Loading...
HomeMy WebLinkAbout4777 Cody Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: <4 0—L Job Address: Cam"" Permit Number: �j ❑ No one available for inspection: Time AM/PM Re -Inspection required: Ye t9 When corrections have been made, schedule for re -inspection online at. httpYAvww.ci.wheatridge.co.u-qlin pec ► __ `l 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Int6pection Type: /ti %' Job Address: 7 r _5_� S" Permit Number: / Q' ❑ No one available for inspection: Time pts AM Re -Inspection required: Yes >> No When corrections have been made, sliedule for re -inspection online at: httpJ/www. ci. whea tridge. co. usrnspection Date: 7/z7_ ® Inspector: cr yo t� DO NOT REMOVE THIS NOTICE INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: JVI � 03 ADDRESS: / / C' JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground I 11,2j tzrK Ito Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof I 11,2j tzrK Ito 307 Metal / Lath / Stucco 308 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 PERMIT: O q ADDRESS: gjl1 C,0d)LA � JOB CODE: 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 401 Gasline 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 1L % /+ j f 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 Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. 7i M The City of Wheat Ridge Third Warty Four Check List Property Address Permit NuMber —Z:01,10-40 ' Pernnit !ssued Date owner Information Property owner Information Property towner Address InspEptor Information R inspection Company tw.•,. L Qars l �Afl1 -- - inspector Name •-•�� �- ��a ir►spector 1Contact info. RI0 In$Pector Statement an+d Acknowled ea rnegni i Nearby acknowledge the roof I am inspecting is 6112 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dent.' * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 iBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's r;E�commendations and specifications. Date` €nspector: Pent of Acknowledgement *1 hearby acknowledge that I am the owner of the budding referenced above and i give my consent for the listed third -party inspectipri company to perform my roof inspection inieu of the City of Wheat Ridge B n E'3 vi i inspection. i propery Owner/Agent: Date: This original document and permit card, as well as the roofing check list, the Chief Building official within seven days of the final inspection. Drop off in person Per pit counter 2nd floor ?rD60 W. 29th Ave V"v ? yea# Ridge CO 80033 Draft Date: 7126/17 must b6 submitted tc • 33390 ° Please add note to reverse side -1 \ taxa L- C\8 sc u n'nOU<__ The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/Ai Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A L° Pass ❑ Fail Flashing for roof and walls [ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) ❑ N/A El Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) ❑ N/A Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps ❑ N/A [� Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle EJ N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A [� Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A L4,4] Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A IPass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A LJ Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ❑ N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements ❑ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment Company Name: Inspector signature: Date of Inspection: The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Mark Benjamin PE PHI -D&E Inc. dba Crown Jade (com) Design and Engineering PO 17, Ft. Collins CO 80522 970-472-2394 The City of Wheat Ridge —7 Inspection Check List notes Final Roof tA Roof Inspection ❑ N/A ❑ Pass ❑ Fail ❑ N/A [�, Pass ❑ Fail Structural roof components ❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A [ Pass ❑ Fail Flashing for roof and walls IX Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) ❑ N/A Pass ❑ Fail Verify sheathing nail pattern (See Policy & Procedures) ❑ N/A Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps ❑ N/AI^�J ���11 Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle N N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A �] Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A � Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ N/A &I Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Q Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope; Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 ® N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements ❑ N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof ❑ N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Requirements ❑ N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment Company Name: Inspector signature: Date of Inspection: The City of Wheat Ridge Inspection Check List notes Final Roof Notes Mark Benjamin PE PHI -D&E Inc. dba Crown Jade (com) Design and Engineering PO 17, Ft. Collins CO 80522 970-472-2394 �4p,Q0 •� 6Ev„ .a•F�y s� 2a i 38390 0��US/GN�L��1 ` � ► l o City of Wheat Ridge w� T Residential Roofing PERMIT - 201704086 PERMIT NO: 201704086 ISSUED: 07/15/2017 JOB ADDRESS: 4777 Cody ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning asphalt shingles - 20 sq *** CONTACTS *** OWNER (480)215-1984 UNHOCK LINDSEY A SUB (303)981-1265 Jon Lowrie 100243 Monarch Construction & Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,600.00 FEES Total Valuation 0.00 Use Tax 159.60 Permit Fee 172.60 ** TOTAL ** 332.20 *** 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. 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 - 201704086 PERMIT NO: 201704086 ISSUED: 07/15/2017 JOB ADDRESS: 4777 Cody ST EXPIRES: 07/15/2018 JOB DESCRIPTION: Residential Re—roof to install Owens Corning asphalt shingles — 20 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 thispermit. I further attest that 1 am legally authorized to include all entities named within this document as parties to the work to be performed and tha o be ,erformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of O ONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building 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 n approvayoff,an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval ork ip f = subjeld ion. R.• Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Top 1% of roofing contractors -1111io- 44 T CusboterNarrte Adiness , 47-7-7 -j i( -,6D 14 <+. WHAA-r121T)f-,C IA %0. Email Insurance company InSPOOr" P ani COMatFuctbD & Roolimg, LLC wili 08 refs d1` ) 91 In% Wtold % *Wll, 74 " of writit and motor" fdritittied bqW am a,,* UW of P011( rewmMOTWed by WItarcii cots"COM & RWAN: MM"o is " OV40W W wfoml any Pert of the scOP4 Of wwk that is 1`10, &VwOd tY the 1111511111"Ift tOmPrInY tiAless p7,q aultityriao Ins *wk and agree to Pwi W this addw"I wok -HM Q C I i All? /n A", i "e) !10 �Tff a0l - - layers !ayes) "ear off one layer of Wnw si�,ae shingles I WE — ! ewsling 1111 Z*g (7116, Of OR aM Inck;I&O, Wh QddiW4 0001, Wit be $65 per shear 111� 3ft tail rl"Ols I- -d- B,m f ca art �T('ray White Other—Z--'*1" tnt �-p Y(S) wil; be cjD8W With Ice & water shield C1 Vaftsy(sl will be open LA& ,W$) to be Ocitor-coordinated with shingle to li �Prorilprld be Installnew Diva ianks, � Ile ff" vents as needed e -h chrmne*) and ail wail abitimerit as .d,* -n teat it RdPVent --LF nstall tics & Water Shield per code, as Npit a Zlyl M!":2 ins,$,46 nails per shingle as 'reqUired 4r ,i v tt�, 5 4 71 !'.1, der to ra-align dishro6finslailatoll la 0#23 arythip Warranty OAF Mac genetal awagale a fresh and debris Im kle"' lot 3 blase GulterSaeops-Typ& Al u* 5%T, G, F, f4 ft (I f �4 Pts -->R 4mplelf-!40 fit w,4 Party 4 1 1*qaI4x, The approximani $ 4 "I'l Of 1* tilt"m Ie -o Uawnwinatt ty * A-, oiikof� appV&4 0Y iia -nV rte r M wil ovi _ 1 uta rr Irk hiortwo 'MR M"M ll� i - - 4*4 tW—Ulr codas, who my * � I ro', ftlt,�iad at 40ft neow to POW 011,YA)CMAY initief mle, "Muni that -Y "Oef-imn Wr item Pri* v'*, ,--d by the HLUMV6 60WAOY lot awtPrAi W4, or payiiN okit 00's higirld by Mona,��h that itfie cv lt)CM05es to -N bownio a Dart Of this **,Aot T.'w kof 5icope &id pl,,j aCr. tosuf011004PPrOved sW. Custoonerwiff ba iqtWoSiblett, plyforal, oempany andMolkvch she# betionte the tilts! contact Potie for ft ft kitaunta" citta"" detemi" isvar4faflOrolicoverab6 deprecation Or Adtiftliat WA auftriliuld by thia oustomar that AWnitimainal 0*6 of Sorvi": R*" dAt" of iiervice am subw to ohm" do to unitaw dehvjs in of or b PQYMOM dialtant, hisurar" sAprivii, oriii4r]'; fry any ndsr t3,,,S;as 40p$ c f communlicallicit to cliatinnar to stow 'wittative dans, MOnilid, MOrnimh wif rmvida If PMM *Pla PCIPE4 aAd DMAIY r*W?XA+-PLWt" %io'd WO-WAT" Pact 1 ora**4:10 CP s ;u pay to, mot , Atotk. pir 6j Larit P IstmoCe dEdA,* A, , , sedw 5-22105, the moli cOgna,.tr �Rooi 'Pay, Waive' tow, O� 0—'be to pey� Warm r�i- 'Obtife A Ix PM1 of any �; -W 13 theflswqrg�v (Aiwim 1W DaYMart 00 the CO"Pad IssWenlita jlmpg,6� ap C. I(we) hereby auft'lle & Instruct the in-m;r4nCG GWIPitly A ko holitar;; to int41ja PIO aamo cl t;*rwro contitrw1ion 3 Rft%g o�.-p 0 m arty $a ye SeQuant KW Graft after wda)$ data as wiww abM, ,it 0, 61ec*a MialyyO to #)S Claim MimbW rajemooW gooy,# I attittOd f, COM"od" 10 0&4tP- OfWPA� DW, q to crimplete any lurAuv P(Oce4's was V4 -j± ' 00 wnf* 45 me a4y im d10 �1-0 on MyOr W90 and behalf Of N101111rch. N"aretl 0-wix-lioit &Rodrxt L", i ' - , shati hda 11 ir-V MY PlitaTiOnt tun, M owpoy Clkw, uM�r K6,o;;-VcM1T-M- & Rwkl LLC no jetivorgd, Mimed a M*dlY Of Me WrVwA al ft ptoony Lo"'"46"o' at ihfi Iftdanlai PtcPed? S41 of hl, (we) agree, by sigrorg,11!t!jto all Pa cmtrndilions. both frontaqd hater rat tfifs lteemenf � If G"hyr- soatutltw? MORMh Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 6, 2017 4:19 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 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 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4777 cody st lindsey unhook 4802151984 Field not completed. c~ y Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number monarch construction 100243 3039811265 Contractor Email Address ascott@monarchroofs.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: ascott@monarchroofs.com No owens corning Asphalt Field not completed. How many squares of the 20 material selected above? No Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? Field not completed. TOTAL SQUARES of all 20 / roofing material for this project Provide additional detail reroof here on the description of i work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7600 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 brie lowrie Email not displaying correctly? View it in your browser. 3 `III CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax ' INSPECTION NOTICE Inspection Type. ) elj;y1f, u, r "k 7 ~hctr afh~ Job Address/Permit Number 4777 (a i„ f y LM 7j,9 r 4 ❑ No one available for inspection: Time AM,$W Re Inspection required: Yes o When corrections have been made, call for re-inspection at 303-234-5933. A ~ 1 I Date: `7-(,,rV Inspector: J DO NOT REMOVE THIS NOTICE FWHEgp City of Wheat Ridge Building Division ~o R.o Date: m 7500 W. 29t" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan ° o Inspection Line: 303-234-5933 °coaPO Permit Building Permit Application Property Address: i 7 "7 r~7y S-f- Property Owner (please print): I G~c o j x ~e Phone:3 ~ 3 - ~~S = _c'~27 Mailing Address: (if different than property address) Address: I (D Yb P, l ,)C, City, State, 6 Contractor: Contractor License Sub Contractors: Electrical City License Company: Exp. Date: Phone: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Use of space (description): Description of work: r- AM D64, Construction Value: $ (as calculated per the Building Valuation Data sheet) v Plan Review (due at time of submittal): $ "7Q .°f Sq. Ft./L.Ft added: Squares BTU's Gallons Amps 1°7 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. CIRLCE ONE:: OWNER)) (CONTRACTOR) or PERSONAL REPRESE. ATIVE of (OWNER) (CONTRATOR) h 1 PRINT NAME: -tC.1 K RS+ c/'C SIGNATURE: /h / Date: PUBLIC WORKS COMMCdJTS- Reviewer Bldg Valuation: $ ;X / ,~..e t. Ss o 91 I CO ! M co I x . Fn. \ \ -t cc / A A O Vl rrt Q_ CL 0 -U N S. e < 3 vm A D v j/ N m / / co ;U m m N a fD 0 1 A O -h / . w < N y / / (D 2 N O 3 (0 (D / 90 T. CL (a / !v I c I co m fD D7 O I ~ N I N N I Roof update 4777 Cody St. Rosiere 7991 Jay St Arvada, Co 80003 Date 6-25-09 Home: 303-438-6532 Mobile 303 435-5427 8I gle I o O 0 O O A N~ N ~ N O O W cn v fD 00 II 0 Z1 O O N 7 G CID fl1 N O C rt i A O N m .Oy.. .=y.. N O N (J N O fD `G N ID n O N N N N v N N 90 O. O O - N #p t~ 6 N O O O _ N N N Q? N O= W m X ~m Op O a w S a N p 3 O N n N N m ° N a iv m m m 3 n o o d v °o s y m m Z o m (D N (D X, V K 7 M Q 01 ~ r. O CD (D 90 7 m Q w a~ Roof update 4777 Cody St. L CID - - - --z - -0 ~ n y - T~ C ~ Q N -n 'm a 'a y O ~ m 0 n°' N Date 6-25-09 Mobile 303 -435-5427 »s ~ e © . .:n.Q W C N a o a 0 0 ~ c ~ Q y A W V ~ N q C N j GE ~ ' 6 g O O Z . p O ID C J a o o A e 06 y Q Y p u o E ° 'a O ° _ ~I~ U. m c E 9 m LL m m t o 9 C O V N N / y J r N o c o . - n o o