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Home My WebLink About4000 Dover StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement Date: Monday, January 17, 2022 9:51:25 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Water Heater Replacement This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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. Do Not use this form if the Water Heater is changing locations or if this is a conversion to a Tankless Water Heater. Please use the General Permit Application for a more comprehensive review. Is this application for a Yes replacement water heater like for like? PROPERTY INFORMATION Property Address 4000 Dover Street, Wheat Ridge, CO 80033 Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address (Leave blank if not known) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A Sol & Judy Bassow 3034221757 permits@applewoodfixit.com PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Applewood Plumbing, Heating & Electric Name Contractor's License 18236 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-458-5988 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email permits@applewoodfixit.com Address Retype Contractor permits@applewoodfixit.com Email Address DESCRIPTION OF WORK Number of gallons 50 Is the water heater GAS GAS or ELECTRIC? If GAS, enter # of 40 BTUs. If electric, enter n/a Where is the water Basement heater located (for example, basement, crawlspace, etc)? Project Value (contract 3790.00 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 Tracey L Johnson Pe rm it Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Roofing PERMIT - 201701533 PERMIT NO: 201701533 ISSUED: 06/05/2017 JOB ADDRESS: 4000 Dover ST EXPIRES: 06/05/2018 JOB DESCRIPTION: Reroof with asphalt Malarkey shingles; 23 squares plus 2 squares mod bit *** CONTACTS *** OWNER (303)422-1757 BASSOW SOL HERBERT JR SUB (303)942-1386 Michael J. McCarthy 130014 Golden Spike Roofing, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SU"DIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / 1W * FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,600.00 FEES total Valuation 0.00 Use Tax 264.60 Permit Fee 251.85 ix T.)TAL ** 516.45 *** 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 equired 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. INS EC 1 1 CORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type XZ 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 nn Nnf Pniir Cnnr_rptp Prinr To Annroval Ut The Above Insnectlons Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing r)n Nnf Cnvpr I lnclprnrnund nr Below/In-Slab Work Prior I o Approval UT I ne 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 6 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 - rlease oe sure tnat rougn inspecuons are compreteu rrorn trte rrre vrsuicr anu eieLATicar ww vu Lcayc by the Building Division. *"For Inspection Time Window - Please email insptimerequest ci.wheatridge.CO.US 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 Weather City of Wheat Ridge Residential Roofing PERMIT - 201701533 PERMIT NO: 201701533 ISSUED: 06/05/2017 JOB ADDRESS: 4000 Dover ST EXPIRES: 06/05/2018 JOB DESCRIPTION: Reroof with asphalt Malarkey shingles; 23 squares plus 2 squares mod bit *** CONTACTS *** OWNER (303)422-1757 BASSOW SOL HERBERT JR SUB (303)942-1386 Michael J. McCarthy 130014 Golden Spike Roofing, Inc. *** 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: 12,600.00 FEES r Total Valuation 0.00 Use Tax 264.60 Permit Fee 251.85,,_. ** TOTAL ** 516.45 *** 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 A/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 - 201701533 PERMIT NO: 201701533 ISSUED: 06/05/2017 JOB ADDRESS: 4000 Dover ST EXPIRES: 06/05/2018 JOB DESCRIPTION: Reroof with asphalt Malarkey shingles; 23 squares plus 2 squares mod bit 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 ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be perfo .med and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. JI /-7 - T" ! `c Signature of OWNER or' -CONTRACTOR -(,Circle one) Date I. 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 original permit fee. 3. If this permit expires, anew permit maybe required to be obtained. Issuance of anew 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, an violation of any provision of any applicable code or any ordinance or regulation of this 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 insptimerequestgci.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. 1�A 41 _ City of Wh6atp-.j Date: ✓ COMMUNITY DEVELOPMENT Permit #{ 1 l 5 Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 —Facsimile Building Permit Application Property Address Do t%l J f " f� 603 Property Owner (please print): 7L.c So Phone: Mailing Address: (if different than property address) Address: , State, Zip: Contractor: ( -)F,[nlJ.A J 0;Ar )Conk'-, Contractor License #: % .3 OQ f C` Phone: 3 p]- g y,Y 6 Sub Contractors: Use of space (description): X !a Description of work: Plan Review (due at time of submittal): $ Sq. Ft./L. Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: r`�.�t..l /�.r�GLG SIGNATURE: Date: Date:' i7 x, DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required Credit Card Payment: Use credit card listed on file. Date: Print name: Signature: OCCUPANCY: Bldg Valuation: $ i CITY OF WHEAT RIDGE �P�'(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M�7 d ®Q Job Address: Permit Number: ❑ No one available for inspection: Time LI�/PM Re -Inspection required: Yes No When corrections have been made, call for e -inspection at 303-234-5933 Date:-� ! I-� Inspector:!` r DO NOT REMOVE THIS NOTICE CITY • WHEAT RIDGE uIlding Inspection Division Inspection line - (303) 237-8929 Fax X No one available for inspection: Time AMIP2 In corremons Me 3"n famnolaws, r Date Inspector: Inspection Type: aee- . F- I Job Address: Permit Number: 1* � 4 CITY OF WHEAT RIDGE ' Building Inspection Division 3u"O' • Spe Soq 34- 933 Inspection line 03) 23 Office - (303) 237-8929 Fax I I Z kl:l 4441 Inspection Type: Job Address: Permit Number: �2-e )r Apr,24, 2014 2:44PM THE WIRENUT X 3ty of J 1 =--I= # [BE moffmxm�# �- # rfm �!M�1111 Date: 0 1 wi 11i'M I - 4 22-1 757 Propoq�,O#q��p_ 4UDY RASSOW 01,66: 303 Address: City, State, Zip: t � tt�a� 60 mmomwimim jennifer@thev%irenut.com ontioc, a Address- Electrical: Plumbing Mechanical: WR City License # WR City License # VV,R. City License # Other City Licensed Sub: Other City Licensed Sub. City License # City License # IIII11i id 11161 0 1111 It Apr. 24. 2014 2:46PM THE WIRENEST am etws 2= N0,2013 P. 2/2 ONNINEWCONTRaikTOR SIGNATURE OF U.NrDERSTANDINGkNO AGREEMENT I hereby cortify that the Setback distances proposed by this permit application are accurate and do not violate applicable ordinanecs, rtdcs or regulations of the City of Wheat JZidge or cnvenants, ciscineovs or restrictions of record; that all measurements shown and allegations Made are accurate, that I have read anti agrov to abide by all conditions pr intcd on this application and that I assume full responsibility for complitaive with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based ou this application; that I am the legal owner os have been atilbotizedby the legal owner of the property it) perform the describett work and am atsoauthorieed by the legal owner of any entity included on this application to list that entity on this application, CIRCIXOA�t. (01V"4ER) (COAFTRACTOR) gr Jennifer Halt rook 814"*Y: of (OWNM (CONTRACTOR� Building Division Valuation, 7 0 P Ws TU C%RF7 t #. YA g ,� j A u f y L CF cl L d .� ��a( S g a A i f rt� w� m BM ti tt kk t k p e S t^ cl g " p m ,w t # A � $" �a /1 k g 2 i t ^„ y^Sfi ! co , m y OM Ii C °# + ` j a O � a of E CO & m ,, ... a- ' $ C: _ Et