HomeMy WebLinkAbout3855 Brentwood StreetINSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of tha incntar+inn
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector
Initials Comments
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
„u mut your tooncrete mor 10 Approval Of The Above Inst
Underground/Slab Inspections Date Inspector
Initials Comments
Electrical
Sewer Service
Plumbing
rin AIM
Rough Inspections
- - -
Date
Inspector
Initials
^r %ov- w, A1C muuve mspecuons
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
b I
Final Building
NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage nermits — Plaaca ho m,ro +ham+ r. ..k ; .:___
by the Building Division. illFJV twill uIG rr1G ulDLIHa arju electrical low Voltage
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
.�' t, L
_3'6,q3 INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occu anc/T eeO�Zp
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
FFoundation Inspections Date
Inspector Comments
Initials
Comments
_
heathing��V
Concrete Encased Ground (CEG)
Electrical
Foundation / P.E. Letter
Sewer Service
Un Nnt Pniir r'_nnrrrn4n Dwir w Ir- A-... 1 ^s TL-_ w'-__-- .
--_
- - -- - -F-F--- ...--..w.`...�Nc�.uv��a
Inspector
Underground/Slab Inspections Date
Comments
_
heathing��V
Initials
Electrical
Sewer Service
Plumbing
Lath / Wall Tie
Rough Inspections
Date
Inspector
Initials
r�J.rr. V.G.. v. t IIG AUVYC nraNCcuvns
Comments
_
heathing��V
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections
Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
z
l
Final Window/Doors
Final Building
NOTE. Ail 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.
11-v-10 Olt;11U111%,UlllPlULt!U ��U�uie rive uisulci ana electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
CITY OF WHEAT RIDGE
k - Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: t
Job Address: o -C) �f
Permit Number: c'OI� 'C? C
❑ No one available for inspection: Time Z> �� S AMPM
Re -Inspection required: Yes Ido
When corrections have been made, call for re-inspectionat 303 -234 -
Date: 1/ ? Inspector. 1-16,
DO NOT REMOVE THIS NOTICE
A 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:
Job Address:
Permit Number: 2�/ �J�3 C� 2
❑ No one available for inspect on: Time AM/PM
Re -Inspection require :'`Yes Ido
When corrections have been made, call for re -inspection of 303-2� 34=5933
Date: f Inspector: /,v
DO NOT REMOVE THIS NOTICE
i
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: I n
Job Address: -3 5� 2-f u w o a d S
Permit Number: at) -6
Aprtovfv
(:�ONbvc syn
1v c7 31 1�> D 2 t
❑ No one available for inspection: Time 1 7 AM/PM
Re -Inspection required: Yes No ( 6,
When corrections have been made, call for re -inspection at 303-234-5933
Date: '1— 0` 0 Inspector: k4IK�
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: %
Job Address: �' ► r��� A f
Permit Number: f' cy I
❑ No one available for inspection: Time � ',, AM/PM
Re -Inspection required: Yes No
When corrections, have been made, call for re -inspection at 30j -234 -
Date: I'����`� —1 nspedt-or:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703083
PERMIT NO: 201703083 ISSUED: 07/01/2017
JOB ADDRESS: 3855 Brentwood ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Teak asphalt shingles
with 25 sq. (22 sq. pitched, 3 sq. flat)
*** CONTACTS ***
OWNER (303)424-1709 MARTIN ROGER A
SUB (303)816-1888 Derek Lindsay 022377 Infinity Restoration
*** 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: 8,410.00
FEES
Total Valuation 0.00 y
Use Tax 176.61
Permit Fee 188.45 '
** TOTAL ** 365.06
*** 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.
N. A �� City of Wheat Ridge
Residential Roofing PERMIT - 201703083
PERMIT NO: 201703083 ISSUED: 07/01/2017
JOB ADDRESS: 3855 Brentwood ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration Teak asphalt shingles
with 25 sq. (22 sq. pitched, 3 sq. flat)
I, by my signature, do hereby attest that the work to be performed shall comply with all accompany ingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this pen -nit 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 document and/or its' accompanying approved plans and specifications.
Sign ER or CONTRACTOR (Circle one) Date
I. This pen -nit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
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
apphcable-c e or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.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.
Dane Lovett
From: no-reply@ci.wheatri dge.co.us
Sent: Tuesday, June 20, 2017 12:09 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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 3855 BRENTWOOD ST.
Property Owner Name ROGER & TRACY MARTIN
Property Owner Phone 303-424-1709
Number
Property Owner Email TRACY@HUDSONGROVEPM.COM
Address
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
INFINITY RESTORATION
022377
3038161888
Contractor Email Address KELLY@INFINITYROOFER.COM
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email KELLY@INFINITYROOFER.COM
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing OWENS CORNING
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 22
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 3
on the flat roof?
z
TOTAL SQUARES of all 25
roofing material for this
project
Provide additional detail
4/12 PITCH, 1 LAYER, OWENS CORNING DURATION IN
here on the description of TEAK
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
8410.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant KELLY CANNON
Email not displaying correctly? View it in your browser.
C
INFINITY RESTORATION
UK
MEMBER
2690 W. Mair;: St Suite C Littleton, CO 80120
Office (303) 816-1888 Fax (303) 816-1889 Bg-
Property Owner's Name: Q -v olx { h
Property Address: 3 �$ J C7fGV1�(,Ut9 ga %~ _ City: . bkq�.t r State: Zip: "CaO
Property Owner's Primary Phonic Number: 3b3-140-4-1701 Mobile:
Approx Date of Loss: !�- ?- I) Email: G C
Damages Result of Wind and/or Hail or Other (specify if other): 1
Insurance C�oJT.Ir �lyp:: � �N+rT �1 U R\ Policy No:
Agent's Ntune .4Number: %k ajj i6h hq3. Info: On- it941
u el,4CSCe►+tV1Ctv�pr' ruo�t?
1 hereby authorize Infinity Restoration to discuss the details of the.pro)ect with my mstnrance company o y . e alio the contractor, and proceed with all
repairs authorized by the insurance company at a cost equal to the replacement cost value including overhead and profit allowed on the claim- Property
owner agrees that infinity Restoration is entitled to the Replacement Cost value plus any and all supplements necessary to complete repairs that are
approved by the insurance company, this includes code upgrade requirements. First payment is due upon completion of the roof replacement, the balance is
due on work that has been completed, (such as the roof work) when the recoverable depreciation plus any approved supplements is received. Any
remaining unfinished work, such as gutters, aiding, interior paint, or any other trade, will be due upon completion of each trade and receipt of insurenee
funds. The Property owners out of pocket expense will not exceed the hisurance deductible unless upgrades are agreed to in writing and added or
depreciation is "non recoverable". Deductible is to be paid directly to the contractor (Infinity Restoration). Any upgrades or downgrades will be in writing.
Property owner agrees to famish Infinity Restoration with a copy of the insurance estimate and any other documents related to this claim immediately
upon receipt. Infinity and its Authorized representatives are not acting as Public Insurance Adjusters.
If the insurance company agrees to pay for the claim, and the undersigned does not allow Infinity Restoration to proceed with the roof project, a
cancellation fee equal to 15% of this contract amount will be due to cover administrative costs associated with preparing the project This contract
includes the Addl"Iro,isions on theback and contains our complete agreement. The speclflestions and conditions are satisfactory and are
hereby accepteInitial
The Property Owned Representative solects the following materials and directs Infinity Restoration to furnish this material and its labor in a
good workmanlike manner according to standard practices in the industry. Any alterations, modifications, changes or additions must be in writing and
agreed to between the parties as evidenced by their signatures. Infinity Restoration is not responsible for damage caused by improper original construction
including faulty framing, masonry bracing and/or roof decks. Infinity Restoration is not responsible for rotted siding, paint and sheetrock damage due to
vibration. Infinity Restoration is not responsible for damaged electrical, cable, A/C, or plumbing lines which are installed.within 6. inches of the roofline.
It is the property owners' responsibility to notify Infinity Restoration of any deed restrictioas/H.O.A. requirements. If the undersigned fails to pay Infinity
Restoration any amounts due under this contract within thirty (30) days from the date of completion, and receipt of insurartce funds, the undersigned agrees
to pay all costs of collection plus a reasonable attorney's fee, should the same be placed in the hands of an attorney for collection, along with eighteen (18)
percent interest on unpaid. balance.
This Contract Is Void If The Insurance Company Denies Full Coverage.
The materials selected are as follows:
:7 SHINGLE --O-A,-ns .VtijACOI.OR_���t,1(� .....-_.
L4� STRIP OFF _ k LAYERS OFENTSTING Ccpn�eoff; Jl.;gv) ROOFING
de"INSTALL 5k4&,64A RIDGESHINGLES
Ctir INSTALL-,�-_ INCH ENAMEL FINISHED DRIP EDGE/COLOR
t- APPLY A 3 a LB FHLT BASE SHEET ? 3 Y hi -ane It i t- (,s,s i-oM Uvud e.. '--I
Q/� INSTALL A 5 LAYER FHA CLOSED VALLEY OR
t`J FOUR(4) OR SIX®I Ya" GALVANIZED NAILS PER SHINGLE
SIDEWALL FLASHING WHERE NEEDED ^ S+ep "11611"13
CHIMNEY FLASHING: RE -FLASH CAULK AND PAINT
L� ALUMINUM WIND TURBINES �S- RIDGEVENT
SOFFIT VENTS POWER TURBINES AIR HAWKS'
REPLACE ROTTEN DECKING AT A COST OF $60 DOLLARS PER 4'x 8' SHEET
CLEAN UP AND HAUL �DEBRIS
INSURANCE DEDUCTIBLE: (If deductible is more than stated by Property Owner/Authorized L
Representative agrees to pay the difference;) $ Z: �Lt V 4k , O O
UPGRADE TO THE MATERIAL AND LABOR
tu5j»w. �h�i i�r Sv�,i�.�F�L U„der�w.ftrhpl^;- +
DOWNGRADES TO THE MATERIAL AND LABOR
w-e-Zietn 4. 1'F4Cd� Lie xiGiM 2 "7- 3K. y�_ Ry < kV fd �,en+utx.tea
TOTAL OUT OF POCKET EXPENSE IN ADDITION TO INSURANCE PROCEEDS
(Based on Replacement Cost Coverage)
I/W e hereby authorize & instruct the insurance company and all lien holders to include infinity Restoration as Co -Payee on any subsequent
loss drafts or checks after today's date as indicated below.
Print Name: Date: 7 Print Name: X Date:
Signature! C%W)d
Signature:
da
Representative: r.}- �'l0.� Phone:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
f
t
r
INSPECTION NOTICE
Inspection Type:�-
Job Address:
Permit Number:
❑ No one available for inspection: Time-- / AM/PM
Re -Inspection required: I(es j No
,F
When corrections have been made, call for re-inspectio at 303-234-5933
Inspector:
f
DO NOT REMOVE THIS NOTICE
r„
CITY OF WHEAT RIDGE
Building Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 0
Job Address: �" A �--� Lv -�-
Permit Number: 'a h 1,7 S -z> 0
V
❑ No one available for inspection: Tim
e)_!�
AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-2_ 34-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: D
Job Address: � q 5'R- '� w 00 I
Permit Number: -, h I -I L '3 0 t 3
01j
❑ 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 -
Date: Inspector:
DO NOT REMOVE THIS NOTICE
'*# 1, ' City of Wheat Ridge
Resid. Windows/Doors PERMIT - 201706351
PERMIT NO: 201706351 ISSUED: 08/21/2017
JOB ADDRESS: 3855 Brentwood ST EXPIRES: 08/21/2018
JOB DESCRIPTION: residential window replacement, replacing 1 vinyl window same size opening
& no structural changes, like for like
u -factor .28
*** CONTACTS ***
OWNER (303)424-1709 MARTIN ROGER A
SUB (303)375-0745 Paul Bonow 020146 Champion Windows of Denver
** 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: 817.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 17.16
** TOTAL ** 67.16
*** COMMENTS ***
*** CONDITIONS ***
Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be
safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24
inches of a vertical edge of a door.
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
perfo an th alL.Work t performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, anew 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuanc granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicabl .co a rpa�n�y� ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFFICE USE ONLY
City 01,
W heat ci e
COMMUNI IY DF.VLLOI'MEN `�
Date: j
1
Plan%/P/erm/it #
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Plan Review Fe
Office: 303-235-2855 * Fax: 303-237-8929.
/
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
Building
pp Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 3855 Brentwood St
Property Owner (please print): Roger Martin Phone: 720-366-9252
Property Owner Email:
Mailing Address: (if different than property address)
Address: 3855 Brentwood St
State, Zip: Wheat Ridge, CO 80033
Architect/Engineer:
Architect/Engineer E-mail:
Contractor: Champion Windows
Contractors City License #: 20146
Contractor E-mail Address: kparkman@getchampion.com
Sub Contractors:
Electrical: Plumbing:
W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
Phone:
Phone: 303-375-0745
Mechanical:
W.R. City License #
Other City Licensed Sub:
City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑■ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
replacing 1 vinyl windows - same size opening & no structural changes
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
817.00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHOR[, RE NTAT V of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): Kim Parkman ' DATE:
W1I understand that checking this box, that I acknowledge shat this constitutes a legal signature.
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
CHAMPION WINDOWS of DENVER
HOUSE DIAGRAM
10035 East 40th Ave #400
DENVER, CO. 80238
(303) 375-0745
Measure Date:
Order Date:
Roger Martin
Measured By:
Verified By:
3151890
COLOR CODE LEGEND
/
W I White T I Tan I ADB I Adobe I BR Brick Red BRZ I Bronze EG Emerald Green I CG I Cottage Gray CB Colonial Blue I EO English Oak I DO
Dark Oak I CH Cherry
ORDER CODE LEGEND:
DH Double Hung
DH-O Double Hung One
2P 2-Panel
2P-O 2-Panel Oriel
3P 3-Panel
3P-E 3-Panel Equal Lite
HP
PW-F
1AW
Hopper
Pix Window Frame Only
Awning
1LC-R 1-Lite Csmt w/ right Vent
1CL-L 1-Lite Csmt w/ left Vent
�21LC 2-Lite Csmt
3LC 3-Lite Casemen
4LC 4-Lite Casemen
15LC 5-Lite Casemen
Garden Window
12GPW
E 2 Panel Egress
SHE Sngl Hung Egress
WINDOW
SCREENSI
GLASS
#
LOC
INSIDE MSRMT
W X H
OUTSIDE MSRMT
W X H
STYLE
CLR
ORDER SIZE
W X H
FULL
Y/N
GRIDS
OBS
TP
COMMENTS
STYLE
LOC
LOC
LOC
1
3l
3Zr x3�/
x
63 x3� I
z
2
X
x
X
—
—
x
z
3
x
x
x
zxzzz
4
x
x
x
ZZ
5
x
x
x
6
x
x
X
7
x
X
x
zzz
8
x
x
x
zxzv
9
x
x
x
zzxz
10
x
x
x
ZZZ
11
x
X
x
Xzzz
12
x
x
ZZ
x
ZZ
13
X
x
x
14
x
x
x
_Xzz
zzz
15
1
x
x
X
I
ZA
SHOP INSTRUCTIONS
CHAMPION WINDOW MFG.
i, ;e'�,rFRc 8200 Series
�
��F'aarn Enhanced Vinyl Frame
Double Glaze • Low -E - Argon Gas
National Fenestration CH'NV-/�-7
Rating Council®
Double Hung Window With Grids
, f, nm.fw�ell
ENERGY PE:RFORMANCIE RATINGS _
U -Factor (U.S./I.P.) Solar Heat Gain Coefficient
C). �8 O.r'�I'!�
j ADDITIONAL. PERFORMANCE RATINGS
Visible Tnansmittance Condensation Resistance
danufac'.urf,r stipulates that these ratings conform to applicable N=RC procedures for determiring wh le pr: Ji rt
perform ,nre. NFRC ratings are d;Urmined for a fixed set of environmental conditions and a specific p oduct s',ze.
N' RC r ; r no, recommend any product and does not warrant they suitability of any product for any s ,ecifit use.
Cersult manufacturer's literature for other product performance Information. www.iifrc.org
0 %
CHAMPION WINDOW MFG,
A
Series
LilFR8200
Foam Enhanced Vinyl Frame
Double Glazer Low -E -Argon Gas
National Fenestration
Rating Council®
CHW-A-8
11111131111W Me
Slider Window With Grids
ENERGY PERFORMANCE RATINGS
U -Factor (U.S./I.R)
Solar Heat Gain Coefficient
0,28
0.19
ADDITIONAL PERFORMANCE R/17INGS
Visible Transmittance
Condensation Resistance
0.43
57
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product
performance. NFRC ratings are determined for a fixed set of environmental conditions and a speci .c product size.
NFRC does not recommend any product and does not warrant the suitability of any pnd!-:t for any specific use.
Consult manufacturer's literature for other product performance information. wvw.nfrc.org
CHAMPION WINDOW MFG.
i, ;e'�,rFRc 8200 Series
�
��F'aarn Enhanced Vinyl Frame
Double Glaze • Low -E - Argon Gas
National Fenestration CH'NV-/�-7
Rating Council®
Double Hung Window With Grids
, f, nm.fw�ell
ENERGY PE:RFORMANCIE RATINGS _
U -Factor (U.S./I.P.) Solar Heat Gain Coefficient
C). �8 O.r'�I'!�
j ADDITIONAL. PERFORMANCE RATINGS
Visible Tnansmittance Condensation Resistance
danufac'.urf,r stipulates that these ratings conform to applicable N=RC procedures for determiring wh le pr: Ji rt
perform ,nre. NFRC ratings are d;Urmined for a fixed set of environmental conditions and a specific p oduct s',ze.
N' RC r ; r no, recommend any product and does not warrant they suitability of any product for any s ,ecifit use.
Cersult manufacturer's literature for other product performance Information. www.iifrc.org
0 %
CHAMPION WINDOW MFG.
A
8200 Series
LiA
Foam Enhanced Vinyl Frame
I
Double Glaze - Low -E - Argon Gas
National Fenestration
Rating Council®
CHW-A-8
11111131111W Me
Slider Window
ENERGY PERFORMANCE RATINGS
U -Factor (U.S./I.R)
Solar Heat Gain Coefficient
0.28
0.21
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance
Condensation Resistance
0.49
57
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product
performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.
NFRC does not recommend any product and does not warrant the suitability of any product for any specific use.
Consult manufacturer's literature for other product performance Information. www.nfrc.org
CHAMPION WINDOW MFG.
Nka
8200 Series
Foam Enhanced Vinyl Frame
Double Glaze - Low -E - Argon Gas
National Fenestration
Rating Council°
CHW-A-7
Double Hung Window
ENERGY PERFORMANCE RATINGS
U -Factor (U.S./I.P.)
Solar Heat Gain Coefficient
0.28
0.21 r
i
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance
Condensation Resistance
0.50
54
Manufacturer stipulates thatthese ratings conform to applicable NFRC procedures for determining whole product
performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.
NFRC does not recommend any product and does not warrant the suitability of any product for any specific use.
Consult manufacturer's literature for other product performance information. www.nfrc.org PJ
City of Wheat Ridge
Residential Roofing PERMIT - 201703083
PERMIT NO: 201703083 ISSUED: 07/01/2017
JOB ADDRESS: 3855 Brentwood ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Teak asphalt shingles
with 25 sq. (22 sq. pitched, 3 sq. flat)
REVISION******ADD REDECKING***
*** CONTACTS ***
OWNER (303)424-1709 MARTIN ROGER A
SUB (303)816-1888 Derek Lindsay 022377 Infinity Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 10,363.13
FEES
Total Valuation
0.00
PAN"
Use Tax
217.63
Permit Fee
220.15
(�
** TOTAL **
437.78
t
*** 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201703083
PERMIT NO: 201703083 ISSUED: 07/01/2017
JOB ADDRESS: 3855 Brentwood ST EXPIRES: 07/01/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration Teak asphalt shingles
with 25 sq. (22 sq. pitched, 3 sq. flat)
REVISION******ADD REDECKING***
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 w -o to berformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or C , NTRACTOR (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, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuanc nting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable cdd ny or�inare,tlegul ion f this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUEST^, MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�Wheat Midge
MUNtTY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a-)_ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
l lo
Add to Permit #
PAI
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
o 54—
Property Owner (please print): elye- 4-- TV -e' -(-e /tI01-4n Phone:
Property Owner Email: P'11� - CC) V-)
Mailing Address: (if different than property address)
Address
City, State, Zip:
Submitting Company:���
Contact Person: SP✓✓� r'� Phone:
Contractor:
Contractors City License #:
Phone:
Contractor E-mail Address: E06w}P4t4j n 4, t �V
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour - 2 hour minimum).
Description of revised/amended work:
Sq. FULF
Amps
Btu's
Squares
4-- (cl d e
Gallons
Other
Additional
llProject Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ 1(`- n:L,'`)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRI_VT NAME:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
SIGNATURE:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
DATE:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 060094
PERMIT NO,
JOB ADDRESS:
DESCRIPTION:
060094
3855 BRENTWOOD ST
rem/repl. roof with Tamko 30
ISSUED, 03/09/2006
EXPIRES: 09/09/2007
yr. dim. system 22.67 squares
**~. CONTACTS ***
gc 303/761-6400
owner 720/560-5950
01-8118 Excel Roofing, Inc.
Roger & Tracy Martin
** PARCEL INFO **
ZONE CODE, UA
SUBDIVISION, UA
USE,
BLOCK/LOT#:
UA
0/
Permit: Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION,
FEES
162.90
.00
100,19
263.09
5,566.00
** FEE SUMMARY **
lf~1)
Comments:
rmeove and rpelace roof with Tamko 30 year dimensional system 22.67 squares.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinanc,=s, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurem2nts 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 p.,~\tC'\\'::; ,ubject to field in,pection,
~l:::C,,~ ~.J.~ ;~I.O ''\\\\V'UZ:::> :0.....) ~ ULy
Slgnatun~ of ontractoF/o er date
1. This :?ermit 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 :?ermit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the
building authorized is suspended or abandoned for a period of 180 days.
3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
chang''"s have been or will be made in the original plans and specifications and any suspension or abandonment has not
excee,jed 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 wo:rk of any manner shall be done that will change the natural flow of water causing a drainage problem.
S. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
writt,,"n approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an ap:?roval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review bject to inspections.
signature of....
date
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE, (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Doc;ments from the manufacturer shall be
0118 e for finolroof inspection which specifY
7:f':p';":"erials have ~ IMtalled to meet
Tee-8econd WInd gust-IBC
09:54
3037616442
EXCEL ROOFING INC
PAGE
01
])EPARTMENT OF PLANNING AND ~VJ:LOt>MENt
BUILDING INSPECTION LINE . 363-23....5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPUCATlON
Property Owner: ~ \~ cx.~ ~t\l f\
Property Address: ~<<cs ~~~.& ~\
ContraotorLi=eNo.: _ L _~ . 1\1.
Company: 'L~\ ,h f'.C\
, . J
OWNJ:RICONTItA.crOIl. srGNATlJU OFlJNl>IlIlSTANI>"'li ANI> A<lUltMII<T
Building Permit Number:
Date:
o (,nYll(
b/Q/Dlo '
Phone:'\'lO. ~(J:). ~t\SD
Phone: '""\In\-~^~OO
Construction Value:':),~ a....o.
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
1 ~by oorti1Y th" !.be .elb..k clistsnCOll propONd by ibis P=lt appUOIllon ""
.......... """ do !lOt violate appliolbl. ordliwlocs. <lll... or regualiollS of!.be CIty of
WheilllUdp Or eavenantJJ. e1uemellt:ll (It ~ ofrocordi that II1J me~
sh...... md alI.prl.... mado II' acoural:ll: 1Il>l I b... .-I1IlId _10 Ibido by all
eouditiollS prlnti:d OD this opplloatlon iDl<l thal I ......". iVII ,",pollSlblllty.jbr
COIllpIl"""" with llle Whelt Ridi' B1Illdhlg Cqde (U,B.C) I!ld all oth", applle&bl.
WhomIU<flo ClrdU>ao=. lbr woli< lbIs plllDlit. .
~\dt
Description~~~e. Co ~e{>\~ f90~ w I \~~ ~f \)\~~I
SU.S..\~ '1.')..(., t tP
(OWNIlIl)(COll'tII.ACroll), 8I
BUILDING DEPARTMENT USE ONLY
ZONING COtn!BNTI:
Approval:
. Zolling:
SIC:
Sq.Ft.:
BUILDING CO".....".:
Approval:
PU.UC WOftKS COMM.NTS:
Approval;
OOCll:plll1cy:
.
WaThl:
RQof:
Storie.!l:
R.e.!lidentia1 Urdts;
Electrical Liceme No:
. Company:
&piration Date:
Approval:
Plumbi:og License No:
Company:
Mech.allica1 Lic=e No:
CompllflY:
Expiration Date:
Approval;
&PiratiOll Dato:
Approval:
(l)
~l
(3)
'l1IiI ~twu isauad la. ~ce ~ 1bproWiQIU Mfotl:hl.a.yoI.I1'~cati9a.IIldl.ll Rl'bj_tc ~1aWl of(lw SD atColondo and ro 1M ZoII.ing
- ODdBWldiq Coda O(WlIoallllq., Colondo" myod1..~_ of'" Cily.
Tbi.I peaa.i,tlballex:p&atf(A) the~ II&ar!N iI notcom.meaced wt~1ixty (60) D:ya tr-.~ d.m or tD) th. ~ ~ia ~m:
'.b~lut a.~otl~Q 4ayI.
lflhil ptKmit -plrq.llI.aw pcmi~ 1I1.a;y be uq,~ fbr. 11M! ofOM-lWfth& amtllmt1lQCfl.!1y ~ ~ IlO ~ Uvo bast Qf will be ma40 in
\h4o l\ItiafnlPl_IWl~Otl.I&Qd.ID1_~or&bmdoDmenth.utlotIXCM4edOU(1)yl&t. !f~a.v.boonottr~or~lIDt
..coodo... (1) _.1011 r.u _ 1>0 poll! for..... pomj.!,
No WO%k t:sfmy tAW!<< .tWIll. doac 1h&t: -m ohanalt the na~ f1aw ofwmr Qa\lIinr' ~ prabl.:n..
"""'-r_~th'BuJI<lWJli1JPsel<<_roor('l')""";".!.m....,oIl_"',,,oIWl__......wl"""""" "'" botwo
IiGQOIdi;Qr with IllQOMliw pb,1HI ot~ job.
'111.. ulUmCe or a ~t 01' tIlllllllppt'Owl. otdrrMq~ and ~~0lI.:t mau AOt b. ecutrueci Co b. I. pcmit ttrr. DOl' liD. ~ I)f;, my v.lo1a1ioD. of d1.
pro\'iaiou oflb 'ouildilt.!rOOdca or~ o1har~CfI~ nw. rule O("~on.
(<)
('l
(6)
CbiefBuilding Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: \a5~
7500 WEST 29TH AVENUE l0(65036':,
WHEAT RIDGE, CO 80215
Property Owner: 'T'Q.~ '\f\G\.('-\-; '<\
Property Address: '3:,'6 5~ ~.Q. ~ 5 ~e-t
Contraclor License No.: \ 'z:n l\- (p
Company: (Y\Ct::,Ci6Q E\eQ...\,,5; 'C
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone :&:J~-t.9~1 76Cj
Phone :3~-7(",(. G/7(..
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 aU conditions printed on this
application, and that I assume full responsibility for compliance with the VVheat Ridge Building
Code (U.B.C.) and all other applicable Wh:at Ridge ordinances. for work under this pennit.
(OWNER)(CONTRACTOR) SIGNED TEJ - ?.. L/ Use:
C. \;cL%<< ::;,erllic.e to ~oo A 9LI6, 4-0 c "f..
~......",-\-' w.,.\-\r, (VlGci,., ()- ((\(.c-:'T', T(\ptGcll (1).;lCl, ~
Description: I'd-Ov c...y,-\: 'For o;",v-.wG.Sh..... e..",c,,(p) nE'vj
\(}Oll 'dOf>r<'Y\/C> Cl,p:!:. J:>rc~ec-\e~ <:\,'D
~(' Oo\-IR'<6 .,f'\ I(i ~V'\,
BUILDING DEPARTMENT USE ONLY'
Construction Value: ~ )4yo
Permit Fee: C1,'1 CJ..5
\ \5'i>", 01 Use Tax:
Total: SO.OO
~ottlrJ~ommeJlJ$J
Approval:
Zoning:
!3.mlCll!lmCommems::l
Approval:
C,[51!l!l.w.Otk~.9JIJI!l!'!n~
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
Roof:
Stories:
Residential Units:
Electrical License No : Cj \ 0> Plumbing License No :
Company: i\"It\S\\Oe. E\QQ~"<... Company:
Mechanical License No :
Company:
Expiration Date: ~!9.3/{J \
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
("I
(S)
This permit was Issued In accordance with the provisions set forth In yOpu1 application and Is subject to the laws of the State of Colorado and to the Zoning
Regulations and Buildit\? Code of VVheat Ridge. Colorado or any other, applicable ordinances of the City.
This permit shall expire If (A) the work authorized is not commenced within sixty (60) days from Issue date or (Bl the building authorized is suspended or
abandoned for a period of 120 days. ,
It this permit expires. a new permit may be acquired for a fee of one-half the amount normally required. provided no changes have been 0( 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 it suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit
No work of any manner shall be done that will change the natural flow of waler causing a drainage problem.
Contractor shall notify the Building Inspedor twenty-four (24) hours in advance tor all inspections and shall receive written approval on Inspection card before
proceediing with successive phases of the!Db.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for. nor an approval of, any vtoIation of the provisions
of the budding codes or any other Oftlinance. law, rule 0( reQulation.
(1i)
(:!)
(")
(Ii)
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION