HomeMy WebLinkAbout4075 Holland Street20170313
INSPECTION
RECORD
NSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occu ancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Sped Ies perti tisWj
Foundation Inspections Date Inspector s
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Insnections
Underground/Slab Inspections
Inspector
DateComments
Initials
Electrical
Wall Sheathing
Sewer Service
Plumbing
U,
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing
N on
Mid -Roof
U,
ROW & Drainage / Public Works Dept.
Lath / Wall Tie
Floodplain Inspection (if applicable)
Rough Electric "
Fire Inspection / Fire Protection Dist.
Rough Plumbing/Gas Line
Final Electrical
Rough Mechanical
Rough Framing
Rough Grading
Final Mechanical
Insulation
Roof
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 low voltage permits - Please be 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
6 D 7,
Residential Roofing PERMIT -.201703193
PERMIT NO: 201703193 ISSUED: 07/03/2017
JOB ADDRESS: 4075 Holland ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Presidential Shake Impact
Resistant asphalt shingles - 36 sq.
*** CONTACTS ***
OWNER (720)289-1591 WENDEBORN WANDA JEANELL
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOM 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,272.00
FEES
Total Valuation 0.00
Use Tax 404.71
Permit Fee 362.80
** TOTAL ** 767.51
*** 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 spaceo
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.
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 F x
INSPECTION NOTICE
Inspection Type:
Job Address: 075
Permit Number: D'o7O 19
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: //1)/// 7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703193
PERMIT NO: 201703193 ISSUED:. 07/03/2017
JOB ADDRESS: 4075 Holland ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re-roof to install CertainTeed Presidential Shake Impact
Resistant asphalt shingles - 36 sq.
*** CONTACTS ***
OWNER (720)289-1591 WENDEBORN WANDA JEANELL
SUB (303)425-7531 John Borfitz 019983 J & K Roofing 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: 19,272.00
FEES
Total Valuation 0.00*
Use Tax 404.71 'r
Permit Fee 362.80 ----
** TOTAL ** 767.51
*** 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.
City of Wheat Ridge
ef
Residential Roofing PERMIT - 201703193
PERMIT NO: 201703193 ISSUED: 07/03/2017
JOB ADDRESS: 4075 Holland ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install CertainTeed Presidential Shake Impact
Resistant asphalt shingles - 36 sq.
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorzed
by the legal owner of the property and am authorized to obtain this permit and perform the wori< described and approved in conjunction with
this permit. I further attest that I a le ally authorized to include all entities named within this document as partes 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 CONTRA�R (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.
�. 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 Budding 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 car any ordinanc�a�of this jurisdiction. Approval of work is subject to Held inspection.
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.
Dan Schultz ?4170�1`73
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 21, 2017 1:41 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
4075 Holland St
Jeanell Wendeborn
720-289-1591
�767,si
fi
Property Owner Email
Field not completed.
Address
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
J&K Roofing
Contractor's License
019983
Number (for the City of
Wheat Ridge)
Contractor Phone
303-425-7531
Number
Contractor Email Address
kathyv@jkroofing.com
Retype Contractor Email
kathyv@jkroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
CertainTeed Presidential Shake IR
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
36
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?
1A
TOTAL SQUARES of all 36
roofing material for this
project
Provide additional detail House pitch 4/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 19272
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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
4 CONTRACT*'"�"
J&K Roofing
sIVERSARBBB_ 13000 W. 43rd Drive Golden, CO 80403 199Bd84-2017 17 '
!
Phone: 303-425-7531 Fax: 303-425-1562 S...�� 4
www.jkroofing.com
Representative B1EMYbA Contact J -;?67- ;5132.d Date
Name �Ell%t.l. WJEODE&EMP Phone 7) email
Address 015 "ND �T city 106-C
Pinnacol Assurance
303-361-4000
Workers Compensation Insurance
Policy #4079290
LABOR AND MATERIAL SPECIFICATIONS, TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY:
Recover roof with I --Z,
Color of shingles\i,JERt+elEiZrcD \X)Q;O
Manufacturer's Warranty Ly"Teb LIt-i:limic
Tear off NA, LI NUM'S
DKlnstallUnderlaymentL$
SS' Double all Eaves 17Z JL Llrex SH%61 Z
b( Re -Flash Chimney and/or Skylights
New Valleys 4A!,LQ P'(67 t-
AReplace Ridge -T0- [&PMA
Ventilation A&). OVA)
Galvanizgd Fasteners�-1�Pk E#\U►�N�i It
Replace P= Plumbing Jacks
Paint roof stacks to match
i� Install 2 %« 4 Metal Edging
Patio or Flat roof A -11W
6 Year Warranty on labor
X J & K Roofing to furnish all material and labor
Permit: Included NOT Included
XClean-up debris and haul off all trash from roof
Roll yard with magnetic roller
Gutters cleaned of roofing debris
Decking Repairs $ per
Hidden Layers (tear off) $ per layer
AAPc ------
�c rz,
(Policy Number)
100 C51 - 6440
(Adjustor)
�'Aartq�'1e Go
Cincinnati Specialty Underwriters
303-653-0023
General Liability Insurance
Policy #CS00061742
❑ Extra work
20
The property owner is is not_ using proceeds from
property and casualty insurance policy.
Amy $)T 890.58
Go=cRS $X1196 • �6
C-luncl, Gefim $685-&
Deductible if applicable $ ),600
Per Colorado State Law CRS § 6-22-105 which states; 100%
the responsibility of the homeowner to pay this amount. J & K
Roofing will not reimburse or promise to reimburse in whole or
in part any amount of the deductible.
Estimated Start Date (056k, OF Joloc7 f¢h 09
TOTAL ESTIMATE $J�j Z12-76
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
J&K RWsentative ` s -+C `.�. Date -25 17T
Homeowner
(Mortgage Loan Number} Expiration Date
Date
'l
You have the right to recind this contract and obtain a full refund of any deposit within 72 hours after entering the contract If you plan to use the
proceeds from a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after receiving
written notice from your insurance carrier that your claim has been denied in whole or in part. However, J & K Roofing is entitled to retain payments or
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION
i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION
�~NOTICE
Inspection Type: RQ r
Job Address: O% N 75t --
Permit Number: %03
❑ No one available for inspection: Time 1U.'X1 AN/PM
Re -Inspection required: Yes (No�
When corrections have been made, call or re -inspection at
303-234-5933
Date: �' HYD ' / Inspector: �l 6 ,�—
DO NOT REMOVE THIS NOTICE
as MOM I
r)
4 L) a j , \tr kLt � l ' e,
Address: G
Cat y, State, Zip:
Contractors City License Phone:
Electricat
W, R, Cfty License
FOR OFFICE USE ONLY
Complete all information on BOTH sides of this form 0
Foundation Inspections
Foofing/Stemwall P.E. Lefter
�ctions
6 nderground/Slab Insp finspec�or Comments
MR14 I • I
* r
, ccupancy Is Not Permitted Until A Cercate of Occupancy Is Issued
Protect This Card From The Weather
Ib f •
AMA k City, State, Zip
• Y
FaesiMile Building Application
M. M µ IWO
♦� 41
+r 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 llb7s hljgjlsi�vr Sr
Permit Number 103 01
r
1
DO NOT REMOVE THI,
INSPECTION RECORD OccupancvlTvpe
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
TF)� N�PII A h l Tr II N)fiT)I l
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
_-
Sewer Service Lines
-
Water Service Lines
MY VRC 1 C V IV I IL NtlU V t fIAJ 6GGN JIV NED
CONCRETE SLAB FLOOR
Electrical (Under4rOL I I I 1
Heating (Underground)
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service
.Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
TO PROCEEDING
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
_-
Fire Department
-
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICS WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of Wheat Ridge
.�
Residential Plumbing PERMIT - 102301
PERMIT NO: 102301
ISSUED:
10/01/2010
JOB ADDRESS: 4075 HOLLAND
ST
EXPIRES:
10/01/2011
DESCRIPTION: Repair front
yard sewer line
* ** CONTACTS * **
gc 970/667 -0300
08 -0137
Ace Hi Plumbing
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0267
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 3,500.00
FEES
Permit Fee
109.20
Total Valuation
.00
Use Tax
63.00
** TOTAL **
172.20
Conditions:
Subject to field inspections.
Must comply with 2006 IRC /IPC.
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 o 'wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made a accurate; that I have read and agree to abide by all conditions printed on this
applicatio and that I a um full respo ibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
app 'cabl eat Ridge r ances, fo work under this permit. Plans subject to field inspection.
-/6
42Z 1 gna re cf�contractookwner date
f1. 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, violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All pla e w subject to field inspections.
Signature Ch_ f Building Official 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
o Co Wheat j�iclg�
rtaVtutvlTr DE4'ECOP,ti£iVT
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
Building Permi
�?i'vpertY Aidr��= —
Property owner (please print):
Mailing Address: (if different than property address)
Address:
City, State, Zip:
G`4fittsl.CtPi': t � '
Contractors City License #: �j� ! Phone: i n/ n ', it
° `' r ' 1 ' Plumbing: Mechanical:
City License # City License # City License #
i2esfito# tor!' of arork ^'
`r v j /( (, Confract Value:
IY` fl /l U $
Review Fee (due at rime of submittal)
oquares BTU's Gallons Amps _ �q Ftl 1$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTAt DIN 3 AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit app] catiol are accurate and do not violate appt cable ordinances.
rules regulations of the City of Wheat Ridge or covenants, easement or nictions of record; that all measure ents shown and
allegations made are accumte; that I have read and agree to abide by al cond tions printed on this application and Lint, I assume full
.responsibility for compliance with applicable City of Wheat Ridge cods and ordinances for work under any perm it issued based on
this application; that I am the legal owner or have been authorized by r e legt I oamerof the property to per a described work
and am also authori ythe legal owner of any entity included on thi appl cation to list that endly on this nm anon.
CIRCLE O E: (O!!T'ER} ( O'NTRACTDR) or (AUTHOR72ED R£P EN TLVE) Of (OWNER
{CONTRACT R)
PRINT NAME: ((� SIGNATURE
DATE:
Bldg Valuation:
D /0////o
o
Pfa #
P# Ioz3t'i
L'd 0617[ 9LZ - 0L6 oul bu!gwnld !H GOV e£t7 :0L 0i, LO 100
INSPECTION RECORD OCCUDaDCVITVDC
INSPECTION LINE (303) 234- 5933'
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
c ,AJ _ E
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS DATE INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines'
Water Service Lines
,POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
-{ Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
'.DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
:Sheathing
Lath / Wall tie
Mid Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
- Framing
insulation
Drywall Screw
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
11" PDATI=PT TIJIC !`ADn CDAAA TLJ= 1AI=ATLICD
l
g
ical
/ 0l 0 �a
kPark
Final:
artment
Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
& Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
*`NOTE. ALL ITEMS. MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED..FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
11" PDATI=PT TIJIC !`ADn CDAAA TLJ= 1AI=ATLICD
i CITY OF WHEAT RIDGE
Building Inspection Division
r' (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ~i 11
Job Address: 4~S a
Permit Number: O,Z) ° L j E
F
No one available for inspection: Time /U0 I
Re-Inspection required: Yes t
*When corrections have been made, calf for re-inspection at 303-234-5933
i
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
f
Inspection Type:
ti~~ r
Job Address: 1 > 7 ~3 H-61 i -n>n~~ S,`1
Permit Number: 7
❑ No one available for inspection: Time ' M
Re-Inspection required: Yes
"When corrections have been made, call for re-Inspection at 303-234-5933
P
Date: 109, Inspector: Z 1
DO NOT REMOVE THIS NOTICE
I
City of Wheat Ridge
rr
PERMIT NO: 093616
`ISSUED: 10/23/2009
JOB ADDRESS:` 4075 HOLLAND ST
EXPIRES: 04/21/2010
0
%
DESCRIPTION:' Reroof 38.
41 sqs
***CONTACTS
owner 303/424-2943
Fred Wendeborn
sub 303/935-7331
Leslie Cook-Everton
09-0333 All Rooftop'. Services -
PARCEL INFO
ZONE `CODE: UA :USE: UA
s SUBDIVISION: 0267 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 23,499.24
FEES
Permit Fee .490.50
Total Valuation 00
Use Tax 422 .99
* * TOTAL * * 913 .49
x
I~ 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 save edge to 2' -`inside exterior walls.
***Contractor/Property owner shall ,provide ladder(s) secured in place for°
y inpsections.r
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
X, measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
Eft appl' atio and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appD ab Wheatthidge, or ances, for wo under this permit. Plans object to field inspection.
~ /a5
q, Signature of contractor er date
r-.
of WREgrq/ City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-235-2857 Plan
c o Inspection Line: 303-234-5933
°L RPM Permit U, t
Building Permit Application
Property Address: ~'75 [4oAnyg J eS :
Property Owner (please print): rpFn ~eznt~lh WPA[r4P LnrN Ph one: 303)499•- A913
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: All R00;4;VQ SarvlCe3
Contractor License 0 9 0 3 33 Phone: 205-1755- 'J.3 3 1
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)`. Construction Value: $ 19-3
Description of work: (as calculated per the Building Valuation Data sheet)
Re I Plan Review (due at time of submittal): $
I o -rood
Sq. Ft./L. Ft added: Squares 3$.4-I BTU's Gallons _ Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: /(OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: l~s)te EVer{6{ SIGNATURE: 6 Dale: 3 O9
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required I Bldg Valuation: $
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at
f'tJ7.5 /Iv/(~
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
t) 13~/7J()/,> h4/Ltfhr fd jp C:-j:a
/7,e tt"',r ..J.e-f '
f
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
InspectOr for Building Dept.
DO NOT REMOV THIS TAG
FORM WR6-22
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:
Date:
10478
5/5/00
Property Owner:
Property Address: 4075 HOLLAND STREET
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone : 424-2943
Phone:
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
Total:
$24,000,00
$377.25
$0.00
$600.00
$977.25
I hereby certify that the setback distances proposed by this permn application are accurate.
and do not violate applicable ordinanees, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown. and aUegations
made are accurate; that I have read and agree to abid by all conditions printed on this
application. and that I assume ponslblllty phanee wnh the Wheat Ridge Building
Code (U.B.C.) and all other a pllcab Wh at Ridge I an wor!< under this permn.
(OWNER)(CONTRACTOR) 51 DATE:;: ~t!O
Description :
Use:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft. :
Approval:
Zoning:
5.3-00 . Add smoke detector
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 subiect to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of lNheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (Al the work authorfzed Is not commenced within sixty tOO) days from Issue date or (B) the building authorized is suspended or
abandoned for a period of 1:2:0 days.
If this pennit 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 causlnp B drainage problem.
Contractor shall notify the Building InsD8Clor twenty-four (24) hours in advance for all Inspections and shall receive written approval on inspection card before
proceediing with successlv. ph.... 01 the job.
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 bulldln cod or a other ordinance, law, rule or regulation.
(4)
(5)
(a)
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:
Date:
APPL\C(\TID N
Property Owner:
Property Address:
Contractor License No. :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
FrJ cuu>( ,JedJ)e_/1 IJe/lc/~ baNI-
4075 -;.h/~f\c{.si-,
Phone :3iJ3 424-.:2..943
Phone:
Construction Value: ;2 ~ tlCJ()
Permit Fee:
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 fut sponsibility for campI' nee with the Wheat Ridge Building
Code (U.B.C.) and all other appli e Wheat Ridge i nces'A for ;YOrk under this permit.
(OWNER)(CONTRACTOR) SIGNE t.:tl.t'lH1\oATE4-2'-DO
Use Tax:
Total:
Description:
~emodd O~~~(~
Use:
~~1!!Pm~lJlS.j
Approval:
Zon ing :
BUILDING DEPART~}\bs&bt:u:~>\
" ' <'-€\ .
,i'" f \:,'
-" I/~__L.., 9 '- .,:J \j.-_):
~t7I" ...,.~ APR::: . , '~';~Q ._
~/~ Oelp~ t;
I,
.A
,,<;t~.,
,'\ c:B
,.'
,
Sq. Ft.:
~!ml!:!g~l'l.Yi-llJlts.~
Approval: 6. c..
ellJ)!I~-W:O.!~~~tm1r.!
Approval:
Occupancy:
Walls:
Residential Units:
Roof:
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 toM in yopur application and is subject to the laws of the State of Colorado and to the ~~ontng
Regulations and Buikling Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the wor1< aU1tlonzed is not commenced within sixty (eO) days from issue date or (B) the building autl"lorized is suspended or
abandoned for a 'period of 120 days.
If thiS permit expIres, a .new permit may be acquired for a fee of one-half the amount nonnally required, provided no changes have been or will be made in the
origInal plans and Specifications and any suspenllOl1 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 wil~ Change the natl.mll now of water causing a drainage problem.
Contractor sha. U notify the Building Inspector twenty.four (24) hours In advance for all inspections and shall receive written approval on inspection card before.
proceedling ~ successive I'hases of the job,
The issuanQli: of a permit or the approval 0( drawings and spedfl,cations shall not be construed to be a permit for, nor an approval of, any violation of the proVIsions
of the building codes any er ordinance, law, Nle or regulation.
(4)
(5)
(6)
Chief Building Inspe or
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6'7
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10'8
Glass Shower Door
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5'10
i:ass Block wi dews in exterior and tub wall
I. 9 Tub (see details)
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Dimensions may vary t \4 inch - check unit before inmlbrion.
Bathing Area: 35'/," X 35W X 28"
ApprovaJs and Standards
~
I.A.PM.a. File No. 1595 . AN51-Z 124.1
ASTi\I.B4 Test 1\fcthod
Hydron1J.\Sage System U.L Listed \"0. 6J37
*" Shee,r i 0{- 1 f> f: U, 00
40" x40" X 32"..'
Weight: 87 ibs.
Capacity, 75 gallons
w~ RtbtieJ1(fl.
FLORESTONE
MODEL 4040 ORlENTAL
FIBERGLASS
CUSTOM BATH
Architect's Specifications
Furnish and install bath unit Modei 4040
as manufactured by Florestone Products Co.
Unit to be manufacrured of gel-coated fiberglass
meeting Class C Flame Retardance. Unit to be
supplied with laminated Aoor for extra rigidity.
Standard Color: White.
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Optional Colors
Colors marchinf mmt m"ljm m~t11lr"1...tllr,.t~'
colors are available. Overflow drilling optional.
Hydromassage Option
All bath units are available with hydromassage option.
For options, see Colors and Options.
~ FLORESTONE
QU4lity lho~r and bath products liner 1947.
,
FLORESTONE PRODUCTS CO., INC.
2851 Falcon Dr, . Madera, C\ 93637-9287
Tel: 209-661-4171
Fax: 209-661-2070
www.floreslolle.com
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RECEPTION NO. F:I. () 1'125J
2/09/2000 8:43:29 PG: 001-001
PAGE FEE: 5.00 DOC. FEE: 0.00
RECORDED IN JEFFERSON COUNTY, COLORADO
CORRECTiUN [)J:;err----
QUITCLAIM DEED
THIS DEED, made this
between
31s tdayof December
.19 99 '
JEANELL B ONDRUSEK AND MARY ANNE NOVAK T UST
of the
*Countyof JEFFERSON and State of
. grantor. and WANDA JEANELL WENDEBO N
COLORADO
AND FRED W WENDEBORN(a married counle,joint r nants with rights 0
whose legal address is
4075 Holland Street, WheAt Ridge CO 80033
of the
County of Jefferson
and State of
Colora<'lo
, grantees;
WITNESS, that the grantor, for and in consideration oflhesum of Seven ty- nine Thousand Seven Hundre
fifteen & eighty- one cents ($79,715.81)------------------DOLLARS,
the receipt and sufficiency of which is hereby acknowledged, has remised, released, sold and QUITCLAIMED, and by these presents does
remise, release, sell and QUITCLAIM unto the grantees, their heirs, successors and assigns forever, not in tenancy in common but in joint
tenancy, all the right, title, interest, claim and demand which the grantor has in and to the real property, together with improvements, if any,
situate, lying and being in the County of J e f fer son and State of Colorado,
described as follows:
Lot 12,
Wildwood Subdivision
THIS DEED IS TO CORRECT DEED RECORDED December 15, 1999 at
reception No. F0991114 AND NO DOCUMENTARY FEE IS NECESSARY.
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