HomeMy WebLinkAbout4171 Everett DriveINSPECTION RECORD 5/z,
Inspection
online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before, MIDNIGHT (11:59 P to r c ive i spection h following business d
P / % �,!
ERMIT. C� ,27ADDRESS. / �/ �� JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMI� ADDRESS: 4(71 61,1w- &
JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
1119
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/ 0 9 - u-- f ,r)
Job Address: cl I -7 l ' �, e ,--e 4
Permit Number: -D e l g ny g �D-7
❑ No one available for inspection: Time = y3 (A�JMPM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: / -7 /1!? Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 306-1 `/f JI -00 t
Job Address: L071 EvFre¢fi
Permit Number: 7 6f 2%
❑ No one available for inspection: Time 10 0 AM M j
Re -Inspection required: Yes
When corrections have been made, �2inspectionat 303-234-5933
Date: Y/1 I/ h? Inspector: taw"t
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
®� Residential Roofing PERMIT - 201800827
PERMIT NO: 201800827 ISSUED: 03/26/2018
JOB ADDRESS: 4171 Everett DR EXPIRES: 03/26/2019
JOB DESCRIPTION: Residential Reroofing permit remove and install Class A Fire Rated Impact
Resistant CEDUR High Performance Simulated Wood Shake Shingles with 32
squares. Pitch=5/12
Please provide Manufacturer's Installation specification sheets.
*** CONTACTS ***
OWNER (303)423-2839 HAHN PAUL F JR
SUB (303)425-1083 Matthew Rock 017908 Rock's Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 30,000.00
FEES
Total Valuation 0.00
Use Tax 630.00
Permit Fee 499.55
** TOTAL ** 1,129.55
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201800827
PERMIT NO: 201800827 ISSUED: 03/26/2018
JOB ADDRESS: 4171 Everett DR EXPIRES: 03/26/2019
JOB DESCRIPTION: Residential Reroofing permit remove and install Class A Fire Rated Impact
Resistant CEDUR High Performance Simulated Wood Shake Shingles with 32
squares. Pitch=5/12
Please provide Manufacturer's Installation specification sheets.
I, by myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that 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 errmt, fu41her attest that I am le ally authorjzed to include all entities named w'th' this document as parties to the work to be
performedY'and that all work` eo"be perxEned"fs iisclosed in this document and/or its' ccompan ing approved plans and specifications.
Signature of OWAIER or CONTRACTOR (Circle one) Date
This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 f a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
aly
applicle�codeaor any odjnance 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.
La enia Reimer Z09 0 C"
From: no-reply@ci.wheatri dge.co.us
Sent: Monday, March 26, 2018 12:37 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
CJ
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 (enter WITH
dashes, eg 303-123-4567)
4171 Everett Dr., Wheat Ridge, CO 80033
Paul Hahn
I-
3034232839
112�i 55�
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Paul Hahn Signed Contract.pdf W
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Contractor Email Address
Retype Contractor Email
Address
DESCRIPTION OF WORK
Rock's Roofing Inc /
017908t*
3034251083
3820 QUAY STREET
rocksroofinginc@hotmail.com
rocksroofinginc@hotmail.com
TOTAL SQUARES ZZ:32
the entire scope of w
Project Value (contra 30000 \\
value or cost of A
materials and labor
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
No
Pitched roof (2:12 pitch or greater)
2
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
If "Other" is selected
above, describe here:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
5/12
32
Class A Fire Rated Impact Resistant CEDUR High
Performance Simulated Wood Shakes
Other
Wood Shakes
Remove existing layer(S) CEDUR High Performance Simulated
Wood Shakes roofing system
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
9
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Matthew Rock
Email not displaying correctly? View it in your browser.
Proposal and Contract
Rods RooFlNG, INC.
Phone: (303) 425-1083
Customer Name: Paul Hahn Ins. Cotiipally:
Billing Address: 4171 Everett, Dr. Claim Number:
Wheat Ridge, CO 80033 Contact:
Phone: 303-423-2839 Plione:
Email/Fax: j)1b-,jm6@gjnaij.com Emlail:
Job Address: d.l 71 la. ervil Dr Fax:
-wheal- lRidge, Co 80033
Date: February 15, 2018
State Fath
0615601B2
Martin Konslantin
866-787-8676 Ext. 2981
stotelannlireclaims@st.atetarm.(-om
844-236-3646
Rock s Roofing-hic. (herd/la/ic rlc%/TfII /O BS "(OII[rd(70)''� J)/2)pOBI.S /o Jp�E7J01'Ill 7ridlivnigll the hhor inalenals, Insllmme,
supervision, egnijimerr! and rrwriarlty (hcrcilr togr[ficrrc/e�rzd to as dee " (?jI k-) describedhrr-eiii notindudhWPetmitFee or
1q,adch&)nal item4hs indess . 1 rise slated. Collimctor c'amlol pay; rr,lirc', rebate orplolni.se to�j�ay; rr,live, orlchate all or part
of anynlsunwre deducdhle applicable io die hislinvire• chirp f v-payanen! for roofing- rrmrk oil llle propel•ty.
A. SCOPE OF WORK: Entire house and shed
1. Remove and dispose of two (2) existing layer wood shake shingles.
2. Inspect solid decking plywood and re -secure any loose sheets.
3. Install Self -.Sealing Ice and Water Barrier inembrane on entire roofurg surface and high letup ice and water
barrier at all valleys, complete widi metal W valley flashing.
4. Install 30 11) asphalt saturated base between each shingle course.
5. Install new pipe jacks on all plumbing pipe penetr•atlolls.
6. Install new attic ventilation per building code requirements.
7. Install galvanized step flashing along the sidewall and lieadwall flashing where the roof slope meets a vertical
wall. Install surface -mount counter flashing over the step and headwall as necessary.
All flashings to be 26 -gauge pre -finished unless other "'ise noted.
8. Install 2" x 4" drip edge flashir)g at all perimeters of flee rool'.
9. Install new Class A Fie Rated Impact Resistant CeDUR High Performance Simulated Wood Shakes cooling
system.
10. Provide 50 Year Limited Warraiity. p %�
New Color to be: Walden Initial I V
Base Bid: $41,200.00
Forty-one thousand two hundred dollars and 00/100
B. Paiment T eirns. We accept I'sa and MasterCard A 395 Cuinz'riien e li'ee will he added to the halance il'used
1�7ymeril is- due Ili hall upon con7pletloll of Joh. 11a mellt rr?ll he lite alter• thigy (30) days 1611orcirl, prgjc'c't
cx)mpletioli date. Null pay rlx'lit 111 aero/Clalire' w71fi the abor t' shall he cause for retainhig- the i ssistar(? ole
collector! ag'ellcy. 11'paymelifv are ilol made idic'll dile, interest, rOs/s' llll'ldClltal hi col/ec7toll agcllryar�d attolTley
lees 61'v1 anonie v is retaliied fur c oll(x [loll) shall he adde j to the unpaid hal nice. hiterest shall accrue at the rite
oll-1%l percent pc'rmolitli oil Ill(- lulpaid hal nc•e.
C The [elms and coiiditiolls set lunth on the rev arse side are a part ol7his proposal Authorlied sigliatrrrc helory
hidlrates agreement to terms arld conditions. 77i1s contl'act ag1•evinviit is hased nal the use o1111c American
Iusdaite of Architects stalllL'll'("I rollsly7le71o11 c'olltnac•1 docurnell/s.
D. This Proposal is suhjcct to rcvisioll orrrithdrarv-llraiy C011tl'al'!ol'10i' ail��'reaSOli 11I111I c'ommuDiCalloll o1
arreptance, and may be rvilsed' alter c•ominuililinn of arreptanre rrylel-C all inadvertent elior h Conttaclor' has
occrined 7hns Proposal ei7iiws thinly (3(1) chow alic'r the date stated ahovc If !lot earllCi' ac're'ptecl, revised or
rvitlndrarr". Cllstomer•ls enilitled to a 7t,-hourrc`sc'Issiou a11c'rleccivi1q'llotire ljO(m theil- llslil'e/'thill the claim IS
denied Ill rrllole or hi JJart.
Contractor Signature AulhorizIed Signature
2/15/18 Feb 15, 2018
Datc Date
Roofing Experts of Industrial, Commercial, Residential
3820 Quay Street - Wlicat Ridge, CO •80033
rocksrooGnginc@hotniaiLcom - Phone: (303) 42.5-1083 - Fax: (303) 940-9358 - www.rocksroofinginc.com
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, September 21, 2017 11:04 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Perm itAppIication
This application is exclusively t6r new per AOVRrresidential roofs and for licensed
contractors only. This type of ermit i Y being processed online --do not come
to City Hall to submit an ap ca,' person. its are processed and issued in
the order they are receive due to t,, of requests, time to process
varies and is subject to ch nge. YO BE C TACTEDHEN YOUR
WIL
PERMIT IS READY FOR PICK-UP L BE IVEN A SPUCIFIC DATE
AND TIME WINDOW TO COMPL THE TRA CTION. You will be notified if
your contractor's license or insuranc and you ay update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit mu y for the p mit in person
at City Hall. Revisions to existing permits (for a e, to add redec ng) must be
completed in person at City Hall. All other non- ofin g permits mus completed in
person at City Hall. The Building Division will be en from 7:30-1 0 a.m.,
Monday through Friday to process these types of uests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application fora Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4171 Everett Dr., Wheat Ridge, CO 80033
Property Owner Name Paul Hahn
Property Owner Phone 3034232839
Number (enter WITH
dashes, eg 303-123-4567)
45
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Sign Contract Paul Hahn 4171 Everett Dr., Wheat Ridge.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Rock's Roofing Inc
Name
'' JAW -
Contractor's License
017908
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
3034251083
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
3820 QUAY STREET
(Primary address of your
business)
Contractor Email Address
rocksroofinginc@hotmail.com
Retype Contractor Email
rocksroofinginc@hotmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 31
the entire scope of work:
Project Value (contract _:::3956s
value or cost of Ar` 7
materials and labor)u
Are you re -decking the No
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
46
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
If "Other" is selected
above, describe here:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
5/12
31
Owens Corning Duration
Other
synthetic
Remove existing layer(S) Install Duration Owens Corning
roofing system
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
47
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Matthew Rock
Email not displaying correctly? View it in your browser.
48
3830 Quay St; 4171 Everett Dr; 4685-4687 Hoyt St - Rock's Roofing Inc.
3830 Quay St; 4171 Everett Dr; 4685-4687 Hoyt St
Tue 9/26/2017 2:15 PM j
To:rocksroofinginc@hotmail.com <rocksroofinginc@hotmaii.com>;
Page 1 of 2
Roofs 6/12 pitch or over require third party inspection. Third party inspection
is required for both mid -roof and final inspections. The third party inspection
report and original permit card must be hand delivered to the City of Wheat
Ridge Building Department.
The permit(s) for the address(es) listed above is ready for pick-up. Please arrive at the assigned date and time
listed below and bring all required items for pick-up. If you miss your time window you may come in any
business day after your assigned date during the same assigned hours.
Permit pick-up (bring copy of contract) : Wednesday, September 27, between the hours of 11:00 am -
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
1:00 pm
Location: Wheat Ridge City Hall, 7500 W. 29th Avenue, 2"d Floor
Required items for pick-up:
• Bring in a Copy of signed roofing contract — We will be keeping the copy, do not
bring your original
• Fee for permit: $361.36; $339.91; $339.91
• Workers compensation insurance renewal required
• Photo ID
• Insurance information: Bring in Insurance certificate with City of Wheat Ridge listed as certificate
holder (DO NOT FAX OR EMAIL)--- you must bring in a copy)
**if hard copies of the contract, license information, and insurance are not in your possession we will not be
able to assist you****
Please do not email or fax required information — You must bring a copy of required items. Building is unable to
make copies.
NOTES:
• Permit card must be picked up and posted on site before work begins.
• Credit cards (Visa and Mastercard) are accepted up to $2500.
https:Houtlook.live.com/owa/?viewmodel=ReadMessageltem&ItemID=AQMkADAwAT... 10/3/2017
3830 Quay St; 4171 Everett Dr; 4685-4687 Hoyt St - Rock's Roofing Inc. Page 2 of 2
• You may PRINT a credit card authorization form and bring it with you in person when you come to pick up your permit.
Do not submit this form via email or fax.
• Checks are required for any amounts exceeding $2500.
• The person who picks up this permit must be authorized in our system to pull permits. If you are unsure or to add
someone, bring an authorization letter on company letterhead and signed by the owner.
All dumpsters associated with building permits must be located on private property (not in the street).
Dane Lovett
Permit Technician
7500 W. 29th Avenue
-------------------------- ----------------
Wheat Ridge, Colorado 80033
------------------------------------------------------------
Office Phone: 303-235-2853
Fax: 303-237-8929
www.ci.wheatridge.co.us
h t 1
CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above.
If you are not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is
prohibited. If you received this communication in error, please notify us immediately by e-mail, attaching the original message, and delete the original
message from your computer, and any network to which your computer is connected. Thank you.
https:Houtlook.live.com/owa/?viewmodel=ReadMessageltem&ItemID=AQMkADAwAT... 10/3/2017
FOR OFFICE USE ONLY
� Date:City cit
;0rWh6atRLdge
t t ^ilvti t t t 1. EVELOt'Ml N1f P1801permit #
Building & Inspection Services Division o
7500 W, 2e Ave,; Wheat Ridge; CO 80033 Plan Review
Office: 303-235-2855 * Fax. 303-237-8929
Inspection Line: 303-234-5933
Email:emits ci.heatrd e.ct.0
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be tar sedgy
Property Address: 7 1 e c.
kf-
Property Owner, fplease print}: A61Phone:
Property Owner Email.
Mailing Address: if different than property address?
Address:
City, State, l
am
Ar+ hlto t/Engin r E-mail: Phone.*
:
Contractor. -
Contractors
ont a tor:Contra for City License #: ' Phone.*Nor-
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Cnntas too -tnsi A►tldress:
Sub Contractors.*
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Electrical; JU Plumbing: , 'T"10 t r- Mechanical.
W.R� City License # W.R City License # 0 L W. R. City License #
Other City Licensed Sub; Other City Licensed Sub.
City License # City License
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FOR OFFICE USE ONLY
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City of ,pate:
at! -d 10 !jgt t�i� i "�E1..C7 NT AJanA"Permti# r
Building & Inspection Services Division
7500 W. 29sh Ave., Wheat Ridge; CO 80033 Man Review
Few
Office: 303.235-2555 * Fax: 303-237-5929
Inspection Lire: 03-234-5933
Building rmit Application
Please Complete all highlighted areae sides of this form. InoomploWspOloatlons my not be Processed.�
broperty Address.- 7 / __ 1-4- 1)
ProperOwner (please print). L , yl Phone:
I
Mailing Address: (if different than property address)
Address
City, state, i
chit ctlEng ne' E-mail: Phone. -
Contractor:
or:
Contractors City License Ph ne_ 11�- �
ContractorE-mail Address:
Stab Contractors.-
Electrical:
ontr ctors.-
Electrical: Plumbing: Mechanical:
W.I . City License # WA City License # W.R. City License ##
Other City Licensed Sub: Other City Licensed Sub.
City License # City License
Complete all information on BOTH sires of this form
NEW COMMERCIAL
IFY STRUCTURE
LECTiIk # SERVICE UPGRADE
1 ik #
RESIDENTIALNEW ef�COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROFING
• Y ADDITION
.FIR1O; WINDOW •.. • Y OCEMENT
COMMERCIAL
F# ACCESSORY
• •IIF
E (Garage, shed, deck, etc)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc')
MECHANICAL i N..Y REPAIR
• Yr REPLACEMENT
PLUMBING
. IF i Y SYSTEM/APPLIANCE
# fM Y IFM►y M or IIF PE !
CMENT
t M 1 SYSTEM/APPLIANCE
!? M L A.A REPAIR
N o REPLACEMENT P Y
1r'..... (Describe)
f
Sq. FULF
Btu's
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, DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
8979
5/27/99
Property Owner:
Property Address: 4171 EVERETT DR
Contractor License No.: 19312
Company: Deer Creek Plumbing
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 423-2839
Phone: 697 5583
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
$275.00
$23.50
$0.00
$4.13
$27.63
I hereby certify that the setback distances proposed by this permit application are accurate,
;md do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
eovenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and a~ree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Gode (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Use:
Description:
Install 40 gal water heater
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new perTTlIt may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the BUilding Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
fl~/des or any other ordinance, law, rule or regulation.
. ~ II.'(....~
Chief Building Inspector
..
DEPARTMENT OF PLANNiNG AND DEVELoPMEi-n .
BUILDING INSPECTION DlVISIQN- 235-2855
CITY OF WHEA TRIDGJ; '.. . .
7500 WEST 29TH AVENUE
WHEA.T RIDGE, CO 80215
, -,': ';".':';
,; ,!;~:'::,J:'
A PPdtl\t'iD'.N
;, .. ',".. .. "',
Building Permit Number: .
r" oJie,.. ~;J:.\~()~9
~.j\ .f' .. ;:~,~:.,<>>:~f_f_, '
, J
.,
- PropertY Owner: ?ML tIPr\\i\\'
Property Address: 4/-7./ f~vet+
j)\i, 'l:i oj,,~ '- , J, .. ., \..'.
I . ",. . i, .
D(. '..W.'Nl.ctt ~~hol1e:~B)ti'2o""2e,?:f\
lO''fJ\::63:5.. . . ,..., .... "
J'
-,.,.
Contractor 'License No.: ICl~\d.
Company: ueev .trecl. V\V m b \"Ie
,,',
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT-
I hereby certify that the setbacl< distances proposed by this pennn 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 8raree to abide by'all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other app~icable Wheat Ridge ordmances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Use:
Description: \ flS~ a \ \
q 0 ~ ., ~;::l.QA ~6.tC>'\
BUILDINf' DEPAfUMENT USE ONLY
~q!11-iUfj~~
Approval:
Zoning:
~!ngl\!.C!p:llll8nts14
Approval:
SIC:
Sq. Ft.:
'1..\J:.L!.l~~~
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No :
Company:
Plumbing License No: LCf 31 ~
Company: DeL-v C(ccIL-
Mechanical License No :
Company:
Expiration Date :
Approval :
Expiration Date :
Approval :
Expiration Date:
Approval:
(1)
(2)
(3)
TIlls pennit was Issued In acc:on:lance with the provisions set forth in yopur application and is subject to the taws of the State of ColonIdo and to the Zoning
Regulations and BulldlnR Code of Wheat Ri~e, Colorado or any other applicable Ofdinances of the City.
This permit shan expire If (A) the work authonzed is not commenced within sixty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires. a new pennit may be acquired for a fee of one-half the amount normally required, provided no changes have been or wUl be made In the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No worn of any manner shall be done that will change the natural now of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours In advance for alllnspecUons and shalll'eCf!iVe written approval on Inspection card before
proceediing with successive phases ot the Job.
The issuance of a pennlt or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of th...,!' building codes or any other ordinance, law. rule or regulation. . ".
(4)
(5)
(6)
Chief Building Inspector