HomeMy WebLinkAbout4097 Field DriveCity of Wheat Ridge
x E -Res. Window Replacement PERMIT - 202000420
PERMIT NO: 202000420 ISSUED: 02/25/2020
JOB ADDRESS: 4097 Field Dr EXPIRES: 02/24/2021
JOB DESCRIPTION: Replacing 7 windows in living room, bedroom, master bathroom and basement
bathroom.
U -value: .27
*** CONTACTS ***
OWNER (303)422-4112 NANCE JOHN B
SUB (303)371-3750 GRAYDON BEVIS 020762 PELLA WINDOWS & DOORS INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,849.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 290.83
** TOTAL ** 340.83
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. if the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
A
City of Wheat Ridge
E-Res. Window Replacement
PERMIT o
202000420
PERMIT NO:
202000420
ISSUED:
02/25/2020
JOB ADDRESS:
4097 Field Dr
EXPIRES:
02/24/2021
JOB DESCRIPTION:
Replacing 7 windows in living room, bedroom,
master bathroom and basement
bathroom.
U-value: .27
I, by my signature, do hereby attest that the work to be per
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 al[ entities named within this document as parties to the work to be
performed and that all work to be perrmeisdisclosed 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 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 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 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
L1 V 131Vll.
6. T . uance or gra f g of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of an7y
aIa ode or ordinance or regulation of this jurisdiction. Approval of work is subject to f eld inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11359PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City nf Whent Kidge
122/?5/2O2O 13�35 CDB8
C08O22621 AMOUN7
j:y3 F 4097 Fiold Dr 3411.83
�UTH CUDE� 71?4O322
TO[AL
34U.83
--------------------
Dina Kemp " � o� 6 0& q'-2— E)
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, February 25, 2020 10:56 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO
BE PROCESSED. Your Permit will be emailed to the email address provided below
once it is processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 4097 Field Dr.
Property Owner Name Sandy Nance
Property Owner Phone 303-422-4112
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address 9346 ' K3
**REQUIRED** Attach CC form.pdf
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS**
CONTRACTOR INFORMATION
Contractor Business Pella Windows & Doors
Name
1
Contractor's License 020762
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3033713750
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address 1-psi@pellacolorado.com
Retype Contractor Email 1-psi@pellacolorado.com
Address
DESCRIPTION OF WORK
Number of window 7 -
and/or doors being
replaced
Location of LR, Bed -1, masterBR,office,basement BR
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the .27
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of Nance- 715CHCO12M OOC.pdf
window/door cut sheets
showing sizes and a -value
Project Value (contract 13,849
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 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.
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 Don Harris
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Build`mg Inspection`DIVision
(303) 234-5933 Inspection line_:�9�1
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:Job Address: Address: s'3 F-1 t k- o<
Permit Number: I`_�- C>2C,7
❑ No one available for inspection: Time
Re -Inspection required: Yes o
When corrections have been made, call for re -inspection at 303-234-5933
t
_ 4
Date: ;` Inspector:_
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE }
Building Inspection rision f k
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: PL" : t ;3 /= }cj uJobAddress: Ll( -"7t7
Permit Number:75
,9
t d
❑ No one available for inspection. -Time (0 �J� � AM/PM
Re -Inspection required: Yeso _T
N-
L
When corrections have been made, call for re -inspection at 303-234-
Date:- rf Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802075
PERMIT NO: 201802075 ISSUED: 07/24/2018
JOB ADDRESS: 4097 Field Dr EXPIRES: 07/24/2019
JOB DESCRIPTION: 5 ft. spot repair in yar only; install dual sweep cleanouts
*** CONTACTS ***
OWNER (303)422-4112 NANCE JOHN B
SUB (303)856-7476 Jacob Wakeham 140058 Dig Boss 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: 4,875.00
FEES
Total Valuation 0.00
Use Tax 102.38
Permit Fee 125.05
** TOTAL ** 227.43
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802075
PERMIT NO: 201802075 ISSUED: 07/24/2018
JOB ADDRESS: 4097 Field Dr EXPIRES: 07/24/2019
JOB DESCRIPTION: 5 ft. spot repair in yar only; install dual sweep cleanouts
1, 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
thispermrt. I further attest that I am legally authorized to include all entities named within this document as partes to the work toe
performed and that all,work to be pertormed is disclosed in this document and/or its' accompanying approved plans and specifications.
i
Signature of OWNER or CONT CTOR (Circle one) Date
I. This permit was issued based orr 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, 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, an violation of any provision of any
applicable or any ordure or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief BuilAing Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of`
W h6at l,dge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits a(D.ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: -7/
Plan/Permit # o now / 0 0 �'s
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:
Propertv Owner
Phone:
Property Owner Email:
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor Name: /iJ
City of Wheat Ridge License #:
Contractor E-mail Address
Phone:
Phone:
For Plan Review Questions & Comments (please print): '
CONTACT NAME (please print):
CONTACT EMAIL(p/ease print): 'r
UL —1 '7�,
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
❑ COMMERCIAL
RESIDENTIAL
Description of work: For ALL projects, 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. FULF
Amps
BTUs
Squares
Gallons
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
I- ? IT
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 (A
Signature (first and last name
Printed Name: 61Ta
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
ESENTATIVE) of (OWNER) (CONT CTOR)
DATE:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
f��J CA el C', (x
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occ ap ncy/Tyle
r_(T
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Floodplain Inspection (if applicable)
Concrete Encased Ground (CEG)
Final Electrical
Foundation / P.E. Letter
Final Plumbing
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Comments
Sewer Service
Floodplain Inspection (if applicable)
Plumbing
Final Electrical
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Mid -Roof
Final Plumbing
°
Final Mechanical
Lath / Wall Tie
Roof
Final Window/Doors
Rough Electric
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.
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
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 be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
**For Inspection Time Window — Please email InSptimerequeSt@Ci.Wheatridge.co.US by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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: 111�rb
Job Address: % e tr
Permit Number: 01-70
PN l') 01P V r -c7 v U A
❑ 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: o�/��� Inspector:
DO NOT REMOVE THIS NOTICE
- City of Wheat Ridge
Residential Roofing PERMIT - 201701738
PERMIT NO: 201701738 ISSUED: 06/08/2017
JOB ADDRESS: 4097 Field DR EXPIRES: 06/08/2018
JOB DESCRIPTION: Permit for residential reroof: remove and replace comp shingle with
certainteed Landmark IR in colonial slate 22 squares, pitch 4/12 house
roof.
*** CONTACTS ***
OWNER (303)422-4112 NANCE JOHN B
SUB (303)757-5555 Brian Cung 100121 Rocky Mountain Roofing & Rest.
*** 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: 5,654.00
FEES
Total Valuation 0.00
Use Tax 118.73
Permit Fee 140.90
** TOTAL ** 259.63
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&€rms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
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 le ally authorized to include al
I 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.
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 originalppermit 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, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of Wheat Ridge
Residential Roofing PERMIT -
201701738
PERMIT NO:
201701738
ISSUED:
06/08/2017
JOB ADDRESS:
4097 Field DR
EXPIRES:
06/08/2018
JOB DESCRIPTION:
Permit for residential reroof: remove and replace
comp shingle with
certainteed Landmark IR in colonial slate 22 squares, pitch 4/12 house
roof.
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 le ally authorized to include al
I 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.
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 originalppermit 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, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
MOURTM-111M til iliwilL
6"
[OXITHAUX
SIDING:
FelMitAlEm
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 7, 2017 1:50 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Antoinette
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 24-48 hours, 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. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
4047 Field Dr. V
Sandra + John Nance
303-422-4112
--
�1
smnance@aol.com
�-
Yes
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Rocky Mountain Roofing & Restoration
100121
7204905747
Contractor Email Address edith@rkymntroofing.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Yes
No
Remove & Replace comp. shingle with Certainteed Landmark
IR in colonial slate
22
Pitch 4/12. House Roof.
Project Value (contract 5500.00 S a, �-X (0 S I
value or cost of ALL I
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.
z
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 Edith Salcedo
Email not displaying correctly? View it in your browser.
I
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: for -
Job Address: LICA-) FIELD D�
Permit Number: 21- j i7 D) 3 1
❑ No one available for inspection: Time � A /PM
Re -Inspection required: YesQN
When corrections have been made, call for re spection at 303-234-
Date:
03-2 4 -Date: ' ( �, Inspector:
DO NOT REMOVE THIS NOTICE
1, City of Dow I-,
_]�qrWh6a-t�Z d i�-
crIml
COMMUNiTy DEVELOI'MENT Planlpermit #
7
Building & Inspection Services Division
7500 W.29 .eve., Wheat Ridge, CO 80033 Plan Review
Office: 303.235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
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11,�tlil§MIOOtiid""""'""�'�'ti" "'Id
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Address:--, , , same as above
Q
0. Matthew Seiler
Cdnttactdr&City j,!d0ha'#: L3-13 206 Phone: 303-945-1519
Contractor: Emall, Address: rnseflerwenewalcolorado,corn
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W, R Cilk Ucense#
Mechanical.
WA, City License #
Complete all information on BOTH sides of this form
9- r, #1 r s s•
NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE u..
UPGRADE
STRUCTURENEW RESIDENTIAL COMMERCIAL ROOFING
COMMERCIALMi RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck,
MECHANICAL . rw.. . REPAIR REPLACEMENT
�tLUMBING SYSTEMAPPLIANCEREPAIR or
ELECTRICAL SYSTEMAPPLIANCE REPAIR or REPLACEMENT
*THE"` (Describe
We are repWcing 2 dining room, i kitchen, 9 beth, and 9 bedroom, tike for tike ufector of .32 of Mier.
Sq. FULFBtu's Gallons
Amps Squaros Cutter
not remove unfil final code inWfion. Save tabes for future reference,
:59 PM.
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Address;
Electrical: Plumbing: Mechanical:
W.R. C4 Lice # WA City Ucense WA City License #
Other City Licensed Sub: Other City Licensed Sub
City License # CRY License *
Complete 01 information on BOTH sides of this form
Plan
Permit #
Oorit . tor; E a w ,
Cont C ity License #: Phone:
City License ## City License #
descri . be ,. a sheet if necessary,
T Y NS � *-j 'r� ") ! �Ytx ("t,
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Squares BTU' Gallons Amps Sq Ft, $
,, . (07VE (CONTRACTOR)
I AT
FORM (tJ) '1'b41l~.~~
PUBLIC SERVICE COMPANY OF COLORADO
':?
FLOOR APT. NO.
ACTION TAKEN
o NO SHUT OFF
s.. APPLIANCE OFF
'tJ BOTH APPL. & METER OFF
o METER SHUT OFF
- HAZARD -G7f 00 ('IS1J!/
CONDITION TO BE CORRECTED AS SHOWN BELOW CREATES AN lMMEDlATE HAZARD. THIS EQUIPMENT MUST NOT BE PUT BACK IN
SERVICE UNTIL REPAIRS AND A THOROUGH INSPECTION HAVE BEEN MADE BY A QUAUFlED CONTRACTOR. COHTACTYOUR LOCAL
BUILDING DEPARl1IENT FOR CODE AND PERMIT REQUIREMENTS PRIOR TO PERFORMING REPAIR WORK.
OTHER 0
SPECIFY
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: !. h.>, P r.r- L
FOR FURTHER INFORMATION, PHONE:.' --
TIME
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J
TIME
, '~7
REt.A HIP OF OCClJiSANT TQ. CUSJOMER
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 17839
Date: 10/5/2004
Property Owner: NANCE
Property Address: 4097 FIELD DR
Contractor License No.: 17835
Company: Blue Sky Plumbing
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 422-4112
Phone: 421 2161
Description:
REPLACE
Total:
$5,324.00
$162.90
$0.00
$63.89
$226.79
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 rasp sibility fJ compliance with the Wheat Ridge Building
Code (U.B.C.) and aU other applicable eat Ri ordina as, for work under this per '1.
Valuation:
Permit Fee:
Plan Review Fee:
Use Tax:
(OWNER)(CONTRACTOR) SIGNED
Use:
BUILDING DEPARTMENT USE ONLY
~fil'i~m~
Approval:
Zoning:
_!!!AlIIO~n,!MII!
Approval:
P:JiBll!W~olnillJlS:
Approval:
Occupancy:
SIC:
Sq. Ft.:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one.half the amount normally required. provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new pennit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a pennit for, nor an approval of, any violation of the
provisions of the building codjls or any other ordinance, law, rule or regulation.
~.r~----.-::::::'
./. ---
Ie I ding;;ifu~
Please sign Terms and Conditions on reverse side of page.
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Date:
Property Owner.: l\OJ(\ C€..- .
Property Address: i.\-oOn B e\c:l. D\<-.
. \.10'1-&.-
. Contractor pcense No.: !;.IV
OWNE~CONT~CTOR~~:::;~~E~Fl~ER;;jNG ~N~ A~EEMENT
Phone: lf~d-- L\: \ \ d-
Phone: ~W2> -Lf-:ll-)./ tv /
I hereby certify that the setback distances proposed by this pennit application are accurate,
and do nol 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 a~e accurate; that I have read and a~r~.e to abide by an co~ditions printed ?" Ihis . .
applicatIon, and that I assume full fe onslblhty for comphance WIth the Wheat Ridge BUilding
Code (U.B.C.) and all other applicabl heat. e ordin nees. for worl< under l,h~: 7::1,
(OWNER)(CONTRACTOR) SIGNED DATFi~
Description: ~~lLt .f;
Construction Value: 5 ?d-.4.CtO
Permit Fee:
Use Tax:
Total:
$0.00.
Use:
BUILDING DEPARTMENT USE ONLY
~o.nm~ommanJS~
Approval:
Zoning:
!m]R1In!l'lPommenlSil
Approval:
e.n51~Q~KSJl?_o.rl)T!lf!n~
Approval:
SIC:
Sq. Ft.:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was Issued In accordance with the provisions set rorth in yopur application and is subject 10 the laws of the Stale of CololCldo and to the Zoning
Regulations and Bundi~ Code of Wleat Ridge, Colorado or any other applicable ordinances of the City.
Thi, ~rmit shall expire II (A) the work authorized Is not rommenced within sixty (eo) days from Issue dale or (BIttle 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 01 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 no! ex~ed one-(1) year. Ir changes are m<lde or if suspension or abandonment
excee<ls one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the nalural flow of water causing a dr<linage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval 00 lnspectJon eard before
proceediing with sUCCl'!sslve phases of the!Ob.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed to ~ a permit fOf, nor an approval or, any violation of the provisions
of the building codes 0( any other ordinance, law, rule or regulation.
(1)
(2)
(3)
For Mayor
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
9863
12/2/99
Property Owner:
Property Address: 4097 FIELD DR
Contractor License No. : 18118
Company: Excel Roofing, Inc.
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Phone: 422-4412
Phone: 761 6400
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Total:
$2,151.67
$83.25
$0.00
$32.28
$115.53
Use:
Description:
Remove 2 layers and replace wrTamko Dimensional 22 squares
BUILDING DEPARTMENT USE ONLY
---
Approval:
Zoning:
----
Approval:
...........
Approval:
Occupancy: Walls:
Roof:
Stories:
Eiectrical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
SIC:
Sq. Ft.:
(1)
(2)
(3)
(4)
(5)
(6)
Residential Units:
Mechanical License No :
Company:
Expiration Date:
Approval:
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date: \ I/Llf
C\\333
Property Owner: ~'~Nb l.( N4-('.j.Q
Property Address: Ljvcn F I ~l. I~ be
Contractor License No. : I .,- /
.. J'
lr (",
Company: ~')I.Cn_ f20GCIN c,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
A PPU ("\1 D N
Phone: 42. L - 44 I Z.
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 a9ree to bide by all conditions printed on this
application, and that I assume full responslbili mpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable ea' rdinan~. for worK under this pennn.
(OWNER)8:rOR) SIGNED DATE
Phone :70 /-b4oD
Construction Value: 2 I 1.5"/ lc 1
Permit Fee: \::3"'>. z 5"
Use Tax: 52.- :7..,
Total: I J 5'. 5 a
Use:
Description:R:\:t..AD\J,- 2. ~,-\E0.S 1:, R.zpLf\:i..k '^-'1 ~1'-ALcu b\I'--'€..-...\Sio,,",,"'L 2:2_-4
BUILDING DEPARTMENT USE ONLY
. r ;J!0ltfutl~
SIC:
Sq. Ft.:
Approval:
Zoning:
:1'_ llilb].l}, ~~V.Ht.tlli l.u,
Approval:
~~'il:JJt~~ ....
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval :
Expiration Date:
Approval:
Expiration Date:
Approval:
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the 1.o"i"g
Regulations and Building Code of VVheat R~e, Colorado or any otI1er applicable ordinances of the Ctty.
This permit shall expire if (A) the work authonzed is not commenced within sixty (80) 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 nonnally required. provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new pennil
No work of any manner shall be done that will change'trla natural now of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance fer all inspections and shall receive written approval on inspection card before
proc:eediing wtth successive phaHS of the job.
(6) The issuance of a permit or the approval of drawings and spedfications shall not be construed to be a permit for. nor an approval of, any viotation of the provisions
of the building codes or any other ordinance. law, rute or regulation.
"
(')
(2)
(3)
14)
5)
/
/
Chief Building Inspector