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Home My WebLink About3725 Sheridan BoulevardFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair Date: Wednesday, March 30, 2022 8:49:08 AM 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 Sewer or Water Line Repair This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD 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. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3725 Sheridan Boulevard Wheat Ridge, CO 80212 Property Owner Name Jessie Dixon Property Owner Phone (303) 968-6680 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email nia Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Electronic oavment form.odf CONTRACTOR INFORMATION Contractor Business Stone and Concrete Inc Name Contractor's License 20542 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3032880039 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email info@godirectservices.com Address Retype Contractor info@godirectservices.com Email Address 01:K163CiIi1 ffl0N]avOLelS:/ Is this a sewer line or sewer Line water line repair? Length of repair approx 65ft Location of repair front yard (backyard, frontyard, etc) Provide additional New clean outs will be installed details including installation of clean - outs. Project Value (contract 8,665 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 Jamie Santana Pe rm it Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �l e R - Job Address: Permit Number: n 1-7 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 -7 / Inspector: DO NOT REMOVE THIS NOTICE a3 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: 03 G & - d Job Address: -__� -73 c" S Permit Number: _3 o 0 9 o S-3 Le d ❑ No one available for inspection: Time I;: a 1 AM PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: II a Inspector: TZ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201709053 PERMIT NO: 201709053 ISSUED: 11/14/2017 JOB ADDRESS: 3725 Sheridan BLVD EXPIRES: 11/14/2018 JOB DESCRIPTION: Permit to install 20.67 squares 7/2 pitch IKO Cambridge IR Asphalt shingles, house only *** CONTACTS *** OWNER (303)424-5633 HAMILTON CHRIS SUB (303)679-8509 Mark Schymanski 160210 Genesis Construction Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,180.00 FEES Total Valuation 0.00 Use Tax 129.78 Permit Fee 156.75 ** TOTAL ** 286.53 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201709053 PERMIT NO: 201709053 ISSUED: 11/14/2017 JOB ADDRESS: 3725 Sheridan BLVD EXPIRES: 11/14/2018 JOB DESCRIPTION: Permit to install 20.67 squares 7/2 pitch IKO Cambridge IR Asphalt shingles, house only 'b y my signature, do heattest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and tl , all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OftER 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 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 andprocedures 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, any violation of any provision of any applicable code or 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. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 3725 Sheridan Blvd Chris Hamilton 720-421-6615 Z,131� 9 5_.3 -2 `D f --I C) c�SJ Antoinette Kulick From: no-reply@ci.wheatridge.co.us Sent: Monday, November 13, 2017 4:27 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette 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 C-1 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 j 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. C nJ 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 (enter WITH dashes, eg 303-123-4567) 3725 Sheridan Blvd Chris Hamilton 720-421-6615 Z,131� 9 5_.3 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 tim@genesis-constructioninc.com Yes Chris Hamiltion Contract20170814 14242490.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) Genesis Construction Inc 160210 3036798509 Contractor Address 1250 Bergen Parkway (Primary address of your business) Contractor Email Address bryon@genesis-constructioninc.com Retype Contractor Email 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 bryon@genesis-constructioninc.com 20.67 6,180.00 Yes Pitched roof (2:12 pitch or greater) 2 both? (check all that apply) What is the specific pitch 7/12 of the PITCHED roof? How many squares are 20.67 part of the PITCHED roof? Describe the roofing IKO Cambridge IR materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional house only detail here on the 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 9 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 Stacy Garza Email not displaying correctly? View it in your browser. GENESIS TOTAL. EXTERIORS 1250 Bergen Parkway Suite B-110 Evergreen, CO 80439 303.679.8509 1 www.genesistotalexteriors.com Insurance Company: r' Policy Number: Claim Number: Adjuster: Phone: Adjuster Meeting: r t/d h . u,., ` Azve- kA lira INSURANCE RESTORATION AGREEMENT Owner: r{ h Phone: 206 79'10 Address: r Alt Phone: City: State: Zip OZ Email: i �� J-�,, Owner authorizes Genesis to contact Owner's insurance company regarding damage to the Property and understands that Contractor will assist Owner in obtaining additional funds to properly restore Owner's property. Owner authorizes Owner's insurance company to discuss matters directly with Contractor. Owner agrees to provide Contractor with any and all insurance information including claim number, insurance loss sheets, and revised loss sheets provided to Owner by insurance company. Owner agrees that Contractor shall perform work prescribed by the insurance company's adjuster report, which includes the estimate of repairs as set forth in the insurer's claim file, plus any upgrades selected by Owner. Owner Is obligated to pay only the deductible required by Owners insurance carrier; additional decking (if required); plus any upgrades requested by the Owner not included in the insurance loss data sheet. SB38 prohibits any roofing contractor from paying, waiving, or rebating an insurance deductible for a property owner. This agreement automatically terminates and the Owner owes nothing in the event that the Insurance company does not authorize full roof replacement. With written notification, you may CANCEL this transaction, without any Penalty or Obligation, within 72 Hours from the below date. Genesis Total Exteriors agrees to furnish all materiaJs and labor necessary to perform the roof replacement and/or other work of this contract for the approximate cost of $0 or the Replacement Cost Value (RCV) set forth by the Owner's insurance company also called the "Contract Price". The approximate cost is based on damages know as of the date of this contract. Genesis Total Exteriors is a general contractor and thus is entitled to Overhead and Profit on all projects requiring more than just roof replacement. Scope of Work: J�AII Insurance Approved Work jd'Qoof W!$j_ding/Fascia;<Gutters Er -Paint ❑ Windows Additional We Deductible) Oto_dZitials Materials to Be Used Ca o, f n n Additional 19-41d i �f —t 0-,, .Y Qtr T 0* IODGA—�p� W d,,— K is 5 u 6j .0 Instructions: U I)IerdJ x 0 C ---,%=J_- (f lad ra s-y—di�S30 a 'See contract addendum, stall verification form for additional details TT �f Payment in the amount of first insurance draft, or equal amount, is due to Contractor before delivery of materials or start of work. Upon receipt of deposit payment contractor agrees to apply for permitting, purchase material, and schedule roof install within 2 to 4 weeks. Contractor shall hold in trust any payment from the property owner until the Contractor has delivered roofing materials to the jobsite or In erformed the majority of roofing work on the property. Final payment due upon substantial completion of work and receipt of invoice. ner has carefully read and understands the terms and conditions of the contract, including the second page, this is a contract and proposal. Aside from listed upgrades the summary of work to be performed is described and embodied in the insurance loss sheet(s) provided by Owners insurer, in addition to the summary of work the data sheets are also the basis on which the price will be calculated, these amounts will constitute the Price for the work; this includes updates to the loss sheet in the way of supplements. Owner specifically understands that if this contract is cancelled before commencement of work, Owner agrees to pay Contractor 2596 of the total sum of the work authorized by Owners insurance company as reasonable compensation for the time expended in obtaining insurance proceeds for improvement of the Owner's prop rt x� 424-"<�� -,t, �� 17 P pe y O% Aut rized Genesis Repre tative Date Date: Plan #.* Permit* M P ropq,, Property Owner (please print): h o n e �--72V; ��26 9 �ril -ARea�i c i�eu) P Address: (:�elwtlt City, State, Zip:",i-� ktd,,,,o, , Co a02 I I Contractor License #: Phone,: I Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Sq. Ft./L.Ft added: Squares - BTU's - Gallons _ Amps _ .viiE0 ~ m City of Wheat Ridge °ot oRpa° Residential Mechanic PERMIT - 060865 PERMIT NO: 060865 ISSUED: 09/15/2006 SOB ADDRESS: 3725 SHERIDAN BLVD EXPIRES: 03/15/2008 DESCRIPTION: replacing furnace CONTACTS . gc. 303/452-3476 Jan Jannen 06-0156 Airstream Heating owner 303/452-3476 John Purdue PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,200.00 FEES Permit Fee 126.50 Total Valuation •00 Use Tax 57.60 TOTAL 184.10 Comments: Subject to field inspection I hereby certify that the eetback distances propoeed by this permit application are accurate, and do not violate applicable ordinancea, rulea or regulations of the City of wheat Ridge or covenants, easements or restrictions of record; that all meaeuremen[a shown, and allegations made are accurate; [hat I have read and agree to abide by all conditione printed on this application and tha[ I assume full responaibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable whe t e ordina o ork under this permit. P-IS-lans sub'ect to field inspection. ~~6 Signature of co ac o/owner 1. This permUrizeed ued i accor nce wi[h the provisions set forth in your applica[ion and is subject to the laws of the State of nd to he ing Aegulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinanceity. 2. 'chis permxpire iE (A) fhe work authorized is not commenced within sixty (60) days from issue date or the building is suepended or abandoned for a period of 180 days. 3. If this permit espires, 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 euspension 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. 5. Contractor shall notify the Building-Inspector twenty-four (24) hours in advance for all inspections and sha11 receive written apprwal on inspection card before proceeding with successive phasea of the job. 6. The issuance of a peYmit or the approval of drawings and specifications sha11 not be construed to be a permit for, nor an approval of, any vi tion of ovisions of the building codes or any other ordinance, law, rule or regulation. All plan review iajyy ect ield inap_ en' ns. Signature of Chief Building offfal- date INSPECTION RBQUEST LZNE: (303)234-5933 BUILDING OFFICE: (303)235-2655 REQUESTS MC7ST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~f WHEqT , ~o City of Wheat Ridge Building Permit Number: ~ ^ Community Development Department Date: cOLORPO~ AH~ NOR .Elt' UILDEVGT .L'"E"IT APPUCA TION Property Owner: ~ffi~_ Property Address: 3,72S W #C#i R)D6 L phone: 303 `/S2 3 Conh'actor License No.: c°mpany: &AS 7-i2E/ft'fi Phone: 3D.3 SSYTSZ ~ OWNER/CON7RACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT I Buildina Dept. Valuafion Figure: $ I hereby certify that the setback distances proposed by this permit application ar, accurate, and do not violate applicable ordinances, rules or regulalions of the City c W heat Ridge or covenants, easemenis or reslrictions of record; thal all measurement shown, and allegalions made are acwrate; that I have read and agree lo abide by a conditions prinled on this application and that I assume full responsibility fc compliance with the Wheat Ridge Building Code (I.B.C) and all other appliwble Whea Ridge Ordinances, for work unde his permi lans su6ject to feld inspection. v (OW N ER)(CONTRICTOR): Pemut Fee:$ Plan Review Fee:$ Usr, TAX-1 TOt31:$ UseofSpace(description): u Description of work: Sq.Ft.added BUII.DING DEPARTMENT USE ONLY COMMEMS: Approvat: Zoning: COMMENTS: Approval: WORKS COMMENTS: Approval: DEPARTMENT COMMENTS: Approval: Walis: Roof: Stories: Residential Units: Sq. Ft.: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: ApprovaP Approval: Approval: (1) This permit was issued In accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to lhe Zoning Regulalions and Building Codes of Wheat Ridge, Colorado or any otherapplicable ordinances of the City. (2) This permit shall ezpire if (A) the work authorized is not commenced within sixly (60) days from issue dale or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If ihis permit expires, a new permlt may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill he made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one ('I) year, fuli fees shall be paid for a new permit. (q) No work o( any manner shall be done thal will change lhe natural flow of water causing a drainage problem. (5) Conlractor shall nolify the Building Inspeclor Nrenty-(our (24) hours in advance for all inspections and shall receive written approval on inspection card before pmceeding with successive phases of the job. (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 wdes or any other ordlnance, law, rule or regulation. All plan review Is subJectto field Inspections. Chief Buildina Official DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10377 BUILDING INSPECTION LINE - 303-234-5933 Date : 4/17/00 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 3725 SHERIDAN BLVD Contractor License No. : 19543 Phone: 424-5633 Company : Reifz Roofing, Inc. Phone : 466-0161 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby eertiy that the setbaek distances proposed by this permd appliwtion are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or wvenants, easements or restrictions of record; that all measurements shown, and allegations made are axurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Fiidge ordinances, for work under this pertnit. (OWNER)(CONTR4CTOR) SIGNED DATE Description : Reroof wl3-tab 20# Construction Value : $2,488.00 Permit Fee : $83.25 Plan Review Fee : $0.00 Use Tax : $37.32 Total: $120.57 Use : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permit was issuetl in accortlance wtth the provisions sel torth in yopur applica6on and is subject lo the laws of the State of Colo2tlo and to the Zoning Repulations antl Builtlin~ Code of Wheat Ritlge, Colorado or any Mher applicable ortlinances M the Ciry. (2) This parmit shall expire if (A) the work authorized is not commencetl within sixry (80) days from issue tlate or (B) the building autliorized is suspenCed or abantlonetl for a perio0 of 120 days. (3) If Mis permit expires, a new permit may be acquired for a fee of onehalf the amount nomialy requireQ providetl no chanpes have been or will be made in the original plans and speafcatlons and eny suspension or abandonmant has not ezceetletl one (1) year. If chanpes are mede or if suspenslon or abandonment exceeds one (1) yeer, full fees shall Ce paid tor e new pertnit. (4) No work of any manner shell be done that will change the naturel flow of water causing a dreinage problem. (5) Contrector shall notiry the Building Inspector twenty-four (24) houre in advance kr all inspecUOns antl shall receive written appmval on inspec[ion card hefore proceetliin suaessrvephases of the1'ob. (8) The i a piAnf/~R~hgy~y~e pproval M drawings and sD~ifica6ons shall not be wnsWetl M be a permit fw, rwr an approvel of, any violation of the provisions of the b i; Mhaer ordinance, law, rule w regulatian. Chief Building In ector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : ~ BUILDING INSPECTION DIVISION - 235-2855 Date : CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 p,PPL1CATIo N Property Owner : PG+P r_~ ~ PropertyAddress: 31as 5"d'' Phone: 1ay- 5633 Contractor License No. : r 9 S y3 ~ Company: Phone: "/ay.s63s RN+z R~~ pWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : a Yd'b I hereby certify that the setback distanees proposed by this permit applieation are accurete, and do not violate applicahle ordinances, rules or regulations of the City ot Wheat Ridge or covenants, easements or restridions of reeord: that all measurements shown, and allegations made are accurate: that i have read and agree to abide by all conditions printeE on this appliption, 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 perrt+it. (OWNER)(CONTRACTOR)SIGNEDI]~'-^^^^"""~ DA~ Description : w+rJ+ 3-746 zo" Permit Fee : Use Tax : Total : Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : ~^-•-_~a.:~..n!,.~ ~a Approval: Zoning : 6~iflGIRRURM~ Approval: Approval : Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approvai: Mechanical License No : Company: Expiration Date : Approvai: (1) TTis permit was iasuetl in aaorCance vrith the pfohsw^s aet forth in yopur apDlication and is suDject to Me laws of the SWte of ColaraCO anE m the ..oning Regulatlana anE Builtlinq CaAe W VMeat RiEge, CobreEO or any otlwr applicable oNinancea ot the City. (2) This pertnH sl+all ezpire d(A) the work authonxeC is nat commence0 wrthin sixly (80) tlays hom issue Oaro or (8) the building authonzed is suspenEeO or aDantlanetl lor a penotl o} 120 aays. (3) tt this pertnit expirca, a new pertnrt may be acQuind for a fee of onrhall the artaunt rwr*nalry rcquired, proviOeE no changes have been ar will Ee maCe in the onginal plans antl specifirations ana atry auspension or abanCOnment has rwt ezceedeC one (t) year. it chan9es are matle or il susperoion a abantlonment exceeES ona (1) year, full fees shall be peM KK a new pertnlL (a) No work ot any manner shall Ee Cone Nat wili change the natunl Ilax ol water causing a arainage pmblem. (5) ConVactor ahall noGN the BuilEing Inapenor twenry•Mur (24) hours in aOvance for all inspecNOna anC shall receive written apprwal on inspeetion arC EefoR procee0iing wiM auccessive phaus of Me Wh. (8) TPe iswerKe of a pertntt or the approval of Orowinqs anC 3pecifin6cns shall not be consWed m De a pemut Mr, nor an apOroval o/. any violation o/ Me p~mans o( Me bullEing mCea or arry oNer ortlinance, law, mk or regulatlon. Chief Building Inspector