HomeMy WebLinkAbout3231 Balsam StreetCity of Wheat Ridge
Faxed Mech. Permit PERMIT - 201601863
PERMIT NO: 201601863 ISSUED: 11/22/2016
JOB ADDRESS: 3231 Balsam ST EXPIRES: 11/22/2017
JOB DESCRIPTION: Install 135,000 btu boiler and 200 amp overhead panel change.
*** CONTACTS ***
OWNER (720)985-6645 HOWELL WILSON LISA
SUB (303)798-8783 J. Patrick Quinlan 018464 Coffman/B & F Heating & A/C
SUB (303)227-0326 John F. Gordon 018057 Modelco Electric Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,714.00
FEES
Total Valuation 0.00 "`
Permit Fee 204.30_ ��ss
** TOTAL ** 204.30 ij LM
*** 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 & 2014 NEC. Per IRC Sec. R313, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my si Jnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable tuilding 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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accomranying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
?, This permit, shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received poor to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official an 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. Isuance of a new permit shall be subject to the standard
requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an manner shall be performed that shall results in a 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 re uired
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
appliybleicoog or..any ordinance oS,regulation of this jurisdiction. Approval of work is subject to Field inspection.
Signature of Chief Building OfficialO Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSI DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptime(aci.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.
Occup me ffype
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 2345933
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 thefollowing business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Ins ections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Do Not Cover Underground or Below/In-Slab Work Prior To A royal Of The Above Ins Rections
Rough Inspections Date Inspector Comments
Initials
Wall Sheathing
Mid -Roof
City of Wheat Ridge
11/22/2 016 11:48 CDBA
Install 136,800 btu
CDA013626 AMOUNT
BPSP 3231 Balsam ST 274.30
APPL/PERMIT NO: 201601863
Lath / Wall Tie
Rough Electric'
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Insulation
Drywall Screw! Nail
Final Inspections
Date
Inspector Initials
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window / Doors
Final Building
PAYMENT RECEIVED AMOUNT
VS / 9144 284.30
AUTH CODE: 04186➢
TOTAL 284.30
Landscaping & Parking / Planning Dept. Inspections from these entities should be requested
one week in advance. For landscaping and parking
ROW & Drainage / Public Works Dept. inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project.
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 Requests — Please email insptimerequest cDci wheatridae.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Nov 22 16 01:34p Patty Schmidt
Cifi• of
Building & Inspection Services Division
7500 W. 29h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 . Fax: 303-237-8929
Inspection Line: 303-234-5933
Emal:.ermits c;.evl-s2tridge.co.�s
303-421-1298 p.2
FOR OFFICE USE
ONLY
Dafe:
Plan/Permit # � /1 I v
icy,n '
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be
Property Address: 1 1�n! 5a m 5fi
Property Owner (pieese
Property Owner Email:_
kce lam; l soi-)
Mailing Address: (if different than property address)
Address:
Phone: 17v 7v 'o ';�'/ f�
City, State, Zip:
ArchitecttEnaffinegc
ArchitectlEngineer E-mail: Phone:
Contractor:
Contractors City License M lPffp T Phone:
Contractor E-mail Address:,�'G`ffii d, � IJ & t/-0- e77 ed- • � eT
Sub Contractors:
Electrical: /)r744'%C0 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 #
Complete all information on BOTH sides of this form
Nov 22 16 01:35p Patty Schmidt 303-421-1298
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTUREECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE )05LoMMERCIAL ROOFING
COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
SIDENTfAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
KECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR orREPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use
proposed uses, square footage, existing condition and proposed new condition, appliance size and effic
amount of materials to be used, etc.)
u 5 {a /� / 3rDa s �oillPrz
�
�Dt � i%� b �
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
p.3
type and
OIN'NER/CON7RACTOR STGNATURE OF UNDERSTANDTNG .AND AGREEMENT
T hereby certi Fy that the setback distances proposed by this permit application are accurate and do not 6olate applicable ordinances. rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record, that all measurements showvn and aliegatibus trade are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for edmphauce
with applicable City of Wheat Ridge codes and ordinances'or work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal ownet of the property to perform the described Nvork and am also authorimd 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, warran4 the
truthfulness of the in formation provide owtke application.
CFRCLEONE: (OH'YER) (OAT R) Lr 64 ' ORIZEDREAUSEA'TAME) of (OWNER) (CO1b7R9CT0 )
Electronic Sienature (first and last name): ` ^` '—' DATE-
I
TONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
M * s
09/30/2015 16.12 0833 P001I002
R OFFICE USE ONLY
Date:
� ".: f... E m .. # #: M ".. ,. ♦ #.i a y. �. t y ! 4 ;. ;: ♦P. •:: M ,•.: ♦ i • i r. .. '. y
,, r►
P -M am•s^ ! 11
Propeq 11 ♦ - ♦ e , 203-1099
Lahooxom•
• r s r ♦�s♦ -
Address:
Contractor* Academy Roofing,
Contractors •Phone.1 •1 1 1
Contractor E-mail Address: ___mer>worthy&acadeTyroofinginc.com
Complete all information on BOTH
rr r
Mechanical:
.. City License
0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW
L STRUCTURE
COMMERCIAL
� COMMERCIAL ROOFING
y '0 ilytD.IF �I #y�yRESIDENTIAL
' i } ROOFING
! A 0 D! WINDOW REPLACEMENT
ACCESSORYCOMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,)
RESIDENTIAL STRUCTURE #.., shed, deck,
MECHANICALSYSTEM/APPLIANCE REPAIR
:r r t s or REPLACEMENT
PLUMBING REPAIR o
r, w# REPLACMENT
ELECTRICAL
R0 SYSTEM/APPLIANCE
llf!b# Yn 'W *Ik or
REPLACEMENT
M R A
OTHER(Describe)
(For ALL projects, please provide a description of work to be perforrned, including current use of areas,
proposed + ,. square
: m.footage,existing condition and proposed e 1! # # appliance ♦ .. and efficiency, type and
amount of materials to be used,
Tear off (2) layers of existing roofing. Install ice & water barrier at eaves. Install underlayment.
Install Owens Coming TruDefindion Durationshingles.
Std. FULF Btu's Gallons
— a
�! i CITY OF WHEAT RIDGE
f �/� Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax` s
INSPECTION NOTICE 5
Inspection Type: , �_c i Is r,jf�
Job Address:
Permit Number T d) 7_.4
❑ No one available for inspection;
AM /PM
Re- Inspection required: Yes ` N o o
When corrections have been mad , call r r nspection at 303 -234 - 5933
Date: = Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
/ Residential Plumbing PERMIT - 102045
PERMIT NO: 102045 ISSUED: 08/26/2010
JOB ADDRESS: 3231 BALSAM ST EXPIRES: 08/26/2011
DESCRIPTION: 10' spot repair in yard only on 4" main sewer line
* ** CONTACTS * **
owner 720/203 -1099 Lisa Howell
sub 303/696 -9599 Steve Wakeham
01 -9921 Pipeline Industries, Inc.
** PARCEL INFO
**
PROJECT VALUATION: 2,950.00
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0569
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION: 2,950.00
FEES
Permit Fee
Total Valuation
93.35
.00
F'
Au 1�j2
Use Tax
53.10
** TOTAL **
146.45_
Conditions:
Subject to field inspections.
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
applicabl he t Ridg ,o inances, for work under this permit. Plans subject to field inspection.
Signa,Kire of contrrdctor /owner - date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable .
ordinances of the City.
2. This 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 plan review is subject to field inspections.
Signatureo Building Official date
INSPEC ON EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUES S MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
- C 'E.�1 ih, I1 �,iEl 1C)t-n4 tSiV i
Pian #
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033 Permit # ��
Office: 303 -235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303 -234 -5933
Building Permit Application
Propatty Address 3z 3
Property Owner (please print) tn)a1P _ Ph one: 7ZO -ZO3- I 0gq
Mailing Address: (if different than property address)
Address: Cn,,,,'
City, State, Zip:
li+ ( r n -
Cnri #ractoti: TpAl <4-ria 4
Contractors City License M Phone:
5ub-Contiraefiars: — W
Electrical: Plumbing: Mechanical:
City License # City License # City License #,
10 Sco+ f¢�7ptd On 4" �tat4 SQwLzr Contract Value:
liu�t?. 0n�2 $ 2950
S i CA4- aF ktnekouse_
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application. - -
CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR))
PRINT NAME: Ppfr,'Ma .2c SIGNATURE, �� DATE: $-Z6 - 10
Bldg Valuation: $ 1
NE
TRIES INC.
P() 4 3()x 3 � Watkins, CO 80137
(303) 696-9599
i . I,; 3M 6 71 -6871
jo:t IfIff ORMATION
"JAMf NAME
A[)[ 11 if 3231 vat ADDRESS
INVOICE#
JOB 01- 3915
I DATE ' ' - I JOB#
PO #
CITY
PHONE
Excavatf, and ion&ivo wwoi litio On side of home in property, and install clean-outs
Spot, markod w vppief qf, foe 1t4ti wapc.
Approx 10' km�j rwra op !,o W drvq)
Includes no chnruo AfF of Itno. once pipe is open.
*Incluqq
t Puol+wt4, Laborers, Pipe & Fittings, Bedding, Backfill,
f'Apikm% op, Haul away, Permits and Inspections.
" All
WARRANTY
APPROVAL
00, Not IWNQVII'�-_'�bj��$
TIIAMIM..��
i(n) for
, se, a mec an c '-
{Uai)tto Colorado law. APPROVAL#
El CASH El CHECK#
I
_C ACCOUNT#—
4.
SIGNATURE
YOU PLEASE
TAX
I
PAY
ters, plants, fence
®
THIS AMOUNT
$ 4v ��o
I
es, electrical, gas,
hercomplicationS.
ACCEPTANCE
and balance upon
OF INVOICE X
SIGNATURE
interest at the rate
ty unpaid balance
El VISA
[I m1c ❑ AMEX
Ilection, including
h i
CARD #
EXP