HomeMy WebLinkAbout4165 Jay Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /. '�U � C drR /-.---> eJob Address: Ll I C -r-37 f— s )Ate/ -� k
Permit Number: c;2 U I 9 U 2i ")-j
G
❑ No one available for inspection: Time ` t . AM/PM
Re -Inspection required: No
When corrections have been made, call for re -inspection at 303-234-5933
Date: / ' % ' G `Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: V\u) (_ Wa e,(D
Job Address:.
Permit Number:
V,
T) C, 5
LJ No one available for inspection: Time 0`1 1 f AM/PM
Re -inspection required: Yes', No
When corrections have been made, schedule for re -inspection online at:
http:llwww. ci. wheatridge.co. uslinspection
Dated '10 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: V- e 0
Job Address: _ H i q lo ---t 5�-V
Permit Number: 2- G1 0
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Y -e No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co. uslinspection
Date: '--) `c�U inspector:_
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Siding Replacement PERMIT - 201902233
PERMIT NO: 201902233 ISSUED: 10/21/2019
JOB ADDRESS: 4165 Jay St EXPIRES: 10/20/2020
JOB DESCRIPTION: Replacing 23 vinyl squares of vinyl siding and 4 windows, U -factor .27.
*** CONTACTS ***
OWNER (720)203-6496 PANNONI PHILLIP JOHN
SUB (888)736-6335 ADAM KALINER 160260 POWER HOME REMODELING GROUP
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 29,547.54
FEES
Total Valuation 0.00
Use Tax 620.50
Permit Fee 499.55
** TOTAL ** 1,120.05
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
**A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION.
A final inspection is required at completion.
Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is
subject to field inspections. A mid -inspection is required for house wrap prior to siding
installation. A final inspection is required at completion.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
E -Res. Siding Replacement PERMIT - 201902233
201902233
4165 Jay St
ISSUED: 10/21/2019
EXPIRES: 10/20/2020
Replacing 23 vinyl squares of vinyl siding and 4 windows, U -factor .27.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The 'rice or grant' of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
app c e ccAde or an rdinance 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.
C�ty Of Wheot Ridge
10/21/2O19 go' �36 C088
Reylaciny 23 vinyl s
CD8021925 AMOUNT
GPSP 4165 Joy St 1,120.05
APPL/PERMIT NN 201902233
PAYMENT K[C[IVE0 AMOUNT
PP / 2879 1`120.05
AIRH CODE: 65714276
TOTAL 1`120,05
_______________________
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 21, 2019 8:07 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Siding Repair/Replacement Permit Application
Residential Siding Repair/Replacement Permit Application
This application is exclusively for RESIDENTIAL SIDING REPAIR OR
REPLACEMENT.
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 Yes
residential siding repair or
replacement?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Copy of Credit
Card Authorization Form
4165 Jay St
PJ Pannoni
720-203-6496
Field not completed.
CC Auth for online submit.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Power Home Remodeling
160260
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of material is
being removed?
What type of material is
being installed?
How many squares of
siding is being installed?
Project Value (contract
value or cost of ALL
materials and labor)
888-736-6335
shane.laird@powerhrg.com
shane.laird@powerhrg.com
vinyl
vinyl
23
24462.91
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 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
2
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 Shane Laird
Permit
Email not displaying correctly? View it in your browser.
Dina Kemp
From: no -reply@ ci.wheatridge.co.us
Sent: Monday, October 21, 2019 8:09 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
**REQUIRED** Attach
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS**
4165 Jay St
PJ Pannoni
720-203-6496
Field not completed.
CC Auth for online submit.pdf
CONTRACTOR INFORMATION
Contractor Business PowerHRG
Name
Contractor's License 160260
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 888-736-6335
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address shane.laird@powerhrg.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of window
and/or doors being
replaced
Location of
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of
window/door cut sheets
showing sizes and u -value
Project Value (contract
value or cost of ALL
materials and labor)
shane.laird@powerhrg.com
4
front and side
0.27
windows.pdf
5084.63
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
z
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 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.
Person Applying for Shane Laird
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Mechanic PERMIT - 201901200
PERMIT NO: 201901200 ISSUED: 06/11/2019
JOB ADDRESS: 4165 Jay St EXPIRES: 06/10/2020
JOB DESCRIPTION: Replacement A/C, 2.5 tons and 13 seers with new circuit to unit.
*** CONTACTS ***
SUB (303)433-6077 GOLDEN WEST PLUMBING 021754 GOLDEN WEST PLUMBING, HEATING
OWNER (303)433-5211 PANNONI PJ
SUB (303)433-6077 GOLDEN WEST PLUMBING 021754 GOLDEN WEST PLUMBING, HEATING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA'/ Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00
FEES
A/C Replacement 60.00
Total Valuation 0.00
Use Tax 151.20
** TOTAL ** 211.20
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC a 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or 'CONTRACTOR circle one) Date
1. This permit was issued based on IFe irifflo—riiiation 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.
3. 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 changeof 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,, ance or grans ' of a permit shall not be construed to be a permit for or an approval of, an violation of any provision of any
ap is le Tde ora ordinance or regulation of this jurisdiction. Approval of work is subject to fyeld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
A
� City of
_Jam/ Wh6a , dge
/COMMUNiiY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a-)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Plan/Permit #
Plan Re L. 1 view e'q G/ L l�
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
Owner (please
Property Owner Email:) Va owa^ager 1 • � D (�1
Tenant Name (Commercial Projects Only)
Phone:
Property Owner Mailing Address: (if different than property address)
Address:
City, State
Architect/Engineer:
Architect/Engineer E-mail:
Contractor Name:
W(
City of Wheat Ridge License #: (I,--)
Phone:
71
Phone: 3 03 - v13 3 - 6O 7 2
Contractor E-mail Address:{( t h
For Plan Review Questions & Comments (please print):
qq6
CONTACT NAME (please print): VU If 0 ('n V, 1 IC4 9Lq (l Phone: 303- Lt33 --,�,27 7
CONTACT EMAIL(p/ease print): Q e 1 ; y go W e n wie5 f 0h . coil
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
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 highlighted fields.
❑COMMERCIAL NRESIDENTIAL
Provide description of work: For ALL projects, 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.
Remove n n1 reis 6e- A(, Z"z ion 13 Seed'
UM- MV) rve vy C ; ry i t 4�
Sq. Ft./LF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER)CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name)): DATE:
Printed Name:. ler i G y i t [aEa-rt
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
Occupancy/Type
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-593,
Inspections will not be performed unless this card is posted othe project site.
*Request an inspection before 11:59 p.m. (midnight) to receive an inspection the follows g business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof _ r7
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof _
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For iow voltage permits — i'iease ne sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201704660
PERMIT NO: 2017046,60 ISSUED: 07/24/2017
JOB ADDRESS: 4165 Jay ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge asphalt shingles with
12sq
re -roof 12sq 4/12 pitch
*** CONTACTS ***
JWNER (303)587-4850 GUNTHER RICHARD K
SUB (303)646-9300 Dan Elliott
k** PARCEL INFO ***
SONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
`** FEE SUMMARY*** ESTIMATED PROJECT VALUATION: 7,000.00
FEES
.otal Valuation 0.00
Jse Tax 147.00
'ermit Fee 156.75
* TOTAL ** 303.75
** COMMENTS ***
** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
L/
1* � I 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: LI o R - Er rt A 1
Job Address: s- Jay S
Permit Number: o/ 7 o tl & 6 o
❑ No one available for inspection: Time 13 - S -If (A-M)PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-
Date:- ► a / 1z Inspector:
DO NOT REMOVE THIS NOTICE
® A s City of Wheat Ridge
Vr
Residential Roofing PERMIT - 201704660
PERMIT NO: 201704660 ISSUED: 07/24/2017
JOB ADDRESS: 4165 Jay ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re-roof to install Owens Corning Oakridge asphalt shingles with
12sq
re-roof 12sq 4/12 pitch
*** CONTACTS ***
OWNER (303)587-4850 GUNTHER RICHARD K
SUB (303)646-9300 Dan Elliott 022311 Assured Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,000.00
FEES
Total Valuation 0.00
Use Tax 147.00
Permit Fee 156.75,
** TOTAL ** 303.75
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
l A City of Wheat Ridge
Residential Roofing PERMIT - 201704660
PERMIT NO: 201704660 ISSUED: 07/24/2017
JOB ADDRESS: 4165 Jay ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Oakridge asphalt shingles with
12sq
re -roof 12sq 4/12 pitch
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg 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
thisermit. 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 dlor its' accompanying approved plans and specifications.
Signa ure 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.
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 changeof 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 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.
Dan Schultz a61/z�
From:
no- reply@ci.wh eat ridge.co.us
Sent:
Saturday, July 15, 2017 5:25 PM
To:
Permits CommDev
Cf
Subject:
Online Form Submittal: Residential Roofing Permit Application
C-/)
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 INFORMATION11,1,7
Property Address 4165 Jay St, Wheat Ridge 80033
Property Owner Name
Property Owner Phone
Number
Richard Gunther
303-587-4850
Property Owner Email Contact@assuredroofing.com
Address
$1,_)(/,�
7Y
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Assured Roofing
Contractor's License
022311
Number (for the City of
Wheat Ridge)
Contractor Phone
3036469300
Number
Contractor Email Address
Contact@assuredroofing.com
Retype Contractor Email
Contact@assured roof ing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
Owens Corning Oakridge
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
12
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES of all
12
roofing material for this
project
Provide additional detail
re -roof 12 sq 4/12 pitch
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Dan Elliott
Email not displaying correctly? View it in your browser.
3
18121 E. Hampden Ave. C-112
Aurora, CO 80013
(0)303-646-9300(F)303-646-0034
Web: WWW.Assuredroofing.com Ce
Email: Contact@AssuredRoofino.com
Homeowner's Name: 1 Lia U �►� e✓ Home Phone: �Cl l" "1 OJea
r
13
Address: V7aNc� �f_Ce79 r7-3
Cell Phone:Tt�/�3 - to/
Email & Fax: Insurance: -e -t- In �'t'� A(Ja 'f' Root
Decking Sheets: $5�� Torch Down:-
Roof Style: ��� C Shingle Color
y es
Tear Off: fm6ye- J - Valley Type:,�f-f- OA+U 5A ej
Ridge Type:Roof Stack/Size: Replace a It
,,,, ������
Vents/Size:hSGutters: QcAw ale
Ice & Water
Baseh tII: 41e - v5hecl
Pitch: /Q
Drip Edge: /VC �F�r�
Gutter Color: Q+rncJA2
Insurance replacement and repair: Assured Roofing Inc. agrees to work with homeowners insurance company for the replacements
and repair for all trades ( roof, gutters, siding, paint, windows etc..) deemed damaged per insurance loss. Assured Roofing Inc will do
work on homeowners company's estimate of the replacements cost value (RCV), and homeowners deductable stated on the insurance
loss statement. Homeowner agrees to give a copy of their insurance loss statement and authorizes to have Assured Roofing Inc work
with homeowners insurance company. Homeowner agrees to have Assured Roofing Inc, to do the work their insurance pays for.
Homeowner agrees to pay Assured Roofing Inc. total cost of replacements or repairs (RCV) as deemed by homeowners insurance
company, plus deductable, insurance paid supplements,overhead and profit, and any damaged decking not covered by insurance
company.
Insurance replacement cost value homeowners initials:
Assured Roofing Inc. hereby purpose to furnish labor and materials completed in accordance with contract provisions and specifications
for the sum total of: _. When accepted, this becomes a contract subject to all terms, condidtions and
exclusions, and can be withdrawn from the company if not signed within (30) days of receipt.
Buyers right to cancel: If for any reason authorizing party decides to terminate contract, they may do so within three (3) business days
from the date the agreement is signed. Notice to cancel must be in writing and postmarked no later then the (31d) business day from
the date of the contracts execution.
I/Owner have read both sides of this contract and do understand all terms, conditions and exclusions within the
contract, and agress thal all details of this contract are satisfactory. I further understand and agree that this contract
represents the entire agreement between I/Owner and Assured Roofing Inc and agree that any c a ges or alterations
to this contract must be in iting nd f lly/0ec6ked by botf-p rties.
Accepted by Ijgwner: epresentive:
-"M le �RA�Y_
Date: � V
�p�r
F
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: 06 - X11 1 j
Job Address: ! / & 57 p4u S -L
Permit Number: 0 t -7 a L� � l� 0
m,d- (�o or 4s.Dr-o d
❑ No one available for inspection: Time 1a - AM09
Re -Inspection required: Yes No
When corrections/have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: 4 "� `%/ Inspector: Tb
DO NOT REMOVE THIS NOTICE
FOR OFFICE USE. ONLY
City of
' 9191
C( MM�?N DEVELOPMENT plan1pennit #�
Building & Inspection Services Division
7500 W. 29th ,Ave., Wheat Ridge, CO 0033 flan Review
Office: 303-235-2555 * Fax: 303-237-3929
Inspection Line: 303-234-5933
Email.emits c .whet € e.co.o
Building Permit Application
Please complete all highlighted areas on both sloes of this form. Jca tpl eippllostio s may not be processed.
Property Address:
Mailing g ,Address.; (if different than property address)
Address:
City, State, Zip:
Archi gino er E-mail. Phone. --
Contractors
hon .
Contractor City License #:
ContractorE-mail Address. )
Sub Contractors*.
Electrical: Plumbing: Mechanical.
WR City license # WR City license # W.F . City License
Other City Licensed Sub: Other City Licensed Sub.
City License # City Lens
Complete all information on BOTH sides of this farm
er 1 1 11 M 1 YMr • 1� � w 1
amount of materials to be used, etc.)
p
Sq.�tlL Stu s Gallons
Amus Squares Other
4 1
r4000
City of Wheat Ridge
Residential Roofing PERMIT - 100392
PERMIT NO: 100392 ISSUED: 02/09/2010
JOB ADDRESS: 4165 JAY ST EXPIRES: 02/09/2011
DESCRIPTION: Reroof 12.2 sqs with 30 yr shingles
* ** CONTACTS * **
owner 303/421 -7873 Richard Gunther
sub 303/663 -5615 Joel Speckman 08 -0141 All In One Contractors
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0396
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 8,181.51
FEES
Extend Expired Permi 139.25
Permit Fee 217.50
Reinspection Fee 61.00
Total Valuation .00
Use Tax 147.27
** TOTAL ** 565.02
Conditions:
6 nail installation & mid -roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 2' inside exterior walls. ** *Contractor
or Property owner shall provide ladder(s) secured in place for inpsections. It
is the responsibility of the person /firm requesting the inspection to insure
roofs are clear for inspection. 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 of $61.00 will be assessed. 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
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Signature of contractor /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. 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.
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 review s subject to field inspections.
Signature o Building Official date
♦ �, t CITY OF WHEAT RIDGE
Building Inspection Division
_40 0000 (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: </
Permit Number: % : 7g
❑ No one available for inspection: Time r ? . / ~; AMt M
Re- Inspection required: es No
When corrections have been made, coif for re- inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
e A s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234,5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Qswf
Job Address: y/LS vlA 5T
Permit Number: stio3 5P,2
f
F ❑ No one available for inspection: Time ~pr<<la (Wpm
Re-Inspection required: es No
' When corrections have been made, call for re-inspection at 303-234-5933
Date: 2_-/Ag Inspector:
s
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE'
r Building Inspection Division
a (303) 234-5933 inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time 1 a AM(! U
Re-inspection required: Yes
When corrections have been made, caff for re-inspection at 303-234-5,933
Date Inspector:
DO NOT REMOVE THIS NO ICE
i
Feb 09 10 03:31 p All in One Contractors 303-663-5616 p.1
9
City of Wheat Ridge Building Division
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Dale:
Plan
Permit 47
Property Address: + C05 r 1n
Property Owner (please print)- 2, -Ta caun tV~.41- Phone:~j'z-0- ~,3
Mailing Address: (if different than property address)
Address:
Zip:
Contractor: _a,' I r t One., C0cc
Contractor License t : ~N 4 l Phone:
Sub Contractors:
Electrical City License Plumbing City License#: Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of:space (description).: e Construction Value: $
IVN
Description of work: T O M (as Calculated per the Buirdin aluatrou Data sheet)
Plan Review (due at lime of submittal): S
Sq. Ft./L.Ftadded: Squares 12.2 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 shove, and
allegations made are accurate; that i have read and agree to abide byy all conditions printed on this application and that I assume full
resporuibility for compliance with the Wheat Ridge Building Code Q. C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subje tq field in ection.
CIRLCE ONE:: (OWNE CD TRA T
XOR PERSONAL REPRESE^ of OW( R) O TOR)
PRINT NAME: SIGNATURE: Date
:lly
ZONING COMMENTS:
Zoning:
Reviewer.
DEPARTMENT USE ONLY
PUBLIC WORKS COMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer
FIRE DEPARTMENT:: 0 approved wl comments 0 disapproved 0 no review required
" ' City of Wheat Ridge
.ter
I/ Residential Mechanic PERMIT - 081279
PERMIT NO: 081279 ISSUED:
JOB ADDRESS: 4165 JAY ST EXPIRES:
DESCRIPTION: Replace 30 gallon hot water heater
11/03/2008
05/02/2009
CONTACTS
owner 303/421-7873 Richard Gunther
sub 866/898-0008 Mariana Kitchukova 08-0021 Colorado Delta Mechanical Inc.
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0396 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 975.00
FEES
Permit Fee 50.40
Total Valuation - .00 Dnn
Use Tax 17.55
TOTAL 67.95
Conditions:
Must comply w/ 2003 IRC & 2005 NEC.
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
applic ble Wheat Ridge 0 rnances, for work under this permit. Plans subject to field inspection.
Signature of contractor/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. 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.
I. 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 bea 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 review is subject rU field inspections.
A
Signature of Chief. Bui ng rfficial date
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 Building Division
°m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
OOCORPOO Inspection Line: 303-234-5933
Building Permit Application
Property Address: qU C &J U~
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Date:
Plan 7
Permit
Phone: 303 zIZ f 7v 73
City, State, Zip: WtyA f dy) s X Y6033 Contractor: I_(' )k v t uu (I X-11 J&I I " I(," fU..l I I
Contractor License 0
n DD~I
Phone: U6& (09a 6-Cn
Sub Contractors:
Electrical City License
Plumbing City License Mechanical City License
Company:
Company
Company:
Exp. Date:
Exp. Date:
Exp. Date:
Approval:
A
pp
rovall:
Approval
:
Use of space (description):
,
~
\
!A LUt K QLCX~ !CJ
s
Construction Value: $ .29,
Description of work'
I -
•
-
(as calculated per the Building Valuation Data sheet)
J
/(I
lJ
Plan Review (due at time of submittal): $
S
Ft
/L
Ft
dd
d
r
BTU's 32
S
Am
s
Gallons30
q.
.
.
a
e
:
qua
es
p
-
OWNEWCONTRACTOR 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.
CIRLCEONE(OWNER CONTFRRAQTOM or PERSONALREPR ENTATIVEof( WN.ER) CO JT TOR) 0` ,lS
v v
PRINT NAME: SIGNATURE: Date: ll
ZONING COMMENTS:
Zoning:
Reviewer: -
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer.
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required Bldg Valuation: $
(o-7
'~"~lI!!111".""",,~~~,~!!!~, ."!!-,~,,,.,', ..~....l!!l~\I!l~~~~~rIl~", ,.""".W..1.1l..",. .""'.,"""".fl",,.~, "l!~...".",~,,,,,,,,,.,,...\w, ,. "..";",,,,,.,,,,,,,,,,,,,,,.,,..,,,,,,,,,,,OC
:;:DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 6690
Ct,,.. BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 3/9/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property OWner:
Property Address: 4165 Jay Street
Contractor License No,: 17152
Company: Precise Plumbing
OV\INERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 433-5211
Phone: 534 0881
Construction Value:
Permit Fee :
Plan Review Fee:
UseTax:
Total:
$328.00
$22.00
$0.00
$0.00
$22.00
Il1Ilreby certify that the setback dlstances proposed by this pennft application are accurate,
lII1il. do not viOlate applicable ordinances, rules or regulations of the City of Wheat Ridge or
COIIenants, elI_nts orrestrictiona of record; that an measurements shown, and allegations
'lYI\I!I& are, accurate; that I hav!lread and agree to abide=an condftiona printed on this
ap~tion, and .that I ...ume fun reoponalbt for co nee with the Wheat Ridge Building
Cclde (U.B.C.) 1Ild' an other applicable Wheat'idg8 ord nonces, for work under this pennil.
(O\!iINERXCONTRACTOR) SIGNED
DATE
Use:
Description:
Replace water heater, ready for inspection
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft. :
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
COmpany:
Plumbing License No :
Company:
Mechanical License No :
Company:
E!cpiratlon Date :
~proval :
Expiration Date :
Approval:
Expiration Date :
Approval:
!~l
lhiI permit _Issued In accordanee _ the plOYiaions set rorth In yopur application and is subJacl to the laws of the State of Colorado and to the Zoning
Regulallona and 8u11d1ng Code of_I RIdaa, COlorado or any other appt_ ordlnanca8 01 the CIty_
This permit 8haII oxpiI8 n (A) the WOI1< aUlhoriZed is not commancad _In alxty (80) daya rrom i8aue data or (B) the building _ is auapandad or
_lor. period of 1~ days.
"this permit axpllaa, a _ permit may ba acqulnld lor a fee of one-han the amount nonnaIly requIrad, pIOYidad no changes have baan or will be __ In the
orlgInoI pIan8 and apeclftcaIIona and any....oanaton or _ndonmant has not axceaded OlIO (1) year. K changes 8l1l__ or n auapanaton or abandonmanl
_one (1) year, ruu_ 8haII be peld fora __
No WQd< 01 any manner 8haII be done lIlal will chango 111. __ of wa\af ceuatna . dlBinaga pIObIem.
eontractor _I notIly 1ha Building _ twenty.four (24) hours In adYenee lor aD li1apectlOlUl and _I recal.. written __ on Inapedlon card before
pnlCOOdilng with aucceealve _ 01 the lob.
. (8) The i88uanca oIa permit or the __ of drawInga and apeclfic:attol,a shall not be conatruad to ba a permit for. nor an approval 01. any _tion 01 the plOYialona
of the bulldfng codes or any other Ordinance. law, rute or regulation.
(1)
(2)
(3)
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT Or PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner: e . C;~ e e tV :l> u Ie G.-
Property Address: i./ I ~ J 3A d S I
Contractor License No_: / 7/ r:J...
Company: j),..,e-I.>-e. //v,., il',,".:z;,c-
Phone: ~3:3- 5,;2 II
Phone: ~Yf/-~ ?fr/
,,;
Construction Value: :3 d .f' "l'
Permit Fee: .:l.:4 -
Use Tax: S.p,4~S ~"'""n
-
( OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cenify that ttle setback distances propoSed by this pennrt applIcabon are accurate.
and do not violate applicable oralnanees. rules or regUlabonS of the City of VVheat Ridge or
covenants. easements or restndiona of record: that III measurements shown. anCl allegatIOns
rm_ are aceurale: thaI I have read ancl agree 10 abllle by all conclitions pnnled on this
applICation. ano thaI I assume 11.111 responsibility far camp.l8nce W1lh the Wheat Ridge Building
Code (U.B.C.) and all olher appucaole Whetai Ridge OfGiftances. tor work undwr thIS pemld. .
(OWNER)(CONTRACTOR) ~IGNED~ ,~ DATE .
Description: r-e/,~ ce u1.-t'...r I/~.,..,{.,.r .I r-{'A-07 rot" /''''_ ~..e .r:'o"-'
Total: ~.:l.-
BUILDING DEPARTMENT USE ONLY
..{~:J lill' ~. t ,t ... . .;.
Approval:
Zoning:
~. c;.1D;' jt-~ti.u.J~)h...l
Approval:
. ~1IC!WO)",...~.kd~.ltiOlB~
Approval:
Occupancy:
Walls:
Root:
Stories:
Residential Units :
Plumbing License No :
Company:
Mechanical License No :
Company:
Electncal License No :
Company:
ExIliration Date:
Approval:
3 (P.Jmfa~ulriCf~
Expiration Date:
Approval:
11 :- P/IhS ~ulred.~ .:J
Expiration Date :
Approval:
. ~uldRl=a
(1) thiS pemvt was ISSUed an accordance wnn me prtMUInS sellottn 1ft yOOUf loptlC8Don and " subfed to the IawI 01 tne Stale at CCl'otadO ancs to tne Zoning
RegutatJOnS an<! BUI~ng coae 0' VVheaf Fbdge. Coloraoo or any omer IDPllClbIe oralnances 0' the City.
(2) This permit snatl exwe If (AI tne wane. aUU10nZed IS not commenc:ea WlWft Ilxty (60) days rrom ISSue date or (8) Ihe buiJdlng IUrnonzec IS sUSQend8d 01
abandOned for a oenoo of , 20 daYs.
(3) If Ihls pemm eXDIf'8S. I new pemIft may De acQUIf'8CI fOr a 'ee 01 on"""" tne amount normally reQUIred. ptOVIGed no mana.' haw been or wiI be mIde in the
ongtnaI p1lns and speofic:allON and any ~ or ,DandOI'Un8m "U not .xceeoed' one (1) year. If cnanges are mII0' or if 'utpenllOl1 Of abll)d(MllIl*.1
exceecll one (1) year. full tees ShaH be DlICI for a newoemvt.
(.4) No wane: of any manner shill be done Nt ri Chan;e 1M natural now 01 waw cauS'"9 a dtllnag. problem.
(5) ConhCIor snail notify the BUlk:hng lnsoeaor twenty.four (24) hOurs In IOYlnce for aUlnspec;oonl and In,. recerve wnlten ,pproval on InlpeQOn eara Defore
proceeollng Wltn SUcceSSIVe onliSes 0' the rob.
(IS) The tSsuance 0' oil Dermrt or tne approval of draWln9S InCl saeaficatlons snail nol De consl!UecllO De I pelmll tor. nor an approval of. any Y1OiaDOn of tn. pt'OV\IlOnS
of tne DUllc,ng cooes or any other orolnance. law. f\J;e or regulation.
Chief BUilding Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION