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HomeMy WebLinkAbout4160 Brentwood StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION General Date: Monday, March 14, 2022 9:08:25 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION General This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential Residential or Commercial? Property Address 4160 Brentwood Street, Wheat Ridge, CO 80033 Property Owner Name Craig & Jaime Wilson Property Owner Phone 317-331-4240 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email permits@applewoodfixit.com Address Attach City of Wheat 03 14 22 Wheat Ridge CC Payment Form Ddf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General Applewood Plumbing, Heating & Electric Contractor or Architect Contractor's License 18236 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contract Phone 303-458-5988 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address permits@applewoodfixit.com Retype Contact Email permits@applewoodfixit.com Address Check the appropriate Plumbing boxes if the following work is involved in the project. Plumbing Contractor Applewood Plumbing, Heating & Electric Name Plumbing Contractor 18236 License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Are there any No ADDITIONAL Sub Contractors associated with this project? DESCRIPTION OF WORK Detailed Scope of Replace and repair four leaks in the gas line in the crawl space. Work - Provide a Line was red tagged by Xcel. detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Square footage of 35' scope of work Location of work Crawl Space (backyard, on roof, etc) Project Value (contract value or cost of ALL materials and labor) Upload Engineer letter Upload Asbestos Report if triggler level is met per CDPHE regulation. Upload Drawings 5326.00 Field not completed. Field not completed. 03.14.22-4160 Brentwood Street, Wheat Ridae (W0813961).odf Upload Additional Field not completed. Drawings Upload Additional Field not completed. Drawings Upload Additional Field not completed. Drawings 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Tracey L. Johnson Pe rm it Email not displaying correctly? View it in your browser. 414 , — INSPECTION kECORD 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 the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To A proval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Sewer Service Plumbing Do Not Cover Undernrnunrl nr Rnlf%wiln_Cl�k R ugh Inspections - ---- Date Inspector Initials - - ,— 1%o i- i -vol %ii irye Hpove inspections — - Comments Bathing Mid -Roof Lath /Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing I l Rough Grading Insulation ---� Drywall Screw / Nail ctions Date Inspector Initials - Comments &Parking /Planning Dept. gFloodplain -1 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. age / Public Works Dept. spection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing — Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. 'For low voltage permits - Please he curs that mi inh incnonC- .,.............i..a - - - --...r. —.0L1 11,LC31w cic1u iLdi iow Voltage y e Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather A ® City of Wheat Ridge Residential Roofing PERMIT - 201707162 PERMIT NO: 201707162 ISSUED: 09/12/2017 JOB ADDRESS: 4160 Brentwood ST EXPIRES: 09/12/2018 JOB DESCRIPTION: Residential Re -roof to install OC duration asphalt shingles - 15 sq Pitch = 5/12 *** CONTACTS *** OWNER (303)431-0870 SEURER INEZ M SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,980.00 FEES Total Valuation 0.00 Use Tax 188.58 Permit Fee 188.45 ** TOTAL ** 377.03 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201707162 PERMIT NO: 201707162 ISSUED: 09/12/2017 JOB ADDRESS: 4160 Brentwood ST EXPIRES: 09/12/2018 JOB DESCRIPTION: Residential Re -roof to install OC duration asphalt shingles - 15 sq Pitch = 5/12 I, by�my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, appl&cable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorizes by thtie l o r of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_p he atteqst that I am legally authorized to include all entities named within this document as parties to the work to be perfoa t 11' Wl rk to b ;performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature�pf OM NER-Jor 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 `spbjec,t to the compliance with those cuments, and all applicable statutes, ordinances, regulations, policies and procedures. 2. Thispermit shall expire 365 days_ aft the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180. days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official '- Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. (0) RopaRoafing ADDENDUM Owner(s); !9s McIntyre SI, Suile 303, Gulden, t:n 80101 Office: 720-475.1065 www,AopaRoofine.com General LiabilityInsurer: Colony Specialty, NAIC:39993 Colorado Insurance Professionals, Inc. 13031755-9600 Agreement Date, Address: H flyPAQCn� �1! Addendum Date: ttp� LQi cc ,3 l Addendum Number:_ Roth parties hereby agree that this addendum is part of the Atreement between the parties The original 4reemient date is indicated ahuvP tnr reterencP. GENERAL: ( (af�}1 �a r j 'mac C t�2 tLe-+tn r^ 5 j Owners) initials: MATERIAL SELECTION Shingle Brand: &Yp-,-5 C!^ ley Shingle Type: d L� ey-2 C\ Shingle Color, L _ Owner(s) Initials; UPGRADES Description Owner(s) initials: CONTRACT AMOUNT TataI Am4unr of Claim: $4Z Total Amount ofUpgrades(AciditionalWork $ Less Credits for Work Nat Performed $ Contract Amount Total 'PLUSSUPPLEMFNf5AND ADDITIONALMON IES APPROVED BY INSURANCE COMPANY Drip Edge Color: Gutter Size;tsi Gutter Color; Price Unit Total Total Upgrades $_ PAYMENT TERMS Deposit $ IiDue (' Payment $ Due Payment $ -L---T— jibe `BALANCE TO BE ALL SU PP LEM f N TS AND ADDITIONAL M ONn- S APPI10VED BY I NSURANC E COMPANY Property Owner's Signature nopaHaollag Reprrsent;i irc Signature ::gyp a.. /9 Print Nnme Print Name (a) Ftopaftofing AGRF.PM F;NT PHONE: INSURAMCF CO: CLAIM #: fins McIntyre SL Suite 363, Goftlen, CO 130401 Office: ;20-475-1065 www.aooaRoofine.cnm General Liability Insufer: CCIOO 5pedalty, NAIC:39993 Cnloodo Insurance Professionars, inc. (M3) 755-8500 DATIC... q'i 6 1I —3 SCOPE: Shim; les removed: sq. Replaced: sq. Type; Pipe huotN: icefWater shield: _Q. Hip Ridge Cap „ fl. Starter Shingles: R. 1]rip Ldgc tt. Coior: Vent type: No.: _ Chimney Flashing: _ Step FIashing: Other: General: Both Parties agree to cooperate in good faith clybrts as follows. (1) to file a property damage claire with the owner's insurance company upon executing this agreement, if damage is lirund. (2) to share all information related to the insurance adjusters meeting anti naakc every atlempl to attend the adjusters meeting together. (3) To provide each other with alt claims reports and other infonnation related to this claim. RopaItoofrng will prepare the file for pmductil,)n and acquire all permits and other documents necessary to comply with local requirements, As consideration flit the work provided by RepafRoofing, the owner hereby agrees to (appoint RopaRooting as their exclusive c:ontractar. If the claim is approved: RopaRoofng agrees to complete all work outlined in the owner's insurance clailriN report, including all supplements and additional items agreed to by the owner's insurance company. If the claim is denied: If the inspection is deniedt then this agreement is Null and Void. The owner is not respansible for any payments to RupaRoofnts. Payments: The parties agree that ltopaRooiing will he entitled to all insurance proceeds related to all claims subject to this ngrectnem, and all other monies for upgrades or additional work that is appmved in writing by the owner on [he addendum to this agreement. The owner understands that they al%c fully responsible fur their insuranue Jeductiblrs, as stated by the Colorado Law 6-22-105. Waiver of insurance deductible prohibited. Payments: Owner hereby releases their insurance uornpany to provide RupaRoofing with informatiur related to this claim and hirthcrmnre grants permission for their insurance company to ncgotiate and wtflc all claims on behalf orf the owners with third party adjusters, if necessary. Owner's Rights: 4hould the owner decide to cancel this agreement, it must be done within 72 hOLITS of tlae date signed. This ntay he dome via mail, dealt. or hand delivered letter — stating that they ,.wish to terminate this agreement. Scope: To be defined by the Ownet's insurance summary plus any additional upgrades, which they choose; and shall be attached along with the addendum to this agreement. THF ROOFING CONTRACTOR SHAI.i, HOLD IN TRUST ANY PAYMENT FROM THF. PROPERTY OWNER UNTIL THE RCIOFTNC: CONTRACTOR HAS DF,T,iVERL D MATE,RIAI,S TO THE SITE TO Wi-IICII THE WORK IS TO FIT: PERFORMED OR HAS Ir><MFORMED A MAJORiTY OF THE ROOFING WORK ON THF. RF.SIDENTIAL PROPERTY, Accepted by Property Owner on: Date Ily: X � Sales Person; Date. jam f Jay: �C _ *THIS AGREEMENT 15 NULL AND VOID If INSPECTION IS DENIED Dane Lovett 70 � 7 o/ I U From: Sent: To: Subject: Follow Up Flag: Flag Status: no-reply@ci.wheatridge.co.us�; Thursday, September 7, 2017 12:16 PM CommDev Permits Online Form Submittal: Residential Roofing Permit Application Follow up Completed Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4160 Brentwood St Property Owner Name Inez Seurer Property Owner Phone 303-431-0870 Number (enter WITH dashes, eg 303-123-4567) 37 Z C L� Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract bunnie25@comcast.net Yes Seurer, Inez - Agreement.pdf CONTRACTOR INFORMATION Contractor Business Ropa Roofing Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 160146 720-284-8831 795 McIntyre St., Golden, CO 80401 Contractor Email Address roparoofing@gmail.com Retype Contractor Email roparoofing@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 15 the entire scope of work: Project Value (contract 8980): value or cost of ALL _ materials and labor) Are you re -decking the No roof? 38 Does the scope of the No� t project include a flat roof (less than 2:12 pitch)? Does the scope of the project include a pitched roof (2:12 or greater pitch)? Provide any additional house detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated in this application is true and correct and that falsifying Yes Yes Yes Yes Yes 39 information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Brent Roper Email not displaying correctly? View it in your browser. 40 information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Brent Roper Email not displaying correctly? View it in your browser. 40 City of Wheat Ridge Residential Miscella PERMIT - 201707782 PERMIT NO: 201707782 ISSUED: 09/28/2017 JOB ADDRESS: 4160 Brentwood ST JOB DESCRIPTION:XPIES:Residential Siding replacement partialEreplacement off9gar8gage8and house 12sq(7sq house and 5sq garage) *** CONTACTS *** OWNER (303)431-0870 SEURER INEZ M *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: UA / Unassigned 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,975.00 Total Valuation FEES 0.00 Use Tax Permit Fee 104.48 TOTAL 125.05- ** ** 229.53 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on level of the structure. every 1, byy myy signature, do hereby ttest that the work to be performed shall comply with all accom an ingg approved applicabl building codes, and 11 applicable mu icipal codes, policies and procedures, and thatt I am thegal ownernor have been authorized by the le al owner of t rope and am aut ri ed to obtain this permit and perform the work described and approved in conjunction with this�pperm . I her a es that I leggally a h ized to include all entities named within this document as parties to the work to be pertorme and rk to be erlormed s isclosed in this document and/or its' accompanying approved plans and specifications. o_ Si nature of OWNER o ON CTOR (Circle ne) Date I. is perm t was issued based on the information pro ided in the permit application and accompanying plans and specifications and is s ect to he compliance with those documents, an all applicable statutes, ordinances, regulations, policies and procedures. 2. Thi it shall expire 365 days after the da *ssuance 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 ermit fee, 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required Divn.ns and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 01*"� Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of RWh6at TgeMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(Dcimheatridge.co.us FOR OFFICE USE ONLY Date: q Plan/Permit # � % J, `� —7 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: I I by ��'� �c'` 3t Property Owner (please print): I ✓)t Z-. S1eV C-e/V- Phone: -5 G 3 • q 3 ( OS -70 Property Owner Email: �2V''1V-�tf' 2_ ^ � ) (_�)' C "VV-\CVlt�T_ Mailing Address: (if different than property address) Address: City, State, Zi Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Vop,-/\ yo Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 1, `_y • z cc) C>5 l Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL )Y-I\RESIDENTIAL 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 _ ❑E-LECTRICAL SYSTEM/A PLIANCE,REP IR or REP ACEMENT OTHER(Describe) �ICA1�%V1VN�� y6VAA � �!% (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.) Sq. Ft.ILF Amps Btu's Squares p, Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) I —r— 6 b OWNEWCONTRACTOR 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 perforin 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) r (AUT)HORIZED REPRESENTAT ) of (OWNER) (CONTRACTOR) Signature (first and last name): C� DATE: l-7 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201707162 PERMIT NO: 201707162 ISSUED: 09/12/2017 JOB ADDRESS: 4160 Brentwood ST EXPIRES: 09/12/2018 JOB.DESCRIPTION: Residential Re -roof to install OC duration asphalt shingles - 15 sq Pitch = 5/12 ***Revision add redecking 15sq**** *** CONTACTS *** OWNER (303)431-0870 SEURER INEZ M SUB (720)284-8831 Brent Roper 160146 BLLR dba Ropa Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,470.00 FEES Total Valuation 0.00 Use Tax 240.87 Permit Fee 236.00 ** TOTAL ** 476.87 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place.is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. City of Wheat Ridge Residential Roofing PERMIT - 201707162 PERMIT N0: 201707162 ISSUED: 09/12/2017 JOB ADDRESS: 4160 Brentwood ST EXPIRES: 09/12/2018 JOB DESCRIPTION: Residential Re -roof to install OC duration asphalt shingles - 15 sq Pitch = 5/12 ***Revision add redecking 15sq**** 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 t1�e legal owner or have been authorized by the legal ow er of the property and am auth sized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I fu her atte that I am legally au prized to include all entities named within this document as parties to the work to be performed and t at all vy rk to be performed disclosed in this docume end/or its accompanying approved plans and specifications. Signature tif O R or `CONT-RA,TOR (CircleYided e) Date 1. This permit wa issued based on the information fir, in the permit application and accompanying plans and specifications and is subject to the ompliance 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 pen -nit 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 o granting o it sh lb be construed to be a permit for or an approval of, an violation of any provision of any applicable- woman r t n 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. City of �Wheatj�idge MUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h 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 FOR OFFICE USE ONLY Date: // 7 Add to Permit # cA y —7 671 z Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): i ✓ tz- S2�jl uec v Phone: Property Owner Email: ✓V 11 Yl'l C1 ZV) P Mailing Address: (if different than property address) Address City, State, Zip: �ZoUf-I" Contact Person: �Z7y� Contractor: F0i' �1 ��(} �el UV--- If LQ Phone: Iz ' `S T>17 1ZO Contractors City License #: i bn r �J Phone: � Contractor E-mail Address: roPA Y-oc ► (!�j PL4vvto I 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: AJA 1. (e- d-edz-- Sq. Ft./LF Amps Btu's Gallons Squares � � Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 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 perfonm the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this applicati _ CIRCLE ONE: (OWNER) (CONTRACTOR) o (AUTHORIZ REPR `E ATIV f �iOWNER) (CONTRACTOR) PRINT NAME: V K V Ir SIGNATURE: DATE: i 7t " 1 t DEPARTMEN :USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ , ► .r City of Wheat Ridge Residential Roofing PERMIT - 201704587 PERMIT NO: 201704587 ISSUED: 07/21/2017 JOB ADDRESS: 4160 Brentwood ST EXPIRES: 07/21/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 24 sq. *** CONTACTS *** OWNER (303)431-0870 SEURER INEZ M SUB (720)276-8615 Denis Koval 150246 Global Construction LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,600.00 FEES Total Valuation 0.00 Use Tax 138.60".' Permit Fee 156.75 ** TOTAL ** 295.35 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. ** � 4 1 City of Wheat Ridge Y Residential Roofing PERMIT - 201704587 PERMIT NO: 201704587 ISSUED: 07/21/2017 JOB ADDRESS: 4160 Brentwood ST EXPIRES: 07/21/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 24 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesthat I am legally authorized to include alI entities named within this document as parties to the work to be performed and that �c o e performed is disclosed in this document and/or its' accompayrying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date ` !� 1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change. of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz q --Z)0 From: no-reply@ci.wheatridge.co.us Sent: Thursday, July 13, 2017 10:13 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application c S Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4160 BRENTWOOD ST INEZ SEURER 303-431-0870 Field not completed. 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 GLOBAL CONSTRUCTION 150246 303-593-2535 Contractor Email Address ERIC@GLOBALCONSTRUCTIONCOLORADO.COM Retype Contractor Email ERIC@GLOBALCONSTRUCTIONCOLORADO.COM Address DESCRIPTION OF WORK Are you re -decking the No (/ roof? Description of Roofing GAF TIMBERLINE HD Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 24 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 24 / roofing material for this proj ect Provide additional detail HOUSE AND GARAGE here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract '6600 _ 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 DENIS KOVAL Email not displaying correctly? View it in your browser. C �G Global Construction (i 5711 East Evans Ave. Denver, Colorado B0222 Phone: 303-757-24BO — Fax: 303-593-2535 Email: infoCelglohalconstructioncoloredo.cam NAME C ADDRESS ` 4o o E iw oa CITY V J --ZIP u PHONE G l= Lhic ggS'-i'y�R�t� er5 a ny,Go m _. L_GLOBAL CONSULTAND Gaslamp Insurance Services 3234 Bey (tisk Court Ced6ed, CA 82010 Phony (809) 820-445 - hi (B00) 820-4197 Pmlermd Cont"etum im. Co. MAIC #12487 Policy # PCA5D25-PC217522 GENERAL CONTRACTORS LICENSE # UC244521- CLASS B CLAIM # �✓PDUCY # INSURANCE COMPANY ES it PHONE t'- FAX EMAIL I DATE OF LOSS / STORM DATE PHONE EMESIMS f s TIME • TEAR OFF EXISTING ROOF DOWN TO THE DECK. INSURANCE CONTINGENCY AGREEMENT — This estimate INSTALL NEW FELT / UNDERLAYMENT TO MANUFACTURER SPECIFICATIONS. does not obligate the Homeowner or Global Construction in any way unless it is approved by the Insurance Company and accepted by Global INSTALL NEW ROOFING SYSTEM -SYSTEM TYPE Construction. By signing this agreement, the homeowner authorizes Global Construction to pursue the homeowner's best interest for a roof SHINGLE MANUFACTURER COLOR replacement or repair at a price agreeable to the insurance company and to Global Construction with no additional cost to the homeowner except _ VALLEY TYPE - OPEN CLOSED R W -VA LEY for the deductible. When the insurance company and Global RIDG E TYP E Construction agree upon a price, that price will become the final contract price and Global Construction will receive all ins ce proceeds e INSTALL NEW METAL EDGING "DRIP EDGE" ON ENTIRE ROOF PERIMETER - COLOR TO MATCH ROOFING SYSTEM. work completed by Global Construction. (InitiaW INSTALL NEW LOW PROFILE VENTS & PIPE BOOTS. PAINT TO MATCH ROOFING SYSTEM. We propose to complete in accordance with the above specifications and subject "ICE & H2O SHIELD" - VALLEYS, CHIMNEYS, SKYLIGHTS, AND EVAPORATJVE CO RS. to conditions found above on this proposal 6 NAIL SHINGLES.' ( r% -r, ayment to be made as follows: STEP FLASHING, HEADWALL METAL & CHIMNEY FLASHING TO BE REPLACED, IF REQUIRED BY DDE OR IS UNUSABLE.en m be payable to Homeowners d Global Construction HEADWALL METAL TO BE COVERED USING THE 'BEAUTY CAP" METHOD. C, Lad) ' PROTECT LANDSCAPING. CLEAN OUT GUTTERS & ROLL YARD WITH A MAGNETIC ROLLER. GENERAL CONTRACTOR CLEAN UP PROJECT DEBRIS DAILY AND DISPOSE OF PROPERLY. Homeowner aclarowledges Global Construction as a General PERMIT FURNISHED BY GLOBAL CONSTRUCTION. Contractor and as such will be entitled to to% overhead and to% profit, as allowed by insurance industry standards. WD PERFORMED BY GLOBAL CONSTRUCTION TO MEET BUILDING CODE REOUIREMENTS. GAF SYSTEM PLUS LIFETIME WARRANTY AVAILABLE FOR AN ADDITIONAL S DOLLARS. S YEAR WORKMANSHIP WARRANTY BAD DECKING TO BE REPLACED AT AN ADDITIONAL $ C . 16, PER S AR� FtOG 0' _ _ GLOBAL CONSTRUCTION EXTRA WORK t ` r. APPRDAMATE SCOPE DF SERVICE - MATERIALS AND COST IS BASED ON CURRENT KNDWN DAMAGE REPORT. ALL INSURANCE PROCEEDS AND SUPPLEMENTS (RCV) PWS THE DEDUCTIBLE ARE PAYABLE AS FOLLOWS: APPROMMATE COST $ (PWS PERMIT, SUPPLEMENTS AND TQ APPROMMATE DATE OF SERNCE / o / f DEDUCTIBLE AMOUNT PAID BY INSURED $ THE CONSUMER PROTECTION / ROOFING BILL (SB -38) DOES NUT ALLOW A ROOFING COMPANY OR CONTRACTOR TO WAIVE, PAY FOR OR REBATE THE HOMEOWNER'S INSURANCE DEDUCTIBLE IN PART OR IN WHOLE. PAYMENT FOR WORK CONTRACTED By G1.13E3AL CDNSTRUCTIDN IS DUE UPON COMPLETION _T _ (initial) ' ACCEPTANCE OF PROPOSAL — This proposal becomes the legal and binding contract yz hours from date of acceptance. 1 1/2 percent per month interest will be added to all accounts 3o days past due. In addition, costs and reasonable attorney's fees for collection may be charged on any account past due over 3o days. Payment is to be made at time of completion. Warranty will be void if payment is not made in full within 3o days. Failure to pay can constitute a mechanical lien filed against the property. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner to standard practices. All interior damages to buildings are excluded go days after completion date and the owner is notified that any damage to contents will be the responsibility of the owner and his insurance company. All damages to the building, which occurred while roofing was in progress, will be covered by the contractor. All agreements are contingent upon strikes, accidents or delays beyond. Global Construction is not responsible for broken driveways. Scheduling will be done based upon date signed but limited by availability for materials, crews, and weather conditions. Re roofing does not include decking. SIGNATUREDATE LL CUS15MER SIGNATURE DATE CUSTOMER 9- SIGNATURE DATE. !T I GLOBAL CONSTRUCTION CONSULTANT Inspection Type: Job Address: Permit Number: CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line )3) 235-2855 Office • (303) 237-8929 Fax 1 SPECTION NOTICE 1 Ni=l S7— b/ i / %(--) 6 7- I t: ❑ No one available for inspection: -Time./ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: l� Inspector: AIS DO NOT {'REMOVE NOTICE INSPECTION RECORD Occupancy/Type Ia zed ~a3fc~~er~ INSPECTION LINE: (303) 4-5933 21 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the `following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB ' FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall /!(CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain J j Ai Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage Parking & Landscaping **NOTE: ALL ITEMS MUST BE COMPLETED: AND APPROV CERTIFICATE OF OCCUPANCY is ISSUED. FINAL INSPEI OF A CERTIFICATE OF OCC OCCUPANCY NOT PERMITTED UN PROTECT,THIS I 11 OM THE WEATHER ~OF NtFiEgTpr City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 - = Office: 303-235-2855 * Fax: 303-235-2857 - o Inspection Line: 303-234-5933 OtORP~ Date: L q b (3' Plan Permit Clg6567 Building Permit Application Property Address: ~f /U'? Ti 7n C 2e3--~i'3i 7a Property Owner (please print): /n1-I/) ~ j e"A 1-'2 r- Phone: Mailing Address: (if different than property address) Address: City, State, Contractor: „2nrt,tJ J1e?S'`are, Contractor License Phone: 6 l Sub' Contractors- Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ y~ Description of work: (as calculated per the Building Valuation Data sheet) 30)rf, §A/- f- fv/ k) Plan Review (due at time of submittal): $ Sq. Ft./L.Ft added: Squares -D U BTU's Gallons Amps OWNERICONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER)..., (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: r? 1 n 1 S 2A--7 a, SIGNATURE: Dater ~ '~W'~""'"'''~~''''f~''''\'''''''''''"';'''''''''W'''''''''''''''''''''J",~r"",''''''"' .,1.111"",,,",,,,,,,,, "",4,,, 'p. '"""""""T""""""""""""""''!''''l',!J~", ~,~..""", ,,~ 'J "", ",',,", ,',' ' '1 " bEPARTMENT OFPLANNltllG AND DEVELOPMENT Building Permit Number: ,17 ' BUILDING INSPECTIO. N DIVISION - 235-2855:.'~.'1 1 CITY OF WHEAT RIDGE Date: 5f14/97 7500 WEST 29TH AVENUE "'ll: WHEAT RIDGE, CO 80215 ..~ t, I ,!f' ~; Phone: 431-087otl .it Phone: 455-17141 i> Property Owner: Property Address: 4160 BRENTWOOD ST Contractor License No,: 19475 Company: NIETO'S ELECTRIC, CO I hereby certify thatlhesetbacl<d1stances proposed by this pennn application are accurate, and do not vi<>iate. appJ1cat>1e ordinances, ruleS or regulations 01 the City 01 Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I hayt> read andaQree to abide by all conditions printed on this application, and that I assume luli responsIbility for compliance wnh the Wheat Ridge Building Coda (U,B,C,) and all Other applicable at Fl~ ordinances for woll< under this permit (OWNER)(CONTRACTOR) SIGNE r. AfE.!!}t'f/9, Total: ~ ' OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: Permit Fee : Plan Review Fee: Use Tax: Description : UGRADE SERVICE TO 150 AMP BUILDING DEPARTMENT USE ONLY SIC: Sq, Ft: I I I I ,j II ~ 'l Jj . . Approval: Occupancy: Walls: Roof: Stories : Residential Units : Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: i: 11 , I Expiration Date: Approval : . Expiration Date: Approval: . Expiration Date : Approval : . (1) This perrntt wasis8ued in accordance with the prQVisions set forth m yopur application and Is sublect to the laws of the State of Colorado and to th , ning Regulations and Bulldlnn COde otVVheat Ridge, Colorado or any other appUcabJe ordinances of the City. ,..'~: (2) This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from issue date or (8) the building authorized is suspef.:or abandoned for a periodof120 dayS. , ' ~':: (3) Ifthts permit expfreS, a newpemut may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be " ,,', e In the original plans and speo 'flca tions and any suspension or abandonment has not exceeded one (1) year. If changes are made or If suspension or a. .... nment exceeds one (1) year, fuft fees shall be paid for a new permit. , ) (4, No work of any manner allaU be done that will change the natural flow of water causing a drainage probtem. '; ,: (5) Contrac:tor shall notify the Building Inspector twenty-four (24) hours In advance for all inspections and shan receive written approval on inspeCtion. ,before proceednng with successive ph.... oIlhe job, ill! (6) The issuance ofa pennit or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of. any violation 0JP18 provisions O,f the bu ngOl 'other ordinance, law, rule or regulation. ,!~, .~ , Chie Building In actor .11 THIS PERMI, VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MA YoI CALL: 234-5933 24 HOURS PRIOR TO INSPECTION'[ii _~~i %. iffi' 11: : :J) ~1~ Wi ;#.r~ ~ ~ '.j\i ~ Ii \. ! DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: Contractor License No, : Company: f1:.:a R. V L/.l (,:. 0 lei'!?!' IJ 1,=1~'J 5'= [,t i2 EI2. -B12.~"1-'-' C'cO Sj.. Phone: ,+:3 f -08'7 U t L C'crT2.;<.. C,. Phone: 4S-S-/7/y OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: 'f) CX::>~.!? - Permit Fee: Plan Review Fee: Use Tax: I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNE~d<;; A. ~'It<<i2;;s", DATE .sj;.J9? Description: U /.2. r? ~'" _ '" ( ;)2) L/~~ ~~~~~ . BUILDING DEPARTMENT US Total: ~()nlnlr.CPl'flme-rmg Approval: Zoning: BUlldl~olflmenu;;:] Approval: Ii!!.t)IICl.WlH'lam.;ommen~ Approval: SIC: Sq. Ft: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No: c ' Plumbing License No : Company: ;J I rcTZo IJ t::; ( ECTIlI' G(;ompany : Mechanical License No : Company: . ;1" ~I_,- I j ~ Expiration Date: Approval: . e!mm.~!mt_ Expiration Date: Approval: Expiration Date: Approval: III . ,'": li~Lm . 141 51 (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject 10 the laws of the State of Colorado and to the Zoning Re,gulations and Buildin~ Code of Wheat Rid~e, Colorado or any other. applicable ordinances of the City. This permit shall expire If (A) the work authonzed 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. 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 tees shall be paid for a new permit. No work of any manner shall ,be done that will change the natural flow ot water causing a drainage problem. Contractor shall notify the BUIlding Inspector tw, enty-four (24) hours m advance for all mspectlons and shall receive written approval on inspection card before proceedimg With successive phases of the/ob The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit for, nor an approval or, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (1) (2) (3) 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