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
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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.
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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.
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i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIONNOTICENOTICE
Inspection Type: ! 677
Job Address:
Permit Number: �7)0/ %0 4 E,
❑ No one available for inspection: Time lA IPM
Re -Inspection required: Yes,, ` No
�,
1_1.
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: $