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HomeMy WebLinkAbout6660 W 28th Avenuei CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: q0q- pi^Of R60f Job Address: NO 112041, /w, Permit Number: ? 017 7:_- ' ill 4- + 0- q- �R .70/ Oft- ❑ No one available for inspection: Time 015 A0M Re -Inspection required: Yes to,-) When corrections have been made, call for re -inspection at 303-234-5933 Date:Q1110Inspector: /le_ Lair( - ®O 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: y o q- F, n- I Job Address: O w a S y �' Y -- Permit Number: 'moo 0 1-7 v 3-3 3 3 J- r tjc�9�c) reUe C) FJ n D ©r`rG�na �o� Ccti�C�- ❑ No one available for inspection: Time = 3 /PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 i 8 Inspector: -T !J DO NOT REMOVE THIS NOTICE 4, City of Wheat Ridge Residential Roofing PERMIT - 201703333 PERMIT NO: 201703333 ISSUED: 07/06/2017 JOB ADDRESS: 6660 W 28th AVE EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install Atlas Stormmaster-Class 4 asphalt shingles with 42 sq *** CONTACTS *** OWNER (303)907-2606 ACRE JUDY E SUB (303)296-1353 Randy Howard 020789 Colorado Exteriors, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,794.00 FEES Total Valuation 0.00 Use Tax 226.67 Permit Fee 220.15 ** TOTAL ** 446.82 *** 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 one half 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 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. City of Wheat Ridge Residential Roofing PERMIT - 201703333 PERMIT NO: 201703333 ISSUED: 07/06/2017 JOB ADDRESS: 6660 W 28th AVE EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re—roof to install Atlas Stor=aster—Class 4 asphalt shingles with 42 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized 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 performed and that all work to b perrmed �s disclosed in this document and/or its' comp ying approved plans and specifications. 2 `-/' 17 Lo Signature of OWNER or ;ONTRACT (Circle one) Date l , This permit was issued based on t i �a fi— rQ,6 ed -in 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance 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 applic�code or any ordinance or regulation of this jurisdiction. Approval of work is subject to held 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. i Kimberly Cook , i / From: no-reply@ci.wheatridge.co.us Sent: Friday, June 23, 2017 12:34 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 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 6660 W 28th Ave Judy Acre 303.907.2606 Property Owner Email Field not completed. Address 01 n 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 Colorado Exteriors; LLC Contractor's License 020789 Number (for the City of Wheat Ridge) Contractor Phone 3032961353 Number Contractor Email Address office@coloradoexteriors.net Retype Contractor Email office@coloradoexteriors.net Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing Atlas Stormmaster - Class 4 Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 36 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 6 / on the flat roof? TOTAL SQUARES of all 42 roofing material for this project 2 Provide additional detail Tear off existing shingles down to deck - here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract -moi 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 Randy Howard Email not displaying correctly? View it in your browser. 3 ACCREDITED BUSINESS www.coloradoexteriors.co rp*'Fi4q�k, OLORADO VXTERIQRS "LICEIVSEt GENERAL CON"TRACTORS" /"Property Owner (Customer) Name: _� F,- _ - - ! Property Address: Street#: a s &6 / :2 Date of Birth: 4:Z Home Phone: \ Business Phone: T Bus Property Owner's Insyiran Company: Date of loss: - / l r— Physical Address: 747 Sheridan Blvd., Suite 1A Lakewood, CO 80214 Main: 303-296-1353 Fax: 303-232-3353 Date: I authorize Colorado Exteriors, LLQ„ (the "Company") to work directly with my insurance com any on m4+ behalf and to furnish all material and labor as listed below. Company Representative: =,� : i f<_ L--�/f L Phone Total Amount of Estimate $_ LV .t u % (Agreed upon price with the insurance Company based on damages known at time of estimate.) The owner's out of pocket expenses will not exceed insurance deductible in the amount of $ S �� _ (unless upgrades are added or otherwise a�rovided in this ContrcI). _Progress payments of Contract price shall be made as follows: Al. � / ( { ( C )l (_.t-iC s'h�� % i��otJ!'•� tw✓�= (':��� `(.i. ( �ViV i�l" t/ 4 :�:i{��� Ei( 1� )�� iw� at Ai _(-f_tc=t/=� Policy Specifications: Non -Recoverable Depreciation (initial) Recoverable Depreciation (initial) Code Up -Grade Coverage (initial) Approximate Dates of Service/Payment: Your project will begin on or about J C% (subject to the Company receiving approval from Owner's Insurance Company, and is expected to be completed within (% days from delivery of materials, subject to delays for weather, delays in obtaining materials or permits, or other events beyond the Company's reasonable control. Final payment is due to the Company upon substantial completion of work. All insurance supplement payments invoiced to Owner's Insurance Company to correct shortages in original estimate will be paid to the Company. We will furnish the following materials and labor as listed below: Tear off all layers f existing roof material: [ layers) New Shingle:, i y1 Initial Shingle Color. ZiQ T (�. % InitialtAi x install Felt Paper to Match Existing: _ 15 lb !; 30 1b Install Pipe .tacks 3/1 4.1 —� 2 t Install Furnace Vents 3x5 `� �` 5x7 , 7x9 Special Fascia or: J5 its/► Protect all Landscaping, Pools, A/C Units Paint Vents to Match Roofing Material Haul Off Trash/Debris and Magnetic Sweep Other The following Special Provisions Apply Only to Roofing Work on Residential Property in Colorado as provided under C.R.S. 5-22-101 et seq.: • Notice With Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: Property Owner may rescind roofing contract pursuant to Section 6-22-104, Colorado Revised Statutes. • Notice With Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: if Property Owner plans to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1 ofArticle 4 of Title 10, Colorado Revised Statutes, to pay for the roofing work, pursuant to Section 6-22-105, C.R.S., the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment of roofing work on the covered residential property. Notice With Respect to Residential Property Located in Colorado as applicable under C.R.S. 6-22-101 et seq.: THE COMPANY SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE COMPANY HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. • Notice With Respect to Residential Property Located In Colorado as applicable under C.R.S. 6-22-101 et seq.: Property Owner may rescind this Contract Pursuant to Section 6-22-104, Colorado Revised Statutes. • Notice: If Property Owner's Insurance Company does not approve scope of work and price within 60 days from date of this Contract, either the Company or the Property Owner may cancel this Contract upon issuance of written notice to the other party at which time any deposit paid by Property Owner will be refunded in full and both parties relieved from any obligations under this Contract_ • Company's Liability Insurance (or Surety) Carrier United Specialty insurance Company Phone No.. 303-674-5501 Please read the reverse for additional Terms and Conditions which are part of this Contract. By signing this Contract you are authorizing the Company to perform the work as specified and to make payments as required herein_ Property ner/Custorrger ,) The Company: , Co rado Exteriors LL Rep. . �, p Signature A 4' 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: _li (e (a Gy Permit Number: ZG/ ..v ❑ No one available for inspection: Time If AM/P Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: // Inspector:(�� ®O NOT REMOVE THIS NOT/CE 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: ! f Permit Number: - ❑ No one available for inspection: Time AMft Re -Inspection required: Yes When corrections hav been made, call for -re / tion at 303-234-5933 Date: ���� �—' Inspector: .Tz DO NOT REMOVE THIS NOTICE s City of Wheat Ridge Residential Roofing PERMIT - 201703333 PERMIT NO: 201703333 ISSUED: 07/06/2017 JOB ADDRESS: 6660 W 28th AVE EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install Atlas Stormmaster-Class 4 asphalt shingles with 42 sq **REVISION**Adding redecking; Added valuation: $3,000.00 *** CONTACTS *** OWNER (303)907-2606 ACRE JUDY E SUB (303)296-1353 Randy Howard 020789 Colorado Exteriors, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,794.00 FEES Total Valuation 0.00 Use Tax 289.67 Permit Fee 267.70 ** TOTAL ** 557.37 *** 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 one half 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 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. g City of Wheat Ridge Residential Roofing PERMIT - 201703333 PERMIT NO: 201703333 ISSUED: 07/06/2017 JOB ADDRESS: 6660 W 28th AVE EXPIRES: 07/06/2018 JOB DESCRIPTION: Residential Re -roof to install Atlas Stormmaster-Class 4 asphalt shingles with 42 sq **REVISION**Adding redecking; Added valuation: $3,000.00 I, by my signature, do hereby attest applicable building codes, and all al by the legal owner of the property a this,permit. I further attest that I am performed and that all work to be pi work to be performed shall comply with all accompanying approved plans and specifications, municipal codes, policies and procedures, and that I am Re legal owner or have been authorized uthorized to obtain this permit and perform the work described and approved in conjunction with authorized to include all entities named within this document as parties to the work to be I is dip lysed i cpm tis document and/or its' cpa ying approved plans and specifications. Signature of OWNER or CONTRACTOR ircleqne) Date I. This permit was issued based on the informa ' r' rovided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Ren for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days madete 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granti a permitshall n t be nst ped to be a permit for, or an approval of, an violation of any provision of any applicable code or a or d ance or re'� isdiction. 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. City of W heatjididge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **" i / ! /' !1 6Y Property Address: Owner Property Owner Email: Mailing Address: (if different than property address) Address , State, Zip: Contact Person: ` Phone: Contractor: Contractors City License #: Contractor E-mail Address: FM P Phoneig Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps Btu's Squares Gallons Other AdditionI Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) Nn OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 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; that I am the legal owner or have been authorized by the legal owner of the property to perfonn the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONT CTOR) or ( HORIZED REPRESEN 1!1Ej of (OWNE (CONTRACTOR) PRINT NAME: SIGNATURE: ATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required 11 Not Required Building Division Valuation: $ ♦ i CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: tf Job Address: iWrfhr f i "Permit Number: M IM4 n nn , (X l i i ❑ No one available for inspection: Time 'i •'6-t" ' yPM Re- Inspection required: Yes M rruoll wuo{iuvlm �� uev11 /IIGYO� wl1 rvlIO91IZf CIitIVII at uVU'GJ4'OJJU Date: `'f J Inspector: P/L U, / DO NOT REMOVE THIS NOTICE INS ►rip= Job Address Permit Number QC,,J a� eP ❑ No one available for inspection: Time AIVI/E�5 Re-inspection required: rxe� No When corrections have been made, call for re-inspection at 303-23 Date: 7IP Inspector: �,e DO NOT REMOVE THIS NOTICE City of Wheat Ridge - r Residential Roofing PERMIT - 101919 PERMIT NO: 101919 ISSUED: 08/05/2010 JOB ADDRESS: 6660 W 28TH AVE EXPIRES: 08/05/2011 DESCRIPTION: Reroof 34.33 sqs with 30 yr OCduration shingles * ** CONTACTS * ** owner 303/907 -2607 Mark Goddard sub 303/981 -1265 Jon Lowrie 10 -0243 Monarch Construction & Roofing ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0523 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 14,332.42 FEES Permit Fee 283.55 Total Valuation .00 ME3 Use Tax 257.98 ** TOTAL ** 541.53 Conditions: 6 nails per shingle is required. Ice dam membrane is required from save edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Midroof inspection is not required on permits purchased after 4/18/10. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and t t I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wh4„}t Ai,4e Ordinancces;'for work under this permit. Plans subject to field inspection. Signature 4%ctor /owner date 1. This mit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordin of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been 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 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 a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All pl an r ie subject to field inspections. Signatu f C 'ef Building Official date INSPE re ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 4 ` City of .. CommuNnYDEVELOPMENT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Property Owner (plea Mailing Address: (if different than property address) Address: Date: Plan # Permit # City, State, Zip Contractor: igorl W(,1 oons& ` f, I�Ty�Lte 1; 9 0 1M Contractors City License #: Phone: Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work: QR QDC> s 3 ®yr �CP�a�t� �rrrt,f coo 3y 33s� . I (,,�af u:ta�t Squares BTU's Gallons Ft. $ Contract Value: IK 33�. oZ Review Fee (due at time of submittal): OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 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; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) s PRINTNAME L o trJ r- e-- SIGNATURE: DATE: t Bldg Valuation: $ Building Permit Application ,DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-1459 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date :7/20/95 7500 WEST 28TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : ACRE JUDY ELAINE Property Address : 6660 28TH AV Phone : Contrector License No. : 18388 Company : Larson Roofing & Construction phone : 937 3948 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,450.00 I hereby certiy Mat the setbadc distancea proposed by this permR agpiicauon are accurate, l f h i f Wh t Rid Permit Fee : $35.00 atrons o e ty o ea ge or and do not violate appliceble ordMances, rules or regu t h d ll ti f d h t ll t Pl R I F 00 $0 own, an a ega ons rawr ; t a a measuremen s s coveoants, easemants or restrictbns o an eV eW CC : . made are eccurata; that I have read and agree M abide by all wnditions printed on Mis application, and thet I easuma full rosponaibilitv for complfance with the VJhaet Ridga BuiWing Use Tax : $21.75 code N•s.c.) and an oener a~ikewe uvneac aidqe ordmances, for work under thia pertnit. (OWNER)(CONTRACTOR) SIONED DATE~ TOt21 : $56.75 Description : REROOF BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approval : Approval : Occupancy : Walls : 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 : 0 a 0 wwrdance (1) RThis epu~s antl 8isw~ ginCotle of W17~ RI~ eCdorodo or a~ IoCrer e'~ae a~ a~o cn ~N18 mme smre a caoraao ana ro me zo~,m9 ~2) rnla pennn anaa ire` H(n) rie xronc a ~s rro2 commencxa wttn n emy (60> deys rrom issue dace or (6) me bunaIn9 awiarzea is suspendea or : aben0onetl for e perlod M 130 tlays. (a) Ir thia peRnit expirea, a new pemirt mey be acquiretl kr a ke a one-haM the amouM nwmeuy reqWrad, provided rw chanpes heve heen or win be made in the oripinal plene arM specificauona uM airysuspenebn or aberMOnment hae not exceetletl aro (t) year. It changes ere rt~aEe or it auspenslon w abarWonment ezceetla (4) me (1) year, fuil fees shaM be psW br a newpem~n. ' No wak of eny manner ahsN Ee done lliiat will tlianpe tlre naWiai flow otweter ceuslryl a draineme problem. (5) Contractor ehall nody tlro BuNtlinp InspeCtor lwanly-four (24) houre in etlvance far all mspections aiM sheli recelve written epproval on Innpectlon eaN heMre nNedArg with auaeaNve Dhaees d tha ioD. (8) ~by~~inpawCea~ a arry~~r~w~tllnp~r etl ~,~ru/e~repW~allon~~8 shall not bo conatruad lo ba a permil for, nor an appioval M, airy violaqon of the proWsbns of THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234.5933 24 HOURS PRIOR TO INSPECTION mo DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE - WHEAT RIDGE, CO 80215 Building Permit Number : Date : Property Owner : Property Address : Contractor License No. : Company ~.,r~i, ~6c.^S+~ cF Phone : Phone : ~'S- ? '3?/Q^~ 7 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity that the setback distances proDosed by this permit application are accurate, and do not violate applicable ordinances, rules or regulatlons of the City of Wheat Ridge or covenants, easements or restnctions 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 (OWNER)(CONTRACTOR) SIGNED DATE ~Construction Value : 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, fp work under this permit. ~ Permit Fee : Use Tax: Total : Description: z a~ -o,~/ q-o--'f'n~42s~- !wf ~G~~ BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approvat : Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanfcal License No Company : Expiration Date : Approval : Company : Expiration Date : Approval : Ptxhs giiiiiu~rea 1 Company : Expiration Date : Approval: (t) This permit was issuetl in accordance wrth the provisions set forth in yopur application antl is subject lo the laws of the Sta[e of Coloratlo and ro the Zoning Regulations and Builtling Code of Wheat Ridge, Coloratlo or any other applicable ortlinances of the City. (2) This permR shall expire if (A) the work authonzed is not wmmence0 within sixry (60) tlays from issue tlate or (B) the building aulhorizetl is suspended or abandonetl for a penotl of 120 day5. (3) IF this permit expires, a new permit may be acquired for a fee of one-half ihe amount normally required, provided no changes have been or will Ee matle m the original plans and specifications antl any suspension or ahantlonment has not exceetled one (1) year. It changes are maae or if suspension or aban0onment exceeds one (7) year, full lees shall be paid for a new permR. (4) Na work of any manner shall be done that will change the naWralBOw of water causinq a tlraina9e problem. (5) Contrector shall notify the Building Inspeclor twenty-four (24) hours in atlvance (or all inspections antl shall receive writlen approval on inspection cartl before proceetliing wiN successive phases of ihe job. (6) The issuance of a permit or the approval of tlrawings antl specifications shall not be construetl lo be a permit for, nor an approval of. any violation of the provisions of the Euiltling codes or any other ortlinance. 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