HomeMy WebLinkAbout3820 Dover Street► i City of Wheat Ridge
Residential Sewer Repair PERMIT - 202001670
PERMIT NO: 202001670 ISSUED: 08/24/2020
JOB ADDRESS: 3820 Dover St EXPIRES: 08/24/2021
JOB DESCRIPTION: Replace sewer line, install cleanouts - 45 ft long
*** CONTACTS ***
OWNER (303)534-1228 MACZUZAK MATTHEW AUSTIN
SUB (720)312-9102 MANUEL GUERRERO 120127 PIPELINE SOLUTIONS
*** 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: 6,750.00
FEES
Total Valuation 0.00
Use Tax 141.75
Permit Fee 156.75
** TOTAL ** 298.50
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202001670
202001670
3820 Dover St
ISSUED: 08/24/2020
EXPIRES: 08/24/2021
Replace sewer line, install cleanouts - 45 ft long
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 pennit and perforin the work described and approved in conjunction with
this ppermit. 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 andlor 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, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
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.
Online Form Submittal: Sewer or Water Line Repair Permit ... - ... https://wnnail.ci.wheatridge-co.us/owa/#viewmodel=ReadMessage...
Online Form Submittal: Sewer or Water Line Repair Permit
Application
no-reply@ci.wheatridge.co.us
Mon 8/24/2020 10:45 AM
To:CommDev Permits <Permits@ci.wheatridge.co.us>;
Categories: Kim
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for sewer
line or water line repair - in
yard only?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat Ridge
Electronic Payment Form -
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
Yes
Residential
3820 Dover St Wheat Ridge CO 80033
- ---------------------------- ---- -----
Matt MacZuzak
303-534-1228
none@none.com
EPFWR.pdf
1 of 3 08/31/2020, 8:30 AM
Online Form Submittal: Sewer or Water Line Repair Permit... - .
CONTRACTOR INFORMATION
https://wrmail.ei.wheatridge. co.us/owa/#viewmodel=ReadMessage...
Contractor Business Name Pipeline Solutions LLC
Contractor's License
120127
Number (This is a 5 or 6 digit
number for the City of Wheat
Ridge)
Contractor Phone Number
3038105321
(enter WITH dashes, eg
303-123-4567)
Contractor Email Address
denpermits@gmail.com
Retype Contractor Email
denpermits@gmail.com
Address
DESCRIPTION OF WORK
Is this a sewer line or water Sewer Line
line repair?
Length of repair 45'
Location of repair (backyard, front yard
frontyard, etc)
Provide additional details to replace existing sewer service line with a set of cleanouts in
including installation of private property.
clean -outs.
Project Value (contract value 2250
or cost of ALL materials and
labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
assume full responsibility Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
for work under any permit
issued based on this
application.
I understand that work may Yes
not begin on this property
until a permit has been
issued and posted on the
property.
2 of 3 08/31/2020, 8:30 AM
Online Form Submittal: Sewer or Water Line Repair Permit .......
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 stated Yes
in this application is true and
correct and that falsifying
information in this
application is an act of fraud
and may be punishable by
fine, imprisonment, or both.
Person Applying for Permit Jose Guerrero
https://wrmail.ci. wheatridge. co. us/owa/#viewmodel=ReadMessage...
Email not displaying correctly? View it in your browser.
3 of 3 08/31/2020, 8:30 AM
i CITY OF WHEAT RIDGE
Building Inspection Division
(303j 235-2855 Office
INSPECTION NOTICE
Inspection Type: _; i "k:� k.
Job Address: _r jt ; 1, c; V
Permit- Number: C
❑ No one available for inspection: Time ..'-� AM/PM
Re -Inspection required: Yes P�I9'
When corrections have been made, schedule for re -inspection online at.
http Dwww.ci.wheatridge.co.usrnspection
Date:` }' �;� Inspector:.
DO NOT REMOVE THIS NOT/ E
e, A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
14,
1 t t
❑ No one available for inspection: Time AM/PM
Re -Inspection required: ties No
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge. co. uslinspection
Date: - i u ',-inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: 57qq ADDRESS:
f
JOB CODE: ) R -
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
PERMIT: ADDRESS: 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
r
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
r
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
. rNote: 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.
M
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: `/ C 9 -
Job Address: 3 g a OS�-
Permit Number: -P 0)-7 O S S- q
❑ No one available for inspection: Time = tQ (PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: I q 4Inspector: TIS
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: I
Job Address: �7620 6it'i2 moi^
Permit Number: ZQ(7_0�
,a-1 00 - U
❑ No one available for inspection: Time IU �4pM
Re -Inspection required: Yes No
When corrections have been made, call for re-itf4pection at 30.1-234-593
Date: Inspector:
— &�t4
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: '"' ( D
Job Address:
Permit Number: 6 j%D o L;9aj
a
C�SQrcl (NI U
❑ No one available for inspection: Time I 5U AMPM
Re -Inspection required: Yes (F)
When corrections have been made, call for re -ins ction at 3W-234-5923
Date: 1 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201708599
PERMIT NO: 201708599 ISSUED: 10/25/2017
JOB ADDRESS: 3820 Dover ST EXPIRES: 10/25/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 16 sq Pitch = 5/12
*** CONTACTS ***
OWNER (440)522-2559 MACZUZAK MATTHEW AUSTIN
SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,353.00
FEES
Total Valuation 0.00
Use Tax 154.41
Permit Fee 172.60
** TOTAL ** 327.01
*** 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 - 201708599
PERMIT NO: 201708599 ISSUED:
JOB ADDRESS: 3820 Dover ST EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles
10/25/2017
10/25/2018
16 sq Pitch = 5/12
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 propertyand am authorized to obtain this permit and perform the work described and approved in conjunction with
this_pernit. I further est that I An legally thorized to include all entities named within this document as parties to the work to be
perform,,
erform and that Awork to be erfo d s disclosed in this document and/or its' accompanying approved plans and specifications.
L Z
nature o OWNE or CO TRACTOR ( ircle one) Date
This perm' was issued based on the informat n provided in the permit application and accompanying plans and specifications and is
ub'ect he compliance with those docume ts, and all applicable statutes, ordinances, regulations, policies and procedures.
2. T I ermit shall expire 365 days after t e e 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 anmanner 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.
a
Signature of Chie wilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From:
no-reply@ci.wheat ridge.co.us
7�
Sent:
Wednesday, October 25, 2017 8:28 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
�.
�_�
Follow Up Flag:
Follow up
Flag Status:
Completed
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
1 ) /
Property Address 3820 Dover St.
Property Owner Name Carson Maczuzak
Property Owner Phone 440-522-2559
Number (enter WITH
dashes, eg 303-123-4567)
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
roparoofing@gmail.com
Yes
Maczuzack, Carson - Agreement.pdf
CONTRACTOR INFORMATION
Contractor Business
Ropa Roofing
Name
Contractor's License
160146
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
720-284-8831
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 795 McIntyre St., Golden, CO 80401
(Primary address of your
business)
Contractor Email Address roparoofing@gmail.com
Retype Contractor Email roparoofing@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 16
the entire scope of work:
Project Value (contract7353
value or cost of ALL
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)
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:
5:12
16
laminate asphalt shingle
Asphalt
Provide any additional House - remove and replace roof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
3
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 Brent Roper
Email not displaying correctly? View it in your browser.
4995 Vallejo St, pewter, M =21
Office: 720-475-1065
Ropa Roofi ng www.RooaRoofine mm
General Liability Insurer: Colony Specialty, NAIC;399%
_
Colorado Insur re Professionals, lnc. I -o3 755-8500
AGREEMENT DATR: Ifs LU [
OWNEWS):..
ADDRESS:t�t
FRONS:
F.MA[U
INSURANCECO:��A�Ni
CLAIM 4:
SCOPE: Shingles rcrnovcd: sq. Replaced: sq_
Type:
Pipe boots:— IcelWater shicld:. n. hip/Ridge Crap tt.
Starter Shingics: _ft. i)rip Mga: _ ft. t:otc r,
veal type:-- Nu.:
ChiTnnt y Flashing: _ Stcp }:lahhing: _
Stant]"Ite: Price:
Cenerul: Both Parties agree to ux>perate in good faith effcn•ts as follows. (1) to file a property damage claim
with the owner's insurance company upon executing this agreement, if damage is found. (2) to share all
information related to the insurance adjusters meeting and make every attempt to attend the adjwiten meeting
together. (3) To provide each other with all claims reports and other information related to this claim.
Ropaltoofing will prepare the file for production and acquire all permits and other documents necessary to
comply with local requirements, As consideration for the work provided by RopaRoofing, the owner hereby
agrees to appoint RopaRooring Rs their exclusive contractor.
If the claim is approved: Ropaltoofing agrees W complete all work outlined in the owner's insurance claims
repurl, including all supplements and additional items agreed to by the owner's insurrnt a company.
If the claim is denied: If the inspection is denied, then this ;xeelneut is Mull and Void. The owner is not
responsible for any payments to Ropaltoofing.
Payments: The partial agree that RopaRonfing will he entitled to all insurance procee& related to all claims
sulaiect to this agreement, and all other monies for upgaides or additional work that is approved in writing by
the owner on the addendam to this agreement. The owner understands that they are fully responsible for their
insurance deductibles, as stated by the Colorado Law 6-22-105. Waiver of Insurance deductible prohibited.
Payments: Owner hereby releases their insurance company to provide RupaRoofing with information related
to this claim and furthermore grants permission for their insurance company to negotiate and settle all claims on
behalf of the owners with third party adjusters, if necessary.
Owner's Rights: Should the owner decide to cancel this agreement, it must be done within 72 hours of thc:
elate signed. This may be done via nail, email, or hand delivered letter - stating that they wish to terminate this
agrconcnt.
Scope: To be defined by the Owner's insurance summary plus any additional upgrades, which they choose;
and shall be attached along with the addendum to this agreement.
THE ROOFING CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE
PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS DPTAVRRED MATERIALS TO
THF? SITETO W HIGH THE WORK IS TO LSU PERFORMED OR HAS PERFORMED A MAJORITY
UFTHE ROOFING WORK ON THE RESIDENTIAL, PROPERTY.
Accepted by Property Owner on: Date t !-2d,) / 1 —1
Stiles Person: Date i J-7
*THIS AGREEMENT IS NULL AND VOID IF INSPECTION IS DENIED
By: X(,�V
-f
By. X _
4 ; , City of Wheat Ridge
.r v
s
Residential Roofing PERMIT - 201708599
PERMIT NO: 201708599 ISSUED: 10/25/2017
JOB ADDRESS: 3820 Dover ST EXPIRES: 10/25/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 16 sq Pitch = 5/12
*** CONTACTS ***
OWNER (440)522-2559 MACZUZAK MATTHEW AUSTIN
SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,353.00
FEES
Total Valuation 0.00
Use Tax 154.41
Permit Fee 172.60
** TOTAL ** 327.01
*** 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 - 201708599
PERMIT NO: 201708599 ISSUED:
JOB ADDRESS: 3820 Dover ST EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles
10/25/2017
10/25/2018
16 sq Pitch = 5/12
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
pe . and am authorized to obtain this permit and perform the work described and approved in conjunction with
this pe it. I further est that I a legally thorized to include all entities named within this document as parties to the work to be
perform and that a work to be erfo d s disclosed in this document and/or its' accompanying approved plans and specifications.
N�A _Z_ (71
nature o OWNE or CO TRACTOR ( ircle one) Date
This perm' was issued based on the informat n provided in the permit application and accompanying plans and specifications and is
ub'ect he compliance with those docume ts, and all applicable statutes, ordinances, regulations, policies and procedures.
2. 1 ermit shall expire 365 days after't e e 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 andmay be subject to a fee equal to one-half of the original Term it fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of an manner shall be performed that shall results in a 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.
a
Signature of Chie wilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
� -1 � �q
Dane Lovett G' ` v
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, October 25, 2017 8:28 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
(—J
Follow
(—
Follow Up Flag: Follow up �—
Flag Status: Completed
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 3820 Dover St.
Property Owner Name Carson Maczuzak
Property Owner Phone 440-522-2559
Number (enter WITH
dashes, eg 303-123-4567)
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
roparoofing@gmail.com
Yes
Maczuzack, Carson - Agreement.pdf
CONTRACTOR INFORMATION
Contractor Business Ropa Roofing
Name
Contractor's License 160146
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-284-8831
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 795 McIntyre St., Golden, CO 80401
(Primary address of your
business)
Contractor Email Address roparoofing@gmail.com
Retype Contractor Email roparoofing@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 16
the entire scope of work:
Project Value (contract 7353/)
value or cost of ALL
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)
N
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:
5:12
16 t
laminate asphalt shingle
Asphalt
Provide any additional House - remove and replace roof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
3
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 Brent Roper
Email not displaying correctly? View it in your browser.
4"S Vallejo St, rierwer, CO 80221
Office: 720-475-1065 .RopaRoofng xywRooaRuotingmm
General Liability Imurer.Colony Specialty, NAIC:39993
_ CotoradoInsu ce Professionals, Inc. (303) 755-8500
AGREEMENT DATR: It't `ZC3 t7
OwNEWS): Gdu��'i.i
ADDRESS:
PHONE:
F.MMU
INSURANCECO: J~T%�cL �AQt"i
CLAIM #:
SCOVE: Shingles rccimovcd: sy. Replaced: sq.
Type: i S _&LOC_
Pipe boots: _ Ice/WatersWeld:. R. Hip/Ridge Cap h.
Starter Shingles: —ft. Velp Neige: —ft. Co'.t�r.
Vent type:-- Nu.:
Chimney Flashing: _ Slcp }•'lashing: _
start Date: Pries:
General: Both Patties agree to cooperate in good faith efforts a` follows. (1) to file a property damage claim
with the owner's insurance cornpany upon executing this agreement, if damage is found. (2) to share all
information related to the insurance adjusters meeting and retake every attempt to attend the adjusters meeting
together. (3) To provide Each other with all claims reports and other information related to this claim.
Ropal2oofing will prepare the file for production and acquire all permits and other documents necessary to
comply with local requirements. As consideration for the work provided by RopaRoofing, the owner hereby
agrees to appoint RopaRoo ring as their exclusive contractor.
If the claim is approved: Ropal2nofiing agrees to complete all work outlined in the owner's insurance claims
report, including all supplements and additional items agreed to by the owner's imurmt:e company.
If the t:laim is denied: If the inspection is denied, then this agreetnent is Mull and Void. The owner is not
responsible for any payments to. RopaRoofing,
Payments: The parties agree that RopaRonfing will he entitled to all insurance proceeds related to all claims
subject to this agreement, and all other Ironies for upgrades or additional work that is approved in writing by
the owner on the addendam to this agreement. The owner understands that they are fully responsible for their
insurance deductibles, as stated by the Colorado Law 6-22-105. Waiver of Insurance deductible prohibited.
Payments: Owncr hereby releases their insurance company to provide RupaRoufing with information related
to this claim and furthermore grants permission for their insurance company to negotiate and settle all claims on
behalf of the owners with filH party adjusters, if necessary.
Owner's Rights: Should the owner decide to cancel this agreement, it must be done within 72 hours of the
date signed. This may be done via snail, email, or hand delivered letter — stating that they wish to ternunate this
agr.mcnt.
Scope: To be defined by the Owner's insurance summary plus any additional upgrades, which they choose;
and shall be attached along with the addendum to this agreement.
THE ROOFING CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE
PROPERTY OWNER UNTIL THE ROOFING CONTRACTOR HAS UP,T,iVF.REI) MATERIALS TO
THF. SI'I'F TO WHICH THE WORK IS TO Bli PERFORMED OR HAS PERFORMED A MAJORITY
OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY.
Accepted by Property Owner on: Date )/l
Sales Person: Date
'THIS AGREEMENT IS NULL AND VOID IF INSPECTION IS DENIED
~ 4
....~ ~ r' CITY OF WHEAT RIDGE
:?;r~ Building Insp~ction Division
!V' (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Insp~ction Typ~: h.v~L J2a?F
Job Addr~ss/P~rmit Numb~r: ,3g'JO GO/E.: 0 l?o703
A-fllf0ufD
D No one available for inspection: Time /: If
AM/PM
..--,.'.',
Re-Inspection required: Yes ~
* When corrections have been made, call for re-inspection at 303-234-5933
Date:
t/.JC/ CiS Inspector: L~
/
DO NOT REMOVE THIS NOTICE
~_._ _,__.~_ __._______~ ____..~~_.~_______.___._.__.. ._._a,__'_
.------------------- .-
'f"\~'~\;!\'~:>i- ';\<~'{~"'':\'(;''
{f:i':(:"f'~';~?h~~t!','~;t:f!'.'~1;?-,~I;~~;E:~'\"1f'::);'':j'1;\1~i~-":~':"' ~f::::;.t1~~i:;'ii'*
.~i".~ 1j\;;-'~~~~0d
:/' 't! " .:,'~, ",""" ;t""":'~';V,'< '
,
';,i;.i/-/'~~';;:r:.!:.ir\'1;-W,':{?
,!r<';';'i'
"C,':";",;):;;,,;
. ",;"",,"""
.... .....
~u~
~
City of Wheat Ridge
I:
Ii
,
i
PERMIT NO:
Joa ADDRESS:
DESCRIPTION:
080703
3820 DOVER ST
T/O and reroof
Residential Roofing PERMlr - 080703
It
,
;1
"
ISSUEDI1
EXPIRE~:
~t
"
06/25/2008
12/22/2008
...
CONTACTS ...
303/422-0369
303/462-3745
Robert Siplon
MlIRY PHILLIPS
;
08-~034
I
O'CONNOR ROOFING
owner
gc,
** PARCEL INFO **
ZONE CODE: UA
SuSDIVISION: UA
,
USE:
BLOCK! OT#:
UA
0/
P~rmit Fee
Total Valuation
Use Tax
*~ TOTAL **
ESTIMATED PROJECT ALUATION:
FEES
144,70
,00
83.16
227.86
4,620.00
** FEE SUMMARY **
Co~ditions:
6 ~ail installation & mid-roof inspection required. Boar
th~n a 1/4 of an inch apart requires plywood overlay on e
sheeting spaced more
tire roof
I hereby certify that the setback distances proposed by this permit applicatia
ordinances, rules or regulations of the City of Wheat Ridge or covenants, eas
m~asurements shown, and allegations made are accurate; that I have read and ag
application and that I assume full responsibility for compliance with the Whea
a icable Wheat Ridge Ordinances, for work under this permit. plans subject t
~ p" j, .7.'S-Dr
contractor/owner date
are accurate, and do not violate applicable
ents or restrictions of record; that all
ee to abide by all conditions printed on this
Ridge Building Code (l.B.C) and all other
field inspection.
1. This permit was issued in accordance with the prpvisions set forth in your pplication 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. I '
2, This permit shall expire 180 days from the issue: date. Requests for an exte sion must be received prior to expiration
date. An extension may be granted at the discre~ion of the Building Offic~ 1.
3. If this permit expires, a new permit may be acqu~red for a fee of one-half he amount normally required, provided no
changes have been or will be made in the origina~ plans and specifications nd any suspension or abandonment has not
exceeded one (1) year. If changes have been or ~f suspension or abandonme 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 flower causing a drainage problem,
S. Contractor shall notify the Building Inspector twenty-four (24) hours ance for all inspections and shall receive
written approval on inspection card before proceeding with successive phas of the job.
6. The issuance of a permit or the approval of dra~i~~s and specifications s , 1 not be construed to be a permit for, nor
an approval of, any violat' n the provisions b~~the building codes or a other ordinance, law, rule or regulation.
All plan review is s ield inspections.
signature of Chief Buil
date
(303)235-2855
ON THE FOLLOWING BUSINESS DAY.
I~SPECTION REQUEST LINE.
R~QUESTS MUST BE MADE BY
(303) 234-5933
3PM ANY BUSI~ESS
BUILDING OFF I ,
DAY FOR INSPEC
II
i
",0."";:
"'_0""''''
"u~ ( .
p:....~.,.....
..:.-,',....'0.:
.. < <"-::>.. .:"..
\ ',:,_.,' ,
._:s~tyof Wheat.. Ridge
'> -,:.....,:..;..,;..'....,.. ',.:,.:',',<! !
.";1tM~it1!ial Rboffug PERMIT - 080703
,'.:'....,:...',.:-->-:.::,.....,'<-../':.-,.,:..! 'r " .',
PERMIT NO,
JOB ADDRESS:
DESCRIPTmN,
040'103.
.3820 DO\!IilkS'1!: .
. .T/C and .rkQ<:>f
ISSUED:
EXPIRES:
06/25/2008
:L2/22/200a.
***
,,-,
CONTActS.*"
. 303'/422-0369
303/462-3745
RObe:r:t Siplon
'. MlIRY 'PHILLIPS
08-0034 O'CONNOR ROOFING
owner
gc
· . PARCEL' INFo
ZONE CODE:
SUBDIVISION;
"'"
:it..
UA'
UA
USE:
BLQCK/LOT#:
UA
0/
Permit Fee '.
Total valu;ltion
Use Tax
.. TOTAL ..
,
'.""=la
144 : ~~ .. . pO't!(,
83.16
227.86
":,.;,
.c" :~(;
4,620.00
.. FEji: ~"..".
condit::i.Cl1'll!l-'<i>
6 nod),. ilJ,~t",:);J:~t;i~l1. .6< rrt:id.-roof inspection.. required. Bcpard sheeting spaced more
then 'a l./4c;>f an inch apart requires plywc;>ocl overlay elm entire roof
, -"': ,,,,,,,,..,:.,,:,:,- " .'
: .........:;:,.'" : .' ....... ',...' .' ,_:'-
I her~~lfti:f~t1la,~::~..~_~~diBta~cesproPO~eQPYthis pe~it application are aacm:ate, and do not..Violateappii~abie.:
ordinlinees:,: tu;~e;o;:::-rlS~:i.,ti~,Ofthe<Ci ty of Wheat Ri~ge or -covenants, : easements or r_estd~tions of recOrd: t~_'ill:1, !,,' .'
meas,~f:!melits:s~~',~n({:':~H~il.t,lt)l:ilB.madie are accurate; that I have read. and ",gree:toabi4e l:ly-all cQ:nditio~. pti~~'-otJ::t:fti.;'
applicat;~-and:<tha1?,~,,:a:"*~u~~1&..~ i~swnsibility for conlpliance with the' Wheat Ridge Building C~de (I.B;C) 'anci' all other
-:;{ieabh :"'",~ l~,o: eo.. fo, wo,' under t~..P~';i:;'"i. .ubj~ct to field inspection,
Sigrtati.lr~ p~t.r#lc~l~ei: date
ThiS"'~~.':,~a:s "}~~l1~i.:in'#p;fdilnc~, with' thePl."OV1Si~n~'.5etforth in ~ou.t" VfPlicat:~Q~:,andiS Subject': to,.thela..tcif',ttie
State,()'f.~J..~a~ a11d.,~.tti.~,ZOl:l:j;pg~egUlations and BLiUding Codeff of l'llieatRidge,' Color.do a:r any'otJae:r:appllc~l~'
ordi~e~5It:tlJeCi.-ty',;~ ,"":,':' ,', ',' ',,', , " " , - ","<, r , _"", ,'; , ' ,,:
2. .1'J;i~8,P't;tf!tB-..!Pi!1fr::-:,~~,~,f!':,18,~"~y~,,f~m the, issue,date",Requ~st.~ for ani extension must be, received prior to,:~iration
~te~ ",~,!e~~e]l..t()p.,~y: ,P,e, '~8d~t the discrP!tiondf the Building Official.
It, thj.SI>,,~~t,~tr~.;~,.Cll.~~~:pexmitj maybe acquired ~or af,ee of one-f,al! the C$mountnormally -requir~d. pro'\'i(i$dilO
c~ge$"ti&ll~.be~'_Q:l!:~'~PJ, J:~~.:,:~~~, in the ?riginal plar}S and spedficat ons ap.d any _ su~pensionor, abandol)merttd1a,.. not
:c~:~~j:,:~j~::(h~rx:~~;,'~,~~fg~e_~ve been or Hsu~pensi,on or aband nment: exceedsQne (1) 'year, . full ,tees shall
N~;WOrk'l)t,anY, ~~'~ll,:~.',done :thatwillchange tihe natural flow fwatbrcauslngadra.i,nage p:t;oplcm.. ...._,..; .
C6t1tra'*oJ-:~aJj':~t~~~::'~e.J$U11cting Inep_ctor twenty": four' (24) hours . n adv~ncefor ~ll insp_ctioml, and.. sllan ~ceiVe,
~itt,!l!B__~p~:-ra~;,>Qn,'~~.~l#:t~,~ar<i tJefore proceeding !with successive hases: of the job. . '.' '.' '.' ..". .'::
The,).~..:Of;,'>'~~:f.,-:~\;~;'hjt,~val OfdraWingiJ. ctnd specification shaU not be..~on8tr~ed to be.a~:nnij:'{or"'_,nCJ,r
an.aPft'o,,.,,:t-,,'<?:~.~,'~ny~~:e!:~~*9j:l;,,~. provisio~SOf .... building codes r any,; other ordinance, law, ruleor'regtiXa,tidn',
AHpl:.n,.rei:Y1i~w.l&_SUl> :' ~: ", :1i:1 :inspections. . .
4,
1.
3,
4
5,
6,
Signat,ure: o!'''Ch.Lef'&14i1dj.
date
',,':., . .-':.:'.,."":,,.,;,,'.....:........;.::;':....,,_..-.... .+',:
IN8PBC'l'io.HUI~~tJI8. (30~) 234-5933 BUILDING 0 FICil: (303) 235-2855
REQUESTS"-t\IJS'.l: ;llll ~Ill,s;.r' 3lllM ,ANY BUSINESS DAY FOR INS ECT~ON 'THE FOLLOWING BUSINESS DAY.
:;~:~;-':)~
',ft',:
i~ ""j',;
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: D't DiD3
Date:
Phone: '0 3 - <./ l. Z. . 0) c.q
p"""erty-Gwnor:
Property Address:
Contractor License No,:
Company:
R..IT'~
)r2..0
~ '
,~ -
D~ 'U-
Cl'c::.,...,~~
Phone: .> e S _ y4l.')" Sf' r
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Bulldlna DeDf. Valuation Figure: $
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 8$SUme full responsibility for
compliance with the Wheat Ridge Building Code (LB.C) and all other applicable Wheat
RIdge Ordinances, for work under this permIt. Plans sulDject to field InspectIon.
(OWNER)(CONTRACTOR),SIGNEO -j ~ /Z..~.. 1- .JJ DATE 4, 'lY~/
(OWNER)(CONTRACTOR):PRINTEO LAt.~V t~ I AlH 4- ,c.~ DATE ,. Zyte./
Value:$ VhZlf)"
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Use of Space (description):
Description of work: T -'<IA
Sq. Ft. added
~/~4~
11 ~ ~rf~
IY
BUILDING DEPARTMENT USE ONLY
SIC:
Sq,Ft.:
ONIN'G COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
, Approval:
PUBLIC WORKS COMMENTS:
Approval:
IRE DEPARTMENT COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Residential Units:
Stories:
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 IBuilding Codes of Wheat Ridge. Colorado or any other applicable ordinances of
the City, "
This permit shall expire If (A) the work autho~zed Is not commenced within sixty (90) days from issue date or (B) the building
authorized Is suspended or abandoned for a period of 18t! days.
If this permit expIres, a new permit may be a qulred for a fee of one-half the amount normally required. provided no changes
have been or will be made In the origInal pia s and speCifications and any suspensIon or abandonment has not exceeded one
(1) year. If changes have been or if suspensl n or abandonment exceeds one (1) year. full fees shall be paid fora new permit
No work of any.manner shall be done that II change the natural floll' of water causing a drainage problem.
Contractor shall notify the Building Inspecto twenty-four (24) hours In advance for all Inspections and shall receive written
approvai on Inspection card before proceed ng with auccessive pheses of the Job.
The Issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an
approval of, any violation of the provisIons ofthe bufldlng.codes or any other ordinance, law, rule or regulation. All plan review
Is subject to fleld Inspections, '
(2)
(3)
(4)
(5)
(6)
Chief Buildino Official
'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)
9521
9/23/99
Property Owner:
Property Address: 3820 DOVER ST
Contractor License No, :
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 422-0369
Phone:
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
I hereby certify that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of record: that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
Total:
DATE
Use:
Description:
Upgrade electrical service
BUILDING DEPARTMENT USE ONLY
SIC:
Sq, Fl. :
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:
$600,00
$26,55
$0,00
$15,00
$41,55
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.
[fthis permit expires, a new permit may be acquired for a fee of one.halfthe 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 thel'Ob,
The issuance of a permit or the approval 0 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. /'" /?
(1)
(2)
(3)
(4)
(5)
(6)
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 APPUC.,,-,ID N
Property Owner: ~ J ,F/) des
Property Address: 3 y), 0 Do ()t!?,'
Contractor License No, :
Phone :303-r~;'"oj,1'
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone:
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
applicatlon, and that I assume full responsibility for phance with the eat Ridge Building
Code (U.B.C.) and all other applicable Wh " f w under this permit.
Construction Value:
Permit Fee:
Use Tax:
~d"oo
(OWNER)(CONTRACTOR) SIGNED
/'
Description: ", 0 ,1,L / r"
'-"( 5;tl'f./e C'<<- C,y.c -<;"-,, J'6'Avke
Total:
DATE
Use:
BUILDING DEPARTMENT USE ONLY
~.J)lt!g,~~gaJ!!!l!..~
Approval:
Zoning:
~l!!!g.ln~
Approval:
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 .penod 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 snail 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
prOCeedllng with successive phases ot the job.
The issuance of a permit or the approval of drawings and spedfi,cations 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