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4660 Robb Street
'Zon cri INSPECTION R CORD C`- � � INSPECTION REQUEST LINE: (303) 234-5933 Occupanc:_Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials I Comments Pier Concrete Encased Ground (CEG Foundation / P.E. Letter I I �- Do Not Pour Concrete Prior To A . rovafi'Of The -iliac Underground/Slab Inspections Date Inspector Z: �. Initials COQ Electrical Sewer Service Plumbing Do Not Cover Unde Rough Inspections Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail round or Below/In-Slab Work Prior To Date Inspector Initials Final Inspections Date Inspector Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof , , /7 J Final Window/Doors Final Building ns roval Of The Above Iris Comments Comments 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. 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. **For Inspection Time Window - Please email insptimerequeSt&i.Wheatridge.co. US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201701774 PERMIT NO: 201701774 ISSUED: 06/08/2017 JOB ADDRESS: 4660 Robb ST EXPIRES: 06/08/2018 JOB DESCRIPTION: Residential re -roof: install IKO Cambridge IR 16 squares, 4/12 pitch *** CONTACTS *** OWNER (303)279-5578 HILFER KATHY SUB (720)209-4635 Michael Lindberg 140280 Pioneer Home Solutions *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,112.00 FEES Total Valuation 0.00'' Use Tax 86.35 Permit Fee 125.05 ** TOTAL ** 211.40 *** 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 A/2 -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 manufacturera€lms 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 - 201701774 PERMIT NO: 201701774 ISSUED: 06/08/2017 JOB ADDRESS: 4660 Robb ST EXPIRES: 06/08/2018 JOB DESCRIPTION: Residential re -roof: install IKO Cambridge IR 16 squares, 4/12 pitch nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with I further attest that I am legally authorized to include alt entities named within this document as parties to the work to be ,qd that all work to be performed is disclosed in this document�r►d�or its' accompanying approved plans and specifications. natura of OWNER or CONTRACTOR (Circle one) Date / 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. 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. 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. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official 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 insptimerequest@ci.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. 700 N. Colorado Blvd Suite 170 Denver, CO 80206 720 209 4635 H 0 M E S 0 t_ u T 10 N S phsdenver.com BBB info@phsdenver.com r Customer A /�� ` Phone 'So 3- `'� 7U Email Address q&&0 i, 'i (1`70I c -O �� City ..C.t State CO Zip (S©a 3 Pioneer Home Solutions, LLC hereinafter "PHS") agrees to provide the labor and materials for /7�,eW5 insura,n_c,g ; Claim # �� -V 31V5b3d714yt(rt9e approximate "commencement" of work the week of J C "4 _ r terms). The customer gives PHS permission to speak and negotiate with their insurance codipany to establish a total Replacement Cost Value (RCV) for repairs. The customer has the right to rescind this contract within 72 hours of entering into it and can notify PHS of rescind via email, mail, or in person. a . i :".Zstall in _T9at ff,haul & dispose of existing roofs�}g tenal stall pipe jacks goof vents ken II KD t �,Qc oc-z t In the Color -/r2T stall felt paper stall ice & water shield if required by city code and in accordance with�clai� _Install drip edge if required by city code and in accordance with claim LSJegn up property Zetime workmanship warranty ** Customer is responsible for all HOA approvals on materials and colors ** Customer is responsible for coordinating and _ 2duling any satellite dish remounting, realignment and calibration with their service provider Additional Work & Specifications -- l a—) % DaQ W -Lt PA n c -L- — -- w , n The total cost will be equal to the full and final Replacement Cost Value (RCV) as determined between the insurance company and PHS. Customer understands that if s/he has RCV coverage for these repairs, s/he will be out of pocket the deductible amount and if s/he has Actual Cash Value (ACV) coverage, s/he will be out of pocket the difference between the ACV and RCV. Changes (supplements, overhead/profit (O&P), permits) from the current RCV to the final RCV will be reflected in the Insurance company's estimates and loss reports and are considered as updates to this agreement. The customer agrees to pay PHS in wholeforthese additions. The current RCV estimate for the specified work and materials for known damages is ` / � $ -/ 6-O • Z % and progress payments will be paid to PHS as received from the insurance company. PHS shall hold in trust any payment from the customer until the delivery of materials at the site or has performed a majority of the roofing work on the property. Make all checks payable to Pioneer Home solutions Half down of RCV upon DELIVERY of materials $c/. DO Date Initials Remainder of ACV payout upon completion $ Date Initials Remainder of RCV, O&P, supplements, permit fees FINAL TOTAL/ RCV Date Initials $ Date Initials Customer and PHS agree to the materials, specifications, terms stated herein, on back and supplements to this agreement. Customer `r- PHS, by « K•���"sfrepresentative Signature Signature Date S Date Antoinette Kulick From: no-reply@ci.wheat ridge.co.us Sent: Wednesday, June 7, 2017 10:39 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette 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 4660 Robb St Property Owner Name Kathy Hilfer Property Owner Phone 303-279-5578 Number Property Owner Email Field not completed. 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 6- J Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Pioneer Home Solutions 140280 720-209-4635 Contractor Email Address mike@phsdenver.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Iko Cambridge IR Material How many squares of 16 material? Provide additional detail shed, 4/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract--40T0.�--- value or cost of ALL l 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. z ,�)-S'/ x 1 �o 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 Mike Lindberg Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax V INSPECTION NOTICE Inspection Type: Job Address: d S Permit Number: 7,01761774J ❑ No one available for inspection: TimeQ /PM Re -Inspection required: Yes (N0,-) When corrections have been made, call for re -inspection at 303-234-5933 3 Date: Inspector:. ector: / f DO NOT REMOVE THIS NOTICE ancEmm A Phone Q r` ' x Contractor. c"6)- ,.. CIRCLE ONE (OWNE (CONTRACT gr (4V CJRI L? REPRESENTATIVE) (O R) } MNAME ff $' A' 0 5 CITY OF WHEAT RIDGE IK4000 B uilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax INSPECTION NOTICE i%5` 'Ire p Inspection Type: Job Address/Permit Number: IZICZ, Time //PM ❑ No one available for inspeD(~No Re-Inspection required: YesWhen correc tions have been mafor re-in' pection at 303-234-5933 In Date: Inspector: t 1~ DO NOT REMOVE T S NOTICE 5f y3 qi i ♦~~4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office ' (303) 235-2857 Fax I I: INSPECTION NOTICE Inspection Type: i6L~i®f~ l/~~~~gr Job Address/Permit Number: tL~fr/~J~ /GtlS7r'/f /l ~t°-`C/ CJ</Y-~~7` ~c`=.f-I ❑ No one available for inspection: Time i0;1S AM/PM Re-Inspection required: es No When corrections have been made, call for re-inspection at 303-234-5933 Date: L9 Inspector. DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Residential Mechanic PERMIT - 081418 ;RMIT NO: 081418 ISSUED: 12/10/2008 )B ADDRESS: 4660 ROBB ST EXPIRES: 06/08/2009 ;SCRIPTION: Replace 70,000 btu furnace CONTACTS ner 303/279-5578 Kathy Hilken (b 303/232-4254 Beverly Gorshern 02-1981 CANDLELIGHT HEATING & AIR, INC * PARCEL INFO ONE CODE: UA USE: UA UBDIVISION: 0154 BLOCK/LOT#: 0/ * FEE SUMMARY ESTIMATED PROJECT VALUATION: 3,340.00 FEES iPermit Fee 126.50 Total Valuation .00 EM Use Tax 60.12 TOTAL 186.62 .onditions: lubject to field inspections. lust comply w/ 2003 IRC & 2005 NEC. I hereby certif that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinance rules r regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measure nts sho and atio re accurate; that I have read and agree to abide by all conditions printed on this a li tion and yt i /y su/n}} fi responsi ility for compliance with the Wheat Ridge Building Code (I.B.C) and all other wnn eat aid NYGI1nanc for work under this permit.JPlans subject to field inspection. signature of contractor/owner / pate This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. If this permit expires, a new permit 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 and specifications and any suspension or abandonment has not exceeded one (1) year. if changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any viola t. on of the provisions of the building codes or any other ordinance, law, rule or. regulation. All plan review is,-,sSAS- `to field inspections. of Chief (Ildiiy Official date BEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 ;E MADE BY 3PM ANY BUSINESS. DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Office: 303-235-2855 'Fax: 303-23b-266) f ~11- Inspection Line: 303-2345933 ULORP~ Property Owner lpte¢ Mailing Address: (if different than property address) "NOW Electricat City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of s ace descrQtion): Construction Value: S L{~ v n P)Ac' D IC u (as calculated per the 8uttding Valuation Data sheet) -7 b Plan Review (due at time of submittal): $ .Curp9a NCe Sq. FtA-.Ft added: Squares 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 1 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 inspectlon. . CIRLCE ONE.: (OWNER) CONTRACTOR r P ~ZSONAL REPR N ATIVE of O f EEjjfij.)j) RATOR) gEKI/.t„ (CO O [late: d tO PRINT NAME: SIGNATURE: AA~AS rrarr f . Permit Address: Spt 'L City, State, Zip:: t p j l t ll~~w: Cra lia lie ig h+ Contractor License M Phone: 3 l C1 36- 5 `Z 1 -cl TL515E6E0E 11-10I713-lalkiuo WdZE:L 8002 01 Dell Building Permit Application PLANNING ~~6^ 09PARTMENTBUILDtN6 I SPECT ON DIVISIONE Z35 2855 NT Building Permit Number : 3833 CITY OF YVHEAt RIDGE Date : 9/12/96 7500 WEST 29TH AVENUE WWEAT RIDGE, CO 80215 Property Owner : MATHEWS ROBERT D Property Address : 4660 ROBB ST phone : 279-5578 Contractor License No. : 18345 Company : Enviro-Teck Heating 8 Alir Conditioning phone : 438 1310 a +r~rr s+s .~C ( R~C 9CI~t Hpproval : Zoning : rommo~ Approval : ~ ` Approval: QccUpancy: ACTQR SIGNATURE OF UNDERSTANDING AND AGREEMENT the setbaek distences propoaed by this permit appliption are accurate, W p~kable rndinances, rulos or regulations of the City of Wheat Ridge w mfs or reatridbns of recgord; Mat atl meyasurer~nts ahporwin, and edegatlons etj ~ u ' I re nsib tity 9 com nlia^ Ice w~ ~Whunder e~atdi g Pthis ermd m9 {'~]y~ Pt j~ / Y ~ f -..f1 n /ni Construction Value : $1,700.00 Permit Fee : $55.00 Plan Review Fee : $0.00 Use Tax : $20.40 Total : $75.40 BUILDING DEPARTMENT USE ONLY SIC Walls : Roof : Stories Sq. Ft. : Residential Units : ticenseNo : Plumbing License No : Company : Expiration Date : Approval: a Mechanical License No : Company : Expiration Date : Approval : yir8tion Date : Prnvat : 1` ~ m Po TI ei f-0 ; a G q ~ le not comrmnceC aixlY (BO) ~`M fiom 16fua dab a (B) ths bulWinp autlwrized is auapentled or ed for a fee of aie~haH tlhe emount normaly roquireA, P~~ no dianps hava bean a MA be mada M the ibn or aDaMbnmeM haa rat e~ccaeCetl one (t) Yeer. N chenpea are made or H suspenelon or abendonment ~ew usnw ity~-~ur (24) houn/n ~ r ~or an insx~~ shall w~men epprova~ on insaecuon cab nerore r~ule w regu~htiobona shall nat be conahued b be e pertnR tor, ~ror an approval of, eiry vidaUon of 1M proviabna ~f Building Inspectw THIS PERMIT VALID CONLY ALL W2345933 24 HOURS PRIOR TO~IN P~ECTION ECTOR AND MAYOR whions eet faM in yopur aaW~^ ~ h subjeci mma awa «trre braee m ~oio~sao ana w ure ~.w~--y :obredo a anr d~er~ppI~ab1e oMinsncea d the cipr. wiNin DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 Date : CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : Contractor License No. : H / Lr 5' C/(alPO ~s~ S( CompanY Fn.)c)i eo -T t~[~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby ceAity 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 restnctions of record; that all measurements shown, antl 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 (U.B.C.) and all other appliwble~Whea~~e or 4i~ryEes, for work under this permit. (OWNER)(CONTRACTOR) Description : fk_1g T,g -F Phone: .279 -T~f ~7e- Phone :c`3d~ -/3io Construction value : Permit Fee : Use Tax : Total : Electrical License No : Plumbing License No : Company : Expiration Date : Approval : ~ MW W-tlM&...1 Company : Expiration Date : Approval : , Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issued in accardance with the provisions se[ forth in yopur app6cation and is subject to the laws of the Stale of Coloretlo antl lo the Zoning Regulations antl Building Cotle of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry (2) This permit shall explre if (A) ihe work authonietl is not wmmencetl within sixry (60) days hom issue date or (8) the building authonzetl is suspendetl or abantloned for a period of 120 tlays. (3) If lhis permit expires, a new petmR may be acquiretl for a fee of one-half the amount normally requireA, providetl no changes have been or will De made in the original plans and specificaUOns and any suspension or abanAOnment has not exceedetl one (1) year. IF changes are maUe or it suspension or abandonment exceetls one (1) year, full Fees shall be paid for a new pertnit. (4) Nb work of any manner shall be aone Iha[ will c0ange the naNral Flow of water causing a Crainage problem. (5) Contraclor shall notity the Building Inspec[or N+enN-four (24) hours in advance for all inspections and sha0 receive wririen approval on inspec[ion car0 before proceetliing with successive phases of the job. (6) The issuance ot a permit or the ap0roval of tlrawings and specifcations shall not be construetl to be a permit for, nor an approval ot. any violation of the provisions of the building codes or any other ordinance. law, rule or regulation. 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 `~'~1~ OF PLANNING AND DEVELOPMENT Building Permit Number ~ ~~,i WS~CTI4N DMSfON - 235-2855 . . . . . . . . .~wlru nG' UlYCIIT tllfl[.F ~ D8t@ 3799 9/6/96 Phone : 279-5528 Phone : 4231807 0040017l(qOTt}R SIGNlATURE OF UNDER3TANDINa AND AGRetmtn i dlsf#nces Prcpoasdby tbb. PsrtnRa~p~icetion ere aaurete, ~A~nenaes, rebs Qr repalatbns oitheGH of Wheae Ridge or Of ~idr of recortl: tMtall rneawmneMS ahown, aM aNegatfons . tl~a~,l,hevd roetl aW ree ~d~WSyy aN co~iddions printe on this {ull e~spo~ts~tore~ Ilena with lM 1NhsaldRdga Builditg q ~P~kkwA!~ at Mge qdi ancea, tor work urMer this Permk. tti~ : Fi~G Aiprovatr Construction Value : $118.00 Pertnit Fee : $25.00 Plan Review Fee : $0.00 Use Tax : $1.42 Tota! : $26.42 FURNACE V BUILDING DEPARTMENT USE ONLY SIC Sq. Ft. : Wails : Roof : Stories : Residential Units : Plumbing License No : MeChanical license No : Company : Company : Expiration Date : Expitation Date : ' Approval : ApProval v1a~. nce wm um woo+io+•,ei roo M yocur .npuatio, .m ftMed a nb i.ws a me sam a caa.ao .rw a 2,0 z«dnc ~ caae a wnsu ra~caa.m or M other~q~~p~ami~e. m the cKr. (y yrevp~lc h not wm~E vaMin W~b (eo) Eeri ~rom hnue dete w(B) tlro buY~nO wC1oAzed 4 8u~ ended a oti b%p0 mry 6e aoWNed 1or a teo of ono-haN tlis amoum mima~N ~ired, DrovWW no drMK haw been orwiq 6! mWsIn Me ~ ~~ew~ K~ a1W anYebn ar aDentlonmsM Me not szceatlstl ana (t) Year. If tlwgmaie made w N euWaneiai or ab0ndonmeM fiplM'E~I t.R~fsetihRNMAP~d(Mspdmft fhld be Aone Net wIN dunpa ihs~~mturai Aow of wa0n' ceugInp a dralnage Wublem. + ~UM 9W~~W yq NrenlY-bW (24) hWrs in atlvance for all fn~s end ahNl receive ~ aPPmval Mhnepettlan antl 6Bfore ~~riawinM anA eoaifiatlars ahaN not be coneWed to be e permit mr, nor an ePWOval Of. aM Wolatlon W Ma MovISk^e IGNED THE CHIEF CALLcWH234~833 24 HOUR3 PRIOR TO~INSPECTjONPECTOR AND MAYOR DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : Date : Property Owner Property Address Contractor License No. Company xA-pfX f3-a-Fg"r- ~~(t0 /Le`/1iS sT Phone : a?y'- SS zY- Phone : ~sZ3 -0'o 7 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this pertnit application are accurete, and do not violate appliwble 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 responsibiliN for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat ~tidge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED /`/V, ~ DATE 9'S~5'4` Description : Ffit it,✓hl~ s oe~ e= 7- Construction Value : Permit Fee : Plan Review Fee : Use Tax : Total : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval: Zoning : @fflfd~~ Approval: Pub - ~ Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : a fr-`7 Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : im f.-:i~s3Et"~EMd~ In Mqffl"~ 0 raTi34Kew_ (1) This permit was issued in accoraance with the provisions set forN in yopur appliwtion antl is sublecl to the laws of the State of Colo2do anC lo the 2oning Regulalions anC Builtling Code of VMeat Ridge, Calo2do or any other appticable ordinances of the Ciry. (2) This permit shall expire if (A) t0e vrork authonzetl is not commencetl within sixty (60) days from issue date or (B) the building authonzetl is suspended or abandoned for a periotl of 720 days. (3) othalefntl 55 ponaind an Dpension or abantlonmet a has not exceeCed onie (re Q yea ~f changes are made o~ f suspesion il oabandonmenl ri 9inPlans a PBcficati Y sus exceeds one (1) year, hll tees shall be paid for a new permit. (4) No work of any manner shall be tlone that will change the natural 11ow of water causing a drainage problem. (5) Contractor shall notify the BuilGing Inspector twenry-four (24) hours in aCvance for all inspeclions and shall receive written approval on inspection carE he(ore proceediing with successive phases of the joh. (6) The isauance of a permit or the approval ot Urawings antl specifications shall not be con5trueE to be a permit for, nor an approval of, any violation of ihe pmvisions of the buil0ing codes or any other orCinance, law, rule or regulation. 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