HomeMy WebLinkAbout3179 Vivian StreetZ01 70Z V
_?pq VI-V,cey2Sf INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occur ince/Tyke
Inspections will not be perfor d unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. idnight) to receive an inspection the following business day.**
Inspector Muit Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
ials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour
Concrete Prior To Approv f The Above ect'
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date Inspector
Initials
Comments
Wall Sheathing
Mid -Roof z -*
Lath /Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
'For low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
' t City of Wheat Ridge
Residential Roofing PERMIT - 201702873
PERMIT NO: 201702873 ISSUED: 06/29/2017
JOB ADDRESS: 3179 Vivian ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed asphalt shingles with 28 sq.
*** CONTACTS ***
OWNER (303)234-9972 SMITH JOSEPH BOWER
SUB (303)296-1353 Randy Howard 020789 Colorado 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: 7,196.00
FEES
Total Valuation
0.00
Use Tax
151.12
---
Permit Fee
172.60
** TOTAL **
323.72
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding Al --inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&€'"s 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's 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 - 201702873
PERMIT NO: 201702873 ISSUED: 06/29/2017
JOB ADDRESS: 3179 Vivian ST EXPIRES: 06/29/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed asphalt shingles with 28 sq.
1, by my signature, do hereby attest that the woi j to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable ttmcipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property an a a orized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further atte t at I am l g y uth 'rued to include all entities named within this document as parties to the work to be
performed and that all r t be p fo d �s losed in this document and/or its' accompanying allproved plans and specifications.
Signature of OWNEIZ' or CONTRACT CYr e one) Date `
1. This permit was issued based on the into, yr ed dhhe permit application and accompanying plans and specifications and is
subject to the compliance with those docum nts, 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 Budding
Official and maybe subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of 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.
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
applic co�der�o`r a�ny'o°rdinance or reg lation 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz
Do(7GZ E�3
From: Cindy Winograsky <office@coloradoexteriors.net>
Sent: Thursday, June 29, 2017 11:09 AM
To: Dan Schultz
Subject: FW: Online Form Submittal: Residential Roofing Permit Application
From: no-reply@cimheatridqe.co.us [maiIto:no-reply@ci.wheatridge.co.us]
Sent: Thursday, June 8, 2017 8:39 AM
To: office@coloradoexteriors.net
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
3179 Vivian St.
Joseph Smith
3032234.9972
mtemter131(cDoutlook.com
Yes
a
I-
C, 0
e
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Colorado Roofing Specialists
te
a_ 6ZO 7,
303.296.1353
Contractor Email Address off ice(a.coloradoexteriors.net
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Yes
No
Asphalt - CertainTeed
28 IZ
Provide additional detail Tear off existing down to deck - replace with new - 4/12 Pitch -
here on the description of 1 -Story
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract -5SOU' ( �
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
z
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 Randy Howard
s �
BBB 4
www.coloradoexteriors.co
r
Property Owner (Customer) Name: C
Property Address: Street#. l G
Date of P;rth: Home
Business Phone:
Property Owners Lnsurar Company:
Date of Loss: /' -- C� — ;/ cr %
Physical Address:
747 Sheridan Blvd., Suite 1A
Lakewood, CO 80214
Main: 303-296-1353
Fax: 303-232-3353
Type of Loss:
city
Ce
claim*:
Z�
I authorize Colorado Exteriors, LLC qhe "GMpany) to wvvDfk directly with my insurance company on behalf and -to furnish. i material and tabor as listed below.
Company Representative:Phone #
AL1 rf l�C S'Li�
Total Amount of Estimate $ ° 0 AgreedTpon price with the Ins nca Company based on damages known at time of estimate.)
The owner's out of pocket expenses will not exceed insurance deductible in the amount of /e/7 C (unless upgrades are added or otherwise
as provided in th" Contract). Progr9ss payments of ont actprice shall be made as follows: ' i i i c 2� (��
Policy Specifications: Non -Recoverable Depreciation (Initial) Recoverable Depreciation initial Code U Grade Coverage
p ) p{initial) _z
Approximate Dates of Service/Payment: Your project will begin on or about (subject to the Company receiving approval
from Owner's Insurance Company, and is expected to be completed within days from delivery of materials, subject to delays for weather,
delays in obtaining materials or permits, or other events beyond the Companys reasona a control. Final payment is due to the Company upon substantial
completion of work All insurance supplement payments invoiced to Owner's Insurance Company to correct shortages inyoriginal estimate will be paid to the Company.
We will furnish the following materials and labor as listed below:
Tear of all layers of existing roof terial: layers)r) ,,,- Fascia Color:
,New Shinghe: J `e L- r in;tiai t% Protect all La ds�ols, A/C Units
`Sbingle Color. r '- ' - ✓ r / infi , ' i" ,' ;IPP int Vents to Match Roofing Material
�ti stall Felt Paper to tch Existing: 15 ib 30 ib t ---Haul OFr Trash/Debris and Magnetic Sweep
Install Pipe Jacks 311 4.1 Other ( }
Install Furnace Vents 3x5 5x7 7x9
� O
%
Special Instructions: ( K� ��if t
( �:.tr". ;% ,�v L_..%% C�..fi .: • //? /c' � i � -f-- t "lir :rte"//�<-.rte-,._ -;<
The following Special Provisions Apply Only to Roofing Work on Residential Property in Colorado as provided under C.R.S. 6-22-101 et seq.:
• Notice VVfth Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: Property Owner may rescind roofing contract
pursuant to Section 6-22-104, Colorado Revised Statutes.
• Notice VVith Respect to Residential Property Located In Colorado as applicable under C.R.S. 6-22-101 et seq.: if Property Owner plans to use the proceeds
of a property and casualty insurance policy issued pursuant to Part i of Article 4 of Vile 10, Colorado Revised Statutes, to pay for the roofing work, pursuant to
Sectlon 6-22-105, C.R.S", the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable
to the insurance claim for payment of roofing work on the covered residential property.
• Notice With Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: THE COMPANY SHALL HOLD IN TRUST
' ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE COMPANY HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY
SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY.
• Notice With Respect to Residential Property Located In Colorado as applicable under C.R.S. 6-22-101 et seq.: Property Owner may rescind this
Contract Pursuant to Section 6-22-104, Colorado Revised Statutes.
• Notice: If Property Owner's Insurance Company does not approve scope of work and price within 60 days from date of this Contract, either the Company
or the Property Owner may cancel this Contract upon issuance of written notice to the other party at which time any deposit paid by Property Owner will be
refunded in full and both parties relieved from any obligations under this Contract.
• Company's Liability insurance (or Surety) Carrier. United Specialty Insurance Company Phone No.. 303-674-5501
Please read the reverse for additional Terms and Conditions which are part of this Contract.
By signing this Contract you are authorizing the Company to perform the work as specified and to make payments as required herein.
Property Owner/Customer
The Company:
Colorado � s, LLC, Rep. Signature
Dan Schultz
From: Cindy Winograsky <office@coloradoexteriors.net>
Sent: Thursday, June 29, 2017 11:08 AM
To: Dan Schultz
Subject: FW: Online Form Submittal: Residential Roofing Permit Application
From: no-reply@ci.wheatridge.co.us [maiIto:no-reply@cimheatridge.co. us]
Sent: Thursday, June 8, 2017 8:21 AM
To: office@coloradoexteriors.net
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4205 Ammons Street
Millie Herman
720.467.8700
sabotman2017(cDgmail.com
Do you have a signed Yes
contract to reroof this
property?
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: PD
Job Address: -lzl VY af1 -5
Permit Number:
❑ No one available for inspection; Time d/QPM j
Re -Inspection required: Yes No
i
When corrections have been made, c`aM--forre-inspection at 303-234-5933
Date: CInspector: ON 6 koc+-_
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:L
Job Address: -31 ?-7 yiy q' w S f"
Permit Number: ,-� %Q0- � F�
❑ No one available for inspection -:--Time AMIPM
Re -Inspection required: YesNo
When corrections have been made, call for re-inspectiionat 303-234-5933
Date: 7- /S %� Inspector:w_,,6111Arf—
DO
NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 070566
PERMIT NO: 070566 ISSUED: 06/12/2007
JOB ADDRESS: 3179 VIVIANST EXPZRES: 12/09/2007
DESCRIPTION: inetall lOSK BRU boiler and re-hook CONTACTS gc 303/431-8914 J. Patrick Quinlan 01-8464 B& F Aeating & A/C
sub 303/420-1516
Jay Patrick Quinlan
01-7875
Coffman filectric, Inc
owner 303/234-9972
Joseph Smith
PARCEL INFO
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0711
BLOCK/LOT#:
0/
Ffifi SUMMARY ESTIMATED PROJECT VALUATION: 5,654.00
F8E5
Permit Fee . 162.90 ~2~13
Total Valuation .00 ~
TOTAL 162.90
Commenta: electrical must meet 2005NEC
Subject to field inspection
i hereby certify that the eetback distancee propoeefl by thie pemit application are accurate, and do not violate appllcaDle
ordinancee, rulce or regulationeof the City of i7heat xidge or covenante, eaaemente or reetrictione of recoffi; that all
meaeuremente ehorn, and allegatione made are accurate; that i have read and agree to abide by all conditione printed on thie
application and that I aeeume full reeponelbility for canpliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridga Ordinancee, for work under thle permit. Plane eubject to Eield inepection. of co&dractor/owner ` date
1. This permit was ieeued in accordance with the provieione eet forth in }rour application a=W ie subject [o the lawa of the
State oE Colorado and to the Zoning Aegulatione and Building Codee of WheaC Ridge, Colorado or any other applicable
ordinances of Che City. 2. Thie pemit ehall expire 180 daye from the ieeue date. Requeete for an exte»eion muet be receiveC prlor to erzpiration
date. nn exteneion may be granted at the fliecretlon of the Buildin9 Official. .
3. If Chie permit expiree, a new pemit may be acquired for a fee of one-half the amount normally requixed, provided no
changeehave bcen or will be made in the origlnal plane and epecificatione and any euepeneion or abandonment hae not
exceeded one(1) year. IE chaagea have been or if euepeneion or abandonmenC exceede one.(1) year, full feee ehall
be paid for a new permit. a. No work of any manner ehall be done that will chan9e the natural flow of waCer cauein9 a drainage problem.
5. Con[ractor ehall notify the Building Inepector twenty-four (24) houre in advance for all inepectione and ehall receive
written approval on Snepection card before proceeding with eucceeeive phaee9 of the joD.
6. The ieeuanc 'l, a pemit oz he approval of drawinge and epecificatione ehall not be conetrued to De a permit Por, nor
eny Wf e provieione of the building codee or any other ordinance, law, zule or regulation.
an approv vi
All plan ie einepectione.
Signature of Chief euildirig Official flate
INSPECTION RBQIISST LINB: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADfi BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Jun 11 07 09:35a Patty Schmidt
COMMUNITY DEVELOPMEN7 DEPARTMENT
o w~E"'y BUILDING INSPECTION LINE -303-2345913
CITY OF WHEA7 RIDGE
" 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 8005$ - (703-235-2855)
~ta+no~ ♦ nOr llrn A
Plopcr,Y nae,-s: /7'
ConVaclor License Na : ~8 L~ (p Cf
Company: Ba.F I4PCl'Ilnq ~fo.XS17~'CXIIIO
303-421-1298 p.2
Building Permit Numher:
Date:
Phone: 3Qj Z:~4
Phone: 70 3 T3/ 39/ y
OWNER1Cpt17qqC7qR gIONFNRE OF UNDER9TAN6N6 ANO q6RE911ENT @uildina Deot. Valuatlon Flgure: S
i hereCy e¢rtily Mat the setbock Cisbnus propased by Mis p¢rmit application are
accurate. and do not violata applipda orAinances, rulas or regulaHOns of Me Cily of V2lUe:$ 2-/ S/L-
Wh¢alRidgeorwvena'ns,easementsorrestrictionsolrecard:thatallmeasuremenls J(p T
sMvm, ana allegatbns mada are accurete; that I have read aiM agrae M abida by eli Pemut Fee:$ /(oZ c'p
condMons priMed on this application and Mat I essume NII responsibilXy kr ~ 1
cortplWntewilhtheVNteatRltlBeBUidingCOtle(I.B.C)nndellothef applkabls4Meat P1anRe~'ie~~-Fee:$
Ridge Ordinances, for vrork undey IhJ',slpermk. PlareAubject to feltl inspettlon. I r- •T•,,...Q
(ONMER CONR1qC . SIGN~L LGCt_ J~-~ ppT II O/ I I v V TOY2l:.p//.~ Cj D
IL (
UseofSpace (description): -=i'7.S~ZZ II /D ,GbD ~71r'S oi/er„
Description of work:
~c L~ k f/i pe k
(
Sq. Ft. addetl
Electrical License No: 7j Plumbing License No- Mechanical License No:
Companyz~ u ~PC~G Company: Company:
Expiration Date: Expiretion Date: Expiration Date:
Approval: ApprovaC Approval:
(1) ThispermitnasissuetlinacortlaM¢withyieprovisionsseltoMlnyoureppliptbnandissubjsdtoqielawsoflMShbo(
Colorzdo antl to the Zonirip Regulafiom and Building Codas of Wheet Ridpe, Cobredo or arryother appfiable ordnances o/
the City.
(2) 7hispermNshaNexpireN(A)thehorkauthorizetlisrrotcortmroricedvriMinsixry(90)dayskomfssuedeleor(B)Me6uldirg
autnorizeA is suspentletl or ebandonetl for a perbtl o1780 tlays.
(3) Ifthispermltezpires,anowpermRmaybeaaquiredforefeeofon"aEtheemountnortrroAymQuired,povidednochenpea
have been orvnll ba motla in tlhe oripinai plans antl specfications and arrywspensbn or abandonmeM Ms not eMweded ons
(1) year. lichanges have bean or ilwspensbn or abandanmeM exoaads one (1) year. fallaes shall6e p¢id fora nawp¢mp7.
(4) No xork ot ary manner shall be done that will change the netural ibwoFwetar ceusinp a drainape problam.
(5) Con12c1or shsN rplity the Buflding Inspac[or Meny-four (24) hours in aManca br all inspections and ahall rxeiva wwMEen
approwl on inspectlon eard bekre prooeedtng w8h successive phasas of Ihe job.
(6) The issuarwe ol a parmR or tlhe approval of Maxings and sp¢cHkatlons shall not pe wnsyuad to Es e psmtit lor, rwr en
appfoval o(, any violatlon ol the provisions of the bullUinp mdes or any aqar ordinenoo, hw, ruk or npuio}bn. All plan
review is su6jec[ fo fiNd inspecllons.
Chief Building Offcial
Building Permit Numbet ; 2619
Dafie : ` 2/12196
Compffry :
Ezpiratlon Oate :
APproval;:
. ..w.:~...~'~.r . ir.r.~.~ ~ .
awabf~#~6rCcloiillsan111RtlNYA~iq ~ .
r(~rirOW~bwbpNOd.YMw~°r . .
ido no
A kr, naran *W" d. rNvbAO^aFM-paWiYn .
MMMONVECTQR ~ . . . . . .
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address VVIG-,t s~ Phone :
Contractor License No. :
4sp !2~//~~
ComPanY :
Phone: ~z
d
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit appliwtion are acwrate.
and do not violate applicabta ordinances, rules or regulations of the City of Wheat Ridge or
covenants. easements or restrictions of reeord: that all measurements shown. and allegahons
made are accuwte; that I have reatl and agree to abide by all eonditions pnnted on this
application, and that I assume full responsibility far compliance with the Wheat Ridge Building
Code (U.B.C.) antl all other appliwble Wheat RiclAordinapces„for work under this pertnrt.
(OWNER)(CONTR4CTOR) SIGNED DATE Z- 12 -ix
Description J`iw
BUILDING DEPARTMENT USE ONLY
~
Approval:
Zoning :
Approval:
~b1I9:W~1fq5'fita;+
Approval:
Occupancy : Walls : Roof Stories : Residential Units :
ConstructionValue: S
Permit Fee :
Use Tax :
TOtal :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date :
Approval :
Expiration Date :
Approval :
Expiration Date :
Approval:
~ Pfans Requlred`'';;"j ~ p12ns Required ~
- ~ ~ PJ$ns;Requif@Iw
(1) ThiS Dertntl wa5 i55uetl In aCCOrtlanCE Witll Ihe pfovi5ion3 5et IoM in yopuf apphCdlion and is SubjM to tne laws ol Ihe Slate of Coloratlo and to Ne Zoning
RegNations and BuilEing Cotla ol Nfieat RiEge. Coloraao or any other applicabie arEmances of the Clty.
(2) This permrc shall e:pire rt(A) Ihe work authonietl is not commenceG wRhin sizry (60) tlays from issue Eate or (B) the butlEing authonietl is susperWetl or
abantlone0 for a penoE of 120 Cays.
(3) II this permR ezpires, a new permit may be acquiretl for a fee o/ one-half the amount normaiN reqmreE, provided no changes have Deen or w111 Oe matle in the
original plans and speGfiUtlons and any suspension or abantlonment has not exCeetleO one I1 )year. If changes are maae or if susDension or aEantlonment
eateetls one 11) year. lull leea ghall Ce paitl tOr a neW permit.
(41 No work of any manner shall be tlone tnat will change Ihe naWral Ilow ot water wusing a tlramage pro0lem.
(5) Contractor snall noUN the Builtling Inspector M1venry-lour (24) hours in atlvance for all inspxuons ana snall recerve wntten aoproval on inspecuon cartl Ge/ore
oroceetlimg with successrve phases ol the job.
(61 The issuance ol a permit or Ne approval of tlrawmgs and speclfrations snau not be consiruea to be a permrt lor, nor an aOCroval of. any violalion of the pmvisions
of Ihe Cwltling cppes or any otner ortlinance. law, mIe or regWation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION