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Home My WebLink About12680 W. 38th Drive6 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTIO NOTICE "30-3- i`` L)"d. x Inspection Type: - Job Address: l'a & S O w 343 t' Z) �- Permit Number: "0 o/ zs v a 6 9 9 it : 1-1-p- /1 Pfd M t, -e ❑ No one available for inspection: Time = / 1 I/pm Re -Inspection required: Yes N0'o When corrections have been made, call for re -inspection at 303 -234 - Date: /0 ct / > Inspector: '_T_ DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE} _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `4�0 Job Address: 6 � 0 c) %' Dr Permit Number: 2 o 1 30 0 ca r 1,-C,? S Cc% ❑ No one available for inspection: Time AM/PM t� Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: s DO NOT REMOVE THIS NOTICE e A Ir, City of Wheat Ridge K Residential Roofing PERMIT - 201702830 PERIMIT NO: 201702830 ISSUED: 06/28/2017 JOB ADDRESS: 12680 W 38th DR EXPIRES: 06/28/2018 JOB DESCRIPTION: Remove 21 squares asphalt shingles to deck, install 21 squares asphalt shingles to code. Owens Corning Duration 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 applIca ble municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le all authorized to include all entities named within this document as parties to the work to be performed and that all or �e e�e is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanyingplans 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 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 an 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 accords ith established policy of all required inspections and shall not proceed or conceal work without written approval of such work r. 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 appy lati n ision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. TO 0Xq 3 0 1 SPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occunaw^y/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) g'- N_ Foundation / P.E. Letter Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Mid -Roof g'- N_ Sewer Service Lath / Wall Tie Plumbing Rough Plumbing/Gas Line Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector IniJJaIs Comments Wall Sheathing Mid -Roof g'- N_ Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge 1-41 Zls- Residential Roofing PERMIT - 201702830 PERMIT NO: 201702830 ISSUED: 06/28/2017 JOB ADDRESS: 12680 W 38th DR EXPIRES: 06/28/2018 JOB DESCRIPTION: Remove 21 squares asphalt shingles to deck, install 21 squares asphalt shingles to code. Owens Corning Duration *** CONTACTS *** OWNER (303)456-6852 SHARP LOWELL R SUB (970)223-2455 John Anderson 170116 Severe Weather Rfg & Restor *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,397.00 FEES Total Valuation 0.00 Use Tax 113.34 Permit Fee 140.90 ** TOTAL ** 254.24 *** 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 A/2 -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 manufacturer&€'"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. The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: Inspector signature: Date of Inspection: The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection Fail Structural roof components N/A Pass L FadVerify that no more than 2 layers of shingles exist Lj N/A Pass L Fal Flashing for roof and walls Pass L Fad If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A ❑ Pass Fad Verify sheathing nail pattern (See Policy & Procedures) N/A Pass Fail Crickets and saddles where needed �! N/qPass -; Fai! Verify B vent must have boot same gauge as pipe ❑ N/A Pass L Fall Verify vent caps N/APass ' Fail Verify no flashings are damaged or rusted ❑N/A Pass; Fad Step flashing shall be min. of 4x4 piece per shingle ../ I y� N/q �L—.y Pass �� Fail Verify scuppers allow for proper drainage L N/A Pass ',r_l� Fail Ice and water shield 2' in heated wall spaces L N/A Pass 'Pail Underlayments must follow 2012 IRC / 2012 IBC N/A Pass Fail Verify roof slope for proper drainage ❑ N/A _: Pass ! ' Fal Dripedge shall have min of 2" overlap N/A Pass ;7 Fail Dripedge should extend down min 2" past roof deck L N/A Pass L Fall Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass L 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 L Pass _ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope .� -N/A J Pass Fail Above roof insulation R-25 -E�/A L Pass !_ Fail Below roof residential R-38 Pass L Fai! Below roof commercial R-32 �� 7 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 Shingles Reguir ments N/A ss ` Fa 1 M roof shingles shall not be installed on slope less 3:12 u N/A i1 Pass a, Metal valley flashing shall be the same material as roof J N/A L Pas Fail valley flashing shall extend a min of 8" from the centerlin a min. of 3/4 " high splash diverter rib built-in at the bre line with sections overlapping a min. of 4" Tile fs R irements L N/A Pass : a! Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 412 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name: Inspector signature: Date of Inspection: v Z The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection _ d55 _..J Fd 1 Structural roof components '_1 N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist n N/A 5K Pass ❑ Fail Flashing for roof and walls t,-- ❑Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) /A it Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) N/A Pass ❑Fail Crickets and saddles where needed 71 N/A Pa55❑ Fail Verify B vent must have boot same gauge as pipe I N/A Pass ❑ Fail Verify vent caps N/A ,,_, Pass L.] Fail Verify no flashings are damaged or rusted N;A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ;�:,! - Pass j l Fail Verify scuppers allow for proper drainage N/A Pass ❑ Fail Ice and water shield Z in heated wall spaces N/A Pass 1 Fail Underlayments must follow 2012 IRC / 2012 IBC r N/A Pass ❑ Fail Verify roof slope for proper drainage i J NIA Pass Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck N/A Pass ❑ Fad Dripedge shall be mechanicaly fastened 12" OC Pass ❑ Fal 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 A , 1 Pass ( Faa Modified Bitumen, EPDM, TPO min slope 1/4:12 slope —] Pass -' Fail Above roof insulation R-25 �N/A 71 y/A❑ Pass FailBelow roof residential R-38 1A ❑ Pass _ Fail Below roof commercial R-32 i Pass F3,1 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 Shingles Requirements N/A s -! Fad Metal roof shin es shall not be installed on slope less 71 N/A Pass - Fal etal valley flashing shall be the same material as roof - NA - Pass _ Fail valley flashing shall extend a min of 8" from the centerlin a min. of 3/4 " high splash diverter rib built-in at the line with sections overlapping a a min. of 4" Tile s ui� rements N/A ,_; Pass L Fai Clay and concrete tile shall have a min. 2-1/2:12 slope Slo .12 and under require double underlayment The City of Wheat Ridge Third Party Form Check List Property Address 7146L Permit Number 1al-4-b'L 83b Permit Issued Date C, (e IL I Owner Information Property Owner Information Property Owner Address Inspector lnformatlQa f- �0 Inspection Company Inspector Name 4114 q -4A - Inspector Contact info. ?4, A,Z]_T ' ___ Inspector Statement andAcknowle4gernent, 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 compliaM the minimum requirements of the 2012 IRC and 2012 IBC as well as all Cit 7FRIdge Policies and Procedure and Manufacturer's 'o recommend ations,�s(n ications. Inspector: z Date: *1 hearby acknoyj�dge 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 Wheat Rid Buil D' ision inspect' n. Date: Propery Owner/Agent: 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; 7f26/17 Please add note to reverse side City of Wheat Ridge Residential Roofing PERMIT - 201702830 PERMIT NO: 201702830 ISSUED: 06/28/2017 JOB ADDRESS: 12680 W 38th DR EXPIRES: 06/28/2018 JOB DESCRIPTION: Remove 21 squares asphalt shingles to deck, install 21 squares asphalt shingles to code. Owens Corning Duration *** CONTACTS *** OWNER (303)456-6852 SHARP LOWELL R SUB (970)223-2455 John Anderson 170116 Severe Weather Rfg & Restor *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA ! Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,397.00 FEES Total Valuation 0.00 '.'` Use Tax 113.34 Permit Fee 140.90 ** TOTAL ** 254.24 *** 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 A1/2 -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€''ms 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. .. i le City of Wheat Ridge V Residential Roofing PERMIT - 201702830 �y PERMIT NO: 201702830 ISSUED: 06/28/2017 JOB ADDRESS: 12680 W 38th DR EXPIRES: 06/28/2018 JOB DESCRIPTION: Remove 21 squares asphalt shingles to deck, install 21 squares asphalt shingles to code. Owens Corning Duration 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 t am the legal owner or have been authorized by, the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfrmed and tth/hha�at all work to bei erforme isdisclosed in this document and/or its' accompanying approved plans and specifications. a,�,Z/�- 1 �� !z =, r-� 1/71/ 7v /7 - — Signature of O"ER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying dans 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 Offial and is not guaranteed. 4, No work of an 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is s ct to field insion. Signature of Chief Building Official 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 insptimerequestgei.wheatridge.co.us ei.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. n (::,-u 3(3 Antoinette Kulicky From: no-reply@ci.wheatridge.co.us Sent: Friday, June 16, 2017 5:56 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application 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 111�� are on the property? PROPERTY INFORMATION Property Address 12680 W 38th Dr Wheat Ridge, CO 80033 Property Owner Name Property Owner Phone Number Property Owner Email Address Becki Sharp 3034656852 IsharpO7l1@gmail.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Becki Sharp Contractor's License 170116 Number (for the City of Wheat Ridge) Contractor Phone 972232455 Number Contractor Email Address home@severeweatherroofing.com (permit pick-up instructions will be sent to this email) Retype Contractor Email home@severeweatherroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 21 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? K TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 21 Remove 21 squares asphalt shingles to deck, install 21 squares asphalt shingles to code. 2100.00 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 John Anderson Email not displaying correctly? View it in your browser. 3 0 0 SEVERE WEATHER ROOFING, LLC 3307 S. College Avenue, #22o, Fort Collins, CO 80525 Phone: 970-223-2455 Email: home(Psevereweatherroofing.com CONTRACT Owner Owners Insurance Company 0v(--z?r7 -7RZ i �NoAP R� iOrn:a�f�P�a/l% Address Adjuster/Claim # 5-owo 392 532 Dr r►?�(�N, e J21� .tea &tel yt Y�3(A City, State, Zip Representative 16(4.-r eM3.3 1y,`k4 S'�/oma - 9 4O - Vis' Contact No. ff)3�)3e -&b - -g Email [,5'k4fip J10111&J,.p% /.corms 303 - ZqZ -(off Supplements: ROOF SPECIFICATIONS SIDING Tear Off: (!q No I # layers roofing Brand: Install Underlayment: Slb 30lb Synthetic 414— Style: Install: 4D i-+ % tl r— e a Brand shingles / / � / Housewrap/Insulation:_ Style::pli, a ars Year: ,�IM I{C/ L.0 A711,Replacement Elevations: j()�Color. p Ru '�l .K #SQs: -21.33 l5icU-�,Replace Wood Fascia: y Ice/Water Shield: Z- ft. from eaves & Z- .f�t. from va ley> � Fascia: Install New Drip Edge: Z- X Z -Color: 444 bae &, ar 1"-,4Wrap : Install Lead Jacks 1.5" 2" 3" 4" _ 5" So Vents:-514hWccL. Color 4<4 Valley: Open Closed Type: N /� # SQS ,Ri5-a r Left Right _LFx =_ Color: Color: Color: Ridge: --Pru [ Ridge vent: Y N LF ADDITIONAL SPECIFICATIONS Roof Pitch: L4 /12 #Stories Open Soffit: Ye5l� Vaulted Ceilings: Yes No Placement of Materials: Z* F a Lr ✓e a✓t _ Redeck: Yes Emergency Repairs: Damaged Wood: Plywood@80/sheet 1X@7.00 / LF Existing Interior Damage: GUTTERS & DOWNSPOUTS J PER INSURANCE SCOPE o��RemL.h �pUReplace LF S" Gutters/41.3 Z LF 2x3 Downspouts ove & ep ace LF 6" Gutters LF 3x4 Downspouts Colorl/au�11 Install Leaf Screens: YesNo Special Instructions: / Z S At, a t{.i ,,ovl< rice .,mac ar n� er� All material is guaranteed to be as specified, with any applicable manufacturer's warranties. All work to be completed in a workman- like manner according to standard practices, with a 10 year warranty on workmanship (2 year warranty provided by SWR and 8 years provided by Owens-Corning, subject to the terms and conditions thereof). All specifications and costs are based upon damages known to exist at the time of this contract. Any other alteration or deviation from above specifications involving additional damages or costs will be executed only upon written change orders, and will become an extra charge over and above the costs reflected in this agreement. Roll yard & driveway with magnetic nail sweeper Clean-up & haul away work debris APPROXIMATE DATES OF SERVICE: -7130 PAYMENT SCHEDULE: Agreement Amount: $ Roofing: $ Gutters: $ Other: $ X13 3 a i Supplements: $ Overhead & Profit: TOTAL AGREEMENT AMOUNT$ --rap ALL PAYM.E%TS SF!ALL BE MADE PAYABLE TO SEVERE WEATHER ROOFING, LLC. SEVERE WEATHER ROOFING, LLC, SHALL HOLD IN TRUST ANY PAYMENT FROM A RESIDENTIAL OWNER UNTIL SAID CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORKS ON THE RESIDENTIAL PROPERTY. The above prices, specifications and conditions are satisfactory and are hereby accepted by Owner and subject to the additio 1 provisions set forth below and which are expressly incorporated into this contract: (Owner Initials) PROP OWNER'S RIGHTS AND RESPON IBILITIES 1. This contract is between the property owner(s) ("Owner') and SWR rSWRJ only, and Owner represents that helshe owns the property on which the work is to be performed. SWR will work in good faith with Owner's insurer as needed for any insurance claim relating to replacement or repair of the items reflected in scope of work set forth above, but the insurer is not a party to this contract. To aid in this process, Owner must promptly provide SWR with all necessary insurance Information relating to repair or replacement of the roof and other relevant portions of the premises, including copies of all insurance estimates and supplements thereto. 2. Cancellation: Under Colorado law, Owner may rescind this contract as follows: a) For any reason, within seventy-two (72) hours after entering it. No materials or products will be delivered to the property until this rescission period has expired: or b) Within seventy-two (72) hours after Owner receives written notice from his/her insurer that a claim for payment for roofing work on the property is denied in whole or in part. This right of rescission does not apply when the insurer denies, in whole or in part, a claim related to a request for supplemental roofing services, if the damage requiring the supplemental roofing services could not have been reasonably foreseen as a necessary and related roofing service at the time of the initial roofing inspection or the execution of the initial roofing contract. Owner is still legally obligated to pay for any work actually performed on the premises by SWR and/or its subcontractors, as well as for any materials involved in said work, in the event the insurer fails or refuses to make payment Owner is also legally obligated to pay for any upgrades or additional work requested by Owner and not approved by the insurer. c) To be effective, Owner must give written notice of cancellation under (a) or (b) above either postmarked or delivered in person to the address for SWR listed at the top of this contract within the prescribed 72 -hour period. 3. Prior to roof installation, it is the sole responsibility of Owner to remove any breakable/valuable objects from the landscaping, as well as pictures and valuables that may hang on interior walls, ceilings, mantles or shelves. It is an expected part of such work that noise and vibrations throughout the structure will occur and cause items to crack and/or fall. SWR will not assume any liability for these types of expected damages. 4. Owner is responsible for obtaining any necessary reviews and approvals of roofing or siding materials and colors from the governing homeowner's association or other entity. 5. if work to be performed under this contract is being paid for in whole or in part by Owner's insurance, Owner is responsible to obtain the release of such funds from the owner's mortgage company and/or insurance company. Owner is responsible for payment of all amounts due upon immediate receipt of said funds, but no later than 30 days from substantial completion of the project, with all payments made payable to Severe Weather Roofing, LLC. In the event there is a pending municipal inspection, Owner has the right to withhold 2% of the total job cost until inspection has passed. All amounts 30 days past due shall bear interest at the rate of 1.5% per month, compounded monthly, until paid in full. er initials) SWR'S RIGHTS AND RESPONSIBILITIES 1. Under Colorado law, SWR cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to any insurance claim for payment for roofing work on residential property. 2. SWR shall maintain general commercial liability insurance covering its operations under this contract. At the time of the executio f is feemen.L,Said coverage is provided by: 3. SWR has the right to subcontract any part of, or all of, the work herein. 4. SWR shall not be liable for failure of performance due to labor controversies, strike, fire, hail, weather, inability to obtain material from usual sources, or any other circumstances beyond its control. 5. SWR shall not be liable for problems due to improper ventilation, pre-existing structural problems, or the appearance of the roof due to irregularities in the underlying roofing system. SWR will inform Owner of any dry -rot or other sub -roof deterioration which is concealed and is discovered during the course of the work. SWR is not responsible to repair any such discovered deterioration and any work done by WR to remedy such issues will only be done as extra work on a written change order. SWR also is not responsible for any mold or asbestos abatement, removal, or encapsulation, or any removal of lead paint, unless expressly stated herein. 6. SWR will use reasonable care in the work to be performed under this agreement, and Owner understands some minor damage to the premises may occur due to the heavy nature of the work. SWR is not responsible for scratching and denting of gutters. oil droplets in the driveway, cracks in concrete or damage to plants or trees. Furthermore; SWR will not be responsible for exterior damages such as broken or fallen crown molding or stucco, solar panels, cooling units, skylights, and other similar objects. SWR also is not responsible for damage to unforeseen concealed items such as cables, wires, water pipes, electric lines, and other items. 7. Upon completion of the work, SWR will make diligent efforts to remove all project debris and excess project materials; said excess materials are the sole property of SWR. SWR will leave the premises in a broom clean condition and will make a magnetic sweep of the eve line and surrounding walkways. However, SWR does not guarantee the removal of all nails from the project area, and SWR shall not be responsible for any debris consisting of dirt, dust, asphalt or small bits of materials that settle into attics, garage areas or any other surrounding areas. Said debris is unavoidable and an expected result of this type of work. 8. In the event of Owners default under this contract, Owner shall be responsible to SWR for payment of all attorney's fees and costs incurred by SWR in enforcing the terms of this agreement. SWR also reserves the right to place a mechanics lien on the property as allowed by Colorado law. {� JD1 er initials) GENERAL PROVISIONS 1. if any provision of this contract shall be held invalid or unenforceable, the remainder of this contract shall not be affected thereby and shall continue to be valid and shall be enforced to the fullest extent under Colorado law. 2. Any dispute or controversy between Owner and SWR as to the terms of this contract shall be governed by the laws of the State of Colorado and venue for any legal proceeding shall be in Larimer County, Colorado. ACCEPTANCE OF AGREEMENT: We, the undersigned. have read and understand all statements and conditions of this contract and agree that all details of this agreement are accepted and satisfactory. We further understand that this contract constitutes the entire agreement between the parties, supersedes all prior written and/or oral agreements, and that any further changes or alterations to this contract must be made in writing. Owner.Date: Severe Weather Roofing, LLC By: Date: Title: i CITY OF WHEAT RIDGE} _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `4�0 Job Address: 6 � 0 c) %' Dr Permit Number: 2 o 1 30 0 ca r 1,-C,? S Cc% ❑ No one available for inspection: Time AM/PM t� Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: s DO NOT REMOVE THIS NOTICE 1 113,12 Sub Contractom: of s ace (de p (.i-� .. .. crip Ion of WO W&n YAIM. 1, �p I a C &i � Plart Review (OW at tit" of Submittal). $ l ~ .r M, I • i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION{ NOTICE Inspection Type: G) Job Address: tp !R) 2 s Permit Number: s`r ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No i ' When corrections have been made, call for re-inspection at 303-234-5933 Date: rQf/) Q Inspector: f DO NOT REMOVE THIS NOTICE INSPECTION RECORD Occla�ancVITVDe 'VINSPECTiON LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. Electrical Lath / Wall tie Plumbing Mid -Roof INSPECTOR MUST SIGN ALL 8PACE69 PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Fire Department Gas Piping R.O.W S Drainage Stemwall / (CEG) Concrete Encased Ground - "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, . BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines POU NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ry rwvn UN I IL HbUVE "AS [SEEN JIGNED ROUGHS Sheathing Electrical Lath / Wall tie Plumbing Mid -Roof Mechanical Electrical Service Roof Rough Electric Building Final Rough Plumbing Fire Department Gas Piping R.O.W S Drainage Rough Mechanical - FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W S Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking $ Landscaping "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, . BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. a l 1k OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929. Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ~Lf~r1 ❑ No one available for inspecti Time If ~f AIJV PM Re-Inspection required: Yes .No "When corrections have been made, call or r -i7,~ action at 303-2345933 Date:' Inspector: P;a(! , DO NOT REMOVE THIS NOTICE oFw"rR City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan r cOLORP00 Inspection Line: 303-234-5933 Permit ` ( Building Permit Application Property Address: Property Owner (please pfinC) , n G~ Ac j-n Phone: Mailing Address: (if different than Address: Zip: Contractor: Contractor License Q L Phone: 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): C \Q~t y t~\ t p\~ Construction Value: s Description of W rlrk ' ~ ` (as calculated per the Building Valuation Data sheet) (~l(t 1 304 i \h f Plan Review (due at time of submittal): S Sq.~FL/.:L..FFtt added: Squaress f- 1 tB/T`U'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 pEEW ection. CIRICE ONor P ERSONAL1~EP T+@TIVE of OW NER~(CONIRATOR) PRINT NAMSIGN, TIfRUltj~ t l(nar... l~ i ~~~1 I E: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 12179 BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE Date : 5/21/2001 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner : Property Address : 12680 W 38TH DR Contractor License No. : 17152 Phone : 456-6852 Company : Precise Plumbing Phone : 534 0881 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 acwrate; 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : REPLACE WATER HEATER, READY FOR INSP. Construction Value : $450.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $23.50 Use: 'O10 BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Occupancy : Walls : 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 permii was issued in accordance with the provisions set forth in yopur application antl is subject to the laws of the State of Colorado and to the Zoning RegWations and Building Cotle of Wheat Ridge, Colorado or any other applicable ortlinances of the Ciry. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the 6uilding authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquiretl for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and speciFlcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceetls one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done thatwill change the natural flow of water causing a drainage problem. (5) Contrector shall nohry the Building Inspectortwenty-four (24) hours in advance for all inspec[ions and shall receive written approval on inspection card before proceediing with successrve hases of the job. (s) The issuan o a per it e approval of drawings and specifra[ions shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions of the, g ther ordinance, law, mle or regulation Chief Building DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILOING INSPECTION DIYISION - 235-2855 _ CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : . Property Address : 5f'o Ci~'; Convactor License No. : / 7/ f-12, CompanY: P- le cise -:Z;; C- ~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hemby Certify that Ne setbaCk tlisUncE3 OroposGO Oy this pGfmrt appltCition are aCCUlate. anC tlo not violate aoounbk oramances. rubs or rcguuuons of Ne Ciry of Wnea[ Ridge or covenancs. easemenrs or rcstnaions of recor0: Nat a11 messummertts shown. ana allegatrons rmatls are accun[e: tnat I have Maa an0 agroe w abXtle Dy ail conOdions pnnteC on this appucatlon. ana mat I assurt+e full rcspons6dityfor campnance wNh the Wheat Rid9e Buildiny Code (U.B.C.) and all oMm appiieabb YJhan Rpge acmanees. forwork under Mia perma. (OWNER)(CONTRACTOR) SIGNED-,1'Q,*'0-i ,iLc•~/ DATE Phone : ~ r4-2- 3 c 3~ Phone 8'9'/ ConsWctionValue: Pertnit Fee : 2i Sc' USeTaX:,CP-0^5 F'''O;' Tota1: 2 3 S 4 Description : r.V/ c e Ava. ~ rr Ad re'o~ ~`7 ~P - BUILDING DEPARTMENT USE ONLY Z~[f~1f'L'IIb'fineRti~ Approval : Zoning : APProval . Approval : Occupancy : Walls : Roof : Stories : Residen8al Units : Electncal License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiratlon Date : Expiration Date : Expiratlon Date : Approval : Approval : Approval : ~ cPXn"s:R~qufred~ ~ ~RO[iis.ReZlu~'.'~~1 ~ F'AiEmznum.~ (1) This cermrt was iswea n acmrvanee r.m me prwnqns set lorv+ n yoqu aoWnuon ana u suqect ro tne uwill d Ne Slate of Cobraoo ana m tne Zawg Reguuuons ana Builemq Coae of WTeat Riaqe. Co:aaoo w ary ana aOW~as oroinances ol Me City. (2) This pertnrt snyl espue d fAI tl+e wonc autnonzea u noi comrronrao rnpun aury (60) CaYa hom issue Cap or (8) the OuilCUp authonzeu u ausGSrWaC a aDanaoneo for a eerao of 120 aays. (7) If tNfpermn esoircs. a new pemM mry oe acpwrw tor a I" d onMaM Me smoun[ nortnelly mquusE. prwaeC no Uarpot naw Deen or witl W mWe n IM onqwi pans ana speatanona ana ury ausoansan a anan0onmem naf not exeeeow me (1) yeu. ii uarpes are maae a A suspenawn a awn0owneen exceeas one 11) Yeu. lull fnes fMU Ce wn for s new oemrt. (4) No WOlIt O( ]try rttiM!! SMII DO 0011! Ni( MMI tllinq! Qb n][Ulfl IIOW DI Wi(K mYLt1Q i 0lLM9R pfODbT. (5) Convaceor snan nouN the BuiWinq insoeuu nvenry.rour (34) nours m awanae 1or an mspscoons ana Matl recnve wntten aoProval on inspernon ura CMaa proeeetlnnqwitn successrve onases of Ne po. (6) Tne usuance of a xrmrt or tne aoorwai or pnwinqs ano soeafinbons snan not oe construca to De a permnly, nor an apProvai of. any viqauon W ma provuqna or me owiomq oooes or any omer ommance, iaw, m:e a requuuon. Chief Bwlding Inspector For Mayor THIS PERMIT VAIID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 2345933 24 HOURS PRIOR TO INSPECTION BUILDING INSPECTION DNISION - 235-2855 CITY OF WHEAT RIDGE Date :7/14/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : SHARP LOWELL R Property Address : 12680 38TH DR Phone : 456-6852 Contractor License No. : 18370 Company : Shortridge Builders, Inc. Phone : 478 2687 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 conditions printed on this application, and that I assume full responsibility for mpli e with Wheat Ridge Building Code (U.B.C.) and all other applicable Wh~Rid~rdi ces,, f~u rk under this permit. Description : REROOF DATE 7' l ' Construction Value : $1,926.00 Permit Fee : $45.00 Plan Review Fee : $0.00 Use Tax : $2$•$9 Total: $73.89 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permit was issued in accortlance wiih the provisions set forth in yopur application and is subject to the laws of the State of Coloratlo and to the Zoning Regulations antl Building Code oF Wheat Ritlge, Coloratlo or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue tlate or (B) the building authorized is suspentled or abantloned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been orwill be made in the original plans antl specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done ihat will change ihe natural flow of water causing a tlrainage problem. (5) Contractor shall notify the Builtling Inspector Fxenty-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of thejob. (e) issuance of a permit or the approval of tlrawings antl specifcations shall not be construed to be a permit for, nor an appmval of, any violation of the pmvisions We building codes or any otherpfdinance, law, rule or regulation. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION m 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 Property Owner : Property Address 3'E~ Dc Phone : Contractor License No. : CompanY : (or- Phone : 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 accurete; that I have read and agree to abide by all conditions printed on this application, and that 1 assume full responsibility fRr comance wijlf~e Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ripge ord' nces,/for,arork under this permit. ~Z' y If-4 5e- -2 1 ConstructionValue: (q2(- Permit Fee : UseTax: Total : (OWNER)(CONTRACTOR) SIGNEL) DATE Descri tion : F Y<z{ P t2~bf~ 0~Ig'JZzG4q : l-L~Q''~• vsral~ ~~o F~+.,r U~a~e2,ct~~a~~-c BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approval: ~ Approval : Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : aq Mm"S~M uiF6"Fl; (1) This permit was issued in accortlance with the provisions set forth in yopur application and is subject to the laws of ifie State of Colorado antl to the Zoning Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry. (2) This permit shall expire if (A) the work authorizetl is not commenced within sixty (60) days from issue date or (B) the 6uilding authorized is suspended or abandoned tor a periotl of 120 days. (3) If this permit expires, a new pertnit may be acquiretl for a fee of one-half the amount normally required, provitletl no changes have been or will be made in the original plans and specificalions and any suspension or abantlonment has not exceedetl one (1) year. If changes are matle or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permif. (4) N'o work of any manner shall be done ihat will change the naNral fiow of water causing a drainage problem. (5) Contrector shall notify the Building Inspector hventy-four (24) hours in atlvance for all inspections and shall receive written approval on inspection cartl before proceediing with successive phases of the job. (6) 7he issuance of a permit or the approval of drawings and specifications shall not be consirued to be a pertnit for, nor an approval of, any violalion of the provisions of the building cotles or any other ordinance, law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION 70 DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AveNUE 6UILDING INSPECTION DIVISION PERMIT N0. M914k17255 237-6944 EXT. 255 P.O. BoX 638 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW. JOB ADDRESS ~~L AP ATION FOR MISCELLANEOUS PL~FIIT ~ OWNER I^ G:=1 CONTRACTOR ~ y C.C-a" e~s-C'i ' Z"~ nuuntss ~ ~ - PHONE ZIPCODE ADDRESS / CITY le 4t/2127 ' Z I P CODE CONTRACT P ICE $ / DATE TYPE Ground❑ I Wall❑ Proiectinp❑ Other SaDFeu SIGN$ . 2. MATERIAL ILLUMINATION Yes❑ No❑ 3 TYCs Tolal Squara Feat Elxt. Psrmit No. . 4 SET BACK FROM PROPERTY LINE N (Speci}y whichiefronl) _ ❑ 5_ E ❑ - W ❑ ❑ Zone_ Approvsd, 2one Inapsctor DiaopDroved 1. TYPE Solido Mon Than BO% ODen[:] MATERIAL Lese Thon 8 0% Open Hdaht . FENCES 3. SET BACK FROM PROPERTY LINE N (Specity whiehiefront) _ ❑ 5_ E ❑ _ W ❑ ❑ Zms_ AODrwed,Zons Inspeeta DisoDDroved I . 2 ~ OTHER . 3 . DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhv DISTANCES FROM PROPERTV LINES. (SETBACNS OR PROJECTpNS INCIUDED) SPECIFY NORTH STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGUTAR LOTS, SHOW LEAST DISTANCE TO PROPERTY I.INES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHAINICAL PERMIT THISAPPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATEO WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. uFanniT WII I. FxPIHE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUMINUMWIREUNDERSIZEBILLEGAL FLOOR BSM IST 2ND 3RD 4TH N0. FUEI%CircleOneCwpolProponeLoolElxSolor Np, WATER ClASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEWSERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISF REFRIGERATION SYSTEM POWER SUB-CIFCUITS WATER HEATER Refri eront Group UTILITY (RANGE, DISPOSER, ETC.) AUTO. WASHER Pa+nds Chor e FIXTURES DISH WASHER AUTOMATIC SPRINNLER SYSTEM WIRING MOTORS d CONTROl.S FIDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIxTURES I hsreby ocknowledqe that this applica- tion is Correct and understand ihat I e0nnof start fhie projetf until this appli- eation ia opproved. I shall comply with fha lawe of the Stote of Colorado ond fo }hs ZoninQ ReQulations ond Buildinq Code offhe City af Wheat Ridpe. Any violotion ol ihe obove ///ttterme will pausb immediate revocaoni this per4ni PERMIT FEE I USE TAX I as.as I I TOTAL FEE i $ 7 q, a~'\- I ~ RECEIPTED 8-a3``'( 6 6 CHIEF BUILDING Date ,City of Wheat Ridqe -2- 3 cq J CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS