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HomeMy WebLinkAbout4075 Fenton Court075- F- IJ �= INSPECTION RECORD occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 11:59 p.m. (midnight) to receive an inspection the following 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 Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnectinns Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof �n / Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof - .7 Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge d\�k Residential Roofing PERMIT - 201704834 PERMIT NO: 201704834 ISSUED: 07/26/2017 JOB ADDRESS: 4075 Fenton CT EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install GAR ArmorShield asphalt shingles with 30 sq. *** CONTACTS *** OWNER (303)420-3984 RONHOLDT SHELDON H SUB (303)353-1825 Edward Thomas 130045 Roof Worx LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,710.00 FEES Total Valuation 0.00 Use Tax 161.91 Permit Fee 172.60 ** TOTAL ** 334.51 *** 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) 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be req_iired, 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. City of Wheat Ridge Residential Roofing PERMIT - 201704834 PERMIT NO: 201704834 ISSUED: 07/26/2017 JOB ADDRESS: 4075 Fenton CT EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install GAR ArmorShield asphalt shingles with 30 sq. *** CONTACTS *** OWNER (303)420-3984 RONHOLDT SHELDON H SUB (303)353-1825 Edward Thomas 130045 Roof Worx LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,710.00 FEES Total Valuation 0.00 Use Tax 161.91 Permit Fee 172.60 ** TOTAL ** 334.51 *** 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) 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. 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. City of Wheat Ridge Residential Roofing PERMIT - 201704834 PERMIT NO: 201704834 ISSUED: 07/26/2017 JOB ADDRESS: 4075 Fenton CT EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re—roof to install GAR ArmorShield asphalt shingles with 30 sq. 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�ppermit. 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. 701 Signature of OWNER or CONTRACTOR (Circle one) Date I. 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, po Flans 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 maybe 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 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 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 eoo'rregulation of this jurisdiction. Approval of work is subject to field inspection. d Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. �jj 6 /� ? Dan Schultz l� `l From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 18, 2017 11:41 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received 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 Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4075 Fenton Ct Wheat Ridge CO 80212 Property Owner Name Sheldon & Sally Ronholdt Property Owner Phone 3034203984 Number Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Roof Worx Contractor's License 130045 Number (for the City of Wheat Ridge) Contractor Phone 3033531825 Number Contractor Email Address misti.cordova@myroofworx.com Retype Contractor Email misti.cordova@myroofworx.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Asphalt GAF Armorshield Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 material selected above? Does any portion of the / No property include a flat roof`? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 30 (� roofing material for this project Provide additional detail House roof, 5:12 here on the description of F1 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7-710 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 this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Misti Email not displaying correctly? View it in your browser. 3 0 0 WORK ORDER 12301 N. Grant Street, #130 AA76r ' �� `` Thornton, CO 80241 r Phone # 303-353-1825 P,ucrip tio lir Q, luy Fax# 303-974-2025 Dat Customer # Name: �f5 &,e) W �, T Preferred �— Home Phone: El� � %�p Address: C Cell Phone: '/� (�(/�J r/�� 07 /� uLl CityStatCount)�Zips2 Work Phone: %r (.f���lt7 �( ❑ Email: rgle(grade:�j A� pgrade: Type $_0_ Other Upgrades: $ Main Building Detached Bldg. MaRfacturer ' ❑ Garage I e Shed Prcidtkt t ❑ Other Color Low Slope Underiayment Manufacturer ❑ 15# Felt 30# Felt Product P Other Color Accessories Hip and Ridge Type Drip Edge Color_ Vent Accessory Color_ `Da rgt t6w 1/ Valley Metal Color III 1 k Per insurance claim ❑ additional gutters NOT on claim Gutter Upgrade Price: Gutters Size: f5r5" ❑6" 1 DS Size: ❑ 2x3 ❑ 3x4 Approximate Install Date:_ (Subject to insurance availability, weather delay, etc.) OWNER is responsible for non-recoverable depreciation and code upgrades not paid �by,,insurance Deductible $ 00 Property Owner is Rd./is not ❑ intending to make payment from the proceeds of a property and casualty insurance policy. I Excess Material Stored: II Production Notes: JZ 6� 6*k.Ar S Replacement Cost (RCV)t I $ % 'Z �—_Z/ 2 .. I Plus Upgrades Total Cost of Job Less Down Payment CK -44;.$ "$1 00 C9.Balance Due Z t Notes or Additional Term t �l d S RCV amount is the estimated amount and subject to change based on unforeseen conditions and for insurance work, the actual work performed by Roof Worx and coverage amounts included on the claim. 2 Upon completion of work, a Final Invoice will be sent to the customer and for insurance work, an additional invoice is sent to the client's insurance carrier. The final invoice amount will include the original RCV amount plus any unforeseen conditions and paid as incurred items (i.e. permit). For insurance work, the amount will include any supplements, for additional work done that was not included on the initial insurance claim, such as permit fees, taxes, O&P and code required upgrades. Steel: ❑ Aluminum: *3 MM As a result, the balance due figure may be subject to change. Roof Worx, LLC shall hold in trust any payment received from you until Roof Worx, LLC has delivered roofing materials at the site or has performed a majority of the roofing work on your property. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurance company that your claim has been denied in whole or in part. However, Roof Worx, LLC is entitled to retain payments or deposits to compensate for roof work actually performed in a workmanlike manner consistent with standard roofing industry practices. Roof Worx, LLC cannot pay, waive, rebate, or promise to pay, waive or rebate all or part of any insurance deductible applicable to theAsorance claimfiDppayttnent of roofing work on your property (per Senate Bill S1312-39). /. ;i - �a - re Date W0160127 THE TERWON TBE REVERSE SIDE HERE OF ARE SPECIFICALLY AGREED TO AND INCORPORATED HEREIN. 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 9 - C , I Job Address: c -7 S M" e n C Permit Number: 'D c i -7 a y ❑ No one available for inspection: Time 07-349 (AM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234- Date:- q b a i --;� Inspector: Tb DO NOT REMOVE THIS NOTICE f S`_ 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: /h I j Job Address: x-10 `r 5' re C f Permit Number: n P-7 0 (4 !6 Lj G474�7 o ),f 4- v e n 4-s Ly,., f l "-,e d 4.Le ,� el's f .1 d -4�0 re tnt n c. I ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- Date:—'9 03-234- Date:res 3 o Inspector: ?`6 DO NOT REMOVE THIS NOTICE �fly INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234 -5933 Occnnanewe Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 3:00 p.m. to receive an inspection the following business day. Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) Footing /Stemwall P.E. Letter Do Not Pour Concrete P ections Underground /Slab Inspections Date Electrical (Underground) Sewer Service (Underground) Water Service (Underground) Plumbing (Below /In-1-h) Heating (Below/ In -slab) Do Not Cover Underground or Below /In -Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Comments omments Wall Sheathing Roof Sheathing Lath /Wall Tie Rough Electric Rough Plumbing Rough Mechanical Gas Piping Do Not Proceed Without Approval Of Above Rough Inspections Rough Framing Insulation Drywall Screw / Nail pections Date Inspector Initials Comments trical bing NFinal hanical ing / Frame - - Landscaping & Parking / Pl anning Dept. Inspections from these entitA should:be requested one week in advance. For la'ndscapi{g and parking inspections call 303 - 235 -2846. For ROW and drainage nspections call 303 - 235 -2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist, **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. occupancy Is Not vermlttea Until A certificate of Occupancy Is Issued Protect This Card From The Weather ITY OF WHEAT RIDGE IAnn Incnartinn nivicinn ❑ No one available for inspection: Time /,? , / o AMP IP Re- Inspection required: Yes No When corrections have been made, call f re-inspection at -234 -5933 Date: E �r Inspector: _12 1 DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge ] Residential Roofing PERMIT - 111088 PERMIT NO: 111088 ISSUED: 09/12/2011 JOB ADDRESS: 4075 FENTON CT EXPIRES: 09/11/2012 DESCRIPTION: Reroof 33 sqs with Owens Corning shingles * ** CONTACTS * ** owner 303/420 -6251 Sheldon Ronholdt sub 303/443 -7931 Thomas Mathieson 02 -1976 Mathieson Roofing Service Corp ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0426 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 12,860.00 FEES Permit Fee 251.85 Total Valuation .00 Use Tax 231.48 ** TOTAL ** 483.33 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. Subject to field inspection. I, by my si r hereby attest that the work to be performed shall comply with all accompanying approved plans and specifica a able building codes, and all applicable municipal codes, policies and procedures, and that I am the legal o a "e en authorized by the legal owner of the property and am authorized to obtain this permit and perform the w and approved in conjunction with this permit. I further attest that I am legally authorized to include all An thin this document as parties to the work to be performed and that all work to be performed is disclosed in and /or its' accompanying approved plans and specifications. Si 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspec t'on. Signature o Building Offical 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. 9 OF WHEATR City of Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 Inspection Line: 303 - 234 -5933 O tORPp Building Permit Application Property Address: Fen/ o/!i C- p W, Property Owner (please print): f C� l�h J4,1060 Mailing Address: (if different than property address) Address: SR me Date: Plan M Permit #. J9 Phone: City, State, Zip: Contractor License M Phone: 3 — (a & Contractor: {Ma+7 ee,60A V- Sub` Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction Value: $ ) a 4) (n b ° o Description of work; �— o �� (as calculated per the Building Valuation Data sheet) T © ck - + - b C\ e. � , I S L� ` Plan Review (due at time of submittal): $ ®we\n5 G�, rni>n5 ��m� Sq. Ft. /L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ( CONTRATOR) PRINT NAME: SIGNATURE: Date: DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer r PUBLIC WORKS COMMENTS. BUILDING DEPARTA Reviews " FIRE DEPARTMENT Bid@ Valuation: 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 1 1075 /- ,v 6 Permit Number 10a V55' ❑ No one available for insDection: Time Ax��L, * ** CONTACTS * ** owner 303/420 -6251 Sheldon Ronhodt sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0426 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,250.00 FEES Permit Fee 109.20 Total Valuation .00 Use Tax 58.50 31b) ** TOTAL ** 167.70 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, an allegations made are accurate; ,that I have read and agree to abide by all conditions printed on this application and that assume full responsibility for :compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ordinances, for work under this permit. Plans subject to field inspection. 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. Building date iV REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Plumbing PERMIT - 102458 PERMIT NO: 102458 ISSUED: 10/27/2010 JOB ADDRESS: 4075 FENTON CT EXPIRES: 10/27/2011 DESCRIPTION: Repair 50 if of sewer line in yard only * ** CONTACTS * ** owner 303/420 -6251 Sheldon Ronhodt sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0426 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,250.00 FEES Permit Fee 109.20 Total Valuation .00 Use Tax 58.50 31b) ** TOTAL ** 167.70 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, an allegations made are accurate; ,that I have read and agree to abide by all conditions printed on this application and that assume full responsibility for :compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ordinances, for work under this permit. Plans subject to field inspection. 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. Building date iV REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. i1F "noPwl_'Nf flan # Building 8: Inspection Services Division Pern�ii # 'ZJg• 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 -235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application )=eoperty Add ess' LfG Ae, &/) 67' Property Owner (please print): J p /„/fin /&,9 h rlf _ _ Phone: ✓ " //71 ��T � Mailing Address: (if different than property address) Address: City, State, Zip: Copgractort / contractors City License M Phone: sgb'�antracto'vs Electrical: Plumbing: Mechanical: City License # City License # City License #, bCrl[J1I''o wCars4 j6J SBG/8 y /i//2 /ePa t� $ ontract Value: Review Fee (due . at time of submittal): Squares O BTU's Gallons Amps Sq Ft. $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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 1 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. CIRCLEONEr (OWNER) (CONTRACTOR) of (AUTHORIZEDREPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: /(//, - SIGNATURE: DATE: Bldg Valuation; $__ JOB DATE � E L „ . L �p �+ �o -as -to INDUSTRIES INC. DATE 10/26/10 P.O. Box 370 • Watkins, CO 80137 (303) 696 -9599 EskaAdy Fax(303)671-6871 SERVICEMAN IN ®1 ®J�7p0 ®, 9 8p 6 0 E ,7 JOB # °AwR94t4 PO # " JOB INFORIIIUATION, . i� _ ,; BILUNGJ1F9tMAT10�1 ," `= NAME Sheldon Ronhodt NAME ADDRESS 4075 Fenton Ct. ADDRESS CITY Wheat Ridge zIP 80033 CITY _ STATE ZIP PHONE 303- 4206251 PHONE DESCRIpT10N,OF.S)= RVIEES "ESTIMATE Excavate and Replace 4' main sewer line from tront of ome to sidewalk and Install ua $ sweep c eanou s close to the nome. pprox: In length an -8 In depth. includes: Excavation, Plumbers, Laborers, Pipe and Fittings, Bedding, Elackf Compaction, Glean Up, Haul Away, erm and inspections. t Qj Vk �Q6 [WARRANTY Terms of Warranty: APPROVAL SIGNATURE (excludes root intrusion, ground movement, acs - 6T nature). COMMENTS: THANK lksou / • SUBTOTAL Excludes: Box Shoring, Landscaping, Sprinklers, TAX PLEASE PAY THIS AMOUNT O A ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave -ins or any other complications. TERMS:Job cancellation fees will apply. Invoices are payable -1/2 down and balance upon completion of work performed. Any invoice not paid when due, shall incur interest at the rate. of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be en 'tied to assert a mechanic's lien for all unpaid materials and labor supplied to building proj s ant C lorado w. -- ✓* SIG 4URE ACCEPTANCE OF INVOICE SIG TUBE ❑ VISA ❑ M/C ❑ AMEX CARD # EXP OVAL # 1 CASH CHECK# CHARGE A/R ACCOUNT #