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HomeMy WebLinkAbout6335 W 46th Avenue1-70 t, INSPECTION ONLINE FORM: t ://www.ci.wheatridge.co.us/inspection INSPECTION Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Tyne 17— inspections will 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 Pier Initials -----..�._ ._. Comments Concrete Encased Ground (CEG) Foundation/ P.E. Letter Do Not Pour Concrete Prior To roval Underground/Slab Inspections Date Inspector Initials Electrical Sewer Service Plumbing Do Not Cover U Rough Inspections Mid -Roof OW.&. all Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail round or Belowhn-Slab Work Prior To Date Inspector Initials Final Inspections Date Inspector Landscaping $ Parking / Planning Dept. Initials ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building Above Inspections omments Comm Comments Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued .�; T!iff C -4 - m TI)F WaAther f City of Wheat Ridge .� T Residential Roofing PERMIT - 201706986 PERMIT NO: 201706986 ISSUED: 09/06/2017 JOB ADDRESS: 6335 W 46th AVE EXPIRES: 09/06/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 22.33 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)421-6694 SUB (303)789-1107 MOWER TIMOTHY E Steve Kuhlman 021574 COLORADO PREMIER 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: 12,000.00 FEES Total Valuation 0.00 Use Tax 252.00 Permit Fee 236.00 ** TOTAL ** 488.00 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge V Residential Roofing PERMIT - 201706986 PERMIT NO: 201706986 ISSUED: 09/06/2017 JOB ADDRESS: 6335 W 46th AVE EXPIRES: 09/06/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 22.33 sq Pitch = 5/12 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 le ally authorized to include alI entities named within this document as parties to the work to be perf0r ied and that all work, to beverf med is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Datd J I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing, and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building 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 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 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, any violation of any provision of any applicabl or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. c -a G Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. RESIDENTIAL RO, Owner's Name: Owner's Address: Tim Mower 6335 W. 46th Ave Owner's City: Owner's Zip Code: Owner's Phone: Owner's Work Phone: Wheat Ridge 80033 303-421-6694 303-717-5295 11652 W. Hampden Place Lakewood, Colorado 80227 Office... 303.789.1107 Fax...... 303.789.1106 coloradopremier@hotmail.com www.coloradopremierroofing.com Project Name & Address: Email: 6335 W. 46th Ave. Wheat Ridge, CO 80033 Timmower@msn.com I/WE, the Owner(s) of the premises described above authorize Colorado Premier Roofing, hereinafter referred to as "Contractor", to furnish all materials and labor necessary to roof and/or improve these premises according to the following terms, specifications and provisions: PROPERTY OWNER IS INTENDING TO MAKE PAYMENT FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY. ' INITIALS a. Scope of Roofing Services and Materials to be Provided: Per Liberty Mutual Insurance Company -Claim #035500161-01 Remove existing shingles felt and all roof related items per insurance claim Install felt, Owens Corning Tru Definition Storm I R (Class 4) shingles and all roof related items per insurance claim COLOR: Antique Silver Remove existingrubber roofing per insurance claim _Z, Install i Install fully adhe�rjed 90 mil/on flat roof per insurance claim ceclaim COLOR: Approximate Sum does NOT include supplements that maybe billed to your insurance company for paymentto: Colorado Premier Roofing, Supplements to include but not limited to: Building Code requirements Permit Fee b. Description of any areas that will NOT be worked on: — _ Painting, screens, siding, soffit or fascia work ressure/powerwash, stain deck This list of specifications may be continued on subsequent pages (see page number below). c. Approximate Costs of the Services for Damage Known at This Time: Contractor will perform the above, (subject to any additions and/or deductions pursuant to authorized change orders), for the Approximate Sum of $13,370.46 Down Payment (if any) $2.500.00 INSURANCE: THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE, PLUS ANY UPGRADES CHOSEN OR ANY NON COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE (ACTUAL CASH VALUE OF THE WORK) IS PAID BY YOUR INSURANCE COMPANY PER FINAL LOSS INVOICE. ALL PROCEEDS FROM THE INSURANCE COMPANY INCLUDING, BUT NOT LIMITED TO, PROCEEDS FOR SUPPLEMENTAL CLAIMS MADE BY CONTRACTOR ON BEHALF OF OWNER, PROCEEDS FOR PROFIT & OVERHEAD, AND PROCEEDS FOR RECOVERABLE DEPRECIATION, ARE GIVEN IN PAYMENT FOR THE WORK OF CONTRACTOR AND OWNER AGREES TO TIMELY, (WITHIN 24 HOURS OF RECEIPT BY OWNER), REMIT ALL SUCH PROCEEDS TO CONTRACTOR. PER COLORADO S1338, CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. d. Approximate Dates of Service: Substantial commencement of work shall mean either the physical delivery of materials onto the premises or the performance of any labor and shall be subject to any permissible delays as per provision (5) on the reverse side. Approximate Start Date: 9/20/17 Approximate Completion Date: 9/22/2017 e. Acceptance: This contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges. Additional Provisions Of This Contract Are On The Reverse Side And May Be Continued On Subsequent Pages (see page number below). Read "Arbitration of Disputes" provision on page two (2), provision 12 and the NOTICE following this provision. If you agree to arbitration, initial on the line below the NOTICE wher ed. Also, initial in the same place on EACH COPY of this contract. .1 CANCELLATION POLICY: g` Your right to cancel this contract is limited to the following: 11ved and accepted (owner) date You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this approved and accepted (owner) transaction. See the attached Notice of Cancellation form for an explanation of this right. Steve Kuhlman NOTE: This contract may be withdrawn or renegotiated after 3 approved (contractor) date days from if not approved and signed by BOTH parties. Form RC31-C Copyright © 1996-2012 ACT Contractors Forms (800) 820-5656 www.calform.com Page ONE of 2 Total Pages N/A Yes Mower.pdf TION Colorado Premier Roofing DL 021574 303-789-1107 11652 W. Hampden PI. coloradoprem ier@hotmail. corn coloradopremier@hotmail.com 22.33 F 00.00 No 102 Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? What is the pitch? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) Yes 5/12 22.33 Owens Corning STORM shingles Asphalt Re roof SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full 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 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 may not begin on this property until a permit has been issued and posted on the property. Yes Yes Yes 103 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. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Beth Shull Email not displaying correctly? View it in your browser. 104 i CITY OF WHEAT RIDGE ��Building Inspection Division r (303) 234-5933 Inspection line , F (303) 235-2855 Office • (303) 237-8929 Fax f INSPECTION NOTICE Inspection Type:j Job Address: Permit Number: ❑ No one available for inspection:. Time / U 6N PM Re -Inspection required: YesNc When corrections have been made, call for re -inspection at 303-234-5933 Date: & 'Z'/7 Inspector: )eXIU',.&f-4— DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: %C) r G ❑ No one available inspection: Time 0 1�) 'A-i9l/PM Re -Inspection required: ;YNo When corrections have been made, call for re -inspection at 303-234-5933 Date: ri I �7 Inspector:'" \'1;� 1 DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line _:rA (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: j Job Address: Gi 3 i r Permit Number: l ,_' u (,, Y Q Y_ G / / ❑ No one available for inspection: Time AM" Re -Inspection required f, Ye l N When corrections have been made, call for re -inspection at 303-234-5933 Date: l` l ` �f Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -306 41,0 Job Address: (,33 5' w - Permit Number: _� 0 d q ❑ No one available for inspection: Time 7 AM/PM Re -Inspection required: Yes No When corrections have been made, ca for re -inspection at 303-234-5933 Date: cO 7 Inspector: rnT H DO NOT REMOVE THIS NOTICE oF wr+earq City of Wheat Ridge °ot oRp5° Residential Mechanic PERMIT - 060258 PERMIT. NO: 060258 ISSUED: 04/19/2006 JOB ADDRESS: 6335 46TA AV EXPIRES: 10/19/2007 DESCRIPTION: replace water heater 30 CONTACTS gc 303/421-2161 01-7835 Blue Sky Plumbing owner 303/421-6694 Jolie Mower PARCEL INFO ZONE CODE:: UA USE: UA SUBDIVISION: UA BLOCK/LOT#: DI FEE SUMMARY ESTIMATED PROJECT VALUATION: 550.00 FEES Permit Fe°e 34.52 Total Valuation .00 Use Tax 9•90 TOTAL 44.42 Comments: Replace wister heater I hereby cer[ify 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 a11 measurements shown, and allegations made are accurate; that I have read and agree to abide by a11 mnditions printed on this applica'''ti'''~~^on and that I assume fvll r onsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other applicaq¢e,heat R' ge Or anres, r work under this permit. Plans subject_~.o field inspection. ~ ~ V of contractor/owner date 1. Shis permit was issued in acrordance wi[h Che provisions set for[h in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Huilding Codes of Wheat Aidge, Colorado or any other applicable ordinance.s of the City. 2. This permit shall espire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. 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 wi11 be made in the oriqinal plans and speci£ications and any suspenaion 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 flor a new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. 5. Coneractor shall notify the Building mspector twenty-four (24) hours in advance for all inspections and shall receivewritten approval on inspection card before proceeding with successive phases of the job. 6. The iesuzince of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, an latio _eions of the building codes or any other ordinance, law, rule or regulation. All plan revie je o field i ions. t. Signature date INSPECTION REQVEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. riN of Wheat Ridae PRESCRIPTIVE ENERGY CODE BOILERS I PURNACE-_- S A MINIKALiM OF 90% AFUE GAS WATER HEATERS A MINIMUM OF .60 EtiERGY FACTOR ELECTRIC WATER HEATERS A MINIMUM OF.93 ENERGV FACTOR gETBACK THERMOSTAT REOUIRED (EXCEPT HYDRONIC HEAT) R.21 yypLLS ■ R38 CEILINGS - R-19 CRAWLSPACES 04/18/2006 13:08 ~r ~E9r _ g ~coRno° 3034246495 BLUE SKY PLUMBING COMMUNITY pEVELOPMENT OEPqRTMpNT BUILDING INSpEC710N LINE • 303-234de33 CITV OF WHEAT RIDGE 7500 WEST 29TN AVENUE WHEpT RIpG6, CO 80033 - (303•236-2866) APPZIcAr1oN Properry Address; Contractar Licen.se No.: ` Compeny: j OWNEWCON7RAC7pµ 91GNqTlIRE OF IINDERSTANdNG ANO qOREppeN7 wrmmons pnntep on U1fs Compliance with Ihe Wfieac I R'v,1ge OMinance9, for work PAGE 02 Buildfng Percnit NUmOet + oare: rnon« 6303, 42- 1-(eio9f Va/ualion )Fiqure: $ 1`1`110ama orumances, rmee or re ulatlone of IhE Clty of eementsorrostdctionswreoerd;lhat aumeacvrements V21ue:$ are amurele; ihat I have Bad end apree ta ebide by all pplicatlon antl that I assume full rasponslbility Por Permit Fee:$ lgeBuikingCotle(I,B.C)andallofherappllCable~Mlget Plan Review Fec:$ Wer this permit. Plans subjed to fieltl Intapectlon. ILS wb6 oA,~ rotal:$ Usa of SpaCe (description): Description of work: 9-~R-- WaA"' kkj~ Sq. FL adued Expiration pate: Expiration pate: Explration Date: A.Pproval: Approv8l: Approval: (1) TnispermltwBSissueEineccortlance wi[hthepmNsipnssetfarthlnyourappliCationandiasubjeclminelawsoFtheStateof Colaretlo and w She Zoning Regulatlons antl BuilCinB Cales of Nmeat Ritlge, Calanqo or any other appllca6le ordinances of the Clry. (2) This permit shall oxpire if (A) tne work aumarized is not commencad within sizly (90) days from issue date vr (B) tne bulltling autnodzea is suepentletl ar abanCOrred for a pedod of 100 days. (3) Ifthls pefmRexpifes, a new permA may be acquired far0 fBe oTpnC-halflhE gmount normally requlreC, pravldeC no Chanpes have been arwill 6e mBde in Me onginal plgns and specifirations and any suspension or ebandenment hae nat etteedsd one (7 ) year. If Changes have been or if suspension or ahandonment exoaada ane (1) yeaq fun fees snan be paw rora new pertnlt. (a) No wark or arry manner snall ne done tnat will change tlhe naturel Aow ofwaler causing a dreinage problem. (G) Coritractor shall noufy the Bulltling inspedor M1venry-kur (241 nours In atlvance for all InspeGlons and shall recelve written approval on inspection wm before proceeAing with surcessive pnases afUejob. (B) The issuanca of a pertnit ar the appraval of tlrawings anA spedficatians 6ha11 not be construed lo ne a permd far, nor an approval of, any vlolati0n of the provislons of ttie 6uiMinp codes or any other arpinance, law, mle or regalafion. All plan reWow ia sub)oct to fhid inepecqona. Chief Building Otficial EleCtriCal LiC@nse ND: plumbing LiCens@ No: Mech2nical License No: Company: Company: Company: 04/18/2006 13:08 x 3034240495 BLUE SKY PLUMBING Flumbing & Heating, Ti►c. 11680 W. 44ch Ave. Wheat Ndge, CO 80033 303-4Z1-2161 Fax 303-424-0495 FACSIMILB TRANSR4t7'.1'AI. 6HF,.FT TO' NV " FROM! [bMPhNY' nnTE: Fn4F1UA19f;A: ~ 707M1LNOOFPAO&SINLLUUINGLOV6A: ruoNS Nunrns2 aR. ❑ UrtGEN1' ❑ POrt Il&VIGW Ca PL&ARE COMAdQNT I311LEASE AEFLY ❑ PLBd$E RECYCLE PAGE 01 NOTSS/ :OMML• NTS: . ~ t~ ~ I s I ~ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12976 BUILDING INSPECTION LINE - 303-234-5933 Date : 10/18/01 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Properry Owner : Property Address : 6335 W 46TH AVE Contractor License No. : 18464 Phone: 421-6694 Company : B& F Heating & PJC Phone : 431 8914 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby cert'rfy 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 accurete; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance wifh the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : INSTALL 80,000 BTU FURNACE Construction Value : $2,600.00 Permit Fee : $83.25 Plan Review Fee : $0.00 Use Tax : Total: $83.25 Use: , ZC~~ , Electrical License No : Company : Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur appliwtion antl is subjec[ to the laws of the State of Coloredo and to the Zoning Regulations antl Building Code of Wheat Ritlge, Coloredo or any other applicable ordinances ot the Ciry. (2) This permit shall expire if (A) the work aufhorized is nol commenced within sixry (60) days fmm issue tlate or (B) the building authorized is suspentled or abantloned tor a period of 120 days. (3) If this permit expires, a new permit may be acquiretl for a tee of one-halF the amount normally required, provi0ed no changes have been or will be matle in the original plans and specifications and any suspension or abantlonment has not exceedetl one (1) year. It changes are matle or if suspension or abantlonment exceetls one (i) year, full Fees shall De paitl tor a new permit. (4) No work of any manner shall be done thal will change the natural flow of water causing a drainage problem. (5) Contrector shall notiry the Builtling Inspector hventy-four (24) houre in advance for all inspections and shall receive written approval on inspection card before praceediing with successive phases of the job. (8) The i nce of a petmit or the approval of tlrawings and specificalions shall not be construed to be a permit for, nor an appmval of, any violation o( the p io s of e bing cotles or any other ortlinance, law, rule or regulation. ~ - Chief Buildin nspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 qPPLICATIo N ~ Property Owner: Property Address : U63~~ L,~: 41Lo`~'~ft/ C, Phone: ya~ _Cd,cj4 Contrector License No. : I g y(_,, kA Company :&r, t,_ i* P. °Z'Ik. \ryC `T;aY )n# b(-l I I o 1'one :'~-31 - OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDINtZ4ND AGREEMENT I hereby eertify that the setback distances proposed by this pertnit appliption are accurate, and do not viofate appticable orclinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of rceord; that all measurcments shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this appliwtion, and that I assume full responsibility for compliance wilh the Wheat Ridga Building Code (U.B.C.) and all other applicable Whea Ridge oMinanas, for work under this pertn . (OWNER)(CONTRACTOR) SIGNED ' )aL 'L'" DATE 10 i~ ~ Description : \ YlSA Approval: Zoning : lsoucit ~ Approval: Approval : Occupancy : Walls Electricai License No : Company : Expiretion Date : Approval : ~ Construction Vaiue : aU (x, - Permit Fee : g j~ S Use Tax : ~ Total : 8 j . S Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company : Company : Expiration Date : Expiretion Date : Approvai : Approval : (7) This permH was iaaueE in aaaEarwe wiNi the Provisbna aat bM in yopur application erW ia auEjed to the iawa of the Stale of Colorodo aM ro the 2onup Reguletfons antl Buildiny Cotle W Wheat RiCye, CobraAO or any other aDDlicaCle ardinancea of Me Ctty. (2) This anEOn~atl toshall es p noE ~ 20 Eaya.~ a~n~ n nat mmmencetl wMhin aiaiy (80) Eays M1om fssue tlele or (B) Ne DuilEinp auMOrizetl is suapentlW a ~ (1) H mis parmtt expiies, a new pumit mey be acquireC tor a fee ot one-hall the amount nomialty requireA, providetl no cMnqes Iwva Deen w xrill Oe mWe fn the onginal plms antl speeifieatlona an0 airy auspansion w abantlonmmt has not exceeCetl one (1) year. tl cAanges aro matle a M suspension or aEanEOnment ezCeetla oM (1) yler, NII feel sMell bs psitl for a new permit. (a) No vrork ot arry men~r ahall bs Cone thet will qu~e the naN21 Ilav ot waror causing a Orainage proDlem. (5) ContraelM alull notlly the Builtlinp InapaclM IweMyrour (24) hours m advance for all inspections antl ahall iecaive writlen appmval on inspecUOn eard Delars CraceeCiing wiU suaeaalve phasee of tMp' b. (B) Ths iswence of a pertnit or the approval of Amxinqa anC speGfiwtions shail not be construtd ta Ee a permtt for, nor an approval ot, ury vialatqn of the pariabna of the DuiWinp eodes tt airy oMx wEinance, law. mle or requlatlon. Chief Building Inspector