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HomeMy WebLinkAbout4505 Balsam StreetJOB CODE: INSPECTION RECORD Inspection onlinbrm: http://www.ci.wheatridge.co.us/inspection -- Cancellations must be subrUed viion Inspections will not be performed unless Is card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers `03 Footing / P.E. Letter )4 Foundation Setback Cert. Stem Walls Foundation wall Insulation Not Pour Goncrete Prior To Approval Of The Above Inspections �rground / Slab Inspections Date Inspector Initials Comments lectrical / Cable/ Conduit ,ewer Underground Int. fewer Underground Ext. 'lumbing Underground Int. 'lumbing Underground Ext. Nater Underground of Cover Underaround or Below / In -Slab Work Prior To Annroval Of The Above Incnertionc 1h Inspection Date Inspector Initials Comments ough Framing !all Sheathing toof Sheathing sheer Inspection sulation Mid -Roof mole r° ath / Stucco A8 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL_ INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 I ';w voliage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 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: Yoq ear. Job Address: 116-6 -1SQI7'I S }' Permit Number: 20/ % 09 072- ❑ No one available for inspec ' : Time I (L( X/ AM/PM Re -Inspection required: Yes No When corrections have been mad'.7, , ca I for re -inspection at 303-234-5933 Dated /3b 7 Inspector: 07-/T DO NOT REMOVE THIS NOTICE IV ► ' , City of Wheat Ridge -s • Residential Roofing PERMIT - 201708072 PERMIT NO: 201708072 ISSUED: 10/06/2017 JOB ADDRESS: 4505 Balsam ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)568-9155 MOYNHAM MELISSA SUB (303)883-5365 Stephen Cripe 170613 SPC Services Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,800.00 FEES Total Valuation 0.00 Use Tax 184.80 Permit Fee 188.45 ** TOTAL ** 373.25 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201708072 PERMIT NO: 201708072 ISSUED: 10/06/2017 JOB ADDRESS: 4505 Balsam ST EXPIRES: 10/06/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko asphalt shingles - 30 sq Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le 11y authorized to include all entities named within this document as parties to the work to be performed7an0h 11 we to be per ed is disclosed in this document and/or its' accompanying approved plans and specifications. SignAmfof OWNER or CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original ermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicabl,wn or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. t ,� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. SERVICES INCORPORATED P.O. Box 29273 THORNToM, COLORADO 80229 303883-5365 7004 Dow Ada DATE: -- 5 a �! CUSTOMER: J- SAy- �Xe `l S-x,'q _, p .7 ADDRESS' CONTACT PHONE: HM WK C ?2;U -77i JOB ADDRESS: MATERIAL BRAND:--/ �/99 /0 TYPE: )!Ie/ -1 COLOR: JY&A%�:WTEAR TOPCAPS:-&L,,d1G 6U�.�� G /�..1`A��9��%7ef1/.1"� OTHER MANUFACTURERS L[MrmD WARRAM'Y: _-70 .1 - SPECIAL WORK REQUESTED: /ls�'�� 9// �ee/r,oa/J... C SPC (NCORI6RATED FURTHER AGREES TO CLEAN UP & HAUL AWAY ALL DEBRIS, FURNISH NECESSARY INSURANCE & PROVIDE TWO YEARS GUARAN'T'EE FROM DATE OF COMPLETION. WE HEREBY PROPOSE TO FURNISH LABOR & MATERIALS IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS FOR THE SUM OF: /a.WIle TH PAYMENT TO BE MADE AS FOLLOWS: 1 lopi t1a, oO ` /Q ✓/ ACCEPTED BY: DATE ACCEPTED: ° .S t Dane Lovett 7 C ,7 07 Z From: no-reply@ci.wheat ridge.co.us f� Sent: Tuesday, October 3, 2017 8:50 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed 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 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. 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 U{L�' `v - residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4505 Balsam St. Wheat Ridge, CO. 80033 Property Owner Name Melissa Moynham Property Owner Phone 303-568-9155 Number (enter WITH dashes, eg 303-123-4567) 117 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Field not completed. Yes Attach Copy of Executed Moynham.pdf Contract CONTRACTOR INFORMATION Contractor Business SPC Services Inc. Name 1L- LContractor's Contractor'sLicense 170613 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-883-5365 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 1848 S. Cody St. Lakewood, CO. 80232 (Primary address of your business) Contractor Email Address Rufuzzl @aol.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof`? Is the permit for a flat roof, pitched roof, or Rufuzzl @aol.com 30 8,800 No Pitched roof (2:12 pitch or greater) 118 both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are 30 part of the PITCHED roof? Describe the roofing Tamko Heritage30 materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof. Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) 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 119 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Steve Cripe Email not displaying correctly? View it in your browser. 120 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: Mt 0 --� Job Address: 45D5 aA,�: Permit Number: 2-®1-1 D b0-1 *"2, ❑ No one available for inspection: Time AMM Re -Inspection required: Yes When corrections have been made, call forTe-inspection t 303-234-,'-L933 Date: � � e� 1171 Inspector: ,"� 1� DO NOT REMOVE THIS NOTICE City of Wheat Fridge Building Division ' 7500 W.29th Ave.,Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 353-235-2357 ocoRl ca Inspection Line:. 303-234-5933 Building Permit Application Property Address: , Address: City, State, Zip: 8Ubtontj**rS; ElectricalC' Company I r M Date: Plan #. Exp, date: Approval: Approval: Approval: Use of space (description): Construction Value: $ Description if� (as calculated per the Building Valuation Data shut} , w Plan Review (due at time of submittal): Sq. Ft.IL.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR OF R • R AGREEMENT herebyi.:.. distances proposed r thisf"rmit .ricat on ♦ f# i f. .1f..• f'• 'f . f. .r"" «.' ...^ » •.«• f :. i.. ^" • .if" f d. f i ,r i. ^r f .`•4« ".... f« .'. ♦ ,. ,.. rf f i ff `. `4i ii f i fry w ! f "'.ff ,i "' «: "':ff' 4t •... 4 r-.. w w w INSPECTION RECORD OccupancylTyue '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. i CONCRETE SLAB FLOOR Electrical (Underground) Plum bing (Underground) Heating (Underground) ROUGHS - - -J al ll tie ing INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB UNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: ' otings /Caissons [Encased _ mwall / (CEG) Concrete Ground — -- - -- Reinforcing or Monolithic partment _ - Weatherproof/ French Drain & Drainage _ Sewer Service Lines & Landscaping Wa Serv ice Lines INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing CONCRETE SLAB FLOOR Electrical (Underground) Plum bing (Underground) Heating (Underground) ROUGHS - - -J `OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF VCGUPANC;Y IJ IbbUt =u - n�-ronr- Ulr rAOn tonne Tut WGATHFR al ll tie ing nical Service p ctric g Final P mbing partment g & Drainage Rough Mechanical & Landscaping ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw `OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF VCGUPANC;Y IJ IbbUt =u - n�-ronr- Ulr rAOn tonne Tut WGATHFR al ing nical g Final P partment i & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. & Landscaping E: ALL ITEMS MUST BE COMPLETED AND-APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A S IFICATE 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 VCGUPANC;Y IJ IbbUt =u - n�-ronr- Ulr rAOn tonne Tut WGATHFR rr. VOLK NOIONGRETE UNTIL ;H QVE.HAS UEEN 'SIGNED CONCRETE SLAB FLOOR Electrical (Underground) :Plumbing (Underground) Heating , (Underground) DO NOT POUR FLOOR UNTIL 'ABOVE HAS BEEN SIGN5n f ♦ 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: f3clSRara �r° Permit Number: e9clg z'G f� r,W_4'2-4 -W - r7rs /,'W752 I,�SHsr�G 49 �'asrf.Q rv.�ss°�trr' GvrrF,2 wsfrs A UA�f ❑ No one available for inspection: Time 101.2, AM /PM Re- Inspection required: Yes _No When corrections have been made, call for re- inspection at 303 -234 -5933 Date: Inspector: _ DO NOT REMOVE THIS NOTICE City of Wheat COMMUNITY DEVELOPMENT oge 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 Date: �� nr I� Plan # /c, "6,11l Permit # ( C, I j I J Property Address: 4505 Balsam Street, Wheat Ridge, CO 80033 Property Owner (please print) Melissa Moynham Phone: 303 -568 -9155 Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: N/A Contractors City License #: Sub Contractors: N/A Plumbing: Mechanical: City License # City License # City License # Shed - see attached shed instructions. Contract value: s. Review Fee (due at time of su mitt j Squares BTU's Gallons Amps Sq 96 $ 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 my permit issued based on this application; that I am the legal owner or have hem 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. CIRCLE ONE: OWNER) (CONTRACTOR) 45 (AUTIT)RIZEDREPRESENTATIVE) of (OWN / , PRINT NAME AE-IS.r,F A40VIV { AM SIGNATURE % r .4 �A uv( DATE: Phone: 3S Bldg Valuation: $ A !� LL f r La 4 t f la 31 S� ft I ST1N�j EXI 57"IAJ /I t7KtvcwA .7"l BEET hSA S-r M ' <l- I ,' After recording please return to: GUILD MOR'T'GAGE COMPANY - ATIN: DMD [Name] [Attention] 9160 GRAMERCY DRIVE [Street Address] SAN DIEGO, CA 92123 [City, State Zip Code] [Space Above This Line For Recording MIN: 100019987010012404 DEED OF TRUST DEFINITIONS Words used in multiple sections of this document are defined below and other words are defined in Sections 3, 11, 13, 18, 20 and 21. Certain rules regarding the usage of words used in this document are also provided in Section 16. (A) "Security Instrument" means this document, which is dated August 24, 2009 together with all Riders to this document. B) "Borrower" is MELISSA MOYNHAM AND JOSHUA M. MOYNHAM, MARRIED Borrower is the trustor under this Security Instrument. (C) "Lender" is GUILD MORTGAGE COMPANY, A CALIFORNIA CORPORATION Lender is a corporation organized and existing under the laws of California Lender's address is 9160 GRAMERCY DRIVE, SAN DIEGO, CA 92123 (D) "Trustee" is the Public Trustee of JEFFERSON County, Colorado. Loan NO: 870- 1001240 Colorado Deed of Trust — Single Family— Fannie Mae/Freddie Mac Uniform Instrument Form 3006 1 /01 MERS Modified The Compliance Source, Inc. Page 1 of 15 Modified by Compliance Source 14301CO 08 /00 Rev. 04/08 www.wmpliancesource.com 1111 11871If 10110101111911 02000, The Compliance Source, Inc. City of Wheat Ridge Building Permit Submittal List c Q4 0"p9 0 The following items are required for the minor building permit submittal for the property located at 4505 Balsam street . If any of the required items are not included in the submittal, the submittal will be considered incomplete and returned immediately without review. Minor permit is defined as: fence installation, signage, decks or covered patios, concrete work in excess of 500 square feet, sheds, garages and over the counter permits. You do not need to submit a site plan with over the counter permits. This sheet must be submitted with the building permit application. Please initial beside each required item, signifying that it has been included. Review Required by: 0 Building 0 Planning 0 Public Works SUBMITTAL DOCUMENTS: PLANS: One (1) site plan Contents of plans detailed in the minor permits handout One (1) Elevations /details page DOCUMENTATION: One (1) completed building permit application One (1) property deed One (1) building permit submittal list Call the inspection line before 3 p.m. for a next working -day inspection City of Wheat Ridge Community Development Department 7500 W. 29 Avenue Wheat Ridge, CO 80033 Building Division - 303.235.2855 Planning Division - 303.235.2846 Inspectionline- 303.234.5933 www.ci.wheatnVciV.co.us N H O H Q U H M N H 0 H M U i LL INP €S€ $g3 S \ \V W V WW a _ AM g i co C E a gilt X6 LL U.1 _ LL J ii s e: { �`\ ¢H @ e _ t BAP c S £ rv� Ln \i v CL Q 9 � i ➢ E8 •�. €S€ $g3 AM g i C E a gilt X6 _ L nS J ii s e: { ¢H _ t BAP c S £ , CD �.; s N Q: - � 3y€ say. 6 � i ➢ E8 yx r WINE F r . �I [ gin ,'EN "i — m a fli a § �[ 4 y i H N' M O H O U F E a E ZD M LL IL LL ZF E b� NN ` E E w< - N N E M a r LL 0 H M N H 0 4 U a r m N' ti 0 ti A U 1 2 C. 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C w $oa ,`or w • n h uw � e - C. 1 `w , • __ • t z u'Q G °c Q • r eft m - C. 1 z a G °c DIVISION OF STANDARD LUMBER & HARDWARE CO. 4680 JASON STREET • DENVER, COLORADO 80211 • PHONE: 303- 433 -7301 • FAx: 303 - 477 -6326 Recd. in Ofc. Work Order No. Permit Applied 5 -S-16 Comp. Due -- — NAME C.Xr"s � Phone 303�S6g-�`33C� rh P t g' CORNER? /Ua J013 ADDRtS5 j S O Q - 3 j zt-- C, v c�c1Z Ft H Material Style Qty. Open X Hgt. Type Ft H 2-c ✓o ( r C fxLcr-32" Fr X Ft H x HANDYMAN SPECIAL? INSTALLED ? - x ELECTRIC OUTLET ?_ DIRECT �f �E 4 - ( 0 n. o e �- (0• C° (( a`i'm LJ rt J fe. r 0 Ie-V-V 'J-Kj( 5 Srf S<, t 'mac ---T old Prj-,c' 5� S Collect $ Salesman Phone ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ! «~-L k~DOF Job Address: ~f S5ba,avC~~ Permit Number: 01.qq6 D ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes" "When corrections have been made, call for re-inspection at 303-234-5933 Date: 5' Inspector: V DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE M)b Inspection Type: c~~& Job Address: n , i Permit Number: / ❑ No one available for inspectionn jhlne AM/PM Re-Inspection required: Yes No When corrections have been made, ca0 for r,@-ns con at 303-234-5933 /0 9 Date: Inspector: - DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge Residential Roofing PERMIT - 093460 PERMIT NO: 093460, ISSUED:: 10/19/2009 JOB ADDRESS:4505 BALSAM ST ':.EXPIRES: 04/17/2010 DESCRIPTION:: Reroof. 25 sqs CONTACTS owner 303/568-9153 Josh Moynham sub 303/853-4745 Tony Havenar 09-0423 Hav-:Con LLC **:PARCEL .'INFO ZONE CODE: UA '.USE: UA SUBDIVISION:' 0311 BLOCK/LOT#: 0/j FEE SUMMARY ESTIMATED PROJECT VALUATION: 17,200.00. FEES Permit Fee 199.30 Total Valuation .00 ACJ P Use :Tax 329.60 TOTAL 328.90 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 water shield 'required from eave edge to 2' inside exterior walls..` ***Contractor/Property owner: shall :provide :Sladder(s) secured in place fore: inpsections.i Subject to field inspection. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate, applicable ordinances, rules or regulations of the City of :Wheat Ridge; or covenants, easements or restrictions"of record; that all measurements shown, and allegations made are accurate; thatI have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance withthe Wheat: Ridge Building Code '.(I.B.C) and.. all other applicable Wheat Ridge rdinancea, for work under this permit. Plans subject to field inspection. 1 0 - 1 97 Signature of con ctor/owner date 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. ? 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. k. No work of any manner shall be done that will change the natural flow of water causing adrainage problem. 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:`. 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, Yrule or regulation. All pl r w is subject to field: inspections sign re Chief' Building` Official date CN ECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUSTS BE MADE BY 3PMANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ~oF""~ Teo City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Date: Office: 303-235-2855 * Fax: 303-237-8929 Plan °a<oRnoo Inspection Line: 303-234-5933 Permit Building Permit Application 6 Property Address: S~tS j Property Owner (please print): s r/ + M~ s' /✓~o / i 9 Phone: 3 3 -5-6 $ 7/ 5 Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: (-1.4 r- c 0- c Q Contractor License Phone: 3 0 -s & S 3 ~ 7y S Sub Contractors` Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Dater Approval: Approval: Approval: Use of space (description): Construction value: $ :2 2 C) 6 Description of work: (as calculated per the Buildina valuation Data sheet) r S a L n . 0 r-..~ 1 AAn J,z bk, , Plan Review (due at time of submittal): $ J CC> ~ ~.~I -c.c X a # 1i,4 .5 -i eJ-1 Sq. Ft./L.Ftadded: Squares 2`b" BTU's Gallons Amps OWNER/ CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or, egulations 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 r n. CIRLCE ONE:: (OWNER) : ! ONTRACTOR orw PERSONAL REPRESENTATIVE of WNER) (CONTRATOR) 4 44 PRINT NAME: ve SIGNATURE: - Date:/11 ' 4cl-o y ~ f CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax d INSPECTION NOTICE Inspection Type: t Job Address:. Permit Number: eg ~E t ❑ No one available for inspectiorf°..,,Time AM/PM Re-Inspection required: Yes /Vo",,rre-Inspection When corrections have been mad/e at 303-234-5933 Date: InspectoDO NOT REMOV91 IS NOTICE h i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE 977, d~d Inspection Type: Job Address: ~ _/~S_ 5xlarw Permit Number: 12%5)'?~?? f ❑ No one available for inspectior Re-Inspection required: Yes "When corrections have been made! Date: Inspector: 00 NOT REMOV Time AM/PM re-inspection at 303-234-5933 ""EqT City of Wheat Ridge Building Division Date: 6:T111129 /0~ m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan °o<o xno° Inspection Line: 303-234-5933 Permit Building Permit Application Property Address: SOS~ Property Owner (please print): -,41, V/7 40,1 Phone: 3®3, ~CO~ ~lS~= i Mailing Address: (if different than property address) Address: City, State, Contractor: S :To 6--4 Contractor License Phone: '303, Ov, c'F3 2 / 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): Construction Value: $ /S--Zga , DesCrip Ion of work: (as calculated per the Building Valuation Data sheet) S ayV AZ- Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps 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 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. CIRLCEONE:: (OWNER) 16ACTOR) r PERSONAL REPRESE o W [R) (CONTRATOR) PRINT NAME: 6-('m S SIGNATURE: Date:? COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303- 234 -5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303- 235 -2855) Building Permit Number Date 17362 7/9/2004 Property Owner: DOMBROSKI, BEN Property Address: 4505 BALSAM ST Contractor License No.: 17529 Phone : 568 -9155 Company: Alsco Cardinal Home Improvement Phone: 777 -3444 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value : $800.00 Permit Fee : $42.46 Plan Review Fee: $0.00 Use Tax: $9.60 Total: $52.06 Use : Description : 3 SQ D15 ALCOA VINYL SIDING ON REAR ADDITION ONLY. 40 FT ALUM. FASCIA FRONT 75 BUILDING DEPARTMENT USE ONLY 3 i a to s SIC: Sq.Ft.: 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 (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications 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 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 succes ph h job. e (6) The issuance "'erni sive a approval o wings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the pro v on eb ' go es o ordinance, law, rule or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: of WHEgT P BUILDING INSPECTION LINE - 303 - 234 -5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE cOGORP00 WHEAT RIDGE, CO 80215 - (303- 235 -2855) APPLICAT Property Owner: lk"F>AC55K�'r, tf Property Address `i5bs q ZRLSAm ST. Phone:,JU3- l55 Contractor License No.:.. - Company: 19 -LSo ) C'ARZ>150AC_ Phone:777_ -:?,QQ(t OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by, this permit application me 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 (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Construction Value: C� Permit Fee: Plan Review Fee: Use Tax: 1 fsp Total: (OWNER)(CONTRACTOR): SI GNEiIt Il.l(' W& ATE y . ` ` Description: Stj JIL U1kL 5c�t��j b� �Rtv©� �O k Lc31n1. s cr f lq Qv ci 4 MnA-lk' BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: - Approval: Zoning: BUILDING COMMENTS: - Approval: PUBLIC WORKS COMMENTS: 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: (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 shah' expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. - (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abu donmeathas not exceeded one (1) yew. If changes have been or if suspension or abandonment exceeds one (I) 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.- - - -- Contractor shall tlieBuil - --r (5 ) notify dwglnspectortwe¢ty- fou(24)hours in advance for all inspections and shall receive written approval on inspection cud before proceeding with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifications shall not be constmedao be a permit for, nor an approval of, any violation of the provisions of the building codes or my other ordinance, law, rule or regulation. Chief Building Inspector COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: 17278 BUILDING INSPECTION LINE - (303- 234 -5933) Date: 6/25/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303- 235 -2855) Property Owner: DOMBROWSKI,BEN Property Address: 4505 BALSAM ST Contractor License No.: 17529 Phone: 568 -9155 Company: Alsco Cardinal Home Improvement Phone : 77 - 3444 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 responVor compliance witVhe Wheat Ridge Building Code (U.B.C.) and all other applicabl o 'in-i�ice Sr work under this permit. (OWNER)(CONTRACTOR)SIGNED_ .t DATa!:7 vt C ( Construction Value : $5,000.00 Permit Fee: $144.70 Plan Review Fee: $0.00 Use Tax: $60.00 Total: $204.70 Use : Description : 17 -VINYL REPLACEMENT WINDOWS (NO STRUCTURAL CHANGES) 1 ' a i i BUILDING DEPARTMENT USE ONLY �» n SIC: Sq. Ft. on : � Cgmgten tau; Approval Zoning 076 0 1 7 0106 " r Comments BEDROOM WINDOWS MUST MEET EGRESS 97 UBC. 6125/04 Approval: CR Pub 0 mks Connmerit's Approval: 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 permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications 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 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 proceediing 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. Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOP vIENT Building Permit Number: cF wNegT P BUILDING INSPECTION LINE - 303 - 234 -5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE CO 80215 - 303 - 235 -2850 C�CORPO� ° ,, UCA TI N Property Owner: D: nmw >tw'5Va Property Address: q sot `231�ZS.�� t S�. Phone :'%Ds' 71&5 Contractor License No.: 17jr� b kO�' Company: /ILS n �la/a )t Y1) Phone: OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by.this permit application are Construction Value: 00n accurate, and do not violate applicable ordinances, rules or regulations of the City of Permit Fee: I 444 7° Wheat Ridge or covenants, easements or restrictions of record; that all measurements plan Review Fee: shown, and allegations made are accurate; that I have road and agree to abide by all ,„, conditions printed on this application and that I assume full responsibility for Use Tax: 60, compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Total: Wheat Ridge Ordinances, for work under this permit f ao (OWNER)(CONTRACTOR): SI pTEcxJ Description: ) 7- V I da ; 'L con cS�rRuG� vIL4 L � �1R� e SJ BUILDING DEPARTMENT USE ONLY 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 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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended of abandoned 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 normallyrequired, provided no changes have been or will be made in the original plans andspecifications and mysuspension or abandoomenthas¢ of mceededone year. 1fchangesbavebeenorifsus ionorabmdo=mt exceeds one (1) yea, 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 theBuilding Inspector twenty-four (24)boms 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 tirpon and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions e g codes w an rdinance, law, rule orregulation. C ' ' ding Inspector SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COM COMMENTS: OOa7W( A 6b'1� (N �(XCtiS v•. PUBLIC WORKS COMMENTS: ' 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: (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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended of abandoned 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 normallyrequired, provided no changes have been or will be made in the original plans andspecifications and mysuspension or abandoomenthas¢ of mceededone year. 1fchangesbavebeenorifsus ionorabmdo=mt exceeds one (1) yea, 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 theBuilding Inspector twenty-four (24)boms 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 tirpon and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions e g codes w an rdinance, law, rule orregulation. C ' ' ding Inspector A n N � o� da n� ='c o n � mo: �JC NCI = cm- � m O mm $ O v� ;u II O 00 I c oV ? � 5 N w�N II OJ O w II r N C O � r- A N A m N n ln0a � I dm m H E w an � No r o m � mA mOp a ° o O� c m o m W� AO II II w � c D N N O *mm C 11 O fOry "3 w mr O ° 0 N m A a v r 9 L 8 N O; a 0 m y 3 A n N � o� da n� ='c o n � mo: �JC NCI = cm- � m O mm $ O v� ;u II O 00 I c oV ? � 5 N w�N II OJ O w II r N C O � r- A N A m N n ln0a � I dm m H E w an � No r o m � mA mOp a ° o O� c m o m W� AO II II w � c D N N O *mm C 11 O fOry "3 w mr O ° 0 N m A a v r 9 J fA O n CL 2 O 3 3 V 0 I rt 0 w J O V W < A C S O n N O X d m O O N W � m O W m W N c a W m N N N O m m 1 Al. NINE .. �iff NMI MEN �im vt NICO��lullll� iii r. J fA O n CL 2 O 3 3 V 0 I rt 0 w J O V W < A C S O n N O X d m O O N W � m O W m W N c a W m N N N O m m DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Building Permit Number Date 9105 6/24/99 Property Owner: Property Address : 4505 BALSAM ST Contractor License No.: 17152 Company: Precise Plumbing Phone: 424 -2683 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 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : Replace water heater, ready for inspection Construction Value: $416.00 Permit Fee: $23.50 Plan Review Fee: $0.00 Use Tax: $0.00 Total: $23.50 Use: Electrical License No: Company: Plumbing License No: Company: Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date Approval : Approval : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications 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 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 proceediing 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, not an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief BufTdifi&fflsfketur-- 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: CdA e <C -4 Property Address: P m rf'ta23 Phone: Vl�/ -��� Contractor License No.: / 7/ f Company : ` 3 d j,) GiSC Phone '�� ! %�q � � :S.�'y - o�sr/ OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 7 Tot3i: Value: ° I hereby certify that the setback distances Proposed application this permit apption are accurate. lue : L%/ < and do not violate appnpbl! ordinances. noes or regulations of the City of Wheal Ridge or Fee: 2 S covenants. easements or restrictions of record: Nat all measuremer s shown. Ono allegations de "ma are accurate: mat 1 have read and agree to abide by all conditions pruned on this - Tax appncation. and that 1 assume fun reapon r.for comphan Ridge with the Wheat R' Bu ,�� �`S Code (U.S.C.) and as other appAics I Wheat Ridge orotrtandes. for work under t is psrmR .. -�� (OWNER)(CONTRACTOR) SIGNED /0� � � �� 23 S" D Description: /'e c 4dv44 ••YQ z f Z�iBYY tieR4�7 Approval Zoning: [3Hlldltio=3:�ie�i� Approval. POW jsrW&W - c Approval: Occupancy: Walls Electrical License No: Company: Expiration Date: Approval: �Pltfns `R�qutredw'�1 " ( (2) (3) (a) (5) (6) BUILDING DEPARTMENT USE ONLY Roof: Stories : Residential Units: Plumbing License NO: Company: Expiration Date: Approval: z j PI%hs RaHtred:M ':1 Mechanical License No: Company. Expiration Date: Approval: Ja �!Rium= .. ... an _ wrm me ovuans set form in yopur aGpuc oon and is sub)ect m the laws of the Stan of Colorado and to the Zoning This Th p and Building Code of Wh W eat Ridge. Colorado or any omen spou able ommameas of me to t is permit snail expte d (A) me wort auutanaed u not commented wroun Bury (60) days from is sue date W (8) the buildi aubtanied a suspended W abandoneo for a oenoo of 120 days O pemxt at rrat ones. a new Den may be acoulm for a fee of one•had the amount normalp. required. provided no chahgl$ haul bow or wig tN made n the anginal Warts and speoakntions and arty suspension W atiwatnmem has not exceeded one (1) year. 11 exceeds one (1) yew. full fees Stan be Data for a new owrmt, atarlgss ate made or d suspension or abandonment No wort of any manner snarl be done mat Mon change me natural now of water taus+ng a drainage problem. Contractor snarl nobry me Building Insoeuor uven ty•four (2 4) hours in advance for at inspections and $half receive written aporovaf on inspection card before ( t ow of a s or any o me r o rd in an c e. c C�mgs and sdep s sna)I n o of be wnstmed to be a perm" tor. nor an approval of. any wdabw of me provisions a( the bmmng codes or any ther oma, raw, ruse or regulation. Chief Building-inspector For Mayor CALL: 2345933 24 HOURS PRIOR TO INSPECTION EOTt7fz AND MAYOR