HomeMy WebLinkAbout3005 Ward CourtFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Monday, November 15, 202111:27:52 AM
Sewer or Water Line Repair Permit Application
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 3005 WARD CT
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CHUCK HUNTER
19I81910181-M,1-YZ!
Field not completed.
CONTRACTOR INFORMATION
Contractor Business TRENCH RIGHT
Name
Contractor's License 130022
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-287-9009
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
OFFICE@TRENCHRIGHT.COM
Address
Retype Contractor
OFFICE@TRENCHRIGHT.COM
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
Sewer Line
water line repair?
Length of repair
10,
Location of repair
FRONT YARD
(backyard, frontyard,
etc)
Provide additional
INSTALL CLEANOUTS
details including
installation of clean-
o uts.
Project Value (contract
6900
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 WILLIAM LOHMAN
Permit
Email not displaying correctly? View it in your browser.
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: L'P F-/'
k 1(o0+, ,
Ge 0`j 1 i r^� f
Job Address: �.=0�0 Ls' � �'
Permit Number: ?011607-,1-710
❑ No one available for inspection: Timej Zi ! AM `
Re -Inspection required: Yes /Nd
When corrections have been made, call for re -inspection at 303 -234 -
Date:) 1
03-234-Date:)1 iJ inspector: Lo✓n'-
DO NOT REMOVE THIS NOTICE
I* � 4 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: 300 5) L-larA U,
Permit Number: 201002gl�
❑ No one available for inspection: Time E !' r' AM&Kh,
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: I I r` 4Z 1� Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201802918
PERMIT NO: 201802918 ISSUED: 11/02/2018
JOB ADDRESS: 3005 Ward Ct EXPIRES: 11/02/2019
JOB DESCRIPTION: Reroof remove and install Tamko Heritage 30 Year Asphalt Shingles with 26
squares. Pitch 5/12. House only.
*** CONTACTS ***
OWNER (303)908-4824 HUNTER CHARLES T
SUB (303)438-1007 Doug Breinig/Melodi Breinig 140189 J&N Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,144.00
FEES
Total Valuation 0.00
Use Tax 297.02
Permit Fee 283.55
** TOTAL ** 580.57
*** 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% 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% 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 - 201802918
201802918
3005 Ward Ct
ISSUED: 11/02/2018
EXPIRES: 11/02/2019
Reroof remove and install Tamko Heritage 30 Year Asphalt Shingles with 26
squares. Pitch 5/12. House only.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t e 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
thisppermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfoyTJ/[�p'ed and that,;Il work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
4'1
Signature 6f 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 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 grant' of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appy code or anbdinance 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.
La enia Reimer 2 0 G 13 G 2_1� /�
From: no-reply@ci.wheatridge.co.us
Sent: Friday, November 2, 2018 12:42 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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. The Building Division permit counter is open from
7:30 am to 3:30 pm, 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 (enter WITH
dashes, eg 303-123-4567)
3005 Ward Court
Chuck Hunter
303-908-4824
Property Owner Email
hunterhom4@aol.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Ward Ct Roof Contract 10-5-18.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
J&N Roofing
Name
Contractor's License
140189
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-438-1007
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
1180 S Balsam St.
(Primary address of your
business)
Contractor Email Address
jnroofing1 @comcast.net
Retype Contractor Email
jnroofing1 @comcast.net
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
26
the entire scope of work:
Project Value (contract
14,144.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
s Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
2
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
5112
26
Tamko Hertiage 30 shingles
Asphalt
House only
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
3
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 Nathan Breinig
Permit
Email not displaying correctly? View it in your browser.
Cit of
beat °clge
!` COMMUNITY LiFVELOPMBNT -
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
fxopely Address:`
Property Owner (please print): 1.e S Phone: 3 b - 43 3 - _-1 3c:-, o
Mailing Address: (if different than property address)
Address:
City, State, Zip:
t )
Contractor: J
Contractors City License #: �'L is 4C Phone: 8 3 ' 1 7 / / to 6
S�ub�Contnacto7s
Electrical: Plumbing: Mechanical:
City License # City License # City License #
T� / sir;t'iki #Ion �iwoir�:� I t
i-.{; fc Z�k I CS C.C. r $ ontract Value• 00
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sri Ft. $
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.
CIRCLEONE: (OWNER) (CONTRACTOR). Cr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: SIGNATURE: DATE:
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FmEAEPARTMENT, Dapproved w(2omtrlenfs �Odisapproyed �x�o �evlew regU�rsd Bldg ValUatlOn $
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Permit Number
Building Permit , I9657
CITY OF WHEAT RIDGE 4~ 1/9/2006
7500 Weat 29TH Aveaue
- Mspection Line
Wheahidge, co 80033
303-235-2855
Residential Miscellaneous
PROPERTY 3005 Ward Ct Unit:
owxEx: Charles Hunger
(303) 237-5773
Description French drain azound house.
_
FEES _ - - -
Fees _::j1Due
I.: - Txcn nn
.30
- - _ - -1
~License # _ _ Phone .
i - : -
n
Roof: Stories: Sq Feet: City [v Wet Ne aetboclc dhhncea propoud by tM1iq permit apWeo[ion are eccunte, antl do mt violale applicabk ordina `h t hrve re d md agree m~bide by
or covmmb, evaemenb or rzstAatlona of record; 0vt all meuuremrnb ehown, md allegvtbm maDe an aacunh;
nrin[eE on 01a applka[iory md thn[ Imssume full rnponalbNty for comptinntt witF 0e Whert Ridee BWldint C^de (T-B.C.) nnd .II other .pplic.ble
- / ~
op,
- ' SI NEDDAiE
v
1 1Tb pnmit was iuued tn ~morEanm wi[h tM1e provielons xt foNh in yom ~pp1l.Han and is mbjecl m the Iawe otthe Slvn of Colondo Dod m the nmg
RegubWm mtl eulMing Code of Wheat 1Udea, Colondo or my atM1m pppriccble ortlimnae of the City.
3 Every pmoit Ireued shall become Invalld unlev the wor4 an dM1e dtt nu[horlud Ly soth perm~l b commcnaed M[hin 180 tlaya afler Ib bswntt, or if the worY
suthotlzd oo the tite by fuch permi[ i+smpentled or .bandoned fnr v pedod of 180 dnyt ofter de [ime of work ie mmmenoed.
~'~v, ~ new permi[ mry be ~equirM (or ~@c otono-hdi the omounl normdly rtquUed, provitlM m aM1anLU hrve bern or w10 be mvtle in Me
] R lod pb permi[ w m exDd apedMv[iom vnA my ~mpm~bo or a~mdommmt hn mt e.reedM om (1) year. lfahvogee ve maae or Ifaunpension m sbandonmmt
udp~bp
tuaN ooe (1) yeaq full fce. shall be pAa for n new permll.
6 Nowmtofaoymmnerah.llbetlonethatwi0crmeethemmnl0owofwiftrcrvainendnimeeprobkm.
5 ConvmMr+MU wliy the Bu Wing Invpeaor twmty-four (EO) M1oun In aavvnce for oIl lnspenions end ehvll r¢elve wriurn • PProv'I on ImpKlion eard befor<
proeeWint wtlh mtteatlve Phases of 0e Job.
fi u iwma oPo permit or the approval of tlnwlnes sod➢s~pcryi ~a ~ti na alu~not be wmW eJ to be . permit fo4 nar nn ~pprovvl of, any vlo6lbn o( Ihs
]ipmWbos oflhebWlding<oeeeor~nywherordlnnncq C~•
SICIYED DASE
Chlef BvitllnC MSPMlor
Page I of 1
Monday, 7anuary 09, 2006
Onits: Occupancy: Walls:
Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheauidge, CO 80033
303-235-2855
c14 of,Wh
Permi[ Number
19657
1 /9/2006
/nspection Line
303-234-5933
Residential Miscellaneous
PROPERTY 3005 Ward Ct Unit:
owrrEx: Charles Hunger (303) 237-5773
Description
French drain around house.
Authorized By Building Approval
Authorized On 1/9/2006
Follow french drain on foundation
standards. OK. Must day light or
run to sump pump.
Zoning
Approved By CR
Monday, January 09, 2006 Page l of l
f WFiEAT
~ P
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roLORP ~
Property Owner:
COMMUNITY DEVELOPMENT DEPARTME14T
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235•2855)
Building Permit Number:
Date:
Properry Address: 3ezjS W-A,KD CT
Contractor License No.:
Company:
rPhone: ~0 ~ aZ3'7 5473
~ Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildinq Depf. Va/uation Figure: $
I hereby certlfiy that the setback distances proposed by thfs pertntt'appifcation are
accurets, and do notvlolate applicabte ordinances, rules or ragulations of Ne Clty of
W heat Rldge or covenants, easemants or restrictions of record; thatall measurements
shown, anii allega8ons made are accu2te; that I have read and agree to abide hy all
condltions printed on thla applicatlon and that I assuma full responsibflfty for
compltance with the Wheat Ridge Building Coda (I.B.C) and all ofher applicable W heat
Ridge Ordfnances, for work u~this permi~,Plans subJect to field Inspectlon. ,
Use of Space (dascriptfon):
Descriptlon of work:
Sq.Ft.added
Vallle:$ X OQo
PermitFee:$
Plan Review Fee:$
Tce T x:
Total:$
--F
ONLY SIC:
Approval: • .
Zoning: 41
I
COMMENTS: Ir"/OVJG/'r
Approval: DIG
(ORKS COMMENTS:
qpproyal: ' .
DEPARTMENT COMMENTS:
Approval:
Walls: Roof: Stories: Residentfal Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date: Expiration Date: Expiration Date;
Approval: Approval: Approval:
~
(1) Thfs permitwas tssued Inaccordance with the provislons set forth in your application and is su6jectto the laws of the State of
- Colorado and to the Zoning Reguiatlons and Buildln9 Codes of Wheat Ridge, Coloratlo or any other applicable ordlnances of
the City.
(p) This permit shall explre [f (A) the work authorized ts not commenced wiNin sI#y (90) days from issue date or (B) the 6uilding
authorized is suspended or abandoned for a perlod of 180 days. .
(3) If this permit expiras, a new permit may be acquired for a fee of one-half tha amount nortnally raquired, pmvided no changes
havebeenorwillbemadelntheoriglnaiplansandspecifcatlonsandanysuspensionorzbandonmenthasnotexceededone
(t)year. If changes hava bean 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 thatwiil change the naturai tiow of water causinp a d2lnage pro6lam.
(5) Contractor shall no8fy the Butlding Inspector twenty-four (24) hours In advance for all inspections and shall receive written
appmval on inspaction eard befira proceeding with successive phases of the job.
(6) The Issuance of a pertnlt orpproval of drawings and specifications shall not 6e consWad to 6e a permit for, nor an
a rovalofanyviolatlono rovlslonsofthebulldingcodesoranyotharordinance,law,ruleorregulation.Allplanreview
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
Date
17690
9/13/2004
Property Owner: CHUCK & TERRIE HUNTER
Property Address : 3005 WARD CT
Contractor License No. : 20358
Company : COLORADO APPLIANCE, INC.
Phone : 237-5773
Phone:(3.03)986-7182
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, mles or regulations of the City of W heat 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
applicalion, and that I assume full responsjbRMyfor compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wea idge ordinance5/, ~forwork nder this per t.
(OWNER)(CONTRACTOR)SIGNEDcz~ 11~ &/z ~ATEY~ '
Description : INSTALL 75,000 BTU FURNACE
Construction Value : $1.500.00
Permit Fee : $70.25
Plan Review Fee : $0.00
Use Tax : $1$ 00
Total: $$$25
Use :
r
BUILDING DEPARTMENT USE ONLY
26nl , ng Comnfents:' SIC : Sq. Ft. :
Approval:
Zoning :
Building Commetlits:-
Approval:
_
public Warks Comments:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No : 20358
Company: Company: Company: COLORADO
APPLIANCE, INC.
Expiration Date : Expiration Date : Expiration Date : 9/13/2005
Approval : Approval : Approval : OKIKS
(1) This parmit was issued in accordance with the provisions set forth in yo0ur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations antl Building Code of W heat Ridge, Cobrado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the huilding authorized is suspended or
abandoned for a period of 120 days.
(3) If ihis permit expiras, 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 specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paitl tor a new permit.
(4) No work of any manner shall be done lhat will change the naWral flow of water causing a draina9e pmblem.
(5) Conlractor shall notify the Building InsDeclor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases af the job.
(6) The issuance ermit or 9pprova4af drawings and specifcations shall not be construetl to be a permit for, nor an appmval of, any violation of the
pmvis' buil ' codes or any othg~rdinance, law, rule or regulation.
7
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMEN7 DEPARTMENT Building Permit Number.
^ p BUtIDING INSPECTION LINE • 303-234-5933 Oate:
° CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303•235-2855)
APPLICATION
Property owner: /t'✓'rj'f Gt 0P--
PropertyAddress: ,30C?_~5- LOCtrd Cf' Phone:k3 -Z37-5-773
Conuactor License No.: ~ 0 3 5'&_
Company: 0lCt Gio L1{7~~i`Q[c~ 4-V C~ Phone: 3C3-(~lp~~/~Z
OWNERICONTRACTOR SIGNANRE OF UNDERSTANDING AND AGREEMENT
Construction V alue:$ /5CG>tL(7
1 hereby certily that the setback distances proposeC by Mis pertnit appliption are
accurale, antl Go rai viola4 applipble a0inanoes, rulea or repulations of the Ciry ot Permit Fee: S
Wheat RiOpe or oovMants, eaaements or restritUmS of recaA: that all measu'ements
show^•arWaikWtia+smadeare acara4;UhatlhavereaOanAaprxbabide byan Plan Review Fee:$
conditipna printed on this application and that 1 assume (u11 responsipiliry tor s con+Wiance witli the Wheat Ridpe Buildinp Cotle (U.B.C) and all oNer applicable e Tax:~
Wheat Rbye Ordinances, for -9 „nov m;s cem,ii. Total:$
r„ .
(owNEaNCana.cTOa).
(OWNER)(CpNTRACTOR):PRINTFO,^IC cG'C
Description: ~,US~f~I 75 ~j00 /J/7.~ ~urrlc'cG~
sp. ft. adMd
Electrical license No: Plumbing License No: Mechanical License No: .Jb35 T
CompanY Company: Company:
Expiration Date: Expiration Date: Expiration Date:
ApProval: Approval: Approval:
(1) Tha DwTnd was iswe0 in accvdance wiM the provisions sst fath in yaa application and ic wbject b the Wws or Me State or
Cobrado and b b"e Zonirg Reyuytiona anA 8uildirp CoOSS ol Wheat RiOpe. Cqoratlo a any other appliqple pyirwwcn of
tlie City.
(2) This psmvt shall emire il (A) tl» wak autMnzeO fs rat canmen0e0 witAin snM (60) tlays from issue Gate w(8) the dril0inp
BYpIdtzAd q AISpMOlG p ibW WpMd fOf i pM100 01 12() diy6.
(3) If tlds Dsn+Y[ eilpit". a nsw pamit maY Ds ao0uired for a Fes of msnaH Ins amara rqrmallY repwaA, povies0 ro tlanipes
naftWsn dwitl W mads in IM orip:w Wans and spsdlkNiorq aM " wspsmion a aWndwmsnt hes not suoeeds0 ana
(1) YOW. nduvgm have heen or if wspanslon w abandonment ezoeeds one (1) Year. hdl tees stWl be Gaid for a new penML
(4) No wak of ury manner ahaY Ds done Vhal vrLq tlunpe the na0xal Ibw oT v'aler eausinp a drainape pobMm.
(5) Conbacior " ndily IM BuYdrg InspeUp MeMY-fqu (24) hars in sdvwioa 1or all inapec4ons anC shall receive writbn
aOWovd on inspsction eard bsbn Orocesd'aq'•'ilh succasaive phaass of IAe job.
(6) The iuwnoe of a pxmit w tM appioval of Arawinps and apsa/icaGau shaN not Oe consVued to be a permit W. nor an
approval of. any riolaGOn of the provisipns of the buiitlinp co0es or any other orAinance, taw, ruk or regulation.
Chief Building Official