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3555-3565 Lewis Street
Occu an INSPECTION RECORD INS ECT N ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** 7 Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector i Initials Comments Pier Concrete Encased Ground (CEG) --- Foundation / P.E. Letter .. 1%FP1wvc1 Underground/Slab Inspections Date Inspector Initials 111aAbove inspections -- Comments Electrical ' ff" ' . we — r•%NNiluvim vT a ne Aaove Inspections Sewer Service Date Plumbing - — -- Do Not dn- Pr lindinrnrnllnrl ^r Rel...../1.. L1-1- 1w1__�_ --- Rough Inspections -- -- -.. •• �-•�-- •• Inspector ' ff" ' . we — r•%NNiluvim vT a ne Aaove Inspections Date Initials Comments SheathingRoof/Wall Tie Electric -- Rough Piumbing/Gas Line — - - Rough Mechanical ---- -- —� Rough Framing - Rough Grading Insulation Drywall Screw I Mail Final Inspections 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 DateIInspector Initials 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. 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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card F ic TJ ;e +c. mar City of Wheat Ridge sp- ,0�01 Or Homeowner Roof PERMIT - 201703552 PERMIT NO: 201703552 ISSUED: 07/10/2017 JOB ADDRESS: 3555 Lewis ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Remove 1 layer of asphalt shingles and install new GAF Timberline HD shingles - 43 squares *** CONTACTS *** ovR,TEF: (303) 277-1194 SPEER ROXIE **x PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned ;UBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BL OCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,500.00 FEES Total Valuation 0.00 Use Tax 178.50 Permit Fee 188.45 ** TOTAL ** 366.95 *** 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 F:-ial 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 spared or board sheathing with ANY gap exceeding one half inch exists. Asphalt_ shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final ir,spect.:j❑ of elastomeric or similar type roof coverings, a letter of inspection and approva] tram tri manufacturer technical representative stating that "the :)plication of the roof a:: (proe(l address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. I, the property owner, by my signature, attest''that I currently reside at the project property, intend to reside at the propert for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. Z_ i CITY OF WHEAT RIDGE j Building Inspection Division 4 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: � j %� Job Address: Permit Number: 7 u/i 0 7 �- S- ❑ No one available for inspection: Time f `O/PM Re -Inspection required: Yes !NJ When corrections have been made, call for re -inspection at 303-234-5933 Date: 2-U 11r Inspector: %<k DO NOT REMOVE THIS NOTICE i CITY OF WHEAT FRIDGE .. _ Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ZOE' Job Address: Permit Number:��U 552 tQ0E �Eltwa.ws G �� ❑ No one available for inspection: Time 3 A /PM Re -Inspection required: YesNo ) 14� When corrections have been made, call fore spectio 3 3-234 5933 Date: /%/)Y—Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Homeowner Roof PERMIT - 201703552 PERMIT NO: 201703552 ISSUED: 07/10/2017 JOB ADDRESS: 3555 Lewis ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Remove 1 layer of asphalt shingles and install new GAF Timberline HD shingles - 43 squares *** CONTACTS *** OWNER (303)277-1194 SPEER ROXIE *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,500.00 FEES Total Valuation 0.00 Use Tax 178.50 Permit Fee 188.45 ** TOTAL ** 366.95 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 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, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. r PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Roof PERMIT - 201703552 201703552 ISSUED: 07/10/2017 3555 Lewis ST EXPIRES: 07/10/2018 Remove 1 layer of asphalt shingles and install new GAF Timberline HD shingles - 43 squares I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicabble 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 p Tled�a d thaygl work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. N Signature of PAS.° or CONTRACTOR (Circle one) Date I s 1. This permit was -i s5—ued 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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of ff 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 andspecific 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 code or any ordm or regulati.gll this di tion. Approval of work is subject to an 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 insptimerequestgei.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 �W heat j�idge MUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a-)ci.wheatridge.co.us I FOR OFFICE USE ONLY Date: Plan/Permit # 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: 355.5 Le" S 54 Property Owner Property Owner Email: 5DP ,P f Phone Mailing Address: (if different than property address) Address: I I Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form 110 0�_D ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION 6 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.) R e mov I I G eY ©P GAr HD --4, z`3 � 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) ,50-0,06 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. I, the applicant for this building permit application, warrant the truthfulness of the info rovided on the application. CIRCLE ONE: (,WNER) (CONTRACTOR) or (AUTH RI D REPRESENTATIVE) of (OWNERR) (CO TRACTOR) Signature (first and last name): DATE l O ` ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION - Building Division Valuation: $ City of Wh6atfjd e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owner(s) Project Property: �� 5 �(iC��S ��� /A State of Colorado } County of Cc } ss The foregoing instrument was acknowledged by me this day of 3�-) Y , 20 ? by E Y LEE JOHNSONOTARY PUBLICE OE COLORADO Y f1) 2014 13 128 SION EYP IRES 11(14/2€118 1 My Commission Expires 11 _/_620 N lic 3L3 MEW Or Current Owner/Occupant ROBYN HUFFMAN 3565 LEWIS ST WHEAT RIDGE CO 80033 Regarding Permit: 201400508; Kitchen remodel with 9 new outlets and circuit for microwave. 3565 Lewis ST, Wheat Ridge, CO 80033-5648 Our Records indicate that the above noted permit was issued on 04/24/14. Our last inspection related to that permit was on 08/19/15. Because of the inactivity on this permit, it will become void as of 12/31/2015. Please contact this office within one week from the date of this letter to update us on the status of this permit, or call for a final inspection on the property. You may call 303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed are permit number, property address, type of inspection and date to be inspected. If you do not contact this office, and wish to resume work at a later date, you will be required to submit a new permit application, drawings with appropriate code edition information and pay applicable fees. Incomplete or inactive permits may be reported to agencies such as Jefferson County Assessor, title companies, etc., and could affect future transactions related to this property. Thank you for your cooperation concerning this matter. If we can answer any questions, please don't hesitate to contact us at 303-235-2855, option 7. MeliIIIA II# ssa Mackey Senior Permit Technician Our File No* 16846075 Permit No: 201400508 Via- UPS/Signature Required To Whom It May Concern, This letter serves to confirm that Sears Home Improvement Products (SHIP) has been' unsuccessful in our attempts to complete the punch list items in Ms. Huffman's kitche to finalize the permit. SHIP attempted to schedule the completion of the punch list on 07/16/2014. Ms. Huffman would not allow SHIP to return to the home and stated the work was completed by another company. When asked about the permit, Ms. Huffma stated she would have the permit completed. To date, the final inspection has not be called in. SHIP has requested that Ms. Huffman call in the final inspection, most recently through her attorney, who is copied on this letter, via verbal and written correspondence. I At this time, we respectfully close our file. On behalf of SHIP, please know that we value Ms. Huffman as a customer and appreciate her patronage. If you have any questions or concerns, please contact me directly at 407-551-5591 or via email at K�imberl �.Murr�ase�arsho�me r�o.com. cc- Katie Pierce via fax and I st Class Postage Sears [ionic Improvement Products 1024 Florida Central Parkway Longwood, Florida 32752-2290 (B) 407-551-5591/800-222-5030 ext.5591 (F) 407-551-7201 (E) kimberly.murray(q),searshomepro.com Certificate of Completion Building Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Permit#:201400834 Issued: 08/11/2014 Stipulations: Change Basement Window to Door. This certificate verifies that the building constructed and/ the use proposed of the building and/or premises, under t above permit number and • property described below, does compl with the Wheat Ridge Building Code and development standards o the zone district in which it is located and may be occupied] All other licensing requirements for the City must be met. Owner: ROXIE SPEER 3565 LEWIS ST WHEAT RIDGE CO 80033 Contractor: David Lombardo PO BOX 31543 AURORA CO 80041 Amps Squares Other Building Division Work shall coniply with the (bilowing cmies 2006 IRC, 2006 IECC & 2011 NECI 0 1z ICL S1.1 • 0 00 I i I Design/dwn: SLE/sle I I Check: SLE I 0 0. 49mim 110MIF mm NOTES: 1. FOUNMa T`ION WALLS TO BE 8 * WIDE UNLESS OTHERWISE NOTED. 2. TOP OF FOUNDATION WALL ELEVATION = 100-0 UNLESS OTHERWISE NOTED. 3. SEE SHEET S1.1 FOR SECTION/DETAILS, AND SHEET S1.2 FOR GENERAL NOTES. t Bu Wheat Idge Building Deepartment roved , ge C1 L NG OFFICIAL D;ATE WNW of pmit-Tho Issusm of a wM4 or awoval of Oafts' spnikaboas and compawkm sM# not be a permA for, or an awom of, any vbMm to I toy off* provklm of ft buiMkV coft ot of wW Cky ordkwwm Pumb piaw*q to two VA" to Viol#* or c4aw ft ptowsim of ft &A*q coft at adw wdWums of to Chy sW wt bo vaK APPROVED Sub'e j , rt to Field Inspections tions I Wheat Ridge Building Dept, Date a ne Siqned: Plan checker Work shall coniply with the (bilowing cmies 2006 IRC, 2006 IECC & 2011 NECI 0 1z ICL S1.1 • 0 00 I i I Design/dwn: SLE/sle I I Check: SLE I 0 0. 49mim 110MIF mm NOTES: 1. FOUNMa T`ION WALLS TO BE 8 * WIDE UNLESS OTHERWISE NOTED. 2. TOP OF FOUNDATION WALL ELEVATION = 100-0 UNLESS OTHERWISE NOTED. 3. SEE SHEET S1.1 FOR SECTION/DETAILS, AND SHEET S1.2 FOR GENERAL NOTES. Plan checker :1 �5 2—#4 CONT. TOP ri 94 to 0 #4 CONT. HORIZ. 0 1 4 18" O.C. IN WALL #4 x 0 24" o. c. Sim,; / X1 /N11 xx 0 lrF�e APPROVED Subject to Field inspections Whe,at Ridge Building, Dept, #4 LATERAL IN FTG 0 18" o.c. Proj.No: 14-1180.01 Issue Date: 6-10-14 APPROVED Subjed to Field In"ctions Wheat, Ridge Building Dept. Date 11 jilill I III 1 111111 111;;;, 1 I'l I'lill Ill .E' G ,0.*. �A L L 357 3) UYE WADS USM IN DENM i ALL REFERENCES TO CODES, STANDARDS, AND SPECIFICATIONS SHALL MEAN THE LATEST VERSION OF THE A . ROOF ......... ..................... 30 PSF B. FLOORS AND INTERIOR REFERENCED MATERIAL PUBLISHED AT THE DATE OF TAKING BIDS, UNLESS STATED OTHERWISE. C. WIND (V 3S) ......................... 85 MPH, EXP. C WHERE DISCREPANCIES OCCUR BETWEEN PLANS, DETAILS, GENERAL NOTES, AND SPECIFICATIONS, THE MORE 4) D=QN QQ= STRINGENT REQUIREMENTS SHALL GOVERN. A. ACI BUILDING CODE (2005) B. AISC STEEL CONSTRUCTION MANUAL (NINTH EDITION) FIELD ALTERATIONS OF ANY STRUCTURAL MEMBER SHALL NOT BE EXECUTED WITHOUT APPROVAL FROM THE 2009 EDITION ARCHITECT/ENGINEER 11111 Zill • I Imll III II rill Till il I E6 ENGINEERING, LLC SHALL NOT HAVE CONTROL OR CHARGE OF, NOR BE RESPONSIBLE FOR, THE SLABS SHOULD BEAR ON UNDISTURBED NATURAL SOILS, OR ON PROPERLY CONSTRUCTION MEANS, METHODS, 'TECHNIQUES, SEQUENCES OR PROCEDURES, SAFETY PRECAU11ONS AND CONDITIONS AND RECOMPACTED MATERIALS, AS OPPOSED TO GRAVEL OR OTHER MATERIALS WHICH MAY ALLOW THE MIGRA11ON OF WATER BELOW THE SLABS. IF PROGRAMS IN CONNECTION WITH THIS CONSTRUCTION, THE ON-SITE SOILS ARE NOT ACCEPTABLE, IT IS PREFERABLE TO BEAR SLABS IT IS E6 ENGINEERING, LLC'S INTENT THAT THIS CONSTRUC BE PERFORMED IN CONFORMANCE NTH THE w w A*% NOTES CITY OF WHEAT RIDGE ( Building 1 ction Divisl 303 9 z n re 8 ct on ,ne 03) 235 2 55 off • 9 , 6v � 03) 237.8 F (3 (3 ax Inspection Job Address: Permit Number: 2 0 4 o ct CITY OF WHEAT RIDGE Buildin D ivision _1� 235f2855 off t Inspectio ,. r � � Ins pection Type Pe Job Address: b. i Building er i Application Address: City, State, Zip: Arch tec nalneor E -mail. Phone: Complete all information on BOTH sides of this for Sq. FULF Stu's Gallons Pe Squares Other City of Wheatp, _jdge y COMMUWTY DEVELOPMEN�7 I I I r 1 112 PropettyAddress- IaL XCQ�21 Propeqy q��r (please p(taty 6YA,� Phone: 101 �&Z-Z,?- Property Owner Einail: Address: City, State, Zip: 3 Architect/Engineer E.mall: Phone: Contractor: Sjv7,V1 1 3 _ Contract6ri City License#-. Phone 3o3 qontrocto A41diess: -- � C Electrical:40/w r>xdefif, �- Loc VA Complete all information on BOTH sides of this form 1 . -A--L4Y k Buil ding ,: 10 W 2e Ave Wheat Ridge CO :10 Office: 303-236-2866 * Fax: 3 03-237-4 1 9 29 Ins pecOon ! i F OR OFFICE USE ONLY It # e Bu il d in g P drmlt Ap plication +r � " « #: a :. a a . » Add S ta t e , # { �'rffg W�A f W:f;" City Licen # # Mechanical: W.R. City Ucense t w " " ) , �b 84, RJLF owe Gam f,} aso \ , mono } > \some I milu IIIIIIIIIIIIIIIIN aso \ 303-974-6943 14:58:36 10-29-2013 6/6 • iYF n I w 19 Z 9 • Ifs mx� H E -9 I I N " ' City of Wheat Ridge - r� Residential Mechanic PERMIT - 111407 PERMIT NO: 111407 ISSUED: 11/16/2011 JOB ADDRESS: 3555 LEWIS ST EXPIRES: 11/15/2012 DESCRIPTION: Replacement of furnace, 100,000 BTU Furnace * ** CONTACTS * ** owner 303/277 -1194 Roxie Speer gc 303/922 -5568 Robbie Smith 02 -0782 ALL WEATHER MECHANICAL INC. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0634 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,600.00 FEES Permit Fee 40.00, Total Valuation .00 Use Tax 64.80 M ** TOTAL ** 104.80 Conditions: Work shall comply with 2006 IRC & 2005 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. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. 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 do ent a d /br its' accompan g 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 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 ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Buildo Of, cal 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. City of 6a kj Date: � c fzvn�u�vl�r L�ct el.��l>nati.r Plan # Building & Services Division Permit #Ol�f��!�7 7500 W. 29 1 Ave., Wheat Ridge, CO 80033 Office: 303- 235 - 2855 ' Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 c- Building Permit Application Property Address: J y� � Property Owner (please print):G'(a r icy 3 -- 2 7 7- )J �Y Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: �l�� ! K G✓ Contractors City License #: 1 7,f-;9�- Phone: Bldg Valuation: Phone: " ' City of Wheat Ridge 1� Faxed Mech. Permit PERMIT - 111004 PERMIT NO: 111004 ISSUED: 08/22/2011 JOB ADDRESS: 3555 LEWIS ST EXPIRES: 08/21/2012 DESCRIPTION: Replace evaporative cooler * ** CONTACTS * ** owner 303/277 -1194 Roxie Speer sub 866/898 -0008 Mariana Kitchukova 08 -0021 Colorado Delta Mechanical Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0634 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,023.00 FEES Permit Fee 40.00 Total Valuation _ .00 Use Tax 54.41 ** TOTAL ** 94.41 ' Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. 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 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. 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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fiel in ection. Signa ECT Chief Building Offical Date IN 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. INSPECTION RECORD OccuMancv /Tvpe 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. ,5 1 9 1 hn E INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS OB ✓v v FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Use Tax 54.41 Stemwall / (CEG) Concrete Encased Ground PAYMENT RECEIVED AI9UUP {T Reinforcing or Monolithic ectric umbing Gas Piping Weatherproof/ French Drain ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRO( CITY OF WHEAT RIDGE Framing 08/22111 3:16 PM edhb Insulation Mariana KitehukDv Sewer Service Lines R.O.W & Drainage Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) g FINALS 111004 ll tie Use Tax 54.41 ® PAYMENT RECEIVED AI9UUP {T Service ectric umbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRO( CITY OF WHEAT RIDGE Framing 08/22111 3:16 PM edhb Insulation Mariana KitehukDv Drywall Screw 1 11VaLVliVVVJV] NI'IUUNI DP9P Replace evaporative 94.41 FINALS 111004 Electrical - Permit Fee 40.00 Use Tax 54.41 Plumbing PAYMENT RECEIVED AI9UUP {T Mechanical U,: 3376 94.41 Roof Auth Code 041702 Building Final TOTAL 94.41 Fire Department -------------------------------------- R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST.ONE WEEK PRIOR TO FINAL INSPECTIONS. " * 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 OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER Aug. 22. 2011 1:JJFM STEVE No. 0744 F. 2 City of Wheat idle Date: OMMUNITY DEVELOPMENT Permlrlf: C Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 "'Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Property Address: Property Owner (plea Mulling gddress: (if antrerent than property address) Address; 14 Use of s ace (description): r D y escril%on oTwork: D . D Constnictinn 4 I/ (7 t wU r • C `U6' Pkn Revlaw (due at Nme of submittal): t Sq. Ft. /L.Ft added: S Uares BTU's Gallons Am s OwNERICONTRACTOR SIGNATURE OF 1 hereby re roy that the setback distances 1 rules or regulations of the City of Wheat R allegations made am accurate; that I have reapp ortelbllfty for compliance with the Whet Untler this pencil. Plans Sol )ect W ftjd Im CIRLCE ONE:; OWNIK (CONTRACT NTRACTr PRINT NAME: 'an ZONINO COMMENTS: Zoning: Reviewer. Date: D I I —T r covenants, easements or restrictl and agree to abide byy all candltlone ra Building Code (1,I3,C) and all otl on. rr PERSONAL REPR SIGNATURE DEPARTMENT U$ NLY PUBLIC WOKKE COMMENTS: Reviewer. BUILDING bePARTMENT COMMENTS: Reviewer: ARE DEPARTMENT:: ❑ approved w! a0ntmente ❑ disapproved 0 no review required OCCUPANCY:_ Valuation: $ and do not violate applicable ordinances, rcard; that all measurements shown, and an this application and that I assume full cable Wheat Ridge Ordinances, for work Credit Card P�gyment: Use credit card listed on fl Print name: (:�� 6 Dp W f A . Signature: Facsimile Building Permit Application Sub Contractors: Company Name: Llcenss 0 xplratlon Date: Trade /Proresslonr AnD INSPECTION RECORD Occuaanc r e ' 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. �4 /A )) 7-j / 27 ' 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 POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Weatherproof / French Drain Lath /Wall tie Sewer Service Lines Mid -Roof Water Service Lines 1 Electrical Service CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Building Final Lath /Wall tie Fire Department Mid -Roof R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS �`. Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '* *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, 1 Electrical Service Rough Electric Rough Plumbing I , - Gas Piping Rough Mechanical FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS �`. Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '* *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 .. .. CITY OF WHEAT RIDGE "/' 43r Building Inspection Division ,� 1 4`4' CITY OF (305 E.AT RIDGE ;tion Division nspection line Inspection Type F-mytea :- Job Address Permit Number o ((e ct " 16 ❑ No one available for inspection: Time /A PM Re- Inspection required: Yes No When corrections have been made, call for re-inspection at 303- 234 -5933 Date: 4 Z,2,5 - 111 Inspector: Z� DO NOT REMOVE THIS NOTICE ' A ' City of Wheat Ridge r 4000or- Residential Roofing PERMIT - 102760 PERMIT NO: 102760 1 ISSUED: 12/20/2010 JOB ADDRESS: 3555 -65 Lewis St EXPIRES: 12/20/2011 DESCRIPTION: Reroof 40 sqs with 30 yr dimensional shingles * ** CONTACTS * ** owner 303/216 -5238 Roxy sub 303/670 -3048 Terry Harper 01 -8383 Harper Services ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0634 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** Permit Fee Total Valuation Use Tax ** TOTAL ** ESTIMATED PROJECT VALUATION: FEES 188.45 .00 147.60 336.05 19 8,200.00 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. 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, 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 document and /or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) 1. 2. 3. 4. 5. 6. Date 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. 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. 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. 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. 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. 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. /) * i zl2,nlio Signature UEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.. Cit f v� Wheat COMMUNi - ry DEVELOPMENT Building& Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Date: Plan # Permit # (0 9. -144 Office: 303 - 235 -2855 " Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application C Property Owner (please print): 1 <n Phone: 303 Mailing Address: (if different than property address) 6•x^2 a Address: City, State, Zip: Contractor: " �C'as Contractors City License #: Phone: 30"S oo• 3oy€? Electrical: Plumbing: Mechanical City License # City License# City License # Desrlpton)ofw +" ma y') � dQr-t ContrAct Value: t ti x,1 � c n a (wn , `� �(< $ �60 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 (OWNER) (CON OR) or (AUTHORIZED REPRESENTATIVE) I N A R) TIVE) of (O R) (CONTRACTOR) PRINT NAME: 4 Ok t SIGNATORE: - y 'W — DATE: t Z O FIRE bEPARTMENT 'O B�prOVef�Wt ❑(IISa�pTO�IOdiO RO TE@Vte4CTBGWre� Bldg Valuation $ J