HomeMy WebLinkAbout4469 Dover StreetCity of Wheat Ridge
Residential Roofing PERMIT - 201700939
PERMIT NO: 201700939 ISSUED: 05/26/2017
JOB ADDRESS: 4469 Dover ST EXPIRES: 05/26/2018
JOB DESCRIPTION: Reroof entire roof with GAF Timberline HD architectural shingle; color
charcoal; all aspects of roof to be replaced - 25 squares
*** CONTACTS ***
OWNER (303)947-1032 NAAB CHRISTOPHER P
SUB (720)542-8715 Garrett Lister 130168 Capital 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: 12,000.00
FEES
Total Valuation 0.00
Use Tax 216.00
Permit Fee 236.00
** TOTAL ** 452.00
*** 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 A/2 -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 manufacturera€ms 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's 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 - 201700939
PERMIT NO: 201700939 ISSUED: 05/26/2017
JOB ADDRESS: 4469 Dover ST EXPIRES: 05/26/2018
JOB DESCRIPTION: Reroof entire roof with GAF Timberline HD architectural shingle; color
charcoal; all aspects of roof to be replaced - 25 squares
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
thisperm1t 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 err eisdisclosed in this document and/or its' accompanying approved plans and specifications.
nature of Oj/ ER or CONTRACTOR (Circle one) Date
This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
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 changeof 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 regulatio_of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
( i1v ()I
Theo lt
Building & Inspection Services Division
7500 W. 29`f' Ave., Wheat Ridge, CO 80033
Office. 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email p_9LrjjA@)(,L
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Date:
Plan/Permit
OIA-)
Plan Review Fee:
Building Permit Application
1DY13 r,?
'** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print)' ¢ /t;r
lVo
Phone -
Property Owner Email:-. /-,n
Mailing Address: (if different than property address)
Address:
Citv, State, Zio:
Arr,hitect/Enaineer:
Architect/Engineer E-mail:._
Phone:
Contractor: 5,--, R'!!, '-V"
Contractors City License #: > 6 Ph on e&Y
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
0!� a/c/" 41e-, . C o '*'
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
❑ COMMERCIAL RESIDENTIAL_
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
El 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.)
&_ - /- 0 C', '14: C,,� "', , ,-- c ",-0 a /- .171
fhcftn, �tcf-Lrr01 t S�j.�IF ['o% t4%—
i N G C 4 -
Sq.
Sq. Ft./LF _ Btu's
Amps
Squares_
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
,4 1/ C Sid k C' 1's
OWNEWCONTRAC'CORSIGNATt!IRE OF UNDERSTANDING AND AGREEMENT
I herch' certi6, that the setback disuutccs proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or cox enants_ casements or restrictions of record: Ihat 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 Citv of Wheat Ridge codes and ordinances hx work under any permit issued based on this application: that I am the legal (mlicr
or have been authorized by the legal owner of the property to perlorm the described v+ork and am also authorized by the legal owner of am
entity included (m this application to list that entity on this application. 1, the applicant for this building permit application. warrant the
Iruthl'uhicss of the information prov_Iti"WndtTtrnPDlication.
(ti7RC1 ;OAl.'; (OV17NCR) (CO�OR-)' AtT RL Rf'PRFSL°i HVG) oj(OWNF.R) (CONRACTOR)
r
Flectronic Signature (first and last name): "� _ DATE: �. z
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M Y)
Job Address: Ll ll �-)o (3\4
Permit Number:
❑ No one available for inspection: Time G . Z AN C/FY
Re -Inspection required: Ye No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: / 1 Inspector: P(W!
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: -Y-j lV) I. -1 t�0F
Job Address, �4'1 C ,? bo\lrxe ST:
Permit Number: '701--)oo _31
C' i) ( .. /, / 110.
IN
❑ No one available for inspection: Time Ck:,Aw
ff®'" l
Re -Inspection required: Yep No-)
When corrections have been made, call fornspection at 303-234-5933
1 A
Date: (a ) i Inspector:
DO NOT REMOVE THIS NOTICE
Guy Lucerero
4474 Evett Dr.
Wheat Rid
Chris Nabb
4469 Dover S,.
M- MCI 11111; : 1111 !111171 r1romm-11 I '
1-07. 111 "Tmwn Invilow
is being installed.
Thanks>>@,
r Cadotte
7500 W 29th Avenue
WheatRidge, Colorado 80033
Office Phone: 303-235-2850
Fax: 303-237-8929
Maw.ci.wheatridge.coms
www.d.wheatridge.co.us
~ A
.... ~ ~ ~ CITY OF WHEAT RIDGE
~.r/::ij Building Inspection Division
]V' (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: hA./"-/ k/7)F
Job Address/Permit Number: Y'fI/:)" O,-,[/f'.{ 5T o//.n"{
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o No one available for inspection: Time (7';? c AM/PM
Re-Inspection required: Yes c:NQ.::.
. When corrections have been made, call for re-inspection at 303-234-5933
Date:
/. /'
r,l//)'6 Inspector: L ~
. DO NOT REM~ 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: ' ~svL jeoiq1=
Job Address: VMS 7 1Jddf2 S7-
Permit Number: 092 G 5~`I
No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call forge'-inspection at 303-234-5933
Date: / -7640 Inspector:
DO NOT REMOVE THIS NOTICE
r
,
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: hv.41 RCN9r
Job AddresslPermit Number: 'Ii/PI' /7/7i/h! '/ 07/;( 7',1
i) f'rA,R:rr;l("i+,/~sf-l /g(""!h>,.dff Bur-rJO(NT5 ro
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J) S'I"7///. 70 S/ I"~'-'v u/ui'ER /F > y'
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o No one available for inspection: Time /0: Jo AM/PM
Re-Inspection required: ~ No
'When corrections have been made, call for re-inspection at 303-234-5933
Date:
~p//)!? Inspector: 7~"
/'
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
J (303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: d le"oC~
Job Address: ~Z~-I/ 9 Ifc U f _S7
Permit Number: 0 1~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
4.
*When corrections have been made, call for re-inspection at 303-2345933
Date: o~L Inspector:
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ..c:.A/frl- i<ccr
Job Address/Permit Number: 1/1/tf:'7 n/JI/bI! ST 07/}<;'':'
/~/I /#<;,0. PH:iI /A/ u/HhV //~,,~~/A ../.#;;.u".'
..1 <;.././1' .( "//$,./,4/ //t/<;"c,-r/u.J
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ubt
--
o No one available for inspection: Time / :.10 AM/PM
Re-Inspection required:~) No
'When corrections have been made, call for re_inspection at 303-234-5933
Date: /J' h;1 /)7
". ,
Inspector: z::"/__
~-
DO NOT REMOVE THIS NOTICE
r
!
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office * (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: .s-H-/h-w6
Job AddresslPermit Number: !If"?' DnA" _'T /;>7/79"';
A;J,.JK /)\).Ij: I)
o No one available for inspection: Time /: vO;: AM/PM
Re-Inspection required: Yes ~g,
'When corrections have been made, call for re-inspection at 303-234-5933
Date I ! "'~/ -
: 1.0* ,. do'
.'
Inspector: L ,'.
DO NOT REMOVE THIS NOTICE
1.
2.
.,",.'
-; ~,'.: ',' ,; '.:'-'
-,~l:J'tc w.1.11 cl1ange the na,t~.1:, flev of water cat;4ing4 dra~nagle p:robtU",~' '1", I l,t.;':
,.~~~ctor ,twenty-t:o~r '(:Z'4i ~Ul'S in advance f<< ,il.i.~ itlSP.oti-o:ns a.mt ..hI ~S'rit /, ; ':;';_
t;efore,proceeding,with sucee.~t~e phases. of ~_lQb?:, 't,._o'.(' ,,;:'7'"
_hv~~ of dra.winge and spe;e~t'i'C~tions shall not tie- :c~.et'U~ to' l?e a \;':~ ',~,
, ,fej: , ons of the builtJlng ,CO'deiil or any oth.er ordtt:tance. law. rule--
, :tions..
:i:~\;:'f' :
date
BU:tLPING OFF:tCE: (303) 1135-2855
DAY POR INSPECTION TIm IlOLLOWING au.
,.., " "
City of Wheat Ridge
Residential Roofing PERMIT - 071296
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
071296
4469 DOVER ST
remove/replace 28 squares 30
ISSUED:
EXPIRES:
year Heritage
11/26/2007
OS/24/2008
*** CONTACTS ***
owner 303/424-0141
gc 720/887-1265
Irma Naab
Andy RacY.
06-0056 Rocky Mountain Roof Doctors
** PARCEL INFO
ZONE CODE:
SUBDIVISION:
**
UA
0235
USE:
BLOCK/LOT#:
UA
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
144.70
.00
89.21
233.91
4,956.00
** FEE SUMMARY **
Comments:
Must tear off down to decking if any layers are removed.
If any decking replaced ~ an inspection is required before llpaperingrr
:id and final roof inspections required
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate dl:s:ic:able
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.
signature of contractor/owner
date
1. This permit was issued in accordance with the provlSlons 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 180 days from the issue da':e. 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 tor a fee ,It one-half the .:l.-.o',nt normally required, provided no
changes have been or will be made in the original plans and specifications and any suspens10n 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. Nu work of any manner shall be done that ',.;il1 change the natura~ flow of water causin~l a drainage problem.
S. c~ontractor shall notify the Building In:3lJector twenty four (24) hours in advance for- all inspections and shall receive
wlitten approval on inspection card before proceedin3 with sucr:'~ssive phases of the jar,.
6. The issuance of a permit or t,~e 1 of drawing" "Ind specifications shall not be construed to be ,a permit for-, nor
an appr-oval of, any violation provisions of tl:8 bUllding codes or ,l:-ty other ordlnance, law, rule or regulation.
All plan review is subject t inspections.
';_gnature of Chief Building OtficiaJ
date
PECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
,STS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Date:
Plan#:
Permit #:
Building Permit Application
Property Address ~j/~7'~ .a.R'/ J '7
Property Owner (please print): ~";;,-1# #,I;It>
Mailing Address: (if different than property address)
.-?
IV/I
t(o#<7T"7
Phone _ y- ~/.?L/- 0 I ~ /
Address:
City, State. Zip:
Contractor:
L")</
(
/lf7,A1. ;:2 r .ode 7<1 )2 5
Phone: 7fi;"' ~s7-I?" ";)
Contractor License #:
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date:
Approval:
Exp. Date:
Approval:
Exp. Date:
Approval:
Construction Value: $
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Use ot space (description):
;~iW=rk2.6pf
~~.
Sq. FUL.Ft added: Squares
301.l.~"'"
Il.vfLA4...."..r
BTU's
Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNOERSTANOING ANO AGREEMENT
J 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.e) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) <..1C~N:_R~~ERSONAL REPRESENTATIVE of (OWN,ER). (CONTRATOR)
EBlliINAME:,/-~ ~ SIGNATURE: ~..>/Z ~~ Date: /r~-o )
DEPARTMENT USE ONLY
ZONING COMMENTS
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required r Bldg Valuation: $
OCCUPANCY
!2t1.7r'
o Elec. 0 Plumb. 0 Mech. 0 Structural ~ Other
o 1 st 0 2nd 0 3rd
Job Address: lj'/fA' n01/1.~;.2 0;/ fJ.:If- 07/:7(,
.I./t:~() ~.fl (~::: ;/1/5,.Jr"'I/:c-''''.. /'1/ w/fr"v'
IT I: <: ,". "f . f'or 0"" loU.or ./- IP.l/f-':;/V
1N'~;''f'"I.
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oRe-inspection fee of $ must be paid prior to re-inspection.
o Blocked Access 'A f
o No one available for inspection: Time ~.. AM/PM
'W/len corrections /lave been made, call for re-inspection at 303-234-5933
Date: 1")lIk7 Inspector: .?t!!-
./~
DO NOT REMOVE THIS NOTICE
t_,..,__~_.- ,-- _.....'_:.~..-"-_._,.-- -'--
---.--.---------- ..- -------~~._._--- _.._..~_...-.,...--
CertifiCRte ofCompletilWl
And / Or
Compliance
City of Wheat Ridge
7500 w: 2~h Avenue
Wheat Ridge) Colorado 80033
THIS CERTIFICATE VERIFIES THAT THE PROPERTr DESCRIBED BELOW, DOES
COMPLY WITH THE WHEAT RIDGE BUILDING CODE, ZONING AND OTHER
RELATED LAND USE AND DEVELOPMENT LAWS OF THE CITr OF WHEAT
RIDGE FOR THE FOLLOWING PURPOSE.
PERMIT #16643
Single Family Addition
Date: 7,/?Q,/?n{)4
Owner: Richard T-lerrera
Owner Address: 411110 Dim"'" '\r., WhPl>r. TlidtyJ rn jwn~~
Property Address: Sanu
Contractor: Homeowner
Contractor Address: Same
Chief Building Official:
Zoning Administrator:
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: 3 ((, lr- 9
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When corrections have bee
303-234-5933.
Date: 4~
, Inspector
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: ttU 9 .I)01J61L 5i
(I RAvJL 'P!t-Lf:; ACLE/J') WILL- hE- Rg;;'d.
\i\jrL-l I N':JfE.CT /l-u:'E:'S'5 @ Rtx.J6If FI?ItMf;
I N6PE.Lli~
ok 70 1Hai-~ PLYwtJOIJ r~ FlWnG W,M.L-S
A/.!xJ WILL N&G/) c.I?PrfJL ~h'r(f: V&JTS
When corrections have been made, call for re-inspection at
303-234-5933.
Date:
"? }5}otJ-
I I
~-RW
U Inspector
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 16643
Date: 1/12/2004
Property Owner: RICHARD HERRERA
Property Address: 4669 DOVER ST
Contractor License No. : 21851
Company: Richard Herrera
Phone: 940-9838
Phone: 940-9838
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 J 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.a.C.) and all other apPlicablI.:Jt Ridglrdi~ances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED . . ,...1"> Ilf/..,,- i?'t DATE I ./';F;:Jo:'c'
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
$28,731.00
$561.22
$364.79
$344.77
Description:
BEDROOM & LAUNDRY ROOM ADDITION
Tolal : $1,270.78
unl 75.(v
tJl:J'f<;."7'5
r
BUILDING DEPARTMENT USE ONLY
.ing"mml!~
Approval: MR
Zoning: R-1C
~!Idi~.bmmllf.:
Approval: OM
E'!!blj~9rk$_rne_
Approval: TP
SIC: Sq. Ft. :
APPROVED BO BUILD IN FLOOD PLAIN PURSUANT TO CASE NO.
WF-03-06. 12/17/03 Please Note:
Owner I contractor is responsible for locating propcrty
. d constrUcting improvements aecordmg to tile
OK. 1/12/04 Imes an did required development standards.
approve p an an 'bl" rur :na"curatc informa~io:1
The City is not responsl ,." " .' ,.; .
. d . h' the pb.'l set and any cCi.stnIL.,I._,n
submttte WIt m . . ,.
12/16/03 errors resulting from in;\c;,;\~r';i~"; mforma,lul1.
Occupancy: R/3
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 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.
(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 or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job
(6) The. nce 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
9 codes or any other ordinance, law, rule or regulation
nspector
Please sign Terms and Conditions on reverse side of page.
28731
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEA T RIDGE, CO 80215 - (303-235-2855)
APPLlCA nON
Property O,,"er:
Property Address:
Contractor License No.:
Company:
R ~-,'\Ij ,Ii f,'
4 ~ cf)~ Sf-.
Building Pennit Number: , 6Jr..?
Date: \0"
24 ~) b \
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Phone J U -
/'--r
Phone:
O\\'~[R1CO:\'TRACTOR SJGNAn:RE OF l'!\'D[RSTA~DI!\'G Al'iD AGR[EME!'OT
o
BUILDING DEPARTMENT USE ONL Y
~~~/ ~
- ^~0v')Yf 5- U 'J
(Xf ~ ~ \ Y <J - ~I U D/h
-\V ^ ,~'wJ ~ ,Q rJ-I' \ 1).1
)('f' ryJY: ^,;J- \.( \i 0../ /,
~ \j ~ ",It
1 hereby cCl1ify 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 sho....n, and allegations
made arc accunl.lc; 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 Wheal Ridge
:::~;., 'c,,, '"" "',~ ..""o~. ."",-. Co, -'""'I
(O,,"NERXCO"-'-RAc-rOR)S'GNE0~(- " /', /'I .. / DA~
(O,,"NER)(CON""fR,c-rOR). PRINTED R \ C H ~'^ DATE "\-,,{\- 03
DESCRIPTION: &!/c>'/:W 4' /c;'-U1L~ ;!CJ<'J7oY1
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
Occupancy: 1/'3
Walls:
Roof:
Stories:
Electrical License No:
Company:
Plwnbing License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Construction Value:$
Permit Fee:$ ';';';'/ ':"
Plan Review Fee;$ 7/'/. /9
Use Tax:$ ~',('r
Total:$
/I,3'lf" F/l'<Yi 1'1, (pt )/2Iu/"
cJ.~&t::
114__
sr" 2 <"wO'J
~"- ( .:J l.11 ,J
je
---------------
SIC:
IBJ fE':f'IC.:'III'I./l/ on
If1) 1b:~IC:,U IVI oJ)
Sq,h:
DEe ,j ,~ 20' 3
/.::
_____1-'
---- ---
,
Residential Units:
Mechanical License No:
Company:
Expiration Date:
Approval:
(1) This permit was issued in accordance with lhe provisions set forth in your applicalion and is subject \.0 the la\\'s of the State of Co lorol do and to Ihe Zonill~
Regulations and Buildin8 Codes of Wheat Ridge, Cok>rado or an} other applicable ordinances of the Cit)'.
(2) This permit shall upire i((A) tht work authorized is nol commenced wilhin sixty (60) dOly:; from issue datc or (8) the building authorized is suspended Of
alnndoned fOf a period of 120 days.
(3) If this permit e:\pires. a new permil maybe acquired for a fee ofon~+halflbe amount nomlally required. provided no chan~es have been or will be made
in Ih~ original plans and specifications and any suspension Of abandonment has not el'.ceeded one (I) year. If chan~ have been or if suspension or
abandonment ell.ceeds one (I) year, full f"s shall be paid for a nev.' permil
(o4) No .....ork of allY manner shall be done thai will change the natural flow of ""aler causin@ a drainage probkrn.
(5) COnlrae-tor shall notify the Building Inspector twenl)+four (24) hours ill advance for all inspectiolls and shall receive wrillen approval on inspection card
befOf"(' proceeding with successi\'e phases of me job.
(6) The issu.an,"c oh. pconil or [he approval of drawing! and specifications shall nOI M construed lo be a ~rmit for, nor an approval of. any \;olalion of lhe
provisions ofthc building codes or any other ordinance. lav.. rule or regulation.
Chief Building Inspector
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ins lied in each sleeping room
an one ceo trally located in the
co dor (H"l rr-; t giving access to
e< ch sleeping area.
A de eCt';i. ;~lso be required on
in the basement
if applicable.
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INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE (303) 234-5933
INSPECTION RECORD
<;;r /k-r:/; J
/'1.., >) <'-I
JOB ADDRESS Irc[-',' cI ,.1 Vt' j/" .)} ,
BUILDING PERMIT NO, ) (;,t, y' 3
/7 '
OWNER Au,j{~ hd f!v, /J Ju ~ ~ .)
r" ';I ,
CONTRACTOR /lj ("' It /) /) ,,:-{' /L{p /J A p A "J .)
DATE ISSUED
} //7/6 'I
, I .
I TYPE I
OCCUPANCY
-SETBACKS FROM PROPERTY LINES: NORTH
SOUTH
EAST
WEST
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
INSPECTION I DATE I INSPECTOR
Foundations
Footings
Caissons
tJu
Reinforcing or Monolithic
Weatherproofing "? ~ 04-
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Concrete Slab Floor:
Electrical (Ground Work)
Plumbing (Ground Work)
Heating (Ground Work)
Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Framing
Insulation
'1 ,~ otf
~/~~
.s;-- Lj -0<-(
Rough Electrical
Rough Plumbing
Air Test Gas Piping
Rough Heating & Ventilation
Drywall Nailing
Roofing
Refrigeration
Electrical Underground
7 - <- '\ _0 y
7-<..C\'(}
! 1- <.. <:1- 0
'7-<...Q~O
Final
Electrical
Plumbing
Heating & Ventilation
Frame
R.OW, & Drainage
Fire Department
Parking & Landscaping
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
The City of Wheat Ridge
Flood Plain Development Permit
Application Information
Permit
Owner
Address 46 h '/ /) ,1 J/~ 5"7.
Contractor
Address
Project LocationlDirections
Date
Telephone
Telephone
Project Description
_Manufactured (Mobile) Home
_Non-residential
New Construction
Substantial
Improvement (>50%)
XJmprovement (<50%)
Rehabilitation
Channelization
Fill
_Single Family Residential
_Multi-Family Residential
_Bridge/Culvert
Levee
Other/Explanations
Class ofPermiUFee Schedule
:>< Class I (structures for non-human occupancy)
_Class II (structures for human occupancy)
$300
$840 (includes public noticing fees)
I have read and understand and will comply with the requirements ofthis Flood Plain Permit.
Applicant Signature
Date
Watercourse Name C..? L...< fZ-- (pc' f-i~
The project is proposed in the Floodway
Base (lOO-year) flood elevation(s) at project site
Elevation required for Lowest Flo ~
Source Documents: ReportslMaps
Floodway Fringe
~..20. f- s~J..2 7
J': VD / Floodproofing
5 ~J
f~J~ }
11JI-
'X
(To be completed by Flood Plain Administrator)
Flood Hazard Data
NGVD
/-.J~H
"
~4"",L<:::
0;2
L ,;; -/7- 3
Proposal Review Checklist
.v-Site development plans are complete and depict flood hazard data.
_Engineering data is provided for proposed map and floodway revisions.
_Floodway Certificate and data documents no increase in flood heights.
_Subdivision proposals minimize flood damage and protect utilities.
_Lowest floor elevations are above the base (I DO-year) flood leveL
_Manufactured homes address elevation and anchoring requirements.
_A Floodproofing Certificate certifies floodproofing designs.
Other:
Permit Action
~rmit Approved: The information submitted for the proposed project was reviewed and is in
compliance with approved flood plain management standards (site development plans are on file).
_Permit Denied: The proposed project does not meet approved flood plain management standards
(explanation is on file).
~Variance Granted: A variance was granted from the base (1 DO-year) flood elevations
established by FEMA consistent with variance requirements ofNFIP regulations Part 60.6
(variance action documentation is on file).
~~/~
Flood Plain Administrator's Signature
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Y 12-. rL#/1~
5";vB:>./ A/v 'j-J fit-
/,{>J'.Y"-. ~"- ",O.P .6L.
Date
Comments: /iZ../ AlJ ~/VXO- );EL ,j"tJ ~ n Ii .LL t'/ UJ
.hL.d-.V-4-7=7'&'''-<'-T-P4-=----7/C ;C7Z7 .IT /1'-'" / -5
-///P,kOv{;/,oyZ/b'r ~/~./Sh' ..;LL...&7;L. / /
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Compliance Documentation
_Map Revision Data. Certified documentation by a registered professional engineer of as-built
conditions for flood plain alterations were received and submitted to FEMA for a flood insurance
map reVISIOn.
Fill Certificate. A community official certified the elevation, compaction, slope and slope
protection for all fill placed in the flood plain consistent with NFlP regulations Part 65.5 for map
reVISIOns.
_Elevation and Floodproofing Certificates. The as-built elevation of the builiding's lowest floor
was certified as NGVD; or the building's floodproofing level was certified as
NGVD; by a registered professional engineer or licensed surveyor and is on
file.
_Certificate of Occupancy or Compliance Issued on
Date
Rev. 3/1 1103
Permit
Owner
Address
Contractor
Address
Project LocationlDirections
The City of Wheat Ridge
. Flood Plain Development Permit
Date /2 - U5 -03
Telephone ~1c:l'" '?4o Cjp' '1 f/,
Telephone
'.
,
X Single Famil~.;Residential
Multi-Family R~sidential
- \.
\
_Manufactured (Mo~ile) Home
_Non-residential \
\
New Construction
Substantial
Improvement (>50%)
~Improvement (<50%)
Rehabilitation
Channelization
Fill
_Bridge/Culvert
Levee
Other/Explanations
'\
\
\
\\
Class ofPermitlFee Schedule
I have read and understand and will co ply with the requirements of this Flood Plain Permit.
$150
$3~0 (il,lc1udes public noticing fees)
_Class I (structures for non-h
jL Class II (structures for human 0
K~ H~W/La
Applicant Signature
/2 -c:\:j, 0.~-i
Date
(To be complete by Flood Plain Administrator)
Floo Hazard Data
Watercourse Name
The project is proposed in the Floodway
Base (IOO-year) flood elevation(s) at project site
Elevation required for Lowest Floor
Source Documents: Reports/Maps
\
Floodway Fringe
NGVD I Floodproofing
NGVD
611&102rh
Single Family Residential Addition
2x-'Lrafters spacedU" O.c. or
Manufactured Trusses spaced_" O,c.
(example: 2 x 12 Rafters Spac8d24"O.C.)
Sheathing /Z' Cd pI 'f
(example: 1/20 exterior plywood)
Minimum lxLridge board
(example: 1 x 12)
Note: For roofs with slopes belween
2:12-4:12.101low manufacturer's
instructions for low slope application of
roofing material.
Roof covering C I d ";, ')1''1,)5
(example: CIus A 3 tab shingJes)
Ceiling Insulation _ f2-. 3 7\
(exemple: R.38)
UnderIayment 1 LcYeY 15JJ elf
(example: 1/ayer 151 felt)
2x--.Lceiling jo~ @, 24 'o.C,
(9.JCample: 2)(S 024"O.C.)
Double 2x..:i.top plate
(example: 2 r6)
Span I~ I
(example: 23' 50)
Note: Pre-engineered roof trusses
w/lruss clips and hardened nails may be
used in lieu of roof structure shown.
Diagonal wind bracing or plywood shear panels
@ comers and each 25' of wall.
Note: Pre-engineered floor systems
may be used and should be instalied
according to the manufacturers
installation instructions.
Ceiling height 11'() "
(_8')
Siding Ced~V ~C\:lf2JJ &tr
(example: lsp or 1-111)
I~'" Y
Wall sheathing (e ,* y
(_:'h"__)
o FoundaUon: Engineered Design
o Foundation: Detail A
(see.... 3)
~ II
2x~studs @...!..k... O,C.
(example: 2 x 6 0 24' O.C.)
.
.
18' minimum from the interi()( grade
IeYeI to the bottom of the floor joists.
Engineered DesIgn: Cassions may be required
~ your site has swelling soils. A bundalion
designed by a Colorado licensed arch~ect or
engineer may be required.
Cont. 2x A::.... sill plate
(example: 2 x 4)
I I'
2x....Q Joists @ Z,4 O,C,
(eXlmple: 2x1O 024" D.C.)
Wall width f"
(example:" )
.
Property Address:1 -4101.1 q l:))urt2 C"
Footing size L. x ~.
(example: S' X 160)
This hendout was dewloped by the Colorado Chopter 01 the
International Code Council as a basic plan submittal under
the 2000 International Residential Code. It is not intended
to cover all circumstances. Check with your Department of
Building Safety for additional requirements.
2
~t-'
'7'06. ~
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/?JcFO.-
/ drJ. ~
~~6118102rh
Single Family Residential Addition
Site Plan
1. Wh8II ~ YOlI' plot.. be sure to show the
location of electric, gas, sewer and water service
lines. If you don't know where they are, call
the Public Service Utility Notification Center of
Colorado, 1-800-922-1987. They will come out
and locate lines for you. Remember to ask them
about the cost.
2. smw wlll'llIII..... electric and gas meters
are located on your home. These meters may
have to be relocated and it is best to know this
before you start construction.
Floor Plan i
1. lIIm*IlIII'mL Smoke alarms are required to
be hardwired and interconnected in new and
existing bedrooms, halls and one each level
unless removal of interior wall or ceiling finishes
would be required. In this case, battery operated
devices are acceptable.
2. AdIIIIIIIlllIItD IIICIoIe bedroom egress windows.
3. ~............. at exterior doors. The landing may
be as much as eight inches lower than the floor of the
room, but it must be at least 3' x 3'. There is no limit as
to how large it can be.
4, Slllety ....11.......... at specific locations. When you
draw in the location of the new windows on the floor
plan, the plan reviewer can identify which ones require
safety glass.
5. HnII1 requioed in all habitable rooms. Show how the
addition will be heated on the plan.
B8c1l'lc COde
~ lIIlIcIrII: III'VII:e may require an upgrade or relocation.
Indicate the size of your electric service (the number on
the main breaker) on your plan. This can help the plan
reviewer determine if an upgrade is needed before you
start constnlCtion.
Roof OVerlrame
Wh8II ClIIIIlI'UClInt..- VlIIIey, use a continuous board
under the bottom cut of the new rafters to provide a solld
nailing surface. The board should be at least 2' thick,
nominal and should be at least as wide as the base of the
new rafter.
'/2' x 10' steel anchor bolts 6'-0' a.c. max., 7' min. penetration max.
12' from comer and 12' from each end of plate.
X'~'~~ Bottom plate shall be
::.t.:!'" :':. treated wood or
.>,;J:,:. Foundation redwood
}{.t:: Insulate per Chapter
d':'._. II I R C
..::.;>,':.:' ' . .
,;,:-:-~-,.:.(.
t.\:~:
,.:,d,:
';):'j.:".
"""l~.'
i;!~:'l\
36"min.
or below frost
Provide #4 rebar vert. @
4'-0' a.c. insert rebar into
concrete footing or key way
Note: Maintain at least 18' clear between
the bottom of the floor joists to the grade
level of the crawlspace, and at least 12'
under a beam.
Ventilate the crawlspace with openings
near the corners. The total area of the
openings should be 1 square foot for each
150 square feet of crawlspace floor area.
The crawlspace access must be a
minimum of 18' x 24' and be unobstructed.
#4 rebar min. continuous top of stemwall & at footing per Table R 404.1.1 (2)
3'
This handout was developed by the Colorado Chapter of the
International Code Council as a baste plan submittal under
the 2000 International Residential Code. It is not intended
to cover all circumstances. Check with your Department of
Building Safety for additional requirements.
3
PLOT PLAN
IUJr N .""
, ,,^'
XISTING 5' UTILI~ A",109 A'" A'
,,' A EASEMENT A' 35.1'
A'
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PREPARE/) fl7R.'
RICHARD HERRERA
455.9 IJOfIEH SmEET
H?f&4T RIXC COLORAlJO BtJ(}JJ
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NOTE: THIS EXHIBIT DOES NOT REPRESENT A
MONUMENTED - SURVEY. IT IS INTENDED
ONLY TO DEPICT THE ATTACHED DESCRIPTION.
CITY OF WHEAT RIDGE
DRAWN BY:
JDP
CHECKED BY:
DRA
GRADING PLAN
4669 DOVER STREET
LOT 97, CLEARVALE SUBDMSION
JEFFERSON COUNTY. COLORADO
SCAlE,
R.O.W. FlLEI
1"",,20'
DATE'
12-03-2003
DSKFlLE PflO.JECTS!tw<<XlNZAW
/4669OOVICAD/PLOTPl..NVGRADlNC
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
a.M.B. No. 3067-0077
Expires December 31, 2005
Imoortant: Read the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
Richard Herrera
BUILDING STREET ADDRESS (Including Apt.. Unit. Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
4669 Dover Streer
CITY STATE
Wheat Ridqe <Xl
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
IDt 97, Clearvale Subdivision. Jefferson County. Color",<'!n
BUILDING USE (e,g., Residential. Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
LATITUDE/LONGITUDE (OPTIONAL)
( ##'. ##' . ##.#If' or 11#._')
ZIP CODE
80033
HORIZONTAL DATUM:
U NAD 1927 LI NAD 1983
SOURCE: LI GPS (Type):
LI USGS Quad Map LI Other
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME
Cit of Wheat Rid e 085079 Jefferson
B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD
NUMBER DATE EFFECTIVElREVISED DATE ZONE(S)
08059C0212 E 06 17 2003 -1 - i\E
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
1-1 FIS Profile I!J FIRM 1-1 Community Determined 1-1 Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: l]g NGVD 1929 1-1 NAVD 1988 1-1 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date:
B3.STATE
Colorado
B9. BASE FLOOD ELEVATlON(S)
(Zone AO. use depth of flooding)
7
LJ Yes 1-1 No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: I_I Construction Drawings' I-IBuilding Under Construction' IXiFinished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number ~ (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones A1-A30@'AH, A (with BFE), VE, V1-V30, V (with BFE). AR, ARIA, ARlAE. ARlA1-A30, ARlAH, ARlAO
Complete items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section 0 or Section G, 85 appropriate, to document the datum conversion.
Datum NGVD 29 Conversion/Comments n/ a
Elevation reference mark used C,Q, W, R, #3609 Does the elevation reference mark used appear on the f
o a) Top of bottom floor (including basement or enclosure) 5328 . L It.(m) ..
.
o b) Top of next higher floor . _ It.(m) ~
o c) Bottom of lowest horizontal structural member (V zones only) . _ It.(m) ~ 111
00
o d) Attached garage (top of slab) 5327 ..i.- It.(m) 11"
o e) Lowest elevation of machinery and/or equipment ~;-
servicing the building (Describe in a Comments area.) . _ It.(m) ~ il
o f) Lowest adjacent (finished) grade (LAG) 5327 .1- It.(m) ~ ~
o g) Highest adjacent (finished) grade (HAG) 5328 . L It.(m) .
8
o h) No. of permanent openings (flOOd vents) within 1 It. above adjacent grade :0
o i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. em)
SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
Charl~s N ~ksrrnm 33202
TITLE COMPANY NAME
Survey Manaqer Enqineering
ADDRESS CITY
1300 S. Potomac St. r #126 Auror",
SIGNATURE DATE
11/28/03
Servi CP- r~ny
STATE ZIP CODE
CO 80017.
TELEPHONE
303-337-1393
FEMA Form 81-31, January 2003
See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andlor Bldg, No,) OR P,O. ROUTE AND BOX NO, Policy Number
4669 Dover street
CITY STATE ZIP CODE Company NAIC Number
Wheat Ridge en 80033
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenllcompany, and (3) building owner.
COMMENTS
I I Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1, through ES, If the Elevation Certificate is intended for use as supporting
infonnation lor a LOMA or LOMR-F, ~ection C must be completed,
E1, Building Diagram Number _ (Select the building diagram most similar to the building for which this certificate is being completed-
see pages 6 and 7, If no diagram accurately represents the building, provide a sketch or photograph,)
E2, The top of the bottom floor (including basement or enclosure) of the building is 1-1_1 ft, (m) 1_1_1 in. (em) I_I above or 1-1 below
(check one) the highest adjacent grade, (Use natural grade, if available,)
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
1-1-1 ft, (m) 1-I_lin, (em) above the highest adjacent grade, Complete Items C3,h and C3.i on front of Ionn,
E4, The top of the plaUonn of machinery and/or equipment servicing the building is 1-1-1 ft, (m) 1-1-1 in. (em) I_I above or 1-1 below
(check one) the highest adjacent grade, (Use natural grade, if available,)
ES, For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? I I Yes I 1 No I I Unknown, The local official must certify this infonnation in Section G,
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3,h and C3.i only), and E for Zone A
(without a FEMA-issued or community-issued BFE) or Zone AO must sign here, The statements in Secfions A, B, C, and E are correct to
the best of m know/ed e,
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME
COMMENTS
I I Check here Wattachments
SECTION G . COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate, Complete the applicable item(s) and sign below,
G1, 1-1 The infonnation in Seelion C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation infonnation, (Indicate the source and date of the
elevation data in the Comments area below.)
G2. 1-1 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone AO,
G3. 1-1 The following infonnation (Items G4-G9) is provided for community floodplain management purposes.
G4, PERMIT NUMBER G5, DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
ISSUED
G7, This pennit has been issued for: I_I New Construction I_I Substantial Improvement
G8, Elevation of as-built lowest floor (including basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
'_ ft. (m) Datum:
. _ ft, (m) Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS
FEMA Fonn 81-31. January 2003
I I Check here if attachments
Replaces all previous editions
Certificate of Completion
AND/OR
Compliance
CITY OF WHEAT RIDGE
7500 W. 29TH AVENUE
WHEA T RIDGE, COLORADO 80033
THIS CERTIFICATE VERIFIES THAT THE PROPERTY DESCRIBED BELOW, DOES
COMPLY WITH THE WHEAT RIDGE BUILDING CODE, ZONING AND OTHER
RELATED LAND USE AND DEVELOPMENT LA WS OF THE CITY OF WHEA T RIDGE
FOR THE FOLLOWING PURPOSE.
PERMIT # 15985
Patio Cover
OWNER: Irma Naab
ADDRESS: 4469 Dover Street
PROPERTY ADDRESS: 4469 Dover Street. Wheat Ridge. CO 80033
CONTRACTOR: Allstate Construction. Inc.
ZONING ADMINISTRATOR
DATE 8/18/2003 CHIEF BUILDING OFFICIAL
/" 1" ;
\ (, i \ ()
I 'I)"
INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE (303) 234.5933
INSPECTION RECORD
JOB ADDRESS~' L.{ I bi' Y (' I C '- t
BUILDING PERMIT NO. ~ (/) C j X C) DATE ISSUED
OWNER I) nuL 1\/11(1 (.)
CONTRACTOR J\JL:J/i ~f' ('{'Co1 <Av I t (~,h (,))) III C. '
SETBACKS FROM PROPERTY LINES NORTH SOUTH
'F~\ l(c> ("I,' \
I TYPE] OCCUPANCY
EAST
WEST
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
INSPECTION [ DATE I INSPECTOR
Foundations
Footings
Caissons O./r eJ;;/A ~ rs.C
Reinforcing or Monolithic
Weatherproofing
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Concrete Slab Floor:
Electrical (Ground Work)
Plumbing (Ground Work)
Heating (Ground Work)
Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
Rough Electrical
Rough Plumbing
Air Test Gas Piping
Rough Heating & Ventilation
Framing
Insulation
'1
l-LL ~ '
(:tL 1 -1/,2, /0 .~
I !
I ~~'j---
Drywall Nailing
Roofing
Refrigeration
Electrical Underground
Final i
Electrical
Plumbing
Heating & Ventilation
Frame t7.(c d,tJ!/Sr /'L:
R.OW. & Drainage
Fire Department
Parking & Landscaping
/..C- i
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number:
Date:
15985
8/4/2003
Property Owner: IRMA NAAB
Property Address: 4469 DOVER ST
Contractor License No. : 21726
Company: Allstate Construction, Inc.
Phone: 424-0181
Phone: 455-9292
...-
rcH~i( f. I 1
BUILDING DEPARTMENT USE ONLY
~'<0' SIC: Sq. Ft.:
ZQ.plng COlTlmelltli.$
Approval: TRC OK. 4 AUG 03
Zoning: R-2 Ovmer/- Please Note-
BI.I11dlllg C9lT1merifs: lines IIId I I . ,Is ~Sponsible for I
8/4103 ap~;~..cting 1I11provements ~JlII!1)...~
Approval: BG The CI!>, Is not :~,~C, ... 'cd d~ve/opme:::::-
!i'ff6"Uc WorklOComl1lenls: submitted Within 0, . 'U[ maccurate infonnaf
e .../ d Ion
Approval: ITllr! resohing /rOIil k':.~:~t ~nyr. cOnslnlclion
. , C In ormation.
Occupancy: Walls: Roof: Stories: Residential Units:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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 agree to abide by all conditions printed on this
application, and that I assume full re on' 'lity for 0 Iiance with the Wheat Ridge Building
Code (U.B.C,) and all other applicabl Whea Ridg ordi ances, for work under this permit.
,
Total:
(OWNER)(CONTRACTOR) SIGNED
Use:
DATE
Description.
BUILD PATIO COVER WITH SOFFIT & FASCIA
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
$4,900.00
$144.70
$0.00
$58.80
$203.50
1- "1~' 0\ \ (t'd \
--fl F'i l' ':.(
(1) 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.
(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 or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one {1} year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job,
(6) The issua f 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
pro" of e des or any other ordinance, law, rule or regulation.
ector
Please sign Terms and Conditions on reverse side of page.
~' .H["l>
~ /
~ 0
- C>
v ~
C'OL ORp..OO
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPUCA nON
Building Permit Number:
Date:
Property Owner: 1" a.. fvr A- f'J A M
Property Address: '-{ 'I G '1 D ? v-e.--< S""l
Contractor License No.: :l1?10
Company: A t-L- S ., It ~ C<Pt-J, "7-,t<<c r (o.-J:> ZONe
J?] /Lf2'f-ol<r(
Phone:
QWl'\ER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: .Iv -<(J J - 'f <'- 9 l.-
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 shO\vn, and allegations
made are accurate; that I have read and agree \0 abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheal Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances. for work under
this permit.
Construction Value:$ '-f) q 00
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
(OWNER}(CONTRACTOR): SIGNED
r(/p'V
OATE? -3(-0:>.1
(OWNER)(CONTRACTOR): PRl)\,'TED
DATE
DESCRIPTION:
{j'LA(<-t:J
vui(-t.,.
P 11--/7 "" C-o~
;>of:/-"r sf ~-4
BUILDING DEPARTMENT USE ONLY
ZONING COMMENTS:C\~ A A..
Approvall,Clt/ \ .. ~ 03
Zoning: (2' 2.
BUILDING COMMENTS: 011> ~J ~ .. 4 /"
Approval: (7./(' /<I/(/.J 0 (r
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Electrical License No:
Company:
Plumbing License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
SIC:
Sq.Ft.:
Residential Units:
Mechanical License No:
Company:
Expiration Date:
Approval:
(1) This pemlit was issued in accordance with the provisions set forth in your application and is subject to the laws oflhe 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 pemlil shall expire if(A) the work authorized is not commenced within sixl)' (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 lIew permit may be acquired for a fee of one.halfthe amount nomlally required, provided no changes have been or will be made
in the original plans and specifications and all)' suspension or abandonment has not exceeded aile (I) year. If changes have been or if suspension or
abandonment exceeds one (I) year, full fees shall be paid for a new permit.
(4) No work of llny 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 advallce for all inspections and shall receive written approval Oil inspection card
before proceeding with successive phases of the job,
(6) The issuance of a pennit or the approval of drawings and speeifications shall not be construed to be a pemlit for, nor an approval of, any violation of the
prm' iOlls ofthc b ilding codcs or any odlcr ordillallCC, law, rule or rcgulation.
Chief Buildi Inspector
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ANO COULO CREATE A HAZARO. CORRECTIONS SHOULO BE MADE BY A OUAlIFIED CONTRACTOR. CONTACT YOUR LOCAL BUILOING
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PUBLIC SERVICE COMPANY OF COLORADO
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WARNING
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ANO COULO CREATE A HAZARO. CORRECTIONS SHOULO BE MAOE BY A OUAlIFIED CONTRACTOR. CONTACT YOUR LOCAL BUILDING
OEPARTMENT FOR COOE ANO PERMIT REOUIREMENTS PRIOR TO PERFORMING REPAIR WORK.
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