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4430 Pierson Street
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: I �� Job Address: Permit Number: 2-0) 3Z y IJ No one available for inspection: Time AM/PM Re -Inspection required: Yes o When corrections have een made, call for re -inspection at 303-234-5933 Date: Inspector: DNOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201703245 PERMIT NO: 201703245 ISSUED: 07/05/2017 JOB ADDRESS: 4430 Pierson ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to .install Owens Corning Duration Storm asphalt shingles - 27 sq. *** CONTACTS *** OWNER (720)771.-9621 MONSON JANET SUB Steven Gr_eenwalt 170193 Rastra Building Solutions *' PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA i Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOA: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,400.00 FEES Totai Valuation 0.00 Use Tax 239.40 Permit Fee 236.00 "* TOTAL ** 475.40 *** COMMENTS *** *** CONBITION.3 *** Effective December_ 1, 2.014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval.. lns ullation of roof sheathing (new or overlay) requires an approvedl inspection prior to installation of ANY roof coverings and is require on the entire roof wren spaced or board sheathing with ANY gap exceeding one half inch 4xi.sts. Asphalt shingles are required to be fastened to the roof decx 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 comely wiuh applicable codes and/or manufacturer installation instructions, whichever is more str_ingeni-. 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 t1ne roof at (project adaress) has been applied in accorlanco with the installation irgtr�ction for (roof material brand name) roof covering" is required to he on site at the time of final inspection. 2© 703 Z�s Occupancy/Type q�k INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector CommentsInitials Pier Underground/Slab Inspections Concrete Encased Ground (CEG) Inspector Initials Foundation / P.E. Letter Electrical r%___- n___....a., o..:,... T.. Ar r.rnxinl (If Tha AhnvP_ IngnP_Ct1ons, VV INV r VMI v.✓..v..r .v . -1-r- - - - - - - -- - Underground/Slab Inspections Date Inspector Initials Comments Electrical 7 / Lath / Wall Tie Sewer Service Rough Plumbing/Gas Line Plumbing UD IVUL IiUVCI VIR.IGI I%Jull%A Rough Inspections v. Date spector InInitials Comments Wall Sheathing Mid -Roof 7 / Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Inspector Date 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. -...,1_._A f...... fk Ciro nic+riM arta P1,,rtri r.Ai Inw vnitriaP. "For low voltage permits - riease ue sure alai I UUYI I I1OP 1-- u by 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: I �� Job Address: Permit Number: 2-0) 3Z y IJ No one available for inspection: Time AM/PM Re -Inspection required: Yes o When corrections have een made, call for re -inspection at 303-234-5933 Date: Inspector: DNOT 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: �/ �� > Permit Number: Z_0// 0-3 2 -1 -IS ,I ❑ No one available for inspection: Timed_--,"-'`" AM/PM Re -Inspection required: YesF Nod ;� When corrections have been made, call for re -inspection at 303-234-5933 i Date: Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge �eA� Residential Roofing PERMIT - 201703245 PERMIT NO: 201703245 ISSUED: 07/05/2017 JOB ADDRESS: 4430 Pierson ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt shingles - 27 sq. *** CONTACTS *** OWNER (720)771-9621 MONSON JANET SUB Steven Greenwalt 170193 Rastra Building Solutions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,400.00 FEES Total Valuation 0.00 Use Tax 239.40 Permit Fee 236.00 ----- ** TOTAL ** 475.40 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703245 PERMIT NO: 201703245 ISSUED: 07/05/2017 JOB ADDRESS: 4430 Pierson ST EXPIRES: 07/05/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt shingles - 27 sq. 11 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„gwner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit*.` hIfurther-Attest that I am legally authorized to include all entities named within this document as parties to the work to be perforined and th t 'll work to be performed is disclosed in this document d/or it 11accompanying approved plans and specifications. _ 7- k, Signature of OWNER or iQONTRACTO ' (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 Officialand 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 anmanner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The pewit holdy er 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 applicab e or any ordinance or regulation of this jurisdiction. Approval of work is subject to fieId 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 insptimerequestgci.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. Kimberly Cook MIN Z7 From: no-reply@ci.wheatri dge.co.us Sent: Thursday, June 22, 2017 9:52 AM To: Permits CommDev c� Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application F�l 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 C processed within 5 business days, subject to change based on volume. '!!S Com, 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 �✓� S eX�►ro residential roof? < How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4430 Pierson Janet Monson 720-771-9621 Field not completed. 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 Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Rastra Building Solutions 170193 720 600 7208 Contractor Email Address steve@rastrausa.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material steve@rastrausa.com No / OC duration storm Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 27 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 27 roofing material for this project N Provide additional detail Main house and small out building pitch around 4/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract$11,400 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 Steven Greenwalt Email not displaying correctly? View it in your browser. �:� nr11LA__L*]41=1 12 3 Acre lane Wheat Ridge, Co 80033 720.600.7208 Homeowner(s): Janet Monson 4f 3- e4--5 0,4ST. "-C- Date: 06/15/2017 Billing Address: 9140 35th Ave. Job Address: 4430 Pierson Wheat Ridge, CO Wheat Ridge, CO Phone: 720-771-9621 Email: jimfhoy@comcast.net Insurance Company: Safeco Claim Number: Work to Be Done: Remove and Replace Hail' Damaged Roof Coverings. 1. Obtain Permits from City of Wheat Ridge. (Contract Price to include Permit Fee). 2. Remove Existing Underlayment, Shingles and Modified Bitumen from Main Dwelling, Garage and Pump House. 3. Remove Debris and haul away from Site, run magnet over property to ensure nails are collected and removed from site. 4. Install 30# Synthetic Underlayment, Drip Edge, Flashings, Ve , ts/Vent Caps and Ice and Water Shield on all buildings as required to meet City Code. (aAA,( Pte' ft i� S 5. Install approximately 27.5 SQ. Owens Corning Duration Storm/Antique Silver on all bIildingq C 5 Z' -J 6. Remove and Replace roof panels on patio roof.0 6t44T 0 1 & (51 a a v fia H -fico, Ll L a.)4ff 7. Complete job to City of Wheat Ridge Codes and ensure oof passes final inspection from City of Wheat Ridge Building Department. 8. Job will be completed within 4 weeks of receipt of signed contract and up front material and mobilization payment. WORK CONTRACT I, the undersigned, hereby request and authorize Rastra Building Solutions to execute all repairs and/or replacements detailed above. I acknowledge the agreed upon price for these services as being $11,476. I agree to pay $5,700 upon acceptance of this contract. I agree to pay $3,437 upon completion of Roof Installations and -to pay the remaining balance ($2,339) upon passed City Roof Inspection. RBS guarantees the workmanship at the above address against any leaking for a period of Ten years. Manufacturer's Material Warranties also apply. 03. P , sem -r. LLc Print Name of Property Owner Date Signature Property Owner �j✓" 6acl „L, re 1 -21� � 0 Print Name of Rep Date Sign a of Rep ♦ i 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: ~r~/~L r2t3oF Job Address: Permit Number: f~ hr~oB9 firm ~f~fLfYI)i /".✓~-/GO t~OS7-f'~• t oe No one available for inspection: Time /M5' M Re-Inspection required: Yes "When corrections have been made, call for re-inspection at 303-234-5933 Date: 26 OFD Inspector: 1311 DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division r (303) 234-5933 Inspection line f (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Time f ~OPM Re-Inspection required: Yes i When corrections have been made, call for re-inspection at 303-2342933 i Date: i "tF Inspector: rw" DO NOT REMOVE THIS NOTICE is E ~ ~ ~ ♦ (city of Whaat Rir~cra WHEAT yoF City of Wheat Ridge Building Division Date: m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan M, oo----- - o Inspection Line: 303-234-5933 / <oRro Permit Building Permit Application Property Address; 1 qZ) P 1 CX 5 bY) S- i 60 g e~n3 3 Property Owner (please print): fiaY- bay o p y-) rylPhone: Mailing Address: (if different than property address) Address: City, State, Zip::: r Contr'ector: klO CK(I fy~OLcofa Lf~ i?Zoo- JQ JUY,--\ Contractor License ACS (P Phone: JD -G -9'&? ~Z(J~ Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval Use of space (description): Re-;R y)C) Construction Value: $ ~~Y0 i f (as calculated per the Building Valuation Data sheet) Description of week, tF 1/IS'~"1 `urJ ie,tVhOV~e hqq Si'tlt'1q tee a 6Jo:..'w shau] J d Plan Review (due at time of submitta0: $ s)uy lxs C, tjYwtq lw~lcc~ yy Sq. Ft./L.Ft added: a{.p_r Sgdar~2LL 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 I 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 inspection. CIRLCE ONE: PRINT NAME: (OWNER) Y-f Y1~A (CONTRACTOR) % YLQ~e ( 4 / or PERSONAL REPRESENT IVE of (OWNER) ( A OR) / / . f~ , - SIGNATURE: _ Date: COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17522 BUILDING INSPECTION LINE -(303-234-5935) Date : 8/6/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: BARBARY J. NEWMAN Praperty Address : 4430 PIERSON ST Phone : 940-9055 Contractor License No. : Company : Phone : OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $970.06 I hereby certiy that the setback disWnces proposed by this permit applicatlon are accurate, and Permit Fee : $50.40 do not violate applicable ordinances, rules or regulations of the City of Wheal Ridge or covenants, easements or restridions of record; that all measurements shown, and allegations Plan Review Fee : $0.00 made are accurate; that I have read and agree to abide by all conditions prinled on lhis Use Tax : $19.40 application, and that I assume full responsibility for complianc 't e heat Ridge Building Code (U.B.C.) and all olher applicable W t Ridge ordina ces, r wo under this pesmi ~ Total : $69.80 (OWNER)(CONTRACTOR) SIGNE Use : Description : TEAR OFF OLD ROOF & REPLACE. BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Zoi?`ing C~im►~i"en~"'sc Approval : Zoning : Approval : kufftVA1WO W Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Approval : Expiration Date : Approval: Expiration Date : Approval : (1) This permit was issued in accordance with the provisions set foAh in yopur applicaGOn and is subjed to the lavrs of the State of Coloado and to tha Zoning Regulations and Building Code of Wheat RidBe, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this pertnit expires, a new pertnit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans antl specifcations and any suspension or abandonment has not exceeded one (1) yeac It changes are made or if suspension or abandonment exceads one (1) year, full fees shall be paid for a new permit. (4) No vrork of any manner shall be done that will change tha naturel Flow of vrater causin9 a drainage pro6lem. (5) Contractor shall noliry the Building Inspeclor nventy-tour (24) hours in atlvance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the-jot. (e) The issuance of a ee. ' or the roval of dra and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the prov~ is~o~ o(h mg r s or any o ance, law, rule or re9ulation. ~ Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: o~ W~f~r,P BUILDING INSPECTION LINE • 303-234-5933 Date: ^ ~ ClTY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) `°`°R'°° APPLICATION Proper[y Owner: p&~J"'~T N 911J~/f/ll~w Property Address: Phone: Conhactor License No.: Company: I ~ / N Phone: ! SIGNANRE OF l1NDERSTANOING AND AGREEMENT I hereby certify that the selback disfances proposed by this permit applicaGOn are accurate, and do not violale applicable ordinances, rules or regulations of the Ciry of W heat RiOge w coveoan[s, easements w restrictions of record; that all measuremenis shown, and allegations made are accurate; ihat 1 have read and agree to abide by all condiGons printed on this apD~ication and ihat I as me full responsibiliry for compliance wiN the Wheat RiCge Building Code C nC all other applicable Wheat Ridge Ordinantes. for worc under Nis , Construction Value:$ Permit Fee:$ Plan Review Fee:$ i tse Tax r~ Total:$ Description: .i(.~ A ,,(EVV~j o-Q,d L&"~ / 1&/~2 - Sq. Ft. addsd Expiration Date: Expiration Date: Expiration Date: ?nproval: ApProval: ApProval: (1) This permit was issued in acWrOance with the provisions set torth in your appliption and is subject W the laws of the State of CobraAO aM lo the 2onln9 Regulations and Building Codes of W heat Ridpe. Colora0o or any oMer aDPli~ble ordinances ot the City. (2) This permit shail expire ii (A) the work authOrized is not commenced witliin sixty (60) days from issue date or (B) the building authorized is suspentled w abantloned for a perbd of 120 days. (3) Ii this pemiR enpires, a new permil may be acquired ia a(ee of ono-half the amount normany required, provided no chanqes have been orwlll be mede in the oriyNwl plans and speciReations and any suspension or aDendaxnent haa mt exceeded one (1) yoar. I( changes have been a if suspension or abandonment excee0s one (1) year, (ull fees shall be paid iw a new pertnit. (4) No work of any manner shall be done tlial will change the naturel flow of water causing a drainage problem. (5) ConVada shall noGly the Buildinp Inspecia Nronty-four (24) hours in advance fw ell inspec6ons antl shall receive wriden approval on inspectlon card befwe proceedinp with successive phases of the job. (6) TTe issuance of a pertnit a the approval of drawinps arW spedfipoons shail not be wnswed lo be a permit for, nor an approval ot, any violation of the provisions of the building codes or any other orEinance, law, rule or regulaGon. Chief Building Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 13491 2/27/02 Property Owner: Property Address : 4430 PIERSON ST Contractor License No. : 17152 Company : Precise Plumbing Phone: 940-9055 Phone: 534 0881 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurete, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Buiiding Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value $483 00 Permit Fee $23.50 Plan Review Fee : $0.00 Use Tax : $0 00 Total Use Description : REPLACE WATER HEATER, READY FOR INSPECTION ~ BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : zi~i~.......; Approval : Zoning : R~ .<.az . . . ..!74 Approval POWWRaft Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval : Mechanical License No : Company : Expiration Date : Approval . (1) This permit was issued in accordance with ihe provisions sel foAh in yopur appliwtion and is subject to lhe laws of lhe State of Colorado and to the Zoning Regulations antl Builtling Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authorizetl is not commencetl within sixty (60) days from issue tlate or (B) the builtling authorizetl is suspentled or abantloned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half Ihe amount normally required, provided no changes have been or will be matle in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abanaonmem exceeds one (1) year, full fees shall be paitl for a new permil. (4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem. (5) Contrector shatl notify the Building Inspecbr Rventy-four (24) hours in atlvance for all inspections and shall receive writlen approval on inspection card before proceediing with successive phases oithejob. (6) The issua of a permit or the approval of drawings and specifications shall not be consirued to be a permit for, nor an approval o!, any violation of the ' pro ' ofAhe bpil ir~g~odes or any other ordinance, law, mle or regulation. Chief Building Irr~ector ~ OEPARTMENT 01: PLANNING AND DEVELOPMENT Buiiding PeRnit Number : BUILOING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : S/y90 f~'yrSc~~ ~ S6~ Contractor License No. : / 7/ f-12- Company : P- P cis t~/~,n y.;2,;; c_ ; OWNER/CONTRACTOR SiGNATURE OF UNDERSTANDING AND AGREEMENT I hemby certAy that the setbaCC tlisbnces oroposeO Oy Ihis pertmt ap0liation are aceurate. arW tlo not violate acpucabb orainancea, rules or regvuuons of the Cdy of Whaa[ RiOge or covananu. easements w rcstnuions of raeorC: Nat aY measursrtfem shown. sna albqatrons rmaae aro accunte: Nat I have reatl antl agraa W a04e Cy 80 eorWitqns pnMed on tlia appuratlon. ana Mat I assums lutl naponsbdlty for eompnanp wKh the Whsat RWqe BuilGing CaEe (U.B.C.) an0 ill Otl7M tPPmab10 YVlfert Hidge orrnnanees~. !or w~orlc wWer Mn partrK (OWNER)(CONTRACTOR) SIGNED~~~~i~iy.e4i~~ pq~ Phone: " 3 e 3) Phone : o r Fr/ Construction Value : Pertnft Fee : z 3t 5" o Use Tax : ,Q-,#^s A°'O} Total: 23 7o Descnpdon : r~V/ ce ~C~~ /Iyo zr...- J r«.-7 BUILDING DEPARTMENT USE ONLY Z~Ih7t'L'dtr'~t~iflte Approval : Zoning : BB11dIhsr~C~Ble~itil~ Approval : ERM~~1VUr~t'~31firt~i~ts:! Approval : Occupancy : Walls Roof : Stories : ResidenGal Units : Eiectncal License No : Plumbing License Na : Mechanical License No : Company: Company: Company: Expiretlon Date : Approval : _3 Plfts:RiFqulred ~ - - Expiration Date : Approval: 2 - RtYiis Re'gufrod." '1 ExpiraGon Date : Approval : .6 rPAP9zRulritl= (1) mu amuc was.swea N aaaoance r.m me wovmwns sm (am n yoour aoowauon am u suqw ro tM iaws W tM Sta4 W Cdaaao ana m oa ZaWq FeqWauons ano Budairg Caaa of Wneat Wtlqa. Cotersoe or arry otnn aopwaeN orownns ol Ina Cily. (2) This OeMIrt snLl "Wt R fAI the ww¢ auvWKeO U nol COnvrWiCeG wNw MIy (60) CaYS hdn 4tue 0aq 0t (B) the MnWVq &uUUnzaG o tutprMW Or awwoneo mr a osrqa a 720 Oart. (3) It wa oeimrt exeusa. a naw a~im rtyY w acawrw ror a tNW on*Me tnO amoum na+nnY mauuW. Oraiow no Uunqes na" Oean a wil Dr rtr" n IM wqwO Gans arw soaai5caaons ana +nY tuswnann a ao+neoivnarn nas not *xoNaw ona (1) Y@r. q CltG1lOS On! I/) Y!a!. hJll fNi WY Of Oi1G bf a n!w WfIM. ~ ~l! IMO~ Of 1( ~YfpMfqfl W 1W1100fInMIK (4) r+o wone or u+r manna u+an w eone mat wO wnqe me nanuai now a.aiu numnq a anwea aoorm. (s) Convaaor snan nouN the Bulaug insoaaor n.anry-~o,u tz+) noun u+ awanca ra m mapecoona va snsn raoM wntcen aoqwai on mswcoon nro wkr~ vroraeaunq wim auccessrve onaxs oe me po. (a) 7ne usuance or a xrmn or Ne aoorwai a anwnq: ma seeaAnnons snan noi oe eonsvuea w oa a perrm tbr. na an aoprwai ot any ndaoon W mw awuwns or me nuiiainq coees or any oNer oramance, uw. r,:e a rcqwuon. Chief Budtling Inspecror For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR AND MAYOR CALL: 2345933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION PERMIT N0.[vQ193#A3 CITY OF WHEAT RIDGE, COLO. 42 THIS PERMIT VALID ONLY WNEN SiGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. 2 APPLICATION FOR MISCELLANEOUS P I JOB ADDRESS er'S CJ (1 S Y OWNER S Ck~i ADDRESS 4q2O /FKSd~ 5T- i-f CONTRACTOR PHONE ZIP CODE ADDRESS ~ CITY ZIP CODE CONTRACT PRIC ounuF ~i~~x- LICENSE NO. DATE I. TVPE Ground❑ Woll❑ Proiecfinp❑ 0thor SaDFaee ~ 2. MATERIAL Tofal 50uare FNt SIGNS 3. ILIUMINATION Yes❑ No❑ TYDS Eleet. Permit No. 4. SET BACH FROM PROPERTV lME N_ S_- E- W- 3 f Snseifv whi[h is IIMI ) ❑ ❑ ❑ I TYPE Solid❑ More Tnon 90% FENCES MATERIAL 3. SET BACK FROM PROPERTY LINE (5oecifv which ie tront) OTHER 12 3. N_ ❑ L"` Tt INSPECTION TICKET E_ W- JOB C~ q Od"" ~ ADDRESS DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIV (SETBACKS OR PROJECTiON5 INCLUDED) y„~(2!%S DATE: ~v -~I ' BLDG. PERMITp V2'33 PERMITB BLDG. CONTR. ~ ~11~7 SUBCONTRACTOR DATE INSP. REQ. M / TYPE OF INSP. 4~°L ! / INSPECTION MADE 1 G^ 12- q3 REMARKS STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, A DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. ppPLICATION FOR PLUMBING; ELECTRIC/ THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK vFRMIT WILL El(PIRE 180 DAYS FROM THE DATE OF ISSUANCE W.R. FORM &19 ~ T ELECTRICAL PERMIT PLU MBING PER Nii i rcnmi. STATE LICENSE N0 STATE UCENS E NO . FLOOR BSM I5T 2ND 3RD 4TH NQ anM E Sda R °p OR GW pI OL ALUM INUTA WIRE UNDER 512E 8 ILIEGAL T ~ - B xED F NO WATER CLOSET _ BTU HOT WATEH TEMPORARY METER WASH BOWL _ STEAM BTU NEW SERVICE - AMPS BATH TUB AIR CONDITIONING-BTU DOC7 CHANGE SERVICE - AMPS SHOWER OTHER LIGHTING SINK REFRIGERATION SYSTEM HEATING GARBAGE DISP Refri sranf Group pOWER SUB-CIFCUITS WATER HEATER Pounds CMr • UTILITY(RANGE,DISPOSEF,ETC.) AUTO. WASHER AUTOMATIC SPRINKLER SYSTEM FIXTURES DISH WASHER EIEVATOR WIRING MOTOFtS 8 CONTROLS FI.DOR DRAIN SIGNS URINAL TRANSFORMERS 6 RELTFIERS SEWERS ADDITION TO OLD WORK OTHER T RES MOTORS OVER I HP TOTAL FIx U REMARKS I heroby ocknowledpe that thie aDVlica- tion u torroct ond understanC thot I Connof ftart this DrOlbtt until thie apPli- cafion it oOCroved. I shall comply wifh fhe lawf of the State of Colorodo ond to ihe Zoninp Repulations ond BuildinQ Code of the City of Wheaf Ridpe. Qny violotion of the above ferme will cause immedia36Tev0c0t1on o1 this permif NO nuV VnLcao PERMIT FEE 5-6 79,V USE TAX TOTAL FEE APPROVED i C~/ ~ ~ ~ ' ~G~ wt CHIE-~F gUIL~pDI INSPECTOR,Cit of Wheat Ridqe r~ Date Issued