HomeMy WebLinkAbout3870 Cody Street� � 1 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: y - rIC-Ifelc
Job Address: -70 y
Permit Number: O )Q O a 6, I c%
❑ No one available for inspection: Time AM%!f'M
Re -Inspection required: YesNo<`�
*Whey
Date
A 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:
Permit Number:
, tl
❑ No one available for inspection: Time �t ��� AM/PM
Re -inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:—' � �' oS�` Inspector:
®O NOT REMOVE THIS NOTICE
CITY OF WHEAT .RIDGE
Building Inspection Division
(3
03) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 33 7 6'
Permit Number: Q�(p
—<5)-
Ll
A-<5 -
❑ No one available for inspection: TimeC� _, ,. .> AMMM
�
Re -Inspection required Yes. No
When corrections have
been made, call for re -inspection at 303-234-59-33
Dat • `"t Inspector: �=
DO NOT REMOV THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INS ECTION NOTICE
Inspection Type:
Job Address: -':d .6.1
Permit Number: _I. U
_t,Jf `> r),J` l'0/�c
❑ 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
i CITY OF WHEAT RIDGE
r Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE f
Inspection Type:(
Job Address: _�3T70 S�
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes _.. No,,,-
When
o*When corrections have been made, call for re -inspection at 303 -234 -
Date: ��' ! Inspector: /-17 R>-\
DO 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:U
Job Address: f, 70 ' c: t / � 4 -/
Permit Number: e (j) CMZ
❑ No one available for inspection: Time 0 A /PM
Re -Inspection required: Yes 90
When corrections have been made, call for re -inspection at 303-234-5933
i.l
Date: 17 Z 1bZ19 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 8
Job Address: 171 7n C�� i l/ i f
Permit Number:',{�,�;�,/ �°j
❑ No one available for inspecti Time , AM/PM
Re -Inspection required: Yeslo%
When corrections have been made, call for re -inspection at 303-234-5933
Date: i !illj�Inspector: %/ 7_j
DO NOT REMOVE THIS NOTICE
I* ® 4 i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
_INSPECTION NOTIC
Inspection Type: (v � V, 1 1 rl� <.
Job Address:
Permit Number:
+ �1
❑ No one available for inspection: Time fit, AMlt?M!
Re -Inspection required./es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: I ,-'.t Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Remodel PERMIT - 201802619
PERMIT NO: 201802619 ISSUED: 12/12/2018
JOB ADDRESS: 3870 Cody St EXPIRES: 12/11/2019
JOB DESCRIPTION: Kitchen remodel 250 sq.ft. Remove portion of non -load bearing wall between
kitchen and dining room.
Demo existing cabinets, floor and related items. Install new cabinets,
center island w/ induction cook top range, recessed lighting, new hardwood
floors, and tile back splash. No new plumbing or alterations. No structural
changes or modifications. Building a small pantry.
*** CONTACTS ***
OWNER (303)883-5441
ODELBERG VICTOR
GC (720)580-3205
Matthew Bertucci
180007 Matthews
Handyman Remodeling
SUB (303)296-1966
Anthony M Capra
019264 Tony Capra Plumbing & Heating
*** 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:
21,000.00
FEES
Total Valuation
0.00
Plan Review Fee
246.12
Use Tax
441.00
Permit Fee
378.65
** TOTAL **
1,065.77
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
Residential Remodel PERMIT - 201802619
�e
PERMIT NO: 201802619 ISSUED: 12/12/2018
JOB ADDRESS: 3870 Cody St EXPIRES: 12/11/2019
JOB DESCRIPTION: Kitchen remodel 250 sq.ft. Remove portion of non -load bearing wall between
kitchen and dining room.
Demo existing cabinets, floor and related items. Install new cabinets,
center island w/ induction cook top range, recessed lighting, new hardwood
floors, and tile back splash. No new plumbing or alterations. No structural
changes or modifications. Building a small pantry.
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 propertyanam authorized to obta}n this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of O or CON Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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, an violation of any provision of any
app9A licable code or an rdmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W h6at dge
COMMUNITY DEV[IOPM[NT
Building & Inspection Services Division
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Fl=vz�
Inspection Line: 303-234-5933
Email: Permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 2 -Cc 1 L1?
Plan/Permit # Ct 1 (�D6, at `
,q
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address: _3 97 0 Cc" A-.
Proaertv Owner
Property Owner Email:
Tenant (Commercial Projects Only)
33
IT t'al(_A>rG�_ b8o_k be/ — �Zc,.-�, q Phone:
— 07- LA % ca.
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor: ^✓�( �VVtGt�1 4- �wt0.�,&y—,G . LL�
City of Wheat Ridge License #: OO V'I Phone: %o -C - SPCA -v;)o
Contractor E-mail Address: �kp&4AP_ , b
For Plan,,l�eview Questions & Comments (please print):
CONTACT NAME (please print): AO�� P)_" rAu C L1 Phone: 30 3 a0 5
CONTACT EMAIL(p/ease print): ,,S�
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License^#
Other City Licensed Sub:
City License #
Other City Licensed Sub:
City License #
❑ COMMERCIAL RESIDENTIAL
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.
�e'lop �w�odie.,� : C��o� �o�-�o-, ®� ✓wv�--�®G� `�c�-r��,-�
-�� � "1 'V���'1� iOd�v1. be-�S
-� C'h o., Loo�G- �� ire c,✓ss S- \- , ,,, J -
'S
'S C -"mss � �-Q
Sq. FULF "' d 60 5 F BTUs V -V I C' Gallons � ( r, -
Amps
Amps Squares to f C\
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
a/,cco�—
OR'NER/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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE OA`E: (OWNER)(�ONTRACTOR) o (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: t9
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: R^3
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
CONSTRUCTION TYPE: .=
Building Division Valuation: 1 2 1.0 D O D
City of
Wh6at�dge
COMMUNITY DEVELOPMENT
SUB -CONTRACTOR AUTHORIZATION FORM
*This application must be signed by each sub -contractor confirming the same.
Project Address: ff;�� ee4 _5�f-r_ Permit #:�1 Z -/y
General Contractor:
Electrical Contractor - Wheat Ridge License # Q /, � 5
g —
�'/
Company Nameic{ Avc-, Phone #:t�„�,i �� -/Y7�
State Li c #: f Master
Signature of Authoriz d Agent D to
Plumbing Contractor - Wheat Ridge License #
Company Name:
State License #:
Phone #:
Master #:
Signature of Authorized Agent Date
Mechanical Contractor - Wheat Ridge License #
Company Name:
Signature of Authorized Agent
Phone:
Date
*This application must be signed by each sub -contractor confirming the same.
i_L C -
City of
Wh6at.d
g
e
CC?MMUNITY DEVELOPMENT
SUB -CONTRACTOR AUTHORIZATION FORM
This form must be signed by each sub -contractor.
This form will not be accepted with missing information.
Subcontractor's City of Wheat Ridge License number must be provided in the applicable space.
Subcontractor's insante and licse must be up todatepr/ior/ to permit issuance.
Project Address:3 !7 Stermit General Contractor:� �1kM6k_((nn Lle_
Electrical Sub -Contractor
Company Name:
State License #:
Wheat Ridge License #:
Signature of Authorized Agent
Plumbing Sub -Contractor
Company Name: ay, l�,J
Phone #:
Master #•
(required field)
Date
one #:
State License #:—I _�,s 9 Master #:I
Wh at Ridge Licens #: 0 \ 9 �0_4. (required field)
Signature of Authorized Agent Date
I Mechanical Contractor I
Company Name:
Phone:
Wheat Ridge License #: (required field)
Signature of Authorized Agent
Date
1A
a
a
H
6
wA
6
0 0 0 0
o 0 o 9
ZHZ
FO W
0.
mv,
p�
oono
g 0 rn rn
F
zo
v
�nt�.
oono
z
xo
O U
a
A
p a
F
F y
OFOWCvi
F
U W
NNN (;...j
OO�
o
A AA A
zzz, z
T rYr
W
o
F
iYi
w
w
1
`'
M
aAQz��
o
ApE- a
rFi
C60.
O
>a aoo U a
m F
CA
8
O�
A
>
vs •
r r
�
P7
�a
o 0 0
o000
O
w
r
°
w
w
a
w
F
rA
a
A Lu
U
z0
OaUA
O
ckGJrUn
����
C7
wQ
drziUA
O
d
A
N
d
A O
v
ui
c�
cn WH
a
�¢
a
3
O
W
00
rai,wa w
�
U
1A
a
a
H
6
• DCM
I
LABORATORY, INC,
12421 W. 49th Avenue, Unit #6
Wheat Ridge, CO 80033
DCM Project No.: MBERT 3
Client Job No.. PD CC
Bulk Sample Analysis
Page ';'—of a-"
BULK SAMPLE ANALYSIS PROCEDURES:
DCM Science Laboratory, Inc. analyzes bulk asbestos samples following procedures developed by the
McCrone Research Institute and in compliance with guidelines established by the Environmental Protection
Agency (EPA -600/M4-82-020, 1982 and EPA -600/R-93/116, July, 1993).
Bulk samples are prepared for analysis using a 1 OX -80X stereo microscope in a hepa filter hood which provides
a contamination -free environment. The sample is then analyzed by polarized light microscopy (PLM) at 100X.
When the sample consists of more than one layer, each layer is prepared and analyzed separately. Fiber and
matrix materials are identified by the characterization of optical properties including color and pleochroism,
form, cleavage, relief, birefringence, extinction, orientation, twinning, interference figure and other distinguishing
features. Dispersion staining is also used to further aid in mineral identification. All percentages of asbestos,
other fibers and non-fibrous constituents are calculated from the values obtained from analyses using the
stereo and PLM microscopes. In-house and NIST standards as well as a chart prepared by R.D. Terry and
G.V. Chilinger for "The Journal of Sedimentary Petrology', (Volume 24, pp. 229-234, 1955) provide a guide for
estimating percentages_ All samples are archived for six months unless other arrangements are made by the
client.
ACCREDITATION:
DCMSL is accredited by NVLAP (since April 1, 1989). Our NVLAP Lab Code is 101258-0. DCMSL complies
with NVLAP requirements unless otherwise noted.
ENDORSEMENT:
The results of this analysis must not be used by the client to claim endorsement by NVLAP or any agency of the
U.S. Government.
The analysis was performed by:
C �
John Silverman, Analyst Ron Schott, Analyst
9 -ay - - L g
Jason Barnes, Analyst Date
Hw�—� Ron Schott
TESTING
Laboratory Director
NVLAP Lab Code 101258-0
aDCM
S -C -1.1: -N -C -E
IAKMM1AY. NC
12421 W. 49'^ Avenue, Unit #6
Wheat Ridge, CO 80033
(303)463-8270/(800) 852-7340
(303) 463-8267 - fax
Date/Time Received DCMSL Group No. DCMSL Log No. rnR1=1FT
Turnaround Time Requested:
( ] Standard (3 to 5 Business Days)
[� 24 Hour Rush
Procedure Requested:
2 Hour Rush (Asbestos Only)
Other
ASBESTOS DUST & SILICA OTHER SERVICES
Bulk Standard EPA [ ] Silica — Air NIOSH 7500 [ ] Optical Microscopy
[ ) Progressive [ ] Silica - Bulk [ ] X-ray Diffraction - Scan/Search
[ ] Point Count [ ] Silica - Bulk Respirable [ ] X-ray Diffraction - Clay/Bulk
[ ] Other [ ] Dust— NIOSH 0500/0600 [ ] SEM
Air [ ] NIOSH 7400 Other Analysis:
[ ) OSHA ID -160
[ ) Other
Client Sample No.: Sample Date Air Volume Other Information
I K :�cS.tQ l n� c,�J�-t `3 - a k- l S
8
10
*d B Date/Time R iv d By: D te/Ti�e
tt 9—� I--1 R y�c r 7ti,tu� q�X% It 4s %t'.00
Rmsed 1-19-17 cm
Field Data Sheet/Chain of Custody
Samples Submitted By:
Company:
* \2e- ,Qckekt 2&
Job/P.O. # N2"j- 1 '
Address:
C-4--
ltnc.�-
Q:d�e_
Co $U0.3
Pro ect Title K� r `e.J1
Contact:
Z-\
Phone:
V
Archive: Asbestos samples are archived for 6 months
Cell: -7 ao -
50010 - 3 0-)o -
unless other arrangements are made. All other samples
Email: Ma N* 1A\K
L.LL (0
are archived for 3 months.
Turnaround Time Requested:
( ] Standard (3 to 5 Business Days)
[� 24 Hour Rush
Procedure Requested:
2 Hour Rush (Asbestos Only)
Other
ASBESTOS DUST & SILICA OTHER SERVICES
Bulk Standard EPA [ ] Silica — Air NIOSH 7500 [ ] Optical Microscopy
[ ) Progressive [ ] Silica - Bulk [ ] X-ray Diffraction - Scan/Search
[ ] Point Count [ ] Silica - Bulk Respirable [ ] X-ray Diffraction - Clay/Bulk
[ ] Other [ ] Dust— NIOSH 0500/0600 [ ] SEM
Air [ ] NIOSH 7400 Other Analysis:
[ ) OSHA ID -160
[ ) Other
Client Sample No.: Sample Date Air Volume Other Information
I K :�cS.tQ l n� c,�J�-t `3 - a k- l S
8
10
*d B Date/Time R iv d By: D te/Ti�e
tt 9—� I--1 R y�c r 7ti,tu� q�X% It 4s %t'.00
Rmsed 1-19-17 cm
PROJECT/ CLIENT
Azuma - Odelburg Kitchen Remodel
3870 Cody Street
Wheat Ridge, CO 80033
CONTACT
Matt Bertucci (720) 580-3205
Matthews Handyman & Remodeling, Ilc
MatthewsHRLLC@gmaiI.com
Current Kitchen Layout
5'Co IJP
V "4;
a -r SAC, /l om,, A(
–d -71 C'C
9 01.7 /) EC—
LU
Z
City of
Wheat Ridge
Building Division
Lu
>
L
a ga�8
vj
aag
CLE
At
Q
ro
9
tai `g
o S
1
a„�
City of
Wheat Ridge
Building Division
PROJECT / CLIENT
Azuma - Odelburg Kitchen Remodel
3870 Cody Street
Wheat Ridge, CO 80033
Matt Bertucci (720) 580-3205
Matthews Handyman & Remodeling, Ilc
MatthewsHRLLC@gmail.com
Proposed Kitchen Layout
n
�g-mmer
-
o�
!Yl D !Yl D Q C
C -4M C O 11 y`/ I> B 0.5
�a✓�
u U r` J`+C a -P r -e X Gt v 5' -� T �n
City of
Wheat Ridge
Building Division
PERMIT: 207077�q ADDRESS: � JOB CODE:
INSPECTION RECORD
Inspection online form: http://www.cl.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
vo Not Pour concrete Prior To Approval Of The Above Inspections
(Underground / Slab Inspections I Date I Inspector
Initials Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
� goo cc, 6�c14-
Final Inspections
Date
Inspector
Initials
Co e s
tough Inspection (continued)
Date
316 Rough Mechanical Residential
403 Final Electrical Residential
317 Rough Mechanical Commercial
404 Final Electrical Commercial
318 Boiler / Furnace
405 Final Mechanical Residential
319 Hot water tank
406 Final Mechanical Commercial
320 Drywall screw and Nail
407 Final Plumbing Residential
321 Moisture board / shower walls
408 Final Plumbing Commercial
322 Rough Grading
409 Final Roof
323 Miscellaneous
410 Final Window/Door
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
City of Wheat Ridge
Residential Roofing PERMIT - 201707789
PERMIT NO: 201707789 ISSUED: 09/28/2017
JOB ADDRESS: 3870 Cody ST EXPIRES: 09/28/2018
JOB DESCRIPTION: Residential Re -roof to install modified bitumen - 23 sq (flat only) Pitch
= 1/12
*** CONTACTS ***
OWNER (303)424-8315 ODELBERG VICTOR
SUB (720)981-8001 Gregory Cotton 160125 Home Remodeling Technology 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: 6,000.00
FEES
Total Valuation 0.00
Use Tax 126.00
Permit Fee 140.90
** TOTAL ** 266.90
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
09/28/2017
09/28/2018
23 sq (flat only) Pitch
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specitications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I ame 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and its' accompanying approved plans and specitications.
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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official "114A%*W °
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THErVLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Roofing PERMIT - 201707789
PERMIT NO:
201707789 ISSUED:
JOB ADDRESS:
3870 Cody ST EXPIRES:
JOB DESCRIPTION:
Residential Re -roof to install modified bitumen
= 1/12
09/28/2017
09/28/2018
23 sq (flat only) Pitch
I, by m signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specitications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I ame 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 ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and its' accompanying approved plans and specitications.
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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official "114A%*W °
REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THErVLLOWING BUSINESS DAY.
Dane Lovett 2C//PC's z �)
From: no-reply@ci.wheatridge.co.us
Sent: Monday, September 25, 2017 12:29 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Yes
Single Family Home
;1 L
3870 Cody St.
Victor Odelberg
303-424-8315
45 T%Z,-)�
Property Owner Email info@hrti.com
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Odelberg.ipeg
Contract
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Home Remodeling Technology Inc
160125
720-981-8001
5837 S Gallup St
Contractor Email Address info@hrti.com
Retype Contractor Email info@hrti.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 23
the entire scope of work:
Project Value (contract 19523 1p
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Flat roof (less than 2:12 pitch)
46
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.
Name of Applicant Greg Cotton
Email not displaying correctly? View it in your browser.
48
both? (check all that
apply)
What is the pitch of the
FLAT roof?
How many squares are
part of the FLAT roof?
Describe the roofing
material for the FLAT
roof:
Type of material for the
FLAT roof:
If "Other" is selected
above, describe here:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
1/12
23
Mod bit
Other (specify below)
Modified bit (peel and stick)
Primary residence only
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
47
HRTI
imiex of .11 coxtsecutive BBB Golden 3tarAlivards!
Name: _ V ICToK O PFLJ-3�CJc C ._..142C1.41tA--
Address:_J:_.D 7 0___.__._�
City: U t,�- __ f __._State: ZIP Code: " ✓
--
Date: 2 r-7
insurance Carrier: Ptio(rwar 5 S 44(le
— - —
Policy No.:.__.a d 0-30 � 5 r f
Claim No.:_._ I Q ( .3-5—
C r r i �-MeT o vt Zj U f C u
el
Locally owned and operated. Since 1972
wo
Phone: (720) 981-8001 or (888) 412-4200
Email: info@hrti.com
Website: www.hrti.com
Better Business Bureau A+ Rating
Home Phone: 303 ...�-1 .._.�--..._.___
Cell Phone:
Work Phone:.dV'_....-c�._n---
���b��
Phone:
Fax: - --- - — .
Deductible: ? ...... _.... -------- _
RVp
ir
R F 6 0 t k 1 -e t�I J l+ a-� Color:.._ �v t 1 �- Type:
Siding s.and Fascia Type: It,
XI Tear down to decking, replace rotten decking at $sheet IV Description of Work:._._ ..._
DRe -Deck with 11OSB Plywood _....... .________—
Ice and water shield in: Eaves Valleys Penetrations ......_.._.._.......... _........
Install new drip edge around: Eaves Rakes
Install new lett: - 3 u b ED Painting
Install Plumbing toots, vents and flashing as needed or as instructed by claim Type: .-___
Protect landscaping, thorough clean-up and magnetic sweeper Description of Work:
Gutters
Full replacement Partial replacement ._
LF including downspouts: - Color:____ Size:_-_......_ _....... _--...___
Z
u Additional exterior or interior work to be completed: I\C)
Total Sale Price NOT INCLUDING
Additional Notes:
Approximate Date of
i�at raA
"6r6t...S o n Jra+A
-SUPPLEMENT:$ -,
Color:
Color:
By signing this agreement the homeowner authorizes Home Remodeling Technology, Inc. to represent the homeowner's best interest in the pursuit of repairs needed
due to storm damage. This contract does not obligate the homeowner or Home Remodeling Technology, Inc. until the claim is approved by the Insurance Company and
accepted by Home Remodeling Technology, Inc. Upon approval of the claim Home Remodeling Technology, Inc. will complete specified work at a price agreeable to the
Insurance company and Home Remodeling Technology, Inc, with No additional costs to the homeowner except for the deductible, unless otherwise noted. Agreed
upon price will become the final contract price and Home Remodeling Technology, Inc. will receive all Insurance proceeds and supplements for the work completed
by Home Re odeiing Technology, Inc. (You may cancel this contract at any time before midnight on the third business day after you have received written notification
rom r Insurer at ail or any part of the claim or contract is not a covered I ss under the insurance policy. See back oateato4 fs lanation of this right.]
I tX) Gutters
Full replacement
LF including downspouts:_
0 Additional exterior or int
To
Additional Notes:
Approximate Date of Service
4 {
By signing this agreement
due to storm damage. This c
accepted by Nome Remodel
Insurance company and I`
upon price will come tht
by Nome Re odeling Techr
rom r( Insurer at all c
i Q
Both vartles
be billed to the Insur
Insurar
Customer hereby at
i
Date Completed:
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: zco�--
Job Address: 3`010 C-09
Permit Number: "ZO �-10 7 -7 bf-I
❑ No one available for inspection: Time I o4`'M
Re -Inspection required: Yes
When corrections have been made, call or re-insp`ect�ion at 303 234-5933
Date: b II I Inspector: `� � ��1J�M—
DO 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: lP ��
Job Address: A li c� y 5 --
Permit Number: 29/%49 7761
❑ 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: -/O'/-3 %7 Inspector:71. t ---
DO NOT REMOVE THIS NOTICE
41 City of Wheat Ridge
Residential Electric PERMIT - 201601544
PERMIT NO: 201601544 ISSUED: 10/04/2016
JOB ADDRESS: 3870 Cody ST EXPIRES: 10/04/2017
JOB DESCRIPTION: Upgrade main panel to 200amp, Add meter socket.
*** CONTACTS ***
GC (303)433-6077 Golden West Plumbing 021754 Golden West Plumbing, Heating
OWNER (303)424-8315 LAURA AZUMA
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,900.00
FEES
Total Valuation 0.00 PAID
Use Tax 88.20
Permit Fee 125.05
* * TOTAL * * 213.25
*** COMMENTS ***
*** CONDITIONS *** \
All work shall comply with applicable codes and ordinances and is subject to field
inspections.Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
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 perforin the work described and approved in conjunction with
this peit-1 further attest that I am 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 perfonned 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 pen -nit 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 pen -nit for, or an approval of, an violation of any provision of any
applicab code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signaturb of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
tsP-..1,°/�'v 15 q�
'Sr o C°� l 5 r INSPECTION RECORD occupancy/Type
AO r✓(,{ �l �� INSPECTION REQUEST LINE: (303) 234-5933
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 to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Ins
Rough Inspections Date Inspector Comments
Initials
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Insulation
Drywall Screw/ Nail
Ci% of Wheat Ridge
10/94/2016 16:03
BUILDING PERMITS
richRUIILDING PERMITS
CDBA
AMOUNT
?1 1- P9
Final Inspections
Date
Inspector
Initials
PAYMENT RECEIVED AMOUNT
VS / 7134 213.25
AUTH CODE: 079BIG
TOTAL -------------- ____----------- 213.25
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window / Doors
Final Building
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.
Fire Inspection / Fire Protection Dist.
MOTE: 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.
`i -or low voltage permits — Please be sure that rough inspections are completed trom the rire uisuiL;i aiiU GIOI UII.QI ww vviiayc
by the Building Division.
"For Inspection Time Window Requests — Please email ins ptimereouest(a-ci wheatridae.co, us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of
W heat j�idge
COMMUNITY 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: permitstd)ci.wheatridge.co.us
FOR OFFICE USE ONLY I
Dare:
Man/Pennit JPA I 1)
Plan Review Fee:
A Iwo►sti'�
Building Permit Application
— Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed_ '
Property Address:
Owner
Property Owner Email:
Mailing Address: (if different than property address)
Address.-
City,
ddress:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W_R_ City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone: r3.`3
Phone:
Phone:�33—t 77
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL D( RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE q COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
HRESIDENTIAL 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, existin condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FLILF Btu's Gallons
Amps Squares Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$AI
OWNFR/CO 4TRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby eerti 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, casements or restrictions of record; that all measurements shown and allegations made are
accurate; that have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance
with applicabl City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner
or have been 2 uthorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity includ on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness o the information provided on the apalication.
CIRCLE ON (OWNE/dr=' ") (AUTHORIZED REPR E ATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (Ra -at and Inst acme): 6 DATE:
i2M
DEPARTMENT
ZONING CI
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
ONLY
OCCUPANCY CLASSIFICATION:
ng Division Valuation:
FOR OFFICE USE ONLY
City of Date:
Wh6atl:::;� dge
D'EvaoPmENT PlanlPern
Commut4fly r1it #
Building & Inspection Services Division
7500 W291h Ave., Wheat Ridge, CO 80033 Plan Review Fee.,
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email- permits(a)cimheatridae.co.us
1!' 111! �!II I I I I! I I olim I I 1 1 1!! 11111m I Imp' !!III I i
Address:
City, State, Zip:
00*4**: 1-1111
019023som
City License #
Plumbing�
Mechanical:
WR City License #
Complete all information on BOTH sides of this form
El/RESIDENTIAL
NEW COMMERCIAL STRUCTURE Q ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE 0 COMMERCIAL ROOFING
COMMERCIAL ADDITION [I RESIDENTIAL ROOFING
RESDENTIAL ADDITION Fr'WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck,
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 M_, ••
Sq. FULF Stu's Gallons
Amps Squares Other
$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application art 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 lel at owner
or have been authorized by the legal owner of` the property to perform the described work and as also authorized by the legal owner of any
entity included on this application to list that entity on this application, 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the a *
pplicat111",
CIRC U OW ((I"1f NER)
REPRE,VFjw4T1V[,) of (01VIVER) (C0A`TR, CT)R
Building Division Valuation: $_
3333 S.Wadsworth Blvd #31
[Name]
Lakewood, CO, 80227
[Address]
P.* 720-981-8001 F: 303.984-5872
[OWSTIZip'
e-mail: info@hrti.com
[Phone]
RM
Wheat Ridge/CO
. . .. .......
Special • No Nail Fins. Inserted in firick
z
k 2210 P, 2
11 FOR OFFICE USE ONLY
M I I M I I FREE I I M milli 1 !1110 1
Alk-hhad9ft
=
Eleebtal: Plum bhg* Mechanical:
W.R. City U as # WR. City License # W, R, City License #
Other City Licensed Sub: Other City Licensed
City License # City License #
M-111,4 lit"
Oct. 27. 2014 10 :16A o� 2210 P,
84. FtttF Btws Gallons
Amps Sq Othe
water 61 m ■ Nio't'Raq
Buildin D ivision
I
f :w e
CITY OF WHEAT RIDGE
Building Inspection Division
J
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspectio n Type
t�� M "Ve 1pl stetltz
Job Address
Permit Number
/tor "
f :w e
" ' City of Wheat Ridge
roo 0o r-
Residential Plumbing PERMIT - 102499
PERMIT NO: 102499
ISSUED:
11/01/2010
JOB ADDRESS: 3870 CODY
ST
EXPIRES:
11/01/2011
DESCRIPTION: Replace 30
if sewerline in
yard
to main
* ** CONTACTS * **
owner 303/424 -8315
Vick Odelburg
sub 303/696 -9599
Steve Wakeham
01 -9921
Pipeline Industries, Inc.
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: UA
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 1,700.00
FEES
Permit Fee
67.30
Total Valuation
.00
JI)
Use Tax
30.60
(Y(
** TOTAL **
97.90
Conditions:
Subject to field inspections.
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, d allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application no t t assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable W�sa ge ordinances, for work under this permit. Plans subject to field inspection.
Signa o contractor /owner date v
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan rev' is subject to field inspections.
Signatu. ief Building official date
INSP CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQ ESTS.MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
s
tt, v. 41 JN 11 V t -V, fr)PxiHVr'4ti -i .. _ _
Hari ill
Building &- Inspection Services Division Per,a7it # 2 I _� .
� -
7500 . 29 Ave., Wheat Ridge, CO 80033 _ 1
W
Office: 303 -235 -2855 , Fax: 303- 237 -8929
Inspection Line: 303- 234 -5933
o Building Perrnit Application
petcy
Pro�+Add�ess: 3 874 raa(�- -- —
Property Owner (please print)_ L��b(JT� - - _— Phon
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractors City License #: Phone:
stlb �ontractcirv? -
Electrical: Plumbing: Mechanical:
City License # City License # City License #
�+erlisstio��m�s�xariCr;•
er,�e� lr�e yepaty
$ ontract Valued 7W
i
Review Fee (due at time of submittal):
Squares O BTU's Gallons Amps Sq Ft.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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 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)
PRINT NAME: _ Z// /, (/ SIGNATURE: � � DATE:
�� r bEPARTMEfi1�U5EOhtL"ti" ' r x ��+�� � , a
ZONJNC3 COt✓1tu1 €N73 ✓ by � zv a , / s �� ✓ice' r r t" �� � '� y . E �
� ''�pj)1�3 r/a ��� x. �.� .J�� r^� ?'..yiai�'r �a�, v, h� z�✓ � ^ �""�l� nY ,:�� .�,.- � �,
�eS js� � � �.1 �w' �� � ,LC 3 . ; v ,.- � ✓' `: ,� r �• � ✓� ca > !Y '3rd 5' �.
�BVIe1M1!Qi s �� d s✓ ✓ ( � a�
Blt)Lp1N6 DEPA`RTtO(ENT C�MIVt�.N 3
l , r s r � > ✓� r � r r� y r y �1� � ri ��✓� � ?!^r Nl d ✓ r ' r � 'y >� n�iu
Y /RB�710lNB y t' .. � � rs s +,)s ✓c r �✓ �, � a . � ,� , � xt , - m 1 � � �
e. '� x-Fr !� " Iii '� c ✓ >i �r ? r�� ✓l•✓`'y 'U'�'.r,"ri ,9"""i' ✓YJ"'s✓r?s2 1� ✓ ,r} 7 �r � r%p
i� � .� � vex ✓z✓ C� a � °r* `� 7 2 >�'" r✓ a����r � c�✓s�� ar %"�� � � � � �� .
.✓ � l ^?, ' ✓ �f ✓' "� F drpT�rf cL'�u+ ofi�i'7i"'a`'an'"�N ° v"' h`ra✓ /��, a 5+
�1)�LwOR155 CQMME�7TS w e /' ,i ,, r F-'v✓ ✓t �. K- > v�p s•
. � � ,✓ r � 1 ✓,,. : ✓' 3 -: � � r _, > y . ,,, r - .✓�„`�r ,:✓'✓� Z.1� ��AT1CiaY .,✓ ,^ y � ;-
". f�eyJBWer tr> ✓r � "`� e / X � .� -, ,i � ✓ 5^ �.� t ��/ ryr _ ,! r:
F1Rr: {lFpnRTM�Nx CtapprovedWf�ommehis L3 dtsap�roagd ✓ Cl rio raviow rpqutred„ � Bldg Valuation. $
L JOB
. LPEALAJNE
MMOMMMINDUST R/ES INC DATE
P.O. Box 370 • Watkins, CO 80137
(303) 696-9599 1 ESTIPff
Fax(303)671-6871 ERVICEMAN
DATE
1 0129 / 1 0
INVOICE#
oi-39779-
JOB 9
CALL WiNd
PO#
PILLi :4
NAME Vick Odelburg
NAME
ADDRESS 3870 Cody St.
ADDRESS
CITY Wheat Ridge
s86'
ZIP 80033
CITY
STATE
ZIP
PH I ONE 303-424-8315
PHONE
DESCRIPTION OF. SERVICES,
ES TIMATE
ExcavateP'Pipeburst" to replace the 4" main sewer line from Wye connection
s 5,250.01
at front of house under landscape, up to the city main located 14' into
the unpainted
asphalt street. Install dual sweep clean outs. Approximately 25' long
and 6'-8' deep.
Additional to replace the from the cast-iron/clay transition at the front
of the
1,700.01
house up to t edge of the yard. Approx. 30' long and 6' deep.
*Includes: Excavation, Plumbers, Laborers, Pipe & Fittings, Bedding,
Backfill,
Compaction, Up to 5 yards of Flowfill, Up to 50 sq ft.
of Asphalt, Up
to 50 sq ft.
Genelrete, Glean Haul PeFFR and 'RspeGt
ef up, away,
ii if
AH itei i is cluded necessary
X WARRANTY Terms of Warranty: 5Year-Limited Warranty
APPROVAL X
SIGNATURE
Excludes root intrusion, ground movement, acts of nature.
COMMENTS:
THANK
YOU PLEASE
•
SUBTOTAL
Excludes! Box SI Or Utili Genfliets.
TAX
PAY
THIS AMOUNT
$
ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence
repair, decorative rock, Utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused by unstable soil, cave-ins or any other complications.
TERMS. Job cancellation fees will apply. Invoices are payable - 1/2 down and balance upon
completion of work performed. Any invoice not paid when due, shall incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including
reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's
lien for all unpaid materials and labor supplied to building projects pursuant _10 Colorado law.
ry_)'
\1 SIGN URV
ACCEPTANCE
OF INVOICE X SIGNATURE
❑ VISA ❑ mic ❑ AMEX
CARD# — EXP
APPROVAL#
❑ CASH El CHECK#
CHARGE A/R ACCOUNT #
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: ,'jAm ~ 'v-:-
hW""L A"~h'N/Cn>L.
~ t'l'h U
/, :> \...h5;:;C/,RE Q? F,-;e / / ClA' ?c5.5 r""..-f'n.-u
.c/vCLLt'SVr<>.oC ~ ~...e../..."t""A' &9t//T:
.?- ~~A/g~P-A/,4 P;;77:7~ 900e
~A'd..-9~ 0A//7
When corrections have been made, call for re-inspection at
303-234-5933.
Date: /0 - /7- 06
r Inspector
,
i
DO NOT REMOVE THI NOTICE
"Building Permit
CITY OF WHEAT RIDGE
7500 West 29m Avenue
Wheatridge, CO 80033
303-235-2855
Permit Number
19199
9/1212005
Inspection Line
303-234-5833
Residential Mechanical
PROPERTY 3870 Cody St
OWNER: Victor Odelburg
Unit:
(303) 424-8315
Description
Replace existing furnace with l20KBTU; 90%
I
IPaid
1$95.78
1$144.70
1$240.48
1
I
IPhone
1000426-1019
IFEES
IFees
IUse Tax
IPermit Fee
ITotal Fees
1
ICONTRACTORS
IName
IRu!:med Enterprises Inc.
I
IDue
1$95.78
1$144.70
1$24Q.48
I
1
ILicense #
.121161
Documents/rOff! the manufacf'"rer shqll!?e
onsiteforfinal roof inspection .""hich specifj;
(ocfingYllaterials.have been installedtoff!eet
no MPH three-secondwind gust-c-lBe (9'0
MPf! willa fl'll1ftAJiJQ),
Units:
Occupancy:
Walls:.
Roof:
Stories:
Sq Feet:
o
I hereby tcrtifythatthuetbackdistllDee5 proposed by this permitapplicati~nare acc'Drate,and-d~ notviohite lippliCableonlinani:es; rules or regUlatio~scirth'eCity of
WheatRidg~or covenants, easements or resttlclioll.'l ofreconlo that aU measurements shown, and _allegations made areaccu~te;thal I have read and ag,reeto abide by
all conditions printed on tbis applicatio at ass responsibility for compliance witb the Wheal Ridge Bnilding Code (O.B.C.) and allo er appll hIe
Wheat Rldge ordinances, forwo erthls ~
6
This permit was iSsued in accordance with the provislorul set fortb in your application and is subjecl to the laws of the State ofc,:o _orado and to the Zoning
RegUlations and Building Code of Wheat Ridge, Colorado or any olherapplicable ordinances of the City.
Thispermil shall expircif(A)the work authorlzediSriol commeneed,witliin ,siXty (60) days from ls5ue date or (B), the building authorized is suspended or
abandoned for a period of 120,days.
, Ifthls pe...ul.eipiiei;,:a,uew perIDitma,Y'b'e acquirc.dfora:fiiiiof'one-half iliiiamount normally required,' provided no ch'angeiihave:heenorwmbemadc, in -the
original_plans' a-nd s~ecificatioos_andany suspell#~ii. 'Or' aband_OIuncnt has_nl.ltexcee~cd one (I) year. Ifchanges .lll:eII!IIde0': Irsl:'_spe~siol!, or ,aballdl)limen,t ,
exceedS one (lryear, full fees shall he paid for anew permit.
No~<!r~,9faiiy,~a~n,ershiUlie done tliat willi:hange the:naturalOow of water causing-a drainage probleiil.
Contractor'shalinolify th_e:Bullding Inspe_ctor.t-"venty~four (24) hours in advance for all inSPecti~,rul and shall reeeivewrlllenappi'ovili ~niI1_spCctio~ cardhefore
proceedhtgwith successive phases of the job. ,- '
;~:'::;::::~;;:'d7,;;;:~:.~,;~tb''''''ru'dt'b"pum''r",no,'" ,.."..I,r,..,,;,,,...,"b,
Chief Building Inspcc!or SIGNED DATE
3
5
Monday,-Septerriber 12, 2005
Page lofI
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPEcrION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29m AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
MPLlGtTlON
Building Permit Number:
Date:
Property Owner: ~-\~".. ~~
Property Address: 3'ir1o ~~
Contractor License No.: ~," \ .
Company: ~~~~ ~
OWNERlCONTRAcroR SIGNATURE OF UNDERSTANDING AND AGRJtEMENI'
Phone: 3~ ,{Vl fr31'S""
Phone: .:3l>~l/z.t- II> I It.
I bereby certifY that the setbaclc distances proposed by. this permit application"", -
acc~ and do not violate applicable ordinances. rules or regulations of the City of
Wheat Ridge or COVCIIIIlIlS, casements or restrictions of record; that aU mcasurcmcnts
shown. and allegations made "'" .-; that I have n:ad and ag= to abide by aU
conditions printed on this application and that I assume full lCSpOnsibility fur
compliance with the Wheat Ridge Building Code (U.B.C) and aU other applicable
Wheat Ridge Ordinances, fur worle under this permit
(OWNER)(CON1RAcroR),SI~ r . DA'll!~
Description: ~\p...u. e..i"~~. ~..::\ \-(.0 "-- b <:...... "t 1> "1""
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
5'3~1. ~
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
rfj)
In)
10
BUILDING COMMENTS:
Approval:
SFP
;I ?005
-.--..---
---,---
PUBUC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No: 53"\"2.:
Company: ~ ~~
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
_ Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit wu issued in accordance with tho provisions :sot 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 tile 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 Il.Uthorized is snspended or
abandoned for a period of 120 days. .
(3) IftbiJ pcmtit expires. a new pcnnit may be acquired fur a fee of cne-half the amountnonnaDyrequired. provided no changes Ium! beera or will be made in
the original plans and spec::i:fications and my snspauion 01' -'-'..Inn........t has notexceedcd oao (1) year. If cb.mges hue bec:u. or if supeo.sion 01" abmdomnCllt
exceeds one (I) year, full tees shaD be paid fOr aacw ~
(4) No work ofany-~ shall be donetbJtwiD chanpthe Qatl1raJ. flow ofw.tm' cmsitag a cbinap problem.
(S) ~shollDOtifyth.BuildiDg__(2')hounin_celbnninspcolinoslU1dslWl......._opprovo1Ol1impecti...card bcfure
proceeding with successive ptw,ClI of the job.
(6) Tho issuance of a pema.it or tho 8pprOWl of drawings md specificatiCIDS.shaIl not be CODStrued to be . permit for. nor an 8ppI'O'Yal of. any violation of the
provisions of the building codes or my other ordinance. law, rule or regulation.
Chief Building Inspector
'~~'''''~'''''r(,"~1""""e'!!'''1~~'"",,",r;e,,'r(~''i''?'!~''m''""''''~'''''''!'''''''''''iJ~~!l!Il~'!"_'''''' ...."""fI,L""',.,.,.",.""'",""""'~JII.,, -r '!'''''''1-1',~,,,,,..
j D_Q.FIPi;A......,QANDDEVI;LOPIIENT Building Permit Number :95~ 1635
I !'~__or.f~tt 2as..2866 Date :8111/95
.1'W.$T..,TkAVENUE
..., "'OGE, CO 80216
,~l'!!~
PrQperty Owner: ODELBERG VICTOR
Properly Address: 3870 CODY ST
ConlraCtor UcenIe No. : 17557
Company: Ted's Sheds
Phone: 424-8315
Phone: 421 2022
OWNE~ONTAAc'toa SlGlIlATuaE OF UNDERSTANDING AND AGREEMENT
ConstructIOn Value :
Permit Fee :
Plan Review Fee :
Use Tax :
$925.00
$25.00
$0.00
$13.88
Total: $38.88
De$rjption : SHeD
BUILDING DEPARTMENT USE ONLY
APPROVAL, OF SHED WITH A 5' SIDEYARD SETBACK, AND A 5'
REAR YARD SET BACK
SHED MUST BE seCURELY ANCHORED fO 1lfE GROUND
Approval:
OCOUpancy :
EIe<;tricaI License No :
company:
Walls :
Roof:
Stories :
Residential Units :
Pklmbing License No :
Company:
Mechanical Ucense No :
Company:
(1)
(2)
(3)
!:xpiration Date:
Approval:
.
Expiration Date :
Approval:
.
Expiration Date :
Approval :
.
(&)
.ti>=-...ltio ~ .etlol1h In yopiJr epplIcelInn 8I1lI1t _ "'tilt""'" "'tilt MofColoredO III1d to'" ZaI1Ino
'.... ~l!*IlIdO............ _oIthec - . ..,
.......liolk~. .ltnolCOl.n.:vIClld~6O)..1tom1oaue~"(8)thebulldlnO_It~.... .
~ln~ .. . . . '.
.' .. _ ....~ lor efool oI~tIIt emountl1Oll11llll\'requIrtd, __ nodNlngel_......wIIIlloIft!IICl8ln!he
. ...W....or_heonot_._(I)~_ 1f__.....-....~...__'n~d
. _J....,lloIM!l<"....._
. '.' ~...wIII.",..,..lbe_ftowol_C8l~..-.
"'n''''''''lIY~(24) hourlIlnedvonce lor ell end _1__ eppnwel....lnopecIIOnc:8nl beI'o!O
~ Jind '!lldl ~lttol18 shaU not be conitruId to be. permit for, nor en approval of, any violation otlhe provIIIona
'lllw,rillll"'f8lI_.
l~
!JlIdingJ~
T'l'tlIPERMt1'W.WOONL.Y WHIaN StQNED BY THE! CHI!:F BUILDING 1NSPl!CTC)R
. CALL: 234-St33 24 HOURS PRlORTO INSPEC'RON
Ir~~
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: Vi c..i3r 6-Jd 0:\'0,
Property Address: 'ibll; r-1l~(lt-j;, t Phone :4--:,."-i:- if1"-)'
Contractor Lice~se No.: J 7 <)57
Company: Ie-d.", :ih:0 Phone: '" cUi -dl),~;)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: q,J:> c C!
Permit Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate.
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record: that all measurements shown. and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (V. B.C.) and .all other applicable at Ridge rdinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNEm
Description: Bv i a ""hcd-
DATE
Total:
BUILDING DEPARTMENT USE ONLY
.J.,'PPrUJv"'1- IS>F' *IE'o wIn-\- I. ?' ~Ir;.~~ ~~...,,..
~ A ,?l It-ff4,{I..'1~'J ~TY>,o...LtL.
Approval: ?-
Zoning: 1<-2..
:'
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
JI iiMIlII'.:llmII!!~'l!1,'ll
Expiration Date:
Approval:
,'OIl c -"'''-'Ired I
B x"~~~,f",~~,,, I;i
Expiration Date:
Approval:
JII I,BIlIIiIII\lW-""r!ij
(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 BUilding Code of Wheat Ridge, Colorado or any other applicable ordmances of the City
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 penod of 120 days.
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 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 building codes or any other ordinance. law, rule or regulation.
(4)
(5)
(6)
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
'"""."
~:: 1 i ' ~
t.ee'.":"
(~'."
SOCIATES, INC.
SURVEYING "',! ri" ; H'J'<!'Pi-',
5 Ralston Rd. Suite 100-G
Arvada,Co. 80004
(303) 420-4788
DATE
FEE JOB~
l_ I '_'FfoT'> r
MORTGAGE CO.
3870 I:ODY SlRcE'
ADDRESS
BORROWERS NAME
LlDEL!:<:-R.3
1\
"n
I
I
LEGAL DESCRIPTION
(PER CLIENT)
"I
IMPROVEMENT LOCATION CERTIFICATE
-,-~ ,,': ':'it-,HEC Lf.G;:',L r-,l~:=:C>;
\j
S{"'):~I=-
I '~ -Z:O
L ..J
5,0
~ Ode Lberq, Vic\-or
3Bi{) C~X 51-.
Wh:l\t ICloCK") (0 80~)3.3
L't Z.y - (:'J 51=:>
~
(...-.--3..-'~'::~(~
/
{frO. 00
~I
'" 4. J 5 '
8'TT'
IJ ..-.
\2'
/./
1
,i
U.
()
s 40'
<<)(
,;.
-.!. ,"
cr-
"f
----./
r
're
h'
,I
-[4'.{'---
\ L \
"'t-.,I',-
( '-
"
4.4 .
B1.. l..'.;..\l.:;~4
I'"
~ .0
CON.( .
----~_... --
3_'0
BI2JU<....
L..Q"-1(.
Cl
C'
'Jl
\'-
(pO
1"1'.=0
r r-
ei Z ,~; \J
"I C ,- Ii'
'- \.,()
vL.
cr-
...
/
:'
,.I
3
:,--/. S
-3 ( 4
o
,-
<:5l
,.)
~
tJ)
140.00
2
m
<!-
r'l
--~'O!-l' Ave::
On the basis of my knowledge, information and belief,
I hereby certify that this improvement location certificate was prepared for
LIBERTY FUNDING , that itis nota Land Survey
Plat or Improvement Survey Plat, and that it is not to be relied upon for the establishment of
fence, building, or other future improvement linea. I further certify that the improvements on the
above described parcel on this date, except utility connections e entirely within the boundaries
of the parcel, except as shown, that there are no encroa I the described premises by
improvements on any adjoining premises, except a . ' at there is no apparent
evidence or sign of any easement crossing or burde . arcel, except as noted.
"NOTICE: Accordin, to Colorado iaN you IIUst cOmllence clal actio ~ on any defect in this
survey within three years after you first discover sue 'lJ.-~~lven . 1ft any action based upon
I . b b .{' ~.6cd5tbaD7A. oO:..?S c... any delee in isa~ c ed !nore than ten years
t LS ere y ce I t we above deacn"bed fro. the he certih.. ~hown hereon,"
property 15 ~o"- Iocatedwilbin.IOOyear ,...... "'- i
~ .., ... f' "
Oood hazard boundary in acconia.oce with the ':.. ~ ....
current HUD Federal Adminiltration Flood' i1'l3.J~
Hazard Boondary M.... D.ted /9<5 9 Robert E. Polf:'lIAI'