HomeMy WebLinkAbout4050 Cody StreetA 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: 1 _S/C
Job Address: a c c p 7 S'
Permit Number: b / 7 U '�L 3 Y-3
cpgL)U-f/
❑ No one available for inspection: Time -7 D 1 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
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iso �cx 5�;6b(76A 3
INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occu c. /T)vmoe
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
Initials
Comments
Electrical
Wall Sheathing > 1
Sewer Service
Plumbing
uo NOT Gover underground or Below/In-Slab Work Prior To Annrnval of Tho Ahwo Incng%&-fGr%rnL-
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing > 1
1�
Mid -Roof rf
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof r
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 CY-
I W1
IVW ...,1.0yV N=11111Lb — ricase ue sure chat rough inspections are compieteo trom 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
INSPEC"� REC RD
INSPOwCTI N ONILINE FORM: http://www.ci.wheatridge.co.us/inspection
t� YINSPECTION REQUEST LINE: (303) 234-5933
Can ellalioh must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/'`.'ype
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 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 ADDroval Of The Above In_npr-tinnc
Underground/Slab Inspections
- r -
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underqround or Below/In-Slab Work Prior To Annroval Of Thp Ahnva Incnar-finne
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
9
I
Final Building
NOTE: All items must be completed and approved by Planninl Yorks, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspectic ::onstitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are
by the Building Division.
Occupancy Is Not Permitted Until A Certi
Protect This Card F
"mm the Fire District and electrical low voltage
Occupant, Issued
,° Weather
_ :lfilli1Zi11�7
fT,:;o rlj4 J-� INSPECTION R CORD
UV �fa
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
MA/
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
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
UQII 3013-23-5-2-11346. . VI !`\34Y ai!I\.r 'i C1!:iLiyG '
inspections call 303-235-2861. For fire inspections
co act the Fire Protection District for your project.
ROW & Drainage / Public Works Dept. I
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.
For notification of your assigned inspection time window please email insptimerequestLa)ci.wheatridge.co.us by 8:00 A.M.
the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on
inspection routing.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Plumbing PERMIT - 201702019
PERMIT NO: 201702019 ISSUED: 06/15/2017
70B ADDRESS: 4050 Cody ST EXPIRES: 06/15/2018
JOB DESCRIPTION: Replace water heater with 40 gallon 40K BTU unit install sump with
electrical hookup
k** CONTACTS ***
DWNER (303)422-2962 MARTIN JOHN M JR
3UB (303)458-5988 Josh Ward 018236 Applewood Plmb, Heat, & Elec.
k** PARCEL INFO ***
7,ONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
" FEE SwviMARY **A ESTIMATED PROJECT VALUATION: 9,885.00
FEES
Sot Water Heater 40.00
notal Valuation 0.00
Jse Tax 207.59
k* TOTAL ** 247.59
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
[, byy myy 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
)y the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
.his permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
)erformed and that all work to be pe formed is disclosed in this document and/or its' icor nying approved plans and specifications.
c�, y
, -,
Signature of?itwa�si7ssi
R or ONTRACTOR (Circle one) Date
I. This permed based Meth-etnformafion provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offial and is not guaranteed.
I, 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.
5. The issuance or granting J a permit sha-I1-trot be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or an vegullt' risdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
ZEQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of Wheat Ridge
!w Resid. Windows/Doors PERMIT - 201706824
PERMIT NO: 201706824 ISSUED: 09/01/2017
JOB ADDRESS: 4050 Cody ST EXPIRES: 09/01/2018
JOB DESCRIPTION: Permit to replace (3) window in main level U factor will be .30 or better.
*** CONTACTS ***
OWNER (303)726-7514 MARTIN JOHN M JR
SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** 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: 9,884.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 207.56
** TOTAL ** 257.56
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany m approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed�and
�that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
t.
Signature= -`of OWNERS 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 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 Offiial and is not guaranteed.
4, No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The 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 Date —I
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Ikdye
COMMUNITY DLVELOPMENT
Building 8 Inspection Services Division
7500 W. 291" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date:
Plan/Permit #
I C C" z
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: 4050 Cody Street Wheat Ridge 80033
Property Owner (please print): John Martin Phone: 9,884
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Matthew Seiler
Contractors City License #: CL3-130206
Contractor E-mail Address: mseiler@renewalcolorado.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phon
Phone: 303-945 1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION [� WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FULF
Amps
Replacing 3 windows on main level. U factor will be .30 or better.
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
x 9.884
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 1 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 1 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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Matthew Seiler
ZONING COMMMENTS.
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
SIGNATURE:{ it P.re _ DATE:
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION.
Building Division Valuation: $
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windows 2+3 changing from CTs to GTs wh/wh
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: A u)
Job Address:'46a rrrj� e _S -Z
Permit Number: 2 ul 7 () 7 -3
❑ No one available for inspection: Time c AM/PA4
Re -Inspection required: s
When corrections have been m e, call for re -inspection at 303-234-5933
Date: Inspector: r`
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201702343
PERMIT NO:
201702343
ISSUED:
06/22/2017
JOB ADDRESS:
4050 Cody ST
EXPIRES:
06/22/2018
JOB DESCRIPTION:
Residential Re -roof
to install
decra/weathered
Timber asphalt shingles with
ROOF DECKING -
30.17 sq.
*** CONTACTS ***
OWNER (303)726-7514
MARTIN JOHN M
JR
SUB (303)804-0303
Tom Brown
070055 North
West Roofing
*** 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:
27,585.69
FEES
Total Valuation
0.00
Use Tax
579.30
Permit Fee
476.55
** TOTAL **
1,055.85
*** 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 A3�-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€"s installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201702343
PERMIT NO: 201702343 ISSUED: 06/22/2017
JOB ADDRESS: 4050 Cody ST EXPIRES: 06/22/2018
JOB DESCRIPTION: Residential Re -roof to install decra/weathered Timber asphalt shingles with
ROOF DECKING - 30.17 sq.
4--e-Alm
l by ny signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed a that all work t be performed is disclosed in this document and/o its' accompanying
approved plans and specifications.
` J C/ /
Signage of OWNER or CONTRACTOR (Circle one) Dater r
I. This permit was issued based on the information provided in the permit application and accompanying )tans 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 Budding
Official and may be subject to a fee equal to one-half of the originalppermit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and s ecific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of al�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 per or an appfor , a avi wlation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. A is su t e d nspection.
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 &00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 12, 2017 9:16 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Danny
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 3-5 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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4050 CODY ST
LT COL JOHN MARTIN
3037267514
MARTIN2091 @AOL.COM
t [0 5s, Yy--
Z
0
I
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
NORTHWEST ROOFING
070055
3038040303
Contractor Email Address Ihammons@northwest-roofing.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
Ihammons@northwest-roofing.com
Yes
Yes
DECRA/WEATHERED TIMBER
Select Type of Material: Other (specify below)
If "Other" is selected STONE COATED STEEL
above, describe here:
How many squares of the 30.17
material selected above?
Does any portion of the Yes
property include a flat
roof?
Pi
If yes, how many squares 4.83
on the flat roof?
TOTAL SQUARES of all 35
roofing material for this
project
Provide additional detail HOUSE PITCH 5/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 27585.69
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 LEILA HAMMONS
C
PECOG Nt:EO ASA North West _�
REC A �
I � •
*,t rRoofin pppp
.. �.. Mata• :. 606
E388 Rating: A+
Since 1963 0
2425 S Colorado Boulevard, Suite 280 1 Denver, CO 80222 1 (303) 804-0303 1 fax (888) 846-5545
Propos34u mated to
Nprth West Roofing Estimator
Date cy `
Street _r
C
City, State, Zip
Job location/Community
Phone
3 22
17
Insurance Company I
Policy h
Email
Adjuster
Claim #
Scope of Work and Materials to be Provided: The scope of work and materials identified By signing this agreement the homeowner authorizes North West
below will be completed by North West Roofing. Roofing to represent the homeowner's best interest in pursuit of
j roof replacement or repair due to storm damage. This contract does
In Tear Off Layers t not obligate the homeowner or North West Roofing until the claim is
approved by the Insurance Company and accepted by North West
Install Decking (7J16 in. OSB) HELc�:�DCKINGRoofing. Upon Approval of the claim, North West Roofing will
�, �— C/ c complete specific work at the price agreeable to the Insurance
Install 90 Ib or Ice & Water Shield in Valleys �i ► iy company and to North West Roofing. There is no additional cost to
N \ the homeowner except for their deductible. The agreed upon price
&install 2 x 4 in. Metal Drip Edge Color ! Initials will become the final contract price and North West Roofing will
�� re ive it insurance proceeds and supplements for the work
install new Felt /L r .- co North West Roofing.
a�jg,, into s l
, Recover Roof with
IV Year Manufacturer's Warranty,
. f
Shingle Manufacturer U r Color �fni^t \`
Ctosed Valleys - With Ice and Water Shield UnderiaymenT_l'�N�-,1,v
F1 Open Valley -With Painted Metal
Ridges to be color coordinated shingles
Replace - Rubber Pipe Jacks
�5L Paint Roof Stacks To Match Shingle Color LL
-Replace - Low Profile Vents _ Turbine Vents
EaNorth West Roofing 3 Year Labor Warranty
V171—Metal Step Flashing ❑ Step Flashing Chimney
03 --North West Roofing will Provide General Liability Insurance of at least $;000,000.00
Clean Up and Haul Off all Trash
1_ 4' Protect and Clean Up Landscaping
Clean around bushes and shrubs
63�.Clean Out Gutters -"'-------��
: Roll yard with magnetic roller
...Permit Furnished by North West Roofing
t agree, by signing below, to all the contract a
Client's Signature
Representative
PUEBLO
(719)633-7773
Q _ v
tkv
ns, both front & ac If this agreement.
The Approximate Costs of the Services $ 1 ,lu
Shall Be The Agreed Upon Cost Between North West Roofing and
Your Insurance Carrier. Their RCV Cost Plus Supplements.
NOTICE If the Property Owner Plans to use The Proceeds Of a
Property and Causality Insurance Policy, Part 1 of Article 4 of Title
10, C.R.S., In accordance to Title 10 C.R.S., section 6.22.105, the
roofing contractor cannot pay wave rebate, promise to pay or
waive rebate or any of insurance deductible applicable to the
insurance claim for payment for the workop the covered property
C, etfz_C) h 1�jj
Deposit Amount $_ Date: cJ]Jju (}'�
North West Roofing shall hold in trust any payme t from the FFF ��`
property owner until materials are delivered or have performed a
majority of the roofing work on the property. *May not include any
additional taxes, base service fees and or supplements that pertain
to the claim.
(j Approximate Dates of Service: 10 DAYS AFTER AGREEMENT
These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays, or by any other
causes beyond the reasonable control of Contractor.
(800) 333-1704
DENVER
(303) 804-0303 i fax (888) 846-5545
Date of Acceptance
FORT COLLINS
(970) 484-9430
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: U0F`Z
Job Address: Zfc -5-U C oto '/' S
Permit Number: 2 O /'7 O 2-0/5/
❑ No one available for inspection: Time o AM/PM
Re -Inspection required: Ye No
When corrections have been made, call for re-inspectio-H at 303-234-5933
Date: Inspector:
DO NOT REMOVE"THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 5 .0 G_
Job Address: ti J S- ® C_ u -ji
Permit Number: Z- o -4 c) 1 'i 7 2_
❑ No one available for inspection: Time �. SAM/pM
Re -Inspection required: Yes �Zo
* When corrections have been made, call for re -inspection at 303-234-5933
Date: ! Z 12-oi Inspector: j_/1
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201702019
PERMIT NO: 201702019 ISSUED: 06/15/2017
JOB ADDRESS: 4050 Cody ST EXPIRES: 06/15/2018
JOB DESCRIPTION: Replace water heater with 40 gallon 40K BTU unit install sump with
electrical hookup
*** CONTACTS ***
OWNER (303)422-2962 MARTIN JOHN M JR
SUB (303)458-5988 Josh Ward 018236 Applewood Plmb, Heat, & Elec.
*** 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: 9,885.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 207.59
** TOTAL ** 247.59
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tine legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OVXER or C NTRACTOR (Circle one) Date
I. This permit was issued bas don 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 originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
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 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.
of Date:
�►i1E'at �,,Zt+E' .
MMUN rTY DEVELOPMENT PlanlPermlf# ci 1 � �� �.
Building & Inspection Services Division I
7500 W. 29'h Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email-,
Building Permit Application
' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Owner (please print): J o ///,, ek 19C C_ T Phone. 3-- y2
r,,roperty Owner Email:
Mailing Address. (if different than property address)
City, State, Zip:
Architect/Engineer-
Arch itecVEngineer E-mail, Phone:
Contractor: 14koC E �,1/10_�) 6 P A/ '!'_
Contractors City License #: — IY2 3 6 Phone:
Contractor E-mail Address: enc K' '14 1 %� I, V' "e �_ X / 7- .
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete ail information on BOTH sides of this form
D
D COMMERCIAL @9 RESIDENTIAL
Description of work (Check all that apply)
NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
n COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
21PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
�'L c /./�' %� v /)`� ,� r -e `l/o G /f i� L-P/AC �7 /<o �' % t1 i/�✓ /
./(/ S ri^ S V� 1' w' t 7 /f c i C T7'Z
Sq, Ft./LF
Amps
Btu's `-/ CJ O 'D
Squares
Gallons
Project Value: (Contract value or the cast of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, Riles 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 1 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 1 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.
C'IRCLEO E. (Cit#VERj((CONTRAC'TOR),4UTI10RfZEDRE'PRESEVT..4T[I E) of (OYi'VER) (CONTRACTOR)
PRINT NAME: (7 � SIGNATURE: 02., �M/ t . -y _ ilATE. C /,-W, 7
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORMS COMMENTS.
Reviewer,
PR0Q_F OF SUBMISSIONFORMSFire -._ 0 Received ■ Not Required
Water District n Received:. a -s as
Sanit-.Ids . Received Not Required
RM
OCCUPANCY CLASSIFICATION'
TYPE OF CONSTRUCTIOM
SPRINKLE ED:
Building Division Valuation. $
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M j b
Job Address: y b � o �p ley I
Permit Number: a 0) "j p 3 q3
Tin tv A
06-7 r7eebup 0
❑ No one available for inspection: Time AM/PM
Re -Inspection required: es No C iq 11
When corrections have been m e, call for re-inspe tion at 303-234-
Date:a/6
- Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201701922
PERMIT NO: 201701922 ISSUED: 06/13/2017
JOB ADDRESS: 4050 Cody ST EXPIRES: 06/1.3/2018
JOB DESCRIPTION: 10 - 15 ft sewer line repair, installing dual sweep clean outs in yard only
- emergency fix
*** CONTACTS ***
OWNER (303)445-5656 MARTIN JOHN M JR
SUB (303)210-8207 Brandon Weston 110115 Premier Excavation Services
*** 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: 2,900.00
FEES
Total Valuation 0.00
Use Tax 60.90
Permit Fee 93.35
** TOTAL ** 154.25
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Plumbing PERMIT - 201701922
PERMIT NO: 201701922 ISSUED: 06/13/2017
JOB ADDRESS: 4050 Cody ST EXPIRES: 06/13/2018
JOB DESCRIPTION: 10 - 15 ft sewer line repair, installing dual sweep clean outs in yard only
- emergency fix
I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this pei7nrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed anc the all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
61
Signature of bWiNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2, This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any,odinance or rection dh' 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
. City of
ea. - i ic
� COMMIJNIT-y I'�EvE-LoPmENT
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)cimheatridge.co.us
• ' ` • • •';
FOR OFFICE USE ONLY
Date:
Plan/Permit # X l
Plan Review Fee:
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
U) h t � V; � -t
Property Owner (please print): --VA y\ MQ t ' �a Phone: � ) �+ q 5 y6._ �
Property Owner Email:
"hailing Address: (if different than,,` property address)
Address: I C) � C) CcAd S -�
City. State. ZiD:11 `
i��Q� Y�tV�ie (n R f") (� ���
Architect/Engineer E-mail:
Contractor: VrMi
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Su i
Plumbing:
W.R. City License #
-30j) 2[0 -
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH slides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
gNEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APILIANCE REPAIRREPLACEMENT
❑ OTHER (Describe) w�l rtuZj ro"'(1' �1 YAC �00(40 I
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) 1 J ,LCO
,( J?nom �e�r�i� I�s� ��� ��ct �t,.�
r 0_�� o�ll E�✓y2.YtcyJ
,� .
C 1euv� at�� 5 V
Sq. Ft.1LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 2 goo ,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER (CONTR CTO r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �^ 1 ��1 �� SIGNATURE: ) L' DATE: Z
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ® Received ❑ Not Required
Sanitation District ® Received ❑ Not Required
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
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: \C-) r W
Job Address:
Permit Number: CDQ Ll
❑ No one available for inspection: Time at C�' AN&'��
Re -Inspection required: Yes �,�
When corrections have been made, carr re -inspection at 303-234-5933
Date: Q \ ` \a Inspect
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P tj r"
Job Address: 4/0 1 ra (� V) fa tl
Permit Number: )% 6 "q ;- '% Y
❑ 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:
A c/ "��! Inspector:-�
t�
DO NOT REMOVE THIS NOTICE
Certificate Of Completion
Building Division
7500 W 29TH AVE
WHEAT RIDGE CO 80033-8001
Permit :201300208 Issued: 04/01/2013
Stipulations: Foundation Repair.
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing requirements for the City must be met.
Site Address: 4050 Cody ST
#wner: MARTIN JOHN M • / MARTIN MONT
04050 CODY ST
WHEAT RIDGE CO 80033-4315
Contractor: Paul Sutton
723 S SIERRA MADRE ST
COLORADO SPRINGS CO 80903-4023
RTIFICATE MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
' 77
Paul Sutton
Peak Structural, Inc
723 S Sierra Madre St,
Colorado S12rines, CO 80903
anmgm
I appreciate this opportunity to serve you. Please do not hesitate to contact me if you have any
questions,
zmlflmm��
Colorado Office� 600 1,7 St Suite 2800 South, Denver, CO 80202 (888)258-6111 phone
Vermont Office: 369 North Hill Road, Stowe, VT 05672 web: fepic,com, email: LntqfPfff)jcRm
L,L Page 1 of I
Sincerely,
dim MME
DOW - 2
Plan It
J)J) `�
Permit
w
Property Address:° 0 ,. :
Property near (please pint ): 2 � �' �#e .. "` hone: � � � ,.. -. d: , -A� �
Address; .
City, State, p;
Contractor.
Co ntractors ity License M L", " � "# 1 ,1 6" hon e: .red
The Peak Companies
723 S Sierra Madre St,
� I
M I &TITIM MW 11��
APPROVED
Su0ject to Field Inspections
Wheat Ridge Building Dept,
DaMle:
S4 Plan checker
Per your request I evaluated the property located at that address above. The report is intended to
document and provide an opinion of the structural condition of the foundation at the time of the
inspection and provide an engineered repair plan. This report is based on what was visible without any
destructive or invasive testing. This report does not constitute a warranty, implied or otherwise. This
report is intended for use only by the Peak Companies and the homeowner.
Yl ITIrrTr_
09 =17 11071 I'm
office. The building was reportedly built in 1951 and is a brick single family home on concrete
foundation that forms a crawlspace. The home generally faces west and for the purposes of this report
the front of the house will be considered the west side.
I FIEW
Colorado Office. 600 17 St Suite 2800 South, Denver, CO 80202 (888)258-6111 phone
Vermont Office. 369 North Hill Road, Stowe, VTO5672 web: feptc.com, email j!jtqLd)L L&kjift Page I of 3
modify this report and design.
the foundation. The gutters and downspouts around the house should be kept in good working order
with downspouts extending 5 feet from the foundation. Watering grass and plants within 5 feet of the
foundation is not recommended.
Thank you for the opportunity to provide this letter and I look forward to serving you in the future. Do
not hesitate to contact me with any questions regarding this report.
M=
MW4
APPROVED
Subject to Field Inspections
Wheat Ridge Building Dept,
Date,
Signe�. Plan dvocker
Colorado Office: 600 17 St Suite 2800 South, Denver, CO 80202 (888)258-6111 phone
Vermont Office: 369 North Hill Road, Stowe, VT 05672 web: fepIc.com, email: Ln
, Lo L& Lg p L�, Page 2 of 3
Colorado Office. 600 17 St Suite 2800 South, Denver, CO 80202 (888)2S8-6111 phone
Vermont Office: 369 North Hill Road, Stowe, VT05672 web: feptc.com, email: Page 3 of 3
I
Engineering Notes',
L All work to be installed in accordance with lied; 2006 Code and all applicable State, County, and Loc
Codm
Existing Fou n d at i on - *
2, Design Assumptions fro IRC 2012 Tables 8301.2 (1
Show laud = 40 ps
. Wind design = 100 MPH (3 Sec Gust ) Exposure
Seismic Design n Cattegor
Frost depth = 36 Inches
FSJ Model 287 Push Pier Bracket
Concrete e - Minimum 3,000 psi
3, Required Inspections
E aginterwillprovide inspection and final approval letter (if required by jurisdictions
48 ' pier Re inforcing Sleeve
1-bundation inspections shall be
perfianned b y dic L'rigjrleer of t °CrFor
l Model 287 push Boer System
and verified to the Building Division
by wet letter of approval.
PPROVED
_; A ROVI
Ca o C 1
Depth Varies
Wh eat Rkige Bui Dep
� rp
�.—_
Detail
S-1
�Kan c1heccker
SO
U-SHUMMKOM
Prep for:
C ,°
Peak S tructural,
Colorado Springs, 1{3�
0
3659 0
Plan
114V 1 CO;
Foundation Repair
Scale: NTS
Date: February 13. 2013
Martits Property
4050 Cody ,
Drawn By: MFS
Wheat R1
h
INSPECTION RECORD OccupancYlTVpe
'v - 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.
Al" <j # 1156 ?1- -
SPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Rough Electric
Weatherproof / French Drain
Rough Plumbing
Sewer Service Lines
Gas Piping
Water Service Lines
Rough Mechanical
CONCRETE SLAB FLOOR
Electrical (Underground)
Plum ( Underground)
He ating (Underground)
n.. r.inr onrie n n o l lurn nonvv uno Rau Gr_urn
ROUGHS
Sheathing
Lath / Wall tie
- Mid -Roof
Electrical Service
Rough Electric
Building Final
Rough Plumbing
Fire Department
Gas Piping
R.O.W & Drainage
Rough Mechanical
Parking & Landscaping
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* * 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
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION
/ NO7
Inspection Type:
Job Address: `Vl9 J S S C1
Permit Number:
4 4144 4 112
3
❑ 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
Dater U Inspec tor: /✓�.vvd"
0 NOT REMOVE THIS NOTICE
♦ a e CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
5~
_(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: )11,411,
Job Address:
Permit Number: '7
ti s
r
❑ No one available for inspection: Time / )i ' AM/ M
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: ff) Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033 m Date:
Office: 303-235-2855 * Fax: 303-235-2857 Pfan
oOtoRAO° Inspection Line: 303-2345933
-ermit#:
Building Permit Application
L-l ~C1 COGS t A <:,7,4-
Property Owner (please print): 1l, P-0 6,Q /VLar9i VA Phone:
Mailing Address: (if different than property address)
Address: `-fo rD o l~ha~l L1 -t-
City, State, Zip: )JUCzM(_Ck dL C6 ~_6 0 U~ .
MEMMEM
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Mechanical City License
Company:
Exp. Date:
Use of s ace deson tion): L
onstruction Value: $
s calculated per the Building Valuation Data sheet)
Ve W J an R
eview (due at time of submittal): $
lt-~~tt~'12
Sq. Ft./L.Ftadded: Squares 2_7 BTU's Gallons Amps
OWNERICONTRACTOR 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'Nssume full
responsibility for compliance with the Wheat Ridge Building Code (I.S.C) and all other applicable Wheat Ridge Ordinances, for work
under this penult Plans subject to field Inspection.
L CIRLCE ONE:: ~(~NER~ (CONTRACTOR or PERSONAL REPRE T ~I c ( 1 R n(iC0 ATOR)
PRINT NAME:/lam' h~IFJ,-),JNATURE: It It p J
Date: 1 ~ KJ
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: 4(1)1) /lY7V, S)7Z:>~
~/ .P~.,t(!::Y~fiL ~dA/
/.,. ~~.A/ fJ / /~/? (!!jj) A'/! //A//r
/'. ;>, si~ ~:: / N /' A <!J PAY P L.-.d"J
. e LLJo?77o,'.6)
t.L#~ Si"?(".cK'?z.........,. . :/
~ '> .#/ ;;;,;/'~ ~.?/V........=77.iR No?"" hO'-"'-'L Y
/N~HL':7'> /,v7d .fZ ~ .k'tJ C!1 ,/, ..8ar C!J
~"- S/'.A:ce .
f'> ...&.,p/A/'..6 ~N6 /f/M(!9 ~C'r:
~~.A't<.d . ~A'r"'" //A/k"/::'Z) .k'd.
,
When corrections have been made, call for re-inspection at
303-234-5933.
Date: //--2/-cJ~
DO NOT REMOVE THIS
City of Wheat Ridge
Residential Electric PERMIT - 061065
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
061065
4050 CODY ST
repl. furnace,
add a/c,
ISSUED:
EXPIRES:
service change
11/07/2006
***
CONTACTS ***
303/422-6606
303/892-0027
303/422-2962
Jeffrey J. Metzler
Denise Martin
01-8083 Sanders & Johnson
01-8121 The Electri-Serve Corp.
gc
sub
owner
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE: UA
BLOCK/LOT#: 0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
181.10
.00
120.42
301.52 A__'* \.".
.00 -~...
l.fOI.~r
6,690.00
** FEE SUMMARY **
Comments:
Electrical must meet 2002 NEC
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
measurement hewn, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
applicatio d th I assume full responsibility for compliance with the Wheat Ridge Building Code (l.B.C) and all other
applic I a Ridg Ord' ances, for work under this per 't. Plans subject to field inspection.
II oc.
ate
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the
building authorized is suspended or abandoned for a period of 180 days.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval 0 , any violation 0 he provisions of the building codes or any other ordinance, law, rule or regulation.
All plan is s 'ec inspections.
Signat
date
INSPECTION REQUEST LINE:
REQUESTS MUST BE MADE BY
(303) 234-5933 BUILDING OFFICE: (303) 235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CIN of Wheat Ridae PRESCRIPTIVE ENERGY CODE
BOILERS I FURNACES A MINIMUM OF to% AFUE
GAl WATER HEATERS A MINIMUM OF ...ENERGY F~OIl
ELECTRIC WATER HEATERS A MINIMUM OF .93 ENERGY F
SETBACK THERIIOITATREQUtRED (EXCEP=:EATl
R2' \ t..L!5 . R-3ICP- · Jt-1'
UEPARTMENT OF PLANNING ANUUEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner:
Property Address:
Contractor license No. :
Company:
~~
t/tJ50 ~~ 5r
/ i'{)8' 3
~@~?-S f ~1ft</5,", he
Phone:
Yj;'J -2~~Z
Phone:
Yl,.Z-6Mt,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pe""11 application aro BccUrate.
and do nol violate applicable ordinances. rules or regulallons of the City of Wheat Ridge or
covenants, easements or restrictions of record: that all measurements shown. and allegations
made afe accurate: thai I have read Bnd 89.ree to abide by all condlllons printed on this
application. and thai I assume full responslblllt for com llanc8 with the Wheat Ridge Building
Code (U.8.C.) and all other sppllcable Whe Idg . work under this permit.
(QWNER)(CONTRACTOR) SIGNED DATE~
Description: ~ 9o/Z'O ere< / dclJ M
BUILDING DEPARTMENT USE ONLY
Construction Value:
Permit Fee:
Use Tax:
lRC:,qo .
3nn-. A/c....
Total:
~
~~
/tIC. ~.
~l/l1IH!t!"JIJlllr lll!. t
Approval:
Zoning:
fI'lll(lJDDw..l!WIMJlOO.I
Approval:
~Jlllllr~W!;lllilJlO~tmlitlIlI~:!
Approv::l1 .
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
-1 PlAns R~qultild.;-
Expiration Date:
Approval:
],I PllIna Rilqulred ,.1
Expiration Dale:
Approval:
:l f P'~n8 IlDql!.!rffd,,\,,c)
('I
ISI
161
fhiS permit wn '"ued in accordance wllh the provlsio", sel lorth In yopur IlIpplicallon lIod iil; ltubjp.cl 10 lhelaw! ollhe Slale 01 Colorado and 101M loning
Requlahon, and Buildinq Corle of lNhf'nl HtdQe. Colorado or any olller applicable ordinances of the City.
Thi! p"!'lm1t shall expire II fA) the work lIulhorlzed II nol commenced Within sixty t601 diY- from Inu. dale or (Blthe building 8lithorized IS !lUspended or
abanf'joned IOf a pertOd of 120 days.
IIthi, permll elfplfes. . new permit may be acquired for a fee of one-hAlf Ihe amount normally required, provided no chonqe, have bt"f!" or will be made in Ihe
oriqin81 plan!llJnd speCJficalion!l and any SU!lpenslon or abandonment hat not elCceeded one ~ t) Vellr. II eh8nqet .,e made or II suspension or abandonment
ellceed, one (1' ye.lf. full fen ,hall be paid for e n'!w permit.
No wOlk 01 any manner ~hal1 be done Ihal will change the Mlural now 01 waler causing II dralnaqe problem.
Contractor shall nolrty the Building Inspector twenty-four (24' hours In advance for alllnspeCllons end shall receIve wrmen approval on inspec1ion card belore
pfoce~d'ing WIth successive phases of Ihe lob.
The issuance of a permit or thl! approval of drawing! lInd !pecificallon! !hall not be construed 10 be I permit lor. nor an approval of. any vrolalion of 'he prOViSIons
of (he budding codes or any other ordinance. law. rule or regulation.
"'
121
(3)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CfHEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION