1 Fail Crickets and saddles where needed J rail Verify B vent must have boot same gauge as pipe raid Verify vent caps U-1 Ijil Verify no flashings are darnaged or rusted I-] Fail Step flashing shall be min. of 4x4 piece pet, shingle Fail Verify Scuppers allow for proper drainage Fail Ice and water shield 2' in heated wall spaces I I -ml Underlayments must -follow 2012 IRC 2012 IRC 1 ,,,1n7",. C1 rail Verify roof slope for proper drainage Fail Dripedge shall have min of 2" overlap -1 F,,j] Dripedge should extend down min 2" past roof deck I [J Fail Dripedge shall be, mechanicaly fastened 12" OC I I 1�3il 90 LB roll roofing shall not be applied to roof slopes less than 2-12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of '1 -12 , F aii Modified Bitumen, EPDM, TPO min slope 1/4-12 slope N 'A [-I rail Above roof insulation R-25 Fail Below roof residential R-38 -1 r -ail Below roof commercial R-32 rJ A / I-] 17�il Modified Bitumen, EPDM, TPO min slope 1/4-12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the !address on the letter for final inspection Mr,taf Roof-'Shipciles Rectuirements Metal roof shingles sl-iall not be installed on slope_ les',- 312 .'I I 'I Feil Metal valley flashing shall be the same material as roof �J 1 F'Jil Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections Overlapping a min. of 4" Tilo Poofi,; Requirements ' Clay and concrete tile shall have amain- 2--1/2-12 slope Slopes 4:12 and under require double, uriderkaymenf The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: Inspector signature: Date of Inspection: i CIT �F W4AT�RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � 0 b - m ' j. Job Address: 3 -7c f S L,°" c/,,- Fz� / .d Permit Number: (o�r-7 o s 3 © t -j 1 r ►l C o o -P d'-1 a CS Ga Lie ❑ No one available for inspection: Time = Cj 0 AIVI . J' Re -Inspection required: Yes(5) When corrections have been made, call for re -inspection at 303-234-5933 Date: It bi? Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708304 PERMIT NO: 201708304 ISSUED: 10/13/2017 JOB ADDRESS: 3701 Sheridan BLVD EXPIRES: 10/13/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 35.51 sq (33.99 sq pitched / 1.52 sq flat) Pitch = 12/12 (3rd party inspector required) *** CONTACTS *** OWNER (303)733-4629 OLIVER RICHARD J SUB (636)464-7663 Richard Woods 090176 AREI, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,824.60 FEES Total Valuation 0.00 Use Tax 374.32 Permit Fee 331.10 ** TOTAL ** 705.42 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201708304 201708304 3701 Sheridan BLVD ISSUED: EXPIRES: Residential Re -roof to install asphalt shingles - pitched / 1.52 sq flat) Pitch = 12/12 (3rd party 10/13/2017 10/13/2018 35.51 sq (33.99 sq inspector required) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specif cations= 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�permrt. I further attest tlt I am le all authorized to include alI entities named within this document as parties to the work to be pert4red and that all wgrk toe p�yfor>d is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWIR or CON�tidn TOR (Circle one) Date I , This permit was issued based onformation provided in the permit application and accompanying dans and specifications and is subject to the compliance with tocuments, and all applicable statutes, ordinances, regulations, po Flans 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 Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable,eedcor any ordinance Or regulati n 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. Dane Lovett Z 0 I V�'30 - I From: no-reply@ci.wheatridge.co.us Sent: Thursday, October 12, 2017 8:20 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 3701 Sheridan Blvd Property Owner Name Oliver, Richard Property Owner Phone 303-733-4629 Number (enter WITH dashes, eg 303-123-4567) 5 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract richoliver4686@comcast.net Yes SIGNED CONTRACT - oliver - 3701 sheridan blvd.pdf CONTRACTOR INFORMATION Contractor Business AREI Name Contractor's License 090176 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-825-7663 7711 West 6th Ave, Suite E. Lakewood CO 80228 Contractor Email Address Imarquart@arei.us Retype Contractor Email Imarquart@arei.us Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or 35.51 17824.6 No Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or greater) 6 both? (check all that apply) What is the pitch of the 1/12 FLAT roof? How many squares are 1.52 part of the FLAT roof? `l Describe the roofing mule hide peel and stick material for the FLAT roof: Type of material for the Rolled FLAT roof.- oof:What Whatis the specific pitch 12/12 of the PITCHED roof? How many squares are 8.67 part of the PITCHED roof? .s> 1,�� 1 Describe the roofing oc duration materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional house and garage, other pitches: 7/12 6.19sq, 10/12 3.44sq, detail here on the 5/12 15.69sq description of work. (Is this for a house or garage? Etc) 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. 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. Name of Applicant Leann Marquart Email not displaying correctly? View it in your browser. AREI, LLC. Siding 7711 W. 6th Ave., Suite E 130011ng Lakewood, CO 80�■■/}228 Guttering ��•��J•���� i t Fax. 866.01-(x077 Financing Available service@a. ILUS li_ www.arei.us U$ OMER tt HOME PHONE WORK PHONE CELL P,gNE t c•G r - Inn L TREF.T JOBAaatESS 301 l'�c l '.ITV, $i ATE, ZIP ROOF SPECIFICATIONS SPECIAL INSTRUCTIONS Rod! Area to be repaired: ii Swat shingle iii . ,Qc�- jy y Color of$hiri*,: "�<V..._. ... _..__.— Ir(11 11 Ridge Material "I Q'� •j A valley ------- -- -e p yens 1 j Piumbdng stacks: Ouanaly S. ` x1 Metal0,4,Edging: , LF�� C4iars y9.r_zt+q. As Tear oll Yes Ltarye. JJ Type of Felt'. 1 )i Pilch: Q Ii Dl_i rl 1 a �{, 2� • story Q DELIVERY INSTRUCTIONS Remove iob related dentis extra charge ......... ..............`. fre. root, gulters am) Yard. Protect landscaping where applicable. Extra charge -1,19PAYMENT SCHEDULE SPECIAL ATTENTION AREAS First Payments Due on Signing 50% icaWaterShield Low Pilch ,Ytres iJNo Paid Date: / CK# $ Existing Gutter Damage IYes Li No Exisbrg Driveway Damage 7Yes f No Paid Date: 1 ! CK#—___ 0 $ vG Flat roof area: _��..... Color, A Chimney Fleshing. -Ie.1_Cobr i l LF 1 Balance Due upon Completion Skylights: 1:F4.2__......._.._.......__._.._...................._............................_........._.....__.�..___......... Leaks Paid Date: CK# -.i.... ... .. ------ Ilklistener Damage ._._.t.t_---_-..-.__...._.__........._.._.._._....._......._.__._.__. Balance $ Emergency Repair: U Yes 11i l Sate rlo, DSM ❑ Yes Ill No warranty Certificates & LIEN waiver Upon Final Payment Replacement of any rotted wood at an extra charge of $50.00 per sheet for 3/E or 1/2 inch OSB plywood and 314 inch OSB will be replaced at an extra charge of $75.00 per shoot or $4.00 per lineal foot for (one -by) lumber. All other unforeseen extras will be charged on a time and material cost basis. Fascia replacement and rafter work will be replaced at $6.00 per lineal foot. This includes labor and materials. GENERAL CONTRACTOR: Homeowner acknowledges AREI, LLC as a general contractor and as such will be entitled to 10% overhead and 100/6 profit, as allowed by insurance industry standards. INSURANCEIMORTGAGE COMPANY NOTE: 1 hereby authorize the insurance company and/or the mortgage company below to make any checks payable iointiy. TERMS: This agreement does not obligate the homeowner or AREI, LLC in any way unless it is approved by the insurance company and accepted by AREI, LLC By signing this agreement the homeowner authorizes AREI, LLC to pursue the homeowners best interests for a root replacement or repair at a "price agreeable" to the insurance company and AREI, LLC with no additional cost to the homeowner except the deductible. When "price agreeable" is determined it shall become the final contract price of $ .>;,',[.4._..____......... and homeowner authorizes AREI, LLC to obtain labor and materials in accordance with the "price agreeable' and the specifications set out herein and on tie reverse side here for to accomplish the replacement or repair. 'Any and all monies received from the insurance company as general contractor overhead and profit and/or cost increases will be pact to AREI, LLC in addition to contract price above ACCEPTED DATE: y. ACCEPTED: _. ........_....____-. DATE: _. Workmanship guaranteed for �_ .. Qt�f`S .................. We are luty insured by workers compensation, public liability and property damage. Colors of material used must be selected from our samples. All materials carry a guarantee fumishod by the manufacturer upon request. CONTRACT PRICE TERMS OF PAYMENT: IM10 C �% C3� - 1�'�� Authorized Signature �`"�..-"-T�-d'"..f` �%4 __.........._N...--- Date: r� 1_._..__.._._.._ --�..-__7..___AREI, VC NOTE: This proposal may be withdrawn by us it not accepted within ACCEPTED: . DATE: ACCEPTED: --_. -._._._.._.......... . ..____... .......... ......._.. DATE: ACCEPTANCE OF PROPOSAL: "The undersigned has react all terms of this contract including the terms and conditions contained on the reverse side of Itis page and accepts the above price, specifications and all conditions. You are authorized to do the work as Specified, Payment will be made as Outlined ab or, Insurance co _.._--- _..._,.._..- Claim #.. _..... . �" FOR OFFICE USE ONLY City of io re: 7-5�, � earl v c*tl '` plampermrr Building InsPection Services Division Z c> 0� 7500 W. 2e Ave., Whet Ridge, CO 50033 Plan Review 303-235-2555 * F 303-237-8929 Inspection Line: 303-234-5933 Building r t Application °# .,A,n+,. . tax„ 4 "„Cil "'�,Y' 11,.x, ,,.et ,i MSn 'wC �1. `8+4�',^��:i, 1 1d. wWMR4 M,WaNNC�l 4315 1'lRN'4s'"( .w ••., r, Y. •y• „ ...s kt **'CC,n jCat!�21i;1 Address: �. City, State, Zip: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all osides NEW COMMERCIAL STRUCTURE NEW RESIDENTIAL }• • ELECTRICALR COMMERCIAL COMMERCIAL ADDITION RESIDENTIAL ROOFING RES INTIAL ADDITION WINDOW REPLACEMENT RF COMMERCIAL ACCESSORY YWIIM • qy x rage, shed, dock, etc.) RESIDENTIAL A. fll. M STRUCTURE #R x �. � a� r d x+.m x + } x R }ENT MEN EMENT ♦ r a • Rp # amount of materials to be used, etc. kA, .. _. ... , Std. FULF Btu's � Gallon& 4 0 t, (Contract vatua or the cost ofPILmaterials and labor included in the entire pmject) v md Ad • ♦ i + &r } v md Ad 1"k-01% "A' 4'AN—ALo "1 '41-4 A 1� Complete all information on BOTH sides of this form Property Addreee: .r .+• u City of Wheat Ridge Memorandum TO: Accounting FROM: Melissa Mackey, Building Division Please refund: Contractors License$ ( Total: $206-32 PO Box 490 Henderson, CO 80640-0490 i : Wheat Ri dge Building • F ROM: ww w on 9 pulled w pe t o re place s. from w w the top on the city main. When we showed up to do the Job we found that the job had already been started by another c ompany . had contracted w. p • r.' Applewood Plumbing and appa rently the w m - : � fvlTeIVA r r a s w *♦ r rr O AM permit. The permit # Is 201401367. The address for the work Is 3701 Sheridan Blvd. We paid $234.50 via check # 1 033 6 for this p ermit, w „n r "�� Bran M 1' �m M, DA Qb 10_. FOR OFFICE USE ONLY 11 Property Owner Email its all ng Addr ss; it, u ftere" there prpper y auviwisj Addressor I sA1 Complete all information on OTH sides of this for Q Sq. FULF Stu's Gallons Amps Squares Other S q. Ft ll.F B tu's Gallons Am ps S quares Other 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, rule or regulations ons 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 aides 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 a pp" ° *' i. ♦ '' �► .�/ aw+' w ,� ,.� '� YiiAlYe ! � MM Buildin D ivision DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 6356 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WFfEAT RIDGE Date : 12/11/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : , Property Address : 3701 SHERIDJCN BLVD Phone : 940-6639 Contractor License No. : 19506 Company : SECHLER ELECTRIC CO Phone : 477-5116 , _ . _ _ OWNER/CONFRACTOR SIGNATUREAF UNDERSTANDING AND AGREEMENT Construction Value c $900.00 I hemby certlfy that the selbaqt dbtenceo prpppaed yy ryria pprmq epp8catfon are aaureta, Pertnit Fee : $45.00 arM do not violate applicable ordinancea, rules or regulaUonS pf the~CRY of Wheal Ridge or covenaMS, easem~nh or roatridiom of record; that all measurementa ahown, and allegatbns Plan Review Fee : $0.00 made aro accuratp; tlfat! Aave reqd.and r9eto a~(de,by,~ll cS~g pri~ted on this. eppliestlon, and tAat I aasume fiull respansa~ R~'(y !orcqa~np Raace 1'Nlieat Rdpe $uiWing Use T2X : $10.80 Coda (U.B.C.) and aq Mhet appllcedb~Wh~k}9e (1, =nar~S tor wAdc•}~ndellhia pormk. . (OWNER)(CONTRACTOR) Description : INSTALL 150 A~ . . . :..1'Y SERVtCESL=RVICE CHANGE ToNal: $55.80 . ' . . 'BUttDHV~DEPARTMENT USE ONLY SIC : Sq. Ft. : APProval,, ! . Zoning : APProvai : Approval : Occupancy : Walls : Roof ; Stories : Residendal Units : Electrical License No : Company : Expiration Date : APProval. s (1) Thb permRwea hauad M eccortle (Z) Repulatlonc anW B Catle M ~ ~ TOda,i ~anEO nMfoaraG~~t~ (3) tl thla Pemat enPtrea, e new pamm ~a« ~ p b < i r~,.~ (4) No work of a ny. ~5) ~ u'~~f shal ~ ~ i (8) p~p~ e~Ih p wltli SucCOeelvBph8y The i8fualxe d a psm~it or Uie a{ of the buildinq catles or enY.olher Plumbing Cicense No : Company t : Expireboo Date : qdpto'val T- - ~ Mechanical License No : Company : ExpiraGon Date : Approval : 9 eaWkation .nd is~ ro n,e lews a nb smre a co~oiaeo and m a,e zonirg Ikabb pdinancee of tha Cily. 91My (BO) Eays hom Issue Ceto or (B) the bulWing aWqNZetl Ia suepentleA w i amoum namelry reQwred. Mvitletl m cnarqes nave teen aVAII be meae m ure wt exceeded are (1) yaar. If durpes ere made or fl auspension or ebentlonmeM 7vance Tor aN YiapecUOna azM ehaN recelve xrtitlen approval on Inepettion eard befoie Shall rrot be construed lo be a pemYt for, nor an approval of, a'ry vblatbn of the provbbna Chief Building inspilittor THIS PERMIT VALID ONLY WHEN SIGNED BYSHE CHIEF BUILDING IN3PECTOR AND MAYOR CALL: 234-5833 24 HOURS PRIOR TO INSPECTION _ ~ , , . DEPARTMENT OF PLANNING AND DEVELOPEMENT Application Number ` BUILDING INSPECTION DIVISION - 235-2855 Date : CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : /1~7 F/M,* /dttAR p D.,~.vr.. Phone : 2'¢O ' &G-3f Property Address : 370/ SIfE~P/~.9~✓ Contractor License No. : /00 / %SU Company : .Sf~'HL~,~ ~LEcTn~C Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proposed by this permit appliwtion are accurate, and do not violate applicable ordinances, rules or regulations ot the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurete; lhat I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat)pJydge ordinances, f r work under this pertnil. (OWNER)(CONTRdCTOR)SIGNED e: DATE ~ l/ 977-51/G Construction Value : ~/OD Permit Fee : Use Tax: Total : Description _Ve,~ BUILDING DEPARTMENT USE ONLY Approval : Zoning : ~m-, Approval : Approval : Occupancy : Walis : Roof : Stories ; Residential Units : Electrical License No : Company : _5;i"41E,c Plumbing License No : Company: Mechanical License No : Company : Expiration Date /g9t Expiration Date : Expiration Date : Approval: Approval: Approval: (i) This permit was issuetl in accordance wilh the provisions set forth in yopur appliwtion anA is su6jecl to the laws of the SWte of Cobrado and lo the Zoning . Reyula6on5 antl Builtling CoOe of Wheat Riage, Coloratlo or any other applicable ordinances of the Cily. (2) This pertnM1 shall expire it (A) the work authonze0 is not commencetl within sirzty (60) days from issue date or (B) the Wilding authorized is suspeiMetl or abantloned for a periotl of 720 tlays. (3) If Uhis permit expires, a new permR may be acquiretl for a fee of one-half the amount normally require4 pmvide0 no clianges have been a will be matle in the original plans antl specifwtions and any suspension or abandonment has not exceetled one (7) yeac If changes a2 made or if suspension or ebendonmenl exceeds one (1) year, tull fees shall be paid for a new Oermit. (4) No work of any manner shall be tlone that will change the natural Flow of water causing a drainage problem. (5) ConUaclor shall notiy the Building InsOector hvenry-four (24) hours in advance for all mspections antl shall receive wriUen approval on inspeclion card bMOre procee0iing wiN successive phases of the job. (6) The issuance of a permit or the appwval of drawings and specificalions shall not be construed to Oe a pertnil for, nor an aDProval of, any violation of the OroviSions of the buil0in9 codes or any other ortlinance. law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION