HomeMy WebLinkAbout4175 Balsam StreetUnderground/Slab Inspections
L.. ION (303) 4,34-59 <,�
Inspections will not be nerfornie.4 unless this card is posted on ' - pioject site. K1,,1
Fall the inspection request line before 11:59 p.m. to receive an inspection the fi-.lowing business day.**
nspector Must Sign ALL Spaces pertinent to this project -
Foundation Inspections
Date Inspector Comments
Initials
Pier
Mid -Roof
Lath / Wall Tie
Concrete Encased Ground (CEG)
P Y
L
Foundation / P.E. Letter
Rough Electric "
Do Not Pour
Concrete Prior To Annroval Of The Aheve Insnpr_tinnc
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
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
17
P Y
L
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
I
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 occupa ;cy,
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrcal Irw'v^
by the Building Division.
"For Inspection Time Window — Please email insptimerequest@ci.wheatridge.Co.Ds "
inspection with the property address in the subject line of the email. Time window is based ,
Occupancy Is Not Permitted Until A Cerflfic.,
Protect This Card !--rnni '
City of Wheat Ridge
Residential Roofing PERMIT - 201'/., 4,4
PERMIT NO: 201701329 ISSUED: 06/01/2017
JOB ADDRESS: 4175 Balsam ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof - 21 squares - GAF Timberline shingles
*** CONTACTS ***
OWNER (435)216-2691 MILLER KEVIN
SUB (303)898-5915 Matthew Mazur 170111 Summit View Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 293.25
*** 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 manufacturera€rms 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.
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: te D r—
Job Address: V/75 I3u 1s a *Pu S—F
Permit Number: ;(0 / %- O - /,3-) C j
❑ No one available for inspection: Time / 1-1 j ( AM/PM
Re -Inspection required: YesNo
When corrections have been made, call for re -inspection at 303-234-
Date:- ' 2 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701329
PERMIT NO: 201701329 ISSUED:
JOB ADDRESS: 4175 Balsam ST EXPIRES:
JOB DESCRIPTION: Reroof - 21 squares - GAF Timberline shingles
*** CONTACTS ***
OWNER (435)216-2691 MILLER KEVIN
SUB (303)898-5915 Matthew Mazur
06/01/2017
06/01/2018
170111 Summit View Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 293.25
*** 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 A1/2 -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 manufacturera€ms 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201701329
PERMIT N0: 201701329 ISSUED: 06/01/2017
JOB ADDRESS: 4175 Balsam ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof - 21 squares - GAF Timberline shingles
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
thispermrt. I further attest that I am le ally authorized to include a,I 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.
nature of OWNER or CONTRACTOR (Circle one) Date
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.
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.
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 andprocedures 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.
No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
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.
The issuance or granting of a permits. lie•>c .trued to be a permit for, or an approval of, an violation of any provision of any
applicable code or ,or re 1 nis 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.
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
eat Ldgic
Comm lfgfTY I)EVELOPMENT
Building & Inspection Services Division
7500 W. 29h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-23778929
Inspection Line: 303-234-5933
Email: permitsQci.wheatridge.co.us
co.us
FOR OFFICE USE ONLY
Date: t 1
Plan/Permit # o 13
Plan Review Fee:
Building Permit Application
*"* Please complete all highlighted areas on both sides of this form. Incomplete appllc:attions may not be processed. —
Property Address: 'l/ iS" %e. /sem.•-t
Property Owner (please print): flcv,n /�i. �le� Phone: e/3.57- 9/&. - Z691
Property Owner Email: /< �2 6L1*7 . YO
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Phone:
Contractor:
Contractors City License #: 17,0111 Phone: 720 - 01226
Contractor E-mail Address: Zr-f*e,at!Q/.saz,`/
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
DescriRiion 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
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For /ALL projects, please provide a detilftd 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.)/ ,/e+ /
fZGf00f— a,— JL, �. [ . z t 59 -,;P-9,4F 77,,- bCrin¢ 5�.����
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
(o,s00. ®o
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.
CIRCLE ONE: — (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �3 Z �CG Qe. � SIGNATURE: /��,./ DATE: G -1-17
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Departrnent ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
Ile CITY OF WHEAT RIDGE
_A Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: =D
Job Address: % Is 5'f'
Permit Number: a
❑ No one available for inspection:_ Time ,r I AM/PM
Re -Inspection required: Yes (`LNo
When corrections have been made;, call for re -inspection at. 303-234-5933
/ ir
Date(L �,� Inspector: f ..�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701329
PERMIT NO: 201701329 ISSUED:
JOB ADDRESS: 4175 Balsam ST EXPIRES:
JOB DESCRIPTION: Reroof - 21 squares - GAF Timberline shingles
*** CONTACTS ***
OWNER (435)216-2691 MILLER KEVIN
SUB (303)898-5915 Matthew Mazur
06/01/2017
06/01/2018
170111 Summit View Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,500.00
FEES
Total Valuation 0.00
Use Tax 136.50
Permit Fee 156.75
** TOTAL ** 293.25
*** 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 A1/2 -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 manufacturera€ms 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201701329
PERMIT N0: 201701329 ISSUED: 06/01/2017
JOB ADDRESS: 4175 Balsam ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof - 21 squares - GAF Timberline shingles
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
thispermrt. I further attest that I am le ally authorized to include a,I 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.
nature of OWNER or CONTRACTOR (Circle one) Date
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.
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.
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 andprocedures 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.
No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
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.
The issuance or granting of a permits. lie•>c .trued to be a permit for, or an approval of, an violation of any provision of any
applicable code or ,or re 1 nis 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.
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
eat Ldgic
Comm lfgfTY I)EVELOPMENT
Building & Inspection Services Division
7500 W. 29h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-23778929
Inspection Line: 303-234-5933
Email: permitsQci.wheatridge.co.us
co.us
FOR OFFICE USE ONLY
Date: t 1
Plan/Permit # o 13
Plan Review Fee:
Building Permit Application
*"* Please complete all highlighted areas on both sides of this form. Incomplete appllc:attions may not be processed. —
Property Address: 'l/ iS" %e. /sem.•-t
Property Owner (please print): flcv,n /�i. �le� Phone: e/3.57- 9/&. - Z691
Property Owner Email: /< �2 6L1*7 . YO
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Phone:
Contractor:
Contractors City License #: 17,0111 Phone: 720 - 01226
Contractor E-mail Address: Zr-f*e,at!Q/.saz,`/
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
DescriRiion 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
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For /ALL projects, please provide a detilftd 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.)/ ,/e+ /
fZGf00f— a,— JL, �. [ . z t 59 -,;P-9,4F 77,,- bCrin¢ 5�.����
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
(o,s00. ®o
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.
CIRCLE ONE: — (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �3 Z �CG Qe. � SIGNATURE: /��,./ DATE: G -1-17
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Departrnent ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
Complete all information on BOTH sides of this form
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Address:
contractors City License M 13 c� cfl Phone:
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City License # City License #
City License #
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Pr A dd r ess -
Mailing Address: (`if different than property address)
Address:
City, State, ►p:
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Exj;,iration Date: Trade/Profession: Approval:
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Facsimile Building Permit Application