HomeMy WebLinkAbout3160 Benton StreetINSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Req ;!4=
MIDNIGHT (11:59 PM i a to recean inspection the following business d
PERMI ADDRESS: JOB CO E:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT:. �I (y /04ADDRESS: ���i�lJOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
Property Address
Permit Number
Permit Issued Date
The City of Wheat Ridge
Third Party Form Check List
l.cn &A>LO-yv d �-
U11311 �
Owner Information
Property Owner Information
Property Owner Address
Inspector Informat
Inspection Company
�J el?,oq C DCS Lt, --
,5 l Ly o di -/N -� &YLS r
Inspector Name rI) D -o if/,-LA[1 tfL
Inspector Contact info. '-TOO - U lR ()l 5 l 7
Inspector Statement and Acknowledgement
* I hearby 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 Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendations and specifications.
Inspector: -17--C°1 4ct 1 -7 Date: `f
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge Buildin Division in$p ion. C
Propery Owner/Agent: I h ' ,, t Date:
This original document and permit c�3A as well as the roofing check list, must be submitted tc
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
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
PROPERTY
ADDRESS
�T bk'Nl� 34-
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
A—Pass
E] Fail
Structural roof components
❑ N/A
_Pas
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
L&Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ N/A
A Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/A
Pass
❑ Fail
Crickets and saddles where needed
�N/A
❑ Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
AN/A
9 Pass
E] Fail
Verify vent caps
❑ N/A
Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
:12� Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
.4N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
[6.Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
Q N/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
r' N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
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 manufacturers
specifications- Must have manufactures 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
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 sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
0 — &� 0
L�_ C;- V -,-Z
Company Name: Ycxei — L.c��� LLL
Inspector signature:
Date of Inspection: 1.1 --i �t
PROPERTY ADDRESS:
Roof Inspection
❑ N/A ❑ Pass ❑ Fail
The City of Wheat Ridge
Inspection Check List notes
? Final Roof
:,"�`', ,.✓fir' � � ��' (`_-�j; � 1N t-
❑ N/A
�2-- Pass
❑ Fail
Structural roof components
❑ N/A
A Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
�zl Pass
❑ Fail
Flashing for roof and walls
Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ N/A
dass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
['-j/A
El Pass
E] Fail
Crickets and saddles where needed
[S. /A
❑ Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
XN/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
L&�N/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
*ass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
ass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
KPass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑( N/A
PQ Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
I1/I N/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
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
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
e
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name:
Inspector signature:
Date of Inspection:
City of Wheat Ridge
:= Residential Roofing PERMIT - 201801044
PERMIT NO: 201801044 ISSUED: 04/13/2018
JOB ADDRESS: 3160 Benton ST EXPIRES: 04/13/2019
JOB DESCRIPTION: Reroof remove and install Torchdown Modified Bitumen and CeertainTeed
Northgate Asphalt Comp Shingles with 19 total squares, 6 squares flat and
13 squares pitched. Pitch 1/12, 2/12, 7/12.
House and Garage.
**REVISION: Redeck of garage only, 5 squares only; Added valuation:
$1200.00
*** CONTACTS ***
OWNER (303)919-1226 COBLE LEIPER JENNY W
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,383.00
FEES
Total Valuation 0.00
Use Tax 176.04
Permit Fee 188.45
** TOTAL ** 364.49
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
740111`
,�,:,r Residential Roofing PERMIT - 201801044
.,
PERMIT NO: 201801044 ISSUED: 04/13/2018
JOB ADDRESS: 3160 Benton ST EXPIRES: 04/13/2019
JOB DESCRIPTION: Reroof remove and install Torchdown Modified Bitumen and CeertainTeed
Northgate Asphalt Comp Shingles with 19 total squares, 6 squares flat and
13 squares pitched. Pitch 1/12, 2/12, 7/12.
House and Garage.
**REVISION: Redeck of garage only, 5 squares only; Added valuation:
$1200.00
I, by in 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 , the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perforin the work described and approved in conjunction with
this ermtt. 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
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, 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.
1 If this permit expires, anew 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 in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or reggation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Officiat Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFFICE USE ONLY
City of Date:
�KWheatRjdge
MUNITY DEVELOPMENT "
Add to Permit #
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:hermits aQci.wheatridge.co.us
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 3 ( I -C n 0-4-) �LC-A 5 -+-
Property Owner (please print): j l�nn U 0, 6 V) ;L • U OkL'4 Phone: 3 U,
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Submitting Company: J;"�
Contact
Person: Akk—S4 Vuyk, b Ylc Phone: S '
e
Contractor:
Contractors City License #: �`� �3 Phone:
Contractor E-mail Address:��
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work:
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
t I-7,1100, 01
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 applicatCN7TRACTOR)).-
ity on this application.
CIRCLE ONE: (/IO�WN/E/R),� (AUTHORIZED
/jREPRESENTATIVE) � of (OWNER) (CONTRACTOR)
PRINT NAME: 1" v "WtC4,6..TURE: L lti�V l L� J� �(,{ f( �V�U(�� DATE: q- `� -/ �✓
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required
❑ Not Required Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201801044
P
PERMIT NO: 201801044 ISSUED: 04/13/2018
JOB ADDRESS: 3160 Benton ST EXPIRES: 04/13/2019
JOB DESCRIPTION: Reroof remove and install Torchdown Modified Bitumen and CeertainTeed
Northgate Asphalt Comp Shingles with 19 total squares, 6 squares flat and
13 squares pitched. Pitch 1/12, 2/12, 7/12.
House and Garage.
*** CONTACTS ***
OWNER (303)919-1226 COBLE LEIPER JENNY W
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,183.00
FEES
Total Valuation 0.00
Use Tax 150.84
Permit Fee 172.60
** TOTAL ** 323.44
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
4 '�City of Wheat Ridge
Residential Roofing PERMIT - 201801044
PERMIT NO: 201801044 ISSUED: 04/13/2018
JOB ADDRESS: 3160 Benton ST EXPIRES: 04/13/2019
JOB DESCRIPTION: Reroof remove and install Torchdown Modified Bitumen and CeertainTeed
Northgate Asphalt Comp Shingles with 19 total squares, 6 squares flat and
13 squares pitched. Pitch 1/12, 2/12, 7/12.
House and Garage.
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 alI entities named within this document as parties to the work to be
performthat all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWN or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying pplans 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 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 J, permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicablVMle or any ordipapee or regulation of this jurisdiction. Approval of work is subject 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.
La9 enia Reimer
From: no-reply@ci.wheatridge.co.us
Sent: Friday, April 13, 2018 11:45 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
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 Single Family Home
are on the property?
PROPERTY INFORMATION --
Property Address
Property Owner Name
3160 Benton St i l
Jenny Lepier-Coble
Property Owner Phone 303-919-1226
Number (enter WITH 1,3:;�
dashes, eg 303-123-4567) `t
Property Owner Email Field not completed.
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 Lepier-Coble Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business J & K Roofing
Name
Contractor's License 019983
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-425-7531
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 13000 W. 43rd Dr., Golden Co 80403
(Primary address of your
business)
Contractor Email Address
kathyv@jkroofing.com
Retype Contractor Email
kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
19
the entire scope of work:
Project Value (contract
7183
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
roof, pitched roof, or
greater)
2
both? (check all that
apply)
What is the pitch of the 1/12 & 2/12
FLAT roof?
How many squares are 6
part of the FLAT roof?
Describe the roofing Modified Bitumen
material for the FLAT
roof:
Type of material for the Other (specify below)
FLAT roof:
If "Other" is selected Torchdown
above, describe here:
What is the specific pitch 7/12
of the PITCHED roof?
How many squares are 13
part of the PITCHED
roof?
Describe the roofing CertainTeed Northgate-Asphalt Comp
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional House and Garage
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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.
3
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.
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 Kathy Vendegna
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4 CONTRACT
Bs� J&K Roofing
13000 W. 43rd Drive • Golden, CO 80403 98 -2 Y
Phone: 303-425-7531 • Fax: 303-425-1562
www.jkroofing.com
Representative �- CKA Contact(ZO 7 - Date Z 1 20
Name J h h C J2
L Phone
Address (D 0 V -, l v� 4 1
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS TERMS
AND CONDITIONS. PLEASE READ CAREFULLY -
Recover roof with 8h Yrl �� k,
f�Color of shingles t 4.
Manufacturer's Warranty i fM
ZoTear off D KA
�J stall Underlayment 19
Double all Eaves 1 C { 4" Lj 84't/
-Flash Chimney and/or Skylights l.. h+ fnr� i
New Valleys Cry 2 /
,{� Replace Ridge 'tj. LA{
///Ventilation
/iGalvanized Fasteners �� -t ✓ G�
eplace Z Plumbing Maks
Paint roof stacks to match L1 1
Install Z f L Metal Edging
Patio Flat roof 9
Year Warra4 on labor
J & K Roof to furnish all material and labor
Permit: Included NOT Included
lean -up debris and haul off all trash from roof
Roll yard with magnetic roller
Gutters cleaned of roofing debris
❑ Decking Repairs $ per
❑ Hidde La ers (te off) $ per layer
(Cartier) V � � � � (Policy Number)
(Claim #)
r � � (Adiustor)
(Mortgage Co.) (Mortgage Loan Number)
rr email \a`y_
�_o�e_r yna i 1 c,"r
W
City � e2 '?' `� �'1'� Zip
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
�/� Po cy #CS00061742
[I Extra work _ r (9 I
The property owner is is not using proceeds from
property and casualty insurance policy.
1 00vso:�.l)1K $ .
$ 3 0 s:3 . S�
114�4y $
Deductible if applicable $ 1 on (0)
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date r A P
TOTAL ESTIMATE $ 0 1
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J & K Representative Dated
Homeowner * Date
Homeowner Date
Expiration
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J&K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
PERMIT: ZC;I��'l /��) ADDRESS:-,'
DDRESS: _ �. JOB CODE:
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
%
Liu rvut i-vur %,oncreie rnor 10 Approval ut I ne Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
%
206 Water Underground
uu RUL %,ever unuergrounu or tselow i in-siaD worK I -nor To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
%
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection (continued)
Date
Inspector
CommentsInitials
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
CommentsInitials
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division. aF
C,U1 b
1�� �(bo
i
City of
• O
Building &.:,won Swvkes Division
10 W. 2e Wheat Ridge,CO :10
• it r
Inspection _ .
Building # • •
ntr�ctor.
i at *tor IC4 @! "dr
dub Cont . of �:
Electrical,
A. City License
Other City Ucense, Sub:
City License
0
Plumbing, rchemr:
WA. City Lice # rR City Ucense
Other City Licensed Sub,, �
City License
Complete all information on UOTH slides of thii, farm
P
• `. N at
M(Check all thatapply)
MMFRCIAL STRUCTURE
1DENTtALSTRUCTURE
rRCIAL
ADDITION
*"L
ADDITION
�1t . a s *' • +
�;. ` ... « ..w r
h
F Y R
+A.a *r a
.:• ,„,x�"..xrXNA111A11�
h
F Y R
4' City City of Wheat Ridge
1
Residential Electric PERMIT - 110751
PERMIT NO: 110751 ISSUED: 06/30/2011
JOB ADDRESS: 3106 BENTON ST EXPIRES: 06/29/2012
DESCRIPTION: Run dedicated circuit in crawlspace to sump pump
* ** CONTACTS * **
owner 720/447 -5139 Britta Fischer
sub 303/431 -4828 Paul S. Cottingham 02 -1235 C & L Electric Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0525
BLOCK /LOT #:
0/
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities namwwithin this docur9pnt as parties to the work to be performed and that all work to be performed is disclosed in
this docums sad it a ponying approved plans and specifications.
Signat, of OWNER _ or CP4TFffkCTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of :expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
t field in pection.
Signs Chief Building Offical Date
IN EC ON REQUEST LINEN (303)234 -5933 BUILDING OFFICE: (303)235 -2855
R UESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Y
Wh�lC�e Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit# l
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 -237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property Adflress:, 3/ -6 h Ida A& c�
Property Owner (please print): '91". f4 4!` Phone: 226 - / y � _ ��39
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractors City License #: Phone:
Pi! o.uon>ractors
Electrical: Plumbing: Mechanical
City License # City License # City License #
11eSiCPlptlOtl „O� yyATk�d t
�vJ p� d r�� JGC C�i f Contract Value:
$ Saa
Review Fee (due at time of submittao:
Squares BTU's Gallons Amps Sq 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.
CIRCLE ONE (OWNER) (CONTRACTOR) !Zr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
�
PRINT NAME: �J91/l `-'° � "``� SIGNATURE: ZA! DAT E:
FIRE I)E7AR7MENT ❑ appYOVkd w� comments ❑disapprovedO Sio reYiw �) Bldg Valuation $
INSPECTION RECORD OccuDancy/TVDe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION
INSPECTOR
INITIALS
COMMENTS:
Footings /Cais
Stemwall / (C
Encased Gro
a
Reinforcing oWeatherproof
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
r�r �-�
..
Lath / Wall tie
Sewer Service Lines
Fire Department
Mid -Roof
Water Service Lines
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
Electrical Service
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT
POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
r�r �-�
..
Lath / Wall tie
Fire Department
Mid -Roof
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
PA
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
]�;Ir Building Inspection Division
(303) 234 -5933 Inspection line
( 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: P ("o _
Job Address: 71(-,n k� ,Pf,14nl.4 �f,
Permit Number: 1 e); f e
�r��� �rnrA•t�rrrr`tn,- t �t��n "i�'e �Cr ;r�l�r�
r
{
_._.. 17
N
❑ No one available for inspection: Time l�;f� M PM
Re- Inspection required: /I es No
When corrections have been made, call for re- inspection at 303-234-5933
P Date: 1 I Inspector: Y o
DO NOT REMOVE THIS NOTICE
♦ 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: _ 14rr")i'f ..
Job Address: '3 M6 15 �nA
Permit Number: 1t»If.52
� r "
4 Axe a; "?441.4
-�,1ln c.ln �f�ane^iPa d� S`!`ifr�neD /t�1 �P�
9r
❑ No one available for inspection: Time l ?` / AM),PM
Re- Inspection required: Yes
"When corrections have been made, call for re ecif n at 303 - 234 - 5933
Date: Inspector: rfl
DO NOT REMOVE THIS NOTICE
♦ 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: 5ff�gfi�G
Job Address: ?/40 sT
Permit Number: /e%�?// S'
'1
❑ No one available for inspection: Time AMARU,1 I'
Re- Inspection required: Yes < �I
When corrections have been made, call for re Inspection at 303234 - 5933
Date: ZErfo Inspector
DO NOT REMOVE THIS NOTICE
4 4 , City of Wheat Ridge
rA Residential Roofing PERMIT - 102118
PERMIT NO: 102118 ISSUED.: 09/08/2010
JOB ADDRESS: 3160 BENTON ST EXPIRES: 09/08/2011
DESCRIPTION: Reroof 13 sqs with Landmark TLshignles and redeck house 10 s
* ** CONTACTS * **
owner 303/233 -8602 Jenny Lieper -Coble
sub 303/425 -1083 Matthew Rock 01 -7908 Rock's Roofing
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0525
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 12,955.00
FEES
Permit Fee
251.85
Total Valuation
Use Tax
.00
233.19
- g
4 ��ui
** TOTAL **
485.04
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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
applica��t[i and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
app l icfdle1Wk( eat Ridge Ordinagces, for work under this permit. Plans subject to field inspection.
Signature of dontf r/bwn2f — date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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 have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
S. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with 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
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan resew is subject to field inspections.
Official
INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
" ' City of Wheat Ridge
Res. Add Structure PERMIT - 092938
PERMIT NO: `092938': 'ISSUED:'. 10/02/2009
JOB ADDRESS: .3160 BENTON ST EXPIRES: 03/31/2010
DESCRIPTION:. 8 x 10 x 8.:.shed
CONTACTS
` owner. 303/233-8602 Jenny Leiper-Coble
i
PARCEL INFO
ZONE :CODE: UA USE: UA
i SUBDIVISION:' 0525 .:BLOCK/LOT#: 0/;
i
I,.
FEE SUMMARY ESTIMATED PROJECT VALUATION: .00
FEES
No Fees .00
TOTAL .00
Conditions:
AT: Approved. Subject to field inspection.
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
lication and that I assume full responsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other
' p licable Whea idge Srd nances, for work under this permit. Plans subject to field inspection.
- b`
S' nature contract r/owner =date
1. This permit was issued in accordance with the provisions set forthin your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheati Ridge, Colorado or any other applicable
ordinances of the city.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension maybe granted at the discretion of the Building official.
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;. have been or if suspension or abandonment : exceeds one (1) year, full fees r"shall
be rpaid for anew permit.
4. No work of any manner shall be done that will ichange the natural flow of water causing a drainage problem
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with 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
an approval of, any violation of the provisions of the building codes or any 'other ordinance, law,rule or regulation.
All:. plan r ie subject to field inspections.
Signature C f Building Official date
INSPE0 ION REQUEST LINE: (303)234-5933 BUILDING OFFICE': (303)235-2855
:
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
E~,
Storage Shed Placement Permit
(for storage shed that DO NOT exceed 120 sq ft in floor area) yg 6 ~~~~5
Department of Planning and Development
City of Wheat Ridge
7500 West 29" Avenue
Wheat Ridge, CO 80215 - 303-235-2855
Property Owner e n o N Q p Q r- CJ61 e-
Property Address: 3 1 bo Bern40 ' f4-
Phone: 303 - d33-26oz
Contractor: Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed for 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 ordinance9eior work under this permit.
(OWNERICONTRACTOR)
v >
Description: S X\ Q X i Jo4~ R P$ t S k eol Use:
Zoning: R ~C
Building Setbacks - Side: Rear: Front: Zv Sq. Ft.: ¢J
~o; mentsn
Approval ~V
Approval:
No No work of any manner shall be done that will change the natural flow of storm water causing a drainage problem.
12) Owner/ contractor shall notify the building department twenty-four (24) hours in advance for all inspections , and shall receive
written approval an inspection.
(3) The issuance of a permit or approval of drawings shall not be construed to be a permit for , nor an approval of, any violation
of the provisions of the building codes or any ordinance, law, rule or regulation.
(4) Sheds must be properly and securely anchored at all corners.
PLEASE NOTE: Owner /contractor is responsible for locating property lines and constructing improvements according to the
approved plan and required developmentsta►idards.The City is notresponsihie for inaccurate information submitted within
the plan set and any construction errors resulting from inaccurate information.
Codes Administrator
" 1 City of Wheat Ridge
Res. Add Structure PERMIT - 092938
PERMIT NO: 092938'. ISSUED:. 10/02/2009
JOB ADDRESS: 3160 BENTON ST. EXPIRES: -03/31/2010
DESCRIPTION: 8 x 10rx 8 shed
***CONTACTS
owner 303/233-8602 Jenny Leiper Coble>
PARCEL INFO
ZONE CODE: UA , USE: UA
SUBDIVISION: 0525 BLOCK/LOT#: 0/.
**FEE SUMMARY ESTIMATED. PROJECT' VALUATION: .00
FEES
No Fees .00
**TOTAL .00
Conditions:`
AT: Approved. Subject to field inspection.
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
a icable Whea Ridge Ordinances, for work under this permit. Plans subject to field inspection.
S' atured f-contra for/owner date
1. This permit was issued in accordance with the provisions set forth. in your application and is subject to the laws of the
:State of Colorado and to the Zoning Regulations and :Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of, the City.
2. This permit shall expire. 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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. It changes.: have been or if suspension or abandonment 'exceeds one (1) year, full fees 'shall
be. paid for... a new permit.
1. No work of any manner shall be done that will change the natural flow of water causrng,a drainage problem.
5. Contractor shall notify; the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding. with successive phases of the job..
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 of the re building codes or any other ordinance, law, rule or regulation.
All.. plan vi is subject to field inspections.
3ignaP tur
INST:. ief Building official date
ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY '3PM ANY BUSINESS DAY FOR INSPECTION THE %FOLLOWING BUSINESS DAY.
.D.~PARTMENT OF PLANNING AND DEVELOPMENT B i1ding Permit Number: 95-1132
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :6/2/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: LEIPER JENNY W
Property Address: 3160 BENTON ST Phone: 233-8602
Contractor License No. . 17658
Company: Restoration Service, Inc. Phone: 296-4106
This permit was issued in accordance with the provisions set forth in yopur application and is subject 0 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 ity.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue ate or (B) 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 require ,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) yea If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage p blem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections an 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 be permit for, nor an approval of, any violation of the provisions
of the bui!'ping codes or any othW ordinance, law, rule or regulation.
'-'lA Z('--1 .0
'ef Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIE BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO IN ECTION
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 responsibilit r mpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicabl Whea .dg 0 Inances, for work under tht r;;T~ ~
(OWNER)(CONTRACTOR) SIGNE DATE~
Description: REROOF ~
BUILDING DEPARTMENT USE ON Y
Approval:
Occupancy:
Roof:
Stories:
Walls:
Electrical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
.
.
(1)
(2)
(3)
(4)
(5)
(6)
Construction Value:
Permit Fee:
Use Tax:
Total:
Residential Units:
Mechanical License No :
Company:
Expiration Date:
Approval:
.
1J>!~]
~c..:o
$805.00
$21.00
$12.07
$33.07
DEPARTMENT OF PLANNING AND DEVELOPMENT uilding Permit Number:
BUILDING INSPECTION DIVISION. 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH A VENUE
WHEAT RIDGE, CO 80215
Property Owner: :\ '" ILY\~ J... ~ \. \le"'\...
Property Address :'3 ( (., if \3,.0,,,+0,.., 5 r Phone:.;) :3 3- 8GD~
Contractor License No l"i] rr G, 5 ~ A.t. ~
Company: R. <2.:S i-v ILl/>' CY'\ 0.QJLeJ l'->.,), ~ Phone :~ G, _ C(! ob
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: "2:0 S
Permit Fee: Z- (
Total:
~
/ Z.Of
~
s 3- 07
O-tt\\J"V1 M~
Use Tax:
~L
LY
..{~;)l' ~I .,..
Approvai :
Zoning:
:(,1. . '!l.:l.'.c ~
Approval:
PllbJf~rklS~menta~
Approval :
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechamcal License No :
Company:
Expiration Date:
Approvai :
~ (P.llhsRi!"!lulrecl~
expiration Date:
Approval:
m : Pltits ~equlrece J
Expiration Date :
Approval :
. ~ul~~
(1)
(2)
(3)
This permit was ISSUed 1M accordance Wlltl the prOVIsions set forth in yopur appllcabon and IS Subject the laws of tne State of Colorado and to the Zoning
Regulauons and Building Code of Wheat RIdge. ColoradO or any other applIcable orarnances of the C tv.
This perrnJt shall expIre If (A) the WOrk authonzed IS not commencea Witt,." SIXty (60) days from Issue ate or (8) the building authorized is suspended or
abandoned for a penod of 120 days.
If this permit expires. a new permit may De acquired for a fee of one-naif the amount normally reqUlr . proVided no changes nave been or will be made in me
onglnal plans and specificatlons and any suspenSIon or acanaonment has not eXceeded one (1) year. If changes are made or If suspension or abandonment
exceeds one (1) year. full fees snail be Dald tor a new permrt.
No work of any manner shall be done tt'lat will change the natural flow of water causmg a dramage p lem
Contractor snaU notify the BUIlding InsoectOr twenty-four (24) hours m acvance for atllnspectlons and hall receive wntten approval on inspec:tJon cara before
proceedllng With successIve phases of lhe lOb.
The issuance at a permit or the approval of drawmgs and sDeCJfications shaH not be constFlJed to be a permit for. nor an approval of. any violation at the proVisions
of the bUllcmg codes or any other orClnance, law. FlJle or regUlation.
(4)
IS)
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUlL ING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INS ECTION