HomeMy WebLinkAbout4281 Jellison Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time 1-1 t ` AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
i
Date: Inspector:
DO NOT REMOVE THIS NOTICE
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:. VA
Job Address:
Permit Number:
jy9/
if F
1-4 No one available for inspection: Time A'M/P,4;
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
i 2 11 !'I) inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Siding Replacement PERMIT - 201803133
PERMIT NO: 201803133 ISSUED: 12/03/2018
JOB ADDRESS: 4281 Jellison St EXPIRES: 12/03/2019
JOB DESCRIPTION: Installation of vinyl siding, James Hardie, with 11 squares.
*** CONTACTS ***
OWNER (303)817-2890 RAMSEY STEPHANIE
SUB (303)934-4508 Jason Lewis 090396 Lifetime Windows & Siding
*** PARCEL INFO ***
ZONE CODE: / USE: /
SUBDIVISION CODE: / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 17,000.00
FEES
Total Valuation 0.00
Use Tax 357.00
Permit Fee 315.25
** TOTAL ** 672.25
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 properly 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 leggally 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 OWNER 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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
6. The issuanc granting of rmit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable o or y ord ce 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.
Lagenia Reimer
From: no-reply@ci.wheatridge.co.us
Sent: Monday, December 3, 2018 3:21 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Siding Repair/Replacement Permit Application
Categories: Gina
Residential Siding Repair/Replacement Permit Application
This application is exclusively for RESIDENTIAL SIDING REPAIR OR
REPLACEMENT.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
residential siding repair or
replacement?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Copy of Credit
Card Authorization Form
4281 Jellison St, Wheat Ridge Co 80033
Stephanie Ramsey
303-817-2890
Field not completed.
CC Auth form for Ramsey.pdf
CONTRACTOR INFORMATION
Contractor Business Lifetime Windows and Siding
Name
Contractor's License 90396 ,f
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-934-4508
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address rebecca@lifetimewindowscolorado.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of material is
being removed?
What type of material is
being installed?
rebecca@lifetimewindowscolorado.com
vinyl siding /
James Hardie 11/
How many squares of 11
siding is being installed?
Project Value (contract 17000 /
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 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.
2
QW
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Rebecca MacMillan
Permit
Email not displaying correctly? View it in your browser.
CITY,9F WHEAT RIDGE c
Building Inspectiont Division . ,.
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: q2 '?I
Permit Number: *2 0 17 00 2UE
❑ No one available for inspection: Time ?%:r A M1 -
Re -Inspection required: Yes �No"_
�_
When corrections have been made, call for reinspection at 303-234-5933
Date: , 1 lu • l Inspector: T Zm
DO NOT REMOVE THIS NOTICE
City of
Wheat id ie
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permitsgci.wheatridge.co.us or fax to 303-237-8929.
Party requesting permit extension:
cxjea) oic S
Permit # /_0170074J Property Address:
Phone #7Z— -0. Email Address: T ZZ ��/'J X Tn-!la 12
Aa.
Reason for extension request:
Number of days requested: 3
Printed Name: Z S Signature: _ Date: 9M.
For office use only
This request has bee ❑ Ap oved ❑ Denied Extended until:
__q]ff0_W___
Approved by: Date: .!b 6 ( x
www.ci.wheatridge.co.us
i CITY OF WHEAT RIDGE
Building Inspectiorf Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: -j -e
Permit Number: /0
❑ No one available for inspection: Time P .,0 0 M
Re -Inspection required: YesNo=
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 <<� Inspector: S -
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
-{y Resid. Windows/Doors PERMIT - 201800810
PERMIT NO: 201800810 ISSUED: 03/23/2018
JOB ADDRESS: 4281 Jellison ST EXPIRES: 03/23/2019
JOB DESCRIPTION: Replacing 2 windows; like for like; u -value = .30
*** CONTACTS ***
OWNER (303)660-3845 STEPHANIE RAMSEY
SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,368.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 91.73
** TOTAL ** 141.73
*** 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 accompanying approved plans and specificationsz
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 ropertyand am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. 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 and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER 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 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 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 issua granting of ermit shall not be construed to be a permit for or an approval of, any violation of any provision of any
applIcabl c e or my crd ce 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 (A
at
�'- jq( �Cn, � A W I
Com&wm-i-t, IDLVELOIWENT
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
F:F:OR OFFICE USE ONLY
OFFICE
Date, �3
planlpeffnit ft
Plan Review Fee.
— Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. —
Property Address: 4281 Jellison St
Property Owner (please print): Stephanie Ramsey Phone: 303-660-3845
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
ArchitecVEngineer E-mail:
Contractor: Matthew Seiler
Contractors City License #: CL3-130206
Contractor E-mail Address: rnseiler@renewalcolorado.corn
Sub Contractors:
Electrical:
W.R. City License
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Pho
Phone: 303-945 1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Descriiiption 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. Ft.ILF
Amps
Replacing 2 windows like for like. 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 4368
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 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.
CIRCLE ONE: (OWNER) (CONTRACTOR)
PRINT NAME: Matthew Seiler
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS -
Reviewer.
PUBLIC WORKS COMMENTS_
Reviewer:
Er (AUTHORIZED REPRESENTATIVE) of (OWNER)
_ SIGNATURE. . Y--7 DATE
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
(CONTRACTOR)
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
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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: 4 D " ] _ F R �F
Job Address: y Z- 31 J z I 1 ��, Au
Permit Number: a 0 l_�_ O O 6-
Zo l c � _� C \- -t�,r, e— U� l
❑ No one available for inspection: Timex : (-1 � PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:31 7_7_1 ( -5 Inspector: 1c.�
DO NOT REMOVE THIS NOTICE
PERMITt�L)/2L�DDRESS: ��OB CODE: �/ V
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
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
-3-1- J
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.
INSPECTION RECORD
Inspection online form: http://www.ci.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 jan in ection t f Ilowing business day
PERMIT 'Zg,DDRESS: JOB CODE: ,
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
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
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
e CITY OF WHEAT RIDGE
Building Insp6ctionrDivision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
P
Job Address: CI�-
Permit Number: -r-) n f -7 Og-7 Q�
❑ No one available for inspection: Time _ a = I-) / AMI
Redrispection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: --3 1)1 /15� Inspector: —�
DO NOT REMOVE THIS NOTICE
,, ► A 4 City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201709722
_1�9�
PERMIT NO: 201709722 ISSUED: 12/29/2017
JOB ADDRESS: 4281 Jellison ST EXPIRES: 12/29/2018
JOB DESCRIPTION: Residential window permit for 5 windows, (2 master bed , 2bedroom, and 1
living room). U -factor will be .30 or better. Like for like.
*** CONTACTS ***
OWNER (303)660-3845 STEPHANIE RAMSEY
SUB (303)945-1519 Matthew Seiler
130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,870.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 249.27
** TOTAL ** 299.27
*** 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 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 toobtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorizedoinclude alperformed and thatallwork to b� performed isdisclosd in this document and/or its' accompanying approved plans and specifications.
/Z
_,n / 7
Signature OWNER or CONTRACTOR (Circle one) Date
1. This Kermit was issued based on the information provided in thepermit application and accompanying Flaps 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 Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable codee_Q_r,aany ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %.x Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
W heat j ,dgc
IT
COMMUNY DL-VELOI'MENT
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
FOR OFFICE USE ON Y
Date:
//7
Plan/Permit #
4
7 61 cl �1/7z
Plan Review Fe
G L /r
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 4281 Jellison St
Property Owner (please print): Stephanie Ramsey Phone: 303-660-3845
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 #
Phone:
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.)
Replacing winsows; 2 master bed, 2 bedroom, and 1 living room. U factor will be .30 or better.
Like for like
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
e 11.870
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 1 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 I am the legal owner
or have been authorized by the legal owner of the property to perforin 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
eviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer
SIGNATURE: In _ if s' -DATE:
PROOF OF SUBMISSION FORMS
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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City of Wheat Ridge
Residential Roofing PERMIT - 201700765
PERMIT NO: 201700765 ISSUED: 05/22/2017
JOB ADDRESS: 4281 Jellison ST EXPIRES: 05/22/2018
JOB DESCRIPTION: Reroof; complete tear off of all layers; replace with Tamko Heritage
asphalt shingles - 22 squares
*** CONTACTS ***
OWNER (617)620-2517 WATSON EMILY
SUB (303)552-4467 John Hess
150142 Urban Exteriors, LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,654.00
FEES
Total Valuation 0.00
Use Tax 101.77 �j�j�' `�
Permit Fee 140.90 `SII l _C--
** TOTAL ** 242.67
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms 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.
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
City of Wheat Ridge
Residential Roofing PERMIT - 201700765
PERMIT NO: 201700765 ISSUED: 05/22/2017
JOB ADDRESS: 4281 Jellison ST EXPIRES: 05/22/2018
JOB DESCRIPTION: Reroof; complete tear off of all layers; replace with Tamko Heritage
asphalt shingles - 22 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
apphcabble building codes, and all applicable municipal codes, po]icies 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 le ally authorized to include all entities named within this document as pames to the work to be
performed and that all work to be performed is disclosed in this
document and/or its' accompanying approved plans and specifications.
Signature of OWNER or 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 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 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.
5. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
o
1`ii
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PN! 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 ill
W heat IisILY(--
li
i.ommuNiiY iV 1-011Mkisii 4z__
Building & Inspection Services Division
7500 W. 29"' Ave„ Wheat Ridge, CO 80033
Office303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email;perrrr ts' i fir'}eat-;dc�e co us
FOR OF'F'ICE USE ONLY
DOM:
PIan/Petmll J �U �l
Plan Rovlaw Fop:
Building Permit Application
"' Please complete all highlighted areas on both sides of this tarn. Incomplete appliesarts may not be processed. '—
Property Address: Va$ 5
Property Owner (please prino"lpc,,-%A!LI-A :�:5r 4 4Phone: 30-3
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State. Zip:
Ar c h it ectlE n to i n ee r:
Architect/Engineer E-mail: Phone:—
Contractor:
Contractors City License ; 50 i,4Z Phone: ?(' 3. 55Z 444.;-2
Contractor E-mail Address: C Com-,
Sub Contractors:
Electrical
W R City License #
Other City Licensed Sub:
City License #
Piumbing.
W R City License #
Other City licensed Sub.
City License #
Mechanical.
W R City License #
Complete all inrormation on 130TIl sides or this Form
❑ COMMERCIAL RESIDENTIAL
Dowlption of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITIONRESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage. shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed. deck. etc)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(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. F(AF
Amps
1,71 --- z5ge '1 42g --V- "S slurs
Gallons
Other
Project Value: (Contract value or the cost of R!Lmaterials and labor included in the (:ntlre project)
s .4,Z5o
OWNERWONTRU-1 OR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hcrch) ccnifi that the setback distances proposed h} this permit application are accurate and do not s iulate applicable ordmanom rules or
repulations of the ('it% of Rheas Ridge or c ovcntmts. caiv mcnts or restrictions of record: that all measurements shoat[ and allegations [Wade are
accurate. that I have read rued agree to abide by all conditions printed on this application and that I assume hill responsibihty for compliance
uith applicable CitF of R`heat Ridge codec and ordinances fhr vmrk undrt any permit issued based on this application. that I ani die legal uaner
or have been authorized by the legal o%%nef of the property to perform the described ieork and am also autlxuitcd by the legal owner of any
entity included on this application to list that entity on this application. 1, die applicant fui this building permit application, %arrant the
truthfulness of the information pro% t the application
C'IRCLF ONE: (Ori'.1`FR)((' TRACT Rf or (A(TII(IRIZFD RFPRF.SF�TATIYF) of ((ri{NFR) (f ONTRAMR)
h le- timiic 5inagM hind and Ent DATE: t
ZONING COMIAW TS:
Reviewer
WILDING DEPARTMENT COMMENTS
Revmww
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION
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: M 1 J
Job Address: 1-17-z?( 7j'e% _ ►s o kn 5'
Permit Number: 2 0 1 '7 v a 7 6 S
❑ No one available for inspection: Time 3'(Z AMM
Re -Inspection required: Yes I&o
*When corrections have been made, call for re -inspection at 303-234-5933
Date: -5/7-611? Inspector:
DO NOT REMOVE THIS NOTICE
08/12/2009 WED 14:17 FAX 303 237 8929 303 Best Wav . -- northwest roofing 0003/006
City of Wheat Ridge
Faxed Roof Permit PERMIT - 091254
:PERMIT NO: 091254 � �ISSUED: 08/12/2009 � r
'JOB ADDRESS: 4281 JELLISON ST EXPIRES: 02/08/2010 .. .
DESCRIPTION: Reroof 22 :s4s with.. 30 yr - :_GAP/ELK shingles,
** CONTACTS
owner 303/421 -6193 Bobbie Nelson.
sub 303/804 -0303 Tom Brown 07 -0055 North West Roofing..
:.* PARCEL INFO ** ,. ....:.. .. ...
ZONE CODE: UA - - - -USE: UA .
SUBDIVISION: UA - - BLOCK /LOT #: 0/
n n
* *FEE SUMMARY * *_' - - ESTIMATED PROJECT VALUATION: .8,579.62
FEES
'.Permit Fee 217.50 d
_. =
v Total Valuation 00 Use Tax 154.43 .., -
*:t TOTAL * *. .371.93 - -
3onditions: - - -
aoth front and back of permit need to be posted on job site. If one or the other
Ls not present, INSPECTION WILL NOT BE PERFORMED.
5 nail installation & mid -roof inspection required. Board sheathing spaced more - - -
=ban a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
cater shield required. from eave edge to 2'. inside exterior walls. ..
>ubject 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, 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 (I.B.c) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection, -
�ignazure or contractor /owner date
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. .
This permit shall expire 180 days from the issue date. Requests for an extension must -be received prior to expiration -
date. An extension may he granted at the discretion of the Building Official.
If this permit. expires, a new permit may be acquired for a fee of one - half - .the amount noimally.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. - -
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 oball receive
written approval on inspection card before proceeding 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. ;
.. ..
All plan revi ew 's - act to field inspections. - -- -
Lgnatute,of a 41ding .Official - 'date
NSPECTIO 3 EQUEST.. LINE:. :(303)234 -5933 " OFFICE:. (3 03) 235 2855 -
EQUESTS.�MUST BE.MADE BY- 3PM.ANY 'BUSINESS DAY FOR.INSPECTION - TBE FOLLOWING BUSINESS DAY.
♦ i CITY OF WHEAT RIDGE
r Building Inspection Division
1 (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: H I D f &PO r=
Job Address: 1 ,; 6 -7 5 L L7 5 0V `i T
Permit Number: 02 ) ��aa
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When corrections have been made, call for ref nspection at 303- 234 -5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
fj Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
iul~t n ✓ ~,g~c.>r
Job Address: X2,9) r e Cn e l ,~a~
Permit Number: OgI2,5!{
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, calf forre-inspection at 303-234-5933
Date: C7 S'-/~9 Inspector: RV//
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: (59 ) :1S
❑ No one available for in ction: Time AM /PM
Re- Inspection require� No
When corrections have been made, call f?r r -Inspection at 303- 234 -5933
Date: Inspecton .,h �i
DO NOT REMOVE THIS NOTICE
North West
Roofing
A Ounwrnamcalnau 1869
9/3/09
Melissa,
This is to authorize the city of Wheat Ridge to charge
$61.00 each to our credit card on file for the following 2
mid roof inspections for 8/28/09:
Permit # Address
091254 4281 Jellison St.
Wheat Ridge, Co 80033
091413 4020 Newman St.
Wheat Ridge, Co 80033
Please feel free to contact me with any questions.
TNorth West Roofing
303-668-7834
2120 South Birch Street, Ste: 200 a Denver, CO 80222
303.8040303 • 303-757-5097 - Fax
l/l 0000000000 5u'JOOJ ;samy;uou WV. L0:80 £0-.daS-5002
City of `Wheat Ridge
.rte
/ Faxed Roof Permit PERMIT; - 091254
PERMIT NO: `091254 ISSUED: -08./12/2009
JOB ADDRESS: 4281. JELLISON ST `EXPIRES: `02/08/2010
DESCRIPTION: Reroof 22 sgs'with 30. yr :GAF/ELK shingles
CONTACTS.
owner 303/421-6193 'Bobbie Nelson
sub 303/804-0303 Tom Brown `07-.0055 North West -Roofing.:
**PARCEL INFO
ZONE CODE: UA -:USE: UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT. VALUATION: 8,579.62
FEES.
Permit Fee 217.50 ' ,21
55)
Total Valuation .00 (~y~C y
g
Use Tax 154.43 tl
TOTAL
371.93
Conditions:
Both front and back of permit .need to be posted on job site. If one or the other
is not. present, INSPECTION WILL NOT BE PERFORMED.
6 nail installation mid-roof inspection required. Board. sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield. required from eave edge to 2': inside exterior walls:..
Subject to field inspections.
I hereby certify that the lsetback 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 Ihave 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 (I.B.C). and all other '
applicable Wheat Ridge. Ordinances, for Work. under this permit. Plans subject to field inspection.
Signature of contractor/owner ' date
1. This permit was issued in accordance with the, provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning. Regulations and Building Codes of Wheat Ridge, Colorado. or any other applicable
ordinances of the City. -
2. This permit shall expire 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) pear;'-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 ref iew 's ject to field inspections.
Signature of C Ei ldmg Official date
INSPECTION =REQUEST.: LINE: `(303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM.ANY'. BUSINESS DAY :FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOUNDATION INSPECTIONS
DATE <
INSPECTOR
INITIALS
COMMENTS;
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof /French Drain
Sewer Service Lines
Water Service Lines
YOUR NO UONCRETE UNTIL ABOVE HAS HEEN JIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
`~DO NOT-POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
s~
Sheathing
Lath / Wall tie -
Roof
Electrical Service
Rough Electnc
Rough Plumbing
Gas Piping
;'-Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PKICATO
w
77-
`
Framing
Insulation
' Drywall Screw
k" FINALS
'F Electrical
Plumbing
Mechanical a
Roof
Building Final
k
it. Fire Department -
' R.O.W & Drainage `INsPEc r
Y.
Parking, & Landscaping awouL CA
"'"NOTE: / LUTEMS i4fUST'$E OMPLETED AND APPROVED QY PLANNING ACID `i"Pe;
'CERl1F/C-ATE OF OCCUPANCY iS /SSVED. =FINAL INSPECTION 8Y-- THE BUICi?lN : i -
3 z
OFACERTIFICATEOFOECUPANCX NO
PEtZ flSI
OCCUPANCY NOT PERMITTED UNTIL-CERTIFICHI Cyr .wt UrAl, . L,
PROTECT THIS CARD'.FROM T.HE WEATHER
y of
Date: Og' i'N JUvi
Permit owgC
'500 W. 29`rlAve., Wheat Ridge, U1J tsvuo.
Office: 303-235-2855 ` Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Rrs°u~"'t..aassa '-1281 Jelllson_ sl
Property Owner (please print): (~Dob(012 N e151°
Mailing Address: (if different than property address)
Address:
Citv. State, Zip:
Ca 8 On
- f [q3
s to : ~cfa TN v\/C-s-r ROO FIN!~
Contractor License # Phone: 303 rd04 03 03
6~bfi r c
dompanv ame` License Expiration Date: Trade/Profession: Approval:
Use of space description): r'e ` roo r- ~57~1 . (02
PAM- TQQ Of*- a (l 1 avers, Plan Review (due at time of subrnltta0: 5
reply-ce- w14-k) 6 v1 e I GI~IZr dA ~/e/lam 3 y,~
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
underthis permit. Plans subject to field inspection.
ClRLCEONE:: ~,(/OWNNER) (CONTRACTOR) or PERSONALREF
PRINT NAME: LajW le jd F~CfdSIGNATURE:
Bldg Valuation:
Date: O-7
Credit Card Pment: Use credit card listed on file
Print name: 0/VA g 120W N Signature:
9/£ 600e-7 1-90 09:e7:90 NIdOON 1S3MH1LION e
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number:
Date:
14554
9/27/02
Property Owner: BOBBIE NELSON
Property Address: 4281 4J ELLISON ST
Contractor License No. : 20120
Company: American Exteriors Inc.
Phone: 421-5193
Phone: 794-6369
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee:
Plan Review 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Total:
$10,300.00
$195.25
$0.00
$123.60
$318.85
DATE
(OWNER)(CONTRACTOR) SIGNED
Use:
Description:
INSTALL VINYL SIDING & FASCia
If~~~il)
BUILDING DEPARTMENT USE ONLY
-.--
Approval:
Zoning:
SIC:
Sq. Ft.:
IlllIIIIIIIiiIID
Approval: BG
1IIIIIIIII1IIII11
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
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 ordinances 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 period 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
proc 'iin~With s essive phases of the job.
T iss an rmit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
vis' ns iI ' yother ordinance, law, rule or regulation.
,
(1)
(2)
(3)
Chief Building Inspector
I)EPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
A "EaJcALlo ^I
60 bbie A4/sorl
'!.;L 'if' J J~ )kso V7
;;?Ol ~o
Company. IlVVle-rrc.C<.Y1 Exlen't')("'5 Jr/t' ,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Building Permit Number:
Date:
Property Owner.
Property Address:
Contractor License No. .
Phone "30::1 L/;:;? 1- SIC? 3
Phone. 30:]- '191-
Construction Value:
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 agre.e to abide by all conditions printed on this
applicatIon, and that I assume full responsibility fa compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ri e ordina es, for work under th~e7'/ I
(OWNER)(CONTRACTOR) SIGNED ATE~
Permit Fee:
Use Tax.
10,300.00
/ q,); ;;. S
ri1,5O
3~9. 5"
Total.
Use:
Description xl15fadJtP--H of V,''^jl '5,'j,li/l.g e rasclt:{
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Approval:
Zoning:
"--_.. .'
..--.,\
>\
Approval.
. .. I Lu02 II
~t.\' 1 ):i
.._...()w--'.>
Approval:
Occupancy.
Walls.
Roof:
Stories.
Residential Units:
Electrical License No :
Company.
Plumbing License No .
Company:
Mechanical License No .
Company:
Expiration Date.
Approval.
Expiration Date.
Approval:
Expiration Date.
Approval.
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheal Ridge, Colorado or any other applicable ordinances of, the City.
This permIt shall expire if (A) the work authorized is not commenced within sixty (60) days from Issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of ene-half the amount normally required. provided no changes have been or will be made in the
original plans and specifications and any suspension or aba.ndonment 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