HomeMy WebLinkAbout3850 Ammons Street92
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201704957
201704957 ISSUED: 07/27/2017
3850 Ammons ST EXPIRES: 07/27/2018
Residential Re -roof to install Tamko Heritage asphalt shingles with 39 sq.
******revision redeck main roof due to spaced decking
39sq******************
*** CONTACTS ***
OWNER (303)949-7593 SWARTZ DOUGLAS W
SUB (303)731-8656 Cliff Breitweiser 170399 CB Construction
*** 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: 12,123.00
FEES
Total Valuation 0.00
Use Tax 254.58
Permit Fee 251.85
** TOTAL ** 506.43
*** 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) 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.
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
cv�
INSPECTION RECORD Occupancy/Ty�
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
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 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
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
Landscaping & Parking / Planning Dept.
Mid -Roof 17
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.
Lath / Wall Tie
Floodplain Inspection (if applicable)
Rough Electric'
Fire Inspection / Fire Protection Dist.
Rough Plumbing/Gas Line
Final Electrical
Rough Mechanical
Rough Framing
Rough Grading
Final Mechanical
Insulation
Roof
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
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
7
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line p
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M r I
Job Address: t A M m4 N S 5
Permit Number: p i 7 a ':*T 9 a. "
I
fNi wit Cfd
?�fl►I 'ai dl !' IV i 0 S : I �r7 MJ s°Cy r C-
❑ No one available for inspection: Time/ -Q ' AM/PM
Re -Inspection required:, e_s) No
When corrections have been mom, call for re -inspection at 303-234-5933
Date:' l ` Inspector45-
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT -201705929
PERMIT NO: 201705929 ISSUED: 08/11/2017
JOB ADDRESS: 3850 Ammons ST EXPIRES: 08/11/2018
JOB DESCRIPTION: Permit to install 4500 CFM evap cooler to replace like unit on roof.
*** CONTACTS ***
OWNER (303)949-7593 SWARTZ DOUGLAS W
SUB (303)450-4148 Justin Kansteiner 017569 Brothers Plumbing & Heating, I
*** 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: 5,499.00
FEES
Evaporative Cooler 40.00
Total Valuation 0.00
Use Tax 115.48
** TOTAL ** 155.48
*** 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.
11 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 atte hat I am le ally authorized to include all entities named within this document as parties to the work to be
performe aind that all yvk to be•perf0 ed is disclosed in this document and/ 'ts' accompanying approved plans and specifications.
Signaturyof ER or CONTRACTOR (Circle one) Data"I. This as issued based on the information provided in the permit application and accompanying plans and specifications and is
subjecompliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thishall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
recei 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 original ppermit fee.
3. If this permit expires, a new permit may be required to be obtained. rssuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for. or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
to
Signature of Chief Building Official "1Sate�
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
`)`Iheat jjd¢e
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date:
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:
3850 Ammons Street
Property Owner (please print): Douglas & Jacqueline Swartz Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:3850 Ammons Street
City, State, Zip: Wheat Ridge, CO 80033
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Brothers Plumbing Heating & Electric
Phone:
Contractors City License #: 01 IS (2 Phone: (303) 451-5057
Contractor E-mail Address: Permits@brothersplumbing.com
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
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑■ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
install a 4500 cfm evap cooler to replace a like unit on the roof
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)
5,499.00
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, casements 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
No ith applicable City of Wheat Ridge codes and ordinances fbr 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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZEDREPgESEYN;Y4TIl'1;) of (OWNER) (CONTRACTOR)
PRINT NAINIE: Justin Kansteiner SIGN ATU REY"'�';,�—DATE: 7/27/2017
DEPARMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ) Q,6. L_ V k�F-
Job Address: bo 16MM'�> ��5r
Permit Number: ,Zb I1 Q
❑ No one available for inspection: Time OPM
Re -Inspection required: Yes No
When corrections have been made, call f9", -inspection at 303-234-5933
Date: 10 lD 1'7 Inspector:
G
DO NOT REMOVE THIS NOTICE
1* � 4 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION OTICE
Inspection Type: L91,5 # F
Job Address: _10 -TO wi ln,105 52'
Permit Number: / 7 01
❑ No one available for inspection: Time i AM/PM
Re -Inspection required: Yes
When corrections have been made, c-afflbrre-inspection at 303-234-5933
Date: /11M Inspector: 9
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704957
PERMIT NO: 201704957 ISSUED: 07/27/2017
JOB ADDRESS: 3850 Ammons ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 39 sq.
******revision redeck main roof due to spaced decking
39sq******************
*** CONTACTS ***
OWNER (303)949-7593 SWARTZ DOUGLAS W
SUB (303)731-8656 Cliff Breitweiser 170399 CB Construction
*** 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: 12,123.00
FEES
Total Valuation 0.00
Use Tax 254.58
Permit Fee 251.85
** TOTAL ** 506.43
*** 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) 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.
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 - 201704957
PERMIT NO: 201704957 ISSUED: 07/27/2017
JOB ADDRESS: 3850 Ammons ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 39 sq.
******revision redeck main roof due to spaced decking
39sq******************
1, by my signature,do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicable building codes, nd all applicable municipal codes, policies and procedures, and that I am t`be legal owner or have been authorized
by the legal owner of the operty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I h es that I am le authorized to include all entities named within this document as parties to the work to be
performed a}d tia e per ormed is disclosed in this document and/or its' acc mpanying pprovetans and specifications.
f
Signature o OWNER or NTRACTOR (Circle one) Date ` U
1. This permit was issued based on the infonnation provided in the permit application and a�ggolilations,
panying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, r 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 pen -nit. 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 coany ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Num+•-�iu dL
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
/W heat j�ge
MUNITY 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: perm its(cDci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Add to Permit #O
f
Building Permit Revision/Amendment Application
>..
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: , )5 (J i(Y1 ul e-' n:1 ' s_
Owner (please print): ,�; �� ::)j .cam (-77[7 Z Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address 12 X2_5 Vj, 2'('644, (IIP ,
City, State, Zip:
Submitting Company:
Contact Person: l� ji [ )`� I�f a Q� Phone:
Contractor: CZ Cen c j24, cm 1 -T nc_,
Contractors City License #: Phone:�2s-���'
Contractor E-mail Address:
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:
r
�- 6e -o< � A �ra,--)� 8 - �, ��"d & "y , 0
Sq. Ft./LF
Amps
Btu's
Gallons
Squares�� Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$-2 1 1 cc
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 pen -nit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perfonn the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) ONTRACTO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: L, �U k� 1 f SIGNA
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:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
> City of Wheat Ridge
Residential Roofing PERMIT - 201704957
,a
PERMIT NO: 201704957 ISSUED: 07/27/2017
JOB ADDRESS: 3850 Ammons ST EXPIRES: 07/27/2018
JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 39 sq.
*** CONTACTS ***
OWNER (303)949-7593 SWARTZ DOUGLAS W
SUB (303)731-8656 Cliff Breitweiser 170399 CB Construction
*** 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: 10,023.00
FEES
Total Valuation 0.00
Use Tax 210.48 '
Permit Fee 220.15 — --.
** TOTAL ** 430.63 L
*** 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) 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.
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.
A City of Wheat Ridge
..�.
Residential Roofing PERMIT - 201704957
PERMIT NO:
201704957
ISSUED:
07/27/2017
JOB ADDRESS:
3850 Ammons ST
EXPIRES:
07/27/2018
JOB DESCRIPTION:
Residential Re—roof
to install Tamko Heritage
asphalt shingles with 39 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 pro a am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I fort a egally authorized to include all entities named within this doc ment asp ies to the work to be
performed andX o b erformed is disclosed in this document and/or its' accompanyi approveans and specifications.
Signature'af WNE 6r —CONTRACTOR (Circle one) Date G G
1. This permilVffsissued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 issuan or g nting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable cod ordmaf'fegul ion f 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.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 19, 2017 10:19 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received 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? VU
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3850 Ammons St. Wheat Ridge, CO 80033
Property Owner Name Douglas Swartz
Property Owner Phone 303-949-7593
Number
Property Owner Email cliff@cbconstruction.co
Address
�A,30. 6 -3
e
-
Do you have a signed
Yes
contract to reroof this
No
property?
I/
It will need to be
Tamko Heritage
provided at the time of
permit pick-up.
Asphalt
CONTRACTOR INFORMATION
Contractor Name
CB Construction
Contractor's License
AV—
170399
Number (for the City of
material selected above?
Wheat Ridge)
Contractor Phone
3035961160
Number
property include a flat
Contractor Email Address
cliff@cbconstruction.co
Retype Contractor Email
cliff@cbconstruction.co
Address
on the flat roof?
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
I/
Description of Roofing
Tamko Heritage
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
39
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
39 v
roofing material for this
project
Provide additional detail
Re -roof main house 4/12 pitch and shed 4/12 pitch
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 Clifford Breitweiser
Email not displaying correctly? View it in your browser.
3
BBB.
CONSTRUCTION
355 S. Teller St Suite 200 Lakewood, CO 80226 Office: (303) 731-8656 Email info@cbconstruction.co
SERVING THE FRONT RANGE SINCE 2009
Licensed and insured for your protection
4NG
Property Owner(s) Customer Douglas Swartz
Proposal Date 6/27/2017
Property Address 3850 Ammons St.
Primary Phone 303-949-7593
City, state zip Wheat Ridge, CO 80033
Secondary Phone
insurance Company Claim #
Farmers CL#300-8612169
Email Address
dswartz@sheridanross.com
® Tear off 1 layer(s) of composition & layer(s) of
® Standard ridge
High profile ridge
❑ Inspect decking ❑ Install decking
Install ridge vent
® Install starter course of shingles -entire perimeter
® Install turtle vents
❑Install Vents
® Install 15 # felt ❑ Install 30 # felt
® Install pipe jack flashings
®install furnace cap
M Install
® Paint pipe jacks to match roofing color
® Install ice and water shield on eaves per code
❑Detach and reset
® Install drip edge - color
❑ Remove and cover
® Install reinforcement in valleys using ice & water shield ❑ Install beauty course of ridge shingles on headwalls
®Closed valleys Qopen valleys
®Detach and reset satellite
DRemove satellite
® Replace step flashing on sidewalls, chimney and skylights
®Clean up & remove trash
[Sweep with magnetic roller
®
®Install 6 nails per shin let ughout fi Id area
®Roofing product i
�}� Clean out gutters
®Register
Provide building permit
Manufacturer Warranty
®Roofing color t ®CB Construction, Inc. Five Year Roofing Labor Warranty
® Manufacturer Warranty ®CB Construction, Inc. $2,000,000 Liability Insurance
® Special Instructions/Additional Work Roof, paint and gutters
Approximate Date(s) of Service: 8/27/2017 Estimated Cost (retail): 18,946.62 + supplements
(CB Construction, Inc. is not responsible for any property and casualty insurance carrier's delay or denial of an insurance claim, in whole or in part).
Incurred Costs with 0/P (Final Invoice):
CB Construction acting as General Contractor; standard industry practice is to assess 20% fee in excess of the retail rate for labor and material provided on each
trade performed. As such this fee is an incurred cost and will be included in the final invoice. The charge is part of Replacement Cost Value "RCV" and is to be
reimbursed from the insurance company if not already allowed
INCURRED COST is the Contract price, all supplemental payments obtained by CB Construction or that are paid due to an Appraisol Award or legal settlement are owed to
CS Construction upon completion.
OThe property owner(s) ("Customer) authorizes CB Construction, Inc., ("Company") to work with their insurance carrier to obtain the full scope of repairs
necessary for restoration of storm damage. This "Agreement' is not binding upon Customer or Company until the insurance carrier approves Customer's claim and
this amount is accepted by Company. Upon acceptance by Company, the amount approved by the insurance carrier will become the final contract price and
Company will receive the insurance proceeds for work it has completed, The Company will complete specified work for no additional cost to Customer beyond
the agreed claim amount except for the insurance deductible.
Customer is [D I is not ❑intending to make payment from the proceeds of a properly and casually insurance policy. if Customers payment is from an insurance
claim, then pursuant to Colorado law Company (roofing contractor) "shall not advertise or promise to pay, waive, or rebate all or part of any insurance deductible
applicable to the claim for payment for roofing work on the covered residential property," C.R.S, § 6-22-105. The Company shall hold in trust any payment
received from Customer, until Company has delivered the roofing materials to Customer's property or when Company has performed a majority of the roofing
work 91411ustomers property.
By I&1 below 1(INe) agree to ail ontract conditions on front and back of this agreement, and have been provided notice of the right to cancel both In writing and
J "Rff A/
Customer Sig at s) Acceptance Date
Company Proj ana `r Sig atur Office Manager Signature
Date:
Plan #
Permit #
Property Address: L
Property Owner (please print): Phone: 3o�,2�Z� 7,57
Mailing Address: (if different than property address)
Electrical:
Em
Z=
Mechanical:
City License # City License # City License #
Q2Sgriptl0n, Elf 10 k.* (Fully describe work to be performed • Attach additional sheet If necessary)
Upe�r4C-4'S kICLJ CLJIC�4 1 1% 'tAt I+ le S Fcon"oValue of sit work:
NEI
(AUrHORIZED REMS ENTATIVE) of (OWNER) (CONIRACTOR)
ERMNAMZ: , , �A- SIGNATVRE:
Reviewer
f I
4LI—
Ildg Valuation: $_
I
I
l
I
I
~ i
....~ ~~ CITY OF WHEAT RIDGE
?'r~ Building Inspection Division
!V' (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: Roof flJ/ftt..-
Job Address/Permit Number: ?fl5D /tt.1/t101'/5 5'l O!lDUo
~, '
, 'iii'
_'=>, (, t
. '\
~ 1 ') ,
Ilit ,; _',(n,) f;,J
[] No one available for inspectioj:k-Time AM/PM
Re-Inspection required: Yes ,~)
'-./
* When corrections have been made, call for re-inspection at 303-234-5933
Date:
4/W/Og
I I
flf
Inspector:
J.. " /
8! "v
DO NOT REMOVE THIS NOTICE
~ i
.....~ ~ ~ CITY OF WHEAT RIDGE
:?"r/:j, Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: $//JPI'np.
Job Address/Permit Number: 'iR*~/? A-MAMA/( 0><'0.:2(.0
AfJHf/.JuFO
A/?;>
t29.1n /T P~C7? D
,
o No one available for inspection: Time 3: VO AM/PM
Re-Inspection required: Yes Qg,)
* When corrections have been made, call for re-inspection at 303-234-5933
Date: ~~//)!? Inspector: k.
/
DO NOT REMOVE THIS NOTICE
~' WH("1>~
~ "
- C>
U ~
CO{ORp<\,P
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Building Permit Number:
Date:
Property Owner: yC J.. _. f',
Property Address: '3 r ,,0
Contractor License No.:
Company: :t<.. d" !<:,cS I~c.
........ ~/r- (~
1<0 ~p.fI.. ~J
r'd ~ s /,,---
Phone:
'? - t;>/I) - 70 9,f-
,1--I'71'-~""S;
Sf-..
Phone: 3. 'I'~ - O/GO /
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:$ s/ /0_
Permit Fee:$
Plan Review Fee:$
Use Tax:'!;
Total:$
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 byall
conditions printed on this application and that I assume full responsibility for
compliance with the Wheat Ridge Building Code .B.C) and all other applicable
Wheat Ridge Ordinances. for work under this p
(OWNER){CONTRACTOR): SIGN
(QWNER)(CONTRACTOR):PRINTED ~.1 ~
DATi5'~;;J.,8
C;;e> Icl;__
Description: 'l/O
/ A,4...7~--(.
y//;).
/ S/M';7
Sq. Ft. added
50
~
-30 74-
:z-c., ;t W/J-t<p..,
BUILDING DEPARTMENT USE ONLY
SIC:
Sq,Ft.:
LONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
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) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City,
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 120 days.
(3) If this pennit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit.
(4) No wor\<: of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for. nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
Chief Building Official
,~-'.
BuildingPermit
CITY OF WHEATRIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
Permit Number
18709
5/1312005
Inspection Line
3D3-234-5933
Residential Electric
PROPERTY 3850
Ammons St
Unit:
(303) 961-9393
OWNER:
Berkey
Description
Service Change 150 Amp
IFEES
IFees
Use Tax
Permit Fee
Total Fees
I
ICONTRACTORS
IName
ISin Jac Electric
I
IDue
$25.20
$66.28
$91.48
I
I
ILicense #
118091
I
IPaid
$25.20
$66.28
$91 .48
I
I
IPhone
14243898
Units:
Occupancy:
Walls:
ROOf:
Stories:
SqFeet:
I herebyc~lIy that th~sdllllCk di<itanclispropll.'led by tliIs permit application are accurate,anddonot ~olateapplicable.ordinances,'iuJl'!I or regwa,tions of the City of
Wheat Ridge or covenants, easements orrestrldlonsofrecord; th,at all measurements Shown, and allegations madeare accurate; that I have read and agree to abide by
all conditions printed on thlsapplicati "and that I assume full responsibility for compliance with the Wheat Ridge Building Code (V.B.C.) and aU other applicable
WheatRidgeordinauces,forwork t..ert~ .
(OWNER)(CONTRAC
SIGNED DATE
2
11Jjspemiit was Issued in accordirice with visions set forth in yourapplicatlon and is subject to'the laws of the State of Colorado and to the ~li1ng
~guIationsand BnUdingCode of Wheat Ridge, Colorado or any other applicable ordinances ,of the City.
:'flUs pennlt shall expireif(A) the workauthorized is not commenced withinsixty(60) days from lssne date or(B) the bliildingaui:horized is suspended or
abandl.med for a period oU20 days.
Htblspennit expires, a new pennit may be acqnlredfor, a fee ofoue-halfthe amount normally req1i:iTed, providedno ehangeshave been or wiD be made iD the
original plans and specifications and any suspmslonor abandonment hasnotexceeded one (1) year. Uchanges are'made or lfsuspe,nslon or abandonment
,uceeds one (1) year, fuD fees shaD be paid for a new permit,
No work ohny manner shaH be'done tbat will change the natural flow of water causIng a draInage problem.
Contractor shaD notify the BuDding Inspedor twentr.rour (24) bours In advance ~or all inspections and shall neelve written approval on inSpcctioncard before
proeeeding with suceesslve phases of the Job,
3
4
5
6
ingsand specifications shaD not be construed to be a permitfor,Dor an approvalof, anyviollitfonofthe
nce,law,ruleorregulation.
SIGNED DATE
Friday, May 13, 2005
Page 1 ofl
~~' ~H[" 1>~
~ "
_ C>
U ~
C'OLOR~~
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE. 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 . (303-235-2855)
APPLICATION
Building Penmil Number:
Dale:
Property Owner:
Property Address:
Contractor License No.:
Company:
13C:1<. KEY
3' J> f,-c> A f77.0'> cJ AI J
I/'i> q I
$/(1) J A- C-
Phone: S 9(,/- '15'''1 5
Phone: S t/ 2"'/ ~ 3 ,pc;. if'
OWNER/CONTRACTOR SIGNATURE Of UNDERSTANDING AND AGREEMENT I Buildina DeDt. Valuation Figure: $
I hereby certify that the setback distances proposed by this permit application are
accurate. and do not violate applicab~ ordinances, rules or regulations of the City of
Wheat Ridge or covenants. easements or restrictions of record; thaiall 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 (1.8.C)and all other applicable Wheat
Ridge Ordinances. for work under this nnit. Plans su ject to field inspection.
(OWNER~CONTRACTOR), SIGNEO DATE s,-) ~ f
Value:$ /L;ao
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
~
(OWNER)(CONTAACTOR):PRINTEO
DATE
Use of Space (description): (? C2A '
Description of work:
f~ ekr-
/..>0 ./I-
Sq, Ft, added
BUILDING DEPARTMENT USE ONLY
SIC:
Sq,Ft.:
ONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
~U8L1C WORKS COMMENTS:
Approval:
IRE DEPARTMENT COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No: / b6 '1 /
Company: 0
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Dale:
Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge. Colorado or any other applicable ordinances of
the City,
(2) This permit shall expire jf (A) the work authorized is not commenced within sixty (90) days from issue date or (8) the building
authoriZed is suspended or abandoned for a period of 180 days.
(3) If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required. provided no changes
have been or will be made in the original plans and specifications and any suspension or abandonment has not exceecled one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit
(4) No worl< 01 any man_ shall be done that will change lhe natural !low 01 weier causing a drainage problem,
(5) Contrador shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written
approval on inopection card before proceeding wilh successive phases oIlhe job,
(6) The issuance of a permit Of' the approval of drawings and specifications shall not be construed to be a pennil for, nor an
approval of, any violation of the provisions of the buUding codes or any other ordinance, law, rule or regulation. All plan rev)ew
Is subject to fleld lnapectlona,
Chief Building Official
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number:
Date:
13020
10/25/01
Property Owner:
Property Address: 3850 AMMONS ST
Contractor License No,: 17835
Company: Blue Sky Plumbing
Phone: 421-3098
Phone: 421 2161
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Total:
$3,000.00
$83,25
$0,00
$45,00
$128,25
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 1 assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
(OWNER)(CONTRACTOR) SIGNED
DATE
Use:
Description:
BOILER REPLACEMENT
BUILDING DEPARTMENT USE ONLY
--
Approval:
Zoning:
SIC:
Sq, Ft.:
_,_ :"0~
ermwJl~~.PJmBJ!t
Approvai :
........111
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 (Al the work authorized is not commenced within sixty (50) days from issue date or (8) the building authorized is suspended or
abandoned fOf a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of the building codes or any other ordinance, law, rule or regulation.
(4)
(5)
(6)
Chief Building Inspector
NetClerk ID# 101649
st."
I Mail I
Wheat Ridge
CO 80215
3032352851
3032352857
. I \ l\+ PvJi.J
\ \1oi(,G \,0~. (tj
,\ ~ l(_l~.C / \
\\, - a/I ~-"
V..;YV WlJ"'~7
To: Wheat Ridge
Building
7500 W 29th Avenue
Carrier: Farmer's Insurance
Tel: 3034212161
Fax: 3034240495
Email: blueskyplumblng@uswest.net
, Businessltra'de'llcense
Number: 17835
Classltype:
Exp,: 08i27i2002
Other ilc~nses
Blue Sky Plumbing & Heating
11680 W, 44th Ave,
Wheat Ridge CO 8003;l
Number: A0409-01-31 01
Exp.: 04i01i2002
Number: 178821
Classltype: Master Plumber
Exp,: 08i31/2002
Number:
Classltype:
Exp,:
Homeowner name: Chris Summers
Homeowner tel: 3034213098
Project address: 3850 AMMONS ST WHEAT RIDGE CO 80033
Job description: Boiler replacement
Valuation: 3000
) Payment Type: Check
Card holder name:
720 Dubuque Ave" ' South San Francisco, CA 94080, Government Services: 888-330-1777
NetClerk Fax: 877-846-5888
R51~9121
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date: 10/11/2001
BUILDING PERMIT APPLICATION
Property Owner: Chris Summers
Property Address: 3850 AMMONS ST WHEAT RIDGE CO 80033
Contractor License NO,:~ /7 Z3 .3 S
Company: Blue Sky Plumbing & Heating
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AGREEMENT
Phone: 3034213098
Phone: 3034212161
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record: that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER) (CONTRACTOR) SIGNED~ __________DATE1011J12001 Use:
Construction Value:
Permit Fee:
3000
Use Tax:
Total:
Description: Boiler replacement
BUILDING DEPARTMENT USE ONLY
%Olllrlg Commellts:
Approval:
Zoning:
Building Ci:imml\\l!~J
Approval:
P,ubllc Wo,k$,C\l\flments:
Approval:
SIC:
Sq,Fl:
Occupancy:
Electrical License No :
Company:
Walls:
Roof:
Stories:
Residential Units:
Mechanical license No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been made 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 shalt receive written approval on inspection card before
proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of the building codes or any other ordinance, law, rule, or regulation.
Chief Building Inspector