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11658 W. 39th Place
City of �r'- Wheat�idge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permits(&ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: &(5 W 'Stay tXM �l l Permit #� � ��.�3 I Property Address: i i C.o� • 01 � t 'Pa tk ( . Phone #� ✓ =� " L� LO Email Address:�•5 S %� �j jy1� , com Reason for extension request: WC�( V_ Number of days requested: 4 Printed Name:( Signature:Date.-I.- La 1 I I _CA4�9 'Nr" 2/ 3 � PI'SW. tAI)ACrI VA01 )J, P)_J77_� For office use only I r / This request has bee proved ❑ Denied Extended until: ` 0 I l s Approved by: Date:__ % 1_ www.d.wheatridge.coms City of `W heat Ride COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permits0ki.wheatridre.co.us or fax to 303-237-8929. Party requesting permit extension: Permit # ZO0d `S3Property Address: f� (,Qe� v Phone #3C6_*93' Z_UEmail Address: m Reason for extension request: 1 f ey) Number of days requested: -30 — Printed Name: For office use only This request has Approved by: Signature: Date: roved Denied Extended until: g1 -g► IIs Date: 3 jig www.d.wheatridge.co.us City of `W heat Ride COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 may 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. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at permits0ki.wheatridre.co.us or fax to 303-237-8929. Party requesting permit extension: Permit # ZO0d `S3Property Address: f� (,Qe� v Phone #3C6_*93' Z_UEmail Address: m Reason for extension request: 1 f ey) Number of days requested: -30 — Printed Name: For office use only This request has Approved by: Signature: Date: roved Denied Extended until: g1 -g► IIs Date: 3 jig www.d.wheatridge.co.us 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: LI S9 F- Job Address: 1) L 5 � W 39 1}-, PL Permit Number: a 1 n S 3� �r9 IV o T1 ,2 r ❑ No one available for inspection: Time I �( 6_�/PM Re -Inspection require Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date: E� a �} I Inspector- DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �i Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOT E Inspection Type: MTV Job Address: & Se- to >' Permit Number: d/ 70 25..E 7 ❑ No one available for inspection: -Time _^.--_.. AM% M Re -Inspection required: Yes, No When corrections have been made, call for re -inspection at 3�03/-234-5933 Date: �I3 7 Inspector: )01V DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201702537 PERMIT NO: 201702537 ISSUED: 06/26/2017 JOB ADDRESS: 11658 W 39th PL EXPIRES: 06/26/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Presidential Impact Resistant asphalt shingles with 56 sq. *** CONTACTS *** OWNER (720)367-7451 NEWBY WILLIAM H SUB (303)593-2761 Caine Knapp 170225 Gold Star Premium Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,900.00 FEES Total Valuation 0.00 PAID Use Tax 333.90 Permit Fee 299.40 ** TOTAL ** 633.30 --� *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A34 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€T'"s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge �r Residential Roofing PERMIT - 201702537 PERMIT NO: 201702537 ISSUED: 06/26/2017 JOB ADDRESS: 11658 W 39th PL EXPIRES: 06/26/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed Presidential Impact Resistant asphalt shingles with 56 sq. 1, 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 thisermit. 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 be performed is diflosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief 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. 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 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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to geld inspection. Signature of Chief Building Official %a Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheah-idge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dan Schultz cP6l?()2s37 From: no-reply@ci.wheat ridge.co.us Sent: Wednesday, June 14, 2017 9:58 AM 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 based on volume. 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 11658 W. 39th PI. William Newby 7202367451 Field not completed. $ v33. 30 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 Gold Star Premium Roofing 170225 3035932761 Contractor Email Address jspearsgspr(a�gmail.com (permit pick-up instructions will be sent to this email) Retype Contractor Email jspearsgspr(a�gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No VX Certain -teed presidential IR Asphalt Field not completed. 56 No Field not completed 2 TOTAL SQUARES of all 56 roofing material for this project Provide additional detail House 8/12 here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 15,900 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 Caine Knapp Email not displaying correctly? View it in your browser. 3 app BBB. Gold Star Premium Roofing Inc. 1425 Brentwood St" Ste 14 Lakewood, CO 80214-4064 SERVING THE FRONT RANGE SINCE 2009 Licensed and insured for Your protection C%vJF� [C7r:NING PaopartirOvinerts) C -tarter William Newby Prowl Date 5/2512017 Property Add—a 11658 W. 39th PI. Primary Phone 720-236-7451 may, state Zlp Wheat Ridge, CO 80033 secondary phone Itlstttaltee Gtllnptmy Claim # Allstate CL##045793753fl Er+� tees williamnewby@comcast.net m Tear off l layers) of composition & tayer(s) of ® Standard ridge JDHigh profile ridge Q Inspect decking ❑ Install decking FlInstall ridge vent m install starter course of shingles -entire perimeter Install turtle vents ElInstall Vents ❑ Install 15 # felt Install 30 # felt EZ] Install pipe jack flashings ®Install furnace cap Install ®Paint pipe jacks to match roofing color Q Install ice and water shield on [:]Detach and reset ® Install drip edge - color I] Remove and cover ® Install reinforcement in valleys using vallev metal 0 install beauty course of ridge shingles on headwalls IDClosed valteys[]Open valleys Ot�tDetaeh and reset satellite �emove satellite Replace step flashing on sidewails, chimney and skylights OClean up & remove trash 0Sweep with magnetic roller ZInstall 6 trails per shingle throughout field area mClean out gutters Provide building permit [IRoofrng product ORegister Manufacturer Warranty ® Rooting color 0 Gold Star Inc. Five Year Roofing Labor Warranty �Manufacturer Warranty ® Gold Star Inc. $2,000,000 Liability Insurance �] Special Instructions/Additional work Root paint, gutters Approximate Oates) of service- 7/25/2017 E (mated mat (gown)! 15,000 + supplements ( Gold Star Premium is not nssponsibie for any property and casualty insuran a carrier's delay or denial of an insurance claim, in wholes Orin part). Incurred (rusts with OR (Final Invoioe): Gold star Premium acting as General Contractor, standard industry practice is to assess 20% fee in excess of the retail rate for tabor and material provided on each trade performed. As such this fee is an incurred cost and will be included in the final invoice. The Charge is part of Replacement Cost Value'RCV" and is to be reimbursed from the insurance company if not already allowed INCURRED CW is the Contract price, alt supplemental payments obtained by Gofd Star or that are paid due to art Appraisal Award or legal setNement are owed to Gold Star upon completion. QThe property owner(s) ("Customer'] authorizes Gold Star Pretnimn , ("Company') to work with their insurance carrier to obtain the full scope of repairs necessary for restoration of storm damage, This "Agreement' is not binding upon Customer or Company until the insurance carrier approves Customers claim and this amount is accepted by Company. upon aocepfance by Company, the amount approved by the insurance carrier will become the final contract prise and Company will receive the insurance proceeds for work it has completed, The Company will complete specified work for noadclitional cost to Customer b-8yond the .' geW c agLo-u t gxceot for the insurance ft&ctible. Customer is Q ( is rot ❑ intending to make payment from the proceeds of a properly and casually insurance policy. If Customers payment is from an insurance claim, then pursuant to Colorado law Company (roofing contractor) "shall not advertise or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the claim for payment for roofing work on the covered residential property," C.R.S. § 6-22-105. The Company shall hold in trust any payment received frorn Customer, until Company has delivered the roofing materials to Custome s property or when Company has performed a majority of the roofing work on Customers properly. 8Y si!J below l W)aL`>' tQ aft rC aUS-ict tOftdltWris OH rrOrti arta ttaClr Of Oft trgrrCCrrttsrt5 and Have been P-~trWke of lire r ht to cancel batA fn Wrllbtg and Customer Company Pmbt*rwgerSlgnature Office ((langur Signature Accepter,ce Date F rom: 08/24/2016 10.*09 #611 P.003/003 JIMIL INSPECTION RECO90 INSPECTION REQUEST LINE: (303) 234-5933 Inspector Must ALL S s Pertinent to ws projec pace -t Foundatii�Mlf� IC iii IIIMI on InspectiSionons -:11771 1 00011 1 act- "#'It M MM Landscaping & Parking / Planning D;.. ROW & Drainage I Public VI 1�ept• Fire Inspection I Fire Protection Dist. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather Rough Plumbing Final Inspections fild • Roof Final Build Landscaping & Parking / Planning D;.. ROW & Drainage I Public VI 1�ept• Fire Inspection I Fire Protection Dist. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather To, gage 2 of 4 •� ..w s :Nf 2016-08-24 16:00,0 (GMT) 1303424049 From: Jesse Lanyon '" .w::C * i;- - � � i t :,e Y 04'. #'J � .. a a a .:.: vx K.': ♦ *� r„ c a.:-., „.„e�: Addr:� * Electrical, il-)f WR . tty License #' tip. City License it 1W.R. City Ucen e Cth or City Licensed uta: Other ClIky Licensed Stag: City License # City License a i a To: Page 3 of 4 2016-08-24 16:00:06 (GMT) 13034240,495 From Jesse Lanyon t* , . 4. .41 , NEWCOMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL,STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIALAWTION WINDOW,REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Gatsgo,:,shed'. Oock etc) ig oil Rt*4y0*,(Contract value or the cost of amaterielsand tabor inducled in the #ALrp- project) ... ...... .. .......... lemma 000��� fflWAVA) X0YrX4CMk tr REPRES,07ATIVE) of (OWNER) :(CWVTRACTOB) wm (lee fk�v, j� I understa-hd i*,chc�klng44� x, tbat1'1Wow1*t that this cwwfituttsa kSal sigtiMurt', City of ZCOMMIiNITY •► ie M s F USE ONLY ,m ..c: , Bu • ... ,. ♦ e ,. ... x x x m • x .. y. a s z. ♦ - x : + x is x t r^ t a s x x. ee ♦ e «"' s r Q r • � a w � *r♦ z + Ele Mum Mechanical: W.R. City Lice # W.R. City License # W.R. City Ucense • as s • x �r Complete all inf ormat i on on BOT sides of t h is $U% toz -zz -ot #100:zL 0v - acs -CO OPTIONS REQUIRED r'k R Occuparicv/TVpe : INSPECTION LINE: (303) L34 -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. � ROUGHS Electrical CONCRETE SLAB FLOOR DATE Electrical (Underground) COMMENTS: Plumbing (Underground) Mechanical Heating (Underground) Rough Electric Roof � ROUGHS Electrical FOUNDATION INSPECTIONS DATE Plumbing - COMMENTS: Footings /Caissons Mechanical Rough Electric Roof ,r 0 _ :. - Building Final Reinforcing or Monolithic Rough Mechanical ABOVE Frarning Fire Department Insulation -j R.O.W S Dra INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping _ INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB ' FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Electrical Service: - Rough Electric Stemwall / (CEG) Concrete Encased Ground . Ro ugh Plumbing - - : Reinforcing or Monolithic Rough Mechanical ABOVE Frarning INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING " Insulation Weatherproof / French Drain Drywall Screw SewerService.Lines Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - Sheathing — Lath /Wall tie _. Mid -Roof Electrical Service: - Rough Electric Ro ugh Plumbing - - Gas Piping Rough Mechanical ABOVE Frarning INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING " Insulation Drywall Screw FINALS - ry t: Ur...!aLL II&MO MUa I. t1b COMPLETED AND APPROVED BY (PLANNING AND ZONING, :BUILDING AND CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CC OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR n� ?�naa rune OCCUPANCY NOT PERMITTED UNTIL CERTIFY PROTECT THIS CARD FROM Ti WORKS BEFORE A EAUTHORIZATION F CF OCCUPANCY IS ISSUED R ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSP CTION_NOTI E CE Inspection Type: Ko� f' n Job Address: S C i 1 `1 P I Permit Number: 0Cti`c) L 2 ❑ No one available for inspection: Time A Re- Inspection required: Yes *When corrections have been made, call for - inspection at 303 -234 -5933 AAA Date: 7'30`) Inspector: DO NOT REMOVE THIS NOTICE ♦ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOT Inspection Type: l Job Address: I/ 6 5 S' 0J Permit Number: y,f .�1 ❑ No one available for inspection: Time AM/PM Re- Inspection required: Yes No When corrections have been made, calf for re- Inspection at 303 -234 -5933 Date: /x Inspector: / � J 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: d~?rty fne) E Job Address: ?f/ ( / l Permit Number: 4-m n `r ❑ No one available for inspectior_u Time AMA M Re-Inspection required: Yes '//j *When corrections have been made, calf ~f/or re inspection at 303-234-5933 Date: 6-,- 00.61 Inspector: P ' 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: lkr i i2AWI; Job Address: 116-59' rv• 3gr P)Aef-~ Permit Number: 07 ~2 lle5 1- ❑ No one available for inspection: Time AM/PM Re-Inspection required: <.Sf~e No "When corrections have been made, calf for re-inspection at 303-234-5933 Date: S Inspector: el_ r DO NOT REMOVE THIS NOTICE ' City of Wheat Ridge Residential Roofing PERMIT - 092485 PERMIT NO: 092485 t ISSUED: 09/17/2009 JOB ADDRESS:. 11658.. W 3.9TH. PL EXPIRES: 03/16/2010 DESCRIPTION: Reroof 54 sqs CONTACTS owner 303/403-4118 Richard Dearing sub 303/763-9114 Lorin Hanson 01-.9938 Interstate Roofing Incorporate **'PARCEL INFO ZONE. CODE: UA.. `USE: `.UA SUBDIVISION: 0125 BLOCK/LOT#:- 0/ FEE SUMMARY ESTIMATED: PROJECT VALUATION: 12,960.00 FEES Permit Fee.. 290.30 Total Valuation .00 ou UseTax 233 .28 TOTAL 523.58 .Conditions:'. 6 nail installation & mid-roof inspection required. Board sheathing spaced more thanes 1/2 of an inch apart requires plywood overlay on entire roof. ice and water shield required from eaveedge to 2' inside exterior walls. Subject to field inspection. 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 acc ate that I have read and agree to abide,. by all conditions printed on this application and that I assume full responsib' ty for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Whea .idge Ordinances, for wor under this permit. Plans subject to field inspection. ~ ~ signs contractor/owner Edate 1 'This permit was issued. in accordance with the provisions. set forth.in your application and is subject to thee. laws of the State of Colorado. and to. the Zoning Regulations and.. Building Codes of Wheat Ridge, Colorado orany other applicable ordinances 'of the city. 2. :This permitshall 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. Ifthis 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 plansand. specifications and any suspension or abandonment has not exceeded one(1) year.. If changes have beenor ifsuspension or abandonment :exceeds one.(1) year, full fees."shall be. paid'for 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. 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 apermitor the approval of drawings and' specifications shall not be construed to be a permitfor, nor an approval'of, any violation of the provisions of the' building.. codes or any other ordinance, law, rule or regulation.: All plan review subject to field inspections. Signature Building. Official date INSPEC ON `REQUEST LINE: (303)234-5933 BUILDING OFFICE.: (303)235-2855 REQUE SMUST BEMADE BY 3PM ANY.BUSINESS DAY FOR INSPECTION: THE : FOLLOWING BUSINESS DAY. City of `f W heat Date. COMMUNITY DEVELOPMENT 1 Permit oqc % Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-89N iil ~y t Inspection Line: 303-234-5933 C LS 1 Facsimile Building Permit Application. PropertyAddress: ~ ~ u rJ Vy J • `1+" Property Owner (please print): Rj (7 rd DtCt r(Y Q Phone: Mailing Address: (if different than property address) Address; City, State, Zip: sad contractors: Company Name: License Expiration pate: TradloProfession: Approval: Use of s ace (description): ~Desttiriaon aiavork: Tea r ,(n--c~d~ "S Plan Review (due tjimeofsubmittal); Sq. Ft./L.Ft added: Squares 5 mot- BTU's Gallons Amps' OWNERICONTRACTOR SIGNATURE Or UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, a6d do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of rec6rd; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed or,this application and that 1 assume full reap OnSibility for compliance with the Wheat Ridge Building Code (I.B,C) and all other applicalifo Wheat Ridge Ordinances, for work undder this permit, Plans subject to fluid Inspection. CIRLCE ONE:: (WNNER')/ (CONTR~yACTcrO.R) /qr PERSONAL REPRESS ATIVE of WNER) (CONTRATOR) / PRINY NAME: OIL ` N iu~~vC~ SIGNATU Date: 16.d O@PARTMENT'11' "0WLY:: aoNirf6CDliitil~e(xa; ' RgviAwer•. arabgiMG+asrlr ct~fd: Cf47GtIPVeNC~t': taSblawiarr.. PIItEtfENJir('tilEMt:: t3'aiad a7mrtt8Yttb 01dosapprdVed ©rna taavlaw " ¢~d - Bldg Valuation: $ Credit Card Payment: Use credit card listed on file, Date: Print name: Signature: 7500 WEST 29TH AVENUE P.O. BOX 638 ThB C/ly 01 WHEAT RIDGE. C080034-0638 (303) 234-5900 cWheat City Admin. Fax # 234-5924 Police Dept. Fax # 235-2949 'GRldge DATE: April 5, 1994 TO: Accountirtg Department FROM: Director of Planning & Development SUBJECT: ESCROW REFtJND Reimbursement requested for escrow funds being held for: 11658 W. 39th Place The Landscaping has been completed to the City's satisfaction. BELEASE TO: Marquis Custom Homes (Lloyd Donnelly) LOCATION: 3000 Youngfield Street - #285 Lakewood, CO 80215 AMOUNT: $500:00 Glen Gidley Director of Planning CJ A.~..y.Jl'di•.~ CERTIFICATE OF OCCUPANCY W N ~ 00 t M W (G CITY OF WHEAT RIDGE 7500 W. 29tn Avenue Date March 29, 1994 Wheat Rldge,Colorado 80034 Single Family Residence I No change shall be made In the use of this bullding without prlor notice and a new I Certiflcate of Occupancy from the City of WheatAidge._ Chief Building Zoning Issued Without Fee This certlficate verifles tfiat the bullding constructed and/or the use proposed of the bullding andlor premises, under the above permit number and on property described below, does comply with the ' Wheat Ridge Building Code, Zoning and other related land use and development laws of the City of Wheat Ridge, and may be occupied for the use specifled. OWNER Marquis Custom Homes ADDRESS 9680 Brentwood 2-202 Westminster, CO 80020 CoN7RnCTOR Marquis Custom Homes, Inc. PROPERTYADDRESS 11658 W. 39th Piace LEGAL DESCRIPTION: FOR THE FOLLOW I NG PU RPOSE W.R. Form 0.9 FOf DATE: March 4, 1994 TO: PUHLIC WORKS DEPARTMENT FROM: Building Department RE: TCO The property at 11658 W. 39th Place has been signed of£ by the Building Department and is ready for a CO inspection. Once the inspection has been completed, please inform the building department as to the status. Thank you. LA ~t J ~~~\f'UJ ~~~~~~~CrJ G o MARQUIS CUSTOM HOMES THIS CHECK IS IN PAYMENT OF THE FOLLOWING r- ~ PAY 1~VIctS ~I DOLLAHS ~ DATE TOTHEORDEROf DESCRIPTION DiSC. 3 ` C.\ O W v GROSS ; F.i C n. FED. w/x caBY PAVqOLL ~ ~ THE FIRST NATIONAL BANK OF ARVADF FRVADA, COLORADO 80002 ~ . PH. 422-1441 I I II-00LO6211" '.1.L0`2002 L LB1: 1062 62-211/3070 CHECK AMOUNT $ po ',ou iism, 55346Il' ~ ~ ooc) C~A, _ ~ ~-o 2~ s ~ . ~ Wac~ 9 ge 04-~) lr•`/ml 7 %/laSd' LcJ. ~Qwu SFJV ~ U2) Wllson Jones • sI5aaaL Carbonless • mnoE irv usa. ~ s„er ~av^ cv 7c T ^ ~ r - . . . . . . 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