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HomeMy WebLinkAbout4457-59 Balsam StreetINSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT:6U6 ADDRESS: ZNS� -TSC% 3 tL) QMjOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Ph-r„eing Uri "erground Ext. 206 Water Underground 3 -/'D - pe Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 3 -/'D - pe 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERM IT:ou/IgDlJ(OI4 ADDRESS: 1IyS771S9&/I�/Yl9-JOBCODE:6R� Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 401 Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commerciai 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof V WI ) � �- 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 '`'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works— 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. M A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 'c'a- F,rt,/ 1200 Job Address: q Y7 % Rk4t!�,yi Sf . Permit Number: _ 010&1 ❑ No one available for inspection: Time &PM Re -Inspection required: Yesrfor When corrections have been made, ce-inspection at 303 -234 - Date: -inspector: Ajje. Lc)( DO NOT REMOVE THIS NOTICE w i CITY OF WHEAT_RIDGE Wilding InspectiorrDivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 V 6 - 11 Job Address: L -1 4-1S -7 +_:� "S-�- Permit Number: 'c 0 1 a c T !c I q (J - lam' c a 47 ❑ No one available for inspection: Time / 0 = L-) /VIVI Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 3 // a / 8 Inspector: —T --b DO NOT REMOVE THIS NOTICE City of Wheat Ridge �y Residential Roofing PERMIT - 201800614 PERMIT N0: 201800614 ISSUED: 03/06/2018 JOB ADDRESS: 4457 Balsam ST EXPIRES: 03/06/2019 JOB DESCRIPTION: Residential Reroof Permit remove and install Malarkey Legacy Asphalt Shingles with 35 squares. Pitch=4/12. Duplex -4457-4459 Balsam St. *** CONTACTS *** OWNER (720)810-3499 GILL SANDY JO SUB (303)670-3048 Terry Harper 018383 Harper Services *** 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: 9,600.00 FEES Total Valuation 0.00 Use Tax 201.60 Permit Fee 204.30 ** TOTAL ** 405.90 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201800614 PERMIT NO: 201800614 ISSUED: 03/06/2018 JOB ADDRESS: 4457 Balsam ST EXPIRES: 03/06/2019 JOB DESCRIPTION: Residential Reroof Permit remove and install Malarkey Legacy Asphalt Shingles with 35 squares. Pitch=4/12. Duplex -4457-4459 Balsam St. 1, by my sitiature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, apphca l wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the i al owner of the property and am authorized to obt in this permit and perform the work described and approved in conjunction with this pe it. I further attest that I am legally authorized to in de all entitie amed within this document as parties to the work to be perfo ed and that a work to be performed is disclosed in th documen and/or its;' accompanying approved plans and specifications. S nature of OWNER�or CONTR CTOR (Circle one) Date 1. This permit was issued based on the information provided ina ppermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all appl'cable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Off pial 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 perm' hall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or an ordinance o egulation 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. J� I W/O Evergreen, Colorado 8011439 HARPER Services, Inc. Proposal Proposal Sbmitted To Name v t Street Street City City -14 9 14, ewA State State / �Zip Proposal No. Telephone Numbers Home Date 2- Work- Zip -Work Phone 303-670-3048 Work To Be Performed A 7 4- #34& We hereby propose to furnish all the materials and perform all the labor necessary to do the job listed below. Zip "4 5-�- All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of Dollars ($ p to be made UPON COMPLETION. ���� Q7), with payments Note: This proposal may be withdrawn by Harper Services, Inc. anytime before' starting job. Subject to the following Conditions: This Proposal, when accepted and signed by you and approved by a duly authorized official of this firm, shall constitute the contract between us, it being understood that it covers all agreements between us. No modification of this proposal or contract shall be binding unless said modification shall be in writing and signed by the parties hereto. ACCEPTANCE: This proposal is rendered for prompt acceptance. After it has been accepted and signed by you and approved by a duly authorized official of this firm, it shall constitute exclu- sively a contract for the entire work embraced herein. Collection Costs. The expense of any action taken by Harper Services, Inc. for collection on this contract, whether such is by lawsuit or otherwise, shall be liability of and paid by the customer including reasonable attorney fees. Harper Services, c. Authorized Sig ature l Lagenia Reimer From: no-reply@ci.wheatridge.co.us Sent: Monday, March 5, 2018 3:58 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in C the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a residential roof? How many dwelling units are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Yes Duplex 4457 - 4459 Balsam St ✓ // Sandy Gill 720-810-3499 Field not completed. Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Scan 2018-3-5 15.31.08.pdf Contract CONTRACTOR INFORMATION Contractor Business Harper Services Name Contractor's License 018383 Number (This is a 5 or 6 35 -� digit number for the City of Wheat Ridge) / Contractor Phone 303-870-1832 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 37895 Highway 40 Evergreen,Co 80439 (Primary address of your No business) Contractor Email Address harperservice@gwestoffice.net Retype Contractor Email harperservice@gwestoffice.net Address DESCRIPTION OF WORK TOTAL SQUARES of 35 -� the entire scope of work: / Project Value (contract $9,600 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof- Type oof Type of material for the PITCHED roof: Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 4/12/12 / 35 / malarkey Legacy . - Asphalt tear off layer ,ice shield, felt base, drip edge metal, new jacks and vents SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 3 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. Name of Applicant Terry Harper Email not displaying correctly? View it in your browser. - -r INSPECTION RECORD Occupancv/T INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. '� )��C As INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSP MDrain INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Encased Ground j Reinforcing or Mon Weatherproof / Fre Sewer Service Lines Water Servi ce Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical Heating (Underground) - - -- - - -- - -- - -- ROUGHS - Sheathing Lath / Wall tie Mid -Roof j Electrical Service Rough Electric Rough Plumbing Gas Piping INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. MDWVC I1UNQ IV 6C JIVIVCU YKIUK IV YKVUhtUINU Framing Insulation Drywall Screw - FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W. & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 4' CITY OF WHEAT RIDGE u ing nspection Division (303) 234 5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Fzy4-Z PngA� Job Address: VV57 - 5 I?Wg 7 Permit Number: El No one available for inspection: Time /,W AM/ Re-Inspection required: Yes /N *When corrections have been made, coil for re-inspection at 303-234-5933 Date: 41 Inspector: DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge Residential Roofing PERMIT - 110555 PERMIT NO: 110555 ISSUED: 05/16/2011 JOB ADDRESS: 4457 -59 Balsam St EXPIRES: 05/15/2012 DESCRIPTION: Reroof 50 sqs (duplex w/ garage) with 30 yr shingles * ** CONTACTS * ** owner 303/420 -231 Sandy Urich sub 303/670 -3048 Terry Harper 01 -8383 Harper Services ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0311 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 11,500.00 FEES Permit Fee 236.00 Total Valuation .00 Cb�(P �✓ Use Tax 207.00 ** TOTAL ** 443.00 Conditions: 6 nails per shingle is required. Ice dam membrane is required from save 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. 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. Subject to field 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 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 documen nd /o 'ts' accompanying approved plans and specificatio s. Signature of tWNER or CCINTRACTOR (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. S. 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 ol any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fie p on. Signatur f of Building Offical Date INSPE TION 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. C- f �-' tty o WheatRid�e 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 — B Permit Application Prop erty Address: 7 S � S FF /� k /.� wt Sf , Property Owner (please print): j G+n tb.rq 6� Y Phone: 303 - 1 7ZO -02 JI Mailing Address: (if different than property address) Address: City, State Cotracto: �z�r��y Contractors City License #: Phone: 1 49L tracts rs Electrical: Plumbing: Mechanical: City License # City License # City License # bescrtutlon of work' �— t p 1 , ( �o� �`�` " �`� �� •" Contract Value: ©e 5 � U� $ z4 3 v y \�� Review Fee (due at time of submittal): V1 e4.. y e Squares S�� 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. CIRCLEONE: (OWNER) CONTRACTO or (AUTHORIZED REPRESENTATIVE) of(OWNER) (CONTRACTOR). PRINT NAME: \p Ct "k �l.�C'� -�� SIGNATURE: DATE:. SIRE DEPARTMENT p'a W/ CemmeMs �O dlsapprovetl p kto fevi8' Tegaifed I Bldg Valuation $ r INSPECTION RECORD Occuoancyrryp INSPECTION LINE (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. �"��T �/X - I a 1 i vl M-,. z INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain �/ gyp' iy elf Sewer Service Lines I . y Water Service Lines INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical Plumbing Heating (I -- ---------------' - -'-" -- ROUGHS Sheathing Lath /Wall tie Mid -Roof Electrical Service Rough Electric �/ gyp' iy elf Rough Plumbing I . y Gas Piping INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Framing Insulation Drywall Screw TO BE SIGNED FINALS Electrical Plumbing Mechanical Roof Building Final �/ gyp' iy elf Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING &ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping * * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ❑ No one available for inspection: Time AM `r Re- Inspection required: Yes °c Date: r2' E City of Wheat Ridge r 400 00r - HO Exterior Remodel PERMIT - 102742 PERMIT NO: 102742 ISSUED: 12/14/2010 JOB ADDRESS: 4457 BALSAM ST EXPIRES: 12/14/2011 DESCRIPTION: Replacement of 16 windows * ** CONTACTS * ** owner 720/810 -5238 Sandy Gill ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0311 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,800.00 FEES Permit Fee 50.00 Total Valuation .00 B M Use Tax 86.40 ** TOTAL ** 136.40 Conditions: Tempered glazing is required within 24 inches of doors, in tub enclosures, and as required by code. Replacement windows shall have a U- factor of .35 or less. Inspection prior to covering is required. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, except electrical, without the assistance of hired or professional workers. Consultation and courtesy inspections will only be performed with the homeowner of record. Subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I'am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entitieA named within this document as parties to the work to be performed and that all work to be performed is disclosed in this d9¢ument ^d/or itr acico any ,�ng approved plans and specifications., i of OWURR 'ox 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 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 'i °ield inspection. Signature of Chief Building Offical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. a Gty of Wheat�idge COMMUNITY DE ELOPMENT 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 Building Permit Application Property Owner (please print) k oba L4 % ,i2 , Gh /S« j c�� �� Phone: s/0 Sd� Mailing Address: (if different than property address) 7 Address: f5 q 6-r, a vYI 57 City, State, Zip: � ll \ / 0� $ R se, Contractors City License . #:. Phnne- v- /n a w Electrical: Plumbing: Mechanical: City License # City License # City License # t 111 °IOIL II O 1^ I I,( oS Contract Value: Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full - responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNE\R7.), //(CONTTRJAC/TOR) a (AUTHORIZED REPRES NTATIVE Of (O ER) (CONTRACTOR) PRINT NAME: it- �y [9 /1 SIGNATURE: DATE: I luation: $ .�,��.,�r,vz:�.r.>