HomeMy WebLinkAbout3640 Lee StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Residential Window/Door Replacement
Date: Wednesday, April 27, 2022 12:04:42 PM
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PERMIT APPLICATION Residential Window/Door Replacement
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided
below once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 3640 Lee Street
Property Owner Name Donna Prozeralik
Property Owner Phone 716-940-3021
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email nashfalls@aol.com
Address
Attach City of Wheat Wheat Ridae Payment Form Sianed.odf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Pella Windows & Doors of Colorado
Name
replaced. This is not a duplicate the kitchen window are being
Contractor's License
020762
Number (This is a 5 or
Kitchen (Back), Family Room (front), Bedroom (Front), Office
6 digit number for the
North (side), Office East (Back)
City of Wheat Ridge)
Contractor Phone
720-388-0446
Number (enter WITH
dashes, eg 303-123-
4567)
0.27, 0.28 and 0.29
Contractor Email
1-permits@pellacolorado.com
Address
Retype Contractor
1-permits@pellacolorado.com
Email Address
DESCRIPTION OF WORK
What is being replaced Windows
Number of window
5 (there is an old permit from 2020 where kitchen windows were
and/or doors being
replaced. This is not a duplicate the kitchen window are being
replaced
replace again
Location of
Kitchen (Back), Family Room (front), Bedroom (Front), Office
window(s)/door(s)
North (side), Office East (Back)
being replaced (for
example, master
bedroom, kitchen,
bathroom, etc):
What is the u -value of
0.27, 0.28 and 0.29
the window(s)/door(s)?
City of Wheat Ridge
requires the u -value to
be .30 or better on
windows..
Attach copy of
Prozeralik 715NAD212P - OOC Nathan Anderson Ddf
window/door cut sheets
showing sizes and u -
value
Attach any additional
Field not completed.
documentation
Attach any additional Field not completed
documentation
Project Value (contract 7223.67
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to 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.
Person Applying for Steve Kasza
Pe rm it
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®� ®_ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes ; No
When corrections have been made, schedule for re -inspection online at:
http://www. cL wheatridge. co. us/inspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Resid. Windows/Doors PERMIT - 202002115
PERMIT NO: 202002115 ISSUED: 10/16/2020
JOB ADDRESS: 3640 Lee St EXPIRES: 10/16/2021
JOB DESCRIPTION: Replace 2 kitchen windows, U -value .27
*** CONTACTS ***
OWNER (716)940-3021
DONNA PROZERALIK
SUB (303)371-3750
GRAYDON BEVIS
020762 PELLA WINDOWS & DOORS INC.
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD
VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 5,451.60
FEES
Window Replacement
50.00
Total Valuation
0.00
Use Tax
114.48
** TOTAL **
164.48
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .30 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by n 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 enmt. 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 document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This pen -nit 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. pennit 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 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, any violation of any provision of any
applicable code or anytiordmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signafuie of Chie/Bu"ilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Tamra Calhoun 08 3 1
From:
CommDev Permits
Sent:
Thursday, October 15, 2020 9:13 AM
To:
Tamra Calhoun
Cc:
Dina Kemp
Subject:
FW: Online Form Submittal: Residential Window/Door Replacement Permit Application
Hi, do you want to attempt the permit below?
Kim Cook
Permit Technician
Office Phone: 303-235-2876
�� ri_City ol,
j.I� VY i1ce
- (.tykt4ltlftlfY
11N Vf1ov"IN'f
CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are
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From: no-reply@ci.wheatridge.co.us <no-reply@ci.wheatridge.co.us>
Sent: Thursday, October 15, 2020 8:31 AM
To: CommDev Permits <Permits@ci.wheatridge.co.us>
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 3640 Lee Street
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
Donna Prozeralik
716-940-3021
1-psi(cD__pel lacolorado.com
Prozeralik- Wheat ridge form 101 52020.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Pella Windows & Doors
020762
3033713750
Contractor Email Address 1-PSI(o)PELLACOLORADO.COM
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of window
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the a -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .30 or
better on windows..
1 -PSI (cDPELLACOLORADO.COM
kitchen
27
PkI
Attach copy of
window/door cut sheets
showing sizes and u -value
Project Value (contract
value or cost of ALL
materials and labor)
Prozeralik-Wheat Ridge-715NAC162M 10-22 OOC.pdf
5451.60
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 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.
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.
Person Applying for Don Harris
Permit
Email not displaying correctly? View it in your browser.
3
City of
jqr'Wh6atP. dge,
COMMUNiTy DEvELoPMENT
Building Inspection Services Division Ridge, O 800
• i303-237-8929
Inspection . •
permits&i.wheatridgecoms
FOR OFFICE USE ONLY
,Add to Permit #
`" a a:a � s m .s ..» ♦ »+ - e . w . §. .:m« w a a «a r a ®r
Property Address:
Property Owner 'please print). Ph' ort
Property Owner Email.
piling Address: (if different than property address)
,address:
City, Staten i
+escri ti2n cif l evis Wendedwork:
``
Sq. FULF Stu's gallons
Amps Squares Cather
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TV
INSPECTION RECORD
INSPECTION REQUEST LINE(303) 234-5933
Inspections will not be perfomied unless this card is posted on the prc'�ject site.
("all the inspection request line before 11:59 pm. to receive an inspection the following business day,
Inspector Must Sign ALL Spaces pertinent to this project
I nspecand InspecItor
Date tions DaComments
at"Initials
LA,12!nl�thic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
I' Footing/Stemwaff P,E, Letter
Do Not our Concrete Prior To A roval Of The Abovejqspections
Inspector
Underground/Stab Inspections]" ate Initials Comments
Electrical (Underground)
Sewer service (Underground)
Water Service (Underground)
Plumbing (Below! In -slab)
to tin (Boo w I in -slab)
Do Not Cover Under round or Belowlin-Slab Work Prior To Ap
proval Of The Above In
Rough Inspections Date Inspector Comments I PAO 9 P
--initials
Wall Sheathing
Roof Sheathing
Lath) WaH Tie
Rough Electric
Rough MeehaniCal
Do
Not-------- Wit Ertl Above
Rough Frarnmg
1� Ell
InSL4ation
Drywall Screw I Nail
Final Inspections Date Inspector
ft
Initials
7
Final Plumbing
i -n-a' -1-M, e—c t -i a —ni c a I. .... . '7 -7Z 6lad
0"
Final BuHdmg Frame
Landscaping & Parking / Planning Dept.•
ROW & Drainage / Public, Works, Dept
Fir(a Inspection I Fire Protection ;7Mt'
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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 11:59 pm. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
nspe
Foundation Inspections Date 11-441 ctor-1- Comments
Monolithic Stab Reinforcement
_7
ConcreteEncased Ground (CEG)
01-1 � V 11 -
Not Pour Con—c iiii Prior To Aoor
wow
50-NIJ L
Rough Inspections
Roof Sheathing
Rough Framing
II
Insiii ulation--
Drywall Screw Nail
Final Electrical
MR Effiwa
Ki
Initials
X]
CituhWheat Ri?p
Me 20 5 11 1 CDSB
Install 4806 ifs eva
C0811969
AMOUNT
BKP 364Y ST
46.06661617
ANDURELeeRNITHO: 2@
PlAYMENT RECEIVED
ANOUNT
VS / 9144
40.00
AUTH CODL: 68369D
TOTAL
---------------------
"Note: All Items muit be comoleted 0, -td ap
po Plasm
FUZOIRM777.
Occupancy Is Not Permitted Until A Certificate of 1 0 1 ccupancylsIssued
Protect This Card From The Weather
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FOR OFFICE USE ONLY
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City of jd �
.0�COMMUMTY
� �k �r ' ""q� ixaN' p p�\�'�y�' Y Pjp p ,yy
Building & Inspection Services Division
7500 W.2e Ave. Wheat Ridge, CO 80033 Plan Review
Office: 303-235.2555 * : 3013-237-8929
Inspection Line: 303-234-5933
Building er it Application
please r4mplela all highlightotl areas on bothstdas ofthis4orm. in plat 01*11cations may not be processed.
' �.
Property Address.
«r.aae a tuitrift ft lr tea oo nrinfi- 1 . $ d @ _ Phone -IFI 9 3 E
Property it Email:
MailingAddress: ('if different than property address)
Address;
City, State,
Contractor: rsc
contractors City License Finan*
Contractor llrlE1 Addre~:
Sub Contractors'.
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License
Other City Licensed Sub: Other City Licensed Sub:
City License # City License
Complete all information on BOTH sides of this form
•-
amount of materials to be used, etc.
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Date:
Plan #
Perinit #
Phone: 8c;
Address:
City, State, Zip:
Phone:
Plumbing: Mechanical:
City License # City License # City License #
0 lit
Address:
Em y »! »,
Contractors City Licens M. Phone:
ARMSME
HEMEM
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Foun dation Inspections will not be performed unless this card is posted on the project site,
all t c inspection request line before 3:00 p.m. to receive an inspection the following business day.
r " 7
Inspector Must Sign ALL Spaces pertinent to this project
, r .; Comments
III Pill .
Electrical (Und
Sewer Service
Water Service
Plum bing (Be
IN
Inspector
Rough • ♦ ELI( Comments
affi
Do Not Proceed Without Approval of Above Rouch Inspections
M
Final Inspections Date rn�pe �vr
1...44.. :_ I Comments
Lee- - # lI
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 Inapacwr Comments
Initials
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
Footing /Stemwall P.E. Letter
Do Not Pour Concrete Prior To Annroval Of The Ahnve Ins nertinn c
Underground /Slab Inspections
Date
Inspector
Comments
omments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Inspector
Initials
Comments
Plumbing (Below / In -slab)
Heating (Below/ In -slab)
*Date
vV IVVL VVVVI VrluCrlyrVUrrV or oetownn -ciao vvorK rrlor Io Approval Ut Ine Above Inspections
Rough Inspections Date Inspector Comments
Initials
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do N ot Proceed Without Approval Of Above Rouqh Inspections
Insulation
Drywall Screw / Nail
Final Inspections
Inspector
Initials
Comments
Final Electrical
Final Plumbing
*Date
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: Ali 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 au t h orizatio n of occu pancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
I
❑ No one available for inspection:
Re- Inspection required: Yes
'When corrections have been made, ca
Date: Inspector:
DO NOT REMOVE
Time f , fo AM /�lY )
City of Wheat Ridge
Residential Mechanic PERMIT - 110979
PERMIT NO: 110979 ISSUED: 08/17/2.011
JOB ADDRESS: 3640 LEE ST EXPIRES: 08/16/2012
DESCRIPTION: Boiler replacement 164,000 btu& combustion air
* ** CONTACTS * **
owner 303/798 -7716 Ann Yeager
sub 303/422 -4779 Harry E. Traum III
02 -1775 LEGACY PLUMBING & RENOVATION
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0642
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT..VALUATION: 3,400.00
FEES
Permit Fee 40.00
Total Valuation .00 + rZ
Use Tax 61.20
** TOTAL ** 101.20
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, applieable 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 es ribed and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entit' na ed within this document as parties to the work to be performed and that all work to be performed is disclosed in
thi o u nt and /or its' accompanying approved plans and specifications.
5ighat4ire of(,/ OWNER o CONTRACTOR (Circle one) Date
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 applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fiel
Signature C f Building Offical Date
INS
PEC ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
COMMUNITY DEVELOPMENT
Building & Inspection Services Division Permit#
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property Address: 410 �-�
Property Owner (please print): A Nye Y 4eCA 5 - Phone: 3ia 3 7 - 77 1 b
Mailing Address` (if different than property address)
Address: -_
City, State, Zip:
Contractor:
Contractors City License #:
Phone:
Bldg Valuation:
Date:
Plan #