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Home My WebLink About7350 W 27th AvenueINSPECTION 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 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 ADDroval Of The Above Insnectienc Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing uo Not cover underground or Below/In-Slab Work Prior To Approval Of The Ahnvp Incnpctinnc 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 2 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. ror iow voltage permits — Hease be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705464 PERMIT NO: 201705464 ISSUED: 08/04/2017 JOB ADDRESS: 7350 W 27th AVE EXPIRES: 08/04/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 sq *** CONTACTS *** OWNER (303)475-9441 ROYAL GREGORY SUB (720)697-6131 Andrew Chambers 130049 Vivax Pro Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,800.00 FEES Total Valuation 0.00 Use Tax 268.80 Permit Fee 251.85 ** TOTAL ** 520.65 *** 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. ®� City of Wheat Ridge Residential Roofing PERMIT - 201705464 PERMIT NO: 201705464 ISSUED: 08/04/2017 JOB ADDRESS: 7350 W 27th AVE EXPIRES: 08/04/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 sq *** CONTACTS *** OWNER (303)475-9441 ROYAL GREGORY SUB (720)697-6131 Andrew Chambers 130049 Vivax Pro Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,800.00 FEES Total Valuation 0.00 Use Tax 268.80 Permit Fee 251.85 ** TOTAL ** 520.65 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201705464 PERMIT NO: 201705464 ISSUED: 08/04/2017 JOB ADDRESS: 7350 W 27th AVE EXPIRES: 08/04/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 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 o obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally aut z to include all entities named within this document as parties to the work to be performed and that all work to be performe disclo din this document and/or its' accompanying approved plans and specifications. Signature o OWNER or CONTRACTOR (Circ one) Date f 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, po Flans 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 may be subject to a fee equal to one-half of the originalpermit 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 change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services inting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any any ordman�r reg lati n 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. Dan Schultz 1,20111?a �6 From: no-reply@ci.wh eat ridge.co.us Sent: Friday, July 28, 2017 9:46 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane j 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 Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 7350 w 27th ave Greg Royal 3034759441 denverroyals@gmail.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attach Copy of Contact Field not completed. CONTRACTOR INFORMATION Contractor Business vivax pros Name Contractor's License 130049 Number (for the City of Wheat Ridge) Contractor Phone 7206976131 Number Contractor Email Address btrent@vivaxpros.com Retype Contractor Email btrent@vivaxpros.com Address DESCRIPTION OF WORK Are you re-decking the No// roof? f Description of Roofing owens corning Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 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 30 jf (pitched + flat) of all 2 roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House, pitch is 3/12 12800 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 brittany trent Email not displaying correctly? View it in your browser. 3 1050 Yuma St Family-owned & locally Denver CO 80204 Fax (303) 997-5467 - - VIVAX TM PROS operated in the Denver Metro area . www.vivaxpros.com Protecting, Beautifying, info@vivaxpros.com%. Q f f jC@: (720) 331-9735 and Powering Homes. °'4Jll ®AVE pako i�0 BBB Torch Awards �� rLOGAN..o. ROOF ESTIMATE / AGREEMENT Date of Estimate G / 3 /1'-7 Name ( �� a-� EmailPrtUP(C-�VC�IS CGS Street Address (� So W. o� %� �p�- City IBJ -P Zip Code 9003 '\t' -Phone 45. `/75, 9 Lf q, Alt Phone Estimator Name: ,- iC Phone '�1'o3sY3_7• T /9�1 Lead Source Lead Source HOA (Homeowner Responsible) Vivax Pros is covered by 1,000,000 in General Liability Insurance and Worker's Compensation Existinci Roof Condition: c, Fai i 3.,�j 5q M0: 134�1_ Roof Surface: S Roof Size:�y�-5 Roof Height: r' Ridge LF: SJ`' Roof Slope: 3 : i 2 Number of Layers: '_ Current y Leaking: New Roofing Svstem Options: ( Brand: OWM5 &C16 ►pct X Type: buy-e�,Oyx X Color: X Manufacturer's Warranty: w t_c_ Vivax Warranty: Flashing: Color: 0, l�-ew,+C\ Underlayment: ED,<y-nthetic ave Drip Edge 2X4 AJ( Counter A Lk E(Chimney Vents ❑ Type 15 LB ❑ Type 30 LB ❑ Rake Edge Style D: tepipe Jacks EJ<alley Style:216I&W hield: Installation Process Cg4alley Eave stall 6 nails per shingle nspect all roof Decking can out gutter fZgnet to capture nails in yard & driveway ispose of all tear -off debris t Building Code Upgrades ETOther Fe5e, -' Ar+eAyu.t Additional Work: /� Nir-ut-ters PC15 r -4" ;SQ' `b5 (_9 -cc � ❑ Siding/Trim ❑ Stain Deck/Fence ❑ Paint ❑ Windows/Doors/Screens Shed Included: ❑ Yes E] No 5W,:-- 1 33 Vivax Pros will complete work above. Estimate $ This amount is likely to change after insurance adjustment and negotiations on the scope of work. Homeowner is not required to pay this amount. A. Contingency Agreement: By authorizing this Agreement, the Property Owner allows Vivax Pros to represent the Property Owner's best interest for a project replacement or repair at a price agreeable to the insurance company and Vivax. When an agreeable price is determined between Vivax Pros and the Homeowners Insurance Company; it shall become the final contract price, including overhead and profit; with no additional out of pocket cost to the Property Owner except the deductible. Upon the scope of work being approved by the insurance company, the Property Owner and Vivax Pros shall enter a building contract for the work described above. Property Owner / Homeowner Vivax Pros Date Customer agrees to allow Vivax Pros perform the work as specified on the Insurance Loss Sheer and/or this contract. B. Contract Amount Initial Insurance (ACV ) Final Insurance( RCV ) Permit Fee Customer Upgrades (Out of Pocket) Total Amount $ WOO'SGJdxenin ::'W GELS-LEE-02L .. ..8 INIVd pajaldwoD so Nromjo adoos 110 pun Xuo jo aDuojoq aaiIua aqj aoj spun} 1!waj of aawojsn_) •N.iom jo adoDs gDoa JO uo!laldwoo uodn an(] ale(] #jaagD $ lu@WA2d leuol;!ppy ale(] #1:)@qD $ luawAed leuoll!PPV tuawaiddns 5uipnpui aDun,msui Xq panssi lunowoII.) y aql jo a.)uoIoq 11nj aqi 01 Ionba si s1oualow Jo (ianpap uodn anp io 1Doaluo.) siq] 5uiubis uodn an(7 ale(] #IPagD $ luawAed ADV 9105Ejo wnwiuiW • (uodwoD a3uoinsu1,saawolsnD wo y NDagD jsjyjo jdIaoaa jo l.)oaiuoD s.igi buiub.is uodn anp ale(] #jaagD $ ;!soda(] l(uodwoD a:)uo.insui,riagl woaJ pan.Iaoaa aJo spun] so xonin Xod l(ow.iawolsnD :smolio; se apew aq o;;uawAed apeal ypea;o u01;aidwo3;e paiinbaa;uawAed jjnA** :a;ed :xenlq —:ale(] ze :u is W •anogn paypads sn yaoM a;aidwo soad xnn►n azijyjnn Agaaa y I -qof s,aauMoawoq anoge Ao} Aluo pasn pue lsnal ui plaq aq IIIM spun] 1!sodap IIV - -loags ssol @Dueansul paluawalddns leuy gl!m soad xeAIA ap!noad of aauMoawoH - 'AAanllap leualew jo alep aaojaq 1!sodap jo punpi Iln} AOJ laealauoa pulxaa 01 lgbla aql seq aauMoawoH - A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � G r Job Address: ri 3T U Permit Number: -7 v/7 j ❑ No one available for inspection: Time ""1 /0 A_M/PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date:-�� '>'�� Inspector: ! DO NOT REMOVE THIS NOTICE ®� City of Wheat Ridge Residential Roofing PERMIT - 201705464 PERMIT NO: 201705464 ISSUED: 08/04/2017 JOB ADDRESS: 7350 W 27th AVE EXPIRES: 08/04/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 sq *** CONTACTS *** OWNER (303)475-9441 ROYAL GREGORY SUB (720)697-6131 Andrew Chambers 130049 Vivax Pro Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,800.00 FEES Total Valuation 0.00 Use Tax 268.80 Permit Fee 251.85 ** TOTAL ** 520.65 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201705464 PERMIT NO: 201705464 ISSUED: 08/04/2017 JOB ADDRESS: 7350 W 27th AVE EXPIRES: 08/04/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 30 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 o obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally aut z to include all entities named within this document as parties to the work to be performed and that all work to be performe disclo din this document and/or its' accompanying approved plans and specifications. Signature o OWNER or CONTRACTOR (Circ one) Date f 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, po Flans 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 may be subject to a fee equal to one-half of the originalpermit 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 change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services inting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any any ordman�r reg lati n 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. Dan Schultz 1,20111?a �6 From: no-reply@ci.wh eat ridge.co.us Sent: Friday, July 28, 2017 9:46 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane j 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 Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 7350 w 27th ave Greg Royal 3034759441 denverroyals@gmail.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attach Copy of Contact Field not completed. CONTRACTOR INFORMATION Contractor Business vivax pros Name Contractor's License 130049 Number (for the City of Wheat Ridge) Contractor Phone 7206976131 Number Contractor Email Address btrent@vivaxpros.com Retype Contractor Email btrent@vivaxpros.com Address DESCRIPTION OF WORK Are you re-decking the No// roof? f Description of Roofing owens corning Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 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 30 jf (pitched + flat) of all 2 roofing material for this proj ect Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House, pitch is 3/12 12800 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 brittany trent Email not displaying correctly? View it in your browser. 3 1050 Yuma St Family-owned & locally Denver CO 80204 Fax (303) 997-5467 - - VIVAX TM PROS operated in the Denver Metro area . www.vivaxpros.com Protecting, Beautifying, info@vivaxpros.com%. Q f f jC@: (720) 331-9735 and Powering Homes. °'4Jll ®AVE pako i�0 BBB Torch Awards �� rLOGAN..o. ROOF ESTIMATE / AGREEMENT Date of Estimate G / 3 /1'-7 Name ( �� a-� EmailPrtUP(C-�VC�IS CGS Street Address (� So W. o� %� �p�- City IBJ -P Zip Code 9003 '\t' -Phone 45. `/75, 9 Lf q, Alt Phone Estimator Name: ,- iC Phone '�1'o3sY3_7• T /9�1 Lead Source Lead Source HOA (Homeowner Responsible) Vivax Pros is covered by 1,000,000 in General Liability Insurance and Worker's Compensation Existinci Roof Condition: c, Fai i 3.,�j 5q M0: 134�1_ Roof Surface: S Roof Size:�y�-5 Roof Height: r' Ridge LF: SJ`' Roof Slope: 3 : i 2 Number of Layers: '_ Current y Leaking: New Roofing Svstem Options: ( Brand: OWM5 &C16 ►pct X Type: buy-e�,Oyx X Color: X Manufacturer's Warranty: w t_c_ Vivax Warranty: Flashing: Color: 0, l�-ew,+C\ Underlayment: ED,<y-nthetic ave Drip Edge 2X4 AJ( Counter A Lk E(Chimney Vents ❑ Type 15 LB ❑ Type 30 LB ❑ Rake Edge Style D: tepipe Jacks EJ<alley Style:216I&W hield: Installation Process Cg4alley Eave stall 6 nails per shingle nspect all roof Decking can out gutter fZgnet to capture nails in yard & driveway ispose of all tear -off debris t Building Code Upgrades ETOther Fe5e, -' Ar+eAyu.t Additional Work: /� Nir-ut-ters PC15 r -4" ;SQ' `b5 (_9 -cc � ❑ Siding/Trim ❑ Stain Deck/Fence ❑ Paint ❑ Windows/Doors/Screens Shed Included: ❑ Yes E] No 5W,:-- 1 33 Vivax Pros will complete work above. Estimate $ This amount is likely to change after insurance adjustment and negotiations on the scope of work. Homeowner is not required to pay this amount. A. Contingency Agreement: By authorizing this Agreement, the Property Owner allows Vivax Pros to represent the Property Owner's best interest for a project replacement or repair at a price agreeable to the insurance company and Vivax. When an agreeable price is determined between Vivax Pros and the Homeowners Insurance Company; it shall become the final contract price, including overhead and profit; with no additional out of pocket cost to the Property Owner except the deductible. Upon the scope of work being approved by the insurance company, the Property Owner and Vivax Pros shall enter a building contract for the work described above. Property Owner / Homeowner Vivax Pros Date Customer agrees to allow Vivax Pros perform the work as specified on the Insurance Loss Sheer and/or this contract. B. Contract Amount Initial Insurance (ACV ) Final Insurance( RCV ) Permit Fee Customer Upgrades (Out of Pocket) Total Amount $ WOO'SGJdxenin ::'W GELS-LEE-02L .. ..8 INIVd pajaldwoD so Nromjo adoos 110 pun Xuo jo aDuojoq aaiIua aqj aoj spun} 1!waj of aawojsn_) •N.iom jo adoDs gDoa JO uo!laldwoo uodn an(] ale(] #jaagD $ lu@WA2d leuol;!ppy ale(] #1:)@qD $ luawAed leuoll!PPV tuawaiddns 5uipnpui aDun,msui Xq panssi lunowoII.) y aql jo a.)uoIoq 11nj aqi 01 Ionba si s1oualow Jo (ianpap uodn anp io 1Doaluo.) siq] 5uiubis uodn an(7 ale(] #IPagD $ luawAed ADV 9105Ejo wnwiuiW • (uodwoD a3uoinsu1,saawolsnD wo y NDagD jsjyjo jdIaoaa jo l.)oaiuoD s.igi buiub.is uodn anp ale(] #jaagD $ ;!soda(] l(uodwoD a:)uo.insui,riagl woaJ pan.Iaoaa aJo spun] so xonin Xod l(ow.iawolsnD :smolio; se apew aq o;;uawAed apeal ypea;o u01;aidwo3;e paiinbaa;uawAed jjnA** :a;ed :xenlq —:ale(] ze :u is W •anogn paypads sn yaoM a;aidwo soad xnn►n azijyjnn Agaaa y I -qof s,aauMoawoq anoge Ao} Aluo pasn pue lsnal ui plaq aq IIIM spun] 1!sodap IIV - -loags ssol @Dueansul paluawalddns leuy gl!m soad xeAIA ap!noad of aauMoawoH - 'AAanllap leualew jo alep aaojaq 1!sodap jo punpi Iln} AOJ laealauoa pulxaa 01 lgbla aql seq aauMoawoH - i CITY OF WHEAT RIDGE L Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ZZ,7j/-) Job Address: :Z3 1 (, (,—, ?7 Permit Number: / / -,y j 4141tf , ❑ No one available for inspection: Time AM/ Re -Inspection required: Yes 6-0.) When corrections have been made, call for re -inspection at 303-234-5933 Date:/i1 Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �� Building Inspection Division �9r(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 7 b tiJ a7 A V 6 Permit Number: 'a, rti I C 13 h L 107 ICU "o ❑ No one available for inspection: Time QAM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: a l - 44 Inspector: ff"� DO NOT REMOVE THIS NOTICE uo INSPECTION RECORD Ce lcr)L I r - INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Ca E 1:1 :th:ci:ns,;pc:ctioEi request line before 11:59 p.m. to receive an inspection the following business, day. Inspector Must Sign ALL Spaces pertinent to this project tart Inspections Date Inspector Initials I Monolithic Stab Reinforcement Caissons Concrete Encased Ground (CEG) Footing/Stemwall P,E, Letter — - --- ------ IN Do Not Pour Concrete PriorTo A roval ., flki Inspector Underground/Slab Inspections Date Initials Electrical (Underground) Sewer Service (Underground) I rvi ttrsdrrrrrmard Do Not Cover Underground or Belowlin-Slab Work Prior T Roy ghinspections Date Inspector Initials Wall Sheathing Roof Sheathing Lath I Wall Tie Rough Electric cam tm Plumbing Rough Mechanical Gas Piping Do Not Proceed Without App roval Of AbpytBRq0 I ctions Rough Fr ruin I Screw / Nail-— — Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing Final Mechanical It -Final- uilding; Pral;;T Landscaping & Parking Planning Dept, Inspections from tis entities should be requestec one week In advance. For landscaping and parking ROW & Drainage / Public Works Dept, inspections call 303-235-2846, For ROW and drainage __ inspections call 303-235-2861, For fire inspections Fire Inspection _/ Fire Pro_te_cfion_1;`iS_t__ 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 issuect Approval of the Final Building inspection does not constitute authorization of occupancy. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather , b w D I—OccupancyLTWe Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before H: 59 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector :Drywall Screwf Nail Initials Final Inspections Cate Inspector Comments Initials Monolithic Slab Reinforcement Final Plumbing Caissons Final Mechanical Concrete Encased ground (CEG) Final Building / Frame ooting/Stemwall P.E. Letter Landscaping & Parking 1 Planning Dept. Inspections from these entities should be requesteic city 0 sheat Ridq ROW & Drainage J Public Works Dept, Do Not Pour Concrete Prior To A raa I ./25/ l lfi 15-.88 U)B inspections call 303-235-2861. For fire inspections Underground/Slab Inspections Date Inspector F"ecd e "' fpft of Initials Electrical (Underground)iy 33; Sewer Service (Underground). Water Service (Underground) Plumbing (Below # In -slab) k,`AEH R U * D MK OUB, } VS /,. 8?64 Heating (Below / In -slab) 1 1 Do Not haver Under round or Belowlln-Slab Work Prior' TOTAL 171. Rough Inspections Cate Inspector Initials Wall Sheathing Roof Sheathing Lath / Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas PiDino 110111110511 111111 11101=11M M. zi I ill 1.17911l= Rough Framing Insulation :Drywall Screwf Nail Final Inspections Cate Inspector Comments Initials Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame Landscaping & Parking 1 Planning Dept. Inspections from these entities should be requesteic one week in advance. For landscaping and parking ROW & Drainage J Public Works Dept, inspections call 303-235-2846.. For ROW and drainage inspections call 303-235-2861. For fire inspections Fire Inspection l Fire Protection Dist. contact the Fire Protection District for your project. is � '.:#. `# #.. i♦ #.: # * «-,w #...:# �" ♦ ## # #:.. ^ . • ....# # # #».'. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 5 I —IAIIIIIIII0PMF-NT 80ding & Inspection SOOVIC" Division 7500 W. 29% AVe.; Wheat Ridge, CO 80033 Me; 303-236-2866 * Fax: 303-237-8929 inspection Line: 303-234-5933 Building Permit Application A 'too isctrr t:Plumbing,. Mechanical: W -k by License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete an information on BOTH sides of tMs form -1 (Check all that apply) NEW COMMERCIAL STRUCTUREELECTRICALSER=E UPGRADE COMMERCIALNEW RESIDENTIAL STRUCTURE ROOFING ADDITIONCOMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTJAL a COMMERCIALshed, w» ..NTIAL ACCESSORY STRUCTURE (Garage, shed, deck, PLUMBINGMECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT sYSTEMIAPPLIANCE, tIPL � •�sc-r :♦ s' b ♦ • r +�M r . • x e • s�a.ca c s a s �•�c .y � ,,. * •� �' .... , �r, ".L� n 10� . FW awl$ Ganom Aw4n Squares Other D 04/30/2015 3:03 PM 130350OD658 -�13032378929 0 1 ........... plawpAwmit # Please completel,all highlighted areas on both sides of this form. Incomplete applications may not be processed. Propertv Address: Propaq Owner Lploase Print): �-n < Phone,� 4;--- mazc�� Address'. ArchitecttEngineer E-mail: Phone: 0 —1 —111 Contractors City License #: IkIII Electrical: W,R, City License # Mii Mechanical: WR City License # -- --------- Complete all information on BOTH sides of this form 04130/2015 3:03 PIS 13035000658 -*13032378929 02 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE ( NEW RESIDENTIAL TRUCTU COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING FING R $D NTIA(. ADDITION WINDOW REPLACEMENT COMMERCIAL RCIAL ACC SSORY STRUCTURE (garage, stied, deck, etc.) eRESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ECHANICAI SYSTEMIAPPLIANCE REPAIR or REPLACEMENT PLUMBING YSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Desrl€ ) (For t rrpj , R e �a +� � d ry �c�I" work to Orr/ d T ' I i cap. f u rea proposed' teee, rtua l few a xwri'vto Jw an, proposeii nowonditlen:: d ile elx n li �nqy; t er'ltt mourit o rnet ale t tae dd, t t w) t Sq. FULF Btu's gallons �._m INSPECTION RECORD OccuDancV/TVDe IV - INSPECTION LINE: (303) 234 -5933 Inspections 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. ` ter, 7111 ' !o 41 INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS - COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Z/ i67 Weatherproof / French Drain Sewer Service Lines Water Service Lines FINALS Electrical Plumbing Mechanical Roof Z/ i67 Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ 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: �� G Rai= Job Address: 7?sv �7tr! s ib Permit Number: le2lac ?y aQrat�r 3 ❑ No one available for inspection: Time to ®� AM` PM Re- inspection required: Yes - 'When corrections have been made, cahf for rr re-inspection at 303-234-5933 Date: Inspecto �� r DO NOT REMOVE THIS NOTICE " 41 City of Wheat Ridge .� Residential Roofing PERMIT - 101891 PERMIT NO: 101891 L ISSUED: 08/03/2010 JOB ADDRESS: 7350 W 27TH AVE EXPIRES: 08/03/2011 DESCRIPTION: Reroof 25 sqs with 30 yr dim. shingles. * ** CONTACTS * ** owner 303/312 -7822 Steve Sanelli sub 303/346 -1840 Larry Smith 09 -0108 A Smith Construction, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0592 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 10,583.00 FEES Permit Fee 220.15 Total Valuation .00 Use Tax 190.49 ** TOTAL ** 410.64 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Midroof inspection is not required on permits purchased after 4/18/10. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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. Signature of contractor /owner date 1. 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. 2. 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. 3. 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) If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a ew permit. 4. No work of a y manner shal be done that will change the natural flow of water causing a drainage problem. 5. Contractor s all notify t Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written app on ins cti and b o e proceeding with successive phases of the job. 6. The issuanc of a pe rt o th pp v drawings and specifications shall not be construed to be a permit for, nor an approval of, viol tin e isions of the building codes or any other ordinance, law, rule or regulation. All plan re o rs subj t fi i pections. Sina Ch' f Building Official date I g EC ION LQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 R QUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.. pF WH�9TR City of Wheat Ridge Building Division Date: "• m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 -235 -2857 Plan #: ��totr+p° Inspection Line: 303- 234 -5933 permit #: ` U �l- Building Permit Application „ro ert�hi4 Property Owner (please print): �Tk �� t ,� Jl/�/�� / �� /�/ Phone: �3U3 /oZ Mailing Address: (if different than property address) Address: City, State, Zip: ntna Contractor License #: 9d ? Phone: - 3 � — /9XU Kb: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: �J Approval: Approval: Use of space description): , 6 — or' Construction Value: $ &1 ,�� 00 BSiC onw±� ' iYIIO ' T�(r�.. 2 •� (as calculated per the Building V aluation Data sheet) /�C/gd0i V13DypZ J) /!- - G- w/�/0,�, I Pis, Review (due at time ofsubmittal):$ Sq. Ft. /L.Ftadded: Squares ; BTU's Gallons Amps OWNEWCONTRACTOR 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:: (OWNER) ONTRAc O or PERSONAL REP�ATIVE o OWNER) (CONTRATOR) p' PRINT NAME: L��r / Cr ± SIGNATUR ,. -rte Date: 0 BUILDING DEPARTMENT 237•6944 Ext. 255 CITY OF WHEAT RIDGE . + Correction Notice Job Located at I have this day inspected this structure and these premises and have found the following violations of City and/or State laws governing same: : v ' . . You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. D a te Inspector for Building Dept. DO NOT REMOVE THIS TAG FORM WR6-3E DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 291h AVENUE BUILDING INSPECTION DIVISION PERMIT NO.M94#19738 237-6944 Exr. 255 P.O. Box sae CITY OF WHEAT RIDGE, C0L0. THIS PERMIT VAUD ONLY WHEN SiGNED BY THE CHiEF BWIDING MSPECTOR AND RECEIPTEDBELOW. APP ICATION FOR MISC -2 7 L ~3`J U ELLANEOUS PERA~I,T y OWNER C~ ~ ~ _ 108 ADDRESS oSdN ~+~Y • :ONTRACTOR I Li dn - ADDRESS 7 SO ~ 1 ADDRESS ~ '11S-S ~.~''~~~iaf PHONE 3 ZIPCODE CI7Y a/Lkw Zn-- ZIP CODE d L 3 3-- 6"`ZLICENSE NO CONTRACT PRICE $ DATE I, . PHONE TVPE GrounE ❑ J~~~ Wall❑ Proiectinp❑ OfMr S or D Foce 1 SIGNS . 2. MATERIAL Tofal SQuen Fset Pnmif No e Elwt I MINATION Y ❑ N ❑ T . . as o 3. LLU YD 4. SET BACK FROM PROPERTY UNE N- S_ E- W Zone_ ApDrowd,2me Inspectw (SDeti}y which is front) ❑ ❑ ❑ ❑ DisaDDroved 1. TYPE Solid❑ Mora 7non 80% ODSnO Lest Thon 80% Opm MATERIAL Heipht FENCES 3. SET BACK FROM PROPER7Y LINE N_ 5_ E_ W 2me_ ADDraW,Zorn Inspeetor (SOeeify whieh ie tront) ❑ ❑ ❑ ❑ Disopprovad I . OTHER 3 . DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIM16 DISTANCES FROM PROPERTY LINES. (SETBALKS OR PROJECTIONS INCLUDED) SPECIFV NORTH STREET NP.ME SHOW OIS7ANCES FROM THE M41N BUILDING TPADJOINING HpUSES, STREETS, AND CROPERTY LINES; ON IRREGULAft LOTS, SIION' LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR pVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS FlPPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE I.ICENSE N0. PLUMBING PERMIT STATE UCENSE N0. MECHANICAL PERMIT AIUMINUM WIRE UNDER SIZE 8 ILLEGAI FLOOR BSM I ST 2 ND 3RD 4TH N0. Ft1El:C'ircJsOn~ Gai OII Propons Lod EI Solor pq, WATER CLASET FORCED AIR - 8TU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CNANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BN LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SU6-CIFCUITS WATER HEATER Refri sront Cxoup UTILITY(RANGE,DISPO5ER,ETC) AUTO. WASHER Pounds Chor e FIXTURES DISH WASMER AUTOMA7IC SPRINNIER SYSTEM WIRING MOTORS 8 CONTROLS FI17(Xt DRAIN ELEVATOR SIGNS URINCL TRANSFORMERS B RELTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES ~ REMARKS I Mreby ocknowledqe thot this aD0lica- lion is wrrect and underslanC that I tonnof ffart this projbct until this appii- cOtion it apOroved. I sholl comply witn tAS lawa of the S1ote of Colorado ond to the 2oninp Repulotions and Buddinq Code ofthe City o! Wheat Ridpe. Any violotion of the obove lerme will cause immediote revocation of tnls permlt i'/! ~~.,`/C/! . PERMIT FEE o-el USE TAX TOTAL FEE $ b ~ 1 -3--177 APPROVED r DISAPPROVED CHIEF BUIIDING I PECTOR,Cityof Wheat Ridqe Date Issued (o rz ~ ~ L11 VALID UNLESS RECEIPTED =3 CAL1237-8944 EXT.255 24 HOURS IN ADVANCE FORINSPECTIONS nerea~r. ra•a~~,• DEPARTMENT OF CCMMUNITY DEVELOPMENT 7500WEST29thnvENUE BUILDING INSPECTION DIVISION PERMIT N0. MP94#3700 234-5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN 516NED BY THE GHIEF BWLDING INSPECTOR AND RECEIPTED BELOW. -~p-,~~AP LICATION FOR MISCELLANEOUS PERMIT JOBADDRESS 7';~O W OWNER .AC~~ _ CONTRACTOR 'Q' t- qDDRESS ADDRESS /w PHONE ZIPCODE CITY et ZIP CODE CONTRACT PRICE $~S ~ n - ~ PHONE LICENSE NO. DATE I. TYPE GrounO ❑ Woll❑ Proiectinp❑ Otha S a D Face 2. MATERIAL Totol SQUOn Fnt SIGNS 3. ILLUMINATION Yq❑ No❑ Type ElW. Pvmit No. 4. SET BACK FROM PROPERTY LINE N_ 5_ E_ W Zone_ Apprpved,ZOne Inspecta (Soeeifv whiah ia trontl ❑ ❑ ❑ ❑ Disaoorwed 1. TYPE SolidU Mon Than 80% OD*nU Less Thon 80% Open FENCES ? MATERIAL Heipht 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ ApprwW,Zono Inspeeta (Soecifv whieh is front) ❑ ❑ ❑ ❑ Diaapprowd I. OTHER 2 13. INSPECTION TICKET 4kt DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIV1Ni JOBV( ($ETBACNS OR PROJECTIONS INCIUDED) ADDRESS Z3 SO DATE: gLDG. PERMITM PERMITB BLDG. CONTR. SUBCONTRACTOR DATE INSP. REO. STREET NAME TYPE OF INSP. / SHOW DISTANCES FROM THE MAIN BUIIDING TQADJOINING HOUSES, STREETS, AW ~ DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR pVERAGE D15T4NCE. INSPECTION MADE_ 6117/ APPLICATION FOR PLUMBING; ELECTRICA C~cILd d~~sX.(~~_ THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WOFK 0 REMARKS PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IjELECTRICAL PERMIT PLUMBING PERMIoC7/-Y/16 STATE LICENSE N0. S7A7E LICENSE N0. ALUMINUM WIf7E UNDER SIZE B ILLEGAL FLOOR BSM I ST 2P W.R. FORM G79 NO, WATER CLOSET TEMPORARY METER WASH BOWL NEW SERVICE - AMP$ BATH TUB CHANGE SERVICE-AMPS SHOWER LIGHTIN6 SINK OTMER HEATING GARBAGE DISP REFRIGERATqN SYSTEM POWER SUB-CIFCUITS WATER HEATER Rafri eront GrWp UTILITY(RANGE,DISPOSER,ETC) AUTO. WASHER Pouedt CMr e FIXTURES DISM WASNER AUTOMATIC SPRINKLER SYSTEM WIRING MOTOFtS 9 CONTROLS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I Asroby acknawledae tAot ihis ap0lica' fion it correcl ond underslanC thot I connot sfnrt thie Drojett until this oDPli- cofion is approved. I shall comply wifh iM lawf of the Siate ol Colorodo ond to the Zoninp Requlotions and BuildinQ Code offne City of Wneat Ridpe. Any violotion of the above terme will cause immediate revocotion of this permit ( aooncanu s~4"° •~7, p`~f~.c-~-c~~~_ ~ PERMIT FEE ''s-- py) NOT VAIID UNLESS i1ECEIPTED usE rax .3 d TOTAL FEE $ S= 3d APPROVED DISAPPROVED CHIEF BUILDIN NSPECTOR,Cityof Wheat Ridqe CALL 234-5933 24 HOURS IN ADVANCE Date Issued ~ - / ~L POR INSPECTIONS