HomeMy WebLinkAbout3985 Carr StreetCity of Wheat Ridge
E -Res. Window Replacement PERMIT - 201900397
PERMIT NO: 201900397 ISSUED: 03/08/2019
JOB ADDRESS: 3985 Carr St EXPIRES: 03/07/2020
JOB DESCRIPTION: Replacement of bathroom window, like for like with no structural changes.
U -value .27.
*** CONTACTS ***
OWNER (970)846-1707 COMEAU ANDREW SCOTT
SUB (303)574-9594 Rick Rose 080085 Window World of Denver
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,025.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 21.53
** TOTAL ** 71.53
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 201900397
201900397 ISSUED: 03/08/2019
3985 Carr St EXPIRES: 03/07/2020
Replacement of bathroom window, like for like with no structural changes.
U -value .27.
I, by my signature, dohereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and ala pplicable 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 ermit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alentities named within this document as partes to the work to be
performed and that all work to be performed rs 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 the information provided in the permit application and accompanying pplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4 No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or arvy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Clef Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
La enia Reimer o� v ( ?0"-S 7
From: no-reply@ci.wheatridge.co.us
Sent: Friday, March 8, 2019 2:28 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Gina
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
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
3985 N Carr Street
Andrew Cameau
970-846-1707
acameau9@gmail.com
3985 WR CC.pdf
CONTRACTOR INFORMATION
1
Contractor Business Window World
Name
Contractor's License 080085
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-574-9594
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address acaro@windowworldcolorado.com
Retype Contractor Email acaro@windowowrldcolorado.com
Address
DESCRIPTION OF WORK
Number of window 1
and/or doors being
replaced
Location of Bathroom
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the .27
window(s)/door(s)? City
of Wheat Ridge requires
the a -value to be .32 or
better on windows..
Attach copy of 3985 Order WR.pdf
window/door cut sheets
showing sizes and u -value
Project Value (contract 1025.00
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
2
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
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 Tasha Engh
Permit
Email not displaying correctly? View it in your browser.
Sales Person:
Dealer Name:
881420 WINDOW WORLD OF DENVER -N/A
Bill To:
Order Notes:
ASSMATED MATERIALSa
I h C 0 R r i. 4 A 1 F O
Delivery Notes:
Ship To:
Customer
Acknowledgement
Quote Date
3/5/2019
Date Ordered
Quote Not Ordered
Phone: (303) 574-9594 Fax:
Quote Name: Project Name:
Comeau, Andrew Unassigned Project
QUOTE #
RUSH
STATUS
PO#
2111609
No
None
Line Item # Qty Width x Height UI Description
1 1 23.375" X 37.75' 62
+-- 23 375
CComment / Room:
Bathroom
3001 -NEW 4000 Series Double Hung 23.375 x 37.75
Sash Split = Even
Operation / Venting = Double Hung
Composite Reinforcement, Frame Option = Standard
Block Frame
Frame Color = White
SolarZone ThermD Elite, Double Strength, Tempered,
OBSCURE FULL
U -Factor = 0.27, CR = 58, SHGC = 0. 19, VT = 0.43, CPD
= ASO -A-89-02518-00001
Flat, Colonial, White, 1H
Foam Wrap, Header Expander, Brickmould = No
Brickmould, Frame Size
Line Item Notes:
Page 1 Of 2
City of Wh..-.t Ridge
Residential Roofing PERMIT - 201701335
PERMIT NO: 201701335 ISSUED: 06/01/2017
JOB ADDRESS: 3985 Carr ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof 16 squares Heritage 30 year
* * * CONTACTS * * *
OWNER (720)300-1315 CUTTIN MIRANDA J
SUB (303)239-6633 Robert Pachmayer 170045 Beyond Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,174.34
FEES
Total Valuation 0.00
Use Tax 234.66
Permit Fee 236.00
** TOTAL ** 470.66
*** 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 k/2 -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 manufactureriems 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's 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 or final
inspection.
J WSPECTION RECOKD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
4W
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent oject
Foundation Inspections Date
Inspector Comments
Initials
Pier
Final Electrical
Concrete Encased Ground (CEG)
Lath / Wall Tie
Foundation / P.E. Letter
—=
Do Not Pour Concrete Prior To Approval Of The Abova5f �ns/7
Underground/Slab Inspections Date Inspector me is
Initials
Electrical i
Sewer Service
Plumbing i
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The AboWtnsXCctions`
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Mid -Roof
Final Electrical
Lath / Wall Tie
Final Mechanical
Rough Electric "
Roof y _
Rough Plumbing/Gas Line
Final Building
Rough Mechanical
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.
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 y _
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window — Please email insptimerequeSt@Ci.Wheatridge.CO.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A i CITY OF WHEAT RIDGE ;..
Building Inspectitrn Division. `
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Jeal
Inspection Type:
w i
Job Address:
Permit Number: O %/ .3.5
❑ No one available for inspection Ct'•�:> AM/FM,
Re -Inspection required: Yes (No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
���� Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: $b
Job Address: 5 (! is rr
Permit Number: �Q17077T
❑ No one available for inspection: Time e AM/M
Re -Inspection required: Yes
60-O
*When corrections have been made, call for re -inspection at 303-234-5933
I'/� . "ir
Date: b1l /-It J ? ! Inspector: .\h/�f T
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201701335
PERMIT NO: 201701335 ISSUED: 06/01/2017
JOB ADDRESS: 3985 Carr ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof 16 squares Heritage 30 year
*** CONTACTS ***
OWNER (720)300-1315 CUTTIN MIRANDA J
SUB (303)239-6633 Robert Pachmayer 170045 Beyond Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,174.34
FEES
Total Valuation 0.00 -AID
Use Tax 234.66
Permit Fee 236.00
** TOTAL ** 470.66
*** 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 A1/2 -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&E-s 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's 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.
,L City of Wheat Ridge
.N
a
Residential Roofing PERMIT - 201701335
PERMIT NO: 201701335 ISSUED: 06/01/2017
JOB ADDRESS: 3985 Carr ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof 16 squares Heritage 30 year
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
perform nd -ajl wort 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 the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
ff
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 permit shall e copstrued to be a permit for, or an approval of, any violation of any provision of any
applicable code or any rrx�egulat�o f s isdiction. Approval of work is subject to field inspection.
—r '
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
.�/ comm NfTy DEVELOPMENT
Building d Inspection Services Division
7500 W. 29P Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: PermitsCa)-ci.wheatridae.co.us
FOR OFFICE USE ONLY
Date: 1
Plan/Permit# ao)
I t)l 333
Plan Review Fee:
*" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
V2'1z3C-"z
Property Owner (please print): Mkems_ G-3Yn cs b Phone: --1 Z,O N�)j � 3l 5
Property Owner Email: MP.0T�A . JO Lc� t'k /N'C' . cod
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Archltect/Engineer E-mail:
Phone:
Contractor: I-LE'AD*3Z�, O0F,�) t, ,
Contractors City License #: L 7 C70 9 S Phone:
Contractor E-mail Address: I ty F Ocpm
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL A RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
gNEW 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
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.)
Sq. FtJLF
Amps
Btu's
Gallons
Squares , (_p Other
Project !Value: (Contract value or the cost of all materials and labor included in the entire project)
`l ,-�
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING ANIS AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE (OWNER) (CONTRACTOR) or AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PIt1NTNAME:�P+V�77��c7t/�SIGNATtJItE: EZEZa���DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer.
PROOF OF SUBMISSION FORMS
Fre Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201701335
PERMIT NO: 201701335 ISSUED: 06/01/2017
JOB ADDRESS: 3985 Carr ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof 16 squares Heritage 30 year
*** CONTACTS ***
OWNER (720)300-1315 CUTTIN MIRANDA J
SUB (303)239-6633 Robert Pachmayer 170045 Beyond Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,174.34
FEES
Total Valuation 0.00 -AID
Use Tax 234.66
Permit Fee 236.00
** TOTAL ** 470.66
*** 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 A1/2 -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&E-s 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's 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.
,L City of Wheat Ridge
.N
a
Residential Roofing PERMIT - 201701335
PERMIT NO: 201701335 ISSUED: 06/01/2017
JOB ADDRESS: 3985 Carr ST EXPIRES: 06/01/2018
JOB DESCRIPTION: Reroof 16 squares Heritage 30 year
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
perform nd -ajl wort 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 the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
ff
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 permit shall e copstrued to be a permit for, or an approval of, any violation of any provision of any
applicable code or any rrx�egulat�o f s isdiction. Approval of work is subject to field inspection.
—r '
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
.�/ comm NfTy DEVELOPMENT
Building d Inspection Services Division
7500 W. 29P Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: PermitsCa)-ci.wheatridae.co.us
FOR OFFICE USE ONLY
Date: 1
Plan/Permit# ao)
I t)l 333
Plan Review Fee:
*" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
V2'1z3C-"z
Property Owner (please print): Mkems_ G-3Yn cs b Phone: --1 Z,O N�)j � 3l 5
Property Owner Email: MP.0T�A . JO Lc� t'k /N'C' . cod
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Archltect/Engineer E-mail:
Phone:
Contractor: I-LE'AD*3Z�, O0F,�) t, ,
Contractors City License #: L 7 C70 9 S Phone:
Contractor E-mail Address: I ty F Ocpm
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL A RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
gNEW 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
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.)
Sq. FtJLF
Amps
Btu's
Gallons
Squares , (_p Other
Project !Value: (Contract value or the cost of all materials and labor included in the entire project)
`l ,-�
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING ANIS AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE (OWNER) (CONTRACTOR) or AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PIt1NTNAME:�P+V�77��c7t/�SIGNATtJItE: EZEZa���DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer.
PROOF OF SUBMISSION FORMS
Fre Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
«
Bldg Valuatlow 1
(. .>
~'DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number: 11344
Date: 10/17/2000
Property Owner:
Property Address: 3985 CARR ST
Contractor License No. : 20005
Company: Public Service Co. of CO Appliance Repair
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 423-0698
Phone: 871-7262
I hereby certify that the setback distances proposed by this permit application are accurate,
and d() not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Total:
$2,620.00
$83.25
$0.00
$83.25
Construction Value :
Permit Fee:
Use Tax:
(OWNER)(CONTRACTOR) SIGNED
DATE
Use:
Description:
INSTALL FURNACE
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft:
Approval:
Zoning:
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date :
Approval :
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and BuiJdinQ. Code of Wheat Ridlile, Colorado or any other applicable ordinances of the City,
This pennit shall expire If (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 day's.
If this permit expires, a new permIt may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem,
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of thel'ob, ,
The' uance of a ermit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
build' s or any other ordinance, law, rule or regulation,
(41
(5
(6)
Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
1+ '(}'dcI15
Date: ,[0. (\.06
Property Owner :fritn ,&rw. '8t~I(1.1
Property Address: 31'6-.'5 \,A'tK C.l~r
Contractor License No.: 8000S
Company :(;1b(,~ ScR..ill CiS
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone:
4). 3- c (c>Oj ~
1ll-1~&J\
Phone:
I hereby certify that the setback distances proposed by this pennit application are accurate,
and do not violate applicable ordinances, rules or regulations ot the City of Wheat Ridge or
covenants. easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application. and that I assume full responsibility, for compliance with the Wheat Ridge Building
Code (U.8.C.) .an~ all other applicable Wh a idge ordin;a~S. for wor1<. under this pe it
(OWNER)(CONTRACTOR) SIGN I J,{ 7 't DATE/t1 1;'
Construction Value: it 0'\ (
Permit Fee: ~j,:J. 5
Use Tax:4I- 'OOS4r:
Total: 3 ('&;;0.00
Use: 'I ' 1
f)/-r, !(t./fi
L/ If- ({11 ,sol
j(L/{ jC/
it OJ,SZ/!
Description:
1:/1 fl/-I ~ r/1
BUILDING DEPARTMENT USE ONLY
~pnln~omml)J1JS.3
Approval:
Zoning:
!;lJ!]ml!1~omments':\
Approval:
~~0~K5Ili>9,ml!!!!n~
Approval:
Occupancy: Walls:
SIC:
Sq. FL:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
,
Expiration Date:
Approvai :
Expiration Date:
Approval:
Expiration Date:
Approval:
(<)
(5}
(6)
This permit was issued in aec::ordance with the prov;sions set forth in yopur application and Is subject to the laws of the State 01 CoIonIdo and 10 the Zoning
Regulatio~ and Buildin9. Code of \Mleat Ridge, Colorado or any other, applicable ordinances of the City.
This permit shaW expire if (A) the work autnonzed is not c:ommcnced WitJ"Lin sixty (60) days from Is.sue date or (B) the bYikllnQ authorized is suspended 0(
abandoned for a perlod of 120 days. .
If this permit expires. a new permit may be acquired for a fee of one-half the amount nonnalty required. provided no changes have been or w;11 be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or it suspension or abandonment
exceeds one (1l year, full fees shall be paid for a new permll -
No wane of any manner shaU be done that will change the natural1\ow of waler causing a drainage problem.
Contr.ldor shad notify the Building InSpedCrtwenty-fouf (24) hour1 in advance for all inspections and shall receive written approval on Inspec1lon card before
proceedung _ SlJCl:O$sive ohases 01 "'" job.
The issuance of a permit OC' the approval of drawings and specifications shall not be construed to be a permit for. not an approval of. any violation of the pcovis:lons
of the buildinQ codes Of any other ordinance. law. rule or regulation. '
(1)
(2)
(3)
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