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Home My WebLink About3139 Benton StreetCompany Name: Inspector Signature: Date of Inspection: The City of Wheat Ridge Inspection Check List Notes Final Roof Notes Certified Building C 12, Itants CBC Wheat Ridge Roof Inspection Packet Page 5 of 5 The City of Wheat Ridge Inspection Check List Notes Final Roof Roof Inspection ❑ N/A X Pass ❑ Fail Structural roof components ❑ N/A Xy Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A X Pass ❑ Fail Flashing for roof and walls ❑ N/A j Pass ❑ Fail Structural roof components ❑ N/A jZQ. Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) ❑ N/A Pass ❑ Fail Verify sheathing nail pattern (See Policy and Procedures) N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A ,tQ Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A X Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A X Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC ❑ N/A X Pass ❑ Fail Verify roof slope for proper drainage ❑ N/APass ❑ Fail Dripedge shall have min. 2" of overlap ❑ N/A )Q Pass ❑ Fail Dripedge should extend down min. 2" past roof deck ❑ N/A A Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC ❑ N/A A Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be installed in accordance with the manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements 1j N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof .0' N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with the sections overlapping a min. of 4" Tile Roof Requirements N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope � N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 4 of 5 Company Name: Inspector Signab Date of Inspectio The City of Wheat Ridge Inspection Check List Notes Mid -Roof Notes CBC Wheat Ridge Roof Inspection Packet Page 3 of 5 The City of Wheat Ridge Inspection Check List Notes Mid -Roof Roof Inspection ❑ N/A Pass ❑ Fail Structural roof components ❑ N/A X Pass ❑ Fail Verify that no more than 2 layers of shingles exist ❑ N/A ,1 Pass ❑ Fail Flashing for roof and walls ❑ N/A Pass ❑ Fail If new sheathing is installed, verify that it is listed in the permit description (Valuation must be adjusted) ❑ N/A Pass ❑ Fail Verify sheathing nail pattern (see Policy and Procedures) 14 N/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify vent must have boot same gauge as pipe ❑ N/A Pass ❑ Fail Verify vent caps ❑ N/A Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle ❑ N/A___,>g. Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/APass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC ❑ N/A );t_ Pass ❑ Fail Verify roof slope for proper damage ❑ N/A Pass ❑ Fail Dripedge shall have min. of 2" overlap ❑ N/A ,.;a, _pass ❑ Fail Dripedge should extend down min. 2" past roof deck ❑ N/A )K Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC ❑ N/A Pass ❑ Fail 90 LB roof roofing shall not be applied to roof slopes less than 2:12 slope. Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications. Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min. of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with the sections overlapping a min. of 4" Tile Roof Requirements X N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope ,zl-� N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment CBC Wheat Ridge Roof Inspection Packet Page 2 of 5 The City of Wheat Ridge Third Party Form Check List Property Address 3139 BENTON ST. WHEAT RIDGE, CO Permit Number 201705715 Permit Issued Date 08/09/2017 Owner Information Property Owner Information PAVLISIN TRUST Property Owner Address 3139 BENTON ST. Inspector Information Inspection Company Certified Building Consultants Inspector Name Kraig Stanforth Inspector Contact info. 720-940-1180 KStanforthCBC(a-gmail.com Inspector Statement of Acknowledgement *1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Building Department. *1 hereby acknowledge the roofing system for the referenced building has been inspected and found to be * compliance with the minimum requirements of the 2012 IRC and 2012 IBC a wel as the City of Wheat Ridge Policies and Procedures and manufacturer's � _ _ ions and specifications. Inspector; Statement of Date: *1 hereby acknowledge that I am the owner of the building referenced above and I give my consent for the listed t pa inspection company to perform my roof inspection in lieu of the City of Wheat ui � ing Division inspection. Property Owner/Agent: ! Date: 1 This original document, as well as the roofing checklist, must be submitted to the Chief Building Official within seven days of the final inspection. Drop off in person Permit Counter 2nd Floor 7500 W. 29th Ave Wheat Ridge, CO 80033 Submit via Email Kcook ci.wheatridge.co.us CBC Wheat Ridge Roof Inspection Packet Page 1 of 5 �l INSPECTION RECORD 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 Occupancy/Type , 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 Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter 3 Do Not Pour Concrete Prior To Approval Of The Above Inspections 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 3 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 Plumbingp OY]11 Final Mechanical C W(_ Roof l 0 v 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 ® 44, City of Wheat Ridge .r ]�� Residential Roofing PERMIT - 201705715 PERMIT NO: 201705715 ISSUED: 08/09/2017 JOB ADDRESS: 3139 Benton ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install Atlas Stormmaster asphalt shingles with ROOF DECKING - 25.88 sq (25 sq pitched / 0.88 sq flat *** CONTACTS *** OWNER (303)237-6878 PAVLISIN TRUST SUB (303)757-5555 Brian Cung 100121 Rocky Mountain Roofing & Rest. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,024.29 FEES Total Valuation 0.00 I Use Tax 252.51 Permit Fee 251.85- ** TOTAL ** 504.36 -- -- *** 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. A City of Wheat Ridge mrd Residential Roofing PERMIT - 201705715 PERMIT NO: 201705715 ISSUED: 08/09/2017 JOB ADDRESS: 3139 Benton ST EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install Atlas Stormmaster asphalt shingles with ROOF DECKING - 25.88 sq (25 sq pitched / 0.88 sq flat 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_permrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed a that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. V Signa re o OWNER or CONTRACTOR (Circle one) Date I. 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, po Flans 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 an 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 ofit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordi ane r regulatio of this jurisdiction. Approval of work is subject to field inspection. qz�_ . a�<q Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett 20.170W�5_ From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 2, 2017 5:51 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application C 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 Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 3139 Benton St. Stephen Pavlisin 303-237-6878 Field not completed. Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed. Contract CONTRACTOR INFORMATION Contractor Business Rocky Mountain Roofing & Restoration Name Contractor's License 100121 Number (for the City of " Wheat Ridge) Contractor Phone 7204905747 Number Contractor Email Address edith@rkymtnroofing.com Retype Contractor Email edith@rkymtnroofing.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing remove & replace comp. shingle with Atlas Stormaster Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 35 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 0.88 SQ on the flat roof? TOTAL SQUARES 13,_' (pitched + flat) of all 2 roofing material for this project Provide additional detail House Roof 6:12 Pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract -9460-99— value or cost of ALL II j materials and labor) 62 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 this Yes application is NOT a permit. I understand I will be contacted by the City 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. Name of Applicant Brian Cung Email not displaying correctly? View it in your browser. 3 �4llilll - CUSTOMER AGREEMENT ROCKY MOUNTAIN cti, �'S p32_ 3.- 1 1 �!<3 �,Y6 1. �ozZ 1685 S. Colorado Blvd. Unit S-176 Denver, CO 80222 ' n ``� �y 73 �� Office 303-757-5555 Fax 303-757-0027 - RkyMtnRoofiing.corn - Licensed & Insured 3rNo Deposit Required - t - . Damage: yes no HOUSE GARAGE Ea�3 year Roof Labor Warranty Full Partial Repair Type: PATIO SHED SHED2 Roof Type: Drip Edge Color: Inspect Decking Qrinspect Flashings Clean Up & Remove Trash fk -N _� " X f V--1 SrGen. Liability/ Workers' Comp. SrBBB Accredited Full Partial Repair Damage: yes,, -no Type: STUCCO VINYL WOOD OTHER: Style: �� Full 5" - Res. fi" - Comm. Color: Partial Repair Alum_ Steel Lf: Color r'y1 e_.(.1 L_j)4' V_ i - rt ,,. Payment Options o Vi 4 C...�'__ a C_ Work to be completed according to the above specifications in the amount of: { t (not to include insurance supplements permit Costs or any anfmmem cfllWM'dw erste) kr i,01 C, E7 ElBalance due upon completion ❑CASH SALE is/ s INSURANCE AGREEMENT. The homeowner authorize Rocky Mountain Roofing & Restoration to represent their best interest in pursuit of full replacement costs for damages believed to be covered under homeowner's insurance and allows Rocky Mountain Roofing & Restoration to deal directly with the insurance company regarding this claim. This contract does not obligate the homeowner or Rocky Mountain Roofing & Restoration until the claim is approved by the insurance company, and accepted by Rocky Mountain Roofing & Restoration. Upon approval of claim, Rocky Mountain Roofing & Restoration will complete all specified work at a price agreeable to the insurance company (RCV only) and Rocky Mountain Roofing & Restoration, with no additional cost to the homeowner except for the deductible. Final agreed upon price will become the final contract price, regardleass of estimated contract price above, and we request that all payments also be made tq ocky Mountain Roofing & Restoration. I (V*) agree, by signing bLjow, I tl . a Forttrect conditions on both front and back, of this agreement Homeowner's Signature � Homeowner's Date of Acceptance: % — / �- - / City of Wheat Ridge Community Development Department morandum TO: FROM: SUBJECT: DATE: Accounting Department Melissa Mackey, Building Division Refund for Permit June 8 2011 Reason: Contractor submitted in writing that work in the private yard did not need to be done, only in the right -of -way. Cancelled permit #110626, for 3139 Benton St. for underground plumbing work. Please refund: Contractors License$ 80% permit fee: $87.36 0% plan review $ 100 % use tax: $63.00 Total: $150.36 TO: Apex Plumbing Inc. 16395 W. 54 Ave. Golden, CO 80403 Thank You! H444e. H Adkeo Permit Technician (acct 01- 510 -00 -513) (acct 01- 510 -00 -516) (acct 01- 550 -05 -551) (acct 01- 500 -02 -505) 0 v x � I l.l��e� C, wc- �o I �ncA J, �e� IAC LAJ l 197-.3( IDM . Ctbl)aV�A City of Wheat Ridge ►/ Residential Plumbing PERMIT - 110626 PERMIT NO: 110626 ISSUED: 06/02/2011 JOB ADDRESS: 3139 BENTON ST EXPIRES: 06/01/2012 DESCRIPTION: Replace water line from home to main exx UUN'1'AUTS * ** owner 303/237 -6878 Steved Pavlisin sub 303/215 -1348 Brian Wilkie 06 -0162 Ap Plumbing Inc. ** PARCEL INFO ** ZONE CODE: UA E: //TO UA SUBDIVISION: 0525 _ 0/ ** Aw FEE SUMMARY ** ESTIMAT J T VALUATION: 3,500.00 FE Permit Fee Total Valuation pp ; Use Tax 6 .0 ** TOTAL ,. b Conditions: Subject to field I, by my signature, do hereby attest the w ° rk be performed shall comply with all accompanying approved plans and specifications, applicable buil od nd al applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorf ga wner of the property and am authorized to obtain this permit and perform the work described and approved in 'unction ith this permit. I further attest that I am legally authorized to include all entities named within t docume a rtie to the work to be performed and that all work to be performed is disclosed in this document and /or it mplying ed plans and specifications. Signature of OWNER or TRACTOR (Circle one) Date 1. This permi wa is based t information provided in the permit application and accompanying plans and specificati s and is subject t he compliance with those documents, and all. applicable statutes, ordinances, regulations, licies and proce res. 2. This permit s 1 expire 65 ys after the date of issuance regardless of activity. Requests for extension must be made in writs and r ei d prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion C f Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expire , a ew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirement fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole scretion of the Chief Building Official and is not guaranteed. 4. No work of any manner all be performed that shall results in a change of the natural flow of water without prior and specific approve . 5. The permit holder s 11 notify the Building and Inspection Services Division in accordance with established policy of all required i pections and shall not proceed or conceal work without written . approval of such work from the Building and Ins ction Services Division. 6. The issuance o ranting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision £ any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field ins c Signature Building Offical Date INSPEC N REQUEST LINE- (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUES MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. " ' City of Wheat Ridge / Residential Plumbing PERMIT - 110626 PERMIT NO: 110626 ISSUED: 06/02/2011 JOB ADDRESS: 3139 BENTON ST EXPIRES: 06/01/2012 DESCRIPTION: Replace water line from home to main * ** CONTACTS * ** owner 303/237 -6878 Steved Pavlisin sub 303/215 -1348 Brian Wilkie 06 -0162 Apex Plumbing Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0525 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** Permit Fee Total Valuation Use Tax ** TOTAL ** Conditions: Subject to field inspections. ESTIMATED PROJECT VALUATION: 3,500.00 FEES 109.2b 00 63.00ad 172.20 `� 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 document and /or its' accompanying approved plans and specifications. .04"_v- 4ck L I a 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 o£, 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. Signature Building Offical Date INSPE ON REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REOUE 'PS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Midge COMMUNITY DEVELOPMENT Date: Plan # Building & Inspection Services Division Permit # 1 �U 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303- 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application PPsoperty_Addfess 3� q 3evF(c -1 Property Owner (please print) I3 +dAt e- �flU Phonebo3� - L37 - bB 7 F Mailing Address: (if different than property address) Address: City, State, Zip: C® c� \ Confiracto: Co Contractors City License #: Phone: Cs,:, Sub Contractors: Electrical Plumbing: Mechanical: City License # City License # City License # DeSCrtptloli= of,wopli `/ Hin [ ontract Value: pb 11W? C Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sri Ft. $ 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. CIRCLEONE: (OWNER) �(CO,N�,T�RAACT or OR) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) y PRINT NAME: 1 ` 4P Y— t—" GI' 1 eJ J - SIGNATURE DATE: 0 1( I BUILDING DEPARTjvI�t�T COMNH:NTS r fp�T r *'lr ., ?^t � 'r .. } .r 3 > r1 '✓ r s c' r d / 2 - 2,. =.tt. > ReVIeWe`r -n e Nr^'� -a > �> ✓3 �: ✓ c 1 N f 7a2 a � � a 5+� i ,./ ly'✓/,sirj F"`y,- � r � vJwia3?'`a v ✓ i ; a :lafj_ s 3 Ill: > }r a �"<' S r)�,c ✓ �''2 >�� ILA �-P mj u i',1✓ !' ? {f \� f ?T ✓trr i; e rr.,^ %r.,,✓l`r, 3� �-'�'� v J ✓C�✓ a f ri � M fr �a� r�w^.»i ff ✓t J``✓"✓r�'✓ � �� a� s ,ti >i a l,� � � 7 7 ^ J' /r: v i / �.vrN7�1'e�a?�3o~��'6 v� {�2 jy a,r�� F a r y..- 'S,.r'J"'.+�✓ � : > � ,? ,�/ .. �vL✓ z a,� r" F' ✓r � �. .J /;., �? PDBLIC WOR�S ✓ , j �,' r✓ r i j � fa y ��'a�''�� r F ' ✓ / r t>j r ,. �ii �. 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COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: 75532 BUILDING INSPECTION LINE - (303-234-5933) Date : 5/15/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: ALICE PAVLISIN Property Address : 3139 BENTON ST Phone : 237-6878 Contractor License No.: 21626 Company : R & R Irrigation Phone : 720-436-1532 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : LAWN SPRINKLER/LANDSCAPING Construction Value : $3,000.00 Permit Fee : $108.30 Plan Review Fee : $0.00 Use Tax : $36.00 Total: $144.30 Use: BUILDING DEPARTMENT USE ONLY Approval: Zoning Build ng Commerits 17 Approval Nr Public Works,`Comment-- Approval : Occupancy : Walls: Roof : Stories SIC: Sq. Ft. : Residential Units : Electrical License No : Company: Plumbing License No Company: Mechanical License No : Company : Expiration Date Approval : Expiration Date Approval: Expiration Date Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code 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 for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a 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 are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. 3 (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 proceedling with successive phases of the job. j (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions the building codes or any other ordinance, law, rule or regulation. Clw~f~ uil ~ n I s COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: of mHeATP BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE U m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) COC ORPDO Apppp Cd N Property Owner: ALICE PaVI1L51 n 1 Property Address: 6% °j a~GYtZd Y( ~C , Phone : 303 Contractor License No.: (Q Company: Ra 7YY i ca~i 171K Phone: '¢ZD'~ 3%v-1 S 3 O WNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application me accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions ofrecord; 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 (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. ~7 f n If (OWNER)(CONTRACTOR): DESCRIPTION: Lqwrl ConstructionValue:$ . Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (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 for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pmvidsd no changes have been or will be made in dmeoriginalplans andspecifications andany suspensionorabandonmenthasnotexceeded one (1) year. If changes havebeen orif suspension orabandonme ut 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 thelluildingInspector twenty-four(24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. - (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor au approval o$ any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. _ Chief Building Inspector '1,~...t~r~;#ft:t tlEPARTMENT OF PLANNING AND DEVELOPMENT Biding Permit Number 95-1596 >,' BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: /4/95 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property OWner: PAVLlSIN STEVE JR Property Address: 3139 BENTON ST Contractor License No. : 17814 Company: James Dye Construction Phone: Phone: 274 718 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this perm~ 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 an measurements shown, and allegations made are accurate; that I heve read and agree to abide by all conditions prIntsd on this application, and lhat I USUm8 full responslbUiIy for compnance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this mf (OWNER)(CONTllACTOR) SIGNED (k:q,J/~ DATE Description; REROOF {1 {/ Total: $2,550.00 $54.00 $0.00 $38.25 $92.25 Construction Value : Permit Fee : Plan Review Fee: Use Tax : BUILDING DEPARTMENT USE ON Y Approval: Occupancy : Walls: Roof: Stories : Residential Units : Electrical License No : Company: Plumbing License No : Company: Mechanical License Company: Expiration Date : Approval: . Expiration Date: Approval : . Expiration Date : Approval: . (1) This pennIt was Issued In accordance with the pIOVIsIonS set for1h In yopur Ipp/lcaIIon and is su~ the laws 011111 Slate 01 ~ a Regulations and Bulldlng COde of Wleat Ridge, Colorado or any other 80DIIcabIe ordinances of the C ty. (2) ThIS pemit shall expire If (A) the work authorized II not commenced within sixty (60) days from lsau date or (B) the building authorized is s abandoned lor a pertod:l20 s. (3) n lI1ie permit expires. I new may be acquired for llae 01 one-h8W lI1a amount nonmaIly ""lu , provided no changeS have been or original plans and specI . and any suspension or abandonment has not exceeded one (1) yea If changes are made or If SUSpenB axcead8 one (I) yaar, Iu11I8es sIuIU be paid for I new_ ('5l No work of any manner ehaII be done that will change the natural flow of water causing a drainage m. ( Contractor shall notify the Building tnspector twenty-four (24) hours In advance for all Inspections a ahall receive written approval on Ins card before DlOC88dUIlG with _va oh8a8s 0I1h81ob. (6) 'rha las, oil pannII or the approval of drawing. and speciflcations shall not be construed to be pannlt for, nor an appnlV81 of, Iny of the kti codes or any other Ordinance, law, Nle or regulatlon. ~ Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIE BUilDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO IN PECTlON ~Cf7 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No. : Company: AL/cf[ pA V! IS;/,I 3/51 f]u./rd;( /7;?'f'f JI'M fl)'J~ Co f..OTr OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN 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 allegation 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 Buildin Code (U.B.C.) and all other applicable W at Ridge ordinances, for work under this permit " (OWNER)(CONTRACTOR) SIGNED DATE Description: ---f.,0 rJ BUILDING DEPARTMENT USE Approval: Zoning: Approval: Approval: Occupancy: Walls: Roof: Stories: Electrical License No : Company: . Plumbing License No : Company: Expiration Date: Approval: LotI! '''_.:DlYIM''''':i lli1m it1'... ,i; .;,,", iiiJilwi' Expiration Date: Approval: t1l1 ;::811I0...... l1i1d I !E ",I,_IlYL.' ,k (1) (2) (3) uilding Permit Number: Date: Phone: .:L37-t.z7;? Phone. .770 --& ?(:? Construction Value: ,ry.~~O Permit Fee: Use Tax: Total: Residential Units: Mechanical License No : Company: Expiration Date: Approval: . ii....llIIliIIIl\iIiI This permit was issued in accordance with the provisions set forth in yopur application and is subj ct to the laws of the State of Colorado and to the Zoning Regulations and Building Code of VVheat Ridge. Colorado or any other applicable ordmances of th City. This permit shall expire if (A) the,Work authorized is not commenced within sixty (60) days from is e date or (8) the building authorized is suspended or abandoned for a period of 120 days. . If this permit expires, a new permit may be acquired for a fee of one-half the amount normally req red, 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) Y ar. If changes are made or If suspenSion or abandonment exceeds one (1) year. full fees shall be paid for a new permit. N'o work of any manner shall be done that will change the natural flow of water causing a drainag problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for aU inspections nd shall receive written approval on inspection card before proceediing with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to a permit for, nor an approval of. any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (4) (5) (6) Chief Building Inspector For May r THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BU DING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO I SPECTION