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HomeMy WebLinkAbout3203 Pierson Streeti CITY OF WHEAT RIDGE � Building Inspection Division �-lnspection line (303) 235-2855 Office_ • (303) 237 8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number:_ - n ❑ No one available for inspection: Time !: �'� AMffiMT ) Re -Inspection required: Yep �o *When corrections have been made, call for re -inspection at 303'234-5933 Date: ?f"> - Inspector: „ _ ` --- _— DO NOT REMOVE THIS NOTICE 1* � � i City of Wheat Ridge �� Residential Sewer Repair PERMIT - 202002413 PERMIT NO: 202002413 ISSUED: 11/18/2020 JOB ADDRESS: 3203 Pierson St EXPIRES: 11/18/2021 JOB DESCRIPTION: Sewer line repair, install cleanouts - 10 ft long *** CONTACTS *** OWNER (720)201-3637 LUETHY MICHELLE SUB (303)287-9009 BRAD WAKEHAM 130022 TRENCH RIGHT 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: 51500.00 FEES Total Valuation 0.00 Use Tax 115.50 Permit Fee 140.90 ** TOTAL ** 256.40 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Sewer Repair PERMIT - 202002413 202002413 3203 Pierson St ISSUED: 11/18/2020 EXPIRES: 11/18/2021 Sewer line repair, install cleanouts - 10 ft long 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�permrt. I further attest that I am leg ally authorized to include al entities 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 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation 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 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Wednesday, November 18, 2020 8:40:55 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3203 PIERSON ST Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) MICHELLE LUETHY 15#18018199i129rA Property Owner Email Field not completed. Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business TRENCH RIGHT Name Contractor's License 130022 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-287-9009 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email OFFICE@TRENCHRIGHT.COM Address Retype Contractor OFFICE@TRENCHRIGHT.COM Email Address DESCRIPTION OF WORK Is this a sewer line or Sewer Line water line repair? Length of repair 10, Location of repair FRONT YARD (backyard, frontyard, etc) Provide additional INSTALL CLEANOUTS details including installation of clean- o uts. Project Value (contract 5500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for JASON LAMB Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Roofing PERMIT - 201704035 PERMIT NO: 201704035 ISSUED: 07/14/2017 JOB ADDRESS: 3203 Pierson ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Storm asphalt shingles - 28/ sq (26 sq pitched / 2 sq flat) *** CONTACTS *** OWNER (720)201-3637 LENO LLC SUB (303)789-1107 Steve Kuhlman 021574 COLORADO PREMIER ROOFING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,100.00 FEES Total Valuation 0.00 Use Tax 191.10 Permit Fee 204.30 ** TOTAL ** 395.40 *** 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 one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ei.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 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 ,v the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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� '—%j u� ,4 ! Permit Number: ❑ No one available for inspection: Time AM/�M Re -Inspection required: Yes to When corrections have been made, call for re-iK(IZ- DO spection at 303-234- 71�o17,Date: / �Inspector: NOT REMOVE THIS NOTICE t� 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: flu.� Job Address: )2 ,,, 3 P, ter. Sc.(/, S4 Permit Number: ❑ No one available for inspection: Time 5% A3'P.M e -Inspection required: fYe Noi�� .when corrections have been made, call for re -inspection at 303-234-5933 Date: 7� ,r Inspector: � `16 DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704035 201704035 3203 Pierson ST Residential Re -roof sq (26 sq pitched / ISSUED: 07/14/2017 EXPIRES: 07/14/2018 to install Owens Corning Storm asphalt shingles - 28/ 2 sq flat) *** CONTACTS *** OWNER (720)201-3637 LEND LLC SUB (303)789-1107 Steve Kuhlman 021574 COLORADO PREMIER ROOFING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,100.00 FEES Total Valuation 0.00 Use Tax 191.10 PAID Permit Fee 204.30 ** TOTAL ** 395.40 ^- *** 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 one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 1* 1 A r City of Wheat Ridge r Residential Roofing PERMIT - 201704035 PERMIT NO: 201704035 ISSUED: 07/14/2017 JOB ADDRESS: 3203 Pierson ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Storm asphalt shingles - 28/ sq (26 sq pitched / 2 sq flat) 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 rther att t that I am le ally authorized to include all entities named within this document as parties to the work to be per formedthat alirl�to be perrr�ed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I/ I. 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 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 applicab!&&Qde or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. � � 70 f03 5 Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 5, 2017 2:09 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 1 Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process a 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 7S 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 Property Address 3203 Pierson St. Property Owner Name Leno LLC Property Owner Phone 720-201-3637 Number Property Owner Email N/A Address 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 Name Colorado Premier Roofing Contractor's License 021574 Number (for the City of Wheat Ridge) Contractor Phone 303-789-1107 Number Contractor Email Address coloradopremier@hotmail.com Retype Contractor Email coloradopremier@hotmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Storm Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2 on the flat roof? TOTAL SQUARES of all 28 roofing material for this project Provide additional detail House, garage flat here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 9100 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Beth Shull Email not displaying correctly? View it in your browser. 3 RESiDF11q`�' `t ■ 11652 W. Hampden Place Lakewood, Colorado 80227 Office... 303.7 89.1107 o '$ Name: owners Address: Fax...... 303.789.1106 Leno LLC 6378 S. Van Gordon St. coloradopremier@hotmail.com owner:City: owners zip code: ers Phnne: owners workPnone: www.coloradoprLmiarroolfing.com Littleton 80127 720-201-3637 V,i lect N.—&Address: Email; 3209 Pierson St. Wheat Ridge, CO 80033 Michelle.luethy@lockton.com i/WE, the Owner(s) of the premises described above authorize Colorado Premier Roofing, hereinafter referred to as "Contractor", to furnish all materials and labor necessary to roof and/or improve these premises according to the following terms, specifications and provisions: PROPERTY OWNER IS INTENDING TO MAKE PAYMENT FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY. INITIALS a. Scope of RooflngServices and Materials to be Provided-_PerAmerican Family Insurance Company -Claim #00225184886 Main House with Flatarocharea Removeexisttngshipgies.fettandallroofreteteditemsperinsurancecfaim COLOR: WeatherWood _. _-__ Install telt GAF Timberline shun IesandallroofrelateditemsLmEjnsuranceGaim _ Remove existing material install ModifiedBilumenroofirigmdaim -_ �_ ....... Approximate Sum does NOT Include supplementsthatmaybebilled toyourinsuranceeomparrytorpyn!Milo: ColoradoPremlerRoofing, Supplements toInclude butnotllmitedto: BulldingCaderequlrermntsP9rmItFeo It. Description of any areas that will NOT be worked on: _.—Y_(t ipd4 screens gvngn .yd_A welleovertnus fence Dalntinfl&personalaHect9 _ This Ilst of spedfications may be continued on subsequent panes (see page number below). c. Approximate Costs of the Services for Damage Known at This Time: Contractor will perform the above, (subject to any additions and/or deductions pursuant to authorized change orders), for the Approximate Sum of $9.588.17 Down Payment (if any) $1.000.00 INSURANCE: 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 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 (ACTUAL CASH VALUE OF THE WORK) IS PAID BY YOUR INSURANCE COMPANY PER FINAL LOSS INVOICE. ALL PROCEEDS FROM THE INSURANCE COMPANY INCLUDING, BUT NOT LIMITED TO, PROCEEDS FOR SUPPLEMENTAL CLAIMS MADE BY CONTRACTOR ON BEHALF OF OWNER, PROCEEDS FOR PROFIT & OVERHEAD, AND PROCEEDS FOR RECOVERABLE DEPRECIATION, ARE GIVEN IN PAYMENT FOR THE WORK OF CONTRACTOR AND OWNER AGREES TO TIMELY, (WITHIN 24 HOURS OF RECEIPT BY OWNER), REMITALLSUCH PROCEEDS TO CONTRACTOR. PER COLORADO S638, CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. d. Approximate bates of Service: Substantial commencement of work shall mean either the physical delivery of materials onto the premises or the performance of any labor and shall be subject to any permissible delays as per provision (5) on the reverse side. Approximate Start Date:_ July 17.2017 Approximate Completion Date: July 17, 2017 e. Acceptance: This 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 Of 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 (see page number below). Read "Arbitration of Olsputes" provislon on page two (2), provision 12 and the NOTICE following this provision. If you agree to arbitration, Initial on the line below the NOTICE where Indicated. Iso, initial in the someplace on EACH COPY of this contract. 7— _ CANCELLATION POLICY: lw,4 X4iWL Your right to cancel this contract is limited to the following: approved and aecep d (owner) date You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this approved and accepted (owner) transaction. See the attached Notice of Cancellation form for an explanation of this right. Beth Shull 71812017 NOTE: This contract may be withdrawn or renegotiated after 3 approved (contractor) date daysfrom 7!612017 if not approved and signed bYRM parties. — a- ,,.' boor o1u-oo.o www-ranorm.cam Page ONE of 2 Total Pages PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704035 201704035 3203 Pierson ST Residential Re -roof sq (26 sq pitched / ISSUED: 07/14/2017 EXPIRES: 07/14/2018 to install Owens Corning Storm asphalt shingles - 28/ 2 sq flat) *** CONTACTS *** OWNER (720)201-3637 LEND LLC SUB (303)789-1107 Steve Kuhlman 021574 COLORADO PREMIER ROOFING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,100.00 FEES Total Valuation 0.00 Use Tax 191.10 PAID Permit Fee 204.30 ** TOTAL ** 395.40 ^- *** 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 one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 1* 1 A r City of Wheat Ridge r Residential Roofing PERMIT - 201704035 PERMIT NO: 201704035 ISSUED: 07/14/2017 JOB ADDRESS: 3203 Pierson ST EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Storm asphalt shingles - 28/ sq (26 sq pitched / 2 sq flat) 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 rther att t that I am le ally authorized to include all entities named within this document as parties to the work to be per formedthat alirl�to be perrr�ed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I/ I. 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 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 applicab!&&Qde or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. W Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. � � 70 f03 5 Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 5, 2017 2:09 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 1 Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process a 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 7S 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 Property Address 3203 Pierson St. Property Owner Name Leno LLC Property Owner Phone 720-201-3637 Number Property Owner Email N/A Address 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 Name Colorado Premier Roofing Contractor's License 021574 Number (for the City of Wheat Ridge) Contractor Phone 303-789-1107 Number Contractor Email Address coloradopremier@hotmail.com Retype Contractor Email coloradopremier@hotmail.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Storm Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 26 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2 on the flat roof? TOTAL SQUARES of all 28 roofing material for this project Provide additional detail House, garage flat here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 9100 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Beth Shull Email not displaying correctly? View it in your browser. 3 RESiDF11q`�' `t ■ 11652 W. Hampden Place Lakewood, Colorado 80227 Office... 303.7 89.1107 o '$ Name: owners Address: Fax...... 303.789.1106 Leno LLC 6378 S. Van Gordon St. coloradopremier@hotmail.com owner:City: owners zip code: ers Phnne: owners workPnone: www.coloradoprLmiarroolfing.com Littleton 80127 720-201-3637 V,i lect N.—&Address: Email; 3209 Pierson St. Wheat Ridge, CO 80033 Michelle.luethy@lockton.com i/WE, the Owner(s) of the premises described above authorize Colorado Premier Roofing, hereinafter referred to as "Contractor", to furnish all materials and labor necessary to roof and/or improve these premises according to the following terms, specifications and provisions: PROPERTY OWNER IS INTENDING TO MAKE PAYMENT FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY. INITIALS a. Scope of RooflngServices and Materials to be Provided-_PerAmerican Family Insurance Company -Claim #00225184886 Main House with Flatarocharea Removeexisttngshipgies.fettandallroofreteteditemsperinsurancecfaim COLOR: WeatherWood _. _-__ Install telt GAF Timberline shun IesandallroofrelateditemsLmEjnsuranceGaim _ Remove existing material install ModifiedBilumenroofirigmdaim -_ �_ ....... Approximate Sum does NOT Include supplementsthatmaybebilled toyourinsuranceeomparrytorpyn!Milo: ColoradoPremlerRoofing, Supplements toInclude butnotllmitedto: BulldingCaderequlrermntsP9rmItFeo It. Description of any areas that will NOT be worked on: _.—Y_(t ipd4 screens gvngn .yd_A welleovertnus fence Dalntinfl&personalaHect9 _ This Ilst of spedfications may be continued on subsequent panes (see page number below). c. Approximate Costs of the Services for Damage Known at This Time: Contractor will perform the above, (subject to any additions and/or deductions pursuant to authorized change orders), for the Approximate Sum of $9.588.17 Down Payment (if any) $1.000.00 INSURANCE: 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 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 (ACTUAL CASH VALUE OF THE WORK) IS PAID BY YOUR INSURANCE COMPANY PER FINAL LOSS INVOICE. ALL PROCEEDS FROM THE INSURANCE COMPANY INCLUDING, BUT NOT LIMITED TO, PROCEEDS FOR SUPPLEMENTAL CLAIMS MADE BY CONTRACTOR ON BEHALF OF OWNER, PROCEEDS FOR PROFIT & OVERHEAD, AND PROCEEDS FOR RECOVERABLE DEPRECIATION, ARE GIVEN IN PAYMENT FOR THE WORK OF CONTRACTOR AND OWNER AGREES TO TIMELY, (WITHIN 24 HOURS OF RECEIPT BY OWNER), REMITALLSUCH PROCEEDS TO CONTRACTOR. PER COLORADO S638, CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. d. Approximate bates of Service: Substantial commencement of work shall mean either the physical delivery of materials onto the premises or the performance of any labor and shall be subject to any permissible delays as per provision (5) on the reverse side. Approximate Start Date:_ July 17.2017 Approximate Completion Date: July 17, 2017 e. Acceptance: This 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 Of 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 (see page number below). Read "Arbitration of Olsputes" provislon on page two (2), provision 12 and the NOTICE following this provision. If you agree to arbitration, Initial on the line below the NOTICE where Indicated. Iso, initial in the someplace on EACH COPY of this contract. 7— _ CANCELLATION POLICY: lw,4 X4iWL Your right to cancel this contract is limited to the following: approved and aecep d (owner) date You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this approved and accepted (owner) transaction. See the attached Notice of Cancellation form for an explanation of this right. Beth Shull 71812017 NOTE: This contract may be withdrawn or renegotiated after 3 approved (contractor) date daysfrom 7!612017 if not approved and signed bYRM parties. — a- ,,.' boor o1u-oo.o www-ranorm.cam Page ONE of 2 Total Pages BROKE -3 OP ID: PB ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F07/06/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Madison Insurance Group 600 S. Cherry Street, #900(AIC,No Denver, CO80246 Allegrezza, Inc CONTACT NAME: Paula Blohm PHONE FAX Ell; 303-322-0800 A/c No): 303-322-0874 E-MAILD SS: pblohm@madisoninsurance.net Craig 101GL0018773-03 05/31/2017 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Colony Insurance Company 39993 DAMAGE TO RENTED 100,00 PREMISES Ea occurrence $ INSURED Broken Arrow Enterprises, LLC INSURER B: Auto Owners Insurance 18988 Colorado Premier Roofing 11652 W. Hampden PI INSURER C: Pinnacol Assurance Company 41190 GENERAL AGGREGATE $ 2,000,00 Lakewood, CO 80227 INSURER D: INSURER E: AUTOMOBILE X X INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL IN SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I—XI OCCUR 101GL0018773-03 05/31/2017 05/31/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,00 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- ❑ JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP/OP AGG $ 2,000,00 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS 4971070200 01/22/2017 01/22/2018 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILYINJURY(Perperson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT WITH MADISON EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? F (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4174333 06/01/2017 06/01/2018 PER OTH- STATUTE X ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) t,tK I WI ;AI t HULUtK CANCELLATION CITWHE1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Wheat Ridge ACCORDANCE WITH THE POLICY PROVISIONS. 7500 W. 29th Ave Wheat Ridge, CO 80033 AUTHORIZED REPRESENTATIVE 90_� bw� © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD i CITY OF WHEAT RIDGE Building Inspection Division �(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i"1 c ❑ No one available for inspection: Time �% AM/PM =- Re -Inspection required: Yes No When corrections have been made, call for re -in sp ,tl h at 303-234-5933 Date:' >� Inspector: 6 DO NOT REMOVE f HIS NOTICE III EC ON RECOR Occupancv/Tvpe " INSPECTION LINE: (303) 2:34 -5933 i nspections 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. r J T INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FC':�NDA INSPECTIONS DATE INSPECTOR - COMMENTS: INITIALS Footings /Caissons Stemwall / (CEG) Conrrete En cased Gr - Reinforcing or Monolithic Weatherproof./ French'Drain. Sewe Service Lines Water Serv Lin es CONCRETE SLAB FLOOR. Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath / Wall tie Mid -Roof M cal Service Electric Plumbing ping Mechanical ABOVI Framing r° Insulation FINALS Electrical Plumbing Mechanical Roof, d — Building Final Fire Department - - -- R.O.W & Drainage — e_ IVII : TED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROKTF E INEAT-HER INSPECTIONS FOR PLA NING & ZONING FIRE At afki95"g' & Lan dscaping j SHOULD BE CALLED AT LEAST ONE WEEI 1`01013 - L -. -_ _ _ "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING�AND PUE CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BYTNF. F.3UILDWG IV(SION GONSi OF.K"�`E - OF OCCUP / N OR PERMISSIO FOR O OCCUPAN NOT I' =R -- PLBCICE WORKS i NUVAL INSPECTIONS. C WORKS BEFORE A 1 ♦ A s CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: v` Job Address: T-2 Zt -4 Permit Number: /001/ S N ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, calf for re-inspection at 303-234-5933 j~ Date: r e~ ob Inspector: ADO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE ~ Building Inspection Division (303) 234-5933 Inspection line ~235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE' Inspection Type: w ,,f , A~ Job Address: ? P,Pffsoo S Permit Number: 11)")/ l i i ❑ No one available for inspection: Time AM M Re-Inspection required: Yes 'When corrections have been made, call for re-in ~j ect, at 303-234-5933 Date: L Inspector: Y 1R DO NOT REMOVE THIS NOTICE oFw"~rq, City "'Gat Ridge Building Division °cm 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 oOLORPO° Inspection Line: 303-234-5933 Building Permit Application Property Owner (please print): T IL r(,lf L,t Mailing Address: (if different than property address) Address: ~ t;~ S- State, -'P Contractor License EMBER= Electrical City License Company: Exp. Date: Phone: Plumbing City License Company Plan Pormit#: ,VQ1 Phone:LT~T(~ - 156 Mechanical City License Company: Exp. Date: Exp. Date: Use o#sace descri tion): Construction value: $uP My I ,'T,(as calculated per the Building Valuation Data sheet) 0 T as-k Plan Review (due at time of submittal): $ Sq. Ft.IL.Ft added: Squares A BTU's Gallons Amps OWNERICONTRACTOR 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 [assume full responsibility for compliance with the Wheat Ridge Building Code (I.B,C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspectio CIRLCE ONE:: (OW ER) (CO1NTTF~ACT ) or PERSONALREPRE ITAT of EI ONTRATOR) PRINT NAME: Date: DEPARTMENT OF GOMMUNITY DEVELOPMENT pERMIT NO 7500 wEST29thAVENUE BUILDING INSPECTION DIVISION M94#19832 234-5933 P.O. BoX638 CITY OF WHEAT RIDGE, COLO. S PERMIT VAUD ONLY WHEN SIGNED BY THE CNIEF BUILDING INSPECTOR AND RECEIPTED BELOW. APPLICATION FORJOSCELLANEOUS PERMI~ JOBADDRESS CONTRACTOR y/ ADDRESS I CITY PHONE C' LICENSE NO. LLI Z P ODE TYPE GrounO ❑ Woi I ❑ I. 2. MATERIAL SIGNS 7. ILLVMINATION Yes❑ NoO TYp° 4. SET BACN FROM PROPERTY LME N-- S Q E ($pecily whichh is front ) ❑ 1. TYPE SolidO Mora Than 80% ODenL-J MATERIAL FENCES 3 SET BACK FROM PROPERTY LINE N-- 5- F ISnacifv whiC~ if frOnt) ❑ ~ I. OTHER a. ' >s PERMIT FEE USE TAX i - N,OR OTHER STRUCTURE,GIVI~:6 DISTANCES FROM PROPERTY lINES. ~OC~ NCEUQEp)E,SIG pRAW SNET(SETBACKSCH OR OR PROJ SHOW BE ~ SPECIFY NORTM STREET NAME SHOW INSFROM HY L~NESeNOT DI MAXIMUM JOR OINIAVERAGENG S' AND PROPERTY LINES; ON IRREGULAR LOTS, SHW/LEP~.I DS ANCE TO PROPERT ppPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT PERMI NLY ARIT~ED W THEN THATTIMESPECTION DIVISION. WORK FORM BUILDING THIS APPLICATIO PE I'T~OMEXPIRE SOTDAYSERROM THE DATOEI Of ISSUANCE IOF WORKOIS NOTVALIDAT ELECTRICAL PERMI PLUMBING PERMIT MECHANICAL PERMIT T STATE LICENSE N0 STATE LICENSE N0. c M~q~l Ela~ . r oun tan 4TH N0. FLEUCirtNOMGuidlPropO METER - ~ 8 WASH BOWI. BATH TUB SHOWER $INK GARBAGE DISP WATER HEATER AUTO. WASFIER DISH WASHER FLpbR DRAIN URINGL SEWERS AIR ED AIR - WATER - w - WIRING MOTORS 9 RS d REC OLD WORK R IHP i hareby ocknowledqe thal 1his aODlico- I tion i6 Corrott ond understand that I connot ttart this prolbtt until this WDD^'" Cotion is oDOraved. 1 shall comDly the lowe of the Stote o1 Colorado and to the Zoninq Requlations ond Buildin0 Code of thi e Lity ot Wl+eat RidQe. AmY violation o( tne above terme will cause immediate r vocation of tnis Dermit Cy ~ ~ \o01i 1~ Siana • TOTAL FEE DISAPPHUVtu_ CHIEF BUILDING OWNtn ADDRESS r PHONE ZIPCODE CONTRACT PRICE $ DATE Proieclinp❑ 01Mr SorDFou Total Saume Fed Elat. Pffmit No. W Zons__ Apprwed,ZMS Incpocta LOSt TAan BO% OMM Zone_ ApDrwed,Zone InsDscta $ of Wheat Ridqe Date Issued- '1- N0T VALID UN \ CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS