HomeMy WebLinkAbout4105 Dover Street/��s
INSPECTION RECORD
'1
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
L**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
FFoundEation Initials Inspections Date Inspector Comments
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Rough Inspections
-- --- ------
Date
Underground/Slab Inspections Date Inspector
Comments
Initials
Electrical
Sewer Service
Plumbing
Lath/ Wal Tie
Rough Inspections
-- --- ------
Date
- _ _---•-
Inspector
Initials
• .• ..+ 1'.vV"I W I Ilc r%NVVC 111, ULAIVIIS
Comments
Wall Sheathin
Mid -Roof
LV
Lath/ Wal Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final InspectionsI Date I Inspector I Comments
Initials
Landscaping & Parking / Planning Dept.
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
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.
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
a 4 14 City of Wheat Ridge
Residential Roofing PERMIT - 201704593
'ERMIT NO: 201704593 ISSUED: 07/21/2017
TOB ADDRESS: 4105 Dover ST EXPIRES: 07/21/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING 32 sq. (27 sq. pitched, 32 sq. flat)
*** CONTACTS ***
OWNER (720)394-3851 WASILKOWSKI ROBERTA
SUB (303)990-3024 Kenny Card 170317 K&K Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT*: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 27,437.46
FEES
Total Valuation 0.00
Use Tax 576.19
Permit Fee 476.55
** TOTAL ** 1,052.74
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
r City of Wheat Ridge
` Residential Roofing PERMIT - 201704593
PERMIT NO: 201704593 ISSUED: 07/21/2017
JOB ADDRESS: 4105 Dover ST EXPIRES: 07/21/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING 32 sq. (27 sq. pitched, 32 sq. flat)
*** CONTACTS ***
OWNER (720)394-3851 WASILKOWSKI ROBERTA
SUB (303)990-3024 Kenny Card 170317 K&K Exteriors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 27,437.46
FEES
Total Valuation 0.00
Use Tax 576.19
Permit Fee 476.55
** TOTAL ** 1,052.74
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
It. 1~ A r City of Wheat Ridge
Residential Roofing PERMIT - 201704593
PERMIT NO: 201704593 ISSUED: 07/21/2017
JOB ADDRESS: 4105 Dover ST EXPIRES: 07/21/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with
ROOF DECKING 32 sq. (27 sq. pitched, 32 sq. flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed andthat all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or 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.
Signature of Chifding 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: Thursday, July 13, 2017 9:47 AM
To: Permits CommDev
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?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4105 Dover St.
Roberta Wasilkowski
720-394-3851
Field not completed.
I.
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
K&K Exteriors Inc.
170317
303-990-3024
Contractor Email Address k_kexteriors@live.com
Retype Contractor Email k_kexteriors@live.com
Address
DESCRIPTION OF WORK
Are you re -decking theYes
root?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
Owens corning Duration
Asphalt
Field not completed.
27 Sqs
Yes ,/
5 Sqs
TOTAL SQUARES of all 32 Sqs v
roofing material for this
project
Provide additional detail reroof house and carport. 4/12 Pitch
here on the description of
2
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)
27,437.46
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 Kenny Caid
Email not displaying correctly? View it in your browser.
3
General Contract
CtATOMfR
h
ij ADDRESS
ZIP
foofi{{ng, Siding & Gutters °�" 7�� a 6 203 _
Est 1 m ates
Licensed & Insured
EMAIL
INSURANCE COMPANY CLAIM DEFT. PHONE CLAIM#
(Insurance Claim
2367 Basil Street Strasburg, CO 80136
ih6 Sr as O
IntRaffiDmrk zet m^*/ #737
Clther5hef-- 6 -
Taxes
n Cash Contract
303-990-3024
r
27 q37, yl6
lus all Supplemental Insurance funBv�/rCatC% ���35r�r✓�
Deductible
Home owner Contribution
Referral Bonus
First Check (ACV)
Cash Back to Customer
Adjusted First Check Total
s r Estimated Final Check (RCV)
r a }�"•; +aic ,�;' 4 t �t�l,t4,�`�'�c".-., _'"' � T 41 rl�rt& � J„.. -•Ii L a,� �"tj� 5..�'f°; ":3s cfi ,r
,f i'`��e� � u�,� .b,e ����/e irel� r�i �� ,��5;� r�•,>,�c .,orar����d �n�5
ADDITIONAL INFORMATION
2�ork All
By signing this contract, K&K Exteriors has accepted and agreed to do project for insurance initial scope of work or Total Project Price. Customer gives permission to K&K Exteriors to supplement insurance �� yv�wta•e
company for additional Items and understands that additional monies may be approved by insurance company thru the supplemental process.
Customer agrees that all funds from insurance, either initially approved by insurance in the initial scope of work or thru the supplemental process is simplified Restoration money unless otherwise noted on the contract.
This is the main contract, all subsequent contracts such as the roofing, siding, gutters and paint contracts explain in detail the scope of work K&K Exteriors will do and the material it will take to do subsequent projects.
Whether Project is an insurance claim or not, once an agreeable price is established, it shall become the authorized project price. The total Project price is the cost that it will take based on the damages known at the
time �
this contract was entered into. IXdI t' include insurance supplements. By signing this agreement, Customer agrees to all the terms and conditions herein and authorizes K&K Exteriors to obtain material and
labor in rdawith the oroi
DATE
DATE / ^�
—C /
Roofin 1 s l }�,^iirs.
1
6- 73
Gutters eo,v/arlY w111 i
!' !�
L
*--4�'i?'145Vo s
Sidingge/%'-e
71 J1
r Wind5"4 MZ 1tL�rf4lt
%erg.3
58.3
Paint
ih6 Sr as O
IntRaffiDmrk zet m^*/ #737
Clther5hef-- 6 -
Taxes
n Cash Contract
303-990-3024
r
27 q37, yl6
lus all Supplemental Insurance funBv�/rCatC% ���35r�r✓�
Deductible
Home owner Contribution
Referral Bonus
First Check (ACV)
Cash Back to Customer
Adjusted First Check Total
s r Estimated Final Check (RCV)
r a }�"•; +aic ,�;' 4 t �t�l,t4,�`�'�c".-., _'"' � T 41 rl�rt& � J„.. -•Ii L a,� �"tj� 5..�'f°; ":3s cfi ,r
,f i'`��e� � u�,� .b,e ����/e irel� r�i �� ,��5;� r�•,>,�c .,orar����d �n�5
ADDITIONAL INFORMATION
2�ork All
By signing this contract, K&K Exteriors has accepted and agreed to do project for insurance initial scope of work or Total Project Price. Customer gives permission to K&K Exteriors to supplement insurance �� yv�wta•e
company for additional Items and understands that additional monies may be approved by insurance company thru the supplemental process.
Customer agrees that all funds from insurance, either initially approved by insurance in the initial scope of work or thru the supplemental process is simplified Restoration money unless otherwise noted on the contract.
This is the main contract, all subsequent contracts such as the roofing, siding, gutters and paint contracts explain in detail the scope of work K&K Exteriors will do and the material it will take to do subsequent projects.
Whether Project is an insurance claim or not, once an agreeable price is established, it shall become the authorized project price. The total Project price is the cost that it will take based on the damages known at the
time �
this contract was entered into. IXdI t' include insurance supplements. By signing this agreement, Customer agrees to all the terms and conditions herein and authorizes K&K Exteriors to obtain material and
labor in rdawith the oroi
DATE
DATE / ^�
—C /
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: A 0�
Job Address: ST -
Permit
lPermit Number: 2 �� � � �/S-%/ �
❑ No one available for inspection _TArge � AM/PM
Re -Inspection required: Yes ND
When corrections have been made, call forz
-inspec, on at • -234.5933
Date: ! J Inspector: U /J
t
i t
DO NOT REMOVE 1�HIS 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: / V -- o �5��.
❑ No one available for inspection: TimeAM/PM
Re -Inspection required: Yes' NO_
When corrections have been made, call for re-inspec n.- t 303-234-5933
i
Date: / Inspector:6j`'
DO NOT REMOV THIS NOTICE
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
I PECTION NOTICE
Inspection Type: _" z)
Job Address: Address: C i
Permit Number: O /` 25 -P
!%
Y No one available for inspection: Time �—F AM/PM
Re -Inspection required: f Yes No
When corrections have been made, call for re-inspecti n at 303-234-5933
Date:{
Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occunancygype
INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
NwL' 7P II `7 1 w 1Ndzl NI
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons -
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUOLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
YKIUK I PKUGEEUING
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUOLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
AUUVE MAa OLEN.IGNEU
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: AFr - yz G ezzg h°�
Job Address: y1o5 17vw6C? sr
Permit Number:
❑ No one available: for inspection: Time .f F YO AM
Re- Inspection required: Yes (No
"When corrections have been made, call for re -inspection at 303-234-5933
Date: 1,;�2 10 Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
r 4 0 000"_ Residential Plumbing PERMIT - 102751
PERMIT NO: 102751 ISSUED: 12/16/2010
JOB ADDRESS: 4105 DOVER ST EXPIRES: 12/16/2011
DESCRIPTION: Replace 40 gallon gas hot water heater
* ** CONTACTS * **
owner 303/462 -1290 Cheryl Holmes
sub 303/534 -0881 Gary Kenfield 01 -7152 Precise Plumbing
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0280
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 850.00
FEES
Permit Fee 40.00 D am
Total Valuation .00
** TOTAL ** 40.00
Conditions:
Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors
are required to be installed in every sleeping room, in hallways outside of
sleeping rooms, and on every level of the structure. Carbon Monoxide detectors
are required to be installed within fifteen(15) feet outside the entrance to
each sleeping room.
Subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this:
cum and /or ip s' l accompa�nying approved plans and specifications. 11,
of OWNER or CONTRACTOR (Circle one) Date
1.
2.
3.
4.
5.
This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
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.
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.
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.
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.
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 insoec0ion.
Rc rEi bullning Uirlcal Date
N REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS .DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
h it m,
- IT
COMMUNY DLVELOPMGN f "
Date -- �
Plan #
Building & Inspection Services Division Permit # OZ
7500 W. 29 "Ave., Wheat Ridge; CO 80033
Office: 303 - 235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address: ���� S '5
Property Owner (please print): G / &X7,1 _ Pho ne j 6�&
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: pj'e C- i'S e- -. 2 0 / e, 43 G i» o -�Z G,
Contractors City License #: / 7 / S 2 Phone: — 5�za'__51 _ p S''S-
Electrical:
Plumbing:
Mechanical:
City License # City License # City License #
Description' Of work: 4 e,01 c e Lim 9a / Q.4s
Wq Contract Value:
Review Fee (due at time of submittal):
Squares BTU's Gallons _ Amps Sq Ft. $
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 we accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have beenauthorizedby 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: (O WNER) (CONTRACTOR) or (AUTHORIZED REPRESE ( OWNER) OV CONTRACTO
I Bldg Valuation: $ \ ° Jl'- _ - I
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
J (303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: lIvAL Poor-
Job Address: 17VO Q u 51Z St
Permit Number: 092`705
F
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
'When corrections have been made, call for re-inspection at 303-234-5933
Date: /0 -/3 - o 9Inspector: 2~ ` /_>ile- Uol,Z
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: lyll) eOF
Job Address: Y12 S ST
Permit Number: e2!Z 1729 '
❑ No one available for inspection: Time _lo !.50 AM /PM
Re- Inspection required: Yescl�-
"When corrections have been made, call for re- inspection at 303 -234 -5933
Date: Inspector
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r' (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: lJf
Job Address: Z41 z:~, ~MI` s2 5 i
Permit Number: (5r4 (9
f
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes o
When corrections have been made, call f~re-inspection at 303-234-5933
ii
Date: d Inspector: J/t
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: c;,4v-2' Re>q, =
Job Address: ~ldS nUrR Permit Number: D!'f94x7
APPk'aVeD
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-234-5933
Date: _r~~; Zr> Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 092909
PERMIT NO: 092909' ISSUED:. 10/01/2009
JOB ADDRESS: 4105 DOVER ST ;EXPIRES: 03/30/20.10
DESCRIPTION:. Reroof i 37 sqs
***.CONTACTS
owner 303/462-1290 Bobbi Wasilkowski
sub 303/885-2775 Brad Revelle 09-0348 Revelle Exteriors
**:PARCEL INFO
ZONE; CODE: UA '.USE: UA
SUBDIVISION:' 0280 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Permit Fee 217.50
Total Valuation ,pp ` NM'
Use Tax 162.00
'TOTAL 379.50
Conditions:
6 nail installation & mid roof inspection required'. Board sheathing spaced more
thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield; required from eave.edge to 2' inside exterior walls.
r
v
of W H~rq City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
o Inspection Line: 303-234-5933
OCORPO
Building Permit Application
Property Address-
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
State,
Contractor:
Contractor License L 039Y Phone:
Date: 6G f (Cl
Plan
Permit
Phone: J0 3 - ~~,2 -G,2y6
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
Description of w . rk: (as calculated per the Building Valuation Data sheet)
ROOF f Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: 3 ?X Squares ? ? BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances;
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE: (OWNER) (/C/f~1~NTR77TOR) or PERSONAL REPRESENTATIVE of OWNE ONTRATOR) t
PRINT NAME: KAO Zoe L~ SIGNATURE: Date: of"r
A 4, City of Wheat Ridge
r4ooor' Residential Roofing PERMIT - 092909
PERMIT NO: 092909 ISSUED: -10/01/2009
JOB ADDRESS: . 4105 DOVER ST EXPIRES: 03/30/2010
DESCRIPTION: Reroof 37 sqs.
CONTACTS
owner 303/462-1290 Bobbi. Wasilkowski
sub 303/885-2775 Brad Revelle 09-0348 Revelle Exteriors
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0280 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 9,.000.00
FEES
'Permit Fee_. 217.50
Total Valuation .00.
Use Tax ...162.00..
*.*.TOTAL 379.50.
Conditions:
6.nail installation & mid-roof inspection required. Board sheathing spaced more
than al/2of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eaveedge to..2' inside exterior walls.:
Subject to field inspection.
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 Ihave read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.S.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. -
Signature of contractor/owner date
L 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.
3 This permit shall expire. 18o. days from the issue date. Requests for an extension must be received.. prior to :expiration
date. An extension may be granted at. the discretion of the, Building Official.
3. If this. permit expires, a new. permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been. or will be made in the original plans and specifications and. any.. suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) 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.
Contractor shall notify the Building Inspector.. twenty-four (24) hours in advance for all inspectionsand shall receive:.
written approval on inspection card before proceeding with successive. phases of. the job. -
The issuance of a permit or the approval of drawings and specifications: shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building 'codes or any other ordinance,: law, rule or regulation.
All. plan re is subject to field inspections.
lignat ief Building Official date
INSB-CTION. REQUEST LINE: (303)234-5933 r BUILDING OFFICE: .(303)235-2855
REQUESTS ` MUST.. BE MADE BY ?3PM ANY.. BUSINESS DAY.'FOR. INSPECTION THE FOLLOWING BUSINESS DAY..
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: 4//05 /JOj/e/<' ,5T~~
MY/lUN'l'/'h'/ h'"AI'/9/
/7 $/ /~d~ CY7/9// /1/0/
g ~ //l/..57/-?? ./ 62:::) / /J /7ZJ
4~~/V~~..
-<<.> ~~AJ L/?o,~~ ~e
O~~/5 ,.c;>) /-0A'/I//?fX'
When corrections have been made, call for re-inspection at
303-234-5933.
Date: t!YA5-{J';7
DO NOT REMOVE THIS OTICE
"..;~/.'"
City of Wheat Ridge
Residential M chanic PERMIT - 070063
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
070063
4105 DOVER ST
Replace furnace.
100,00
*** CONTACTS ***
owner 303/462-1290
gc 303/972-4270
Cheryl Holmes
.. PARCEL INFO ..
ZONE CODE: UA
SUBDIVISION: UA
** FEE SUMMARY **
Permit Fee
Total Valuation
Use Tax
** TOTAL **
Comments:
BTU
ISSUED:
EXPIRES:
01/25/2007
07/24/2007
02-0086 DAY AND NIGHT EMERGENCY SERV
USE:
BLOCK/LOT#:
R-3
0/
PROJECT VALUATION:
3,200,00
ESTIMATED
FEES
126.50
.00
57.60
184.10
ffiiliID
d by this permit application are accurate, and do not violate applicable
at Ridge or covenants, easements or restrictions of record; that all
te, that I have read and agree to abide by all conditions printed on this
for compliance with the Wheat Ridge Building Code (I.B.C) and all other
this permit. Plans subject to field inspection.
I hereby certify that the setback distances propos
ordinances, rules or regulations of the City of W
measurements shown, and allegations made are accu
application and that I assume full responsibility
applicab Wheat Ridge Ordinances, for work under
~I.J~
Signature of contractor/~
date
1. This permit was.issued in accordance with the rovisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulation and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the iss e date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the disc etion of the Building Official.
3. If this permit expires, a new permit may be ac uired for a fee of one-half the amount normally required, provided no
changes havebeeri or will be made in the origi alplans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been 0 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 hange 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 pro eeding with successive phases of the job.
6. The issuance of a permit or the approval of dr wings and specifications shall not be construed to be a permit for, nor
an approv any v' on of the provision of the building codes or any other ordinance, law, rule or regulation.
All subject to ld inspection .
Signature of Chief Building Offical
date
INSPECTION REQUEST LINE. (303)234-59 3 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUS NESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Property Owner:
Property Address:
Contractor License No.:
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
CJ. ?1 c:J4.~
<{ ( ~ ~ V c'J-->,.J.-v~'
Company: ;g ""1 ~ Y\.~U- c'i'~.-....." ;h'-V~ Phone: !j 6 3 -97'J-. -'" L 7 J
OWNERlCONTRACTOR SIGNATURE OF UNOERSTAND1NG 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 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 (LB.e) and all other applicable Wheat
Ridge Ordinances, for work under this permit. Plans subject to field inspection.
(~)(CONTRACTOR):SIGNED ~6~ DATE '/'007
Building Permit Number:
Date:
( / t--{t c 1
Phone: j,,!> - V G 2..- ( ~" IJ
Value:$ :3).~ 6..~ (J
Permit Fee:$ I
Plan Review Fee:$
Use Tax:$
Total:$
(OWNER)(CONTRACTOR):PRINTED
DATE
Use of Space (description):
Description of work:
~
'\ ~
,T~
r ~ e', '" ,() IS,. '-(
Sq, Ft. added
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ONING COMMENTS:
Approval:
Zoning:
UILDING COMMENTS:
Approval:
UBUC WORKS COMMENTS:
Approval:
IRE DEPARTMENT 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 (90) days from issue date or (B) 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 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 work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written
approval on Inspection card before proceeding with successive phases of the job.
(6) The issuance of a pennit or the approval of drawings and specifications shall not be construed to be a permit for. nor an
approval of. any violation of the provistons of the building codes or any other ordinance, law, rule or regulation. All plan review
Is subject to field Inspections.
Chief Building Official