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HomeMy WebLinkAbout3735 Benton StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Residential Interior Remodel Date: Friday, February 4, 2022 7:19:20 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Residential Interior Remodel This application is exclusively for Residential Interior Remodels and other scopes of work which do not have a specific form already available. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address 3735 Benton St Property Owner Name Evan Williams Property Owner Phone 303-523-8656 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" evanmpw@gmail.com APPLICANT INFORMATION Applicant Name Daniel G Duffy What is your role in the General Contractor project? Wheat Ridge Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contact Phone Number (enter WITH dashes, eg 303-123-4567) Contact Email Address for Plan Review Comments Retype Contractor Email Address DESCRIPTION OF WORK Detailed Scope of Work - In the space below (not as an attachment), Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc I, the applicant, understand my application will be rejected if I do not include a Detailed Scope of Work. 18YADIVA 720-217-3243 dduffy1dd@gmail.com dduffy1dd@gmail.com Remove structural interior wall. Install new beam. Frame wall at new island. Kitchen remodel. Move sink, dishwasher. Move electrical. Drywall. New cabinets. 2 complete Bathroom remodel. LIKE FOR LIKE I have entered a detailed scope of work. Location of Work Kitchen, 2 bathrooms, Complete remodel/ LIKE FOR LIKE Square Footage Area of Work Being Performed Asbestos Report Upload letter size documents here Construction Plans 1665 SF 3735 Benton Street - Structural Letter - Stamoed. odf scanned on 11'x17" or larger Project Value (contract $35,000 Kitchen remodel major = 37,100.00 value or cost of ALL 2- bathroom remodel = 13,000.00 materials and labor) Total = 50,100.00 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Daniel G Duffy Pe rm it 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. Email not displaying correctly? View it in your browser. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application Date: Thursday, September 16, 2021 11:47:33 AM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 3735 Brenton St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Evan Williams 3035238656 Evanmpw@gmail.com CONTRACTOR INFORMATION Contractor Business NA application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Evan Williams Permit Email not displaying correctly? View it in your browser. Name Contractor's License 000000 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 000-000-0000 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Evanmpw@gmail.com Address Retype Contractor Evanmpw@gmail.com Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 80,000 What is the efficiency 92 (%) of the unit? Is the unit GAS or GAS ELECTRIC? Where is the furnace or crawlspace boiler located (for example, basement, crawlspace, etc)? Project Value (contract 10,000 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this PERMIT: ADDRESS: � / �JOB 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 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 Land scape/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. 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 �n inspection before MIDNIGHT (11:59 PM) to receive n insp ction he following business iia 17v PERMIT: /A i `%, �ADDRESS: � � v JOB CODE. 71717 - 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 i _ I 0 "71 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 i _ I 0 "71 307 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 A i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: LI E 9 - , � ) Job Address: _3-275-- S, 7L Permit Number: 1D 0 1-7 0 'tS- -0 -7 t �- " r-1 --- 4 1/ oz, A ❑ No one available for inspection: Time ) = o AM/ I9 Re -Inspection required: Yes Q When corrections have been made, call for re -inspection at 303 -234 - Date: I Ilq//g Inspector: DO NOT REMOVE THIS NOTICE f1 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:y C - r) ) , cj Job Address: 3✓ 3 S R(1 0 �c n S -� Permit Number: i 0 q �' Q- � a-4: ❑ No one available for inspection: Time l = i ) AM& Re -Inspection required: YesN� When corrections have been made, call for re -inspection at 303 -234 - Date: I /0 q Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD Inspection online form: http://www.cl.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 day PERMIT�U I 1 M j9l./ ADDRESS: 1� �, �� JOB CODE: i Foundation Inspections 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation DateI Inspector Initials Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underaround DateI Inspector Initials Comments Comments Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: 'oZDnoq,�I� ADDRESS: ���� � �JOB CODE: -� Final Inspections 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential " .4 408 Final Plumbing Commercial 1409 Final Roof I 410 Final Window/Door 411 Landscape/Park/Planning* 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 Inspector Com'tnent I Date Initials 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. 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. Date Inspector Initials Comments Rough Inspection (continued) 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 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential " .4 408 Final Plumbing Commercial 1409 Final Roof I 410 Final Window/Door 411 Landscape/Park/Planning* 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 Inspector Com'tnent I Date Initials 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. 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. City of Wheat Ridge Residential Roofing PERMIT - 201709527 PERMIT NO: 201709527 ISSUED: 12/11/2017 JOB ADDRESS: 3735 Benton ST EXPIRES: 12/11/2018 JOB DESCRIPTION: Residential reroof remove and install Owens Corning asphalt shingles with 48sq pitch=4/12. *** CONTACTS *** OWNER (303)423-3002 OLSON MARY SUZANNE SUB (303)232-0324 Bill Lynn 019976 Mills Roofing Co./Decker Lane *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21,900.00 FEES Total Valuation 0.00 Use Tax 459.90 Permit Fee 394.50 ** TOTAL ** 854.40 *** 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 x Residential Roofing PERMIT - 201709527 PERMIT NO: 201709527 ISSUED: 12/11/2017 JOB ADDRESS: 3735 Benton ST EXPIRES: 12/11/2018 JOB DESCRIPTION: Residential reroof remove and install Owens Corning asphalt shingles with 48sq pitch=4/12. 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 perms I am legally authorized to include all entities named within this document as parties to the work to be perform t al o 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 thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans 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 Budding Official andmay 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 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Lagenia Reimer I�A) ( / U From: no-reply@ci.wheatridge.co.us Sent: Monday, December 11, 2017 12:04 PM 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 3735 Benton St ( / V Property Owner Name Susan Olson Property Owner Phone 303-422-3002 Number (enter WITH dashes, eg 303-123-4567) qc��C�_ (-((3 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 IMG 3234.JPG Contract CONTRACTOR INFORMATION Contractor Business Mills Roofing Company Name Contractor's License 019976 Ik Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-232-0324 2221 Gray St Edgewater 80214 Contractor Email Address millsroofingcompany@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the roof? Is the permit for a flat roof, pitched roof, or millsroofingcompany@gmail.com 48/ 21900 No L-.__ Pitched roof (2:12 pitch or greater) z both? (check all that apply) i What is the specific pitch L 4/1� of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 48 Owens corning ' Asphalt /' House 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 3 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 Robert Lynn Email not displaying correctly? View it in your browser. 0 p 0w ` z m Si ti _ m i o 33 -• O O r • m j C N t p' � ♦. 7C a O m � rn p � �. D v 9 I ' A 1 z z O 3 0 m m r o O ,. . suTL t C a °o y . . 44, T (A C 0 -• O O • j C t � ♦. 7C a O m � rn p � �. D v 9 C. m m y� ca O m > a Z ® CO fl m 0 i Z � t% � V S • v N CO)sD m X03— .p+ .P+ O p y =+; � O -ft _: ' rDQ OA (A C- � rp n 0 Z Q c m C -ftD A d O` O 0- Z Sb O � O y �Qmr m m � ? Co o,= -�. 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When corrections have been made; .call for -re -inspection at 303-234-5933 Date:_ 0 Inspector: ("id � ? DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201709394 PERMIT NO: 201709394 ISSUED: 12/01/2017 JOB ADDRESS: 3735 Benton ST EXPIRES: 12/01/2018 JOB DESCRIPTION: Replace existing 40 gallon gas water heater; 40K BTus *** CONTACTS *** OWNER (303)423-3002 OLSON MARY SUZANNE SUB (303)421-5525 Thomas D'Agastino 080274 Cardom Plumbing & Heating *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT##: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 850.00 FEES Hot Water Heater 65.50 Total Valuation 0.00 Use Tax 17.85 ** TOTAL ** 83.35 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am M 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 leally authorized to include all entities named within this document as parties to the work to be erforried and at all work t be performed is disclosed in this docum nt nd/or 'ts' ccompanying approved plans and specifications. 2. atvre of OWNER or CONTRACTOR (Circle one) Date 1 ' his 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. 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 originalermit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offial and is not guaranteed. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a 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 to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of wheatR d CoMMUNri-Y DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(o)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # I �� l Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:,313 Property Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Phone: 9.01, :. • Pho Contractor: ( (MJI�Y1 � �b1�1 �e.Kkryy' Contractors City License #: �OL/g14 Phone:a�� Contractor E-mail Address:b i (2, 0, LC d b n 6-b to aJ D. c- y-lign Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL Y RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT g PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) VAN'l ov NZk�,- 'h��Vr Sq. FtJLFs Btu'�� 0 All Gallons Amps Squares Other I Project Value: (Contract value or the cost of all materials and labor included in the entire project) I S i 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 1 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 perforin 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (0 W2 Electronic Signature (first and last name): ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer (AUTHORIZED REPRESENTATIVE) DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: OCCUPANCY CLASSIFICATION: t'� BuildingDivision Valuation: $ City of Wheat Ridge Residential Plumbing PERMIT - 201709394 PERMIT NO: 201709394 ISSUED: 12/01/2017 JOB ADDRESS: 3735 Benton ST EXPIRES: 12/01/2018 JOB DESCRIPTION: Replace existing 40 gallon gas water heater; 40K BTus *** CONTACTS *** OWNER (303)423-3002 OLSON MARY SUZANNE SUB (303)421-5525 Thomas D'Agastino 080274 Cardom Plumbing & Heating *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT##: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 850.00 FEES Hot Water Heater 65.50 Total Valuation 0.00 Use Tax 17.85 ** TOTAL ** 83.35 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am M 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 leally authorized to include all entities named within this document as parties to the work to be erforried and at all work t be performed is disclosed in this docum nt nd/or 'ts' ccompanying approved plans and specifications. 2. atvre of OWNER or CONTRACTOR (Circle one) Date 1 ' his 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. 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 originalermit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offial and is not guaranteed. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a 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 to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of wheatR d CoMMUNri-Y DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(o)ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit # I �� l Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:,313 Property Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Phone: 9.01, :. • Pho Contractor: ( (MJI�Y1 � �b1�1 �e.Kkryy' Contractors City License #: �OL/g14 Phone:a�� Contractor E-mail Address:b i (2, 0, LC d b n 6-b to aJ D. c- y-lign Sub Contractors: Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL Y RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT g PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) VAN'l ov NZk�,- 'h��Vr Sq. FtJLFs Btu'�� 0 All Gallons Amps Squares Other I Project Value: (Contract value or the cost of all materials and labor included in the entire project) I S i 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 1 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 perforin 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (0 W2 Electronic Signature (first and last name): ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer (AUTHORIZED REPRESENTATIVE) DEPARTMENT USE ONLY of (OWNER) (CONTRACTOR) DATE: OCCUPANCY CLASSIFICATION: t'� BuildingDivision Valuation: $ "t'WlP:;tl~'!III~_""""""",",Jj~"''''''''''~''''''.I"~~,w.~".~jL",,,,,,,,,~,J,,",,,,,,,,,,,,,,,,,..lIIQ_ ~ . City;,of WheatIUdge " <I-;,..',", i....".,~i.",- :" ',' .. .->..'" .. PERMIT no: JOIl ADDRESS, DESCRtPTION: :,::,':"':-,> 0110768 ' 3135 BEmONST 'T/O install. 3Q yr dimensional ISSUED: EXPIQS: shingles 42 aiis O'l/09/201()i8 " , 01/05/2009 ".. CONTACTS 'wW'W ;""' p,{ qwne1;' gc 303/232-0324 Susanne Olson Bill LyPt1 01-9976 Mills Roofing c~./Dec~r Lane ;,.:.'........., , .. PARCBL' INFO ZOI:tl\: CODE: SUBD:JVISIOJl: "_ v}1t::: _',. '_ ',' .. FEE sUMMARY 'W..' . UA 0450 USE: UA BLOCK/LOTII: a/ ** ESTIMATED FEES 235.70 .00 177.30 413 . 00 PROJEcT VALUATION: 9,850JOQ Permit Pee Total '~aluation Use Ta:><. *;,* TOTAt,,*,*: If~)) Cond1ti,ons : 6 na:!.l installat;l.on "I' .mi,d-l;Oqf inlipection requil"ed, Iloard sheeting splil,ced more then a 1/4 of an ihcb'~Part requires plywood overlay on entire roof lher~eettJ'fy<;thlit:~,~ibb~kdb'~C~$Propo.ed by this. pt!!tmit application are accurate,. a~ do~ot'Vi()fatie.'PP1:1Cebl~:~hf:" bX4inti~./"rule~;~t,i~l1t~~:'.-'"" 'the ,City of Wheat ,Ridge or cownants, easementsor-restrictipna' O~ '~~rti";"-'thEi~;.~,:t,", ,",- measu:~men~,,~~.-,\:~,tid.:,.~ ~'}Qt1llJ-,mac1e ,-accurate.J tQt: ,I have re$d and"agree to abidebyail:Qc:mditi~.-"prl~t.~'~6nthl$ apPli(:at:1~'$ild: ~f "".,.,':-~::U.t",~e, ll:>iUty !9r, cOn\p:l~ance with the Wheat Ridge Buildi~gCo<.le (LB.eland Jt.:}.l':lZit):).er a,ppli~ i.!heat ,-' '~~ r work \1n4er this permit:' Plans subject to field inspection. date 6. "',,',',:,:_;' --,," :,",,': . Th~~:,~i,t- w.,--:1,$..d;':~ll, ~,c()-r~nce rd th ,tne provisions set for~h in your applica~ion_ and ie,..s\ib~eet to tJ)ei~', of ~ sta,te ,()f'.-~;forad<?~<1;,~O~he:,Zonin9 R8gulationsandBUilding Codes of WheatRidg~. Colorado ~rariyotl1e'r'a;t>tlUc&l)l-e o,rdinanPe.:Of:;:t~_C~~Y.,-,,':, \': , " , . ",:, " ' '.-: Th'ia",pe~.tsiiot:l_~:~l'Q__;~ys.,,}'t"qm,t))e:'4,seu~: date. ,Requests 'for an. _l;!xtensionmust he rec~ived pribr ~(),exph::.~iO~ 4at~., ~';O:~t~_'icm.J'~y,':-~:~..m~_,_attb:e,dis~ret~on,of the Buj,lding OUiciaL ., " .'. ..' . ,,_ ..-' :tf',tbiS-~.~t_.xp~re.,ia':n~t>e~it may_beaequ:tred for a feeofone..;~lf theamountnor\ll$,llyr~~re4';p11Widedno Cha~ElS ,~'\fe,~J:l~r,::':"t;~"})Il'::~df!' iIlthe . ori,ginalplane ,nd ,l!JpecifiCa~~on8 and any suspension or 'abando~nt ,haS '~t . e~ee<I~.,O?e}i:):'ye,ax:~:, . l:~chan'g.s have 'been Qr if au,pension or abandonment exceeds one ,(1 ) _y!!U".- full fees' ahal,l ~p.;.;d,f,ot.a.i~:~t",_"". C:,- " ..,' '. .... ...... . . ." . -' ,:. N~_wQr.~;Q.~-:.en.y...~:.~ll,b~' <tone that w1l1 change. thenatural:f1ow of water causing<<' ,dra:.ttiageprobleM_o" C6ntr.k:t()r,'stlal'1/~~t1,fyt~lt\t11~ing '. I~spectOr . twenty-four (2') . ~urs in. advanCe for. all'. inspectj.:ons and ,,8hclll" ,':r;eee-1ve. , 'rt:itt~,-.PJil;rOV_~'~'.-01'1,'~-~~ClF-t$9J1::C:~rcl:~!Or~prOCeeding with8ucc:eB8iv~ phases of the job. __,'. ...' ..:,":.' . '-,:; ~. ',ill~ne:eOf\'..P~~:pr::tb,e':o1lpP.rpval Of_drawings and l!lpeciU~ation.Shall not be ,construed t.Q}:)e. Ill'. '~;it_, f,~:' . nor anapp~"'aJ.Qf~':~r...,;t;J?:,1,..tt" fthe provisions 'of the b~il;aing codes or any other ordinance;~a..,.~leor regulation. A;n:.~:lattrflvi~~II" ~..' 'e' '1;'" -eJ.dinspeqti;Qns. da.te 1. 2, 3. .. 5. s~~~ur~:.~-"'fbl;t~~f ..,:'_~--~''t_:::;'':'-:........'" :mSP.C1lIEllIi: "," ".~t.;'(303)234'-S933 REOtJ1ilS'rS~~~,~,~~~)i}:i, 3PM, 1>J;l'f BUSINESS WILDING .0I!'FICE: (303) 235-2955 DAY FORINSPl!lCTION.THE FOLL9W1l'IG ausl$ssl;!AY' City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-234-5933 Date: 01 oqo Plan#: Permit#: Dg bl0g Property Address: Building Permit Application .:3 7.3.5 2].L/V'Y-O/\/ J/ Property Owner (please print):.fo,,\ /1</ ~L.- OL..J~JI/ Phone: Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: ,/>? /....< -< J' .I? 0 0 F //v (' ( v. Contractor License #: Phone: :J <) :J. J. :J;;l. . 0:] ;;. .; Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Approval: Exp. Date: Approval: Exp. Date: Approval: Use of space (description): Construction Value: $ 0 - D s t f k (as calculated per the Building Valuation Data sheet) e crip ion 0 wor : i,(,C /YJu U": 6k21 ~ 600.';( /./11 J 771..{.t. I C.C"l.. "",4,~c", ,J h /LA21 # N 7J~ 7/l>-<, Plan Review (due at time olsubmiltal): $ ..t.'D6J:. /d,r7"'I9.t.< :J... V,l ~~'7."'/1"( ..rd /;'/c~.<-p Sq. FUL.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regUlations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL ~~TRATOR) PRINT NAME: /"1IC/lI"'l.t..( 77::1/1/./ SIGNATU Date: 7;'~ hr DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: OCCUPANCY FIRE DEPARTMENT:: D approved wI comments D disapproved 0 no review required I Bldg Valuation: $