HomeMy WebLinkAbout5155-5165 Simms Place,5-15S- Jimms -f`' INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
r -
Occupancy) ..
Lk9WF_W
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
Initials Comments
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
Initials Comments
Electrical
Sewer Service
Plumbing
Do Not Cover Unrlprnrnllnrl nr Rnlnu./1..,_421.,1. 1w1 T_ .
Rough Inspections
- --
Date
Inspector
Initials
•- OWN r%Fy, vva1 \./1 1 ne iwove Inspections
Comments
Wall Sheathing
Mid -Roof
a G/
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
nspections
Date
Inspector
Initials
Comments
ping & Parking / Planning Dept.
EROW
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.
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 surf that rniinh i„,.,o,+i — r___ —
- --• • •r• •�w , �...., . c � L1 11A C11 iu a U(;L[Jca IOW voltage
y 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: &/" 9 - , ;, )
Job Address: SI S -S S""71 M 6 P )
Permit Number: ";) d f -7 o y S--
a�
LJ No one available for inspection: Time - z 0 2 AMe
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: /Q h-7 /7 Inspector: -T-b
DO NOT REMOVE THIS NOTICE
Kn4y 3Z�3- L -/3S- 7s3 )
c', // -G r- l , Jder-
4i CITY OF WHEAT RIDGE
-1�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �
Job Address:t4�SWKOAG�L.�
Permit Number:
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: `"/ E� q - , " I
Job Address: S/ s- s S, m M S P/
Permit Number: 2 0 (7 e s8 t1 15---
1A c"
'
1Ac" R e pec .
j(( �
I c r- o e `t 4p r i rn
❑ No one available for inspection: Time `� = S7 M/ M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:-(() A /1-7 Inspector: 7-t
DO NOT REMOVE THIS NOTICE
#� City of Wheat Ridge
Residential Roofing PERMIT - 201705845
PERMIT NO: 201705845 ISSUED: 08/10/2017
JOB ADDRESS: 5155 Simms PL EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 34
sq.
*** CONTACTS ***
OWNER (303)523-5385 J&B JONES FAMILY PARTNERSHIP L
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2320 / APPLERIDGE ESTATES, STANDLEY H BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,449.00
FEES
Total Valuation 0.00
Use Tax 282.43
Permit Fee 267.70
** TOTAL ** 550.13 i-
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201705845
201705845
5155 Simms PL
ISSUED: 08/10/2017
EXPIRES: 08/10/2018
Residential Re—roof to install GAF Timberline HD asphalt shingles with 34
sq.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perform 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
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 Budding
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, anew 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
Divip .
6. The issua or granting Of a it shall—not be construed to be a permit for, or an approval of, an violation of any provision of any
applic ordm�_ion 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.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 3, 2017 9:10 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
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 Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
5155-5165 Simms PI
J&B Jones Family Partnership
303-523-2385
Field not completed.
911.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of JandB Jones Family Partnership Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
J & K Roofing
Name
kok
Contractor's License
019983
Number (for the City of
Wheat Ridge)
Contractor Phone
303-425-7531
Number
Contractor Email Address
kathyv@jkroofing.com
Retype Contractor Email
kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No (�
roof?
Description of Roofing
GAF Timberline HD
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
34
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
/
34
(pitched + flat) of all
2
roofing material for this
proj ect
Provide additional detail House - Pitch 5/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract13449
value or cost of ALL 6
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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
_
CONTRACT
�
J&K Roofing c
BBB
13000 W. 43rd Drive - Golden, CO 80403
Phone:
Deductible if applicable
303-425-7531 - Fax: 303-425-1562
•
wwwJkr��ntint;.co�n
Representative Randy James Contact 720-935-2923 Date 7/13 2017
Name J&13 Jones Family Partnership, Phone 720-799-7727 Email mark rorc t� ,,mail.com
Address 5155&5165 Simms PI. City Wheat Ridge State Co Zip 80033
Pinnacol Assurance 303-3614000 Preferred Contractors Insurance
Workers Compensation Insurance Policy #4079290 720-984-2471
General Liability Insurance Policy #PC72863-03
LABOR AND MATERIAL SPECIFICATIONS, TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY: ❑ Extra work
® Recover roof with GAF ELK HD
® Color of shingles SHAKEWOOD
® Manufacturer's Warranty Lifetime
® Tear off I layer
® Install Underlayment synthentic
® Double all Eaves starter
® Re -Flash Chimney and/or Skylights n/a
® New Valleys all
® Replace Ridge To Match
® Ventilation replace all
® Galvanized Fasteners 6 nails per
® Replace all Plumbing Jacks
® Paint roof stacks to match roof
® Install 2x4 Metal Edging 2x2 eaves
® Patio or Flat roof n/a
® 5 Year Warranty on labor
® J & K Roofing to furnish all material and labor
® Permit: pulled by J&K reimbused by insurance
® Clean-up debris and haul off all trash from roof
® Roll yard with magnetic roller
® Gutters cleaned of roofing debris
® Decking Repair $1.75 per sf
® Hidden Layers (tear off) $ per layer
(Carrier) (Policy Number)
(Claim #) (Adjustor)
(Mortgage Co.)(Mortgage Loan Number)
The property owner is ® is not ❑ using proceeds from
property and casualty insurance policy.
Roof
$13,449.13
Gutters
$1,470.04
Dump Fee1,74
Deductible if applicable
t,386
Per Colorado State Law CRS 10-3-1115; 100% the
responsibility of the homeowner to pay this amount. J&
K Roofing will not reimburse or promise to reimburse
in whole or in part any amount of the deductible.
Estimated Start Date 3-4 wks from signed contract
TOTAL ESTIMATE $ 15,050.91
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT
APPROVAL
J & K Representative RJames Date 7/13/17
Homeowner Date
Expiration Date 8/13/17
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract If you plan to use the
proceeds from a property and casualty Insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part However, AK Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
I* � 4 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: 1h cj
Job Address: !7_1 5 -
Permit Number: �P o 1-7 0 5"S
(A a ' ® o tont-v ire G
❑ No one available for inspection: Time (=7 AKC/I�IV.�
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: lo I'a 41 I Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
I~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: r, c
B ~
❑ 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
Date Inspector: 4Z 44
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax 5 5
INSPECTION NOTICE
Inspection Type: 4w aL
Job Address: f 5 ' _ s
Permit Number: r5 ei r)
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: < < Inspector:
-340, NOT REMOVE THIS NOTICE
rrz
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ~ o
1-01
Job Address:
Permit Number: 617 a ~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
' When corrections have been made, call for re-inspection at 303-234-5933
Date: _ spector.
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 092025
roooor_
IT NO: 092025 ISSUED: 09/04/2009
ADDRESS: 5155-65 SIMMS P1 EXPIRES: 03/03/2010
IRIPTION: Reroof 16 sqs and redeck
CONTACTS w**
owner 303/464-9931 JB Jones
sub 303/425-7531 John Borfitz 01-.9983 J & K Roofing Inc.
* PARCEL INFO
ONE CODE: - UA
U13DIVISION: 0071
USE: UA
BLOCK/LOT#: 0/
* FEE SUMMARY ESTIMATED PROJECT VALUATION: 4,852.0.0
FEES
Permit Fee 144.70 c4
Total Valuation .00
I iC7~CUaJ
Use Tax 87.34 k ' Y y,✓~
TOTAL - _
232.04
lnditions:
nail installation & mid-roof inspection required. Board sheathing spaced more
lan a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
ater shield required from eave edge to 2' inside exterior walls.
abject to field inspection.
nail installation mid-roof inspection required. Board sheathing spaced more
aan a 1/2 of an inch apart requires plywood overlay on entire roof.. Ice and
titer shield required from eave edge to 2' inside exterior walls.
(.bject to field inspection.
hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
dinances, rules or regulations of. the city of wheat Ridge or covenants, easements or restrictions of record; that all
asurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions. printed on this
plication and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
plicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
of
date
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 b.Ole ion of the provisions of the building codes or any other ordinance, law,. rule or regulation.
All plan review s ect to field .inspections.
Q
gesture of Ch f Vlding Official date
fSPECTIOiREQUEST 'LINE: (303)234-59.33 BUILDING OFFICE: (303)235-2855
of "'"Etr~ City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
°oLCanoo Inspection Line: 303-234-5933
Building Permit Application
Property Owner (please print): Oyu
Mailing Address: (if different than property address)
Address:
_Ty~l
City, State, Zip: Lq" e"Lf/ ' X0033
51 -,z P
Contractor License Phone: 303-126-7651
MANKARM
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of s ace descri tion): alL p~ Construction Value: $ ' '
t/ v (J~ (as calculated per the Building Valuation Data slieeI77 ) r
tY~ . ,.Q~g Plan Review (due at time of submittal): $
Sq. Ft./L.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 measurement9:-shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that'fassume 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 fit ion.
ClRLCE ONE:: (OOWNER CONTRACTOR r PERSONAL REPRESENTATIVE of (OWNE'R/)p(CONTRATOR)
PRINT NAME: / SIGNATURE: O:L4 Date: L FJ~J
Date:
Plan
Permit QQC~
CiEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 3745
Bk11LDING INSPEG7'ION DIVISION - 235-2855
x CITY OF WHEAT RIDGE Date : 8/26/96
7500 WEST 28TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : ~jS
Property Address : 5155-,56 SIMMS PL Phone :
Contractor License No. : 18325
Company : Arvada Roofing & Weatherproofing, Inc. phone : 422 2181
1 haroby oMtlry tnat the sem
arll {lorAvbl9te applkebN
;qQualipnMS, daspments or re
- iIMQp arA 9GCU[ate; that I h
a ~pR, ae~d Mat I ansu
. . (u.6.C.).aml all ahar
(owaeR)(corrrRn,croR)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
are
ave read and
me full res
applicabk~
for work
Constniction Value
Permit Fee
Plan Review Fee
Use Tax
Total
$2,800.00
$75.50
$0.00
$33.60
$109.10
Descripdon : REROOF
Approval
Zoning :
~
Approval :
~
Approval :
OcCUpancy :
EleCft9ll:icense No
c"am :
Eacpir8tion Date :
Appt+Dvai':
m' ,
~ (3)
tel ' ~
~
BUILDING DEPARTMENT USE ONLY
Walls : Roof : Stories
Plumbing License No :
Company :
SIC : Sq. Ft. :
Residential Units :
Mechanical License No :
Company :
Expiretion Date : Expiration Date :
Approval : Approval :
~ n m
in aawdence with the provlsians eet fath in yapur appliratlon entl Is suq ecl to the lawa of the S4ie of Cdorado wid lo the 7ANnp
gCoCe W YMeat R' CWOrado or arry otha eaWkaDie ordinances M the Cly.
it the vroAc ed ie nol wmmeneatl witlili~ eizly (80) daya lran teaue dale or (B) the Mtlldinp auCarized b wspeMad or
a t30 dayn.
nsW parmR may be ac9ulred for a tee of one-half tlro artwuM'wimally reQWretl. wovMetl no tlunpas twve bean w wNl bs m10e M tlro
ilkatloneantl mY suspenaion or aDentlonmeM liaa mt mcceetlsd orre (t) Year. N chaMe~ are mWS a M suspentbn a abantlonmeM
71
sliell be peW for a naw permtt.
m.
tlre naWral llwr Mweter ceuahq e dreinape proWem.
e tla~e yw( W
lweMy-four (24) houro in adva~e far all inepectirna and ahell reoeWS wAtlen epproval an inapeclbn ceN beMre
pWha naoec br
ya ~~~~ps ~~ulnped~ tions ahall rat be eonsM1Ued to be a OertnR ror. ~ar an approval otanY vblation o( ~a ProNtbns
cow THIS PERMR VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
" , e«cv.-.c T (0-, It5 3 c>~
BUILDING DEPARTMENT USE ONLY
Property Owner: w11 Yyl~ kc"(\e-t°s
PropertyAddress:5'15~,
Contractor License No. :
CompanY : {)f~c0RPA 1~.04~~ ~ it
Phone:
Phone : I .6 i
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
i hereby certify that the setback distances proposed by this permit appliwtion are accurete,
and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restrictions of rewrd; 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 tor compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge p inances, (or work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE T~ ~ 6 F
Description : ke,'W o / /
bb
Zoning'Comments:
Approval :
Zoning :
Approvai:
Public=Works Co-m"ments:?
Approval:
Occupancy : Walls
Building Permit Number :
Date :
ConstructionValue: ~SCz •~TC
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
J €Plans;Required?~ ~ ~P,lans Reqqired.!.,2 °Plans'Required?TM
(1) This permit was issue0 in accortlance witn tne Drovisions set forth in yopur appliwtion anC is suCject to Ine laws af the SWte ol Colora0o antl to tne Zoning
Regulations anC BuilCing CoEe o/ VMeat Riege. Coloratlo or any other aOPlica0le orainances ot the Ciry.
(2) This permit shall expire A(A) the work authonzeG is not wmmenced wiNin sizry (60) Cays from issue tlate or (B) lhe DuiiCing auMonzetl is suspenCeE or
aEantloneC for a period ot 120 Oays.
(7) 1( this pffmit Bzpire5, a new pftmrt may be aWuifM for a fCE 0f one-half the am0unt normally requtred, proviCeC no Change5 have Oeen or will De maEe in tne
original plans and speCifiWtions and any suspension or abantlonment has not exCeeCeE one (1) year. If Uanges are maCe ar If suspension or aEantlonment
exceeds one (1) year, Iu11 fees shall Oe paitl for a new permit.
(a) No work ot any manner shall Oe Cone that will change the natural Aow of water causing a Crainage pro0lem.
(5) Contractor shail notly the BuilEing Inspector twenry-four (24) hours in advance tor all inspections and shalt receive written aDProval on inspection rard 6elore
proceetliinq wiN successive phases of the job.
(6) The issuance of a permit or the approval of Grawings and speci(caUOns s0ail not be constmed to be a permit for, nor an aOProval ol, any vioiation c( :he Orovisions
o( the ouilEing coCes or any otner ortlinance, 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
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