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10665 W 47th Place
S__ 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: -7 - p ri,i c, I P ! L✓ rz, � r n �2 Job Address: I D & & 4"" to q-74-6 Permit Number: -p o l F ©I -,g / S -t)aI P/V ❑ No one available for inspection: Time = /q (A/PM Re -Inspection required: Yes I When corrections have been made, call for re -inspection at 303-234-5933 Date: 9 / Inspector: —T -b DO NOT REMOVE THIS NOTICE The City of Wheat Ridge Third Party Form Check List Property Address Z4 A" 'i/i't %f - Permit Number 2 ?402 :5"99Y__ Permit Issued Date Owner Information Property Owner Information Property Owner Address Inspection Company Inspector Name Inspector Contact info. L ITAW✓ Inspector Statement and Acknowj2jgernent I hearby acknowledge the roof I am inspecting is 6112 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendations and sprifications. Inspector:' Date: Property Owner Statement of Acknowledgement *I hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Whe dge Buildin ion in ction. Rropery Owner/Agent:7:2 V9.1� [3ate: .6 — Z This original document and permit card, as well as the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26117 Please add note to reverse side Inspection Check List notes Mid -Roof Roof l>ns2ection FAA N/A ❑ Pass ❑ Fail N/A ❑ Pass ❑ Fail Structural roof components N/A ❑ Pass ❑ Fail Verify that no more than 2 layers of shingles exist lO N/A ❑ Pass ❑ Fail Flashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A ❑ Pass ❑ Fall Verify sheathing nail pattern (See Policy & Procedures) N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe N/A Pass ❑ Fail Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted VIfN/A N/A Pass ❑ Fail ❑ Fail Step flashing shall be min. of 4x4 piece per shingle Verify scuppers allow for proper drainage ❑ N/A ( Pass ❑ Fail Ice and water shield 2' In heated wall spaces ❑ N/A Pass ❑ Fail Underlayments must follow 2912 IRC 12012 IBC ❑ N/A Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A 90 Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fall Dripedge should extend down min 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be rnechanicaly fastened 12" CC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TRO min slope 1/4:12 slope N/A❑Pass E] Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of Warranty with the address on the letter for final inspection, Metal Roof Shin Requirements N/A ❑ Pass El Fail Metal roof shingles small net be installed on slope less 3:12 NJA ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Re uirements N/A ( ❑ Pass ❑ Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment ,�_ �«y U, vv i teat Mage inspection Check List notes Mid -Roof Notes COMPanY Darns. /V%i4 �.�/�C44 Inspector signature: Date Of Inspection, I7lc vny VI VVIICGlt "Iuyt-- Inspection Check List notes Final Roof Roof InsDection NIA ❑ Pass ❑ Fail N/A Pass ❑ Fail Structural roof components N/A Pass ❑ Fail Verify that no more than 2 lagers of shingles exist j N/A ❑ Pass ❑ Fail Plashing for roof and walls ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) N/A ❑ Pass ❑ Fail Crickets and saddles where needed N/A [ Pass ❑ Fail Verify B vent must have boot same gauge as pipe N/A EX Pass E] Fail Verify vent caps rr❑ ;_1 N/A E� Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be ruin. of 4x4 piece per shingle [ N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A C� Pass ❑ Fail Ice and water shield Z in heated wall spaces ❑ N/A [ Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ NIA I ZJ Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fol Dripedge shall have min of 2' overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck F] N/A P] Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope, Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope NIA ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass [] Fail Modified Bitumen, EPOM, TPO mire slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Reauirements i NIA ❑ Pa55 ❑ Fail Wal roof Shingles 6hall not be installed on Slope less 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof NIA ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile beefs Requirements N/A ❑ Pass ❑ Fail Clay and concrete the shall have a mire. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof HiraTM. Company Name: AG 0 Inspector signature: Date of Inspection: City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 201801215 PERMIT NO: 201801215 ISSUED: 04/27/2018 JOB ADDRESS: 10665 W 47th PL EXPIRES: 04/27/2019 JOB DESCRIPTION: Remove and install 40K BTUs/40gallons water heater. *** CONTACTS *** OWNER 1303)422-1940 BIRNEY GERALD D SUB (972)655-8080 Svetlin Tchakarov 130133 Prospect Plumbing, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,202.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 25.24 ** TOTAL ** 65.24 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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 Chiefilding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ELECTRONIC INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: 201801215 ADDRESS: 10665 W 47th PL JOB CODE: HWH Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 303 Roof Sheathing 104 Foundation Setback Cert. 304 Sheer Inspection 105 Stem Walls 305 Insulation 106 Foundation wall Insulation 307 Metal / Lath / Stucco Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 303 Roof Sheathing 203 Sewer Underground Ext. 304 Sheer Inspection 204 Plumbing Underground Int. 305 Insulation 205 Plumbing Underground Ext. 307 Metal / Lath / Stucco 206 Water Underground 308 Rough Electrical Residential Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMiT:201801215 ADDRESS: 10665 W 47th PL JOB CODE: HWH Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 401 Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning" Inspections from these entities shall be requested one week in advance. "For landscaping and parking inspections please call 303-235-2846 "For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works" 413 Flood plain Inspection" 414 Fire Insp. / Fire Protection""" 415 Public Works Final*" 416 Storm Water Mgmt."" 417 Zoning Final Inspection" 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. �i�, City of YYh6atj��Ea �MVNi �r DEVELDIPMENi Building & Inspection Services Division 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: / /`T?7 plan/permit # dal �c��zl Plan Review fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: r 0i.P (VG- v " , L l r�4,� ��Q '33 Owner Property Owner Email: Tenant (Commercial Projects Only) G Property Owner Mailing Address: (if different than property address) Address: � ' 16�" Zip: Architect/Engineer E-mail: Phone: Contractor: r Y 0 V��— r K �1�,/ , V I City of Wheat Ridge License M 1220153 Contractor E-mail Address: Phone: �c)5 lq2 Z 1 q q c) For Plan Review Questions & Comments (please print): - CONTACT NAME (please print):0-[VA�, / (s Phone: 7zo 3qq o0qL CONTACT EMAIL(p/ease print): ' h VISh F -KG kV\, Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing. Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub. Other City Licensed Sub: City License # City License # ❑ COMMERCIAL RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. w�cr �{cai-cv I'�laCerw.cr�+- Commercial Projects Only: Occupancy Type: Sq. FULF Amps BTUs Squares � Construction Type: 66pV Gallons �# d Project Value: (Contract value or the cost of materials and labor included in the entire project) $ 1 (/ OWNER/CONTRACTOR SIGNATUME OF UNDERSTANDING AND AGREE HENT I hereby cenify 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 1 assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that'l am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I. the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CO. TRACT or (AUTHOR/ZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) SVPSimutture (first and last name): fll `Y1 DATE: Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS Reviewer: BUILDING DEPARTMENT COMMENTS' Reviewer: PUBLIC WORKS COMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: Building Division Valuation: City of Wheat Ridge Residential Roofing PERMIT - 201702589 PERMIT NO: 201702589 ISSUED: 06/26/2017 JOB ADDRESS: 10665 W 47th PL EXPIRES: 06/26/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Dimensional LT asphalt shingles with 25 sq. *** CONTACTS *** OWNER (303)422-1940 BIRNEY GERALD D SUB (720)530-7258 Lou Busnardo 080251 Centennial Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED FEES Total Valuation 0.00 Use Tax 220.50 Permit Fee 220.15 Investigative Fees 220.15 ** TOTAL ** 660.80 *** COMMENTS *** PROJECT VALUATION: 10,500.00 *** CONDITIONS *** **PERMIT FEE DOUBLED FOR WORK WITHOUT PERMIT** 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 - 201702589 PERMIT NO: 201702589 ISSUED: 06/26/2017 JOB ADDRESS: 10665 W 47th PL EXPIRES: 06/26/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Dimensional LT asphalt shingles with 25 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable wilding 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 ennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to beertonned 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 infonnation provided in thepermit 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_pernit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Isuance of a new permit shall be subject to the standard requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance orn i of a permits not by c nstrued to be a permit for, or an approval of, any violation of any provision of any applicable code or or r ti of is 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 26 �7ca sal From: no-reply@ci.wheatridge.co.us Sent: Wednesday, June 14, 2017 10:17 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 3-5 business days, subject to change Ysed on volume. For all other requests: Pool, 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. "n Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 10665 W. 47th PI Property Owner Name Gerald Birney - Property Owner Phone Number roperty OwnerEmail �sb In�DS I ODU `J l o (.Q 2-'J �__ 303-422-1940 Field not completed. tLN 0 - (�, -�_ Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Centennial Exteriors Inc. 080251 720-530-7258 Contractor Email Address mtnhighroofing(cDmsn.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material mtnhighroofing(cDmsn.com No ✓ Ownes Corning Dimensional asphalt shingles LT Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No V Field not completed. 2 TOTAL SQUARES of all 25 roofing material for this project Provide additional detail house, garage, & shed. 4/12 pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract10,500 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Lou Busnardo Email not displaying correctly? View it in your browser. 3 Storm Damage Assessment Property Owtner:t -Le ro'A N ! ��->f C, V 1L�� Address: City: +, State: _its Phone (H): ` i -1 Fax: Insurance Carrier: 1—Y t -J ,Z �-cy' Policy #: (, ' Storm Date:—/ L_ /_A Home built before 1978? Roofing Layers: Pitch: Drip Edge: it.1 VNO.' Z Z Z Stories: i Style: Z Yh 2'r\: G'Q-,–\' Vents: W ILL Pipes: 1�i il L Decking: ttV VW Overhang: i' []open closed Siding Type: Fascia: Trim: Shutters: I Special Instructions: W� Date: !_ /_ X_/ % Zip: i Phone (W): Email: Phone: Claim #: Type of Damage: Hail Wind Water Gutters / Downspouts Gutter Size: S7 �311t ir-� Gutter LF: Downspout Size: Z .x 3 �01\"1' - Downspout LF- Misc. / Other A/C Unit: Windows: Painting: Leaks: Interior Damage: N o Emergency Repair: oo This agreement is subject (pending) to the approval of your Insurance Carrier. I, the property owner, authorize Centennial Exteriors, Inc. to confer with my Insurance Carrier and to assist me in reaching a mutually agreeable settlement to repair all the assessed damage at the said address. I further agree to allow Centennial Exteriors, Inc. to complete all prescribed repairs at prices determined by my Insurance Carrier that do not exceed my insurance policy deductible for the scope of work agreed upon between the Insurance Carrier and Centennial Exteriors, Inc. I also agree to provide all necessary documentation for claim, also providing all pertinent documentation to facilitate payment from Insurance Carrier and/or Mortgage Company. Centennial Exteriors, Inc. reserves the right to file for settlement claim due to material or labor increases due to storm environment or if insurance measurements arta proven to be incorrect. Property Owner(s) Representative Sig 1/ Z6 /� hk p rJs. ROOFING •GUTTERS • SIDING • PAINTING * :`iINDO4V5 SUS Nest 9ossissippi Avrnup_ Lakewood. Colorado 80226 PHONE i303) 48G3o8: Fax (303) "(-1873 Storm Damage Assessment Property Owtner:t -Le ro'A N ! ��->f C, V 1L�� Address: City: +, State: _its Phone (H): ` i -1 Fax: Insurance Carrier: 1—Y t -J ,Z �-cy' Policy #: (, ' Storm Date:—/ L_ /_A Home built before 1978? Roofing Layers: Pitch: Drip Edge: it.1 VNO.' Z Z Z Stories: i Style: Z Yh 2'r\: G'Q-,–\' Vents: W ILL Pipes: 1�i il L Decking: ttV VW Overhang: i' []open closed Siding Type: Fascia: Trim: Shutters: I Special Instructions: W� Date: !_ /_ X_/ % Zip: i Phone (W): Email: Phone: Claim #: Type of Damage: Hail Wind Water Gutters / Downspouts Gutter Size: S7 �311t ir-� Gutter LF: Downspout Size: Z .x 3 �01\"1' - Downspout LF- Misc. / Other A/C Unit: Windows: Painting: Leaks: Interior Damage: N o Emergency Repair: oo This agreement is subject (pending) to the approval of your Insurance Carrier. I, the property owner, authorize Centennial Exteriors, Inc. to confer with my Insurance Carrier and to assist me in reaching a mutually agreeable settlement to repair all the assessed damage at the said address. I further agree to allow Centennial Exteriors, Inc. to complete all prescribed repairs at prices determined by my Insurance Carrier that do not exceed my insurance policy deductible for the scope of work agreed upon between the Insurance Carrier and Centennial Exteriors, Inc. I also agree to provide all necessary documentation for claim, also providing all pertinent documentation to facilitate payment from Insurance Carrier and/or Mortgage Company. Centennial Exteriors, Inc. reserves the right to file for settlement claim due to material or labor increases due to storm environment or if insurance measurements arta proven to be incorrect. Property Owner(s) Representative Sig 1/ Z6 /� i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: l o ut u — �% A4A Permit Number: ❑ 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: DO NOT REMOVE THIS NOTICE INSPECTION RECORD OCCLIUBDCVITYDB INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call y to receive inspection the o owing business ay. Plumbing - 6 CSC} INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB 'FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS` COMMENTS: Footings /Caissons r '.Stemwall /(CEG) Concrete Encased Ground Building Final Reinforcing or Monolithic Fire Department Weatherproof / French Drain RO.W & Drainage -Sewer Service Lines Parking & LaDdSCaping Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE. SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED: . ROUGHS , 1Sheathing Lath / Wall'tie Mid Roof Electrical Service Rough Electric Rough Plumbing Gas Piping , Rough Mechanical P: ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING FINALS Electrical Plumbing Mechanical Roof r Building Final Fire Department RO.W & Drainage INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & LaDdSCaping * *NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, . BUILDING AND PUBLIC WORKS BEFORE A :CERTIFICATE OF OCCUPANCY ISISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A'CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER IV 4 CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: rr�' Job Address /Permit Number: r"€n ? ;, d27!T' F t ` ❑ No one available for inspection: Time A M 5 Re Inspection required: Yes No When corrections have been made, call for re-inspection at 303 - 234 - 5933 " bate: q Inspector: 5 DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge r4000r- Residential Fence PERMIT - 092286 PERMIT NO: 092286. ..ISSUED: 09/11/2009 JOB.ADDRESS: 10665 W 47TH PL EXPIRES: 03/10/2010 DESCRIPTION: 84 LF.of 6' cedar privacy . fence. ''.(back of. property) CONTACTS OWNER .720/36.6-0593 Gerard Birney gc 303/901-1805 Roddy Reef 09-.0297 R2 Construction Company LLC PARCEL INFO ZONE CODE: R-2 USE: UA SUBDIVISION:.. 0140 BLOCK/LOT#: 0/ **'FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,000.00 FEES :Permit Fee 90.10 Plan Review. Fee 58.57 Total Valuation .00~~~~.I Use. Tax 36.00 e . TOTAL ..184.67 Conditions: MR: Approved. Subject to field inspection. Note: Owner/Contractor is responsible for locating proeprty lines and constructing improvements according to the approved plan and required development. standards. The City is not responsible for inaccurate information submittedwithin -theplan:set and any construction. errors resulting from inaccurate information. 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 allegat ns made are accurate; that Ihave read and agree to abide by all conditions printed on this application an that I assume u'il responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applic W idge 0 n ea, f work under this permit. Plans subject to. field inspection. ~u te Signature of contracto 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 -beacquired for afee 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 Jpermit. 4. No work of any manner shall be done that will change, the natural flow of. water causing a drainage problem. 5. 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. 6 The issuance of apermit or the approval of drawings and specifications. shall not be construed to be 'apermit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law;. Is or regulation. All. plan revie i subject to field inspections. Signature f.BUilding :Official 'date INSPE ION REQUEST LINE: (3.03)234-5933 BUILDING OFFICE: (303)235-2855 REQUE S`MUST BE MADE BY 3PM ANY BUSINESS `DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.. m Building Permit Application Properly-Address: Property Owner (please print): C-)e r ra Mailing Address: (if different than property address) Address: State, Date: Plan M Permit 0171L-J~. Phone: Contractor: E,066 Ee04 Contractor License Phone: Sub°Contractors` Electrical City License Company: Plumbing City License Company C Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): j v Pu^i A&,Ce Construction Value: $ a 66 b Description of !At&k' (as calculated per the Building Valuation Data sheet) r/) C ~(.cdc- Plan Review (due at time of submittal): e._ l . Sq. Ft./L. Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR 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 1 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. C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENT IV (OW (CONTRATOR) PRINT NAME: )ff I: I lil 4L~r iil SIGNATURE: DatX-6 City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-237-8929 Inspection Line: 303-234-5933 Bldg Valuation: $ C O CJ G n' S 0 C °9 N ...c_ I' FaCC7 - -l VIA 1 cb / 4 ~ ~a ♦ i CITY OF WHEAT RIDGE Building Inspection Division -- (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: K0 Job Address: I W, 2f Q , 1 17" Al, Permit Number: r ❑ No one available for inspection: Time 1r SP A M Re- Inspection required: Mes No When corrections have bee�ade, call faU) orr re- inspgation at 30 2� 3 @ 5933 Date: ."731 Inspector: 0 (Ya¢1c_�YA DO NOT REMOVE THIS NOTICE ♦ 6, 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: P40 0 Job Address: Permit Number: Ate?, ❑ No one available for inspection: Time L" r~ M M Re-Inspection required: ee No - - When corrections have bee~r;'rmade, call for re-insp ction at 30 -23~4-5933 Date: q'7,- M Inspector: Fy2. ? zcf,F GI 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 INSPECTION NOTICE Inspection Type: ~r A rap! ~ Job Address: l06fr, 5 G,1, 1!7 Permit Number: ❑ No one available for inspection: Time I.'D6 AM M I Re-Inspection required: Yes No "When corrections have been made, call (or re-i tion at 303-234-5933 Date: 7- Inspector: pe n r • f DO NOT REMOVE THIS NOTICE City of Wheat Ridge Building Division D7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application Property Address: d to (O S ~V. Li 7 T-/1 Property Owner (please print):~CKcj I p,'K 14. p\ 2 Phone: Z 10 Mailing Address: (if different than property address) Address: City, State, Zip: Z Z -l ,L Contractor: /111,:7 U>n 7-C, )'h ~Tr~cl7 goaf~i/a c, Contractor License Phone: 3' g g 6 3 Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ S, Sd O Description of work: tC e p L e 7-0 J, P (as calculated per the Building Valuation Data sheet) ry $TY w F "j d y ;"r» 4~t S;'(•/;o, Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares Z/ BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: j(OWNER) (CONTRACTOR) or PERSONAL REPRESE ATWE of (OWNER) NTRAT ) PRINTNAME: Z\VC; pkd at,ShQAaSIGNATURE: r--?~ ~te: 7 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-254-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 78047 11 /15/2004 Property Owner: BIRNEY Property Address : 10665 W 47TH PL Contractor License No. : 18983 Company : Genesee Mechanical Co. Phone : 237 0234 OWNER/CONTRACTOR 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; lhat 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 1 assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED ~(CX-'QS-2 DATE kk IIS l0 Description : REPLACE FURNACE koning Cvmmadts:: Approval: Zoning : Butititng Gamment$:'. Approval : P4lalie Works Gommekita:; Approval: Occupancy: Walls Electrical License No : Company: Expiration Date : Approval: Valuation : $3,500.00 Permit Fee : $126.50 Plan Review Fee : $0.00 Use Tax : $42.00 Total: $168.50 Use: BUILDING DEPARTMENT USE ONLY Roof Plumbing License No : Company: Expiration Date : Approval: Stories Phone : 422-1940 SIC ~~l.Op Cafl ~ . ~ d~8-sa ~ Sq. Ft. : Residential Units : Mechanical License No : 18983 Company : Genesee Mechanical Co. Expiration Date : 11 /15/2005 Approval : OKIKS (1) This permit was issued in accordance with the provisions set forth in yopur application and is subjed to the laws of the State of Coloredo and to the Zoning Regulations and Building Code of W heat Ridge, Colorado or any other ap0licable ordinances of the Ciry. (2) This pertnil shall expire if (A) the work authorized is nol commenced within siuty (60) days from issue date or (B) the building authonzed is suspended or abandoned for a penod of 120 days. (3) If lhis permit expires, a new parmil may be acquired for a fee ot one-half the amount normaly required, Orovided no changes have been or will be made in the original plans and speciflcations and any suspension or abandonment has not exreeded one (1) year. If changes are made or if suspension or abandonmem exceeds one (1) year, full faes shall be paid for a new permit. (4) No work of any manner shall be tlone ihat will change the natural flow of water causing a dreinage problem. (5) Contracror shall notify the Building Inspeclor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (8) The issuance of a pertnit or the approval of drawings and specifwtions shall not be construed to be a permit for, nor an approval of, any violation of the pmvisions of ih%atiil[ & g coders-or-5ny oth-e nce, law, rule or regulalion. Chief Building Inspe tor Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : ftf fS IOLf 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) A'PPUc Tla Property Owner: $}YNe~ PropertyAddress: IC(o(pS Vi Pl. Phone: 303-4Z2 - l"!qO Contracbr License No. : (g983 Company: GEY,eSee- MeCkaot cdl Phone: 303-23"1-07_3y OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I herzby csrti"ry that the sethack distances proposed oy this permic application are accurate, and do not violate applicable ortlinances, rules or regulations of the City oi Wheat Ridge or covenants, easements or restrictions of recortl; that all measurements shown, and allegations made are accurate: that I have read and aqree to abide by all conditions prin[ed on this aoplication, and that I assume full responsibility for compliance wiih the Whea[ Ridge Building Code (U.B.C.) and all other applica6le Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED NI (.OLR JI-1DATE U I S 0 Description: Irep~~ce- -~AJVV1aC2, Constructicn Value : 3 Sap~C' Permit Fee : Use Tax : Total : Use: BUILDING DEPARTMENT USE ONLY 90118281fi3m SIC : Sq. Ft. : Approval : Zoning : B~t din~._k_~'i~►'~ileats~ Approval : Approval : Occupancy : '.°;alls : Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date : Approval : Plumbing License No : Company : Expiration Date : Approval Mechanical License No : Company : Expiration Date : Approval : (1) This permit was issued in accortlance wrth the pmvisions sel PoM in yopur application and is subject to the laws of the SWte of Cobrzdo and to Ne Zoning Regulations and BuilCing Code of Wheat Ridge, Coioatlo or any oNer applicable ortlinances of the Ciry. (2) This pertnit shall expire if (A) the work auNOnzed is not commenced wiNin siriy (80) days From issue tlate or (B) the Ouileing auNonzed is suspenEeC ar aban0onetl for a penotl at 120 days. (3) If this pertnit expires, a new permit may 6e acQUired for a fee of one-half the amount normally required. provitletl no changes have been or will be matle in the original plans and speci(cations and any suspension or abanEOnment has not exceede0 one (1) year. If changes are made or if suspension or abanCOnment exceeds one (1) year, full fees shall be paitl for a new permit. (a) No work of any manner shall be done Nat will change Ihe natu2l Flow o(water causing a Oraina9e pro0lem. (5) Contractor shall notiy the BuilCing Inspector hvenry-four (24) hours in aEVance for all inspections and shatl receive wntten approval on inspectian cartl before proceetliing with successive phases of the j06. (6) Tha issuance of a pertnit or Ne approval of tl2wings and sped(w0ons shall not be construetl ro be a pertnitlor, nor an approval ot, any violation o! Ne pmvisions ofthe buildin9 coEes orany oNerortlinance,law,rule arreguiation. Chief Building Inspector !i{ Building Permit PermitNumber 19232 ' CITY OF vVIiEAT RIDGE 9/20/2005 7500 west zvTx nvenue whesuid8e, co 80033 Inspection Line 303-235-2855 3~3-234-5933 Residential Electric ritorEirrv 10665 47th Pl Uuit: ow1vER: Gerald Birney (303) 422-1940 Description Upgrade existing electrical service to 200 amp overhead single phase. FEES . ..Uuits: Occupancy: Walls: Roof: Stories: Sq Feet: 0 IlxeeAYRWfYNU11YesWarYAlehmsnVr^Pmal bythle ParrottappilntlonusaceuntpmAdonotvbbuaPDtlubkoNloum.tWSwrqdetlouoftheCltyof, wppu.IlWp arrnveeuli,eaowenbornsIrldbwofrecord., Wf.YmeuurtmeobShomy"tlallegatbvs naEeanmcunh; Wt[WvereaQUCap+ebWldt M . apmp00WouprlottdonHb~ppim[be,andWatlwvmefe0rupoodbWtyforrompWeawkhNeWAutRidCe8ulWies CodeN.&CJuda othaapptlnbM Wfieel Rid`e srNoanna. for work mder thU PP+'mit ~ CL 5- . .(OR'MERIICONSPACTOR) . 5 DA7& 1 ~'IW permlc wu IwuM ie rotord. wtlh Ne provYbm nt torth ~n your appNeatlon ~vd Y eub)eel to the hwe of We Sph of Cobr#de aM roWe 7nobL . . Rqohtbw md BuOtliup Cade of Wse.t Ridgp Cobndo or aay oNw applleabk ordinmw Mt4e Ciry. S TWpermitW" explreif(A)fAexor4auNorl¢dLi votcommmaAwlWiveirtY(0)tl.yiWmluuedateor(B)OeUVIWluiaeNor4ed6aarymdedm aMadoeM for o puiod of 120 Nye. 3 V H4 panit espirte, . vm permit mry be &cqairW for . fm of ouo-h.HlAe wouet vo.Yy rtqu4ed, proNded uo ehaegu Wve Exu or wiY be made Is W . .pN'IOaIPVaaeGoNdeaWn. aedanYowPenabnaramnEOOmwtbunoteieadMoea(l)Yev.VrLaeLnsrtmetlewVwPVM^owa4aodoomeat ' esKeisooe (l) Yesr. Ntl fa.. ha be Paid for . new permit. .9.... NowwkotmYameerWllbedooeNStMOChuKeWemNrid MMOfwmeruudaL. d^b4epmbkn. . . 5Contrwbr JaII notlfy Ne BWIdinL I^epenor lwwry-foor (Sd) houn iv .dvana for Wl lwpsnl.u .od ~hNi rtalve xritlen ~pprovJ an ImpMim urd Eefan . . pmeeNbLMMsuecmtlnPYUOOfNSIob. 6 1M iomvax oh pxmit er the ~pprovJ of drawlnp mE spetlMvHOm i6a11 not be cooNVM m be . penok for, eor an ~pprovd of, ay viohtlo. oftYe prvvi'fovoftAaA.WIn codaoranyo ioaoeqlaw.rukorrryu6tlov. . . 7h1afH O SIQVmDA'1'S . ..Tuesday, September 20, 2005 Page t of I COMMUNITY DEVELOPMENT DEPARTMENT Building Permil Number: o~ w~E~T ,p BUILDING INSPECTION UNE - 303•234•5933 Date: ~ g CITY OF WHEAT PoDGE ~ 7500 WEST 29TH AVENUE WHEAT RIOGE, CO 80033 • (303-235-2855) APPLICATION Propcrty Owner: G e rcti ( d ly- ol~ _ Properry Addrtss: 1 O lv (o S 4-1 P I. Phone: 'I-ZZ- I94-0 Contractor License No.: 3t~~ q 33 3 cornpany: C-7ftsI4 C, e L4r ,'L Pbonc: 3v3 - q-zc) - 3040 OWNER/CONTR11G70A SIGtUNRE OF UNDERSTAHDiNG AND AGREEMENT 1 Buildina DeoL ValuaUon Figure: $ I hereby certity that the setback distances proposed by tnis pertnil appliotion are auurate, and do nd violale aDdicaDle adinances, rules or reyuWUOns of Ne Ciry of W heat R10pe a oovenants, easertronts a restrictions of record; Ciac a1l meawremeMs shown, ard albDations made are aoeu24; tha11 have rea0 aM apree lo aDitle Dy a1l opnditions prinfed on ttiis application an0 thai f aswme lull responsibiliry for compliance ivith the W heat Ridpe Buildinp Code (I.B.C) arM all oMar appGrabk W heal R;dye Ordinances, irn wak unCer Nis permit. Plans su0ject Io fieb inspection. IpWN£AHCONTRACTOR): SIGNEO DATE (OWNEPNCAHTMCTOR):VRNlTED DATE V3lllC:Si ~ 1 S"~l Permit Fee:$ ! Plan Review Fee:S UseTax:S Total:$~O Uae of Space (description): Description of worlc: UP e.-~~Ac- e-Xi S+~ K 2C+r<«.( -~,ev-v cCC +o 2C04`^p Ovc,- Sq. Ft. adMd Ca.n.ENTS: Approval: Zoninp: CqMMENTS: MProval: WpW(5 CpMMfNTS: Apploval: BUII.DING DEPARTMEIV? L'SE ONL DEPAitiuEHf COAVdEN75: Approval: Walls: Roof: Stories: Residential Units: Sq.Ft.: ElecVical License No: Plumbing License No: Mechanical License No: Company. Company. Company. Expiration Date: Expiration Date: Expiration Date: ADProvaf: APPro~~ APProval: (1) 7his permit way iuued in accadanx witl the 7rovtsbns xt foM in your applKaOOn antl is wDject to the laws o1 me State of Cobrddo and b ttx ZawN RepuWtiona and BuiWirg Codea of W neat R49e, Cobrado w arry olhx applicabVe pd"mances o( tlu City. (2) 7Tiy pemM shall eore H(A) the worM authorized is tat tommenced witnin sixry (90) Gays hom issue Oate a(B) the buiWing aumorizeE is suspsrbed or abarWawO ta a Deriod of 180 dari. (3) II ihtt permil exOprea. a new Vermil may be scyuired ia a fee o1 one-tnl( tlhe amaunl normally rppuireE, provitlW rro dharqe3 have been awip De rtmde in !M orip"vW plana and speciRoEOns and arry suspenaipi a abarWOnmenl has not raceeded one (1) rear- n awqes navs been a it suspensim or awneonrnari exceees one (t) rear. tun fees snao ee paid f« a new oem+il (4) No work of a^Y rtwrbr Jfwr Os Oaie tlvl wi1 dhanpe tlw na6val tbw o1 waler quwip e dramaye pippbm, (5) Contrxlor ahaE rwtify Ne Bu➢drq InsVector tAw*t4our (21) Aars in aA.arxa tor all 'inapectiortt and shall receive written apqpvy an hspsction cwd bslore prctesd'vg witlf suxesaivs pAnOS of ths job. (6) The issuance of a Da^+M a Vo aOProvy of drawinpa vM apecif2bons stW rat be conatrue0 b De a permit 1a, rror an aDDro.'y a, a^Y vidaum of tlie prn+siau ol Ihe Duid'irg mOes or arry otner ordinance, law. ruk a repdaDOn. NI pian rwvMw b sub}ect to MW Impectlons.