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10890 W. 39th Place
City of Wheat Ridge Residential Roofing PERMIT - 201705808 PERMIT NO: 201705808 ISSUED: 08/10/2017 JOB ADDRESS: 11890 W 39th PL EXPIRES: 08/10/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Dimensional asphalt shingles with 39 sq. *** CONTACTS *** OWNER (720)202-0636 SNYDER DIANN SUB (720)515-4672 Garett Kurtt 170154 High Impact LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / ** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,023.00 FEES Total Valuation 0.00 Use Tax 210.48 'i~~ Permit Fee 220.15 _ ** TOTAL ** 430.63 — *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705808 �N PERMIT NO: 201705808 ISSUED: 08/10/2017 JOB ADDRESS: 11890 W 39th PL EXPIRES: 08/10/2018 JOB DESCRIPTION: Residential Re—roof to install GAF Dimensional asphalt shingles with 39 sq. I, by my signature, do hereby attt that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and al aIe cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property aam authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that "amallyauthorized to include alperformed and that all work tole prmed is disclosed in this document and/or its' accpmpanying approved plans and specifications. 22 Signature of OWNEB�orisd NTRACTOR (Circle one) Date 1. This permit was issued bon the information provided in the permit application and accompanying plans and specifications and is subject to the complianch those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expireays 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 originalermit 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 i 4. No work of any manner shall be 5. The permit holder shall notify th inspections and shall not procee Division. 6. The issuance or granting of a pe: applicable code or any or ci ierformed that shall results in a change of the natural flow of water without prior and specific approval. Building and Inspection Services Division in accordance with established policy of all required or conceal work without written approval of such work from the Building and Inspection Services nit shall not be construed to be a permit for, or an approval of, an violation of any provision of any or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official DaW REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 3, 2017 5:03 PM To: CommDev Permits _-- Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny r� 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 and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR (� PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE C-1 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 1 documents at the time you are issued your permit. 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 11890 West 39th Place Property Owner Name Diann Snyder Property Owner Phone 720.202.0636 Number Property Owner Email Field not completed. Address 1 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business High Impact LLC Name Contractor's License 170154 Number (for the City of Wheat Ridge) Contractor Phone 7204145554 Number Contractor Email Address info@highimpactco.com Retype Contractor Email info@highimpactco.com Address DESCRIPTION OF WORK Are you re-decking the No roof? Description of Roofing GAF Dimensional Shingle Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 39 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? / TOTAL SQUARES 39 V (pitched + flat) of all roofing material for this project Provide additional detail 4/12 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) �61�23 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 Garrett Kurtt Email not displaying correctly? View it in your browser. 3 B) When the "scope of work" for each trade is agreed upon and approved by the Customer's insurance company, High Impact will work for the insurance proceeds ONLY with NO additional out of pocket expense to you except the deductible under your insurance policy, which you must pay under Colorado law. You authorize High Impact to obtain labor and material for the APPROVED scope of work. Upgrades and any additional work not associated or covered under the claim will be considered to be a change order and will be a separate cost and agreement between you and High Impact. Upon completion of the agreed scope of work, a Final Invoice will be sent to the insurance company on your behalf. The final invoice for the Replacement Cost Value "RCV" will become the final contract opjtce. High Impact will receive all insurance proceeds, including supplements from the insurance company, for the work completed by High Impact. (**lnitiaW— / ) Exi ting Roofing: Remove Roof Covering: Type xisting Color: Existing Underlayment: o Existing Ice and Water: o Gutter Drip Edge: Existing Ventilation: Existing Plumbing Vents: Mutters, STATEMENT OF WORK: u 151b o 301b o Synthetic o No n Yes (Eaves Rows o Valleys) o No o Yes (o Eaves o Rakes) o Turtle o Ridge o other o Auto Caulk o Other (Painted o Yes, o No) o Gutter Type: Steel o AlunXP5" o6" (Paintedi�Aes, o No) a Downspout: o 2x3 o 3x4X-1A (JamP 4Vd o Yes, o No) Li Gutter Protection: o Yes No ' ❑ Exterior inting / S In: Elevations to aint: o Fron - eft o Rear o Right o Deck o Shed E3 Trim: o Yes (Follow approved Elevations) ❑ MISC: ❑ Indows ❑ oors o Gutters n Downspouts ❑ Soffit o Fascia ❑ Additional Work / Notes: Replace Roofing:_ ,`u (**Initials) + Shingle Type: (�� —(j_) + Color Selection: •.A (�_) + Underlayment: + Ice & water shield: <TT5lb o 301b o Synthetic o No.16Yes (#14Rows o Valleys) + Drip Edge: + Ventilation: ,j6 X 4 (Color jp fNo.._ (_f_) ,Turtle o Ridge + Paint Vents: o Match Shingle + Gutter Color: fir- L/ (—J_) + Downspout Color: (�_) + Protection: Type & Color: (�_) + Manufacture & Type + Color Selection +Trim Paint Manufacture +Trim Color o Furnish all materials, labor and necessary permits n Remove debris resulting from the approved scope of work n Delivery instructions: Driveway (o Left, o Right), o Roof Load n other n Warranty: High Impact warrants its workmanship for two years after completion of the scope of work. Extended warranties are available) INSURANCE COMPANY y`. CLAIM / POLICY Ab / • High Impact holds a National General Building Contractor Certificate; standard industry practice is to assess a 20% fee in excess of the retail rate for labor and material provided on each trade performed. As such this fee is an incurred cost and will be included int nal invoice. The charge is part of the Replacement Cost Value "RCV" and is to be reimbursed from the insurance company if not already allowed. (**Initial / ) • Estimated Date of Roof Installation: 14 days from agreed scope and receipt of deposit (50% of Estimated Cost or "ACV" Actual Cash Value of the Claim) • Cancellation: You have the right to cancel (rescind) this contract and receive a full refund of any deposit within 72 hours after signing this contract. You must cancel (rescind) in writing Info@highimpactco.com, FAX: (720) 545-2252 and US mail. • HIGH IMPACT SHALL HOLD IN TRUST ANY PAYMENT RECEIVED FROM YOU UNTIL IT HAS DELIVERED ROOFING MATERIALS AT THE WORK SITE OR HAS PERFORMED A MAJORITY OF THE SCOPE OF ROOFING WORK ON THE PROPERTY. ESTIMATED COST (RETAIL) 1 Z-/ ap 1 INCURRED COST with 0/P (Final Invoice) • INCURRED COST is the Contract price, all supplemental payments obtained by High Impact or that are paid due to an Appraisal Award or legal settlement are owed to High Impact upon completion. This agreement may be sig4incerparts (which may include counterparts delivered by any standard form of telecommunication), each of which shall be an original ach toget er shall constitute one and the same instrument. By signing below, I acknowledge all terms and conditions on the reverse snd tha his is an agreement, not an estimate or proposal. Respectfully Submitted By: C—*,.,/ <,4 Xy'Aes Rep (signature) High Impact Sales Rep (print) Sales Rep Cell # 7 u) Property Own Customer Si nature ate (You) Property Owne /Customer (Print name) Denver Metro Area ( Colorado Springs ) Greater Front Range 333 W Hampden Ave, Suite 715 1 Englewood CO 80110 ` (720)515-4672 Fax(720)545-2252 'Email: info@HighlmpactCo.com �Cpsinn www.HighlmpactCo.com MEMBER ©Copyright 2015 COLORADO ROOFING ASSOCIATION � jagloue auo of pale2pgo aje noA jou 3aedwi ON jagl!au pue 'aleulwjal I m luawaajOe sigl 'lin} u! w!ep jnoA saivap Auedwoa aauejnsu! aql 1eg1 Juana aqJ u! >Ijom �o adoas panojdde s huedwoa aauejnsu! aqJ gllm aauepjoaae u! jjom pe alaldwoa p!m hedw! gB1H 'sjn»o legl uagM hedw! gSIH Aq paldaaae aje suone3!jpads s jajnsui aql pue Auedwoa aouejnsu! jnoA Aq 03AO1JddV s! w!eja jnoA Run pue ssalun AemAue ui 71l 'laedwl 421H jo (noA) jawolsnD/jaumo Aljadojd ale8ilgo lou scop luawaaj2e slgl (y :ssajppv I!ew3** 2 :dlZ r1/� :alelS 'AID CCS 7 :ssajppv luajaijio ) ik{ Gi1Cl�+.` ay; 339 6�-?Ea6iM :auogdala �l l" t�:alels'Ali3 + 1--:ssaippv :aweN H3WO1sn:) / 83NAAO AiH3dOkld (oo99'bZ8'So£ — Aua2y aauejnsu! Apoow] su! AllepadS leuo!2a8 Aappaq uollaalojd jnoA jol pajnsul pue pasuaa!l ��� 600E 3'DNIS �IDNVd .LlNONA flMi 9NIAKIS i S3OIAHJ ]S SNOiiomi1SNO3 ` 377 13 T JH1 HJIH Ale, - ffgal& INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234 -5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 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 Monolithic Slab Reinforcement - Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour CnncretP Prinr Tn Annrnvnl Of Thn Ak^x,n Inc nnrtl..r.c Underground /Slab Inspections Date Inspector Initials Comments Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below / In -slab) g Inspector Initia Comments Heating (Below / In -slab) � �l�l \ [�]l�S�]�La ill �r� [-7 fi I i�IlmTi ��7i �1a riST.T/l li�.'1 kl:lr�rr:T7 7l7r.Ti r.7•\:T:\7.S\F1 [�Si � T7.\ LT.rT -7 RT- T.TTSfT_T.T' Rough Inspections Date Inspector Comments omments Wall Sheathing Roof Sheathing Lath /Wall Tie Rough Electric g Inspector Initia Comments Rough Plumbing Rough Mechanical Gas Piping 4U C P3 i J t�Id:7o7� [IU(i i iTi7n id\'Tii717F7 [[i i!\ �Ti��:l.RT:1 m m -E73S Rough Framing Insulation Drywall Screw / Nail Final Inspections g Inspector Initia Comments Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame 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, Fire Inspection / Fire Protection Dist, "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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather Inspection Type L.�, —e— A Job Address Permit Number` I // A I RAF /2 J " e City of Wheat Ridge Residential Mechanic PERMIT - 110937 PERMIT NO: 110937 ISSUED: 08/08/2011 JOB ADDRESS: 10890 W 39TH PL EXPIRES: 08/07/2012 DESCRIPTION: Install new A/C and heating unit 24k cool /46K heat * ** CONTACTS * ** Owner 303/423 -1805 Virginia Reitz ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0189 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,830.00 FEES Permit Fee 140.00 Permit fee additiona 140.00 Total Valuation .00� Use Tax 86.94 ** TOTAL ** 366.94 Conditions: Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. Subject to field inspection. 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 be performed is disclosed in this,dmcument and /or its' accompanying approved plans and specifications., / of 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 In. a Is code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspect' Signature of Chief uild n'g Offical Date INSPECTION 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. City of heat R� COMMUNITY DEVELOPMENT 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 Building Permit Application PropertyAddress; Property Owner (please print): j Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractors City License #: Su6'Contractors Electrical Plumbing: Mechanical: City License # City License # City License # Descriiption'`nf Work 1 1-1: al - 1;7���� j/'e,J�1aL7e � Contract $ Phone: �3 �a3 -rg Date: a �� Plan # Permit # ♦ i CITY OF WHEAT RIDGE - Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 ice • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: /«._ z� Job Address: Permit Number: 77 777 y y / G F , �'. 1. . �;, i - i -- i :.• ,pit .- �.,a ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes, No When corrections have been made, ca!/ for re inspection at 303 - 2345933 Date: Inspector ' 1 ` DO NOT REMOVE THIS NOTICE ♦ 4 A'4, • CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) 237 -8929 Fax INSPECTION NOT' E Inspection Type Job Address u'• Permit Number 110037 No one available for inspection: Time /' AMPMI Re- Inspection required: Yes No When corrections have been made, call tg1)Zins e ctti " - 303- 234 -5933 Date: � j Inspector: /) DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE f r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: ri _ Job Address: F Permit Number: ,Z 9 15 � ❑ No one available for inspection: ime AM /PM Re- Inspection required: Yes 41 4 When corrections have been mador e- inspection at 303 - 234 -5933 Date: � Inspector: If DO NOT REMOV i is NOTICE M CITY OF WHEAT RIDGE Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303) -035-2857 Fax INSPECTION NOTICE Inspection Type: P00 Job Address /Permit Number: '3 pi �F/� - 7 ` o r, J lE - ter( s: ll r 1 � £ � € %a'1 PC�i�E t � � ✓r7�aT Nt %A� i fv�f ' r F j: ❑ No one available for inspection: Time cn , 2QQ AM/ M Re- Inspection required: Yes 60 When corrections have been made, call for re- inspection at 303-234-5913 I \ - Z Date: �' i 016 Inspector: � �, .- p� j�,, i DO NOT REMOVE THIS NOTICE 11 i r INSPECTION RECORD occupancy/Type INSPECTION LINE (303) 234 -5933 Inspections will not be made unless this card is posted on the building site k� C all y to receive Inspection the following business day. 99 D lam - � 0. 5 - 9 ' INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB INSPECTOR FOUNDATION FOUNDATION INSPECTIONS DATE INITIALS ` COMMENTS: Footings /Caissons �. !Stemwall /.(CEG) Concrete :Encased Ground - Reinforcing or Monolithic Weatherproof / French Drain r' Sewer Service Lines , Water Service Lines ' 'POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED'. `K CONCRETE SLAB FLOOR t( , `.Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED- ROUGHS Sheathino FINALS Flarfriral NING & ZONING, FIRE AND PUBLICE WORKS LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. BUILDING AND PUBLIC WORKS BEFORE A ON DOES NOT CONSTITUTE AUTHORIZATION OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED P ROTECT THIS CARD FROM THE WEATHER ♦ 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: Job Address: f0q(t Permit Number: CCU m? M4 , frv Ok ❑ No one available for inspection .Time f' h AM& Re- Inspection required: Yes Co ) When corrections have been made, call for re- inspection at 303-234-5933,- '17- Date:„ )fit Inspector: DO NOT REMOVE THIS NOTICE „A City of Wheat Ridge Residential Roofing PERMIT - 091227 PERMIT NO; 091227. ISSUED: .08/11/2009 - JOB:ADDRESS: 10890 W39TH PL -EXPIRES: 02/07./2010 DESCRIPTION: Reroof -9 sqs CONTACTS owner 303/423-1805 Virginia Reitz PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:- 0189. 'BLOCK/LOT#: 0/: **FEE SUMMARY ESTIMATED: PROJECT VALUATION: 1,593.00 FEES Permit Fee 74,22 Total Valuation ,op Use Tax 28.67 TOTAL ..:.102.89 Conditions : 6:nail installation & mid-roof inspection required.. Board sheathing spaced more than a 1/2 of an inch apart ..requires plywood overlay on :entire roof. Ice and h, water shield required from eave edge to 2'.inside -.exterior walls. Subject to '.field inspections. r 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 WheatRidge - 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 Iassume full responsibility for compliance. with the Wheat Ridge Building Code (I.B.C) and all `other applicable Wheat Ridge Ordinances, for work under this permit. Plans. subject to field inspection. f. Signatu E of contractor/ownei\_ date z 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and. Building Codes. of Wheat Ridge,. Colorado or any other applicable ordinances of the City. ^ 2.. This permit shall expire 180 days from the. issue date. Requests for an extension must be received prior to. expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be. acquired fora 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 -abandonmenthas 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. t~ 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.. M 6. The issuance of a permit or the approval. of drawings and specifications shall not be construed to be a permit for, nor G~ an approval. of, any.. violation of the. provisions of the.. building codes or any other ordinance, law, rule or regulation. All. plan review 'a ject to field inspections. n Signature of C 5 ilding Official date INSPECTI :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. - y y City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 00<ORPOO Date: RT t 1 Plan Permit #:N I mss/ Building}Permit~Application Property Address: /,3 r D it ~7//✓ Property owner (please print): Mailing Address: (if different than property address) Address: City, State, Phone: i7(d~ - -/Cl 4;- Contractor: d l~1 W /D1yf )/l C 7 Contractor License Phone: Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval Approval: Approval: Use of space (description): Construction Value: $ Description of work: (as calculated per the Building Valuation Data sheet) Q Plan Review (due at time of submittal): $ -Ro Sq. Ft./L.Ft added: Squares 7 BTU's - Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: OWNER) ' (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) ~7 i / PRINT NAME: ~~+m m[' SIGNATURE: f ) Date: INSPECTION RECORD Occupancy(TVIae INSPECTION 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines - - - Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB. FLOOR Electrical (Underground) Plumbing (Underground) - Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical - ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O:W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. `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. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER e INSPECTION NOTICE Inspection Type: ~c f_ Job Address: lllk9.~ f' 7ZI Permit Number: jg`1a9 ❑ No one available for inspection: Re-Inspection required: Yes 1 c When corrections have been mad" Date: ' Inspector: DO NOT REMOVi AM/PM at 303-234-5933 NOTICE ■IL■AiL■ W1E!AA!>!% ..Electrical (Underground);. I I Plumbing (Underground) -1 UAKU:b.KUM'IHt VVtAI`HtK V111V~. V~v ~vv r.. . c'~~ o Inspection Line: 303-234-5933 °totzno Building Permit Application .C s 192D. Lk 2 Property Owner (please print); Mailing Address: (if different tlian property address) Permit &126 ?(5 Phone: ci -70 - 3(o ( - Address: SaAAC State, Zip: 0oYu>ar: Contractor License M Electrical City License Company: Plumbing City License Mechanical City Licensc Company Company: Exp. Date: Exp_ Date: Exp. Date: Approval: Approval: Approval Use of space (descrption): : AMN OW N 5DC wl S I ivSIC nV10-4er Sq. Ft./L.FI added: avev, head Se r v lce Phone: 3/QD I - Construction Value: S faS calculated per the Building Valuation Bata sheet) Plan Review (due at lime afsubmitlelJ_ $ Squares BTU's Gallons Amps owNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the selback distance proposed by this permit applicatlon 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 allegatlons 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 th r applicable Wheat Ridge Ordinances, for wo under this permit. Plans subject to cuon. OIRLCE ONE- (OW ER "rtt:6NTi~A6Terd or P'ONAL REP VE of (OWNE (C NTRATOR) 4 PRINT NAME: Crf-argce An SIGNATURE: Dater v L(- P E00/E00 d ILSlSE6E0E(HNd) 4Ubllalpue3 SS:90 (I8J)6002-D2-1nr