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From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Frohn Submittal: Residential Interior Remodel
Date: Tuesday, November 16, 20212:55:40 PM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
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.
PROPERTY INFORMATION
Property Address 3715 Sheridan Blvd Wheat Ridge CO 80212
Property Owner Name Claudia Wickersham
Property Owner Phone 303-420-6885
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email donnawickersham3681@comcast.net
Address
Attach City of Wheat Electron ic-Payment-Form.Odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name Just Plumbing Inc
What is your role in the Other
project?
Contact Phone Number 720-935-7402
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
for Plan Review
Comments
justplumbinginc@outlook.com
Retype Contractor justplumbinginc@outlook.com
Email Address
DESCRIPTION OF WORK
Detailed Scope of Whole house repipe, interior only. Remove and replace hot and
Work - In the space cold waterlines interior only.
below (not as an
attachment), Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
I, the applicant,
I have entered a detailed scope of work.
understand my
application will be
rejected if I do not
include a Detailed
Scope of Work.
Location of Work
Interior only. Waterlines Inside home
Square Footage Area
1000
of Work Being
Performed
Asbestos Report
Testing docx
Upload letter size
Drawinas 1.odf
documents here
Construction Plans
Drawinas.odf
scanned on 11'x17" or
larger
Project Value (contract
4896.00 Valuation okay
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
Person Applying for Cheyenne Magaraci
Permit
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.
Email not displaying correctly? View it in your browser.
r
W o City of Wheat Ridge
® Residential Roofing PERMIT - 201702744
PERMIT NO: 201702744 ISSUED: 06/28/2017
JOB ADDRESS: 3715 Sheridan BLVD EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Driftwood asphalt
shingles with ROOF DECKING - 15.9 sq.
*** CONTACTS ***
OWNER (303)420-6885 WICKERSHAM DONNA C
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,995.94
FEES
Total Valuation 0.00
Use Tax 125.91
Permit Fee 140.90
Misc. Fee 10.00
** TOTAL ** 276.81
*** 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 Alm -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.
C'-f\AO /70� 7,
Occupancy/Type
INSPECTION RECORD
p
INSPECTION ONLINE
FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Iotinnc mi ict ha �i ihmitfizd 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 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
CommentsInitials
Pier
Electrical
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Lath / Wall Tie
Do Not Pour
Concrete Prior 10 Approval ur I ne Huvve nwNCs.uvlw
Underground/Slab Inspections
Date
Inspector CommentsInitials
Electrical
Mid -Roof
Sewer Service
Lath / Wall Tie
Plumbing
Rough Electric'
_________1 /12 TV. AL. w..w Ir.w r.ww�C�nc
UV IVVL \+VVCI U1 1U191 I WL" "Awl
Rough Inspections
-
Inspector Comments
Sheathing
oDateInitialsWall
Mid -Roof
s��•
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
.– •L.. : n,,.+.:_. .,...+ nlc.n+Tirol 1—, vnlfana
"For low voltage permits - mease De sure alai IUuyll [IIJhGLL1U1ia 01U — P -L �• • • - -
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
a
, City of Wheat Ridge
®/ Residential Roofing PERMIT - 201702744
PERMIT NO: 201702744 ISSUED: 06/28/2017
JOB ADDRESS: 3715 Sheridan BLVD EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Driftwood asphalt
shingles with ROOF DECKING - 15.9 sq.
*** CONTACTS ***
OWNER (303)420-6885 WICKERSHAM DONNA C
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,995.94
FEES
Total Valuation 0.00
Use Tax 125.91 PAID
Permit Fee 140.90 -
Misc. Fee 10.00
** TOTAL ** 276.81
*** 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 A-�-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€T"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 - 201702744
PERMIT NO: 201702744 ISSUED: 06/28/2017
JOB ADDRESS: 3715 Sheridan BLVD EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Driftwood asphalt
shingles with ROOF DECKING - 15.9 sq.
nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications=
�iuilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
1 owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
1 further attest that I am legally authorized to include all entities named within this document as parties to the work to be
and that all work to be performed is disclosed in this document aridjori ' accompanying approved plans and specifications.
SignaTure of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuan a or anting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable c drdinareg 0
1 of this jurisdiction. Approval of work is subject to f any
inspection.
f
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 Ridge
Residential Roofing PERMIT - 201702744
PERMIT NO: 201702744 ISSUED: 06/28/2017
JOB ADDRESS: 3715 Sheridan BLVD EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Driftwood asphalt
shingles with ROOF DECKING - 15.9 sq.
*** CONTACTS ***
OWNER (303)420-6885 WICKERSHAM DONNA C
SUB (303)296-0361 Randy Brothers/Cody Hayes 130240 Elite Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,995.94
FEES
Total Valuation 0.00'
Use Tax 125.91
Permit Fee 140.90
** TOTAL ** 266.81 _3
*** 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 A�-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 manufacturers€T"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&439;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 - 201702744
PERMIT NO: 201702744 ISSUED: 06/28/2017
JOB ADDRESS: 3715 Sheridan BLVD EXPIRES: 06/28/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Driftwood asphalt
shingles with ROOF DECKING - 15.9 sq.
11 by m si >nat ire, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable $uilding 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.
Sign tune of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 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 Aeld inspection.
Signature of Chic llyI tial ' �--�.- _ % Date
REQUESTS MUST BE DE 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 Q d t 7 G;-7 44
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 16, 2017 10:OS AM
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. 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
3715 Sheridan Blvd.
Claudia Wickersham
303-420-6885
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 Name Elite Roofing
Contractor's License 130240
Number (for the City of
Wheat Ridge)
Contractor Phone 303-296-0361
Number
Contractor Email Address hilda@elite-roofs.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email hilda@elite-roofs.com
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing Owen's Corning Duration Driftwood
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 15.9
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?
2
TOTAL SQUARES of all 15.9
roofing material for this
proj ect
Provide additional detail 4/12, 1 layer
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 5,995.94
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 Hilda Cowie-Bozner
Email not displaying correctly? View it in your browser.
3
Jti A
nat.�BM is r R
0��
[1050LITE�t�!
A7Z7Z7p��,,�,1�! / AG
R-f-gDme &*'
Contract Submitted To C a Ow -14 1f -- E-mail
Date r , T L*)f 1 Home Phone 0 s /Alternate Phone
� / y
Street �Cr'GCtilI/ ea
a State zip
We s'a
`
propose to furnish all materials and labor completed in accordance with the specifications below for the initial sum of: REPLACEMENT COST VALUE (RCV)
per insurance proceeds plus any supplements that may apply to your claim. upon approval of your claim, Elite Roofing will file for any and all supplements which may
include building code items, unforeseen items and missed or omitted items on the insurance scope provided to you by your insurance company. Those items will be paid per
your policy provisions and will become part of this contract as if contained herein. Elite Roofing, as your General Contractor, will negotiate a fair and equitable settlement
agreeable by both your insurance company and Elite Roofing based on competitive market rates for labor and materials with no additional cost to you, except for your
deductible and any upgrades or additional work authorized by you that are not part of your approved insurance claim. Should your insurance company deny a full roof
replacement, you will not be obligated to this contract and/or may enter into an acceptable repair agreement with Elite Roofing.
Shingle
aj,} far off layef(s)' of �r wood shingles.
fit$' I�talifelt _&'l 51b 301b
Ridge cap shingles to be color coordinated
Install new pipe jacks row
eplace vents as needed Slant back Turtle
�e-flash chimneys and all wall abutments as needed
[tall _ e _ nails per shingle s ee4- 130m�r�<„ �
Code Items:
[] Install Decking (7/16' OSB)
W -Install pre -painted eave metal to code - Colorffroasw
[t�ce & Water_XPenetrabons_XVaileys_X Eaves
Upgrades:
[) "Synthetic Felt"
{ J "Ridgevent" If.
(] "High Profile Ridge" if.
[ ] "Surenail" lifetime shingles
[ ] "Class IV Impact resistanf lifetime shingles
[ ] Manufacturer Warranty - Pick one Below
[ ] OC Advantage [ J OC Preferred [) GAF System Plus
Misc.
(ean out gutters
V'rive (5) year workmanship warranty
5 lite Roofing will provide general liability insurance coverage of $2,000,000
' e Roofing will provide workman's Comp at $500,000
(e a magnetic sweep of driveway and yard for removal of any nails
{ Remove all debris resulting from above work
Special Instruictions: j,
big
Ice— cts iAakl A
Approx. Job Completion: weeks from insurance approval
Homeowner Payment Summary:
Deductible: $
Upgrades:
Balance Due*:
*Balance due is equal to the amount of out of pocket expenses as agreed
upon by the hornwva r and is in addition to an other insurance proceeds
as described above. If no insurance claim is involved then balance due is
the total contractual amount due.
Insurance Company 4e &BIS Claim # 3610 � 6 [ 0 a 6 1 — 1 DOL: 5? / 8 1 �?,b /
1(We) hereby authorize andfor instruct any legal representative and/or agent of Elite Roofing to obtain any and all information necessary to negotiate
the settlement of my (our) claim as well as any information necessary to complete the funding process relative to the claim number fisted above.
• 1(We) hereby authorize and/or instruct Elite Roofing to pick up in person any loss drafts or checks on both my (our) behalf and behalf of Elite Roofing.
• 1(We) hereby authorize and/or instruct Elite Roofing to act as my (our) General Contractor for the above mentioned claim number and instruct my (our)
insurance company to release the customary 101/6 overhead and 10% profit for scheduling and coordinating any and all trades needed.
0 Elite Roofing shall hold in trust any payment received from you until materials have been delivered.
This contract is subject to Elite oofi/ng man gement review and approval. I accept the above te�contra z Elite oofing t proceed_
Date of Acceptance.3C d LHomeowner's Si natureg (s)
rr X
Representative .� L% 6 Claw C7/ Representative's SignaturA*. Wc?�> .3> "
5475 Peoria St. Suite 4106, Denver, CO 80239 1 Ph: 303.296.0361 1 Fax: 720.317.2233 1 Colo. Spgs.: 719.203.3107 1 Ft. Collins: 970.818.3990
www.eliteroofingcolorado.com
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: SHe
Job Address: 3 71 S 51-1 A
Permit Number: Z ()17U
r
d
❑ No one available for inspection: Time rU /D l/PM
Re -Inspection required: Yes (No)
When corrections have been made, call for re -inspection at 303-234-
Date:- 7/6//7 Inspector: H K
DO NOT REMOVE THIS NOTICE
A 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: �_> () F
Job Address: 571 S (F-kVPN
Permit Number: 2 U Cha -7
❑ No one available for inspection: Time -i �AI�1/PM
Re -Inspection required: Yes 6 -r,7, !r
v
When corrections have been made, call for re -inspection at 303 -234 -
Date: V/117—Inspector:
DO NOT REMOVE THIS NOTICET
FOR OFFICE USE ONLY
Building r it Application
rapplications may not bo, prat s .
..# ...
Complete all information on BOTH sides of this form
"Widing Division Valuation:
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12902
~ BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 10/5/01
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3715 SHERIDAN BLVD Phone : 420-6885
Contractor License No. : 20173
Company : Sears Home Improvement Products, Inc Phone : 3033779833
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by lhis 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
Cotle (U.B.C.) and all other applicable Wh a Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNE0~~2eMfi~ DATE/* S lol
Description : INSTALL VINYL SIDING - 1025 SQ. FT
Construction Value :
$8,109.00
Permit Fee :
$16725
Plan Review Fee :
$0.00
Use Tax :
$121.64
Total:
$2$$.89
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval:
R"'KAW"AN'"
Approval:
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval :
('I) This permit was issued in accordance with the provisions set forth in yopur application and is sub1ed to the laws of the S[ate of Coloratlo antl to the Zoning
Regulations antl Builtling Code o! Wheat RiOge, Colorado or any other applicable ordinances of the City.
(2) This permi[ shall expire if (A) Ihe work authorizetl is not commenced within sixly (60) tlays From issue tlate or (B) lhe building authorized is suspended or
abandoned for a period ot 120 tlays.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normalty required, provitletl no changes have been or will be matle in the
onginal plans antl specifcations and any suspension or abandonment has not exceetletl one (1) year. If changes are matle or it suspension or abantlonment
exceetls 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 dreinage pmblem.
(5) Coniraclor shall notiry the Building Inspeclor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspec[ion card before
proceediing with successive phases of ihe job.
(6) The issuance of a permit or the approval ot drewings and specifications shall not be constmed to be a permit for, nor an approval of, any violation of the provisions
of the building cotles or any other ordinance, law, rule or regulalion.
ef i~
Nov-05-98 04:25P DEVREVFAX
DEPARTMENT OF PLANNING AND DEVELOPMI: N7
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner
Property Address :3-71 ~-rj 1A ~ -V'~, iL77 •
Contractor License No. : o~! 0 17
303 235 2857 P_Ol
Building Permit Number :
Date :
Phone60-6`-l~o -Co`~235
Company S',,rS ~rnP .Zr,A a -e~~-w~.,o~_ Phone
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGRE i°MENT Constnlction Value : ( O~.o El7
1 hereby artify that the setbatk Cistances proposed by this pertnit appiicatian are ac :urate, pgffTlit FBe :
and do nol violate applicable ordinances, rules or regulatians of the Crty of 4Vheat Ft: f9e or
covenants. easements ar reslrictions ot record; that aA measurcments shown, anW a iegations
maCe are accunte; that I have read and ayree to abide by all conditions pnnted on t iis USe TaX :
appliwlion, and thai 1 assume full responm6ility fvr compliance wiN the Wheat Ridp, Building
Code (U.B.C.) and ail other appliwble Wheat aidge ordinances, for woAC under lhia tertnil. TOt81 : $0.00
(OWNER)(CONTRACTOR) SIGNEq,~E22~+Ti.QATE ~ ~ • ~
Use:
Description : i'N~ ° t G'a S !~''q ,
BUILDING DEPARTMENI USE ONLY
SIC : Sq. FL :
Approval:
Zoning :
Approval :
Approval:
Occupancy : Walls : Roo( : 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) Thia permfl wss 13sued In aeCOrEante with the pmWsion9 xl /orLh in yOWr aOPllratlai rtW ta suEIep lo the laws of the Sute of Colorado and to the 2oninq
Requla6ans an0 BWltlltp Coda of Wnaat RiOpe, Cob2CO or any olner applinOk ortlir ancee of tha Ciry.
(2) TTe pertNt a~aN ezpiro rt(A) the wor1e aufhoAietl is not commencnl wiffun sisty (BO) 9. ya (rom W x aate w(8) Cia bul0;np auNaizeQ is suzpendeQ a
aOaMOrwO la a peAOd of 120 daya.
(3) I( W! PlfRYI eYQIRE, 8 tllW {MTYI my b! DCQWflC (Of i f!! Of OIVC-h2H ih2 3f11q1lIf /K 'm911y fpGUYlE, pIOWO2E Iq U]!q!3 h8M ERlfl IX Will EE R1i0e h the
p'ipinsl plant uW speafic:tlons and any suspenslon w ahan6onrtant has not ezceecH 1 one (t) year. It changp are maEe a i( suspenzon or aEandonment
exceedS On0 (t) yeat, (ull feea aAail DR paid !ot s new pertnit.
(4) No w9rk ol any manner sAall Da dOne tllat will Chanqe Vw nsNra111ow af water puslr4 a dninaqe proElem.
(5) Conlraaw shall notly the Butltlinp InapeUOr twenN•rour (24) nours In aovance ta atl ii ~:pections ana shaU receiva wrinen avWOVai on Impection ear0 Derore
proteeCqnq witn su¢esshe pluaes of thejpp
(6) Tro iaauance of a pemtit ot tha Ypproral oltlrowfngs an0 apecifica7ians shaN not De cc :zWM to be a pennil (p', nor an approvel Of, arty M0400(l o( the prorisbna
. ol the Dulltlin0 codea a my MMr ptlinanCe. laW. rub IX requlaGan. -
Chief Building Inspector f= )r Mayor
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CN IEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIC iR TO INSPECTION