HomeMy WebLinkAbout3079 Vivian StreetCity of Wheat Ridge
Resid. Windows/Doors PERMIT - 201803015
PERMIT NO: 201803015 ISSUED: 11/15/2018
JOB ADDRESS: 3079 Vivian St EXPIRES: 11/15/2019
JOB DESCRIPTION: Replacement of 8 windows like for like with no structural changes. 4 HU
sliders and 4 picture windows. U -value .27-.29.
*** CONTACTS ***
OWNER (970)409-8185 PECKHAM ROBERT BRYANT JR
SUB (720)697-6131 Andrew Chambers 130049 Vivax Pro Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,300.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 69.30
** TOTAL ** 119.30
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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
performed aid thot all work tp- be- }�exfo : ed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signatu e of,/bWNER ,OTR_A_CT0R--(Circle one) Date
1. This permit was issu ased on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
1. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the original permitfee.
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.
R. No work of an 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.
�. 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
apple code or atl6rdmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
1EQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wh6atR
cllge
COMMUNI-TY DEVELOPMENTjZ�
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: ermits(Eki.wheatridge.co.us
FOR OFFICE USE ONLY
I I
Date: 11 ip-5 1Z
Plenmermit#
Plan Review Fee: -go
*' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: Rk
V_
Property Owner (please print): Gq-Lja0A- Pec k kc, rn Phone:
�j
Property Owner Email: br'Llc'c) 4 -pec V- L + o-'C'k, co' -n
Mailing Address: (if different than property address)
Address: SctiMz
City, State, Zip:
Arch itectlE ng i neer:
Architect/Engineer E-mail:
Contractor, �"3 0'_X Pr- () S
Contractors City License #: - i Lr� t � Phone:
Contractor E-mail Address: CC
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL 0 RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
kc Cr' I t C c�-ce(ypo W'i %40 1 JB cki-o-A."18 "1 ke ko(--Sl? ;
A/t) S I IAO- 1-S ,+' y P, C -"v �„1.,��c;,� `s 61 J hS�al I . A rc�l: red
w,Hc��w3
Sq. Ft./LF
Amps
I -e e ♦ 9c re S's (ode
Btu's
Squares
A1) w,hAr)v3 ui
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 3, 300
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE (OWNER) §011RACTO or (AUTHORIZED REPRESENATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE 1 I /8
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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City of Wheat Ridge
s
Residential Roofing PERMIT - 201705063
PERMIT NO: 201705063
JOB ADDRESS: 3079 Vivian ST ISSUED: 08/01/2017
JOB DESCRIPTION: Residential Re -roof to install Owens CorningEXPIRESDuration8asphalltB
8/1/21
20 sq. shingles with
*** CONTACTS ***
OWNER (303)237-4343 PECKHAM ROBERT BRYANT JR
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: UA / Unassigned
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION: 5,140.00
Total Valuation FEES
Use Tax 0.00
Permit Fee 107.94
** TOTAL ** 140.90
248.84
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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.
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.
Occu anc /T me
INSPECTION RECORD
INSPECTION ONLINE FORM: http://wwwa i ge. 234-5933s/insp ction
INSPECTION REQUEST LINE:
__.._. L_^ .,,h.v ;++o,t via tho online form before 8 a.m. the day of the inspection
Inspections will not be performed unless tills caro is NuNtvu uit -ij- rl -j - --_.
__ , ,.C" - (.., Aniohtl to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to una P—j—
Foundation Inspections
Pier
i-ounaatlon / r -.C. LGuci
Do Not Pour Concrete Prior To Approval Of'
Inspector
Underground/Slab Inspections Date Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Under round or Below/l Inn -Slab aWork Prior To
Rough Inspections Date Initials
aM wWSheathing
Mid -Roof �
Lath / Wall Tie
Rough Electric
*For low voltage permits -Please be sure inai rouyii jjj�VUUL1 . -u- --
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection 5
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this calyd is posted on the project site
Request an inspection before MIDNIGHT (11:, PM) to rece a an insp ction the following busines da
R"ADDRESS:JD�PERMIT0 JOB CODE:
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
307 Metal / Lath / 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
PERMIT: IMADDRESS: ,�. y � 1 b'I V I �f . )f JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
G� %
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
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
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.
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201709086
PERMIT NO:
201709086
ISSUED:
11/15/2017
JOB ADDRESS:
3079 Vivian ST
EXPIRES:
11/15/2018
JOB DESCRIPTION:
Residential window replacement of
5 windows like
for like ufactor=.29
no structural changes.
*** CONTACTS ***
OWNER (970)409-8185
PECKHAM ROBERT BRYANT JR
SUB (720)697-6131
Andrew Chambers
130049 Vivax Pro Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2404 / APPLEWOOD KNOLLS, PARAMOUNT
HE BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
4,673.00
FEES
Window Replacement
50.00
Total Valuation
0.00
Use Tax
98.13
** TOTAL **
148.13
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by in 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 le ally authorized to include all entities named within this document as parties to the work to be
per or ed and ithhatIl work to be performed is disclosed in this document a d/or its' accompanying approved plans and specifications.
ignature of ER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 an 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,wr ..uan 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official AJ Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
WlieatRjdt_n-
Commum-ty DEvFi.oPMEN_l—-'
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: vermitseci.wheatridae-co.us
FOR OFFICE USE ONLY
Date:
Plawperrnit#
0 q0
Plan Review Fee:
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: _-sn4j
Property Owner (Dleaseplint):
10
Mailing Address: (if different than property address)
rAr
, r$'
City, State, Zip:
Arch itect/E no i neer:
I X_X) j co
MA%k.CkX—
Architect/Engineer E-mail: Phone:—
Contractor: I
[:j
Contractors City License M i I (�°�a)
Contractor E-mail Address: Ja.ltieCZ V; V-Ajo (DS . COr--
?,1=TT M.
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License#
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
_WS
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION..91 WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
Lk'� ��,-��� Z9
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
S M3�j)3, L1.&73
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE:
Electronic Signat�
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: I I '
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
I-7
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /�4 ► �
Job Address: 307q y1 yl vl -51--
Permit Number: D/ 7D ZR
❑ No one available for inspection: Time A-'
Re -Inspection required: Yes i=``No
When corrections have been made, 'ball -for -re -inspection at 303-234-
Date://-//-/7
03-234-
Date:%!'//-/% Inspector: _�4Aj
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201709086
PERMIT NO:
201709086
ISSUED:
11/15/2017
JOB ADDRESS:
3079 Vivian ST
EXPIRES:
11/15/2018
JOB DESCRIPTION:
Residential window replacement of
5 windows like
for like ufactor=.29
no structural changes.
*** CONTACTS ***
OWNER (970)409-8185
PECKHAM ROBERT BRYANT JR
SUB (720)697-6131
Andrew Chambers
130049 Vivax Pro Roofing
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2404 / APPLEWOOD KNOLLS, PARAMOUNT
HE BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
4,673.00
FEES
Window Replacement
50.00
Total Valuation
0.00
Use Tax
98.13
** TOTAL **
148.13
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by in 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 le ally authorized to include all entities named within this document as parties to the work to be
per or ed and ithhatIl work to be performed is disclosed in this document a d/or its' accompanying approved plans and specifications.
ignature of ER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 an 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,wr ..uan 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official AJ Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
WlieatRjdt_n-
Commum-ty DEvFi.oPMEN_l—-'
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: vermitseci.wheatridae-co.us
FOR OFFICE USE ONLY
Date:
Plawperrnit#
0 q0
Plan Review Fee:
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: _-sn4j
Property Owner (Dleaseplint):
10
Mailing Address: (if different than property address)
rAr
, r$'
City, State, Zip:
Arch itect/E no i neer:
I X_X) j co
MA%k.CkX—
Architect/Engineer E-mail: Phone:—
Contractor: I
[:j
Contractors City License M i I (�°�a)
Contractor E-mail Address: Ja.ltieCZ V; V-Ajo (DS . COr--
?,1=TT M.
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License#
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
_WS
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION..91 WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
Lk'� ��,-��� Z9
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
S M3�j)3, L1.&73
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE:
Electronic Signat�
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: I I '
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
I-7
®� A , City of Wheat Ridge
Residential Roofing PERMIT - 201705063
PERMIT NO: 201705063 ISSUED: 08/01/2017
JOB ADDRESS: 3079 Vivian ST EXPIRES: 08/01/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
20 sq.
*** CONTACTS ***
OWNER (303)237-4343 PECKHAM ROBERT BRYANT JR
SUB (303)552-4467 John Hess 150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2404 / APPLEWOOD KNOLLS, PARAMOUNT HE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,140.00
FEES
Total Valuation 0.00
Use Tax 107.94
Permit Fee 140.90 r
** TOTAL ** 248.84
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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.
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.
� , A s City of Wheat Ridge
.r r
Residential Roofing PERMIT - 201705063
PERMIT NO: 201705063 ISSUED: 08/01/2017
JOB ADDRESS: 3079 Vivian ST EXPIRES: 08/01/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
20 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 authorizes
by the leg owner of the properly and am authorized to obtain this permit and perform the work described and approved in conjunction with
this perms I further a t that I am le ally authorized to include all entities named within this document as parties to the work to be
performe nd that aX ork to be per ormed is dj�closed in this document and/or its' accompanying agprwed plans and specifications.
n.. `-�1 ✓, —C .r► f
Signature of OWNERor ONTRACTOR (Circle one) Date "
1. This permit was issued sed on the information provided in the permit application and accompanying plans and specifications and is
subject to the complian a 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
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
appligab4e-.r,ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
90
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz ;vqa &16 � 3
From: no-reply@c i.wheatridge.co.us
Sent: Friday, July 21, 2017 10:51 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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 r n
your contractor's license or insurance has expired, and you may update those V
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
Property Address
Property Owner Name
Property Owner Phone
Number
3079 Vivian St IN
Robert Peckham
3032374343
Property Owner Email Field not completed.
Address
gf 4? -4 F- sof
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business
Urban Exteriors, Ilc
Name
Contractor's License
150142�j'
Number (for the City of
!�
Wheat Ridge)
Contractor Phone
303-552-4467
Number
Contractor Email Address
jennifer@urbanexteriorsllc.com
Retype Contractor Email
jennifer@urbanexteriorsllc.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Owens Corning Duration Aspahlt
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
20
material selected above?
Does any portion of the
No V/
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
20 v
(pitched + flat) of all
roofing material for this
project
0)
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
House and Garage 5/12 pitch
eau
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 John Hess
Email not displaying correctly? View it in your browser.
3
�-Ii---
Urban Exteriors
Urban Exteriors, LLC
3440 Youngfield Street, Suite 179
Wheat Ridge, CO 80033
303.552.4467
www. urbanexteriorsllc.com
Owner's Name
- �c iLio
Address:
C OLOR.A00 Ii C1OtihAT ION
Owner's Name
Insurance Company: .. 4 "'i
Address:
,
Phone #:
City:
` State: CY01 Zip: 6)21
Claim #:
Phone #:
Project Manager:
Mobile #:
Phone #:
Email:
Date: ,1 r -
UW E, the Owner(s) of the premises described above authorize Urban Exteriors, llc, hereinafter referred to as "Contractor", to furnish all materials
and labor necessary to roof and/or improve these premises�5o
od, workmanlike and substantial manner according to the following terms,
specifications and provisions: , �'`� , � - _. - / --, , . ._1
INSURANCE: THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE PLUS ANY UPGRADES CHOSEN OR ANY NON
COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE IS PAID BY YOUR
INSURANCE COMPANY PER FINAL LOSS INVOICE. THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY
TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE
INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE SCOPE OF WORK WILL BE DEFINED BY THE
INSURANCE COMPANY LOSS SHEET AND ALL REVISIONS THEREOF. ANY ADDITIONAL WORK MUST BE SUBJECT TO A
CHANGE ORDER AND/OR CONTRACT SIGNED BY THE PARTIES.
b. Description of any areas that will NOT be worked on:
This list of specifications maybe continued on subsequent pages (see page number below).
c. Payment: Contractor proposes to perform the above work, (subject to any additions and/or deductions pursuant to authorized change orders), for the
Total Sum of $ b��t t two' Down Payment $ ' —I �, `Z.�. Tr°l ) 1 7
iR
d. Commencement and Completion o Work Substantial commencent of work shall mean either the physical delivery of materials onto the
premises or the performance of any labor shall be subject to any permissible delays as per provision (5) on the reverse side.
Shingle Mfg, Type & Color: Labor Warranty: 5 yrs, transferrable - provided upon payment in full
e. Acceptance: The contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this
agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this
agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions of This Contract Are On The Reverse Side And May Be Continued on Subsequent Pages. A copy of the labor warranty is available upon
request. Urban Exteriors shall hold in trust any payment received from you until Company has delivered roofing materials at the site or has performed a
majority of the roofing work on your property.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See
attached Notice of Cancellation form an explanation of this right. q
MUST BE MADE PAYABLE TO URBAN EXTERIORS, LLC.
wn w s Signature date
j �-
Manager's Signature date
1 hereby grant Urban Exteriors
ion to speak with my insurance
y for the purpose of resolving this
ti Urban Exteriors has permission to
dis via my claim with my mortgage
comoanv, if aoolicable.
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: M) I-)
Job Address: 3-001 LZ) V )/)n.J �'T'
Permit Number: SO ! '�Q 50(0
❑ No one available for inspe tion: Time i T A r AM/PM
Re -Inspection required: (Yes No
When corrections have been ma e, call for re -inspection at 303 -234 -
Date: f Inspector: /€1{
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:
Job Address: 3 6 7 4' V; V 10 !7 6t
Permit Number: "do 170 -o&3
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes 9for
*When c(o�rre tions have been made, ce-inspection at 303-234-5933
Date: v �- i Inspector: f���
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
» AAA Jj
TO: Accounting Department
0
Reason: Contractor submitted letter by mail 03/04/2014 (dated 02/27/2014) to
have permit #201301466, for 3079 Vivian St. cancelled due to customer
cancellation,
Please refund: Contractors License$ (
I
*Tfm
TO: American Dream Home Improvement
6746 S. Revere Pkwy., Suite B-1 50
Centennial, CO 80112
/� � � /� �;
\f\ / ,� ff� 4«
8�t
EMEMEM
0
O A I1.%A V &A.F,n- EJ i,+7t Fa s9 PF lti , ND Ai:FRE
I hemby certify th e• (a lxasc lay this it i ttion a and Wine applicable ordinances, hales or
K uI hot)$ of the i f W itl c or cov atant , orate frictions of ` that all s s shown rata allegations triads a
te; that I have tail ag on this atao t i assume: li msponsibility for compliance
with applicable City of nd r I U sed on this application; that I ani the legal owr
s)r have been authotizmcd the u l owta r of tlx o the w ox and arts also authorized by the legal own of any
antity included on this a 'catio to list that entity cart file` ztla p tion,
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k u.
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Certified Copies
o 0 paper size ,
After first 15 minvies, $25.00 per
I
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hour or portion thereof in 15-minute
increments
information III TI II ISM Tronsf to Computer media '�i� V VIII �Ipl
may a ls o include Research &
Vi deo s
Council meeting Video or other DVD
months offer the m eeting minutes
�Mae roved
b ook or other large p ublication
jSudget
Avail • • pub lisher
ctual cost)WHI be assessed
I „1, City Clerk
Complete ail information on BOTH sides of this form
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-254-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: SUE THOMPSON
Property Address : 3079 VIVIAN ST
Contractor License No. : 17590
Phone : 462-4651
Company : C J Roofing Co. Phone : 394-2802
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN
I hereby certify that the setback distances proposed by this permit application are accurate, a
do not violate applicable ordinances, rules or regulations of lhe 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 responsibiliry for compliance with the W heat Ridge Building
Code (U.B.C.) and all other applicable W heat Ridqe ordinance/s, for work under this permit.
(OWNER)(CONTRACTOR)SIGNEDkJ~DATE 1 .'!_)I
Building Permit Number : 17836
Date : 10/5/2004
T
Valuation : $3,953.00
d
Permit Fee : $126.50
Plan Review Fee : $0.00
Use Tax : $47.44
(D
n
Total: $173.94
Use:
Description : TEAR OFF TO DECK AND REPLACE W/ 30 YR DIMENSIONAL 20 2/3 SQ.
Zonlpg Commantg:
Approval :
Zoning :
Building Commen#s:''
Approval :
Publ,ic Works CQmments:;;
BU LDING DEPARTMENT USE ONLY
PXn7sileforfinal SIC : Sq. Ft. cuments
frOm ~fins Qnufacturr~ shall be
(1 , ofng maJeriale hm,e bection which spec~
J~~ u 1I0 MpHlh ~ i~stalled to meet
+we-second wfnd gust- IBC (90
MPH wind /oad LgC).
Approval :
Occupancy : Walls : Roof
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval :
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set foAh in yopur application and is subject to the laws of the SWte of Colorado and to the Zoning
Regulations and Building Code o( Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days.
(3) If this permit expires, a new permit may be acquired (or a fee of one-half the amount normaly required, provided no changes have been or will be made in the
onginal plans and specifcations and any suspension or abandonment has not exceetled one (1) yeac If changes are made or if suspension or abandonment
excaetls one (1) year, (ull tees shall 6e paid for a new permit.
(4) No work of any manner shall be done thal will change the naNral Flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written appmval on inspection card before
proceediing wit uccassive phases of the job.
(6) The iss a p or the approval of drawings and specifcations shall not be construed to be a pertnit for, nor an approval of, any violation of the
p ' i the di~des " ny other ordinance, law, rule or regutation.
Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
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
17836
10/5/2004
Property Owner: SUE THOMPSON
Property Address : 3079 VIVIAN ST
Contractor License No. : 17590
Company : C J Roofing Co.
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 Ritlge 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 W heat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work untler this permit.
(OW NER)(CONTRACTOR) SIGNED ,^~l
DATEJay~(J'
Description
Phone : 462-4651
Phn.,e . ~oe no....
Use Tax : $47.44
Total: $173.94
TEAR OFF TO DECK AND REPLACE W/ 30 YR DIMENSIONAL 20 2/3 SQ.
Zaning Comments::
Approval:
Zoning :
Suilding'~omtnentsi s
Approval:
PuhllcWcrrks Gommentsi>
Approval:
Occupancy: Walls
Electrical License No :
Company :
ApprovalValuation : $3,953.00
Expiration Date :
Permit Fee :
$126.50
Plan Review Fee :
$0.00
Use :
SIC : Sq. Ft. :
Documents from the manufacturer shall be
onsite for final roof inspecdon which spec~
roofng materiaTs have been installed to meet
110 MPH thrae-second wind gust- IBC (90
MPH wind loax~UBC).
Roof : Stories : Residential Units :
Plumbing License No : Mechanical License No :
Company; Company:
Expiration Date : Expiration Date :
' Approval:
Approval:
(i) This permit was issued in accordance with the provisions set forth in yropur application and is subject to the laws o( the State of Coloratlo and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloratlo or any other applicable ordinances of the City.
(2) This permit shall expire if (q) the work authorized is not wmmenced within sixty (60) days
abandonetl for a period of 720 days from issue date or (B) ihe building authorized is suspentled or
.
(3) If this permit expires, a new pertnit may be acquiretl (or a fee of one-half the amount nartnally required, providetl no changes have been or will be made in ihe
original plans and specifcations antl any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, full (ees shall be paid for a new pertnit.
(4) No work oi any manner shall be tlona that will change the naturel Flow of water causing a dreinage problem.
(5) Contractor shall notity the Builtling Inspector iwenty-four (24) hours in advance for all inspections antl shall receive written approval on inspection card before
pmceediing " uccessiveyhases.ofthejob.
(6) The i f a p or ihe approvaiOf drawings and specifications shall not be construetl to be a permit (or, nor an approval of, any vioiation of the
vi ih i dinq desosany other ordinance, law, rule or regulation.
~
Chief Building Inspector
BUILDING DEPARTMENT USE ONLY
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT
o~ "'"EAT q BUILDING INSPECTION LINE • 303-234•5933
^ g CITY OF WHEAT RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Property OwMer:
Property Address:
Conhac[or License No.:
Company:
U ~ v Q~1 V~
~
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereDy cerUy mat the setback disWnces proposetl by lhis permit appllcation are
accurate, and do not violate applicable ordinances, rules or regulations of the City of
Wheat Ritlge or covenants, easemenls or restnctions of record; Nat all measurements
shown, and allegafions matle are accurate; Ihat I have read antl agree lo abide by all
conditions printed on this applicatlon and Nat 1 assume full responsibiliry for
wmpliance with the Wheat Ridge Building Code (U.B.C) ana all other applicable
Wheat Ridge Ordinances, for worxuntler Nis pertnit.
(OWNEftNCONTRACTOR)-.
Description: lfc~LY
16.
Sq. Ft! added
I )SC T3X:S
Total:$
~C) c~ECaL,. MG1 ~zkplaL1t
~
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permll was issued in accortlance witti the provisions set forth in your aDGlicaGOn and is subjecl to the laws of the SUIe of
Colo2do antl to the Zoning Regulations and Building Codes of W heal Ridge, Colo2do or any olher appliwble ordinances oi
the Ciry.
(2) This permit shall expire if (A) the work authonzed is not commenced within si>iy (60) days 6om issue dale or (8) the building
auNOrized is suspendeC or abantloned for a penotl of 120 days.
(3) I( ihis pertnit expires, a new pertnit may be acquired tor a fee o1 one-half the amount normally required, provided no changes
have Deen or will be made in the original plans anG specifipfions and any suspansion or abandonment has not exoeetletl one
(1) year. If changes have Deen or if suspension or abandonment exceeds one (1) year, full fees shall be Oaid (or a new permit.
(4) No work of any manner shall be done that will change the natu2l Flow of water causing a Orainage problem.
(5) ConVaclor shall nofify the Building Inspedor iwentydour (24) hours in advance for all inspec6ons and shall receive written
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance of a pertnit or Ne appioval of drawings and speafica6ons shall not be consWed to be a pertod Tor, nor an
approval of, any violaGon of the provisions ol the builtling wdes or any olher ordinance, law, rule or regulalion.
Building Permit Number:
Date:
Phone: 1 .1-160 "Wo571
Phone: ~ - ZS914 -~p
0669
Construction Va]ue:S 3q53.
Permit Fee:S
Plan Review Fee:$
Chief Building Official
Elecfical License No: Plumbing License No: Mechanical license No:
Company: Company: Company: