HomeMy WebLinkAbout4665 Webster StreetA F
ro , City of Wheat Ridge,
, Y
Residential Roofing PERMIT - 201703525
PERMIT NO: 201703525 ISSUED: 07/10/2017
JOB ADDRESS: 4665 Webster ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Redeck & Re -roof to install Owens Corning Storm Duration asphalt shingles
with OSB ROOF DECKING - 18 sq.
*** CONTACTS ***
OWNER (303)420-4998 CLABAUGH MARY ANN
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,975.00
FEES
Total Valuation 0.00
Use Tax 251.48
Pe, -mit Fee 236.00
** TOTAL ** 487.48
*** 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 (neva or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspectior,
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
UO Not Pour Concrete Prior To Approval Ut i he Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underaround or Below/ln-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
_
.Vatf Sheathing
.
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Y
Final Mechanical
Lath / Wall Tie
Roof j
Final Window/Doors
_
Rough Electric "
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.
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 j
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.
For low voltage permits — Please be sure that rough inspections are completed trom the rare Uistnct and electrical low voltage
the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201703525
PERMIT NO: 201703525 ISSUED: 07/10/2017
JOB ADDRESS: 4665 Webster ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Redeck & Re -roof to install Owens Corning Storm Duration asphalt shingles
with OSB ROOF DECKING - 18 sq.
*** CONTACTS ***
OWNER (303)420-4998 CLABAUGH MARY ANN
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,975.00
FEES
Total Valuation 0.00
Use Tax 251.48
Permit Fee 236.00
** TOTAL ** 487.48
*** 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. Instal]_ation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
se �
Signature of ChieMild ng Official Date
REQUESTS MUST BE MADE 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703525
PERMIT NO: 201703525 ISSUED: 07/10/2017
JOB ADDRESS: 4665 Webster ST EXPIRES: 07/10/2018
JOB DESCRIPTION: Redeck & Re -roof to install Owens Corning Storm Duration asphalt shingles
with OSB ROOF DECKING - 18 sq.
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 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
perfonned and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
oci
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
�n17J35�S
Dan Schultz fes'
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, June 26, 2017 12:41 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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 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 4665 Webster St Wheat Ridge, CO 80033
Property Owner Name Mary Clabaugh
Property Owner Phone 303-420-4998
Number
Property Owner Email
Field not completed.
Address
Asphalt
Do you have a signed
Yes
contract to reroof this
property?
18
It will need to be
provided at the time of
No
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Excel Roofing, Inc
Contractor's License
€++eirdoocF d 1 l
Number (for the City of
Wheat Ridge)
Contractor Phone
3037616400
Number
Contractor Email Address
excel@excelroofing.com
Retype Contractor Email
excel@excelroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
Yes
roof?
Description of Roofing Owens Corning Storm Duration Shingle ; OSB 7/16"
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
18
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?
N
TOTAL SQUARES of all 18 VZ
roofing material for this
project
Provide additional detail House
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract LOOD
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 James Bretz
Email not displaying correctly? View it in your browser.
3
Jun 171709:26a Trac Seaman"' �" St
Tracy 720- 49-1390 p,3
Excei Roofing
We're on Top of it
Date-, 6/16/2017
M a ry Clabaugh,4665 Webster St
EXCEL ROOFING -COM
4510 S FEDERAL BLVD ENGLEWOOD CO 80110 303.761.6400
Proposal/Contract
ExcelRoojing. co m
Proposal submitted to: Mary Clabaugh
Address: 4665 Webster Street Wheat Ridge, CO 80033
Phone #: 3034204998 Email: 0
Job Style: Ranch
We hereby propose to furnish materials and labor necessary for the completion of:
I. Installation of the; Owens Corning Duration & Designer Dimensional 30yr
asphalt roof system installed per the manufactures recommendatior Initial here: Color:
A. Provide Workman's Comp and Liability Insurance. (Acord Ins 303-762-171') and Pinnacol ins.
B. Obtain building permit from city or county. (cost not included)
C. Provide Carbon iVlonoxide alarm at start of project.
D. Remove all 12yers of existing roofing, currently has: 3
I3. Inspect Roof deckinb $ 55 per sheet to replace if needed.
F. Ensure that all eaves and tables have metal drip edge Srown
G. Install New shingle underlayment(s) that meet or exceed code: Synthetic
H. Ensure all HV---�C vents are property flashed & painted. Install & paint new neoprene flashing on all plumbing vent pipes.
I. Install asphalt shingles to manufacturer's recommendations Nvith 1'/a inch galvanized nails, 6 nails per shingle.
J. attic ventilation: Excel Roofing recommends;
K Install matching ridge shingles.
L. Final inspection with Project Manager at completion of project and call for final permit inspection.
II. Workmanship is guaranteed for Five (5) years. Free transfer to new owner.
III. Excel Roofing will clean up, use nail magnet and haul all debris at completion of project.
III. Excel Roofing mill wash the roof at completion of project_
➢ Additional items: Price and work includes applying 1/2" OSB sheathing throughout. replacing roof jacks, storm collars
and rain caps on three 6" mechanical vent pipes, applying ice and watershield around perimeter and in valleys,
detaching satellite dish and painting all roof penetrations. Dog house also included. '""
Any and all Unforeseen Code Upgrades, Supplemental items and permit fee will be
billed to the insurance company, if it is an insurance claim and the policy allows.
Excel Project Manager: Eric Anzelius
Email: Eric@exceiroofing.com
Phone #: 303-886-5631
Excel Roefioo
ExcelRoofing.com Mary Clabaugh,4665 Webster St We're on Top of l,,Pages 1 qf2
Jun 171709:26a Tracy Seaman
Excel Roofing Mary Clabaugh,4665 Webster St
We're on Top of It
IV. Home and hoof Options:
Cost for removal and replacement of Roof, including all labor and materials.
Replace 112 Feet of 5 inch gutter 108 Feet of D/S
Cost to upgrade to a Limited Lifetime Class 4 impact rated shingle
720-949-1390 p.4
ExcelRocfing.corn
$ 11,975.00
Color: Royal Brown $ 1,325.00
Free
Cost for additional attic ventilation if needed; $
Cost to replace flat roof area with: Color: N/A $
Cost to add d inches of blown in insulation on top of the existing attic insulation. $
Cost for any additional items noted on the 1st page of the contract. $
Payment Options: *Please initial next to the payment option of choice*
A: Payment using Financing:
*Payment plan options, WAC* Amow-a to be financed $ 14,098.00
'Please note that Excel docs not make any additional money on these fees & loan: Dealer 4 11545 ph #*, 866-393-0033
12 Month 0% Deferred Interest 60 Months 7.99% interest
($1,174.83)
($285.79)
120 Months 7.99% interest
($170.97)
Initials Initials
Ini[iais
B: Payment Using Credit Card:
Cost of Project if paid by credit card. This price reflects the 3% convenience fee $ 13,699.00 rn;dars
C: Payment by cash, check or secured funds = $ 13,300.00
initiols plus permit fee
Terms: 100% Payment due upon completion of each phase of work
Total Cost does not include City/County Permit fee. According to Colorado law if the services provided are paid through an insurance claim it
is illegal for a Contractor to pay the homeowner's deductible in whole or part, also any deposit paid by the Homeowner must be held intrust.
The homeowner may cancel this contract at any time prior to construction. If the material has been delivered or the permit has been
purchased then the homeowner shall be obligated to pay the delivery and permit costs. The homeowner may also cancel this contract if they
are notified that their claim is denied in whole or part. All work to be completed per standard industry practices according to specifications
submitted. The homeowner agrees that if any additional work is required to complete the above specifications involving extra cost they will
pay these additional charges. All agreements are contingent upon strikes, accidents, or delays beyond our control. Owner agrees to carry
regular homeowners insurance. Excel Roofing will not be held liable for any structural movement, settling, cracks in drywall, damage to
driveway, or any damage to siding due to the roofing or loading process. Finance charges of 1 % percent per month will be added to any
unpaid balance. In the event collection action is taken to recover payment under this agreement, Excel Roofing, Inc., should be entitled to
reasonable collection and attorney fees and costs incurred in such action. Excel Roofing's liability insurer is Cincinnati Insurance Company,
6200 S. Gilmore Road, Fairfield, OH 45014-5141. This proposal may be withdrawn by Excel if not accepted within _7—days. The approximate
start date shall be within_60_day5 of acceptance of this proposal.
2--� Eric Anzelius Pro*ect Klan
J aerg
Date. 6/16/2017 Cell Phone # 303-886-5631 303-761-6442 Fax
Acceptance ofConmgct
The above price, specifications and conditions are satisfactory and are hereby accepted. Excel Roofing, Inc. is hereby authorized
to do the work as specified and payrneit will be made to Excel Roofing, Inc., as outlined above.
PFPt tedNara2e , Title
Srgnatutle
Date 6 — /6 -./ -7
Excei Roofing
We're on Top of It
ExcelRoofing.comr Mary Clabaugh,4665 Webster Si Pages 2 of 2
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: A440
Job Address: �(� 1'- �'P
Permit Number: r zs'
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: / li Inspector: k /i
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 5P f
Job Address: (� U I
Permit Number: ? L(70
❑ No one available for inspection: Time AM/BVI
Re -Inspection required: Yes 140
When corrections have been made, call for re -inspection at 303-234-5933
Date: /St/& Inspector: k n
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 9 OF
Job Address: G S
Permit Number: e? Y -70 3 T?
❑ No one available for inspection: Time f UPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
ADate7
:
J'P7117Inspector:_ tt
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 'MX
Job Address: 661- tA— I�'r
Permit Number: lul70 T' ZL
❑ No one available for inspection: Time XZ /IJ
t
Re -Inspection required: Yes No
When correctionshave been made, call for re -inspection at 303-234-5933
Date:V/_�_>//Z_lnspector: k /Z.
DO NOT REMOVE THIS NOTICE
e 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: 5
41 -
Job Address:
Permit Number: ? "l 70 5-'<
5
❑ No one available for inspection: Time-, = AM/J jM
Re -Inspection required: Yes 1' 0)
When corrections have been made, call for re -inspection at 303-234-5933
Date: /,:?/ Inspector:
k /i
DO NOT REMOVE THIS NOTICE
MGM WITOIC01 Araw-1041MM-Al 4 # I
Foundation Inspections
Caissons
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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 : 15902
Date : 7/21/2003
Property Owner: MARY CLABAUGH
Property Address : 4665 W EBSTER ST Phone : 420-4998
Contractor License No. : 17152
Company : Precise Plumbing Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback tlistances proposed by this permit appliration are accurate, and
do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for wohc under this permit.
(OWNER)(CONTRqCTOR) SIGNED DATE
Description : REPLACE WATER HEATER
Construction Value :
$450.00
Permit Fee :
$30.55
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$30.55
Use :
&:a
BUILDING DEPARTMENT USE ONLY
Zoning Comments;: SIC : Sq. Ft. :
Approval :
Zoning :
BuiIBing-Comments:'
Approval :
public,yVor~Cg ,Commeqts::
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No :17152 Mechanical License No :
Company : Company :Precise Plumbing Company :
Expiration Date : 10/18/2003
Expiration Date : Approval : OK/KS Expiration Date :
Approval: Approval:
(1) This permit was issued in accortlance with the provisions set forth in }ropur application and is subject to the laws of the State of Cotorado and to the Zoning
Regulations and Building Cotle of Wheat Ritlge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorize0 is not commenced within sixty (60) days from issue date or (B) the building authodzed is suspendetl or
abandoned for a period of 120 days.
(3) If this permit expires, a new pertnit may be acquired for a fee of ona-half the amount normally required, provided no changes have been or wili be made in the
oriqinal plans and specifcations and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceetls one (1) year, tull fees shall be paid for a new permit.
(4) No work of any manner shall Oe done that will change the naturel Flow o( water causing a drainage problem.
(5) Contractor shall nolify the Building Inspector Rventy-(our (24) hours in advance for all inspedions and shall receive written appmval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifcations shall not be construed to be a permit (or, nor an approval of, any violation of the
provis R! the buildi codes or any other ordinance, law, rule or regulation.
' Swlding pector
17 Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Buildiitg Permit Number:
BUILDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~PIJCATION
Property Owner: /0710r'j' e /F` GA'q 'f
Property Address: y GG ~ GN~ LS
Contrador License No.: / '7 / .4' 3.
Phone: qyp_ </9F K
Company: Pr,, c i s e P/v~ 4'. s• -T~ c Phone: S3 rS'Y/
O WIYER/CONTRACTOR SIGNATURE OF TJNDERSTAPiDING AND AGREEMEN'I'
I heazby cer[ify tha2 ihe setback distancas pcoposed by this pemut applicatioa are
accuratq md do not violate applicabla ordinances, culaa or regulationa of the City
of Whoat RiAge or covenartts, easentenis or rnyk[jctjon9 of [ewtd; that all
meuuremerRs showq md allegalions made aca accurate; ihat I have read md
agiree to abide by all condifions pnnted on this applications and that I essume full
responsibility for compliance with the V✓heat Ridge Buildiag Code (U.B.C) and
all other applicable Wheat Ridge Ordinances, for work under flils peanit
Construction Value: S'
Permit Fee:
Plan Review Fee:
T ica Tar- ,a c Sf'oc j
TOi3l: 3
(OWNERxCONiRACTOR):SIGNHD ~ A{g
Description:
/`Ir/O/CC
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expirarion Date:
Apprwal: APProval: Approval:
(1) 77ils pesmit was ismed in accordance wiN the provisions set for[h ia your applicetion md 'u mbjec[ to the laws of the Stnte of Colarado anA to Ne Zomng
RegWations md Building Code of VJhmt Ridge, Colorado m eny othv eppliceble ordilwwm oCthe City.
(2) This permil sheLL expue if (A) the work euthonzed is not commenced within ejxty (60) deys 6wn ueue dete or (H) the building authorizcd is suspendcd or
ebendoneA for a penod of 120 Aeys.
(3) If [his pemut exp¢es, e new pecmit may be acquirrd for e fee of ono-half Ne emount nomully reqvired, prwided no changu hrve been or will be mnde in
Ne onginal pluu md specifice4ons md mry suspension w abandonment has not ezceeded one (1) yeaz. If chunges hrve bemt or if stupension or abendo=ent
exceeds one (1) yeaz, fiill hes she11 be pud for e new, pemut.
(a) No work of eny marssie[ s1uLL be done Nnt will chvnge the mNral flow oCwetv caming e dreimge problem.
(5) ConTactor shill m4fy the Huilding Srtspectoc twenty-fouc (24) hou[s in aMance fo[ all inspecfions end shell roceive written apprwal on usspection cazd before
proceeding atith svccsssive phvm oCtlwjob.
(6) The issuerme of a pemtit ot the apprwel oC drawings md specificatioru shall not be comRVed to be a pemtit Coq nor an approval of, mry violation of the
pravisions of the builAing codes or arry other oNwnca, law, mle or mgutafiw.
Chief Building Inspector