HomeMy WebLinkAbout3228 Jellison Street®1 r ® CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2055 Office
INSPECTION NOTICE
Inspection Type: ? ZL4 X7 ! ''
Job Address: ? Z `�S' j,a
Permit Number: . C2 42 1 742 T
❑ No one available for inspection: Time.' M%I M
Re -Inspection required: Yes No
When corrections are complete, schedule re -inspection online.
Date: Inspector: , s
®O NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:-�
Job Address:i
Permit Number: '� 3
' F
❑ No one available for inspection: TimeY,5M/Pm
Re -Inspection required: Yes
When corrections are complete, schgdule-re-inspection online.
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Dat
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: -y/_
Permit Number: 2-4,5? Ze7 0/ ;707
s•-
LJNo one available for inspection: Time r'AM%PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www.cL wheatridge.co. us/inspection
Date: rte' Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
i
Buldin
/ g Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ,
Job Address: 1
Permit Number:
❑ No one available for i
ins ect
p on: Time
Re -Inspection re'�-- AI/pM
required: �
Yes No ,� • ..�...-
*When corrections
have been made
http✓A�'w "ci,wheatrid e, , schedule for re -ins
9 co. u�nspection re -inspection online
� at;
Date: -'' �
' Inspector:
DO NOT REMOVE Ty/S NOT/
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: - = t 3
Permit Number:
LJ No one available for inspection: Tirrc y� CI—AM/PM
Re -Inspection required: Yes
When corrections have been mad edule for re -inspection online at;
http://www.ci.wheatridge.co.usltn do ,, "� ,,
DW —1 11.4
,•4- Inspec
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: -®'
Job Address: p 1
Permit Number:"
❑ No one available for in-spect�on: Time, AM/PM
Re -Inspection required./,Yes,No
When corrections have been madelscheduie(furpection online at:
httpJ/www.ci.wheatridge.co.uslins ection 1,
Da ector
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: J
Permit Number:
❑ No one available for inspection: Time AMOM
Re -inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: inspector:
DO NOT REMOVE THIS NOTICE
4
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: , ,� )�, S74—
Permit Number: ; , r - 7
❑ 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
j+
Date:Inspector:
DO NOT REMOVE THIS NOTICE
ls� CITY OF WHEAT RIDGE
Building Inspection Division
(303) X35-2855 Office
INSPECTION NOTICE
Inspection Type: l
Job Address: _ Z t!���9 J7'�
Permit Number: ?_CZ�:7r2 f / 70-7
❑ No one available for inspection: Time j` AWPM
Re -Inspection required: Yes'l No
When corrections have been made, schedule for re -inspection online at:
httpAwww.ci.wheatridge.co.us inspection
Date: / `` ��� Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE /Z 30
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 1 7
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge. co, us/inspection
Date: ' 6c�Ff inspector:
DO NOT REMOVE THIS NOTICE
� ► � i City of Wheat Ridge
Residential Remodel PERMIT - 202001707
PERMIT NO: 202001707 ISSUED: 10/06/2020
JOB ADDRESS: 3228 Jellison St EXPIRES: 10/06/2021
JOB DESCRIPTION: Create new bedroom with closet and bathroom; new mechanical, plumbing and
electrical - 540 sq ft total
*** CONTACTS ***
OWNER (720)490-9091
MORENO ROBERT J
GC (720)298-2708
CHUCK CROWLEY
202198 ASC STRUCTUAL, INC
SUB (303)594-1951
JEREMY BROWN
130009 LOGISTICS PLUMBING & HEATING
SUB (303)681-6226
GARY R FINNEY
202051 FINNEY MECHANICAL LLC
SUB (720) 503-3896
LUKAS LESNANSKY
170104 LUMINOUS ELECTRIC
*** 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: 42,000.00
FEES
Total Valuation
0.00
Plan Review Fee
414.41
Use Tax
882.00
Permit Fee
637.55
** TOTAL **
11933.96
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
1* � � i City of Wheat Ridge
�� Residential Remodel PERMIT - 202001707
PERMIT NO: 202001707 ISSUED: 10/06/2020
JOB ADDRESS: 3228 Jellison St EXPIRES: 10/06/2021
JOB DESCRIPTION: Create new bedroom with closet and bathroom; new mechanical, plumbing and
electrical - 540 sq ft total
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, 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 requ�ired
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 field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Residential Interior Remodel
Date: Thursday, August 27, 2020 9:20:39 AM
Residential Interior Remodel
This application is exclusively for Residential Interior Remodels and other scopes
of work which do not have a specific form already available.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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.
PROPERTY INFORMATION
Property Address 3228 Jellison Street, Wheat Ridge, CO 80033
Property Owner Name Robert Moreno
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
720-490-9091
amishrugger@gmail.com
wheatridaeoavment. Ddf
APPLICANT INFORMATION
Applicant Name ASC Structural Inc
What is your role in the General Contractor
project?
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
202198
City of Wheat Ridge)
Contact Phone Number
720-298-2708
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
chuckcrowley@msn.com
for Plan Review
Comments
Retype Contractor
chuckcrowley@msn.com
Email Address
DESCRIPTION OF WORK
Detailed Scope of
Adding forty foot of walls creating a bedroom, closet space and
Work - Provide a
bathroom. Mechanical includes bath fan. Plumbing includes new
detailed description of
five piece bathroom. Electrical include new lighting an I
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
Location of Work
Dining room/playroom Northside of main floor.
Square Footage Area
540
of Work Being
Performed
Asbestos Report
Field not completed.
Upload letter size
Field not completed.
documents here
Construction Plans
3228jell isondrawino ndf
scanned on 11'x17" or
larger
Project Value (contract
42.000 $42,000 ok bf
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 Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for CHUCK CROWLEY
Permit
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.
Email not displaying correctly? View it in your browser.
ekd!
City Of
Wheat 4sige
COMMUNITY DEVELOPMENT"
;UBCONTRACTOR AUTHORIZATION FORM
Mechanical Subcontractor
This form must be completed & signed by the MECHANICAL SUBCONTRACTOR
performing mechanical work on site.
Subcontractor's insurance and license must be up to date prior to permit issuance.
Project Address:�(� �j� A C �S f)/,/
General Contractor: ) 5"%e2.��G'7`-J12� 1—_
FORYI V►'►i.L NOT BF ACCEPTF,D WITH MISSING INFORMATION
Company Name: 1111'elftlilod Contact Phone #:_X03
Wheat Ridge Contractor License #: ?0,705 (required field)
Printed Name of Autho ized Agent
/O-6 �ZZ�
Sig tm Authori gent Date
smoke alarms shall comply with section 314 of 2018 IRC
Smoke alarms shall be installed in the following locations:
In each sleeping room.
Outside each separate sleeping area in the immediate vicinity of the
bedrooms.
On each additional story of the dwelling, including basements and
habitable attics and not including crawl spaces and uninhabitable
attics. In dwellings or dwelling units with split levels and without an
intervening door between the adjacent levels, a smoke alarm
installed on the upper level shall suffice for the adjacent lower level
provided that the lower level is less than one full story below the
upper level.
When more than one smoke alarm is required to be installed within
an individual dwelling unit, the alarm devices shall be interconnected
in such a manner that the actuation of one alarm will activate all of
the alarms in the individual unit.
carbon monoxide alarms shall be installed within 15 feet of each
sleeping room
I(
1
ALL WORK SHALL COMPLY WITH
2018 IRC, 2018 IECC, 2020 NEC,
COLORADO PLUMBING CODE
i
:.s
lA� /?.. /
-5 A# .
ZW +}City of j[}�'
MUNITY l)k�V'ka MEN7 _
APPROVED
iewq-d for Code Comptianc
BRANDON F 9/24/2020
Plans Examiner Date
Widke of oo mb: *he issurtnn of o p&n*ar oppmwt of pkns spenfkott&v
andcampwNt,om shah not be a pemvirp,, Wan oppr w of any walaam m
any of the pmeisbm aJ the bwidMq Code a of otr' My aditbocee. permtla
presotmng to gwe outhodty to srmaer a Lancet the PYWA M al fft oud tyt
coda orotha ot�mnsreof the aty shah rot be whd
ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
q 1111 WT -714
r
shower heads locations shall comply with Colorado
plumbing code
Y
`
q r.
d6 6
i
v ti
,
smoke alarms shall comply with section 314 of 2018 IRC
Smoke alarms shall be installed in the following locations:
In each sleeping room.
Outside each separate sleeping area in the immediate vicinity of the
bedrooms.
On each additional story of the dwelling, including basements and
habitable attics and not including crawl spaces and uninhabitable
attics. In dwellings or dwelling units with split levels and without an
intervening door between the adjacent levels, a smoke alarm
installed on the upper level shall suffice for the adjacent lower level
provided that the lower level is less than one full story below the
upper level.
When more than one smoke alarm is required to be installed within
an individual dwelling unit, the alarm devices shall be interconnected
in such a manner that the actuation of one alarm will activate all of
the alarms in the individual unit.
carbon monoxide alarms shall be installed within 15 feet of each
sleeping room
I(
1
ALL WORK SHALL COMPLY WITH
2018 IRC, 2018 IECC, 2020 NEC,
COLORADO PLUMBING CODE
i
:.s
lA� /?.. /
-5 A# .
ZW +}City of j[}�'
MUNITY l)k�V'ka MEN7 _
APPROVED
iewq-d for Code Comptianc
BRANDON F 9/24/2020
Plans Examiner Date
Widke of oo mb: *he issurtnn of o p&n*ar oppmwt of pkns spenfkott&v
andcampwNt,om shah not be a pemvirp,, Wan oppr w of any walaam m
any of the pmeisbm aJ the bwidMq Code a of otr' My aditbocee. permtla
presotmng to gwe outhodty to srmaer a Lancet the PYWA M al fft oud tyt
coda orotha ot�mnsreof the aty shah rot be whd
ON SITE PLANS
MUST BE ON SITE FOR INSPECTION
q 1111 WT -714
r
shower heads locations shall comply with Colorado
plumbing code
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
Inspection Type
INSPECTION NOTICE
5L -tea
Job Address: 3 J -,D -K ) e. t 1 , s -� -% 4+ -
Permit Number:
❑ No one available for inspection: Time ANq%PN4
Re -Inspection required: Ye` No
When corrections have been made, call for re -inspection at 303-234-5933
i! f
Date:,Q `Ct Inspectdr..: e �Z-
DO NOT REMOVE THIS NOTICE
� 44, CITY OF WHEAT RIDGE
" f Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: o r _
Job Address: )_a, � -S e % /•. � 0,V S7 -
Permit Number: c-, / 7 t c) 1Z 7
❑ No one available for inspection: Time U6,1 AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re-inspe tion at 303-234-5933
r
Date: Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
�f Building Inspection Division
(303) 234-5933 inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: &-,) F%
❑ No one available for inspection: Time `' AMIPM,/
Re -Inspection required: Yes' No ?
When corrections have been made, call for re -inspection at 303-234-5933
Date: e� r Inspector: i
C -)
DO NOT REMOVE THIS NOT/CE
i CITY OF WHEAT RIDGE
Building Inspection Division
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: _75nArI
Permit Number: 001 7C RZY
Re -Inspection required:: Yes 4$No
* When corrections have been made, call for re -inspection at 303-234-5933
t } '
Date: nInspector:�)l �! %
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700874
PERMIT NO: 201700874 ISSUED: 05/25/2017
JOB ADDRESS: 3228 Jellison ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Tear off and reroof with 30 year GAF Timberline 5/12 - 32 squares
*** CONTACTS ***
OWNER (720)490-9091 MORENO ROBERT J
SUB (303)880-1542 Vaughn Tromburg 100242 Reliable 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: 8,900.00
FEES
Total Valuation 0.00
Use Tax 160.20
Permit Fee 188.45
** TOTAL ** 348.65
*** 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 k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201700874
PERMIT N0: 201700874 ISSUED: 05/25/2017
JOB ADDRESS: 3228 Jellison ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Tear off and reroof with 30 year GAF Timberline 5/12 - 32 squares
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this erm[t. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or `CONTRACTOR (Circl ne) 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 originalermit 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 rocedures 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 `W 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 insptimerequestgci.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
Wheatlk
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-23778929
Inspection Line: 303-234-5933
Email: perm its Caki.wheatridge.co.us
FOR OFFICE USE ONLY
Date: C
Plan/Permit #0
a
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: - �e S ll�V1c�,� �C�, t� 33
Property Owner (please print): MO to re Phone: 7 `z 0 el D
Property Owner Email;
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itectlEngineer E-mail:
Contractor: �z u \ ` ", � k
Contractors City License #:
Vol.-
i 0c) 2_
Phone:
Phone: 5 U3 '6r& i s `( --2--
Contractor
ZContractor E-mail Address: V (/(, �� A- (v j -2 (?l�k 1,', ( . L a n,,..
- v
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
H
NEW RESIDENTIAL STRUCTURE ElCOMMERCIAL ROOFING
COMMERCIAL ADDITION PRESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$--?;900. .
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 entity on this application.
CIRCLE ONE: (OWNER) ONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
1 i J i �� Z5
PRINT NAME: V �^"�' A- (� SIGNATURE: DATE: S
ZONING COMMMENTS:
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
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 102239
PERMIT NO: 102239 ISSUED: 09/23/2010
JOB ADDRESS: 3228 JELLISON ST EXPIRES: 09/23/2011
DESCRIPTION: Reroof 34 sqs
* ** CONTACTS * **
owner 303/829 -3886 Richard Sherrill
sub 303/463 -5452 Shannon Seale 09 -0465 Master Built Construction
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0626
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 8,500.00
FEES
Permit Fee 188.45 ,
Total Valuation .00
Use Tax 153.00
** TOTAL ** 341.45
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
. purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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 r}g3tsume fulle sponsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appl is Whe d Ordina s, r work under this permit. Plans subject to field inspection.
of
1. This permit w issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of CO5radc and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All pl vi is subject to field inspections.
Signatur f of Building Official date
INSPE ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ri Building Division
Y 9 9 � Date:
a 7500 W. 29 "' Ave., Wheat Ridge, CC 80033
Officer 303- 235 -2855 * Fax: 303 - 235 -2857 Plan #:
ao oao Inspection Line: 303 - 234 -5933 permit
Buil ding Permit Application
Property Address: - QQ g
Property Owner (please pnnt) :RtCk4r Jlje�y r G/ Phone:
Mailing Address: ^(if cdiifferennt �tth property address) J
Address: r 011 5 "T
City, State, Zip: ��� cct T I L I r G ?� CO
Contractor.'_ -19 0is to U0 ! I G ZShSf
Contractor License #: " ®g, OYK s Phone: 303-z16 - Sz SQ
Sub Contractors:
Electrical City License #: Plumbing City License #: Mechanical City License #:
Company: Company Company:
Exp. Dater Exp. Date: Exp. Date:
Approval Approval: Approval'
Use of space (description): Construction Value: $
Description of work: n �}/— D (as calculated per the Building V luation. Data sheet)
R:e �(S @G d ` ,y L't77- Plan Review (due at time of submittal): $
c7 e 3 iT-.
Sq.Ft: /L.Ft added: Squares BTU's Gallons. Amps -
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 l have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (LB.C) and all other applicable Wheat Ridge Ordinances, . for work .
under this permit. Plans.subjectto field inspection.
ClRLCE w SeC
ONE.: (OWNER) (CONTRACTOR) or PERSONAL REPRESENT TI O ( CONTRATOR)
PRINT NAME. L y SIGNATURE: _ Date:
7
D,_r i 1) o n41
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occu anc i T pe
4 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
Pier
Initials Comments
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To
Underground/Slab Inspections Date Inspector
Ini+inle
Electrical
Sewer Service
Plumbing
Do Not Cover U
Rough Inspections
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw —/Nail
Final Inspections
I Of The Above Inspections
Comments
round or Below/In-Slab Work Prior To
Date Inspector
Initials
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
Date
Inspector
Initials
NOTE: All items must be completed and approved by Planninr
of Occupancy is issued. Approval of the Final Building insn^ -
*For low voltage permits — Please be sure that rough ins
by the Building Division.
*"For Inspection Time Wind -w
inspection with
roval Of The Above Ins
Comments
Comments
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.
- - Cprfificate
ons
i r y
Residential Roofing PERMIT - 201700874
;RMIT N0:
201700874 ISSUED: 05/25/2017
EXPIRES: 05/25/2018
DB ADDRESS: 3228 Jellison ST
OB DESCRIPTION: Tear off and reroof with 30 year GAF Timberline 5/12 - 32 squares
** CONTACTS ***
WNER (720)490-9091 MORENO ROBERT J 100242 Reliable Roofing
UB (303)880-1542 Vaughn Tromburg
** PARCEL INFO ***
USE: UA / Unassigned
,ONE CODE: UA / Unassigned
;UBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,900.00
FEES
Dotal Valuation 0.00
160.20
Jse Tax 188.45
Permit Fee 348.65
** TOTAL **
*** COMMENTS ***
*** CONDITIONS ***d midroof
Effective December 1, 2014, asphalt shingle installations require an approved
to final
inspection, conducted when 25-75 percent of the roof covering is installed, p
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof
coverings
Al/zaiachex
sistsrAsphalt shingles
eroof
arewhen
requispaced
ao
or board sheathing with ANY gap exceeding
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&Erms installation
instructions, whichever is more stringent. In order to pass a final inspection of
imilar type roof coverings, a letter of inspection and approval from the
elastomeric or s
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.