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HomeMy WebLinkAbout3290 Jay StreetINSPECTION RECORD 7C INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupa. cy/Type CC r___ Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) 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 Plumbing Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' 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 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. For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather . City of Wheat Ridge r� Residential Roofing PERMIT - 201706767 PERMIT NO: 201706767 ISSUED: 08/30/2017 JOB ADDRESS: 3290 Jay ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential'Re-roof to install Owens Corning Duration asphalt shingles and rolled Modified Bitumen with 32.17sq (28.57sq pitched and 3.6sq flat) house and detached garage *** CONTACTS *** OWNER (303)237-7147 LEDERHOS JOSEPH J/PAULA SUB (303)423-7316 David Redding/Tricia Cieluch-R 100110 D &.T Services, 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: 19,998.28 FEES Total Valuation 0.00 Use Tax 419.96 Permit Fee 362.80 r. ** TOTAL ** 782.76 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201706767 PERMIT NO: 201706767 ISSUED: 08/30/2017 JOB ADDRESS: 3290 Jay ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles and rolled Modified Bitumen with 32.17sq (28.57sq pitched and 3.6sq flat) house and detached garage I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications2 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 document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4_ No work of any manner shall be performed that shall results ijj�* 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 r. of aper�l no c strued to be a permit for, or an approval of, an violation of any provision of any apple ble codex e or r f f is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official / Date % REQUESTS MUST BE MADE BY 11:59PM ANY /BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. W ent, .3 -nth-Avenue, wheat Wd Cam ge' Co 8ft33 0" & Resid 47'7zc)'"-'Z_1Zz custom prot e Aq7 08STLe "Paula I derhns 3114311 Remove a haat aw., roof Of 11OUse J's, of roofin 2. Install and cl 3. 'n w det8c6ed garage. Mateirsaes 0. Install netv 4. Install new dro Install etal -- -' -t'-411- -'-a ve s S. p- flasit off', Of the roof, INC Of the roof Cau,lksA�LL-p!" 1@ck f to Meet code. eW a. Install n rc-.-C,,t t4 pe f1inete" of �QU roof. fteW OW... the Neuse and on the en ire Iycj!�s.- gade Corn#" d! M �erage. 18"erisiorw Ltd zz- - e" A 6 !_(Dyr If 09� e gaf.lant 130 Brad o r CRioi`7 th. ie Install ��o. Ieg - tile new sing epm 12., RS-. I I.DoMr clind ca Place dc-Itna god gutters and downspouts IL e / w 13. Detach and reset satellite. -mAnstaii 7 slant back turtle vents for proper ventilation. t 16. P;,*Ont all plumbing boots. stove pipes, and flashings. y gutters, grounds All materials fees. Contract Price ... $191998.28 (Plus any sup p e : , eut requests) (.Plus tete Permit Fee) (Any rotted decking must be replaced to meet code ..... add $58,0t3 per 4x8 street,) Warrant : ears-, -Workmans ; Limited Lifetlyaraea act gees arrant* Authorized Signature (D&T Services, Inc.) A R.a Date F ' 1 Authorized Signature (Purchaser) Date: V, ,1� L!��JLOf*'T 't 7olig 10335W 35&AV"ue*WheMWfteC*80033 Office Commercial & Residential 7te- 0812412017 I 01r F- PrO13CS—M! Customer: Paula Lederhos Claim #: 3114321 Address: 32M Jw SL. V"wM We..CO SOM Phem Kuwften 303-2171-TW7 Eva 'k W, . Jq%Pflgqqm 1. Remove & haul away (11 lavers, of roofing materials on entire rs.of of house and detached garage. 2. install new t tic u n-- 3. Inst aN newi-p- an -shIeld. 4. Install new drip edge ametai on the eaves of the roof. s. Install new dries of the roof. 6. as aff projections. 7. Replace AL L flashin wMh navy caulks to meet code. 8. Install new P*Te-cut trtreer tr on the perlimeter of roof. W I - I f -Til M 1.11 -1 -77 -MM! the house and garage. includes: Ltd. Lifetime Shh'i "Re Warranty; 130 MPH I arrancy; 1®11x. l a1-Warranab y. 7 for of shingles: io.Instalt the new shfnWes u-sibs"te) P.0--alds 'Per SM-m9le.-I gft-'. ii.Install the new Hip & Rlqq-'A--�� 12. Remove and replace damagped gutters and downspout 5" Seamflass 180 LF. Family Owned & Operated ® Fuft LEcensed and Insured 01 Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, August 28, 2017 9:58 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 are on the property? PROPERTY INFORMATIO Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Single Family Home N '6 � 3290 Jay Street Joe and Paula Lederhos 303-237-7147 133 77� Property Owner Email joejl@q.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Joe Lederhos Signed Contract20170828 1092.pdf Contract CONTRACTOR INFORMATION Contractor Business D&T Services Inc. Name Contractor's License 100110 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-319-1585 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 10335 W. 35th Avenue Wheat Ridge CO 80033 (Primary address of your business) Contractor Email Address reddingavenue@aol.com Retype Contractor Email reddingavenue@aol.com Address DESCRIPTION OF WORK TOTAL SQUARES of 32.17 ✓ the entire scope of work: Project Value (contract 19,998.28 value or cost of ALL materials and labor) Are you re-decking the No-,/ roof? 134 Does the scope of the project include a flat roof (less than 2:12 pitch)? How many squares are part of the flat roof? Describe the roofing material for the flat roof: Type of material for the flat roof: Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes 3.6 Modified Bitumen Rolled Yes 28.57 V Owens Corning Duration Asphalt House and Detached Garage SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this application is NOT a permit. I understand I will be contacted by the City Yes Yes 135 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. 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 David Redding Email not displaying correctly? View it in your browser. 136 . City of Wheat Ridge r� Residential Roofing PERMIT - 201706767 PERMIT NO: 201706767 ISSUED: 08/30/2017 JOB ADDRESS: 3290 Jay ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential'Re-roof to install Owens Corning Duration asphalt shingles and rolled Modified Bitumen with 32.17sq (28.57sq pitched and 3.6sq flat) house and detached garage *** CONTACTS *** OWNER (303)237-7147 LEDERHOS JOSEPH J/PAULA SUB (303)423-7316 David Redding/Tricia Cieluch-R 100110 D &.T Services, 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: 19,998.28 FEES Total Valuation 0.00 Use Tax 419.96 Permit Fee 362.80 r. ** TOTAL ** 782.76 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, 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. City of Wheat Ridge Residential Roofing PERMIT - 201706767 PERMIT NO: 201706767 ISSUED: 08/30/2017 JOB ADDRESS: 3290 Jay ST EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles and rolled Modified Bitumen with 32.17sq (28.57sq pitched and 3.6sq flat) house and detached garage I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications2 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 document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in thepermit 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4_ No work of any manner shall be performed that shall results ijj�* 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 r. of aper�l no c strued to be a permit for, or an approval of, an violation of any provision of any apple ble codex e or r f f is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official / Date % REQUESTS MUST BE MADE BY 11:59PM ANY /BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. W ent, .3 -nth-Avenue, wheat Wd Cam ge' Co 8ft33 0" & Resid 47'7zc)'"-'Z_1Zz custom prot e Aq7 08STLe "Paula I derhns 3114311 Remove a haat aw., roof Of 11OUse J's, of roofin 2. Install and cl 3. 'n w det8c6ed garage. Mateirsaes 0. Install netv 4. Install new dro Install etal -- -' -t'-411- -'-a ve s S. p- flasit off', Of the roof, INC Of the roof Cau,lksA�LL-p!" 1@ck f to Meet code. eW a. Install n rc-.-C,,t t4 pe f1inete" of �QU roof. fteW OW... the Neuse and on the en ire Iycj!�s.- gade Corn#" d! M �erage. 18"erisiorw Ltd zz- - e" A 6 !_(Dyr If 09� e gaf.lant 130 Brad o r CRioi`7 th. ie Install ��o. Ieg - tile new sing epm 12., RS-. I I.DoMr clind ca Place dc-Itna god gutters and downspouts IL e / w 13. Detach and reset satellite. -mAnstaii 7 slant back turtle vents for proper ventilation. t 16. P;,*Ont all plumbing boots. stove pipes, and flashings. y gutters, grounds All materials fees. Contract Price ... $191998.28 (Plus any sup p e : , eut requests) (.Plus tete Permit Fee) (Any rotted decking must be replaced to meet code ..... add $58,0t3 per 4x8 street,) Warrant : ears-, -Workmans ; Limited Lifetlyaraea act gees arrant* Authorized Signature (D&T Services, Inc.) A R.a Date F ' 1 Authorized Signature (Purchaser) Date: V, ,1� L!��JLOf*'T 't 7olig 10335W 35&AV"ue*WheMWfteC*80033 Office Commercial & Residential 7te- 0812412017 I 01r F- PrO13CS—M! Customer: Paula Lederhos Claim #: 3114321 Address: 32M Jw SL. V"wM We..CO SOM Phem Kuwften 303-2171-TW7 Eva 'k W, . Jq%Pflgqqm 1. Remove & haul away (11 lavers, of roofing materials on entire rs.of of house and detached garage. 2. install new t tic u n-- 3. Inst aN newi-p- an -shIeld. 4. Install new drip edge ametai on the eaves of the roof. s. Install new dries of the roof. 6. as aff projections. 7. Replace AL L flashin wMh navy caulks to meet code. 8. Install new P*Te-cut trtreer tr on the perlimeter of roof. W I - I f -Til M 1.11 -1 -77 -MM! the house and garage. includes: Ltd. Lifetime Shh'i "Re Warranty; 130 MPH I arrancy; 1®11x. l a1-Warranab y. 7 for of shingles: io.Instalt the new shfnWes u-sibs"te) P.0--alds 'Per SM-m9le.-I gft-'. ii.Install the new Hip & Rlqq-'A--�� 12. Remove and replace damagped gutters and downspout 5" Seamflass 180 LF. Family Owned & Operated ® Fuft LEcensed and Insured 01 Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Monday, August 28, 2017 9:58 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 are on the property? PROPERTY INFORMATIO Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Single Family Home N '6 � 3290 Jay Street Joe and Paula Lederhos 303-237-7147 133 77� Property Owner Email joejl@q.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Joe Lederhos Signed Contract20170828 1092.pdf Contract CONTRACTOR INFORMATION Contractor Business D&T Services Inc. Name Contractor's License 100110 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-319-1585 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 10335 W. 35th Avenue Wheat Ridge CO 80033 (Primary address of your business) Contractor Email Address reddingavenue@aol.com Retype Contractor Email reddingavenue@aol.com Address DESCRIPTION OF WORK TOTAL SQUARES of 32.17 ✓ the entire scope of work: Project Value (contract 19,998.28 value or cost of ALL materials and labor) Are you re-decking the No-,/ roof? 134 Does the scope of the project include a flat roof (less than 2:12 pitch)? How many squares are part of the flat roof? Describe the roofing material for the flat roof: Type of material for the flat roof: Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes 3.6 Modified Bitumen Rolled Yes 28.57 V Owens Corning Duration Asphalt House and Detached Garage SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this application is NOT a permit. I understand I will be contacted by the City Yes Yes 135 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. 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 David Redding Email not displaying correctly? View it in your browser. 136 City of Wheat Ridge -•e y "w Residential Mechanic PERMIT - 201707954 PERMIT NO: 201707954 ISSUED: 10/03/2017 JOB ADDRESS: 3290 Jay ST EXPIRES: 10/03/2018 JOB DESCRIPTION: Permit to remove and replace FAU 80K BTU in same location: (crawl space) and install combustion air. *** CONTACTS *** OWNER (303)237-7147 LEDERHOS JOSEPH J SUB (720)620-1193 Jason A Rivas 170379 Cruz Heating & Cooling LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,400.00 FEES Total Valuation 0.00 Use Tax 29.40 Permit Fee 57.10 y;y ** TOTAL ** 86.50 *** COMMENTS *** *** CONDITIONS *** 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 atter that I am le ally au ized to include all entities named within this document as parties to the work to be performed and that a w k to e p o is ' closed in this docume and/or its' accco panyin Opproved plans and specifications. Signatu e of ER 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 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 Oftfcial 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, an violation of any provision of any applicable code or any ordinance or regulation of this fiction. Appro f worok, s lubject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY City of Wheat -Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(ci_)ci.wheatridge.co.us j FOR OFFICE USE ONLY Date: 1-7 Plan/Permit # 5'j Plan Review Fee: Building Permit Application �q F�' S7( *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: b e_f�L U2 O ' -- c ed Property Owner (please print): r, .n!c Q � z�? Phone: 7�Gj �Zz'-ZS'.S6 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zi Architect/Engineer: Architect/Engineer E-mail: Contractor: ^2 t>l $ 0(n)""'j Contractors City License #: _/�z zz Contractor E-mail Address: Ol��%7 Cf ;��� [(�s�J• Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: ; 2e '1z0—f/qT C.On/", Other City Licensed Sub: City License # Mechanical: (7ite>�� W.R. City License # i'! P/17 Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ 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 LTIPLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTE APPLIANCE REP/AIR or REPLAC MENT / ❑ OTHER (Describe) C//f1 _ ; J i�7�' ��C'o/�l�r r i'a�' Ail' (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.) Sq. FULF L l! Btu's 90A ` Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ ... //ro 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 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. 1, the applicant for this building permit application, warrant the truthfulness of the infonnation provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: 6 �� ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: 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: �oci `I C: Job Address: �T 'f Permit Number: "240-70 62 6-7 ❑ No one available for inspection: Time ! MIPM Re -Inspection required: Yes No When corrections have been made, call for re-tiospection at p3-234-5933 CP Date: - P / IG% Inspector: _A4�.��� DO NOT REMOVE THIS NOTICE A 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: M I D Job Address: ; 4 Permit Number:�7y7 Vq IQ- 6MA No one available for inspection: Time S 3 AMCM Re -Inspection required: Yes No When corrections have been made, call for re- i ection at 303- 4-5933 J r / Date: Inspector: r / DO NOT REMOVE THIS NOTICE City of Wh6at ,.e CfA4MJIUjjjDE L Building Permit Application (Complete ill highlighted areas) j%ii000j*i� ... . ....... . ...... ..... Address: City, State, Zip: on Off: 9 T C 77L N C :1 I MEEM 'M � M1 1 I'll low= rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and I MAN III Keviewer" PUBLIC WORKS COMMENTS: Reviewer FIRE DEPARTMENT:: 0 approved w/ comments 0 City of beat I? d c Date: Plan # Mailing Address: (if diff erent than property address) Address: m