HomeMy WebLinkAbout3920 Holland 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: er- l
Job Address: 5920 T_
Permit Number: 201 Gj
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❑ No one available for inspection: Time AMCPO
Re -Inspection required: Yes No
When corrections have been made, call for re-' ection at 303-234-5933
Date:3)3)70o Inspector:
DO NOT REMOVE THIS NIQTICE
2141 Troy Court
P
P.E.
Colorado Springs, CO 80918 j aul R. Bryant, 1 . E , Phone: 719.330.3885
E -Mail: prbryant23 ,outlook.com
L 1
Job # PRJ12879
Peak Structural, Inc.
707 County Line Road
Palmer Lake, CO 80133
17 September 2019
AOi7ol9ok9
a/2m�aoaa
Re: Project Completion Report, 3920 Holland Street, Wheat Ridge, CO
The repairs recommended for this home in the project documents dated 12 August
2019, have been completed in substantial compliance with those recommendations.
The work, consisting of the installation of (2) FSI Model HP288 helical piers, was
observed by me or by an authorized representative. Photographs of the work in
progress, as well as the completed work are available upon request.
This approval does not express or imply any warranty of the future performance of the
structure or drainage condition. We are not responsible for conditions that were not
within the scope of our services at the time of observation, and no other observations or
services were provided or were implied to be provided.
Sincerel
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0
`frti�#ate
COY of
wheat Ridge
V,
IN
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: er- l
Job Address: 5920 T_
Permit Number: 201 Gj
r
CG-)tJ 101Fle L_0(, a
Ej (r/N9►_7.X L r z_
❑ No one available for inspection: Time AMCPO
Re -Inspection required: Yes No
When corrections have been made, call for re-' ection at 303-234-5933
Date:3)3)70o Inspector:
DO NOT REMOVE THIS NIQTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:��1LActS%�
Permit Number:
- i Lq `
❑ No one available for inspectio ime*�!<AM/P
Re -inspection required: Yes %No
.')
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci, wheatridge.co.us4nspection
Date: -Z-4 Inspector:---� -�
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: Co (",-"
Job Address: -D C-)
Permit Number: D C \ C -t 0 C\
J No one available for inspection: Time C AM/PM
Re -Inspection required: ,,'_Ycel No
When corrections have been made, schedule for re -inspection online at:
http.11www.ci.wheatridge.co.uslinspection
Date: Inspector: 1__)
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:Q
Job Address: �t \--1: 0-A, k \ r',
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at;
http.11www.ci.wheatridge.co.u�nspection
Date: ^` ; ' ir- t Inspector:
®O NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:} `
Job Address:' _�
C, r.
Permit Number:
❑ No one available for inspection: Time " AM/PM
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
S
w ♦
-
❑ No one available for inspection: Time " AM/PM
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
Residential Foundation Repair
PERMIT -
201901829
PERMIT NO:
201901829
ISSUED:
08/29/2019
JOB ADDRESS:
3920 Holland St
EXPIRES:
08/28/2020
JOB DESCRIPTION:
Foundation repair - 2 helical piers
*** CONTACTS ***
OWNER (720)841-6959
HUGLEY JOEL
GC (303)260-7070
Paul Sutton
090170 Peak Structural Inc.
*** 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:
8,187.57
FEES
Total Valuation
0.00
Plan Review Fee
122.49
Use Tax
171.94
Permit Fee
188.45
** TOTAL **
482.88
*** COMMENTS ***
*** CONDITIONS ***
1. Inspection by Wheat Ridge Building Inspector is required prior to back fill of helical
piers.
2. Observation letter from engineer required to be provided to Wheat Ridge building
inspector at final inspection.
3. Work is subject to field inspections.
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 authorized to obtain this permit and perform the work described and approved in conjunction with
thisppermrt. I fu attes am ga ly authorized to include all entities named within this document as parties to the work to be
performed at all rk to,. rformed is disclosed in this document and/or its' accompanying approved plans and specifications.
oCO (Oifcle one) Date
I . ernt4-vm issutr15'aon 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 ora y'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 or
W heat- id�c
CQMMUNtTIf DEVGL.tJPMEN"f
Building & Inspection Services
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitsCaki.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # q j�
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: EIC120 VA01taV\Cf ktcfi�*e ci30033
Property Owner (please print): ,� I 14 A , Phone: -171 - q` l I (A69
Property Owner Email: a>n . u r "a,h D •Ca3r✓),
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Enainegr: FaAJ &4 6,0-t-
Architect/Engineer E-mail: T bnM y%+736QA A4laok •ca�Phone: 11-01 -330 - 3835
Contractor Name: p a .k S f cf u va(
City of Wheat Ridge License #: 0101 -7D Phone: '-7 l cI - Z4en -7 U% O
Contractor E-mail Address: CSX 63 peakC+r' Ci-LAvro- C'0' _
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Toh• OG,ki 1.4 Phone: 1 l q - ZI -(o 1610
CONTACT EMAIL(please print): r� Pa Si-►.ya c�-N,al• c o rv`
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 RESIDENTIAL
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.
Sq. FULF
2, h.ef �'e.� Piers
BTUs
b he -A -4h Pow
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)
q1<g1 •'�;-7
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 r (AUTHORIZED REPRESENTAT ) of (OWNER)q ONTRACTOR)
Signature (first and last no DATE: 2
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: J23
CONSTRUCTION TYPE: V/3 -
Reviewer:
BUILDING DEP TMENT COMMS TS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:In 5—i
Building Division Valuation:
EXISTIN6
PAI L_A 0LJ
SCALE: N.T.5
ALL CONSTRUCTION 15 TO BE IN
ACCORDANCE WITH THE 2012 IRC/IBC AND
ANY LOCAL CODES THAT MAY APPLY
�OiWjlLj,q L�qll
6RADIN6 AND DRAINAGE IMPROVEMENTS MAY NOT
BE PART OF THE CONTRACTED REPAIR WORK. THE
CONTRACTOR 15 ENCOURAGED TO ENGAGE THE
HOMEOWNER TO REMEDY THESE CONCERNS.
`e
City of
Wheat s ge
COMMUNITY DEVELOPMENT
APPROVED
Reviewed for Code Compliance
Zai �9
laps x miner Date
Valifty of permit: The iseuonce of o pamlt or approval of plans speCIPCO lora
and computations shall not be o permit for, or an approval of, any mlobon to
any of the provisions of the bui ding code or of oto City ordinances. PlermtW
presum+ng to g&v authority to violate or cancel the prowslons of the ttA&V
cooks or other ordmotces of the City shall not be volid
ENG 1 NEER'S S7A7F_MEN7
THE REPAIR 15 INTENDED TO PROVIDE RELIEF OF MINOR STRESS FRACTURE. IN THE
CONCRETE FOUNDATION HALLS, TRANSVERSE AND MIGRATORY REFLECTION CRACKS IN
MASONRY VENEER SYSTEMS AND SLOPING FLOOR SYSTEMS, AND AS A PREVENTATIVE
MEASURE TO ENSURE CRA,' K5 AND OTHER DISTRE55E5 THAT ARE PRESENT DO NOT
v1OR5EK
THIS PIERIN6 AND/OR KALL BRACIN6 PROJECT 15 NOT A 6UARANTEE THAT FURTHER
SETTLEMENT OR HALL CRACKING WILL NOT OCCUR IN OTHER PARTS OF THE HOUSE NOT
INCLUDED IN THIS PROJECT, OR THAT SETTLEMENT OR MOVEMENT OF UNREPAIRED
PORTIONS KLL NOT RESULT IN ADDITIONAL CRACKW6 IN THE REPAIRED SECTIONS.
PROPER 6RADIN6 AND DRAINAGE WILL HELP PROTECT THE REPAIR VIORK FROM
BECOMING A CONDUIT FOR MOISTURE INTRUSION TO THE DEEPER SOIL 5TRZTUR -5
REPAIRING A FOUNDATION 5Y5TEM IN A SUDDEN OR DRAMATIC FASHION USING
TECHNIQUES LIKE HELICAL PIERS, FU%WIERS, PRESSURE 6ROLMN6, OR OTHER
QUICK-ACTTN6 LEVELING METHODOLOGIES CAN HAVE ADVERSE EFFE( T5, SUCH AS
EXTENSNE INTERIOR FINISH (DRYWALL) DAMAGE, CRACKS IN TILE FLOORS, BUCKLING OR
SEPARATION OF WOOD FLOORS, 5TICKIN6 OR NONFUNCTIONAL DOOR AND WINDOW JAMBS,
OR PERHAPS STRUCTURAL DAMAGE TO FLOOR AND/OR ROOF 5EAM5 FROM SUDDEN
RE-5TRESSIN6.
fi�ROJi=GT a�SIGN fl�4T.4
HELICAL PIERS: (2)
PU5H PIERS: NONE
WALL ANCHORS: NONE
MALL 5RACE5: NONE
5MARTJACKS: NONE
*PIER DEPTH WILL VARY. HELICAL PIER5 SHALL BE INSTALLED TO
4,000 FOOT-POUNDS TORQUE, CONTACT ENGINEER IF THI5 TORQUE
CAN'T BE ACHIEVED. PU5H PIERS SHALL BE INSTALLED TO 3,500 P51
MIN. OR CONTACT ENGINEER. HELICAL PIERS MAY BE SUBSTITUTED
FOR PUSH PIERS WITHOUT CONSULTATION WITH THE EN6INEER, AT THE
SANTE 5PACING. CHANGING FROM HELICAL TO PUSH PIERS REQUIRES
CONSULTATION WITH THE ENGINEER.
2012 IRC/IBC
105 MPH WIND LOAD, 5 -SEC GUST, EXP "C"
30 PSF 5NOA LOAD
5E15MIC B, FROST 36"
THESE PLANS ARE COPYRI6HTED
2018 ALL R16HT5 RESERVED,
ANY SALE, REPRODUCTION,
CREATION OF DERIVATIVE
AORK5 5A5ED ON THESE PLANS,
OR USE OF THESE PLANS FOR
ANY PURPOSE WITHOUT PROPER
COMPENSATION TO AND THE
EXPRE55 WRITTEN CONSENT OF
DE516MER IS 5TRICTLY
PROHIBITED.
PAUL R. BRYANT, P.E.
2141 TROY COURT
COLORADO SPRINGS, CO 80418
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ND HELIX MAIM
I. tnNKN MATERIAL FEWRD4N
SHAFTS - FT . 60 W, R • TO kg
caLPLErts - FY . TO kµ F.. W W
i81X R.A7E - 090 STANDARD THIC40E59
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FELIX PLATE
S. JUNSELIX PLATEWOES NAVEN NOMINAL A YWPITFO F LLADOLS
TRAWN6 EI'roES BEJN6 NO MORE TwwYs' OIJf OF PARALLEL.
.
_
02275 60. x 0276
4. LEMS ANP EXTE S O ARE AVAILABLE AS E17NM MIN
VALL EXTENSION
STEEL OR NOT -DIP 6ALVA07ED IN ACWWAL'E MTI ASTM AID.
y} J y
KART NLN1�R
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VARIES)
PA2T AS NOT -W 6ALVA4�.
F
b
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5. NW7 CaPLINS HARDHAAE IS PRONDW AS ELECTROV4
•4
MT® IN Acca+DAncE wTN ASTM ee99.
4W
6. THIS V OCAAW IS MEANT TO SERVE AS A 6ENOW
S
DCSCTTAL N OF A RLE FOR
IAL
q
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181( MTE C
HELIX
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DEPEN IN ON HE PP4Y T PEC LOA KILL VARr
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SOL MWFLiSS. TYPICAL 1ELJx PLATE CC1 WRAT1ONS UTLI=
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HELIX PLATE
ALSO LEE ], J PLATES OF PR06RESSIVELY I!
s i
03
DIN40M NTH TIE SMAJMT DtM TEK HELIX MTM LOCATED
K
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9PAC0J6 BE11'�I 24 AID Bb.11 DIMETBtS CAH BE US® TO
d
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AV= IN.. FMI THE Pl F COI.PL@29. ASSBCELI. FOR
LEAD SECTION
SFWM RUX PLATE 60WWLRATIONS ARE ALSO AVAILABLE
(STANDARD DVERAIJ.
AMP MORE DETAILED MANJPACIMINS DRANN65 AM AVAILABLE
■r4
LENGTHS OF 60M, 84AO,
LFVK REG EST.
PART
;'%
MAKER VARIES)
03,50 ILA x
0281 VAL L x
�
6.00 LONG
2 x 0TF0R
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HELIX PLATE
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ASSEMBLY DETAILCOIPL.ER
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CREATION OF DERIVATIVE
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PAUL R. BRYANT, P.E.
2141 TROY COURT
COLORADO SPRINGS, CO 80918
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Paul R.. Bryant, P.E.
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Job # PRJ 12879
Peak Structural, Inc.
707 County Line Road
Palmer Lake, CO 80133
Soil Evaluation
and
Structural Repair Plan
for
Joel Hugley
3920 Holland Street
Wheat Ridge, CO 80033
2141 Troy Court
Colorado Springs, CO 80918
Phone: 719.330.3885
E -Mail: prbryant23@outlook.com
00 REG,sl
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Paul R. Bryant, P.E.
pry of
Wheat Ridge
Introduction: This report describes the results of an investigation of the soil conditions at
the above -listed address for the purpose of performing a foundation repair. It also presents
a repair design for the house, as well as provides additional guidance and information
relevant to the proposed project. Soil information was obtained from limited visual
observations on site, and from the resources of the NRCS Web Soil Survey. The Web Soil
Survey (WSS) provides soil data and information produced by the National Cooperative Soil
Survey. It is operated by the USDA Natural Resources Conservation Service (NRCS) and
provides access to the largest natural resource information system in the world. The site is
updated and maintained online as the single authoritative source of soil survey information.
It is considered accurate enough to predict with reasonable certainty the probable soil
conditions that will likely be relevant for this particular project.
Observation of Property: The foundation inspection was performed by a qualified
foundation inspector, as authorized by this office. The home, built in about 1954, consists of
a one-story home over a basement. The foundation appears to consist of cast -in-place
concrete. For purposes of this report, the front of the house is assumed to face west.
The damage to be mitigated by this limited repair project will be to address a condition of
settlement of the rear patio and the patio roof supports, which could exceed 2" in total. The
foundation walls do not appear to be severely cracked, but any work to the main house
foundation is not within project scope.
Cause of Damage: It is our opinion the damage has resulted from long-term settlement of
the supporting soil and inadequate design and construction of the affected elements.
Possible causes of structural settlement usually arise from elevated soil moisture conditions,
often from poor drainage, damaged downspouts or broken sprinkler lines; poor compaction,
overly -dry soils or other adverse soil conditions can be major contributing factors as well.
Soil Profiles: The soil at this site consists of the Nunn -Urban land complex. This profile
consists primarily of clays and clay loams, existing in alluvial fans, mesas and terraces,
overlying clayey, calcareous alluvium parent material. It is a deep, well -drained soil, and is
susceptible to settlement and exertion of high lateral pressures under saturated conditions.
A shallow water table is not expected to be present, however, seasonally high or perched
water may exist from time to time, especially if poor surface drainage exists at or near the
structure. Depth to bedrock may exceed twenty feet.
Project Scope: This limited repair plan will involve the use of (2) FSI Model HP2880 Helical
Piers, each with a length of L6x6x1/2" angle to distribute the load, one each under each of
the two patio roof support columns, located according to the design accompanying this
letter. It is not expected that full recovery of the house to as -built conditions or to a fully
level, true and plumb state is achievable or even desirable, as such work would likely result
in more damage than would be repaired. The underlying/surrounding soil is considered
capable of providing long-term support for the selected systems. Adjustment of installed
components may occasionally be required after installation and minor settlement or
movement (less than 1") should not be considered a defect, as post -construction
adjustments are considered common and typical.
/00C0�of
Wheat Ridge
Construction and Materials Information: Seismic activity is not considered to be a
significant factor with respect to this project. Frost depth is considered as 36" for this
project; check with the Building Department if there is any question. All structural concrete
shall be Type 2, Sulfate -Resistant, of a strength specified by the accompanying design, or if
not stated, 3,500 psi compressive strength. Typically, slabs, such as basement floors and
driveways, are not considered structural. Below -grade steel shall be galvanized or coated
with a heavy tar layer to prevent excessive corrosion.
Unforeseen site conditions occasionally arise, often when buried obstacles are
encountered. Movement of any pier or brace laterally up to 6 inches is authorized; greater
movement requires contact with this engineer.
Subsurface Drainage: No new or additional subsurface drainage elements are required by
this document. If an existing drain is encountered, care must be exercised in preventing its
damage, and if damaged, it must be restored to an operational condition. Repairs to
foundation drains typically require inspection and approval by the Building Department.
Groundwater is not expected to be a significant consideration relative to this project;
however, groundwater elevations usually fluctuate seasonally, and mitigation of high
groundwater is not within the scope of this project.
Surface Drainage: Poor drainage is associated with many foundation problems. Property
owners and builders are cautioned that water accumulation around foundation elements is a
primary cause of structural and floor slab distress within homes. Foundation and slab
movement under virtually all conditions can be minimized by maintaining a stable moisture
content within the soil under and around the foundation. Subsequent to, and not included
within this project, the following guidelines are considered vital, as proper surface drainage
is a crucial part of a home's moisture defense system:
• The soil surface should be sloped away from the foundation at a minimum slope of
one foot in ten, for a minimum of ten feet along all sides of the structure. Areas of
ponding must be eliminated.
• Roof gutters should be employed, and all downspouts must discharge well away from
the foundation, either into a suitable drainage system or into a properly constructed
drainage swale.
• Landscaping requiring watering within five feet of the foundation should be
eliminated, or watered sparingly with drip systems.
• Use of plastic sheeting in landscaped areas near the foundation is regarded by most
experts as detrimental to the overall, long-term performance of foundations. We
discourage its use as well.
Backfill: Backfill, if any occurs as part of this project shall be performed accordingly:
Backfill against foundation walls should not contain heavy, expansive clays, large rocks,
organic materials, mud, ice or snow. Density of backfilled soil against foundation
components should be 85% Standard Proctor density (ASTM D698) and soil supporting
concrete slabs or other structural elements should be 95% density, at a minimum, ��Zar
be performed by mechanical means. Water flooding is prohibited.
Wheat Ridge
Conclusion and Limitations: This report is valid only for the address and the project
scope listed, by the client listed above. The observations described in this document are
valid for the date of the observation and have been made under the conditions noted in the
report. Use by any other entity or for any other purpose is prohibited, without the express,
written consent of the undersigned engineer. This report is based on published and
anecdotal information; variations from the anticipated the soil profiles may be encountered;
contact the engineer immediately if they are discovered. This report does not cover
geological hazards, such as slope stability or landslide. Such investigations require
extensive investigative techniques and are well outside the scope of this report. Should
such information be desired, contact the engineer for guidance.
This report does not express or imply any warranty of the future performance of the
structure or drainage condition. This report should not be considered a warranty of
condition, and no warranty is implied. The opinions and recommendations presented in this
report are based solely on visual observations available for viewing at the time of the site
visit and information, if any, provided by the Client and/or their representative(s). We are
not responsible for conditions that were not within the scope of our services at the time of
inspection. We did not undertake or perform any destructive or invasive testing. No
additional subsurface testing, material testing, calculations, nor monitoring over time of the
conditions presented in this report are included in this project, but may be obtained, if
desired, under separate agreement.
Not included in this site visit was a review of the architectural, mechanical, electrical,
plumbing, cosmetic, landscaping, drainage or structural conditions, other than those items
specifically discussed, nor a comprehensive review of compliance with applicable building
codes. The work covered by this project is not held out as being a complete repair for all
known or suspected structural or foundational issues within the building; its scope has been
limited to that work described within this report with the full knowledge, understanding and
cooperation of the homeowner and/or their designated representative. Other work may be
justified or needed, but, work not included within this report is outside the scope of this
repair project. If additional work is required at a future date, it will be under a separate
contract.
cwy of
Wheat Ride
W City of Wheat Ridge
Residential Roofing PERMIT - 201700879
PERMIT NO: 201700879 ISSUED: 05/25/2017
JOB ADDRESS: 3920 Holland ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Complete tear off of existing shingles on home and install new certainteed
northgate shingles; complete new single layer roofing system -38 squares
*** CONTACTS ***
OWNER (303)421-6118 KIMSEY DONNA
SUB (303)218-6655 Zac Bardy 170212 Band -Timm Const. Holds Corpo
*** 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: 14,708.48
FEES
Total Valuation 0.00
Use Tax 5.10
Permit Fee 283.55
** TOTAL ** 288.65��
*** 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 manufacturera€Tms 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700879
PERMIT NO: 201700879 ISSUED: 05/25/2017
JOB ADDRESS: 3920 Holland ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Complete tear off of existing shingles on home and install new certainteed
northgate shingles; complete new single layer roofing system -38 squares
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
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 tha all work to be perrmed is disclosed in this document and/or its' accompanying approved plans and specifications.
J -
Signatur f OWNER or CONTRACTOR (Circle one) Date
I. This 1) it 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, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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.
z_
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 insptimerequestgci.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
�Wheat -Midge
MUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" 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
A,"A% Vl'1'1VJul V17xi, Vl\Ll
Date:
IS/d�'Ql �
Plan/Permit# .101100
1 01100PICI
Plan Review Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Prooerty Owner
I e (-) A.I' d
4 K j —%
Property Owner Email: kIv't 54 - ASO n JOLI , zL.nn.
Mailing Address: (if different than property address)
Address:
City, State, Zip: I/
Arch itect/Engineer:
Arch itect/Eng 1 neer E-mail:
Contractor: I-Sk &; j
Contractors City License #:
Phone:
MNL COri$YII✓L41�— MGs IKi 164 (t
Contractor E-mail Address: 14' f..ozl;,_,� ,N,,.4 s,.„,o4 .
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:/ 30>) Y21- 4
Phone: 3G13 - 210 ` G6 SS`
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE El ELECTRICAL SERVICE UPGRADE
F1NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
❑ COMMERCIAL ADDITIONRESIDENTIAL 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) eluding current use of areas,
(For ALL projects, please provide a detailed description of work to be performed, in . nce size and efficiency, type and
proposed uses, square footage, existing condition and proposed new condition, aPPlla
amount of materials to be used, etc.)
J d
�pn1PiC r£S 61D
Sq. Ft./LF Btu's
51
�5 Z—
Ga11 C"'Is
�P X -
Amps Squares .7 3 S L X —?�ot"I"
Project Value: (Contract value or the cost of all materials and labor uded in the entire Inroject)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING A r%1rREEMENT -r violate applicable ordinances, rules or
I hereby certify that the setback distances proposed by this permit applicati'Q accurate and do rz C` urements shown and allegations made are
regulations of the City of Wheat Ridge or covenants, easements or restricti co' record; that all mC-- ume full responsibility for compliance
accurate; that I have read and agree to abide by all conditions printed on ilti slication and that I �n this application; that t am the legal owner
with applicable City of Wheat Ridge codes and ordinances for work und4or a,,rmit issued based ®Q authorized by the legal owner of any
or have been authorized by the legal owner of the property to perform th � c3e-ed work and am a– --I i�g permit application, warrant the
entity included on this application to list that entity on this application. I_, >�eicant for this buil
truthfulness of the information provided on the application. (OWNER) (CONTRACTOR)
CIRCLE ONE: (OWNER) (CONTRACTOR) or ( H "ZED JZ,d - ENTATIVE)
DATE:
Electronic Signature (first and last name):
ZONING COMMMENTS'
Reviewer:
BUILDING DEPARTMENT COMMENTS -
Reviewer:
MEN -117 (ONLY
O� CCUPANCY CLASSIFICATION.
Zb 4 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: _/wX0
Job Address: Q2 e a(V 14r t'
Permit Number: -17L �144I
❑ No one available for inspection: Time AM/Py
Re -Inspection required: Yes , No
When corrections have been made, call for re -inspection at 303-234-5933
Date: /r Inspector: 166
DO NOT REMOVE THIS NOTICE
'
z';Ce
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r" 1 D
Job Address: 37'Zd 14O11AP7D ST
Permit Number: 2o1 -70j> 879
❑ No one available for inspection: Time.,?: 3_-� A PM
Re -Inspection required: Ye No
* When corrections have been made, call for r9anspection at 303-234-5933
Date: �*:�ArInspector: " z —
DO NOT REMOVE THIS NO ICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �D�
Job Address: 13 7ZICD (__1 U j\jD 1_
Permit Number: ZO%7 CEJ g-)07
❑ No one available for inspection: Time io ri &APM
Re -Inspection required: YesNo
*When corrections have been made, call =-5933
Date: `r Inspector:
DO NOT REMOVE THIS NOTICE
Mill I I I lig 1111 ill' � I
undation Inspections
_
r.
J� - mspeaor
L Initials
Comments
Concrete Encased Ground (CEGI
Footing/Sternwall P.E. Letter
1
r
Underg ound/Slab Inspections
Comments
"Initials
Sewer Service (Underground)
L��r Service (Underground)
vilmr,11.2
Meeting (Below / In-stab) MM
nsp
Rough Inspections
eclEr %
fals
Do Not Proceed Without Approval Of Above I
I
WAR=-
Occupancy Is Not Permitted Until ► Certificate of Occupancy Is Issued
Protect This Card From The Weather
RECEIPT QCDAM8711 414LIONT
8p5n Repair 50 If of SE40 215. a
2,913MOk"
Permit Fee 0.05
@Jse Tax 98.80
PAYMENT RECEIVED AMMINT
VIE 5681 215.95
Ruth Code:
610278
TOTAL X2 15.85
------------
Inspector
Initials
WAR=-
Occupancy Is Not Permitted Until ► Certificate of Occupancy Is Issued
Protect This Card From The Weather
mm�
e } i .....
^ Y .... ,
Voi
Use o ta
1 0 qQA)
r
mi
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: J9/() Jj(7/ / /IN/:) S7?:?~
h/V/'1L /"tffAlfi#/Cn'L
}(?> _.dl? 7'YPE r:..'bA/A./pc;..;r/7A'S
R~.J/R"'s/) /.;.JNp7.'/ /'/<;.//\/,0
.
...4'L" ~g.<" ..P-
27 601 /A/LJ N~/.L/;7 --=7I/,'--Ld'}OR/5
"77lRf1t/C"~ -0/ /r
--3- >/L7'JI-A:.-.2 /.Rp.RI/P ~H",,6-Pn H {"
r "
~A!1/ ,c:
4':> UA/I1.<lft A....o}.,.R-' 6J)).JI? k' k r"J ; r
,~.
When corrections have been made. call for re-inspection at
303-234-5933.
Date: OfZ..&:J -oC
DO NOT REMOVE THIS N TICE
City of Wheat Ridge
Residential Mechanic PERMIT - 060263
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
060263
3920 HOLLAND ST
replace boiler
ISSUED:
EXPIRES:
04/20/2006
10/20/2007
*** CONTACTS ***
gc 303/421-2161
owner 720/841-6904
01-7835 Blue Sky Plumbing
Donna Kimsey
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE:
BLOCK/LOT#:
UA
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
:::: H rr~~?~1J
293.06
6,220.00
** FEE SUMMARY **
Comments:
Replace boiler
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 ssume full ty for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable e t Rid Ordin n nder this permit. Plans s~ect to field inspection.
-1..c?- C)!-
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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the
building authorized is suspended or abandoned for a period of 180 days.
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 is 8 0 fi 'ons.
signature of Chi
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.
dtv of Wheat Ridae PRESCRIPTIVE ENERGY CODE
BOILERS I FURNACES A MINIMUM OF 90% AFUS
OM WATER HEATERS A MINIMUM OF .80EMERGY FAClOIl
ILICTRlC WATER HEATERS A MINIMUM OF .93 ENERGY FAC10R
IITIIACK THERIIOITAT REQUIRED (EXCEPT HYDRONIC HEAT)
R-21 WAUl . R-3I CElUNGS .. R.11 CRMIl\.SPACEI
04;19/2006 15:29
3034240495
BLUE SKY PLUMBING
PAGE 02
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Date: 4-11't kx.p
p~:;:~~~:::.~D~.~l~St:)LO~ne: Lr:foo) 81/1- ~qD~
Contractor Licerlse No.: 11~~6. . .
_~:::.::":'.;.~~~pa~y: e,lui~ ~ ~- Phone:30=3~t.f;;lI-~1~1
OWNER/CONTRACTOR SIGNATURE OF UNDERST A DING AND AGREEMENT construction Value: ;;2.;;f-O
I h~reby certify that the !!ietbaek dlslances proposed by this permit application are ae:eurilti:!, Permit Fee: )
and dQ nOl vtol;le l;Ipplir.able ordinances. rules or regulations or the City of'v'Vlll:at Ridge or
covenanls casements or re$tfict:lans or record; {hell all measurements shown. Rnd allegl:llions
mlJde aM ;ccura:la: that I h*"e read iH'ld agreE! {r;l abIde by all conditions printed on lhis
applil;.ition, and that 1 assume full responsjbi1l~ for com'p'1ian(;:e wilR Ihe VVheat Ridga 9uildh'l9
Cede (U.8,C.) and all other apPlicable.~n:t:;~ ~'~..~ NOri under thiS;jln:i.tl_..
{OWNER)(CONTFlACTORJ SIGNE~ ~~ Use:
Use Tax:
Total:
$0.00.
Description:
~'-1i-L, &ik.r.
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
fon'nOIPomme.ntSJ
Approval:
. Zoning:
t=m]talnQlQ.omments;i
Approval:
~um~.RtJi;~~lul]j~n~-;I
Approval'
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Eleclrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date':
Approv.1 :
Expiration Date:
Approval:
I~l
(I)
This IJl!rmil W3S '~ued In llctDf'dClnce: ""'111 the ~Ions set fDr1t1ln y<lplJf Bpp\!ea~ Md 15 !Iubitd 1:0 11'1" 1:tWS of the SbUt 01 CoIor3do :md lo \he Z.onlnll
ReaullltlOO'li "ne! Bulldln~ COde ar lNhnl AId!JII!I, CCkl....de or :InY other ;lJlpliobll!! crdln.em::a:::3 0' the. CIty.
Tllf!l permll.shOlll expire If (A) U'le wcf',( IIvtn~r=ed Is n~~ Q;ll'ftrM"ced wi'lhIT'I:ib:fY (50) day!! fl'Om '~\Je !Jale 0( (81 U\e bu!1dlng ivtJ'l.~ed II SU!i~~ed or
,bondonO<l to< . period 01 \ 20 d')"_ -
If this ~mri' eJlplres. ill [1~ permIt rmlY be lIel:lulred for 11 f'l!C! or one.I1~IIIt1t amount nQl1T':lUY fl!qulre<l. On;IYldlM! no et'Ian;elll haW! ~n or WIn be mcad~ In If'le
orilll'n~1 plans a;nd spe<:lfiCiJlkIl"I$ and Bny suspcn!lllon or <Ibllndcnment ha!lo net exceeded cl'l~H1J year. II d1angt5 iI'" made Ol' ir SV:iptlinsiori or ;ll;Iandonm!!lnl
eJl:r.eeds om: (1) )'e3r. Full feel ,I1B\1 be ~ald fer B neW permit.
No wo~ elf ~n'f manner sru,ll b@!don.elhatwillt.hanglll Ule: nal1Jral now of witl4!r causing iI drainag4! preblr.lm,
COntr.lcltlf shall no~iY the 8vll~"Q ln$peclcr 1W~I"IIY.fcul' (2:4) l'lQ~ In i1d'i"~ r~r :111 fnspecllON:::lr.d sh:an reeelV. written sppro-nIl)l1lnspedlOfl c=lrd befOfl!
l2..~rin; wtIh .ucct'l$,Ne pllaS@SOlthe/lOb.
The ;S3\lllnGtl of lJ permit or !he ~pproVdI 0 dl1lwfngS ;l"Id !l~nr.ali0I15 $h:!M l"Iot be a)n'$~ \0 be B ptm1it ref. ~t an app~1 or, any' vfol..1ion or Ule provl~lon5
of thQ Wldlrlll oodea Of .ny other Otdln;Jn~, taw, Mil ct r~tion, .
(I)
121
(i)
Chief Building Inspector For Mayor
THIS PERMIT VAllO ONLY WHEN SIC;NEO BY THIO CHIEF BUILDINC; INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
04,19/2006 15:29
3034240495
BLUE SKY PLUMBING
PAGE 01
:...1.
"'
~~'t
Plumbing & Heating, Inc.
Wi80 W. 44th Ave.
Wheat RidgE, CO 80033
303A21-216J Fax 303-424-0495
-
FACSIMILE TltANSMITTAL SliBIlT
::MP~.\a~, \)t~
~ItOM!
SheJL~
DATE:;
TOT^L NO. OF Ph Os.,; INCI..UDll'1G coven: Q:.
r^'~D~"~~0- a-~j
PHON. NUMB.fu
RE:
o URG""'T 0 .o~ ~EY""W 0 .tE^sE COMMgNT OnE/Ii. REPLY
o PI.EAlE RECYCLE.
NOTS5/COMMIl.NT,!h
~
~
~\~ F #-i~
~ ~ w\
\)jt, \}J \ \ '-
~iYU+
~~~
L~ \,fG~
I\- 'i'
s\
.
Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
Permit Nuniber
18853
6/1612005
Inspection Line
303'234-5933
Residential Roofing
PROPERTY 3920
Unit:
Holland St
OWNER: (:303) 716c3645
Description
Tear off 2 layers, 6 nail, felt 30 yr Dimensional. 38 sqs.
I
IPaid
1$100.80
1$162.90
1$263,70
1
1
IPhdne
14660161
1
IDue
1$100.80
1$162.90
1$263.70
1
I
ILicense #
119543
IFEES
IFees
IUse Tax
IPermit Fee
ITotal Fees
I
.ICONTRACTORS
IName
IReitz RoofinQ, Inc.
Documents from the manufacture: shall?e
onsite fo/'jlllal P(!fJ/irlsp@ction whzchspecifY
roojl>>S: mati/rials haW! /JlJltn installed to meet
I1 0 UP/! IhfW~>E!l@(}~ WIIlfJgust...IBC (90
MPH W/lllt 11liJtf..UlifJ),
Units:
Occupancy:
Walls:
Roof:
Stories:
SqFeet:
I hereby certify that the setback dista'nces proposed by tbis pennlt application are accUrate, and do not Violate\appUcable'oriUnllIices, rUles or regUllitions tifthe CitY of
Wheat Ridge or roVUllInts, easements or restrictions ofreeord; that all measurements shown, and allegations made are aecurate; that I have read and agree to abide by
all conditiolL'l 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.
(OWNJ!;R)(CONTRACTOR)
SIGNED DATE
. .-, ,. . .
This pe~t was issllcd in ,accordance with the provisions set forth in your 'application and is subject to the laws of tile State.ofCo'onl(lo anito ihe ~~ing
Regulations and BlliIding Code of Wheat Ridge, Colorado or any other applicable ordinances orthe City.
2 This pennit shall expire ir(A) the work authorized Is nO,t commenced within s[x:ly (60) days Cro'm issue date or (8) the building authorized is susp'ended o'r
abandoned for a period of120 days.
3 Ift~ pennit expires, a new pennit may be acq~jte(t'ror a fee of one:.halCthe ,amount normally requuid, provided no Changes have been: or)'ViU be'made'in the
original pllilL'l and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are niade or ifsuspenslon or abandonment
exceeds 'one (1) year, full fees shall be paid for a ne,W permit.
4
5
6
dfkations shall not be construed to be a permit for, nor an 'appro~ill~f; '~ny viollition,ofthe
IV, orregullitkln.
/&;,5
Thursday, June '16,2005
SIGNED DATE
Page 1 of 1
o
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE. 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Building Permit Number:
Date:
Property O\\11er:
Property Address: .6"l~ \-\a\\Q.",J ~-\-.
Contractor License No.:
Company: T< <( I ;-"2- K{,.) :r:. <,
Phone: "3/'7/ '" - .~(.. qf;-
Phone: "3/<,1 (# r;. - ,,/ 6 f
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:S; 5&:>0::::
Permit Fce:S;
Plan Review Fee:S;
Use Tax:S;
Total:S;
1 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 (UB.C) and all other applicable
Wheat Ridge Ordinances, for work under this permit.
(QWNER){CONTRACTOR):SIGNEO ~ t:..J- ~ '";<~ ~7-:, C _ DATE&.' --/5"':::5'-
(OWNER)(CONTRACTOR):PRINTED J
~w~' y(j,..f'.f'--
7/0 .? /'''7 ,rl , / ~ ,va_ '/
1011- -3C'7/1
BUILDING DEP ARTI\1ENT USE ONLY
Description:
Sq. Ft. added
3r
r),\..."
f.-.
j.-".,/
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
Puauc WORKS COMMENTS:
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) This permit was issued in accordance with the provisions sel 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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 120 days.
(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 shalt be paid for a new permit.
(4) No work of any manner shall be done that will change the natural now 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 or. any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Official
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: ,
Permit Number: r��?)(�7'j r��'
Lg C�
❑ No one available for inspection: Time 4.- 541�/ PM
Re -Inspection required: Yes - No
When corrections have been made, schedule for re -inspection online at:
http://www.ci. wheatridge. co. uslinspection
Date:—,-.-) Z-& Mn Inspector:
DO NOT REMOVE THIS NOTICE