Loading...
HomeMy WebLinkAbout3180 Xenon StreetCity of Wheat Ridge E -Res. Furnace Replacement PERMIT - 201900332 PERMIT NO: 201900332 ISSUED: 02/27/2019 JOB ADDRESS: 3180 Xenon St EXPIRES: 02/27/2020 JOB DESCRIPTION: Replace gas furnace, 80% efficiency, 75K BTUs; located in basement *** CONTACTS *** OWNER (303)237-5633 NORGARD PEARL L SUB (303)770-2776 Garrett Weiler 170351 888 Heating, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,697.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 77.64 ** TOTAL ** 117.64 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specificationst 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 per _t 1 further attest that I am legally authorized to include alt 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. Signature of OWNER or CONTRACTOR (Circle one) Date I , This permit was issued based on the information provided in the permit application and accompanyingplans 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 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 C i i i g C�ffic al Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Kimberly U� Cook O poo �} From: no-reply@ci.wheatridge.co.us Sent: Wednesday, February 27, 2019 11:56 AM To: CommDev Permits Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application Categories: Kim Residential Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. 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. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach Credit Card Authorization Form - **DO NOT ATTACHED RANDOM FORMS** 3180 Xenon St. Pearl Norgard 3032375633 Field not completed. CCF 000123.pdf CONTRACTOR INFORMATION Contractor Business 888 Heating Name Contractor's License 170351 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-770-2776 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address jodi@888heating.com Retype Contractor Email jodi@888heating.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs What is the efficiency (%) of the unit? Is the unit GAS or ELECTRIC? Where is the furnace or boiler located (for example, basement, crawlspace, etc)? 75000 80% Gas Basement Project Value (contract 3697. 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 z has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Jodi Arcese Permit Email not displaying correctly? View it in your browser. PERMIT: ��%��� � ADDRESS: dW,/0 Kt, JOB CODE: )ZR INSPECTION RECORD Inspection Kbmitted ne form: http://www.ci.wheatridge.co.us/inspection Cancellations must be via tha nnli P���e pection Inspections will njrformed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading (� I 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof (� I 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. i. CITY OF WHEAT RIDGE . _ _ _ _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Ur Job Address: -)i la -Z) )0 (\j w ST. Permit Number: 20 120,9)06(a ❑ No one available for inspectio ime A / -P -M) Re -Inspection required: Yes No When corrections have been made, call for re-" spectio at 364-2 933 f Date: I ( Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201708066 PERMIT NO: 201708066 ISSUED: 10/06/2017 JOB ADDRESS: 3180 Xenon ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 24 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)237-5633 NORGARD PEARL L SUB (303)942-1386 Michael J. McCarthy 130014 Golden Spike 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: 12,000.00 FEES Total Valuation 0.00 Use Tax 252.00 Permit Fee 236.00 ** TOTAL ** 488.00 *** 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 - 201708066 PERMIT NO: 201708066 ISSUED: 10/06/2017 JOB ADDRESS: 3180 Xenon ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re—roof to install asphalt shingles — 24 sq Pitch = 4/12 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 munici�acodel spoicbythe lgal owneroftheropertyand am authorzetoobtain thisthispermit. lfurtherattestthatIamlegallyauthorid toinclude alperformed and thatall work tobe performed is disclsed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTACTOR (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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable 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. Dane Lovett i; From: no-reply@ci.wheatridge.co.us Sent: Tuesday, October 3, 2017 9:57 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION 7)L Property Address - Cenon St Property Owner Name Pearl Norgard Property Owner Phone 303-237-5633 Number (enter WITH dashes, eg 303-123-4567) 13 Property Owner Email spike@goldenspikeroofing.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 Scan0031.pdf Contract CONTRACTOR INFORMATION Contractor Business golden spike roofing Name Contractor's License 130014 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3039421386 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 7200 E. Hampden Ave. #202 (Primary address of your business) Contractor Email Address spike@goldenspikeroofing.com Retype Contractor Email spike@goldenspikeroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 28 the entire scope of work: Project Value (contract 12000 - value or cost of ALL materials and labor) Are you re -decking the No roof:? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 14 both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 24 part of the PITCHED r roof? Describe the roofing Asphalt - materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional One layer upon completion 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 owner of the property to 15 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 michael mccarthy Email not displaying correctly? View it in your browser. 16 Shingle Mfg; Owens Corning Shingle Type: Duration Shingle Color: Sierra Gray Roof Vents color: Black Drip Edge Color: White Gutter Color: White 1 Paint chimney flashing and step flashing black to match roof vent color (cD- no chart Material Tax Run lawn magnet to pick up loose nails. Partial payment upon completion balance due in 30 days. Paint all stacks, pipes to match. Insurance will pay for the building permit. Replacement of rotted decking @ 1.80 per scl ft. 0% Completion Payment 100% s 14,87649 included $ 14, 876.49 Total subject to supplements 1 $ 14,876.49 GOLDEN SPIKE ROOFING, Inc. warrants all work for a period of _5_years following completion. If insurance proceeds are used to pay for services rendered contractor may not waive or rebate the deductible, in part or in whole. All work shall be performed in a workmanship like manner and in compliance with all city building codes and other applicable laws. Contractor may, at its discretion, engage subcontractors to perform work hereunder, provided individuals are duly licensed to perform said work, and Contractor shall remain responsible for proper completion of this contract Contractor is adequately insured for injury to its employees as a result of acts of empbyeestsubcontractors, and Owner agrees to carry homeowner's and other necessary insurance. Contractor carries commercial liability insurance through the John Brown agency, Farmers Insurance, they can be contacted at 773-770-2100. Homeowner has a three day right to rescind the contract with no penalties. No down payment is required. Contractor shall not be liable for any delay due to circumstances beyond its control including weather, disaster, strikes, casualty, or general unavailability of materials. Contractor shall obtain all permits necessary for said work to be performed. GOLDEN SPIKE ROOFING, Inc. may withdraw the proposal, if not accepted within _30_ days. Finance charges may be applied to invoices past 30 days due. Acceptance of Proposal: Date: 5� 5lf - _ / 991771 o _ Date 8/14/20171 Office: 7200 E Hampden Ave ' Your Expectations Exceeded 5 year Workmanship Warranty Denver CO, 80224 303.9421386 Pearl Norgard Claim# PP0017441506 3180 Xenon Street brentgoldenspikeroofing(�_)gmaii.com Wheatridge, Colorado 80215 ma),,xell g.com Page #1 Rep: Brent Acuncius 303-237-5633 970-426-8126 This proposal good for 30 days •yup,`.. _..,.. ......� .t� w. .. .._ .. _. F - __ ., Qty See Below SEE BELOW Price Total Golden Spike Roofing, Inc. herby proposes to furnish the materials and perform the labor shown or described below for the completion of the following: Roof replacement / all slopes ROOF: - 24.12 Remove, tear off, haul and dispose comp shingles - laminated- to the decking $51.30 1,237.36 28.00 Laminated comp shingles - w/out felt 200.01 $5,600.28 8.61 Roofing felt - 15#- Sub Feltex synthetic $28.08 241.77 189.87 Ridge cap - composition shingles $3.72 706.32 2 R&R Flashing - Pipe jacks $40.17 80.34 2 Prime & Paint roof jacks 27.33 54.66 6 R&R Roof vent - turtle - metal (Sub S750 Slant Back $57.88 347.28 213.22 Drip edge 2"x4" $2.26 481.88 1.63 Remove rolled roofing from valleys $38.16 62.20 1.63 Rolled Roofing (for valleys) Sub Ice & Water shield $119.44 194.69 2 Detach & Reset exhaust cap - through roof - 6" to 8". $68.36 136.72 1550 Ice & Water shield (s/f) $1.65 2,557.50 1.00 R&R Chimney flashing - large - (32"x60") $443.55 443.55 8.68 Remove additional charge for high roof (2 stories or greater) $4.86 42.18 9.98 Additional charge for high roof ( 2 stories or greater) $16.59 165.57 1.00 Roofer pr hour ( allowed for reset of basketball hoop and satellite dish. $115.04 115.04 1.00 Material sales taxes for above (per insurance claim) = $310.19 $310.19 310.19 1 Added .01 cent to agree with Insurance / due to fractional amount $0.01 0.01 Sub total for above = $12,777.53 - GUTTERS: 214 R&R Gutters only ! no downspouts - aluminum up to 5" $5.79 1,239.06 214 R&R Gutter guard / screen $3.17 678.38 1 Haul debris- per pickup load - including dump fees $132.08 132.08 1 Material sales taxes for above (per insurance claim) = $49.44. $49.44 49.44 Shingle Mfg; Owens Corning Shingle Type: Duration Shingle Color: Sierra Gray Roof Vents color: Black Drip Edge Color: White Gutter Color: White 1 Paint chimney flashing and step flashing black to match roof vent color (cD- no chart Material Tax Run lawn magnet to pick up loose nails. Partial payment upon completion balance due in 30 days. Paint all stacks, pipes to match. Insurance will pay for the building permit. Replacement of rotted decking @ 1.80 per scl ft. 0% Completion Payment 100% s 14,87649 included $ 14, 876.49 Total subject to supplements 1 $ 14,876.49 GOLDEN SPIKE ROOFING, Inc. warrants all work for a period of _5_years following completion. If insurance proceeds are used to pay for services rendered contractor may not waive or rebate the deductible, in part or in whole. All work shall be performed in a workmanship like manner and in compliance with all city building codes and other applicable laws. Contractor may, at its discretion, engage subcontractors to perform work hereunder, provided individuals are duly licensed to perform said work, and Contractor shall remain responsible for proper completion of this contract Contractor is adequately insured for injury to its employees as a result of acts of empbyeestsubcontractors, and Owner agrees to carry homeowner's and other necessary insurance. Contractor carries commercial liability insurance through the John Brown agency, Farmers Insurance, they can be contacted at 773-770-2100. Homeowner has a three day right to rescind the contract with no penalties. No down payment is required. Contractor shall not be liable for any delay due to circumstances beyond its control including weather, disaster, strikes, casualty, or general unavailability of materials. Contractor shall obtain all permits necessary for said work to be performed. GOLDEN SPIKE ROOFING, Inc. may withdraw the proposal, if not accepted within _30_ days. Finance charges may be applied to invoices past 30 days due. Acceptance of Proposal: Date: 5� 5lf i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTION NOTICE `�r�-PatlG7� S ❑ No one available for inspection:_Time ---- L APM ` Re -Inspection required. Ye°�No *When corrections have been � made, ca// for re -inspection at 303-2. 34.5833 Date: -&' 7 Inspector: J DO NOT REMOVE THIS NOTICE 1� if CITY OF WHEAT RIDGE 9�(303) Building Inspection Division _:�(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ,2O/�>035 `l�, ❑ No one available for inspection: Time AM/( ) Re -inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 i —i 'Ii Date: 7;2/-' l Inspector: - DO NOT REMOVE THIS NOTICE 1 INSPECTION RECORD Occupancy/Type INSPECTION LINE (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. 1 W4 Y, hi i7) f ff +; /l7� INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INS NDraain DATE INSPECTOR INITIALS COMMENTS: Footings /Caisson Stemwall / (CEG) Encased Ground Reinforcing or Mo Weatherproo �7L f G1 f / Fr Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie y Mid -Roof f - it y. Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation = _ Drywall Screw t FINALS Electrical Plumbing Mechanical Roof �7L f G1 Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping ** NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE ~-j Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office (303) 237-8929 Fax IN1S}}PE,rCTION NOTICE Inspection Type: ka, t Job Address: 'VV40 Y-em©v. ~r Permit Number: I ❑ No one available for inspection: Time /1 A / Re-Inspection required: Yes , *When corrections have been made,, call or -ins ection at 303-2345933 Date: 11- 3('1- n' 4? Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r' (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: s2~r' ACC.) Job Address: f , ( YPr I,, 5f Permit Number: C)(7 3 01!,. d0_ Vrnr_ I'. r - r M1 , nit. ql T'f~ 7181 i rl Nf'~. ❑ No one available for inspectio Time 1(.50 4OPM Re-Inspection required: Yes No "When corrections have been made, call for re-ins ection at 303-2345933 Date: 0 Inspector: L12 _~L i DO NOT REMOVE THIS NOTICE A : City of Wheat Ridge r4000or Residential Roofing PERMIT - 092583 PERMIT NO: 092583 ISSUED:. 09/21/2009 JOB ADDRESS:, 3180 XENON ST 'EXPIRES.: 03/20/2019 DESCRIPTION:: T/o: Install 26 sqs. reroof & 220 LF gutters I, CONTACTS owner 303/237-5633 Norgard gc 303/426-7370 Kurk Tiley 02-1395 Tiley Roofing Inc. PARCEL INFO ZONE CODE: UA MUSE: UA SUBDIVISION: 0705 'BLOCK/LOT#: 0/. FEE S UMMARY ESTIMATED PROJECT VALUATION: 6,496.00 FEES Permit Fee 181.10 Total Valuation .00 Use Tax 116.93 ) `W f P x* TOTAL 298.03?. Conditions: 6 nail installation & mid-roof inspection required Board sheathing spaced more x than 'a 1/2 of an inch apart 'requires plywood overlay on entire roof. Ice and h water shield required from eave edge to 2'inside exterior walls. t Subject to field inspection. 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordin ce8, for work under this permit. Plans subject to field inspection. Signature of co tract: wner date t 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 the Zoning. Regulations and Building Codes of Wheat. Ridge, Colorado or any other applicable ordinances of'. the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration An F Building Official`. a fee of one-half the amount normally required, provided no and specifications and any suspension or abandonment has not fusion or abandonment `exceeds one (1) year, P. full fees shall !natural flow of water causing a drainage problem. mr (24) hours in advance for all inspections and shall receive .th successive phases of the job. I: specifications shall not be construed to be a permit for, nor wilding codes or any :other ordinance, law;, rule or regulation date BUILDING OFFICE: (303)235-2855 AY FOR 'INSPECTION THE FOLLOWING BUSINESS DAY. oFWNEgTR! City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 " Office: 303-235-2855 * Fax: 303-235-2857 Plan ~ooo Inspection Line: 303-234-5933 Permit Building Permit Application Property Address: J` lJ *n~~~ Property Owner (please print): Phone: Mailing Address: (if different than property address) Address City, State, Zip : . " Contractor: ct M Contractor License Phone: vl~ G~ Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Approval: Approval: Exp. Date: Approval: Use of space (description)C~j p V ~ Description of work- '-j \ vn~1n` v dded:aa~ Squares 26 BTU's construction Value: S GM r. (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): S Gallons Amps 7500 WEST 29th AVENUE 237-6944 EXT. 255 P.O. BOX 638 THIS PERMIT VALID ONLY WHEN SiGNEU BY THE CHIEF BUiLDING INSPECTOR GND RECEIP7ED BELOW. APPUCATION FOR MISGELLANEOUS P"RMIT OGLI SE OWNER ' JOBADDRESS L ADDRESS ~ISD 3 CONTRACTOR PHONE 6~ ZIP CODE V' ADDRESS L/ ZIP CODE _ ~U I2 J CONTRACT P ICE $ ~ / ~IOX - CITY SIGNS ~Jf7SLICENSE NO. DATE ~4 Woll❑ Proieclinp❑ Ofh~r 5 w D Foee 1. TVPE Ground ❑ Totol Squan FNt 2. MATERIAL 3. ILLUMINA710N Yes❑ No❑ TYDS El~ef. Permit No. Zone-. Apprwad, Zom Insp~ata 4 SE7 BACK FROM PROPERTY LINE N- 5 Q E Q W~ DiycODrwed (Sn*eifv whiCh is }rOn1) ❑ . I. TYPE Solidm Mora Thon 80% ODanO Lon Tnon 80% OMn WipM MATERIAI FENCES 2ms- Avvrowd,Zone imDscta S. SET BACK FROM PROPERTV LINE N__ SE.-- M' ~ DisaDProvaA (Specify which is front) ❑ 1. DU~G J/"'~v C)S OTHER 2 a. DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRI (SETBACKS OR PFOJECTIONS INCLUDED) INSPECTION TICKET -72j 9 ( DATE: BLDG. PERMITM / 763d ORTH PERMITN BLDG. CONTR. ° STREET NAME SMNSFROM HY l+NESBNOT DI MA%MUM J OR I AERAGE E p15TANCE TO PROPERT C ppPLICATION FOR PLUMBING; Ei THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDII PERMIT WILL EXPIflE 180 DAYS FROM THE DATE ELECTRICAL PERMIT PLUM STATE UCENSE N0. STATE LICENSE .....iw~ wwc uuI7FR SIZE 8 II.LEGAL _ FLOOR B WASH FIXTURES DISH WPSntn wiRING MOTORS d CONTROlS FLOOR DRAIN 9MERS 9 RECTFIERS TO OLD WORK _ REMARKS PERMIT FEE I hsreby acknowledpe thot Mls aDP"ca- lion ie conect and understand that I cannof start this v,ojecr untii rnie avoli' cotion is approved. I sholl comDly with the lows oi the State of Colorado and to i np th! Zoninp Requlatione ond Builtl r Code ofthe City ol Wheat RidQe. QnY violotion of the above terme will cause immediata re,ocafion of fhis Oermi1 ~ ' anb 9lpnamr. Date Issued_ DEPARTMENT OF GOMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION PERMIT NO M911k17630 CITY OF WHEAT RIDGE, COLO. NOT. ~ 7• ~ ~ $ S 6 , ,~,o JOB ADDRESS -31so ~ ~ SUBCONTRACTOR DATE INSP. REQ./c)-3 - m TYPE OF INSP. W=-¢~~ - INSPECTION DIVISION. REMARKS + Il ~ - ~ IT 1,2 -i/- W.R.FORM 619 6'" W ,City of Whebl Ridqe I ~ CAIL 237-8944 EXT. 255 24 HOURS IN ADVANCE FOFINSPECTIONS p`~`wK. i. EN7 OF PLANNING AND DEVE40pML*M INLi INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7600 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Propetly Owner : rvpertyAddress : 3180 XENON ST :tor License No. : 18505 Company : BARTELS HEATING & NC Building Permit Number : ' 6019 Date : 10/9/97 Phone : 2374210 Phone : 422-3589 ;TOR SIGNATURE OF UNDERSTANDING AND AGREEMENT CpnstruGtion Value ; $2,310.00 g aalback distances proposed by this pertnk applicetlonara ecctiratm, P@RTIIt Fee : $75•50 ~ItCebk oMinances, rules or regulations of the City of WNeat Ridge or s pr rectrietions of reeord; that all measuremeMS shown, and a~NeBations Plan ReV18W Fe9 : $0.00 Nt I Rave read and a~ree to abide by ell wnd'Alons pfiM4d on qus , liance wdh the Wheae Ridge Buadirg for com bd t Use Ta)c : . $2.7.60 p i y ql{gunta. full respons~ othet appliceble Wheat I~idge ordinances, for vrork under tlds pemiiit . ' TOf21 $1(}3.10 pq7E ITOR)SIGNED . REPLACE FURNACE BUILDING DEPARTMENT USE QNLY n SIC : Sq. Ft : ~ning ~Ai'CVa~s ~pl~roval : ~~~y : Walls : Roof : StorieS : Residentiat Units: ~ Li6gme No : Plumbing License No : Mechanical' License No : Company : Company : Expiration Date : Expiration Date : ~ Approval : APProvai : ~ ~ . ~ i~ wes {egued In accordance wiM the Provisions aei WM in yopw aPWicawn and isSyyypt to ihe hWS W 1he Shb UCdotlltlb Yi01o De Zordn9 ,gnd guiltl~rg Cod¢ M Nfieffi Ridge, Colorado u a,ry other applirah4 CtNnancea ot @~B Cib. . . ~~i 6k~lexpf~e ff(A ihe wofk auNonzeC is rwt commanCed wltllln WdY (dW tlaYq from 7lSUe d8teaf (B) tha butldin0 aWloflaed is 1YSDMldad a a pqnoa or 1~o days. ~mroa,. n mv ce awuirea rOr a ree a a,e-nennM.MDUFa r,«Mur VWArSd.4 a~~ rodionges ~ usn a the f ~~ree~s sne~l d ue vaid ro~rn e n woDermK a,ment Ms na exeaeaed orre (1) yepr_ ;y~IC any mamer shall be tlone that will change the natural Mow ot WeMr tlaUfUro a Crainapa ~froMem:. . . ,apy u,e sunains msoac0or twenH'~ur (24) hours in advenee forall Inapecdan anE ehaA roceivo wril6en eRPro`rai an iMPeOdOn ab befDf° 01 w(dti aucaessive phases of the ob. w~ a pefmif or the aPProval o~arawir~gs and speciRCations aMmll not hb conetnieU to Ee e Demll~ fa'. ^or an ep(Nwe1 of, wreI MWadnn M1he Pro`^sions a or any other dmance, law, rule or re9ulahon. . f Wiiding inspector pERNffT VALID CONLY ALL.~2i34-5933 24 HOUR3 PRIOR TO I~NSPECTIONPECTOR AND MAYflR ' 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 Property Owner :0or(w-d c,1 1 a 1~ PropeRy Address : 3~ ~ V I,e-n en v, ~ee~ Phone : a3-I ~ Contractor License No. : k6 505 ~ ~ Company: pQC''ktS J QL11C, a~L Phone: ~S~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hareby certHy that the setback distances proposed by this permit application are acwrate, and do not violate applicable ordinances, rutes or regulations of the City of VMeat Ridge or covenants, easemants or reatrictions of record: that all measurements shown. and allegations made are accurate: that 1 have rcad and agree to abide by all cond'Rions pnntetl on this application. and thai I assume tull responaAil'Ry for eomplianee wilh the Wheat Ridge Building Code (U.B.C.) and all other aOPlieable Wheat Ridge ordinanees, for work untler this pertnrt. (OWNER)(CONTRACTOR) SIGNED ~Q'E 10 1 l ~ Description: Y4IQt - Q_VLt S.U,Yt1Qce • Construction Value : a 300 Pertnit Fee : • 5 D Use Tax : a 1 . (Qo Total : I o , C~ BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approval: ! Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Company - Expiration Date : Approval : I PISnsIred'~'~ Company : Expiration Date : Approval: ~ - Pf8(hs Required J Mechanical License No : Company: Expiration Date : Approval : il Lmazmqw~ - A~ ( i ~ This permn was usueC m accorUanca with the prov~aions set roM in yapur aDPliw~^ and is suDjea to Me lews of the Slate of ColoraCO entl W tne Zoning Regulauons anA Building CoCe of Wheat Ritlge, Colaatlo or any other applicable ortlmances of ihe Ciry. (Z) This permh shall ezpire d(A) the work authonzetl ia not commenceC wlthin slxry (60) Cays hom Issue Oate or (B) Ne builAing aullionzeE Is suspeMeC or aWndoneE fw a pena0 01120 Caya. (7) II tniy pefmrt expires, a new permrt may be aW uiretl lor e fee ol ono-half Ihe amount nortnairy reqwre0, provi0etl no changes nave beeo u wi~~ Ee maAe in Ne orpmal plane and apeuficaUOna and any suspeneion or aDanOOnment has not ezceeCeO one (1) year. If changes are maCe a if suspensim or eEantlonment exceeda one (1) year. tull fees ahatl Ee pa1E for a new pertnR. (4) No work at any manner snall De tlone tbat will change the natunl Ilow ot water wusing a Orainage Oroblem. (5) Conlredor shall no4ry [he Bu11Cmg Inspector twenN-four (21) houn m a0vance br all mspecuons and shall receive wntlen approval on ~nspecUan wrC before proceeEiing ~ succe55rve phases ol the job. Lof he issua ~ a permn or the apDrovai ol drawmgs and sD~fications snan not ce consW ea to Oe a permrt lor. nor an approvai of. any viola4on of tne provisions Ihe ~mV i code or any olher ortlinance. law, rule or regulalian. Chie wlding Inspector For Mayor HIS S PERMIT VALID CONLY ALL W 34 5933 24 HOURS PRIOR TO~IN P~ECTION ECTOR AND MAYOR IRART LS HEATING & AIR CONDITIONING December 17, 1997 City of Wheatridge Building Division 7500 West 29th Avenue Wheatridge, CO 80215 Re: Permit #6019 Address-3180 Xenon Street To Whom It May Concern, Please cancel the above permit. The customer has cancelled the work to be done by our company. Please send the appropriate refund. If you have any questions on this matter, piease call our office at 422-3589. THANK YOU! Sincerely, Angel~[ Johns: 7185 Newton Street, Unit A, Westminster, Colorado 80030, (303) 422-3589 3 N v ~ s . w~ o~ w(D N 7 Aw 00 N t0 N W f~ W = • O 7 N S N G N 6 (D N 7 SU a CD ~ d 0 ~ ~ > > N a M 0 ~ ~ ~ C- 0 a D a a W N N 7- ~ r~~ u Mi ~ C) = ~ II u w ~ 0 (D ♦ / 0 y ~ ~ C: ~ ~ Z ~ 0 ~ 'v cn m c~ < ~ m r 00 (D U) 'D m v < Z 'v o m ~ M w 0 ~ N W ~ N ~ N ~ Jan 26 05 08:48a Tiley Roofing 303-426-0312 p.l TILEY ROOFIN~G, INC. 19000 W. Highway 72, Suite #200 Arvad: Phone: FAX Date: To: Attn: Fax: From: RE: lanuary 26, 2005 City of Wheatrid e Roofing Incpect 303-235-2857 Susi Gemmill e 12 Ycrmit#18274 Job Address: 31 Xenon St P/rase cull ifyau du nW receivc aU ojthe pagcs Page 1 of2 Follvwing please find written c compliance with Wkieat Ridge' a 6 nail fastcning pattom. Plea Thanks. StLSi nfirmation that the shingles applied az the above referenced address are in 90 mph wind tequirements. We installed CerlainTeed Landmark 40's using cornact me should you have any questions or necd additional infornwtion. (higinal Will ❑ Will Nol ICg Follow Via Mail Jan 26 OS 08:48a r. a ~ip$ 'S V~ 70~7 ce C S 5ry ~ i ~E ..y w J m H Tiley Roofing n ,~,p$~ °},aro 3 V .S 4 ~ ~u6 ~ ~ ~ ~5 P ~ ~ . . y ' E °~3y m t o Aso A,. 0 344. r ; ,H s,a'~• 41 Z ~ Do ~s o7i 334 4av v~'g~ ~ ~ ti~1 ° 4 q i~ ~ ~d Gi F L U ~ 's ~ n'J 2 t C . i 4 a -3 g 3~cTF•E ~~c•~~ 7 J '3P1 5W~~ ~i 303-426-0312 p.2 I a e ~ ~x- w ~ L K~'A~ m 9 I ~ 9e ~ ~ k ~ g o y e!s ~~o m~'pp ~on~^y3.5 M aC~B'~ ao, 5~ 8 E°d~ s~j;Kex~G_~~ G '✓i e^ , 2 ~ rR f E M'• ~~b~-eE s oa' SqYs U a,sva : e J ~J fSdC' ONyCu~mat ~yC F~ ~~yAf~. V 'ISG !13F'~GZ~. y 3 Z ~o~~,`~eK~L2d gaey ~ °J 3 s.~e~~~ a.~t~ ~ ~w~~.t ~~~y~ig~g?s `s.~r.'~7 S Q d °~!5 R~° ~ :h F,° ~ i~' y^• 1Y ~ a Ep 9 Q iJ ~ ~ j c. ~ J S E ~ ~ 5 A y S S ~ a °A sF'e •~q t~~~,~~ ¢ $X `c.a 5G'p.~ ~~'j ~j w oH~'ay a} C~ ~s Z & u~ `yx e a A e b< ~ ~J y~F 5 k~~~pW ~ ~3•~ G 4 & K LL C°Jd9~ ~2 93 I mr G.~~'~ 7 a9 T{ i ~~`jI a d ~ G ~ - a .~ti t Y.yE'"e•. ~ E i C tt q E 07 Q E aae ~ ~ • g~ 3 ~ m~ 70 e -~k~ffi e~w L~ y ~ Y $ c q _4 i a ~a s zA o..~ `o N'~' 3'~as 5 ~ C ~ 9 1_ i 3 g I~ v w c = ~ 75 0 e ~ ~a 5 ' .e.~ •'s rfi~'~~ q ~ g T 9 f( 'S L• ~ r= 2 y t~ V r t '~~~•~~~~$r~a ~~FFa35- ~ ~ o 'Cti5~2~ju ~sv,g q83 f, $ u~~ q P t' °zi,y~~M vA26 rg.1'y ~5 t5 ~.~2 ni~ s E~:."~5"?I 3 E d5 `o ~ ~ ~~~ys 9F~'_r,~'•~ E `va ~ ~ ~ ~ w ~ ~ a g ~ 5 T' ~ a c V ~u ~s s L~ yX~ t~.~y~J Jq ~j H 6SSF~ a ~gE7 a ' y C a c° q api ^ ~ ~c 8.:7 e S 2 ~ 6 COMMUNITY DEVELOPMENT DEPARTMENT , BUILDING INSPECTION LINE - (503-2345933) CITY OF WHEAT RIDGE . ' 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number : 18274 Date : 1/20/2005 Property Owner: PEARL NARGARD Property Address : 3180 XENON ST Phone : 237-5633 Contractor License No. : 21395 : Company : Tiley Roofing Inc. Phone : 426-7370 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Valuation : $3,602.00 ~i her8by certify lhat the setback distances proposed by lhis permit application are accurate, and Permit Fee : $126.50 du not violate applicable ordinances, rules or regulations of the City of W heat Ridge or . cbvenants, easements or restrictions of record; that all measurements shown, and allegations Plan Review Fee : $0.00 metleare aeeurate; that I have read and agree to abide by all conditions printed on lhis . applicatlon, and ihat I assume full responsibility for compliance with the Wheat Ridge Building Use Tax : $64.84 Code.(U.B.CJ and all other applicable ' Be for ork under this per it. (OWNER)(CONTRACTOR) SIGN DATE ~ Total : $191.34 Use : ' - Desctiption : TEAR OFF (2) LAYERS EXISTWG ROOF, INSTALL UNDERLAYMENT, FLASHINGS & NEW 40 YR DIMENSIONAL ROOF BUILDING DEPARTMENT USE ONLY ~erits:' SIC : Sq. Ft. APProval : r i ~ .>,~zer,t. ,ro ••,nr,•a/ne!. t~c,t' Zonin `9: r ~u~r ? ir.tl ~ x*t.ff~trt ~r r t; ;~;Erzir- ~~R191~1tS:: , ,,..XrW , j: . . ' APProval ' IkINNIM C6mif~`ents: Approval : . Occupancy : Walls : Roof : Stories : Residential Units : " Electricat License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (i)This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws ot the State oF Colorado and to the Zoning . Repulations and Building Code of Wheat Ridge. Cobrado or any other applicable ordinances of ihe City. , .(2) This permit shall expire if (A) the work authorized is not commenced within siufy (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If tNs permit expires, a new permit may be acquired for a fee of one-half the amount normalty required, provided no changes have been or will be made in ihe . . . . original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. if changes are made or i( suspension or abandonment . ezceeds one (1) year, Full fees shall be paid for a new permit. _ :(4)No wndc of any manner shall be done lhat will change the natural Flow of water causing a drainage problem. (5)CoMrector shall notify ihe Building Inspector hventy-four (24) hours in advance for all inspections and shall receive wntten approval on inspeclion card betore . " proceeAiingwdhsuccessivephasesotthejob. . (e) The issuance of a permit or the apgnvaLo[ dr,awings and specifications shall not be construed ta be a permit for, nor an approval of, any violation of the . pmvisions of ~g c or any other oriliR§nce, iaw, rule or regulation. Ch f Building Inspector ' Please sign Terms and Conditions on reverse side of page. COMMUNIT'1' DEVELOPMENT DEPARTTUNT Building Pexmit Number: oF W HEqT gUII,DING INSPECTION LINE - 303-234-5933 Date: = ~ CITY OF R'~AT RIDGE " 7500 WEST 29TFI AVENiTE WHEAT RIDGE, CO 80215 - (303-235-285~ ~(ORA00 . ~~~"CATF~]]~7' dl~~Lr Property Owner:{(_, Property Address: 3~bO 'k~Cn Phone : o~J 7,~UJ3 Contractor License No.: J Q)~5 Cpmpany./~~ -4"-, Phone: Z-~ 0 7-A17U''I-4 ~ O WNEA/CONTRACTOA SIGNATTRiE OF UND&RSTANDING AND AGREEMENT I hereby certity that the setback dis[ances proposcd by tbis permit applicatlon ere accurate, and do notviolate appticable ordiaancu, rvles orregulatioas of the Ciry of Wheat Ridge.or covenants, eascments ozres4ictions ofrocord; tSatall measurementa showa, and allegations made aze accurate; that I have read and agrea to abide by all conditions printed on tttis application and that I-assume full respoasibility for compliaace with the Wheat Ridge Building Code (U.B.C) and al] other applicabl at Ridge Ordinancu, for work uader thispermit Construction Value:$36 02. Permit Fee:$ Plan Review Fee:$ Use Tax:$ TOt31:$ 1 A" C \OC}-a~q . DESCWTIONc v\~ AU-4,r ~-Od BUII.DING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: . ' Appioval: Zoning: BUILDINO COMMENT3: . Approval: PUlLIC WORKS COMMENTS: . Approval: Occupancy: Walla: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: MechazYical Liccnse No: Company: Company: Company: Expiration Date: Expirahon Date: Expiration Date; Approval: Approval: Approval: (1) ILi+pearaitwaa issued'm accmdsnce with ihe pmvdsims safm0 ia yoe npplieation end is subject te the ]aws ofthe St+ce ofColmado md b the Zoning Regulatious andBw7din8 Codrs of What Ridgq Colorado or any offia applieable ozd'manc'a ofthe GSty. (2) TLia pumit ehall expae if (A) ihe work authoriud is aot ctimmeaced withm socty (60) days fiom iasue daro or (B) &ebmlding autborized'u erospended or absndonedfoz apaiod of 320 daya . (g) 7{t3iepnmitexpsses,anewpexmitmrybeacqidxedfozefeeofono-halfthenmoun[aoonallyxequired,pmridedaochanguLavebemorwillbemadein theoxigipaip]nm mdapeei5catlons anda¢yeaspmsionorabendanmmthacnotucerdedone (1) yeaz. Ifchangu Lavebeen orifavspmaioaorabpudo~mt ezceeN one (I) year, fuII fru aLaIlbe paid for a nrnprrmit (4) Nowmkofoayme-asLdlb¢donetLatwillehonBethenaECalflowofwaterausmgadxainagepxoblem (5) Coa4actnr+LellmtifytheBwldmglnspeelarLwe¢eY-fbw(24)hou[sinadvmc¢foralluupe<ROm andshaIlxecovewrittmeppmvaloninapeclioneardbefwe proceediaBwithauecasivepLaset ofthejob. (6) The iseuance of a pe}mit or ihe apprord of dnndu8s and apec'fficationa ahell aot b< eomtued to.be a penmitfm, aor en appxoval og any violatioa of Eae provisioneof[Lebwld'm6codeeoranYothao:dmaneqlaw, mleorrognL¢on. . Chief Buiiding Inspectoz