HomeMy WebLinkAbout7035-7045 W 28th PlaceI `JNSPECTION R CORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupanc ype
.
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Uo Not Four Unncrete Prinr In Annrnval [lt Tho Ahnva Inanartinnc
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Floodplain Inspection (if applicable)
Plumbing
Final Electrical
Uo Not GOver uncierarounci or Below/ln-Slah Work Prinr Tn Annrnval Of Tho Ahnva Incnar4if%na
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
o
Final Mechanical
Lath / Wall Tie
Roof f 7
Final Window/Doors
Rough Electric "
Final Building
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.
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date Inspector
Initials
Comments
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.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof f 7
Final Window/Doors
Final Building
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.
WWW vanaayc NU11111w - ricaaG uc t)u1c uiat iL)uyn uiSNectwn5 are compietea tram the Tire uistnct ana eectncai low voltage
by the Building Division.
"For Inspection Time Window - Please email insptimerequest@ci.wheatridge.co.UQ- by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weathei
e 41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M i
Job Address: -7 n Z � ,,, :; r P/
Permit Number: 7 (� i -2 c, / 3 L/ z
❑ No one available for inspection: TimeI /-- -) ' AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
P
Date: �! , 7 Inspector:
DO NOT REMOVE THIS NOTICE
® A - City of Wheat Ridge
�.. Residential Roofing PERMIT - 201701345
PERMIT NO: 201701345 ISSUED: 06/01/2017
JOB ADDRESS: 7035 W 28th PL EXPIRES: 06/01/2018
JOB DESCRIPTION: Remove 1 layer; reroof with 30 year Tamko Heritage; 4/12 pitch; 34 squares
*** CONTACTS ***
OWNER (303)421-7739 FEELY MARLENE G
SUB (303)466-0161 Bernie Reitz 019543 Reitz Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,180.00
FEES
Total Valuation 0.00
Use Tax 192.78 00W
Permit Fee 204.30
** TOTAL ** 397.08
*** 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 k/2 -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 manufactureraems 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's 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201701345
201701345 ISSUED: 06/01/2017
7035 W 28th PL EXPIRES: 06/01/2018
Remove 1 layer; reroof with 30 year Tamko Heritage; 4/12 pitch; 34 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that al o , performed rs disclosed in this document and/ rr it�'accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date f
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 originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 Drvision 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
applicable code or any'ordinance lation of this jurisdiction. Approval of work is subject to f any
inspection.
ehA.I
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
• City of
f
Wheat i e
DEVELOPMEI
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 *l=ax: 303-237-8929
Inspection Line: 303-234-5933
I FOR OFFICE USE ONLY
Date:
Plan/Permit # )Vq0j 3q -S
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **"
Property Address: 17 e) 7 51_ </ ( tL__
� V/'
Owner
Property Owner Email:
AAF.ale
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E'. -mail:
Contractor: �� Ic (` Z ` L 1 '�C-
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone
Phone: 3 - y� �_ 0 `6
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Descriatior-3f work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
COMMERCIAL ADDITION :EK RESIDENTIAL ROOFING
RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
(/ j,� � t7
Sq. Ft./LF
Amps
Btu's
Gallons
Squares ,7 / Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$_
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLEONE. 1 (OWNER) (CONTRACTOR) or (AUTHORIZED_ ?,ER ENTATIVE,,' (OWNER) (CONTRACTOR)
PRINT NAME: (Qle�U tl. 51GNATURE:P�ATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
---
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: F
Job Address: 7 is 3 "� - P!
Permit Number: - � .�7) C
fAlP1-7 0 U u Y0
❑ No one available for inspection: Time JA/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Dater- '7 Inspector:
DO NOT REMOVE THIS NOTICE
234 -5933
Occupancy /Type
I t ' ` ; IP performed unless this card is posted on the project site.
Call the inspec n request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
Footing /Stemwall P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground /Slab Inspections
Date
Inspector
Initials
Comments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below / In -slab)
Heating (Below/ In -slab)
Do Not Cover Underaround or Below /In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed
Without Approval Of
Above Rough Inspections
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
= Date `-
--- InsRectQr
Initials
—..Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303 - 235 -2846. For ROW and drainage
inspections call 303 - 235 -2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public works Dept.
Fire Inspection / Fire Protection Dist.
"Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
4 '
CITY OF WHEAT RIDGE
Building Inspection Division
J (303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address
'Permit Number
�r P ri t
wo
N ✓ N ,-14N
nspections will not be performed unless this card is posted on the project site.
P9 he inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector:
Initials
��
Cohiments'
Monolithic Slab Reinforcement
Sewer Service (Underground)
"
Caissons
Water Service (Underground)
Concrete Encased Ground (CEG)
Plumbing (Below / In -slab)
Footing /Stemwall P.E. Letter
Heating (Below/ In -slab)
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground /Slab Inspections
Date
Inspector
Initials
Comments
Electrical (Underground) .
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below / In -slab)
Heating (Below/ In -slab)
Do Not Cover Underground or Below /In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Roof Sheathing
Lath /Wall Tie.,
Rough Electric'
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed Without Approval Of
Above Rough Inspections
Rough Framing
Insulation
Drywall Screw/ Nail
Final Inspections —
Date
Inspector
-
Initials
Comments
Final Electrical
..`:
Final Plumbing -
-
-
Final Mechanical
�� _ /
Roof
Final Building / Frame .-
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance F=p)" and- par,KirOcd
inspections call 303 - 235 -2846 For ROW and drainage,
inspections ca11:303 235 2861 For fire ih, p& .tons•
contact the Fire Protection for your project. `
ROW & Drainage / Public works Dept.
`
Fire Inspection' / Fire Protection Dist.
-
"Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occ upancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
r
❑ No one available for inspection: Time & rARIpM
" ' City of Wheat Ridge
►/ Residential Mechanic PERMIT - 111262
PERMIT NO: 111262 ISSUED: 10/17/2011
JOB ADDRESS: 7035 W 28TH PL EXPIRES: 10/16/2012
DESCRIPTION: Install 4500 cfm roof mounted swamp cooler
* ** CONTACTS * **
OWNER 303/881 -3713 Marlene Feely
sub 303/295 -3636 01 -6918 Skyline Htg A/C & Sheet Metal
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0590 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,400.00
FEES
Permit Fee 40.00
Total Valuation .00
Use Tax 25.20
** TOTAL ** 65.20 RM
Conditions:
Subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this 9loc and /or its accoJapanyiJag approved plans and specifications.
Signature of OWNER or '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 field in ec on.
Signature Building Offical Date
INS PE 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 Wheat Ridge Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 ' Fax: 303 - 235 -2857
Inspection Line: 303- 234 -5933
Date:
Plan #:
Permit #: i 1 i✓�
Building Permit Application
go35 Id) O(�`" Pilau
Property Owner (please print):
Mailing Address: (if different than property address)
Phone: 3
Address:
City, State, Zip: 0-;u Flom
Contractor:
Contractor License #: C)10
Sub Contractors;
Electrical City License #:
Company:
Phone:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date: Exp. Date: Exp. Date:
App roval: Approval: Approval:
Use of space (description):
— OqWf IRnption g o � F�work� ,(/
y56>0 (,Fm
Construction value: S fgoo f
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft. /L.Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this perm it. Plans subject to field inspection.
C /RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRES ATIVE of(OWN K�ONTRATOR)
PRINTNAME "' SIGNATURE: ate:
-���
♦�
- r�
City of Wheat Ridge
Residential Mechanic PERMIT - 111263
PERMIT NO: 111263 ISSUED: 10/17/2011
JOB ADDRESS: 7045 W. 28th Pl. EXPIRES: 10/16/2012
DESCRIPTION: Install 4500 cfm roof mounted swamp cooler
* ** CONTACTS * **
owner 303/881 -3713 Marlene Feely
SUB 303/295 -3636
01 -8918 Skyline Htg A/C & Sheet Metal
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0590
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,400.00
FEES
Permit Fee 40.00
Total Valuation .00
Use Tax 25.20
** TOTAL ** 65.20
Conditions:
Subject to field inspections.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
thisldg4umenp and /oX its' accpmparlying approved plans and specifications.
Signature of OWNER or '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 field inspection.
Signatu ief Building Offical Date
INSP TI REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQ STS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division Date:
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-235-2857 Ran #.-
Inspection Line: 303-234-5933 Permit #,
Building Permit Application
pr operty
Property Owner (please print):
Phone: 3 - R?/ - .3
Contractor License #: q(S ' 4one: 3 a 915 a& 341
- A CIA -
Electrical City License #: Plumbing City License #: Mechanical City License #.
Company: Company Company:
13
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of Construction Valui
Space (description): $
M sheet)
(as calculated per the Buifting Vatuadon Data
g
b q 5 C
a(v& Z- [—Plan Review (due at time of submittal): $
q0, of
Sq. Ft./L.Ft added: Squares BTU's — Gallons _ Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not Violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection-
CIRLCE ONE.: (OWNER) (CON ACTOR) or PERSONAL REPRET of (Offl$ (CONTRATOR)
-
PRINT NAME: & - - /
SIGNATURE �J aa6� Data. / o
Mailing Address: (if different than property address) U
City of Wheat Ridge
- r�
Residential Roofing PERMIT - 111186
PERMIT NO: 111186 ISSUED: 10/04/2011
JOB ADDRESS: 7035 -45 W. 28th P1. EXPIRES: 10/03/2012
DESCRIPTION: Reroof 30 sqs with 30 yr Tamkoshingles
* ** CONTACTS * **
owner 303/421 -7739 Feely
sub 303/466 -0161 Bernie Reitz
01 -9543 Reitz Roofing, Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0590
BLOCK /LOT #:
0/
** FEE SUMMARY **
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION: 7,500.00
FEES
i ed L3Vv y,r� 1
135.00
307.60
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named pfEhin this document as parties to the work to be performed and that all work to be performed is disclosed in
this docume and /or its approved plans and specifications. I
Signature
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. I£ 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 field insnectivn.
Signature 917 CMA,* Building Offical
Date
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
of weegr COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
BUILDING INSPECTION LINE .303-234-5933 Date:
° CITY OF WHEAT RIDGE
U m 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303- 235 -28551
�0<ORP00 y ®N
Property APPLICAT
Owner: F,--'r jI {{yy
Property Address: 7c) %' _ e�`,r, ;32 � 1"'f. Phone:`3w ` dl-
Contractor License No.: o/9 �
Company: I L 5l-Pj
Phone: j ._ -7?V & CJ j�
OWNERICONTRACTOR 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 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�JB.C) and all other applicable
Wheat Ridge Ordinances, for workuader this oermili
(OWNER)(CONTRACTOR):PRINTED
Description: //p 4
instruction Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Electrical License No:
Company:
Expiration Date:
Plumbing License No:
Company:
Expiration Date:
Mechanical License No:
Company:
Expiration 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.
(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 fora period of 120 days.
(3) If this permit expires, a new permit may be acquired fora fee of one -half the amount normally required, provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty -four (24� hours in advance for all inspections and shall receive written
approval on inspection card before proceeding with sucee,ssive phases of the job.
(6) The issuance of a permit or the approval of drawing 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.
Chief Building Official
Sq. Ft. added