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HomeMy WebLinkAbout4250 Hoyt Court1* ► � i City of Wheat Ridge '/� Homeowner Exterior Remodel PERMIT - 201800730 PERMIT NO: 201800730 ISSUED: 03/15/2018 JOB ADDRESS: 4250 Hoyt Ct EXPIRES: 09/13/2021 JOB DESCRIPTION: Remove old vinyl siding and install foil backed polylsocyanurate insulation board. Install skyline pre- finished steel siding. 16 squares *** CONTACTS *** OWNER (303)329-3354 HEATER SQUIRREL & WAXY S EXTRA *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KI PL ING , 1-70 & CLEARCREEK ARE BLOCK/ LOT# : 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31122.00 FEES Total Valuation 0.00 Use Tax 65.56 Permit Fee 109.20 Extend Expired Permi 54.60 ** TOTAL ** 229.36 *** 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 o f the structure. I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications, applicae building codes, and all applicable municpal 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�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 requ�ired 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, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 03/15/2018 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ♦6 A♦ City Of 19cor eat dge COMMUNITY DEVELOPMENT CityofWheat Ridge Municipal Building 7500W.29"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 permits([bci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension:Martin and Heather Walaszek Homeowner Permit Permit #201800730 Property Address:4250 Hoyt Ct. Wheat Ridge, CO 80033 Phone #303 919 1650 Email Address: martin.k.walaszek(cilgmail.com Reason for extension request Last year we worked through the end of October before winter weather slowed us down. We have been focusing on my regular work and being their for our sons with remote school work demands and outdoor activities on weekends to keep their spirits up. We expect to work all good weather weekends going forward and plan to be finalized with this home siding project by end of 2021 if all goes well. Number of days requested: We will need every weekend, including some weekends off as I work a full time job on top of this. Ideally through end of summer. (�22e2��a Printed Name: Martin K. Walaszek Signature: Date 3-15-2021 or ounce use unity Extended for 180 Days. Permit extension fee required equal to 1/2 original pennit fee. Last Extension This request has been: Xpproved Denied Extended until: 9/13/2021 Approved by: 7I� D /-+L Daze: 3/16/2021 www.d.whca dgexo.us i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: F t4/ Job Address:'-..cr7},r Permit Number:.Q%' ; ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online, Date: / - f'- 2-0spector: SI DO NOT REMOVE THIS NOTICE . 2 1 City of Wheat Ridge Resid. Windows/Doors PERMIT - 201800737 PERMIT NO: 201800737 ISSUED: 03/15/2018 JOB ADDRESS: 4250 Hoyt Ct EXPIRES: 03/14/2021 JOB DESCRIPTION: Replacing 10 windows like for like; u -factor .28 *** CONTACTS *** OWNER (303)329-3354 HEATER SQUIRREL & WAXY S EXTRA SUB (720)291-3931 Jeff Rivers 150087 3 RIVERS CONSTRUCTION, 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: 4,692.17 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 98.54 Extend Expired Permi 25.00 ** TOTAL ** 173.54 *** 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 in 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�permrt. 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 OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the pernlit 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 w receed 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 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 }ssuance 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. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Homeowner Exterior Remodel PERMIT - 201800730 PERMIT NO: 201800730 ISSUED: 03/15/2018 JOB ADDRESS: 4250 Hoyt Ct EXPIRES: 03/14/2021 JOB DESCRIPTION: Remove old vinyl siding and install foil backed polylsocyanurate insulation board. Install skyline pre- finished steel siding. 16 squares *** CONTACTS *** OWNER (303)329-3354 HEATER SQUIRREL & WAXY S EXTRA *** 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: 3,122.00 FEES Total Valuation 0.00 Use Tax 65.56 Permit Fee 109.20 Extend Expired Permi 54.60 ** TOTAL ** 229.36 *** 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 n 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 ofthe property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attest that I am legally authorized to include al[ entities named within this document as parties to the work to be performed and that all work to be performed rs 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 Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code 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. City of Wheat �e 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 permits(c),ci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Martin and Heather Walaszek Permit #201800737 and 201800730 Property Address:4250 Hoyt Ct. Wheat Ridge, CO 80033 Phone #303 919 1650 Email Address: martin.k.walaszek(a-,gmail.com Reason for extension request:We are actually ready for our window inspection. I will be putting in the request this Monday. I was unable to take a sabbatical to work on the siding this summer due to covid, in order to not risk my position at work. We have however re -wrapped the house with Tyvek, gotten lots of J -Channel up, metal window casings are up, good progress. We are working on weekends while juggling young kids Number of days requested: We will continue working every weekend with good weather. We probably need another 6 month extension going into April or May of'21. Printed Name:Martin K. Walaszek Signature: NaA&;Z1 Wa&d__ Date:9-11-2020 For office use only This request has been: Approved ❑ Denied Extended until I dct� C Approved by: - Date: www.ci.wheatridge.co.us City of Wheat Ridge b Homeowner Exterior Remodel PERMIT - 201800730 PERMIT NO: 201800730 ISSUED: 03/15/2018 JOB ADDRESS: 4250 Hoyt Ct EXPIRES: 09/12/2020 JOB DESCRIPTION: Remove old vinyl siding and install foil backed polylsocyanurate insulation board. Install skyline pre- finished steel siding. 16 squares *** CONTACTS *** OWNER (303)329-3354 HEATER SQUIRREL & WAXY S EXTRA *** 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: 3,122.00 FEES Total Valuation 0.00 Use Tax 65.56 Permit Fee 109.20 Extend Expired Permi 54.60 ** TOTAL ** 229.36 *** 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. 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 permit. I further attest that I am legally authorized to include al I entities named within this document as parttes 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 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 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 granti g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any appli�e code or aniafdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chk Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. } r City of Wheat 4 COMMUNITY DEVELOPMENT' City of Wheat Ridge Municipal Building 7500 W, 29d' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Rea uest 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 permits0ki.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: NU RTlN f 14tAlrltrg VVACASZE1'� Zv ,,ll Permit # Z o 18 v 13 o Property Address: TLJ � r�o �' �A7 R t nGE, iJ 8pb33 Phone # 30 5 _y '5 -((SO Email Address: MAR -MV. 11 • WA U'152E 1T e G MA 1L . Corn Reason for extension request: ' O"CR FOR DQIN6 PLAcCD RVT Sc licovtco Y --p, nCCtVr-2ti Mb -TO L.M7E SEPT, 2.01� PIC7I/Ft4 tMNAaW HAO K4NVFWU1K'kSDGPC T�A"D MvCr �C 2C-Pc/3CC"9 AY VG&100K PRI° -15 I1VS7ttM'7I01" of c'Alw6 Number of days requested: e near ill j S� i^'tti I/V 7�>Z IS �-�+ Printed Name: R� 1 N V"LASZ<<� Signature: Date: For office use only This request has been: pprov 1 F` Denied Extended until:/ Approved by: Date: q h7 ' q ivow.cLwhentridge.co.us City of WheatR',i�dge M COMUNITY 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 pennits(aki.wheatrid ea co.us or fax to 303-237-8929. Party requesting permit extension: M A(MN "" 6tgSZCK 20 ` %0o -13-7 Permit #20 1 %00'1307 Property Address: Phone # 3)3 -911- "So ,+2 So Fio `17 c r, wl-lcn r kiDG6 , CC) W.3 Email Address: M�1�11N-t(• w^LASZCh(?G/Wt1L,Cor-) Reason for extension request: S o v 2c I NG SID ►'` G M rC-R IA4S CON STP I -E D A DEIR`r -IN TI -161K 11VAILAOIt"I TV oUK PRO�CT FUN1KR, OUR LC-A(ZrvtAGCU (1__1 AS T)JC L&/6-'IMCK WARfAS AWIING WDP1- vticE IWAIN WSS/8te WILL Number of days requested: ` Printed Name: MA )N wRi-AS'r Signature:�W*Date: Z - r zy I 2 � X10 For office use only This request has Approved __ Denied nr"xi.whentridge.co.us V\ b rl S� Extended until:- q 1151 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: 3l o - �) �c _ /%1 P r �(e %(Tse Job Address: y-dSO P o y -�- �- Permit Number: ',) ri 1 9 0 1 1 1 3 ❑ No one available for inspection: Time&9 10 AM/PM Re -Inspection required: Yes No When corrections have been ma e, ca for re -inspection at 303-234-5933 D — 1�5 Inspect DO NOT RE FVETHISNOTICE o 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 3 - E-11 a ! IF) ec _ eS Job Address: t-1'96-0 Lo LZ_� C -r+ Permit Number: a © ! $ o l 113 ❑ No one available for inspection: Time<ZIT (C) AM/PM Re -Inspection required: Yes "o When co%rr/ec�tions have been made, all or re -ins ection at 3 - _ 6 `!_Zj Inspect r. DO NOT RE VE THIS NOTICE 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 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 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 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 apermit s all not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or"iordinance or ulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Electric PERMIT - 201801113 PERMIT NO: 201801113 ISSUED: 04/19/2018 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 04/19/2019 JOB DESCRIPTION: 200 amp service change *** CONTACTS *** OWNER (303)329-3354 HEATER SQUIRREL & WAXY S EXTRA SUB (303)263-5890 Randolph V Carstens 180018 Black Hawk Electric & Lighting *** 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: 2,500.00 FEES Total Valuation 0.00 Use Tax 52.50 Permit Fee 93.35 ** TOTAL ** 145.85 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and 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 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 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 apermit s all not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or"iordinance or ulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of WheatRAe COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29t1 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(c)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: J Plan/Permit # l I 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: � � �'/ v`Y 0, Property Owner (please print): �� �� v,- ulc l S Phone: U Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Phone: Contractor: l�'��` h� L� %/�Gr v 'S ��,nj. City of Wheat Ridge License #: Phone: �7,; U - _3 33 - S5 7 4 ( Contractor E-mail Address: h / o 6 4 fir,, �" /?(�= (') � 61S4''_r_ j)°l For Plan Review Questions & Comments (please print): -�'��� CONTACT NAME (please print): ll l � C�✓('�,o ,ff Phone: :4.2o -77:y- SS % 6 I CONTACT EMAIL(please print): /e J -e/p Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Commercial Projects Only: Occupancy Type Sq. FULF Amps BTUs Squares Construction Type: Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) du-ou OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information nrovided_orLthe aunlication. CIRCLE ONE: (OWNER) (CONTRACT or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) 7 Signature (first and last name): ? DATE: �6 Printed Name: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: City of Wheat Ridge r = HO Exterior Remodel PERMIT - 201800730 PERMIT NO: 201800730 ISSUED: 03/15/2018 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 03/15/2019 JOB DESCRIPTION: Remove old vinyl siding and install foil backed polylsocyanurate insulation board. Install skyline pre- finished steel siding. 16 square feet. *** CONTACTS *** OWNER (303)329-3354 HEATER SQUIRREL & WAXY S EXTRA *** 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: 3,122.00 FEES Total Valuation 0.00 Use Tax 65.56 Permit Fee 109.20 ** TOTAL ** 174.76 *** 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. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable bpilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal bwner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. further attest that I am legally authorized to include l entities named within this document as parties to the work to be per e' d that all work to be performed is di close i th' do ment nd/or its' acc mpanying approved plans and specifications. 6 Si nature of DOWNER ,or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in theermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicab'e 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, anew permit may be required to be obtained. Issuance of a new pen -nit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. tMiiding l Date BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of �W heat R..,jgc MUWry DEVGi.oi'mrNT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(oki.wheatridge.co.us FOR OFFICE USE ONLY Date:/ / t Plan/Permit # 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: -) Ey l� �T" • �l e- C`��► , CJQ� 3 j Owner Property Owner Email:, -r- �_k ky'�n)1\tQa3, Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Phone: Contractor: Contractors City License M Phone: Contractor E-mail Address: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ 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 i [3OTHER (Describe) Re. 12 lw'c :,4r s')tibI a , t1belly i!A'a 11/1 -5'L414 -i c':' 1� (For ALL projects, please provide" a detailed description of work`t a perforn , 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.) �G t/t :c4 lb ol y .TUe- U61Llr��L' Msu[�ri��pt , -0'-'iel(( S �1I Ie— -PrJJV, 15A4e,-/ -Ae-e Sq. Ft./LF Amps t( Btu's -S: id; ntc Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3)22 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 perforni the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: OWNER (CO , RACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Sienature (first and last name): DATE: y , DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: _ Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of OPI Wheat jdq e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s):e \JQ M! (k -s' . Proj t Property: j Not�rized signature of Applicant JESSE K TAYLOR State of ColoradoNOTARYPuBLIC } $TATE of COLORADO Co u my of 1 C f &0\ } s sNOTARY ID 20154036246 MY COMMISSION EXPIRES SEPTEMBER 17, 2019 The foregoing instrument was acknowledged by me this 1 � day of M�&� , 20 �� by �Ack0\� , LA ,VJC" � Ct�7_r 1! My Commission Expires t / 17 /20� c7 o r Ny Public 8 �)E3-S City of Wheat Ridge Resid. Windows/Doors PERMIT - 201800737 PERMIT NO: 201800737 ISSUED: 03/15/2018 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 03/15/2019 JOB DESCRIPTION: Replacing 10 windows like for like; u -factor .28 *** CONTACTS *** OWNER (303)329-3354 HEATER SQUIRREL & WAXY S EXTRA SUB (720)291-3931 Jeff Rivers 150087 3 Rivers Construction, 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: 4,692.17 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 98.54 ** TOTAL ** 148.54 *** 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 own of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with this,permit. I er attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed that all r o be ed is disclosed in this document and/or its' accompanying approved plans and specifications. Si R or CONTRACTOR (Circle one) Date 1. T is 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of ape it 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 regulation of this jurisdiction. Approval of work is subject to field inspection. 2_i. Signature of Chief Buildin fficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of V`/heat �g@ COMMUN[TY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 3/ I L 1 l/ Plan/Permit # a019003� 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: 9 �_ S� 1/4 � C _/_W 4 -PS Property Owner (please print):i A -e_ -- � � %g r z� k Phone: FPO— aIle Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Arch itectlEngineer E-mail: Phone: Contractor: 3 �i'u-ers �c�s r�lc�,o� Zec Contractors City License #: 1 BGG �f' - Phone: 2 20-�Dg/ - '3 i 3l Contractor E-mail Address:_�iw'ti For Plan Review Questions & Comments (please print): CONTACT NAME (please print): �K4 f-}- �i tx�f Phone: CONTACT EMAIL(p/ease print): j� Is rC',� e/ Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑� IESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION [I 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.) 040-e /to t,u ,/lpG c.� S ,rk, 1� r � �`��� s h�� et fRf7t : {-rd U --fag IV r -s q ho/ i-e—R f Fe q --e 4� c � Eg r -ass ► v� b��r�� Sq. FL/LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost 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, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNERy(C0NTRACT9ft) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): 1494�, & (n, DATE: J DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ JORDAN'S BUILDING CENTER 11 T �^ x 5000 WARD RD. Mi '1 WHEATRIDGE, CO 80033 WINDOW �L1T +�liliift" 303-421-1484 Order Name: HEATHER WALASZEK Order Number: SOPDSP000091 Customer: JORDAN'S BUILDING CENTER Created Date: 2/1/2018 Payment Terms: Modified Date: 2/1/2018 Sales Representative: Lee Drennen Mobile: 303-359-2400 PO Number: Idrennen@jordanslumber.com Total Units: 3 Total Scl Ft: 78.00 Comments: Est. Delivery: Billing Information Shipping Information Name: JORDAN'S BUILDING CENTER Name: Address: 5000 WARD RD. Address: WHEATRIDGE , CO 80033 Phone: 303-421-1484 Phone: Fax: 303-421-1823 Fax: Email: Idrennen@jordanslumber.com Email: Line: 1 Location: LOWER LEVEL BEDROOM Quantity: 1 Tuscany, 8120T, HV, No Fin (Block Frame), Ext White /Int White U-Factor:.28, SHGC:.21, VT: .48 Viewed From Exterior Size: Net Frame 59 3/4" x 35 3/4" Net Frame 59 3/4" X 35 3/4" Model: Half Vent Handing: Half Vent XO Glass: 1/8" SunCoatMAX (Low -E) Tempered over 1/8" Clear Tempered Other Glass: Gray Foam Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, Tested: LC40 Clear Opening: W 27 5/16" x H 32 3/4" Sq. Ft. 6.21 Egress: Yes Other Ratings: CPD: MIL -A-224-06268-00001 Customer Approval: Order Number: SOPDSP000091 Print Date: 3/15/2018 Page 1 of 3 Line: 2 Location: LOWER LEVEL BEDROOM Quantity: 1 Tuscany, 8120T, HV, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, VT: .48 Viewed From Exterior Size: Net Frame 59 3/4" x 35 3/4" Net Frame 59 3/4" X 35 3/4" Model: Half Vent Handing: Half Vent XO Glass: 1/8" SunCcatMAX (Low -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, Tested: LC40 Clear Opening: W 27 5/16" x H 32 3/4" Sq. Ft. 6.21 Egress: Yes Other Ratings: CPD: MIL -A-224-06268-00001 Line: 3 Location: FRT.LIVING ROOM Quantity: 1 Tuscany, 8220T, DSH, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, VT: .48 Viewed From Exterior Size: Net Frame 95 1/2" x 72" Net Frame 95 1/2" X 72" Dimensions: Sash Height One Half Model: Single Hung Two Wide Glass: WP 1.1 SH Unit 1.1: 1/8" SunCoatMAX (Low -E) Tempered over 1/8" Clear Tempered, WP 1.1 SH Unit 2.1: 1/8" SunCoatMAX (Low -E) over 1/8" Clear, WP 1.2 SH Unit 1.2: 1/8" SunCoatMAX (Low -E) Tempered over 1/8" Clear Tempered, WP 1.2 SH Unit 2.2: 1/8" SunCoatMAX (Law -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon Hardware: Window Opening Control, SmartTouch Lock Other Options: Glass Breakage Warranty Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, No Ratings Clear Opening: W 44 1/2" x H 311/2" Sq. Ft. 9.73 Egress: Yes Other Ratings: CPD: MIL -A-225-06322-00001 Customer Approval: Customer Approval: Order Number: SOPDSP000091 Print Date: 3/15/2018 Page 2 of 3 I E T E T I Viewed From Exterior Size: Net Frame 95 1/2" x 72" Net Frame 95 1/2" X 72" Dimensions: Sash Height One Half Model: Single Hung Two Wide Glass: WP 1.1 SH Unit 1.1: 1/8" SunCoatMAX (Low -E) Tempered over 1/8" Clear Tempered, WP 1.1 SH Unit 2.1: 1/8" SunCoatMAX (Low -E) over 1/8" Clear, WP 1.2 SH Unit 1.2: 1/8" SunCoatMAX (Low -E) Tempered over 1/8" Clear Tempered, WP 1.2 SH Unit 2.2: 1/8" SunCoatMAX (Law -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon Hardware: Window Opening Control, SmartTouch Lock Other Options: Glass Breakage Warranty Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, No Ratings Clear Opening: W 44 1/2" x H 311/2" Sq. Ft. 9.73 Egress: Yes Other Ratings: CPD: MIL -A-225-06322-00001 Customer Approval: Customer Approval: Order Number: SOPDSP000091 Print Date: 3/15/2018 Page 2 of 3 cis �tll Ci1i1� �.t;I�iCt�C Submitted By: Accepted By: Date: JORDAN'S BUILDING CENTER 5000 WARD RD. WHEATRIDGE, CO 80033 303-421-1484 ---------------------------------- For warranty information please visit www.milgard.com/warrant Grand Total (USD): -(i" *i99-4441SA4110- Please note that actual NFRC energy values may vary from those reported in CTB Quote Plus due to variations that may occur during the manufacturing process. In most cases variations will be minimal. Please contact your Milgard location with questions or concerns regarding this potential variation. Handing is viewed from outside looking in. ADDITIONAL INFORMATION: Order Number: SOPDSP000091 Print Date: 3/15/2018 Page 3 of 3 Order Number: SOPDSP000092 Print Date: 3/15/2018 Page 1 of 5 IF— JORDAN'S BUILDING CENTER I 5000 WARD RD. w 0 �rdan s WHEATRIDGE, CO 80033 L) JJ t 111 ? Center 303-421-1484 Order Name: HEATHER WALASZEK Order Number: SOPDSP000092 Customer: JORDAN'S BUILDING CENTER Created Date: 2/1/2018 Payment Terms: Modified Date: 2/1/2018 Sales Representative: Lee Drennen Mobile: 303-359-2400 PO Number: Idrennen@jordanslumber.com Total Units: 8 Total Sq Ft: 109.00 Comments: Est. Delivery: Billing Information Shipping Information Name: JORDAN'S BUILDING CENTER Name: Address: 5000 WARD RD. Address: WHEATRIDGE , CO 80033 Phone: 303-421-1484 Phone: Fax: 303-421-1823 Fax: Email: Idrennen@jordanslumber.com Email: Line: 1 Location: UPSTAIRS STORAGE Quantity: 1 Tuscany, 8120T, HV, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, VT: A8 Size: Net Frame 60" x 48" Net Frame 60" X 48" - — --------------- Model: Half Vent rt ( Handing: Half Vent XO Glass: 1/8" SunCoatMAX (Low -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty i Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, Tested: LC40 E Clear Opening: W 27 7/16" x H 45" Sq. Ft. 8.57 Egress: Yes Other Ratings: CPD: MIL -A-224-06268-00001 Viewed From Exterior Customer Approval: Order Number: SOPDSP000092 Print Date: 3/15/2018 Page 1 of 5 Line: 2 Location: UPSTAIRS STORAGE/BACK BEDROOM Quantity: 2 Tuscany, 8120T, HV, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, V7: .48 Viewed From Exterior Size: Net Frame 36" x 35 3/4" Net Frame 36" X 35 3/4" Model: Half Vent Handing: Half Vent XO i Glass: 1/8" SunCoatMAX (Low -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon j Hardware: SmartTouch Lock j Other Options: Glass Breakage Warranty Screen: Standard with Fiberglass Mesh j Ratings: STC: 29, OITC: 22, Tested: LC40 j' Clear Opening: W 15 7/16" x H 32 3/4" Sq. Ft. 3.51 I Other Ratings: CPD: MIL -A-224-06268-00001 Line: 3 Location: FAMILY ROOM Quantity: 2 Tuscany, 8120T, HV, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, VT: .48 Viewed From Exterior Size: Net Frame 47 3/4" x 47 3/4" Net Frame 47 3/4" X 47 3/4" Model: Half Vent Handing: Half Vent XO Glass: 1/8" SunCoatMAX (Low -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, Tested: LC40 Clear Opening: W 215/16" x H 44 3/4" Sq. Ft. 6.62 Egress: Yes Other Ratings: CPD: MIL -A-224-06268-00001 Customer Approval: Customer Approval: Order Number: SOPDSP000092 Print Date: 3/15/2018 Page 2 of 5 Line: 4 Location: FAMILY ROOM Quantity: 1 Tuscany, 8120T, HV, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, VT: .48 0* Viewed From Exterior Size: Net Frame 711/2" x 47 3/4" Net Frame 711/2" X 47 3/4" Model: Half Vent Handing: Half Vent XO Glass: 1/8" SunCoatMAX (Low -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, Tested: LC40 Clear Opening: W 33 3/16" x H 44 3/4" Sq. Ft. 10.31 Egress: Yes Other Ratings: CPD: MIL -A-224-06268-00001 Line: 5 Location: UPSTAIRS BATHROOM Quantity: 1 Tuscany, 8120T, HV, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, VT: .48 Size: Net Frame 35 3/4" x 24" Net Frame 35 3/4" X 24" Model: Half Vent Handing: Half Vent XO Glass: 1/8" SunCoatMAX (Low -E) Tempered over 1/8" P516 (Standard Obscure) Tempered Other Glass: Gray Foam Spacer with Argon Hardware: SmartTouch Lock il', Other Options: Glass Breakage Warranty Y 4 ! T O Screen: Standard with Fiberglass Mesh 111 Ratings: STC: 29, OITC: 22, Tested: LC40 Clear Opening: W 15 5/16" x H 21" Sq. Ft. 2.23 Other Ratings: CPD: MIL -A-224-06268-00001 Viewed From Exterior Customer Approval: Customer Approval: Order Number: SOPDSP000092 Print Date: 3/15/2018 Page 3 of 5 Line: 6 Location: BACK BEDROOM Quantity: 1 Tuscany, 8120T, HV, 13/8" Setback, Ext White /Int White U-Factor:.28, SHGC:.21, VT: .48 Size: Net Frame 35 3/4" x 35 3/4" Net Frame 35 3/4" X 35 3/4" i Model: Half Vent Handing: Half Vent XO I Glass: 1/8" SunCoatMAX (Low -E) over 1/8" Clear Other Glass: Gray Foam Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty i, Screen: Standard with Fiberglass Mesh Ratings: STC: 29, OITC: 22, Tested: LC40 Clear Opening: W 15 S/16" x H 32 3/4" Sq. Ft. 3.48 Other Ratings: CPD: MIL -A-224-06268-00001 Viewed From Exterior Customer Approval: Order Number: SOPDSP000092 Print Date: 3/15/2018 Page 4 of 5 rdams 13i i c itiw Center Submitted By: Accepted By: Date: JORDAN'S BUILDING CENTER 5000 WARD RD. WHEATRIDGE, CO 80033 303-421-1484 ---------------------------------- For warranty information please visit www.milgard.com/warrant Grand Total (USD): i6.,�Pz- Please note that actual NFRC energy values may vary from those reported in CTB Quote Plus due to variations that may occur during the manufacturing process. In most cases variations will be minimal. Please contact your Milgard location with questions or concerns regarding this potential variation. Handing is viewed from outside looking in. ADDITIONAL INFORMATION: Order Number: SOPDSP000092 Print Date: 3/15/2018 Page 5 of 5 �D l %aVF 0 4_.-2go + if+ INSPECTION RECORD INISP &TION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occ .punct// 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 Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials 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 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 _ 9.Q - )-7 Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: L/ C = . Job Address: L a ® ,i- Permit Number: @ 0 1�7 o (-1 �— L/ , 11 ❑ No one available for inspection: Time = qS PM Re -Inspection required: Yes tao When corrections have been made, call for re -inspection at 303 -234 - Date: i a Inspector: 7-6 DO NOT REMOVE THIS NOTICE w k i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Address: Permit Number: �7�, ysya � 1 ❑ No one available for inspection: Time t' ; '% AM/PM,./ Re -Inspection required: Yes /No When corrections have been made, call for re -inspection at 303-234-5933 Date: 1,9 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: IYI� Job Address: o�SQ Djl% C Permit Number: DO/ y.5 yp ❑ No one available for inspection: Time i �A�PM Re -Inspection required: Yes No J r� When corrections have been made, ca fe-inspection at 303-234-5933 Date:—(T ' c� o� r l % Inspector: , (�� /&Xt DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201704540 PERMIT NO: 201704540 ISSUED: 07/20/2017 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 17 sq. ****revision add redecking 17 sq**** *** CONTACTS *** OWNER (720)234-7809 WALAZEK HEATHER SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassi9r::"-1 SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,AM Total Valuation FEES 0.00).» I697.13 ; Use Tax 119.64ID Permit Fee 140.90 - - * * TOTAL * * 260.54 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved mi.Jr-;_ inspection, conducted when 25-75 percent of the roof covering is installed, prior approval. Installation of roof sheathing (new or overlay) requires an approved insp.J prior to installation of ANY roof coverings and is require on the entire roof when s or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles r required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ir.e ; water shield is required. Eave and rake metal is required. A ladder extending 3 fee! 7r the roof eave and secured in place is required to be provided for all roof inspe t`..ns. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspe,--_i r, of elastomeric or similar type roof coverings, a letter of inspection and approval frorr, r «_ manufacturer technical representative stating that "the application of the roof at (pro;ecr 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. p City of Wheat Ridge Residential Roofing PERMIT - 201704540 PERMIT NO: 201704540 ISSUED: 07/20/2017 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 17 sq. ****revision add redecking 17 sq**** I, by my signature, do hereby attest that the work to be performed shall comply withal I accompanying approved plans and speciticat ions, applicable building codes, and all applicable municipal codes, policies and procedures, and that 1 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 a d that all ��10 ed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature OWNER or CONTRACTOR (Circle one) l3ate 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 andprocedures. 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 an 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, 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 V Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY Date: City of Wheat i ge7 COMMUNITY DEVELOPMENT Add to 1 � Building & Inspection Services Division m 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)_ci.wheatridge.co.us V1 7L Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *"* Property Address: (.12,50 fir' o�� G t Property Owner (please print): Hen* el R.174 �1 ��� V /tom"-ekPhone: Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Submitting Company: Contact Person: _Fre d Phone: Contractor: ic e <4 (✓,c�.F-e,(-�ars Contractors City License #: 0 ci a l3 (-/ Phone: Contractor E-mail Address: mrd✓„ •/7 c e d e>� f et; c . /, e 0, Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Y 0(:CC-- Sq. Ft.ILF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) b O 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. 11 CIRCLE ONE: (OWNER) (CONT CT ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: 600 SIGNATURE: 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 DEPARTMENT USE ONLY DATE: 0 hLf / —? OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201704540 PERMIT NO: 201704540 ISSUED: 07/20/2017 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 17 sq. ** CONTACTS *** OWNER (720)234-7809 WALAZEK HEATHER SUB (303)756-7663 Ty Correy 090134 Advanced Exteriors, Inc. *** 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: 4,369.00 FEES Total Valuation 0.00 Use Tax 91.75 Permit Fee 125.05 ** TOTAL ** 216.80 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704540 PERMIT NO: 201704540 ISSUED: 07/20/2017 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 17 sq. 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 permtt. I further attest that I am le ally authorized to include al I 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. 15;--4 Signature of OWNEF,/`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 maybe subject to a fee equal to one-half of the originalpermitfee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or anting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c o y ordinance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. � Dan Schultz 6 ��`-'(7 04�� From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 12, 2017 10:20 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4250 Hoyt ct heather walaszek 720-234-7809 Field not completed. C0 - "o "k - -,, 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 advanced exteriors 090134 303-725-4502 Contractor Email Address freddygreen@advancedexteriors.net Retype Contractor Email freddygreen@advancedexteriors.net Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 17 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 17 roofing material for this proj ect Provide additional detail 4/12 here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 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 freddy g Email not displaying correctly? View it in your browser. 3 UPE Advanced + Ptapa t}w11e } Gust�rn�r .......... � t0 togY,,.'YCl Imelda�pqNmice' nVCllaa lft.ll . - drk Pf0fqCflw, Jnstall •- .- Instalf d0p edge perimetef«. Install rohforcement In vcd. i d # E 'fid dge df- jnsfoll r �' veM lr�Oqll �- vent 4 .,.- . ftnt JWksMacks to mcfth Datcrch anC resW • . -1 -Ike kw v:. !�- 4-c w k: `t e ms,. WVMOed Exfariars, Im Is not Wonsftefe far OW P ? Y crmd ecsuatfy 1nxm c* carriwz Way or d of W of ad tnwmnc q ciakr►; in whvfd or In far#). Work compWad in occordanoe with ",-,e Spw#Ica*xis for the pfte of Ind +► m; � ,s � r ;s • a�rp� s• ea � � rc s r:` .rA - r r�re+s - r= r. I .. .. .: aYI A . f • -A,. �4 w..,gt= � a. �. =A -..... A� A e�_..? #l.. s r w"".-._ � �.. ".; ' RM r 0I , p.. t is a lE • ,. A.:A • a • # ,. N' i!.':. A:. • . AI a. r: - ... of a i r a .. r •.�. - ,o � -.. -+ r ,.. r . �. r •.r,. , s;. ." =;# µ r 3 Vr � � . ,� r � s.s.- • _- # .. +r h • of ! i r # ' !l i r s c' - 0 rr a r s.: r... r :.• •:.-r. a : r n'- r rr_ a •• - - -bid * 1 r 2200 S. Valley Hwy, 303-756-11001'(7663) Office Denver, CO $0222 www,,AdVancedExtedors.com 303-756-3756 Fax M 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 , 5 Job Address: LI '�.90 Hu,- Permit Number: Cj I% b p V 4 (' /2.y v { ❑ No one available for inspection: Time q -3 � AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 p�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: Job Address: 4 d 40-1, 7 - Permit Number: b l �J s -7 A II/ A N !�a Q [y)[ 4- i T'P s r n k A/ l eM k r -/,b /0 ` r P L c I J ❑ No one available for inspection: Time /PM Re -Inspection required: Yes No *When corrections have be , call for re-insp ction at 303-234-5933 DateP - % Inspector: _ - DO NOT REMOV 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: (_� A Job Address: (4 ', ), c, C) [-1 0 �,j ;- ( f Permit Number: r / ? n C_� it ' 9 ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date Inspector: DO NOT REMOVE THIS NOTICE �s. City of Wheat Ridge Residential Mechanic PERMIT - 201700439 PERMIT NO: 201700439 ISSUED: 03/31/2017 JOB ADDRESS: 4250 Hoyt CT EXPIRES: 03/31/2018 JOB DESCRIPTION: Installation of new steel gas line from gas meter through garage and closed to 180k tankless water heater then through crawl space to 33k gas fireplace *** CONTACTS *** OWNER (303)329-3354 WALASZEK HEATHER SUB (303)466-4206 Greg Fanger 017986 The Gas Connection *** 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: 1,850.00 FEES Total Valuation 0.00 Pian Review Fee 48.17 Use Tax 33.30 Permit Fee 74.10 ** TOTAL ** 155.57 �� 0 l * * * COMMENTS *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifcations, applicable building codes, and all applicable municipal codes, policies and procedures, and that I an 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_penn I further att st that I am legally authorized to include all entities named within this document as partes to the work to be per ormed a�id(that aork to be per orined is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OViR(-.dr 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 Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable 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 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 W heat idge (. t?:b1 h1 U N I IN D IV/ H () I' N1 IN I Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLYtTC Date: M Plan/Permit # 1- I � 0 e 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: y2s�o�-{- ^ r- Property Owner (please print): N eGL441 ty- Wa lA s z —k- Phone:,�?O - 3019 -3.3S-lf Property Owner Email: hea-F h���%GcI aSZe ct�nail tea'^ Mailing Address: (if different than property address) Address: qZ bo 4,q+ C-4 City, State, Zip: W hecL4 1�ic o 2 00 r; 008 33 Architect/Engineer: 'J lA Architect/Engineer E-mail: " f Phone: Contractor: -Me- Gets evn ae c� - O.-) Contractors City License #: t 17-78' 0 Phone: 3D3 - g1A(0 - 1120 t Contractor E-mail Address: A1►narte6l.t a qaS Donn ec4;or, . Corrl Sub Contractors: 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 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 ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT "ew 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.) 1"54Allct_A ull- a n eta &t,.el os a S i i n e _"K" "m q aSCSL - -� h ro ►� and C to&e-4 4V tSo k 4,t,)k l eSS wa+e r he&+ 41ch -i h ro►,�, h era•-,>' � gP�c a -o 3'3 k g e,S -P�e-e t , 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) $ IO c-0. Bo 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (C NTRACTOR) or (AUTHORIZED RE/PRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name):. w✓i t� DATE: 3 3 9—J understand that checking this box, that I acknowledge that this constitutes a legal signature. ZONING COMMMENTS: Reviewer: BUILDING 95WTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ MENDOTA GAS DIRECT VENT FIREPLACE with Premium Texture Fiber Logs Combustion System Model DXV-35 DT3-PF2-LX saa+�w,rraan •aa :���PERATING INSTRUCTIONS NATIONA VMewcommend that he' arT producY>;'LTe`I mMtIm FR7and serviced by profes- sionals who are certified in the U.S. by the National ERTF,,r kmC . eA US a`hock "ely ��O AtWA Mf+p, a�P ��� M �►�` NO. PF2-LX-0113 WARNING AVERTISSEMENT. Quiconque ne respecte pas a la lettre If you do not follow these instructions exactly, a fire or les instructions dans la presente notice risque de de - explosion may result causing property damage, personal clencher un incendie ou une explosion entrainant des injury or loss of life. dommages, des blessures ou la mort. CAUTION: Keep gasoline and other liquids having flam- mable vapors away. WHAT TO DO IF YOU SMELL GAS • Do not try to light any appliance. • Do not touch any electrical switch; do not use any phone in your building. • Immediately call your gas supplier from a neighbor's phone. Follow the gas supplier's instructions. • If you cannot reach your gas supplier, call the fire department. ATTENTION. Garder 1'essence ou autres liquides produi- sant des vapeurs inflammables loin del'appareil. QUE FAIRE SI VOUS SENTEZ UNE ODEUR DE GAZ : • Ne pas tenter d'allumer d'appareil. • Ne touchez a aucun interrupteur; ne pas vous servir des telephones se trouvant dans le batiment. • Appelez immediatement votre fournisseur de gaz depuis un voisin. Suivez les instructions du fournisseur. • Si vous ne pouvez rejoindre le fournisseur, appelez le service des incendies. WARNING N'utilisez pas cet appareil s'il a ete plonge dans 1'eau, Do NOT use this appliance if any part has been under water. meme partiellement. Faites inspecter I'appareil par un Immediately call a qualified service technician to inspect the technicien qualifieet remplacez toute partie du systeme appliance and to replace any part of the control system and de contriile et toute commande qui ont ete plonges dans any gas control, which has been underwater. I'eau. WARNING: Improper installation, adjustment, alteration, service or maintenance can cause injury or property damage. Refer to this manual. For assistance or additional infor- mation consult a qualified installer, service agency or the gas supplier. AVERTISSEMENT : Une installation, un reglage, une modifi- cation, une reparation ou un entretien mal effectue peut cau- ser des dommages materiels ou des blessures. Voir la notice de I'utilisateur quiaccompgne I'appareil. Pour de I'aide oueds renseignements supplementaires, consultez un installateur, un technicien agree ou le fournisseur de gaz. FOR YOUR SAFETY READ BEFORE LIGHTING POUR PLUS DE SECURITE, LIRE AVANTD'ALLUMER WARNING Do not operate this appliance with the glass removed, cracked or broken. A licensed or qualified person should do replacement of glass. This appliance must be installed in accordance with local codes, if any; if none, follow the National Fuel Gas Code, ANSI Z223.1, or Canadian Installation Codes, CAN/CGA-13149. Gas and Propane Installa- tion Code, CSA 8149.1 This appliance is only for use with the type(s) of gas indicated on the rating plate and may be installed in an aftermarket, permanently located, manufactured home (USA only) or mobile home, where not prohibit- ed by local codes. See owner's manual for details. Caution: Label all wires prior to disconnection when servicing controls. Wiring errors can cause improper and dangerous operation. In the Commonwealth of Massachusetts: • Installation must be performed by a licensed plumber or gas fitter; • A CO detector shall be installed in the room where the appliance is installed. CAUTION THESE INSTRUCTIONS ARE TO REMAIN WITH THE HOMEOWNER. Attention. N2 pas utiliser I'appareil si le panneau fron- tal.en,verre nest pas enplace, est craque ou brise. ConfiezAerempfacement du panneau a :untechnicien agf4k:"" ..:,: Installer I'appareil selon les codes ou reglements lo- caux, ou, en ('absence deteles reglements, selon les codes d'installation ANSI Z223.1, National Fuel Gas Code ou:CAN/CGA-6149 en Vigueur. Cet appa�4& &it etre utilise uniquement avec le type de gaz indique sur la plaque signaletique. Cet appa- reil peut etre installe dans une maison prefabriquee ou mobile (E. -U. seulement) installee a demeure si les reglements locaux le permettent. Voir la notice de I'utilisateur pour plus de renseignements. Attention. Au moment de 1'entretiennes com- mandes, etiquetez tous les fil savant de les de- brancher. Des erreurs decablage peuvent entrainer unfonctionnement inadequat etdangereux. DXV35 DT3 FEATURES - QUICK REFERENCE INFORMATION EXTERNAL DIMENSIONS: 35-7/8" Wide X 31-1/2" High X 15-1/2" Deep MINIMUM FRAMING DIMENSIONS: 37-1/8" WIDE x 31-1/2" HIGH X 16" DEEP GLASS SIZE: NeoCeram Glass with non -reflective coating. Visible Glass measures 456 int. Actual Glass size is 580 inZ. MANTEL ALLOWANCE: 8" Deep Mantel at 14" Above Top Convection Opening VENT SYSTEM ALLOWANCE: Top Vent Only. 12" Vertical Minimum with 6" max horizontal. 55 feet Vertical Maximum. 4" exhaust and 6-5/8" combustion air intake coaxial vent pipe required. 12' maximum horizontal run allowed with 4' mini- mum vertical starter section. VENT DAMPER ADJUSTMENT AVAILABLE: There is one exhaust vent damper included in this unit and located in the top convection chamber at the center. CONTROLS: IPI Electronic Ignition System with AC Primary Power and DC Backup Power. Accent light and Blowers op- erate on AC Power only. Thermostatic Remote Control Transmitter with Smart Thermostat Mode. BLOWER SYSTEM: 210 CFM Dual Blower System. 120VAC, 2Amps. Dedicated Hot Power only. No switches, Fan Speed Controls or Light Dimmers are allowed in same circuit. Accent Light System: Accent Light System Included. Light can be turned on or off or dimmed using dimmer mounted behind lower grill. Accent Light can also be turned on or off using Remote Control Transmitter. BURNER SYSTEM: Dual 304 Stainless Steel Tubular burners. BURNER AIR SHUTTER SYSTEMS: Externally controllable Rear Burner air shutter and Internal rotary Front Burner air shutter. LOG SET: 9 -piece, Premium Definition Log Set with Extreme glow and realism ember bed. REFRACTORY PANELS: High Detail Red Clinker Fiber Brick Panels included. Brick Panels required for operation. NATURAL GAS INFORMATION: Factory equipped for Natural Gas. 4.5"WC Minimum inlet pressure required. For NG applications, Front Burner Orifice Size is #49 and the Rear Burner Orifice Size is #44. LPG INFORMATION: LP conversion kit #HA -30-00507 is required. 12"WC Minimum inlet pressure required. For the DXV35 DT3 LPG application, both front are rear burner orifices are to be drill size 3/64". For higher altitude, adjustment to orifice size may be necessary. INITIAL STARTUP ADVICE PAINT CURING CYCLE RECOMMENDATION: It is recommended that you run this Fireplace on maximum flame height, for 3 cycles of 2 hours ON and 2 hours OFF, initially, to cure the paint. BLOWER BREAK-IN PERIOD: The integrated blowers in this Insert may exhibit some bearing noise and electrical static noise during the first few days of operation. This is normal during the break-in period. It is recommended that following the Paint Curing Cycle, the blowers be run at their maximum speed for two 3 -hour periods. The burner flames must be on dur- ing these cycles. The blowers in a few fireplaces may take longer to break-in and may require additional operation time before all extraneous noise is eliminated. Please allow adequate operational time for the blowers to break-in before you contact your dealer for service. TABLE OF CONTENTS FOR YOUR SAFETY READ BEFORE LIGHTING.................................................................................................................1 DXV35 DT3 FEATURES - QUICK REFERENCE INFORMATION......................................................................................... 2 INITIALSTARTUP ADVICE...................................................................................................................................................2 TABLEOF CONTENTS..........................................................................................................................................................3 SPECIFICATIONS..................................................................................................................................................................4 MINIMUM CLEARANCES FROM COMBUSTIBLE CONSTRUCTION..................................................................................4 SAFETY AND WARNING INFORMATION.............................................................................................................................7 CONGRATULATIONS............................................................................................................................................................ 8 GENERALINFORMATION.....................................................................................................................................................9 VENT OPTIONS DISCUSSION............................................................................................................................................ 10 GASSUPPLY REQUIREMENTS.......................................................................................................................................... 11 GASPRESSURE REQUIREMENTS........................................................................................................................ ...........12 EXTERIOR VENT LOCATIONS AND RESTRICTIONS....................................................................................................... 13 GENERAL FLUE VENTING INSTRUCTIONS.......................................................................................................................... DOORREMOVAL AND REPLACEMENT............................................................................................................................ 24 DXV-35 DT3 DEEP TIMBER LOG SET INSTALLATION INSTRUCTIONS .........................................................................26 INSTALLATION CHECK OFF LIST...................................................................................................................................... 37 LIGHTINGCHECK OFF LIST...............................................................................................................................................37 BEFOREYOU BEGIN...........................................................................................................................................................38 REMOTE TRANSMITTER OPERATING INSTRUCTIONS..................................................................................................39 "FIRST TIME" PILOT LIGHTING INSTRUCTIONS.............................................................................................................41 INITIALIZING THE REMOTE CONTROL SYSTEM.............................................................................................................41 IPI/STANDING PILOT SYSTEM INFORMATION.................................................................................................................42 BackupBatteries................................................................................................................................................................... 43 OPERATING DURING POWER OUTAGES........................................................................................................................43 BLOWER OPERATION AND WIRING.............................................................................................................................44 TROUBLE SHOOTING MENDOTA GAS DXV FIREPLACE................................................................................................45 FLAMEADJUSTMENT......................................................................................................................................................45 CUSTOMER INFORMATION AND TROUBLE-SHOOTING................................................................................................46 MAINTENANCE....................................................................................................................................................................47 WIRINGSCHEMATICS........................................................................................................................................................48 IGNITION SYSTEM WIRING SCHEMATIC......................................................................................................................48 NATURAL TO LP GAS CONVERSION INSTRUCTIONS................................................................................................49 LPG PROPER INPUT RATES...........................................................................................................................................53 REPLACEMENTPARTS...................................................................................................................................................... 55 MENDOTA DESIGNER FRONTS INSTALLATION INFORMATION... ................................................................................. 56 RATING LABEL REPRESENTATION.................................................................................................................................. 58 MENDOTA EXTENDED PROTECTION AND LIMITED WARRANTY.................................................................................63 3 SPECIFICATIONS MODEL DXV-35 DT3 INPUT RATES (Btu/Hr) High Fire - Adjustable to - Low Fire NAT. GAS 33,000 10,000 LP GAS 33,000 13,000 NOTE: LP CONVERSION KIT #HA -30-00501 MUST BE PURCHASED SEPARATELY TO BURN LPG. MAIN ORIFICES... REAR BURNER: #44 NAT. GAS [3/64" L.P. GAS] — FRONT BURNER: #49 NAT. [3/64" LP] OVERALL EFFICIENCY Exceeds D.O.E. Efficiency Requirements (A.F.U.E.) For Direct Vent Wall Heaters. 78.5% Steady State Efficiency CO -AXIAL DIRECT VENT FLUE .... Top Vent: 4" Inner, 6 5/8" Outer APPROVED VENT SYSTEMS: Amerivent, Duravent, Selkirk Metalbestos, Security Chimney and ICC NET WEIGHT .... 185 POUNDS SAFETY ........................................... AGA CERTIFIED PILOT GENERATOR, MILLIVOLT SYSTEM ACTIVATED WITH REMOTE CONTROL. GAS REQUIREMENTS .................... SUPPLY PRESSURE: GAS INLET: 3/8" N.P.T.at Gas Valve Entry Point NAT. GAS: 7" W.C. (5" W.C. MIN., 11" W.C. MAX.) L.P. GAS: 12.0" W.C. (12" W.C. MIN., 14" W.C. MAX.) ELECTRICAL REQUIREMENTS..... 120 VOLT, LESS THAN 2 amps, Un -switched direct power. MINIMUM CLEARANCES FROM COMBUSTIBLE CONSTRUCTION Unit to floor 0 in. Unit to enclosure sidewall 0.5 in. Vent to enclosed 1 in. Vent to adjacent sidewall 10 in. Unit to enclosure sidewalls Unit top to ceiling Wall Pass -Through to framing 1 in. Mantle above discharge air opening 0.5 in. 18 in. 14 in. Certified under ANSI Z21.88 (2005) -CSA 2-33 (2005) "Vented Gas Fireplace Heaters" not for use with solid fuel. Approved or bedroom installations and mobile homes. UL307B approved for "mobile homes, after first sale of home, not for recreational vehicles." Gas appliances must be tested and certified by a nationally recognized testing and certification agency to American National Standards Institute - ANSI Gas Appliance Safety Standards. The Mendota Gas DXV Fireplace has been tested and certified by Intertek Testing Services 8431 Murphy Drive, Middleton, WI Fireplace Includes A Sealed Combustion System, 9 -Piece Ceramic Fiber Log Set & Coals, Firebrick Lined Firebox, Neo - Ceram Glass, Piezo Igniter, Dual Blowers, Aga Certified Safety System, and Smart Thermostatic Remote Control. Options: Black, Brass, Classic Brass Or Classic Silver Tone Grill Sets, Black Or 24k Gold "Victoria" & "Tuscany" Filigree Fronts, Bentley Arched Doors, Andover Arched Doors & 4 Color Overlay Fronts, Prairie Rectangular Doors & 4 Color Overlay Fronts, Deerfield Front, Wellington Front, Versiheat Remote Forced Air Heat Transfer System, Versiheat II Forced Air Heat Transfer System. Building Permit and Installation Inspection Approval Requirements NATIONAL We recommend that our gas FIREPLACE INSTITUTE hearth products be installed and serviced by profes- sionals who are certified in the U.S. by the National Fireplace Institute® (NFP as CERTIFIED rg NFI Gas Specialists. All installations of Mendota Fireplaces and Inserts must comply with all the requirements stated in this Installation and Operating Instructions Manual. The Dealer and/or installer must also obtain all required Building Permits and Inspection Approval from the local building inspection de- partment or the local body having jurisdiction. In order to validate warran- ty coverage, Mendota may require facsimile copies of the Building Permit and Inspection Approval forms. Failure to provide adequate proof that the installation conforms to all local requirements and the requirements stated in the Installation and Operating Instructions Manual will void all applicable warranty. INSTALLER: THESE INSTRUCTIONS ARE TO REMAIN WITH HOMEOWNER. 4 Specific Requirements for the Common Wealth of Massachusetts The information in this section applies to all installations performed in the Common Wealth of Massachusetts only. a) For all side wall horizontally vented gas fueled equipment installed in every dwelling, building or structure used in whole or in part for residential purposes and where the side wall exhaust vent termination is less than seven (7) feet above grade, the following requirements shall be satisfied: 1. If there is no carbon monoxide detector with an alarm already installed in compliance with the most current edition of NFPA 720, NFPA 70 and the Massachusetts State Building code in the residential unit served by the side wall horizontally vented gas fueled equipment, a battery operated carbon monoxide detector with an alarm shall be installed in compliance with the most current edition of NFPA 720. NFPA 70 and the Massachusetts State Building Code. 2. In addition to the above requirements, if there is not one already present, a carbon monoxide detector with an alarm and a battery backup shall be installed and located in accordance with the installation require- ments supplied with the detector on the floor level where the gas equipment is installed. The carbon monoxide detector with an alarm shall comply with 527 CMR, ANSI/UL 2034 Standards or CSA 6.19 and the most current edition of NFPA 720. In the event that the requirements of this subdivision cannot be met at the time of the completion of the installation of the equipment, the installer shall have a period of thirty (30) days to comply with this requirement; provided, however, that during said thirty (30) day period, a battery operated carbon monoxide detector with an alarm shall be installed in compliance with the most current edition of NFPA 720, NFPA 70 and the Massachusetts State Building Code. In the event that the side wall horizontally vented gas fueled equipment is installed in a crawl space or an attic, the carbon monoxide detector may be installed on the next adjacent habitable floor level. Such detector may be a battery operated carbon monoxide detector with an alarm and shall be installed in compliance with the most current edition of NFPA 720, NFPA 70 and the Massachusetts State Building Code. 3. A metal or plastic identification plate shall be permanently mounted to the exterior of the building at a min- imum height of eight (8) feet above grade directly in line with the exhaust vent terminal for the horizontally vented gas fueled heating appliance or equipment. The sign shall read, in print size no less than one-half (1/2) inch in size, "GAS VENT DIRECTLY BELOW, KEEP CLEAR OF ALL OBSTRUCTIONS" 4. A final inspection by the state or local gas inspector of the side wall horizontally vented equipment shall not be performed until proof is provided that the state or local electrical inspector having jurisdiction has granted a permit for installation of carbon monoxide detectors and alarms as required above. (b) EXEMPTIONS: The following equipment is exempt from 248 CMR 5.08(2) (a) 1 through 4: 1. The equipment listed in Chapter 10 entitled "Equipment Not Required To Be Vented" in the most current edition of NFPA 54 as adopted by the Board; and 2. Product Approved side wall horizontally vented gas fueled equipment installed in a room or structure sepa- rate from the dwelling, building or structure used in whole or in part for residential purposes. (c) When the manufacturer of Product Approved side wall horizontally vented gas equipment provides a venting system design or venting system components with the equipment, the instructions for installation of the equipment and the venting system shall include: 1. A complete parts list for the venting system design or venting system; and 2. Detailed instructions for the installation of the venting system design or the venting system components. (d) When the manufacturer of a Product Approved side wall horizontally vented gas fueled equipment does not provide the parts for venting the flue gases, but identifies "special venting systems", the following shall be sat- isfied: 1. The referenced "special venting system" instructions shall be included with the appliance or equipment in- stallation instructions; and 2. The "special venting systems" shall be Product Approved by the Board, and the instructions for that system shall include a parts list and detailed installation instructions. (e) A copy of all installation instructions for all Product Approved side wall horizontally vented gas fueled equip- ment, all venting instructions, all parts lists for venting instructions, and/or all venting design instructions shall remain with the appliance or equipment at the completion of the installation. SAFETY AND WARNING INFORMATION the appliance. FAILURE TO FOLLOW these instruc- tions may result in a possible fire hazard and will void the warranty. Any safety screen or guard removed for servicing must be replaced before operating this appliance. DO NOT USE this appliance if any part has been under water. Immediately CALL a qualified service technician to inspect the appliance and to replace any part of the control system and any gas control, which has been underwater. THIS UNIT IS NOT FOR USE WITH SOLID FUEL. Installation and repair should be PERFORMED by a qualified service person. The appliance and venting system should be INSPECTED before initial use and at least annually by a professional service person. More frequent cleaning may be re- quired due to excessive lint from carpeting, bedding, material, etc. It is IMPERATIVE that the unit's control compartment, burners, and circulating air passageways ARE KEPT CLEAN to provide for adequate combustion and ventilation air. Always KEEP the appliance clear and free from combustible materials, gasoline, and other flammable vapors and liquids. NEVER OBSTRUCT the flow of combustion and ventilation air. Keep the front of the appliance CLEAR of all obstacles and materials for servicing and proper operation. Due to high temperature, the appliance should be LOCATED out of traffic areas and away from furniture and draperies. Clothing or flammable material SHOULD NOT BE PLACED on or near the appliance. Children and adults should be ALERTED to the hazards of high surface temperature and should STAY AWAY to avoid burns or clothing ignition. Young children should be CAREFULLY SUPERVISED when they are in the same room as the appliance. These units MUST use one of the vent systems described in the Installing Your Fireplace section of the Installers Guide. NO OTHER vent systems or components MAY BE USED. This gas fireplace and vent assembly MUST be vented directly to the outside and MUST NEVER be attached to a chimney serving a separate solid fuel -burning appliance. Each gas appliance MUST USE a separate vent system. Common vent systems are PROHIBITED. If the vent -air intake system is disassembled for any reason, reinstall per the instructions provided for the initial installation. The vent system assembly for this fireplace must be periodically examined by a qualified service agency. INSPECT the external vent cap on regular basis to make sure that no debris is interfering with the airflow. The flow of combustion and ventilation air not to be obstructed DO NOT abuse the glass door by striking the glass, slamming the door shut, etc. Use only authorized parts and materials obtained from Johnson Gas Appliance Company when replacing defective or damaged glass. DO NOT USE abrasive cleaners on the glass door assembly. DO NOT ATTEMPT to clean the glass door when it is hot. Turn off the gas before servicing this appliance. It is recommended that a qualified service technician perform an appli- ance check-up at the beginning of each heating season. DO NOT place furniture or any other combustible household objects within 36 inches of the fireplace front. CAUTION: Do not operate the appliance with glass removed, cracked or broken. Replacement of the panel(s) should be done by a licensed or qualified service person. 7 CONGRATULATIONS You are the owner of a world-class heat producing gas direct vent sealed combustion fireplace. This elegant, highly efficient Fireplace will be a constant source of comfort and fascination. It will be the focal point of beauty and interest in your home. The Mendota Gas Fireplace is a true heating appliance incorporating the traditional aesthetics of fireplace fire viewing with the controllability and fuel efficiency of a home gas furnace. Of particular interest is the low fuel consumption and brilliant fire viewing afforded by the realistic Premium Fiber wood fire -like combustion system. Carefully read the following instructions prior to actual installation. Proper Mendota Gas Fireplace installation and opera- tion will give you years of safe, trouble free comfort and enjoyment. If you have any questions regarding installation or operation of your Mendota Fireplace please contact your local dealer. CAUTION Due to high temperatures, the Fireplace should be located out of traffic and away from furniture and draperies. Children and adults should be alerted to the hazards of high surface temperature and should stay away to avoid burns or clothing ignition. Young children should be carefully supervised when they are in the same room as the Mendota Gas Fireplace. Clothing or other flammable material should not be placed on or near the Fireplace. Any safety screen or guard removed for servicing an appliance must be replaced prior to operating this appliance. The Mendota Gas Fireplace is a powerful and efficient heating unit. It has been designed as a major source of supple- mental heat. As with any mechanical appliance there can be component shut downs. It is advisable to have an alternate heat supply. Installation, repair and any adjustments to logs or burner must be done by a qualified service person. The appliance should be inspected before use and at least annually by a professional service person. More frequent cleaning may be required due to excessive lint from carpeting, bedding material, carbon build-up, etc. It is imperative that control compart- ments, burners and circulating air passageways of the appliance be kept clean. The burner and pilot flames and logs should be visually checked periodically. DO NOT use this appliance if any part has been under water or exposed to moisture corrosion. Immediately call a quali- fied service technician to inspect the Fireplace and replace any part of the control system and any gas control, which has been under water. DO NOT use this fireplace if the burner does not light immediately. Turn unit off and call Mendota ap- proved service person if there is any delay in burner light off. It is Johnson Gas Appliance Company's policy that no responsibility is assumed by the Company or by any of its employ- ees or representatives for any damages caused by an inoperable, inadequate, or unsafe condition which is the result, ei- ther directly or indirectly, of any improper operation, installation or servicing procedures. Building Permit and Installation Inspection Approval Requirements All installations of Mendota Fireplaces and Inserts must comply with all the requirements stated in this Installation and Op- erating Instructions Manual. The Dealer and/or installer must also obtain all required Building Permits and Inspection Ap- proval from the local building inspection department or the local body having jurisdiction. In order to validate warranty coverage, Mendota may require facsimile copies of the Building Permit and Inspection Approval forms. Failure to provide adequate proof that the installation conforms to all local requirements and the requirements stated in the Installation and Operating Instructions Manual will void all applicable warranty. INSTALLER: THESE INSTRUCTIONS ARE TO REMAIN WITH HOMEOWNER. HIGH ALTITUDE INSTALLATION INFORMATION: Prior to installing at altitudes higher than 7500, please con- tact the Mendota technical service department for specific venting requirements and venting restrictions. 0 GENERAL INFORMATION Your Mendota Gas Fireplace has a state-of-the-art co -axial direct vent, sealed combustion system. This advanced, highly efficient system brings in outside air for combustion and efficiently heats and re -circulates room air. The Mendota system maintains high air quality, maximizes efficiency and assures proper operation in today's "tight" homes. SAFETY AND STRUCTURAL CONCERNS This Fireplace must be installed and serviced by a Mendota approved service person. Any adjustments to burner, pilot, logs or coal bed must be made by a Mendota approved service person. If pilot goes out always wait five (5) minutes be- fore relighting pilot. ALWAYS! VENTING REQUIREMENTS This Mendota Fireplace can be vented using AMERIVENT, DURAVENT, SELKIRK METALBESTOS, SECURITY CHIMNEY and ICC brands of coaxial pipe off the top. Use only Mendota specified vents and vent caps when installing your fireplace. Closely follow venting locations, directions and requirements. Observe the restrictions relating to vent posi- tion on exterior of home. Be sure all vent pipe sections are fully twist -locked and leak -proof. Be sure Milpak Sealant is used on the inner pipe joints of all Simpson DuraVent pipe components and all adjustable pipe sections manufactured by Simpson DuraVent and American Metals. REMOVE THE GLASS WHEN LIGHTING THE PILOT FOR THE FIRST TIME. The burners must light immediately & the flame must travel promptly and smoothly around "curves" and light entire burner. The flame must not "lift" off burners. DO NOT operate unit if burner does not light immediately or if flame lifts off burner. This Mendota Direct Vent Fireplace may be placed within inches of adjacent sidewalls. (See IFigure 4: Specifications Clearances). The fireplace may be placed directly on concrete or wood flooring. If the appliance is to be installed on car- peting, vinyl or other combustible material other than wood flooring, the appliance shall be installed on a metal or wood panel extending the full width and depth of the appliance. Combustible mantels may be installed above top of the heat outlet grills. How far out the mantel may rotrude ast the front face of this appliance is dependent on the distance from upper grill. See Figure 4: Specifications & Clearances. Non-combustible (marble, brick, stone, etc.) mantels or mantels with steel protector plate on underside can be installed at any desired height above upper grill. Never block upper or lower grills. Always use Mendota grills and Mendota approved vent systems and vent caps. A non-combustible hearth protector is required and must extend a minimum of 12" in front of the fireplace. If fire- place is raised off floor 6" or more, no hearth protector is required. HEATING PERFORMANCE Mendota Gas Built-in Fireplaces are true, high efficiency gas heaters. With its high heat output the Mendota Fireplace will heat a large area of your home if situated to maximize heat circulation. Air movement options for maximizing heat circula- tion, which can be considered, are through -the -wall grills or floor grills, the continuous operation of central heating furnace blowers, or ceiling fan. The most efficient method for overall heat distribution is a ceiling fan. The heat output of the Fireplace can be reduced by up to 23,000 BTUH by slowly turning the Hi/Lo temperature knob on the gas valve counter clockwise from "Hi" to "Lo" and also turning OFF the rear burner using the Rear Burner ON/OFF Switch. Blower can also be turned down to reduce heat output. AESTHETIC CONSIDERATIONS Burning or static fireplaces are a major aesthetic focus in any room. Locate your gas fireplace as you would a television set. The Mendota Hearth Gas Fireplace will be a continuing source of comfort and fascination. Corner installations will afford you the greatest potential for viewing in many rooms. We suggest installing the Mendota Fireplace 6 to 12 inches above the floor by utilizing an elevated hearth. ELECTRICAL REQUIREMENTS A 120 -volt electrical service must be supplied at the fireplace location at the time of installation. It must be electrically grounded in accordance with local codes or in their absence with current edition of the National Electric Code ANSI/NFPA 70. Electrical Service must enter this appliance at the Right Side Junction Box. Power supply to blower must be continu- ous. DO NOT use switches or speed control devices in power supplied to fireplace. The blower on this appliance is equipped with a three -prong plug for protection against shock hazard and should be plugged directly into the grounded three -prong receptacle provided with the fireplace. Do not cut or remove the grounding prong from the plug. NOTE: The blower output can be adjusted with the Remote Transmitter. There will be delays in blower operation during "heat -up" (approx. 10 min.) and extended blower operation during "cool -down" (approx. '/2 hr.) of unit. Wall Thermostats are NOT recommended for this appliance. A Thermostatic Remote Transmitter is supplied with this appliance. Consult your dealer or the Mendota Service Department if you wish otherwise. IN VENT OPTIONS DISCUSSION This Mendota Fireplace can be vented using AMERIVENT, DURAVENT, SELKIRK METALBESTOS, SECURITY CHIMNEY and ICC brands of coaxial pipe off the top. Use only Mendota specified vents and vent caps when installing your fireplace. Closely follow venting locations, directions and requirements provided in this Manual. Observe the re- strictions related to vent position on exterior of home. Make certain that all vent pipe sections are fully twist -locked and leak -proof. Note: When using Dura -vent pipes it is rec- ommended that you use a silicate stove masonry sealant [Milpak Sealant #65-06-009091 on all inner pipe joints. On the exterior (air intake) pipe joints, high temperature foil tape may be used instead of the masonry sealant. Contact your deal- er to obtain this sealant material. TOP VENTING The DXV-35 Fireplace comes from the factory configured for venting off the top using 4" x 6-5/8" Coaxial Vent Pipes. AMERIVENT, DURAVENT, SELKIRK METALBESTOS, SECURITY CHIMNEY and ICC brand pipes and venting compo- nents may be used when venting off the top. Venting off the top on the DXV-35 Fireplace provides a large degree of flexibility for many venting configurations. Howev- er, a few critical limitations must be understood and adhered to. Limitation 1: A 12" minimum vertical pipe section must be connected to the top starter collar of the DXV-35. With the 12" vertical section connected, you may only install one 90 -degree elbow and a run a maximum 6" hori- zontal pipe section before connecting the horizontal vent cap. Limitation 2: The maximum horizontal run allowed when venting off the top is 12 feet preceded by a minimum 4 feet vertical run. This 12 feet horizontal run can only be used if a straight vertical run of 48 inches (4 feet) is connected directly to the top of the dxv35. Do not exceed the maximum 12 feet horizontal run. Even if the vertical section you installed is greater than 4 feet, do not exceed the 12 feet maximum horizontal run throughout the entire vent system 10 GAS SUPPLY REQUIREMENTS Correct gas pressure and proper gas supply line sizing is imperative to the successful performance of your Mendota gas fireplace. Be sure the gas supplier or plumber carefully checks for correct gas pressure and gas line sizing when installing the fireplace. It is critical to carefully check for gas leaks when hooking up the fireplace -- check with soap & water solution. Be sure to install "approved" flex gas line with brass -to -brass fittings to prevent gas leaks at connections. Gas supply piping must include a drip leg to eliminate the possibility of contaminants entering the gas train. Adhere strictly to local and national codes for entire installation. GAS SUPPLY LINE SIZING The Mendota Gas Fireplace comes equipped with a 12" flexible connector kit including a manual shutoff ball valve. Gas supply piping must enter the Fireplace cabinet from the right side. The included manual shut-off valve meets Federal Codes. I required by local codes, install an additional manual shutoff valve upstream of the fireplace's manual shutoff valve. The appliance and its individual shut-off valve must be discon- nected from the gas supply piping system during any pressure testing of that system at test pressures in excess of 1/2 PSIG (3.5 kPa). The appliance must be isolated from the gas supply piping system by closing its individual manual shut-off valve during any pressure testing of the gas supply piping system at test pressures equal to or less than 1/2 PSIG (3.5 kPa). A proper gas line diameter must be selected to run from the supply regulator to the Fireplace. Refer to the following table for proper gas pipe diameters. Strictly adhere to the correct pipe sizes. If in doubt, use the next larger size. PIPE LENGTH (FEET) SCHEDULE 40 PIPE INSIDE DIA. TUBING, TYPE L OUTSIDE DIA NAT. L.P. NAT. L.P. 0-10 1/2" (1.3 cm) 3/8" (1.0 cm) 1/2" (1.3 cm) 3/8" (1.0 cm) 10-40 1/2" (1.3 cm) 1/2" (1.3 cm) 5/8" (1.6 cm) 1/2" (1.3 cm) 40-100 1/2" (1.3 cm) 1/2" (1.3 cm) 3/4" (2.0 cm) 1/2" (1.3 cm) 100-150 3/4" (2.0 cm) 1/2" (1.3 cm) 7/8" (2.3 cm) 5/8" (1.6 cm) 150-200 3/4" (2.0 cm) 1/2" (1.3 cm) 7/8" (2.3 cm) 3/4" (2.0 cm) NOTE: Some areas allow copper tubing or galvanized pipe - check with local approval agencies and codes. pipe. NEVER use plastic GAS PRESSURE CHECKING REQUIREMENTS Inlet and manifold gas pressure checking taps are located on gas valve (see Figure 1 on Page 10). A qualified installer should use these fittings for setting the correct gas pressure during initial installation. NOTE: DO NOT DAMAGE OR KINK THE FLEX CONNECTOR. CHECK FOR GAS LEAKS WITH SOAP AND WATER SOLUTION. NOTE: 3/8" FLEX OR RIGID PIPING MAY BE USED TO CONNECT GAS SUPPLY TO UNIT DEPENDING ON STATE AND LOCAL CODES. NOTE: BE SURE TO INSTALL FLEX GAS HOSE WITH BRASS -TO -BRASS FITTINGS TO PREVENT LEAKS AT CONNECTION. NOTE: THE HARD PLUMBING FITTING PROVIDED IS TO BE USED WITH INSTALLATIONS REQUIRING HARD PLUMBING. IT MAY BE REMOVED IF THE FIREPLACE IS BEING INSTALLED WITH A FLEXIBLE CONNECTOR. 11 GAS PRESSURE REQUIREMENTS A MAJOR CAUSE OF OPERATING PROBLEMS WITH GAS APPLIANCES CAN BE IMPROPER GAS PRESSURE! Problems such as changes in flame color or flame height, pilot or burner outages, intermittent operation, changes in heat output, excessive burner noise, etc. are nearly always the result of changes in gas pressure or improper gas pressure at the time of the installation. The most important item to check during the installa- tion and the first thing to check when problems occur is gas pressure! Gas supplies normally enter a residence at 1/2 PSI (13" - 15" W.C.) (3. KPA). A regulator is then placed in- side the residence, which drops this pressure to 7" W.C. (1.8 KPA) (Nat. Gas). This "inches to inches" regula- tor is of adequate capacity to service the gas appliances (such as dryer, furnace, etc.). If this regulator's capacity is not sufficient to add the Gas Fireplace, an additional "inches to inches" regulator must be installed for the Fireplace. EXCEPTION: Some codes allow 2 -PSI (1.4KPA) supplies to enter the residence, in which case "pounds to inches" regulators are used. The following table provides information on correct gas pressure requirements. Be sure your gas supplier or plumber carefully follows this table. GAS PRESSURE REQUIREMENTS TURN GAS VALVE KNOB TO "HIGH" POSITION. GAS PRESSURES MAY VARY PLUS OR MINUS 5%. NOTE: For High Altitude (Above 5.000 Feet) Some Variations In Air Shutter Settings May Be Required. Manifold pressure must be taken at the Output Pressure tap and inlet pressure at the Inlet Pressure tap with the burner operating by a qualified installer (see Figure 1: Gas Pressure Test Port). Figure 1: Gas Pressure Test Ports INTEFPF02MFIETAP PILOTUGHT MOTORI2m AQJUSTMENT PRESSURE OU TPUTPRESSURE SCREW REGULATOR TAP F fi7 i t r DESIRED MINIMUM MAXIMUM MANIFOLD AIR SHUTTER INLET INLET INLET OUTLET POSITION* PRESSURE PRESSURE PRESSURE PRESSURE NATURAL GAS 7.0" W.C. 5.0" W.C. 11" W.C. 3.5" W.C. 1/16 - 3/16 " (1.75 kPa) (1.12 kPa) (2.61 kPa) (0.87 kPa) OPEN L.P. GAS 12.0" W.C. 11" W.C. 13.0" W.C. 10.0" W.C. 1/4" OPEN -MIN. (3.00 kPa) (2.75 kPa) (3.24 kPa) (2.5 kPa) TURN GAS VALVE KNOB TO "HIGH" POSITION. GAS PRESSURES MAY VARY PLUS OR MINUS 5%. NOTE: For High Altitude (Above 5.000 Feet) Some Variations In Air Shutter Settings May Be Required. Manifold pressure must be taken at the Output Pressure tap and inlet pressure at the Inlet Pressure tap with the burner operating by a qualified installer (see Figure 1: Gas Pressure Test Port). Figure 1: Gas Pressure Test Ports INTEFPF02MFIETAP PILOTUGHT MOTORI2m AQJUSTMENT PRESSURE OU TPUTPRESSURE SCREW REGULATOR TAP F fi7 i t r EXTERIOR VENT LOCATIONS AND RESTRICTIONS "I INSIDE Clearance above grade, veranda, porch, deck, or - - *Not to be installed above a meter/regulator assembly CORNER DETAIL _- - within 3 feet (90 cm) horizontally from the center -line of faces require 24" min. the regulator C ._ Clearance to window or door that may be opened I = Clearance to service regulator vent outlet (*6 feet (1.8m) (*12 inches (30 cm) minimum. A minimum C = Clearance to permanently closed window (mini- J = Clearance to non-mechanical air supply inlet to building mum 12 inches (30 cm). or the combustion air inlet to any other appliance. *12 inches 30 cm minimum. D= Vertical clearance to ventilated soffit located K = Clearance to a mechanical air supply inlet (*6 feet (1.8 FIXE m) minimum) CLOSED ® ppENIVG FLED re uire 24" min. CLOSED M E = Clearance to unventilated soffit (18 inches (46 cm) L = t Clearance above paved side -walk or a paved driveway minimum) Vinyl surfaces require 24" min. located on public property (*7 feet 2.1 m minimum F = Clearance to outside corner - 6 inches (15 cm). M = Clearance under veranda, porch, deck, or balcony (*18 inches 30 cm minimum = VENT TERMINAL"'y = AIR SUPPLY INLET = AREA WHERE TERMINAL IS NOT PERMITTED Figure 2: Exterior Vent Locations ALL MEASUREMENTS GIVEN ARE FROM THE CENTER LINE OF VENT CAP V - Vent Terminal A - Air Supply Inlet - - Area where terminal is not permitted A = Clearance above grade, veranda, porch, deck, or H = *Not to be installed above a meter/regulator assembly balcony (*12 inches (30 cm) minimum). Vinyl sur- within 3 feet (90 cm) horizontally from the center -line of faces require 24" min. the regulator B = Clearance to window or door that may be opened I = Clearance to service regulator vent outlet (*6 feet (1.8m) (*12 inches (30 cm) minimum. minimum C = Clearance to permanently closed window (mini- J = Clearance to non-mechanical air supply inlet to building mum 12 inches (30 cm). or the combustion air inlet to any other appliance. *12 inches 30 cm minimum. D= Vertical clearance to ventilated soffit located K = Clearance to a mechanical air supply inlet (*6 feet (1.8 above the terminal from the center -line of the ter- m) minimum) minal (12 inches (30 cm) minimum) Vinyl surfaces re uire 24" min. E = Clearance to unventilated soffit (18 inches (46 cm) L = t Clearance above paved side -walk or a paved driveway minimum) Vinyl surfaces require 24" min. located on public property (*7 feet 2.1 m minimum F = Clearance to outside corner - 6 inches (15 cm). M = Clearance under veranda, porch, deck, or balcony (*18 inches 30 cm minimum G = Clearance to inside corner - 12 inches (30 cm). N= Minimum 24" horizontal clearance to any surface, such Vinyl surfaces require 24" min. as an exterior surface, for vertical terminations. t A vent shall not terminate directly above a sidewalk or paved driveway, which is located between two single-family dwellings and serves both dwellings. $ Only permitted if veranda, porch, deck, or balcony is fully open on a minimum of two sides beneath the floor. * As specified in CGA 131:19 Installation Codes (1991). Note: Local codes or regulations may require different clearanc- es. 13 GENERAL FLUE VENTING INSTRUCTIONS The Mendota Fireplace must be vented using Amerivent, Duravent, Selkirk Metalbestos, Security Chimney or ICC Brand venting systems. All warranties will be voided and serious fire, health or other safety hazards may result from any of the following actions: Installation by unauthorized personnel; installation of any damaged component; unauthorized modifica- tion of vent system; installation of any components not approved by Mendota; failure to meet all clearance requirements; failure to properly twist -lock and positively seal all components. Consult local building codes before beginning the installa- tion. WARNING Always maintain required clearances (air spaces) to combustibles to prevent a fire hazard. Do not fill air spaces with insu- lation. Check installation instructions for minimum clearance requirements between the outer walls of the vent pipe and nearby combustible surfaces. Be sure to check the vent termination clearance requirements from decks, windows, soffits, gas regulators, air supply inlets, and public walkways, as specified in these installation instructions and local building codes. SAFETY PRECAUTIONS FOR THE INSTALLER: 1) Wear gloves and safety glasses for protection; 2) Exercise extreme caution when using ladders or on rooftops; and 3) be aware of electrical wiring locations in walls and ceilings. The gas appliance and vent system must be vented directly to the outside of the building, and never attached to a chimney serving another solid fuel or gas burning appliance. Each direct vent gas appliance must have its own separate vent sys- tem. Common vent systems are prohibited. To assure proper venting performance of the high-performance Mendota Direct Vent Fireplace, it is critical that all brands of vent pipe sections are sealed tightly and leak -proof. This means that all pipe sections must be carefully rotated into the fully "twist -locked" position. We Strongly Recommend That Fixed Length Pipe Sections Be Used In Place Of Telescoping Sections Whenever Possible. Note: When using vent pipe and components that do not incorporate a fiberglass or graphite gasket at the joints, it is rec- ommended that you use Milpak 1000F silicate stove sealant (#65-06-00909). High temperature foil tape may be used on the outer (air intake) pipe joints. DO NOT SEPARATE ADJUSTABLE TELESCOPING SECTIONS. THEY MUST BE USED AS COMPLETE ASSEMBLIES. VENT COMPONENTS "TWIST -LOCK" CONNECTION PROCEDURE DuraVent and American Metals pipe and fittings are designed with special twist -lock connections. Twist -lock procedure is as follows: four (4) indentations, located on the female ends of pipes and fittings are designed to slide straight in to the male ends of the adjacent pipes and fittings, by orient- _ FEMALE ing the four pipe identifications so that they match and slide into the four en- - LOCKING try slots on the male ends (Figure 3). LUGS - - - -t Push the pipe sections completely together then twist -lock one section — - clockwise, approximately 1/4 turn until the two sections are fully locked. The --- female locking lugs will not be visible from the outside on the black pipe or fittings. They may be located by examining inside of the female ends. LOCKING - LUGS Figure 3: Twist -Lock Piping 14 GENERAL INSTALLATION INSTRUCTIONS CAUTION: Each installation must conform to all local, state and national codes. Refer to the national fuel gas code and local zoning and code authorities for details on installation requirements. The Mendota Fireplace must be vented to the outside in accordance with the latest edition of the National Fuel Gas Code. In the absence of local codes, the installation must conform to the most cur- rent edition of the National Fuel Gas Code ANSI Z223.1, also known as NFPA 54. NOTE: The Mendota DXV Fireplace is approved for mobile home and bedroom installations. CAUTION: The Mendota DXV Fireplace may be installed in a manufactured (mobile) home after the first sale of the home. Manu- factured home (mobile home) installation must conform with the Manufactured Home Construction and Safety Standard, Title 24 CFR, Part 3280, or, when such a standard is not applicable, the Standard for Manufactured Home Installations, ANSI A225.1/NFPA 501A, or CSA Z240.4 -Gas Equipped Mobile Housing. Consult your local building official. Note: For mobile home installations unit must be bolted to the floor and properly grounded. This Fireplace must be installed by a qualified service person. 1. After selection of the desired fireplace location, prepare the rough opening using framing dimensions on PAGE 164. Be sure to also prepare opening to allow for co -axial vent (see "Flue Venting Instructions". 2. Check to make certain all venting requirements and clearances are being followed. 3. The Fireplace is designed to be installed into rough framing. The drywall will cover the adjustable nailing flanges on the Fireplace sides. Before sliding the Fireplace into the framed opening, adjust the nailing flanges to accommodate the thickness of the wall material. NOTE: FRAMING MATERIALS LOCATED ABOVE FIREPLACE BODY MUST MAINTAIN CORRECT CLEARANCES TO VENT PIPE. WARNING DO NOT COVER THE 2" BLACK FRONT SURFACE OF THIS UNIT IF YOU INTEND TO USE THE ANDOVER, BENTLEY, DEERFIELD or WELLINGTON TRIMS!! 4. Slide Fireplace into the rough framed opening. When finishing the unit, combustible materials may overlay nailing flanges and come in contact with the edges of the black front surface, but may not overlap the 2" black front surface. Noncombustible material, such as marble, stones or brick, can be installed over the 2" black surface, only if you are certain that a Deerfield Front, Andover Front, Bentley Front, Prairie Front or a Wellington Front is NOT going to be used as the optional trim, up to the inside edge of black frame (next to glass). ROUGH FRAMING CAN COME NO CLOSER TO UNIT THAN THE STAND-OFFS. 5. Level the Fireplace and secure into opening by nailing through the nailing flanges on cabinet side panels. Holes are provided in fireplace floor behind grill to secure fireplace to floor using lag screws or drywall screws, if required. NOTE: A removable panel in the enclosure for future visual inspection of flue connection is recommended. 6. Have an electrician install a 115 -Volt supply to the junction box on lower left side of the fireplace cabinet. Connect wires to the duplex outlet. This duplex outlet is removable from outside of cabinet for easy wiring. Make sure the outlet is properly grounded and that the installation conforms to all local and national wiring codes. 7. Have gas supplier or qualified plumber install gas supply line to fireplace and connect to gas nipple. Be sure Gas Supply Requirements (see PG. 9-10) and all local and national codes are carefully followed. IMPORTANT: Any safety screen, guard, glass or grills removed for servicing a fireplace/room heater must be replaced prior to operating the fireplace/room heater. BLOWER OPERATION This fireplace is designed so the blower operates continually when the body is of this fireplace is hot and the main burn- er(s) are on. The blower output can be regulated with the included blower speed control rheostat. NOTE: There will be a delay before the blower operates during "heat -up" (approx. 10 minutes) and extended blower operation during "cool - down" of unit (approx. '/2 hour). OPERATION DURING POWER OUTAGES The fireplace is designed to operate during power outages for 1-1/2 continuous hours, Maximum on HIGH FIRE. The blower will not operate, but natural convection can be improved by removing the upper grill and opening the screen doors (depending on the type of optional front installed). After 1-1/2 continuous hours of operation, during the power 15 outage, turn off the burners for 1 hour and allow the fireplace to cool down. Consecutive 1-1/2 hour burn and 1 hour cool down cycles are allowed. On LOW FIRE (front burner only), you may operate continuously during power outage. MENDOTA DXV-35 GAS DIRECT VENT FIREPLACE SPECIFICATIONS & CLEARANCES WARNING: Do not cover the 2" faceplate border of the unit with combustible materials. - 6"MIN. — 225116 --- TRIANGULAR AREA. FOR EVERY 1" INCREASE IN -- 1"MIN. — 11 118 -- J -- - 28318— ----- '161/16 I.l - 4 112 — 1 DECREASED IN THE SAME MANNER 2 -i r - \ 15318 � 8" MANTEL — 35718 ----------- 112 TO 2 112 1P- - MINIMUM FRAMING DIMENSIONS FOR THIS FIREPLACE 45* HEIGHT 31-1/2 (800 mm) - WIDTH 371/8 (943 mm) DEPTH 16 (407 mm) Adjacent Walls: A wall, perpendicular to and in front of the appliance front facing must be at least 10" from the firebox opening. A wall at 45° to the front and starting at the appliance's outer edge is permitted. Projections behind this wall (shaded area) are permitted. 8 COMBUSTIBLE MANTEL 36 114 TO SCREW HEADS 14 317/11 41 31 11116 261/2 - 37 7116 ---- --- - 10314 — — 16 114 J52112 vz 1 1 COMBUSTIBLE MANTEL MUST REMAIN IN THIS - TRIANGULAR AREA. FOR EVERY 1" INCREASE IN 27L321518 MANTEL DEPTH, INCREASE HEIGHT ABOVE GRILL -- - 28318— ----- '161/16 I.l BY 2". MANTEL MAY BE LOWERED — 1 DECREASED IN THE SAME MANNER 31 11116 261/2 - 37 7116 ---- --- - 10314 — — 16 114 J52112 vz 1 1 42122 GAS INLET127116 — 1 15116 -_L NON-COMBUSTIBLE ssdao w 1_ HEARTH PROTECTOR REQUIRED - 1 --12— NOTE: IF MANTEL IS MADE OF A NON-COMBUSTIBLE MATERIAL FOR EVERY 1" THE FIREPLACE IS RAISED OFF THE FLOOR, (BRICK, STONE, ETC..), OR HAS A STEEL PROTECTOR PLATE HEARTH PROTECTOR MAY BE REDUCED BY 2". ON THE UNDERSIDE IT MAY BE PLACED ANYWHERE ABOVE GRILL IF FIREPLACE IS RAISED 6" OR MORE, NO HEARTH PROTECTION IS REQUIRED. Fi ure 4: Specifications & Clearances NOTE: For L.P. & High Altitude (above 4,000 ft. but below 7500 ft.), 45, elbows must be used in place of 90, elbows. For Installation At Altitudes Above 7,500 Feet, First Call Mendota Technical Hotline For Further Information On The Strict Re- quirements For Installations At These Altitudes. CAUTION: If 90'elbows must be used with LP or at high altitudes, a 2 -foot vertical starter section must be used directly off the top of the fireplace. 16 COMBUSTIBLE MANTEL MUST REMAIN IN THIS - TRIANGULAR AREA. FOR EVERY 1" INCREASE IN 1 MANTEL DEPTH, INCREASE HEIGHT ABOVE GRILL BY 2". MANTEL MAY BE LOWERED IF DEPTH IS DECREASED IN THE SAME MANNER 2 -- 2" MIN. 8" MANTEL DEPTH(WIDTH) -y 16114 MIN. FROM TOP 14" MANTEL V OF UNIT HEIGHT FOR 8" MANTEL 1" MIN._- TO STACK CENTER 49 112- MIN. CLEARANCE TO COMBUSTIBLE ABOVE UNIT & MINIMUM CEILING HEIGHT 42122 GAS INLET127116 — 1 15116 -_L NON-COMBUSTIBLE ssdao w 1_ HEARTH PROTECTOR REQUIRED - 1 --12— NOTE: IF MANTEL IS MADE OF A NON-COMBUSTIBLE MATERIAL FOR EVERY 1" THE FIREPLACE IS RAISED OFF THE FLOOR, (BRICK, STONE, ETC..), OR HAS A STEEL PROTECTOR PLATE HEARTH PROTECTOR MAY BE REDUCED BY 2". ON THE UNDERSIDE IT MAY BE PLACED ANYWHERE ABOVE GRILL IF FIREPLACE IS RAISED 6" OR MORE, NO HEARTH PROTECTION IS REQUIRED. Fi ure 4: Specifications & Clearances NOTE: For L.P. & High Altitude (above 4,000 ft. but below 7500 ft.), 45, elbows must be used in place of 90, elbows. For Installation At Altitudes Above 7,500 Feet, First Call Mendota Technical Hotline For Further Information On The Strict Re- quirements For Installations At These Altitudes. CAUTION: If 90'elbows must be used with LP or at high altitudes, a 2 -foot vertical starter section must be used directly off the top of the fireplace. 16 TOP FLUE VENTING COMPONENTS ITEM DESCRIPTION 1 12" VENT STACK 1 24" VENT STACK 1 36" VENT STACK 1 48" VENT STACK 2 900GALVANIZED ELBOW 3 450 GALVANIZED ELBOW 4 ADJUSTABLE WALL THIMBLE 5 6" or 7" PIPE 9 ATTIC INSULATION SHIELD 12" 10 ROOF FLASHING 0/12 TO 6/12 10 ROOF FLASHING 7/12 TO 12/12 11 STORM COLLAR 12 VERTICAL VENT CAP 13 SUPPORT BAND 14 HORIZONTAL VENT CAP 15 FIRESTOP SPACER Figure 5: Flue Venting Components Using 45" elbows in place of a 90" elbow requires 22" minimum opening to center. NOTE: DO NOT SEPARATE TELESCOPING SECTIONS. THEY MUST BE USED AS COMPLETE ASSEMBLIES. 17 Un x - -_ NOTE: FOR LPG AND HIGH ALTITUDE APPLICATIONS, SEE PAGE 19. 41-1 Figure 6: DXV35 Vertical & Horizontal Vent Requirements NOTE: 12" MINIMUM VERTICAL PIPE CAN BE USED IF NO HORIZONTAL,VENT-SECTIONS GREATER THAN 6" (or 7") ARE USED. ALL OTHER INSTALLATIONS MUST FALL WITHIN ABOVE SHADED AREA. 18 L.P. GAS MINIMUM HEIGHT HORIZONTAL TERMINATION L.P. GAS OR HIGH ALTITUDE ABOVE 4,000 FT. BUT BELOW 7500 FT.) WALL THIMBLE REQUIRED 6" COAX \ (MIN.) \ 45° COAX 45° COAX VENT \\ 12" COAX (MIN.) f - M TERMINATION CAP II 1- 22" (MIN.) 49 1/4" (MIN.) — 15 1/2"— Figure 7: LP MINIMUM VENT U For L.P. gas and high altitude installations (above 4,000 ft.), 450 elbows must be used in place of 90° elbows. NOTE: This requires 22" minimum height to center of vent cap. CAUTION: If 900 elbows must be used, a 24 inch vertical starter section must be used off the top of the fireplace. V►�d yof J-0tr cit TW DwElUD APPROVED Reviewed for Code Compliance M�nc ERMAW U Wt! w/nnpbrtArnroarwbrePdawtle.are* axwew►dawr"'I of .� o/r�rr+oMr+eru o/ur turw�q ceAr r o/erey uw e�dNoneer. Ikwe rawrft to wK euftry to raaao/ca"at aorb+aa elft Sue** cods r oa *rd VMn clew cdy sw mt be W" 19 Rinnal. Type of Appliance Rinnai model number Operation / Installation Minimum/Maximum Gas Rate (Input) Electrical Electrical Consumption Amperage Ignition System Hot Water Capacity Temperature Temperature (without remote) Approved Gas Types Energy Factor (EF) Service Connections Isolation & Pressure Relief Valves Included Water Flow Control Minimum/Maximum Water Supply Pressure Condensing, Tankless, Temperature controlled, continuous flow, gas hot water system, Energy Star Qualified REU-KBD2934FFUD-US Forced combustion; indoor only; Certified for installation in Manufactured (Mobile) Homes 15,200 - 180,000 BTU/h (4.5-52.8 kWh) Appliance: AC 120 Volts - 60 Hz Temperature Controller. DC 12 Volts Normal: 75 w Standby: 2 w Anti -frost protection: 146 w Max with pump: 8A Max without pump: 4A Fuse: 10A Direct electronic ignition Minimum flow rate: 0.26 GPM (1 I/min) Minimum activation flow rate: 0.4 GPM (1.5 I/min) Maximum flow rate: 9.0 GPM (29 I/min) 98° - 120° F (37°- 49°C) (factory default) Maximum temperature is selectable at 120° F (49°C) or at 140° F (60°C); 98° - 185° F (37°- 49°C) available with the MCC -91-2 controller for commercial and hydronic applications 120° F (49°C) (factory default) or 140° F (60°C) Natural or Propane (ensure unit matches gas type) Natural Gas: 0.95 Propane: 0.95 Gas supply: 3/4 inch (19mm) MNPT Cold water inlet: 3/4 inch (19mm) MNPT Hot water outlet: 3/4 inch (19mm) MNPT Isolation Valves are certified to NSF/ANSI 61 for potable water Water flow sensor, electronic water control and by-pass control 20 - 150 PSI (138-1035 KPa) ( recommended 60 - 80 PSI (414 - 552 KPa) for optimal performance) Rinnai is continually updating and improving products; therefore, specifications are subject to change without prior notice. Local, state, provincial and federal codes must be adhered to prior to installation. 10.0 (37.9) 9.0 (34.1) 8.0 (30.3) E' 7.0(26.5) -- 6.0(22.7) E tl 5.0(19.0) rT Owl 01 4.0(15.1) 0 �LL 3.0(11.4) eat wh @ 2.0 (7.6) gUi\6090iv1s`O� 1.0 (3.8) 0.0 0 25 (13.9) 50 (27.8) 75 (41.6) 100 (55.6) 125 (69.4) 150 (83.3) delta T - Temperature Rise IF (°C) © 2016 Rinnai Corporation RUC90i-SP(02) 6/2016 c sus S�� Low Lead Content SANITATION NSFIANSI 372 External Recirculation Pump Control Controller Controller Cable Safety Devices Clearances from Combustibles * 24 inches (610mm) required for service Clearances from Non -combustibles * 24 inches (610mm) required for service Min. / Max. Gas Supply Pressure Manifold Gas Pressure (inches W.C.) NOx Venting Built in Rinnai Circ-LogicTM : Recirculation program cycles external pump MC-91-2US (included) Deluxe and Bathroom controllers (Optional): MC -100V-1 US, BC -100V-1 US MCC-91-2US (optional; for hydronic and commercial applications) MC195T-US (optional; for use with Re -Circ Logic) Non -polarized two -core cable, minimum 22 AWG • Flame failure - Flame Rod • Boiling protection • Combustion fan rpm check • Over current - glass fuse • Top of heater - 6 inches (152mm) • Front of heater - 6 inches *(152mm) • Sides of heater - 2 inches (51 mm) • Remaining flame (OHS) • Thermal fuse • Automatic frost protection • Back of heater - 0 inches • Bottom of heater - 12 inches (305mm) • From vent pipe - 0 inches • Top of heater - 2 inches (51 mm) • Back of heater - 0 inches • Front of heater - 6 inches *(152mm) • Bottom of heater - 12 inches (305mm) • Sides of heater - 1/2 inches (13mm) • From vent pipe - 0 inches Natural Gas: min 4" W.C. (2.5mbar) max 10.5" W.C. (26.1mbar) Propane Gas: min 8" W.C. (20mbar) max 13.5" W.C. (33.6mbar) Natural Gas: high fire 2.5" W.C. (7.5mbar) low fire 0.42" W.C. (1.1 mbar) Propane Gas: high fire 2.9" W.C. (8.7mbar) low fire 0.47' W.C. (1.2mbar) Complies with South Coast Air Quality Management District 14 ng/J or 20 ppm NOx emission levels Direct Vent system designed for use with Ubbink Polypropylene Concentric Vent, Twin Pipe PVC/CPVC (3" and 4" configurations), or Centrotherm 3" Polypropylene (with Centrotherm Twin Pipe Adapter) see installation and operation manual for details regarding installation and allowed vent lengths. Limited Heat exchanger: 12 years* for residential, 10 years for residential and space heating, and 5 years* for Warranty commercial; All other parts: 5 years*; Labor: 1 year; (* 3 years if used as a circulating water heater within a circulation loop, when the water heater is in series with a circulation system and all circulating water flows through the water heater, and where an aquastat / thermostat, timer, or an on -demand recirculation system is not incorporated.) Refer to the manual for complete warranty information. WEIGHT: 61.7 Ib (28 kg) o 5.5 (140.2)5.9(150 72(31.2)0 N 10.1 (257.7) o cv C OO •�_ ' B D , D=,._, H- ri E�--G- c%> civ r F _, m v K S N DIM Inches (mm) DIM Inches (mm) N c0 A (GAS) 1.6 (40.2) E 2.2 (56.3) N A (COLD) 2.0 (50.2) F 2.3 (58.3) A (HOT) 1.6 (41.2) G 5.0 (127.2) m A (CONDENSATE 0 9 (22 4) H 2.0(50) O I 3.0(76) N OUTLET) � B 5.0 (127.2) J 7.1(179) C 1.9 (47'8) K 18.3 (466) 8.7 (222) A 2.8 (70.1) Rinnai Corporation • 103 International Drive •Peachtree City, GA 30269 •Toll -Free: 1-800-621-9419 •Fax: 678-364-8643 • www.rinnai.us D 0.52 (13.3) Rinnai Corporation • 103 International Drive •Peachtree City, GA 30269 •Toll -Free: 1-800-621-9419 •Fax: 678-364-8643 • www.rinnai.us Ln m Z Ln z v, of LU Q 0. D LU O m �+ J Jw tom- C) d N z u LF)u t - N M C'9 O r� m LU w U a 9 � M s � LU�'1 M a 0LO uj Lai cl� Q 0 LLJ z 0 03 o (2- ,7 , t - N M C'9 O r� m LU w U a 9 ♦ 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: Oavz. , Job Address: i~2"0 c 7 Permit Number: Q9e> r61 41. ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes o i _ r "When corrections have been made, call for re-inspection at 303-234-5933 Date: 14 91 Inspector: DO NOT REMOVE THIS NOTICE (303) 235-2855 Office ~ (303) 235-2857 Fax INSPECTION NOTICE GfC~i inspection Type: Job Address/Permit Number: r'L_~/~ ~1 cC o C E:c 3 ❑ No one available for inspection: Time AM/PM Re-Inspection required: No I, When corrections have been made, call for re-inspection at 303-234-5933 7 c Date: 2 Gci Inspector~--55 ,c--"" DO NOT REMOVE THIS NOTICE s CITY OF WHEAT RIDGE Building Inspection Division' ' (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 235-2857 Fax tc~s`c t INSPECTION NOTICE Inspection Type: /=rF7m Job Address/Permit Number:` s-e::> 1 ❑ No one available for inspection: Time ;9 - (6 99blf/PM Re-Inspection required: j e } No When corrections have been. made, call for re-inspection at 303-234-5933 t Date: ~ 2 z t Inspector: E DO NOT REMOVE THIS NOTICE ~oFW"EgTR,o City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 o Inspection Line: 303-234-5933 O<ORP~ Property Address: Property Owner (plee Mailing Address: (if different than property address) Address: Date: M✓. I M q. Plan Permit #0000 City, State, Zip: ~ Yht A K FC'~ ~C l W Contractor: ~ICLPIIG(TtU1lk °t` ll i LS- Contractor License N )CO 10 Phone: W3 - Sub Contractors: Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Description of work: 4ptace ~(irnne, Sq. Ft./L.Ft added: » , Construction Value: $ (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Squares BTU's 90,(X)OGallons 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 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. CIRLCE ONE:: O1W_NE ~ (CONTRACTOR) or PERSONAL REPR -ENTATIVE of OWNER/ (CONTRATOR) r (p PRINT NAME: 6' 111 CA tJJ LIZ SIGNATURE: ,G- Date: cJ°ttS DEPARTMENT USE ONLY., ZONING COMMENTS Zoning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer I , ' BUILDING DEPARTMENT COMMENTS OCCUPANCY Reviewer: FIRE DEPARTMENT:: 0 approved w/ comments *p rev ; ❑ dpi5jov@dono p, Bldg Valuation: $ Building Permit Application DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: ~ T;t>. ~t2- '<:.0.... Property Address: 4, 2SO I40yr c:..-. Contractor License No. : .2oOn Company: AL..L-~"'('S. \2..<::c:JI=\\"Go Phone: 421 -<.o~ o 'Phone: 410. I lID I a co m a C WNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: 2..to 2.'i2, ,lac::, hereby certify that the setback distance. propo.ed by this permU application are accurate, Permit Fee: nd do not violate applicable ordinance., "'Ie. or regulation. of the City of Wheat Ridge or venants, easements or restrictions of record: that all measurements shown, and allegaUons Use Tax: ade are accurate: that I have read and lliree to abide by all conditions printed on this pplication. and that I assume full responslbll~ for compliance with the Wheat Ridge Building , ode (U.B.C.) and all other applicable Wheat Idge ordinances, for work under this permil Total: $0.00, OWNER)(CONTRACTOR) SIGN~ ~.,-, <c ~ DATE \ -4 -cT') Use: Description : '~R- ~ Cf'IEO L.A.. "leL ~\)I ~~L~ ~'\'I QE- - \\,\'>;."TJ",'-L 2~lL ~.~. BUILDING DEPARTMENT USE ONLY j';9l!llr~om.me1l!S.J SIC: Sq. Fl: Approval: Zoning: ~R1lnlJ19ornmen~ Approval: m~Rtl\~o.n:II:!!lm~ Approval: Occupancy : Walls: Roof: Stories: Residential Units: J Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval : Expiration Date: Approval: (1) ThiI pennit was Issued In ICCllfUaI1CO w1lh the provisions .et 10l1h In YOIlUllllpllcation and Is subjed to the laws of the Slate 01 Colorado Ind to the Zonmg Regulations and Bui1dinR Code of Wi.at RIdge, Cokndo 01' any other applicable ordinances of \he City. (2) ThiI pennit WI expire II (AI the wo<1< luthorized is not commenced wI1hin si>dy (60) dlYs from Issue date 0< (8) the building lu1hO<lzed Is suspended 0< lbandoned fo< a pe<tod 01 120 claro. . (3) If UUs penm expites. I ~ permit may be acqulred for. fee 01 one-haIf the amount nonnally requit'ed. provided no ch.anges ~.... been or wW be made In the original pLans.nd specirlcallonl and any luspenslon 0( abandonment has not exceeded one (1) yell. II changes Ire made DC' ilsuspenskln Of abandonment exceecls one (1) year, fuU fees ahaJI be p111d (or I new pennit. 1.) No wOIk of Il'l'f mamer ahalt be done lhat wiU changelhe OiturIJ now of water Clusing a draiMge problem. 5) Contractor WU. notify the BuUding Inspector twenty.four (2.) hours In advance 'or aU InspectJon.s and s~11 receive written .pproval on Inspedlon card betCH" . -, proceediing with successive phases ot the Job. . . '(6) lhe Issuance of I permit 0( the approval 01 drawmgs and specifications shin not be consltUed to be. permit (01'. nor an .pptovaJ of, Irr( 'fiolatlon or the provisions ollh. building codes or any other ordlnance, law, rule 01' regulation. . Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION