Loading...
HomeMy WebLinkAbout3920 Oak StreetCITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: rc/ 6 / Job Address: 3 7 Z- LO 69 G) Permit Number: 7 d2 Z_ / 0 c9 J No one available for inspection: Time A-M/'P'm Re -Inspection required: Yes No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: 71 - Permit Number: 7110-07 Z_ `� r ❑ No one available for inspection: Time /,11 A M Re -Inspection required: Yes; No When corrections are complete, schedule re -inspection online. Date: Inspector: DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Plumbing PERMIT - 202100095 202100095 3920 Oak St Replacement of the old 1 Ines for one bathroom, 150&#39; in crawl space ISSUED: 01/15/2021 EXPIRES: 01/15/2022 copper and galvanized water lines pipes with new pex one kitchen sink faucet, and two outdoor faucets - *** CONTACTS *** OWNER (7 2 0) 7 9 9- 4 3 9 7 GROTEN SHARON SUB (303)591-8512 MARCO ANTONIO ARNEZ 190042 LIBERTY PLUMBING LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 800.00 FEES Total Valuation 0.00 Use Tax 16.80 Permit Fee 36.70 ** TOTAL ** 53.50 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2018 International Codes, 2020 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is 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, applicae building codes, and all applicable municpal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 01/15/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: General Permit Application Date: Thursday, 3anuary 14, 20216:02:50 PM General Permit Application This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Residential Residential or Commercial? Property Address 3920 Oak St Wheat Ridge Co 80033 Property Owner Name Sharon Groten Property Owner Phone 720-799-4397 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed Address Attach City of Wheat mage ina Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General Marco Arnez Contractor or Architect Contractor's License 190042 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contract Phone 303-591-8512 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address marco.arnez@hotmail.com Retype Contact Email marco.arnez@hotmail.com Address 01:K161CII91 ffl0N]ayOLib]N:/ Detailed Scope of Replacement of the old copper and galvanized water lines pipes Work - Provide a with new pex lines for one bathroom, one kitchen sink faucet, detailed description of and two outdoor faucets. work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Square footage of 150 scope of work Location of work Crawl space (backyard, on roof, etc) Project Value (contract 800 value or cost of ALL materials and labor) Upload Engineer letter, Field not completed. other documents on 8 1/2" x 11 " Upload Asbestos Field not completed. Report if triggler level is met per CDPHE regulation. Upload Drawings 11,, x Field not completed. 17" or larger SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. 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. Person Applying for Marco Arnez Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http://www.ci.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 (11:5 PM) to receive an inspection the following business day PERMIT: �� �O ADDRESS: JOB 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 Plumbing Underground Ext. 206 Water Undergrofir,d i 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 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 U PERMIT: 0 ADDRESS: �� � D, st T A �) JOB CODE: 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 s _ 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 Commercial 407 Final Plumbing Residential 409 Final Roof s _ 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. CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1-iO /la1 R& S Job Address: 3�-7 2C/ o.,k Permit Number: 2_01S 0Qlr�-7/ ❑ No one available for inspection: Time Re -Inspection required: Yes CNoj- When corrections have been made, call for re -inspection at 303-234-5933 Date: __M//. 11g Inspector: ��,� 4,112fr4 DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1-iO /la1 R& S Job Address: 3�-7 2C/ o.,k Permit Number: 2_01S 0Qlr�-7/ ❑ No one available for inspection: Time Re -Inspection required: Yes CNoj- When corrections have been made, call for re -inspection at 303-234-5933 Date: __M//. 11g Inspector: ��,� 4,112fr4 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Mechanic PERMIT - 201800671 PERMIT NO: 201800671 ISSUED: 03/09/2018 JOB ADDRESS: 3920 Oak ST EXPIRES: 03/09/2019 JOB DESCRIPTION: Replace furnace 40K BTUs, 96% efficiency, 2 stage AC 16 SEER *** CONTACTS *** OWNER (720)799-4397 GROTEN SHARON SUB (720)746-1661 Jerry Hughes 090190 Stellar Energy Contractors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,088.60 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 127.86 ** TOTAL ** 227.86 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my 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 pames 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 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 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, an violation of any provision of any applicable code or any ordinance ©r� regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chi44tuf g Official _ Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of `7`T heat jdge_ COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 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 FOR OFFICE USE ONLY Date: q Plan/Permit # 00 11 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: cc,[ S�f w hen,+ Property Owner (please print): hafCn (2)c(A-�V'1 Phone: -7c6 7 Property Owner Email: rC;s h 1wal 1. C( -,V --y Mailing Address: (if different than property address) Address: c'be,,0 k - City, State, Zip: Arch itect/Engineer• Architect/Engineer E-mail: Contractor: <'S'_ _'e_ � � a Y" Phone: Contractors City License #: 0 9 0 1 q 1r) Phone: 11 Contractor E-mail Address: C�1 Ce= _ (D 10_VlEk"Ck4 CG7y1 C11n�S . cenyY l For Plan Review Questions & Comments (please print): CONTACT NAME (p/ease print): -t_JLi Phone: CONTACT EMAIL(p/ease print): 0 Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # eviE✓ Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) 77a�-\�ct_c e J ' S E C - R q0 � -TLt q, AFL( Sq. Ft./LF Amps Btu's —! � 1 Ccx Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 0��3a (PC) 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CO CTOR) or ( HORIZ=,_ of (OWNER) CONTRACTOR) SiQnature (first and last name): DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201704710 PERMIT NO: 201704710 ISSUED: 07/25/2017 JOB ADDRESS: 3920 Oak ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt, rolled shingles with 15 sq (4sq flat) Re -roof house and carport Roof slope 5/12. **REVISION ADD REDECKING $1850.00****** *** CONTACTS *** OWNER (720)799-4397 GROTEN SHARON SUB (719)473-9554 Ed McCulloch 090031 Pro -Tech Roofing Systems *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,639.00 FEES Total Valuation 0.00 Use Tax 181.42 Permit Fee 188.45 ** TOTAL ** 369.87 * * * 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. 6 Y 0 QZf /<" - 1� � INSPECTION RECORD Occupancy/Type INSPECTION 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.** 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 Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Atli -Sheathing Mid -Roof 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 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 �y Residential Roofing PERMIT - 201704710 PERMIT NO: 201704710 ISSUED: 07/25/2017 JOB ADDRESS: 3920 Oak ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt, rolled shingles with 15 sq (4sq flat) Re -roof house and carport Roof slope 5/12. **REVISION ADD REDECKING $1850.00""" *** CONTACTS *** OWNER (720)799-4397 GROTEN SHARON SUB (719)473-9554 Ed McCulloch 090031 Pro -Tech Roofing Systems *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,639.00 FEES TotUseaTaxaluation 0.00 181.42 PAID Permit Fee 188.45 —� ** TOTAL ** 369.87-- *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201704710 PERMIT NO: 201704710 ISSUED: 07/25''2017 JOB ADDRESS: 3920 Oak ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm asphalt, rolled shingles with 15 sq (4sq flat) Re -roof house and carport Roof slope 5/12. "REVISION ADD REDECKING $1850.00""" 1, 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. further attest that I am le ally authorized to include all entities named within this document as parties to the work to be perford trill work to be pee ed 's disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I, This permit was issued based on the information provided in the permit application and 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 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 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 al] 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 ordinance or regulation of this jurisdiction. Approval of work is subject to fyeld inspection. Signature of9WAWRAWWA.0ffiJi&A.CLJDate REQUESTS MUST BE MADE BY 11:59PM INESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat jj ge- COMMUNITY 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 FOR OFFICE USE ONLY Date: 70///-/ Add to Permit �7 /'�/ 2 V O V710 7l1 ��7 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 39.2L) b L h S—�Pg Property Owner (please print): Phone: Property Owner Email: Mailing Address: (if different than property address) Address City, State, Zip: Submitting Company: Contact Person: �� �� ( l o C � Phone: 3U77 '- (6 W / V 1p Contractor: Cep -- 1 ` �y Qom' "'(O �y s ,(V� C' Contractors City License #: Phone:/ Contractor E-mail Address: I i n e cs i C ©Yin Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour – 2 hour minimum). Description of revised/amended work: 4- � � r� �6v- ( I Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) $ 155z)- 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 1 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 O.VE: (OWNER) (CONTRACTOR) or (AUTHOR I D' REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: 6VI 0t SIGNAT� �/� ' ' C DATE: 7 - ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer- PUBLIC eviewer PUBLIC WORKS COMMENTS Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Dan Schultz c x/ 0 /7a q 71�1) From: no-reply@ci.wheatridge.co.us Sent: Monday, July 17, 2017 10:50 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 Property Owner Name Property Owner Phone Number 3920 Oak Street Sharon Groten 720 799 4397 2 Property Owner Email grosb14@gmail.com 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 Pro -Tech Roofing Systems Contractor's License 090031 Number (for the City of Wheat Ridge) Contractor Phone 719 473 9554 Number Contractor Email Address protech4csi@live.com Retype Contractor Email protech4csi@live.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Duration Storm Material Select Type of Material: Asphalt, Rolled If "Other" is selected Field not completed. above, describe here: How many squares of the 11 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 4 on the flat roof? TOTAL SQUARES of all 15 roofing material for this project Provide additional detail Re -roof house and car port. Roof slope 5:12 here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 6789.00 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 Edward McCulloch Email not displaying correctly? View it in your browser. 9 Greater Denver & Castle Rock (303)681-9550 Ofc (303)681-9551 Fax ACCREDITED BUSINESS Customer Job Address Billing Address e-mail Address Scope of Work: Sharon Groten Pro—Tt,�ls ROOFING SYSTEMS protech4csi(a) live.com Colorado Springs & Monument (719)473-9554 Ofc (719)473-9555 Fax ShM�tWlwtN Date 6/27/2017 3920 Oak Street City Wheat Ridge Zip 80033 3920 Oak Street City Wheat Ridge Zip 80033 grosb140cimail.com Ph. 720 799 4397 Alt Type of Roofing Owens Corning Duration Storm 1R Color of Roofing Desert Tan Ice Guard Type T WeatherLock Underlayment Underla_yment At Eaves Ice Guard Starter Course _ Starter Shingles Ridge Cap Scif sealing Install Decking Square Count Vents & Stacks New Pipe Jacks Replace any delaminated sheathing @ $1.25 sq. ft. l5 Install 4 - OCF Ventsure Roof Vents Install new Pipe Jack Flashings Metal Edging 2x4 pre-finishcd_metal drip edging New Furnace Flashings & Caps n/a Daily Clean Up of Roofing Debris yes Manufacturer's Limited Warranty Lifetime Material Warranty Warranty on our Craftsmanship 5 Year Pro Warranty damage for the RCV insurance replacement cost value. Remove Existing Roofing X Asphalt shingles Clean & Haul Away Debris X Dispose of roofing Remove Gutter & Downs X Remove Gutters Building Roofing Permit X Submit fees to insurance Instructions & Options Roof: Class A Fire Rating & 130 MPH Wind Rating Class 4 UL #2218 lropact Resistant Shingles Duration Storm 1R Tru -Def / Desert Tan Shingles and Owens 1 Corning underlayment and accessories Pricing by Xactimate; Pro -Tech to install the impact resistant shingles for no additional charge Pro -Tech to remove existing gutters at .43 cents Der foot. Loading Access is Available: X Hauling Access is Available: X Pro -Tech carries workers' compensation, automobile and commercial general liability (bodily injury and property damage) insurance. A Cerdticate of Insurance identifying our insurance carrier and the types and amounts of coverage and our insurance contact information will be provided to Purchaser and is incorporated herein by reference and will be considered as pan of dtis Contract. SB38 - The Consumer Protection / Roofing Bili applies to all residential properties for roofing work over 51,000.00 Additional Provisions; Pro -Tech will bill insurance company the actual cost for the permit reimbursement, amount not included in proposal. Approximate costs of services and materials based on damages known when agreement is entered; $ $6,789.00 0 Approximate Start Date: Mid -July 2017 1 lExpected Completion Date: z days from start date i Payable as Follows: I /we agree to pay Pro -Tech in full $ Six Thousand Seven Hundred Eighty Nine U.S. Dollars upon completion of work or within the terms herein set forth. Check and or Money Order payments must be made payable to Pro -Tech. The purchaser acknowledges receipt of a copy of Utis contract. I. SB038 622-185. Waiver of insurance deductible prohibited. This written statement advises tbat if the Purchaser plans to use the proceeds of a property or casualty insurance policy to pay for the rooting work, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any deductible applicable to the claim for payment for roofing work on the covered residential property. Non -insurance related rooting work, other trades, commercial properties and HOA's arc exempt from S0038 2. Disclosure Notice - Owner / Purchaser is _X_ — is not intending to nuke payment front the proceeds of a property and casualty insurance policy. 513038 6-22-11M. 3. Purchaser has 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 property and casualty insurer that your claim has been denied in whole or in part. Pro -Tech will not begin any work or order any materials for insurance work until alter the 72 hour right of rescission period has expired. 4. SB038 6.22-103 > Pru -Tech shall hold in trust any payment received from you until Pru -Tech has delivered roofing materials at the site or has performed a majority of the roofing work on your property. Insurance proceed deposits shall not be co -mingled into contactoes bank accounts with operating capital. 5. The Colorado statute related to property insurance fraud (CRS 15.13.119.5) states that paying, waiving or rebating a propeny owner's insurance deductible is a Class 2 Misdemeanor. The bill goes farther to say that if it is proven a deductible was paid/waived/rebated, the insurance company docs not have to consider the estimate from any contractor violating the provision, and the property owner or the insurer may sue the contractor for any damages related to same. Damages may include just the deductible amount, or the cost difference between appropriate roofing materials and any lesser quality materials that a contractor may have used in order to offset the cost of the deductible, etc. Recoverable damages would be case specific. A contract / agreement lacking S838's specific written provisions may be found to be unenforceable by either party. 6. All payments are due to Pro -Tech at the completion of work, in accordance to the terms and conditions of this agrcemeot. In the event Pro -Tech retains an attorney to enforce any pan of this agreement owner/agent agrees to pay all attorney's fees, incidental collection costs and all damages. All debits exceeding the due date, the owver/agent agrees to pay a 2% late fee and the company's finance chargeof1 3/4%%per month on the entire unpaid balance. Purchaser --� low i.. Saks Consultant: / (O�.ra/Pu,&aaa) Date of Acceptance: _7/ / 7// -7 Approved by: Pro -Tech CONSTRUCTION SERVICES, INC. Pro -Tech ROOFING SYSTEMS, LLC . Pro -Tech SEAMLESS GUTTERS, LLC ` Pro -Tech EXTERIOR DESIGNS, LLC 3027 N EI Paso Street - Colorado Springs, Colorado 80907 / P.O. BOX 12 - Larkspur, Colorado 80118 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE �? Job Address: Permit Number: ❑ No one available for inspection: Time 0 1N7/PM Re -Inspection required: Yes When corrections haa been made, call for re -inspection at 303-234-5933 Date: � ii Inspector. DO NOT REMOVE THIS NOTICE 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: /41 T - Job Address: 59.2o c Permit Number: '� f.�I 6 y ❑ No one available for inspection: Time % 1 �I PM Re -Inspection required: Yes No When correctio0s have been made, call for re -inspection at 303-234-5933 (_ /J _ 1 Date: Inspector: _) 6 DO NOT REMOVE THIS NOTICE Ir ❑ No one available for inspection: Time % 1 �I PM Re -Inspection required: Yes No When correctio0s have been made, call for re -inspection at 303-234-5933 (_ /J _ 1 Date: Inspector: _) 6 DO NOT REMOVE THIS NOTICE - x i i b C -L I1 n I I n n-,,?, -,-), ---- 1:71 `-U VK/\_ `'I - - INSPECTIdN RjECORD z,eq% d INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier 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. Concrete Encased Ground (CEG) Foundation / P.E. Letter Fire Inspection / Fire Protection Dist. Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/in-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. Mid -Roof Fire Inspection / Fire Protection Dist. Lath / Wall Tie Final Electrical Rough Electric " Final Plumbing Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing Final Window/Doors Insulation Final Building Drywall Screw/ Nail NOTE. All i1prns 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. 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All i1prns must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "For Inspection Time Window Requests — Please email insptimereauest(a)ci.wheatridae.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: S S Job Address: 3 12 6 Q a L S T Permit Number: D®/ 7 b Q 3 1-7 -:; 7 Q 7 f -J S: (4 O rr) A i> P Ra u e r> ❑ No one available for inspection: TimeL_`T(_ AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-3933 Date:.- Inspector: DO NOT REMOVE�THIS NOTICE f City of Wheat Ridge Residential Miscella PERMIT - 201700337 PERMIT NO: 201700337 ISSUED: 03/08/2017 JOB ADDRESS: 3920 Oak ST EXPIRES: 03/08/2018 JOB DESCRIPTION: Installing new Mastic Quest vinyl siding over existing siding with all accessories including moisture barrier and proper flashings - 12 squares *** CONTACTS *** OWNER (303)799-4397 GROTEN CLARA SUB (720)639-4477 Sean Cameron 170056 Eco Home Exteriors, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 % *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,750.00 FEES Total Valuation 0.00 Use Tax 103.50 Permit Fee 140.90 ** TOTAL ** 244.40 "® *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. 1, by rn 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 1 am t e 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 per}�it. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfo�rr�ed and that wo 4 be performed is disclosed in this document and/or its' accompanying approved plans and specifications. ,Signature of OWNER 6Y CONTRACTOR.' (Circle one) LAte 1. This permit was issued base onieinfo►mation provided in the permit application and accompanyingplans 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 maybe 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. 4e No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of ail re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable ca r any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.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 Wheat � cue C�ti,wlti1UNf i 1 I )fV'i (i)I'P.11 (ti 1 g Building & Inspection Services Division 7500 W. 29`h 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 FOR OFFICE USE ONLY Date: Plan/Permit # �r� I .. 0033� 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: 3920 Oak St., Wheat Ridge, CO 80033 Property Owner (please print): Sharon Groten Phone: 720-799-4397 Property Owner Email: grOSb 14 gmail.com Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: N/A Architect/Engineer E-mail N/A Contractor: Eco Home Exteriors, LLC Contractors City License #: Phone: N/A Phone: 720-639-4477 Contractor E-mail Address Sara ,ecohomeexteriors.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL Description of work: (Check all that apply) RESIDENTIAL ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑LECTRICAL SYSTE /APPQANCE REPAIR or REPLACEMENT [] OTHER (Describe) K (For ALL projects, please provide a detaile description of work to be performed, including current use of areas, proposed uses, square footage, existing c ndition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Installing new Mastic Quest Vinyl siding over existing siding with all accessories including moisture barrier and proper flashings. Sq. Ft.ILF Amps Btu's Gallons Squares 12 Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 5,750.00 7 50.00 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) o (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) _ J� Electronic Signature (first and last name): G' DATE: �—V ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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: F_ y ( / C I'll Job Address: y 2 0 041'- ST Permit Number: Z o l 7 0 G o o S /s a AA sP..1; 7 M e— f-6 e- .f P ( ed %J ( e f e- r, ❑ No one available for inspection: Time • �s AM/PM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 /�Lr Date: 17 Inspector: �'L h`* ` DO NOT REMOVE THIS NOTICE As_OECTIOk RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier 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. _ Concrete Encased Ground (CEG) Foundation / P.E. Letter Fire Inspection / Fire Protection Dist. Do Not Pour Concrete Prior To Annroval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Date Electrical Sewer Service Wall Sheathing Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. _ Mid -Roof Fire Inspection / Fire Protection Dist. Lath /Wall Tie Final Electrical f —` / 7 Rough Electric " Final Plumbing Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing Final Window/Doors Insulation Final Building Drywall Screw/ Nail 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. 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. Fire Inspection / Fire Protection Dist. Final Electrical f —` / 7 Final Plumbing Final Mechanical Roof 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. **For Inspection Time Window Requests — Please email insptimereouest(o)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Electric PERMIT - 201700005 PERMIT NO: 201700005 ISSUED: 01/03/2017 JOB ADDRESS: 3920 Oak ST EXPIRES: 01/03/2018 JOB DESCRIPTION: Change out FPE service to 150 meter/combo; 1000 ft. *** CONTACTS *** OWNER (303)799-4397 GROTEN CLARA SUB (303)910-9836 Shad Reynolds 090454 AAA Masters Electrical Contr. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00 FEES Total Valuation 0.00 A& J ffiffRQ& Use Tax 32.40 Permit Fee 70.70- * * TOTAL * * 103.10 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. 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 me ally authorized to include all entities named within this document as parties to the work to be performed and that all pvork to be performed is disclosed in this document and/o; its' accompanying approved plans and specifications. Signature of O ER or CltWTRACTOR (Circle one) Dae I 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 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 Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Of ict�'"iial� " Date I I 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 insptimerequest@ci.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. hCity of /_�/ Weat -idge COMMUNITY DEVELOPMENTM 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 FOR OFFICE USE ONLY Date: I/ SP PianlPennit # )0 / -� 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: 3 9 2- C) o 4 <<- S r - Owner Property Owner Email: Mailing Address: (if different than property address) Address: % 2-C 64 5� City, State, Zip: �l�t / !IZ �CC) �pp� Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Phone:g2o%i-i- /413 Phone: Phone: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE j,❑ 'ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) C `1A -,-i j e d 6, f Sq. Ft./LF©� l� Amps 1 �� 5 A-0 li-tc 4le-1-111- o ,.er-,/ Btu's Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 14�0D•Ov 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) (,CCON�TRACTOR) or (AUTHORIZED PRINT NAME: M ' ' �= '/ t7%dS SIGNATURE:" DEP ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS. Reviewer. PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required ATIVE) of (OWNER) (CONTRACTOR) USE ONLY DATE: (/J?Z0l _?__ OCCUPANCY CLASSIFICATION: Building Division Valuation: $ FOR OFFICE USE ONLY 1�V, City of gate: etUN i Lorivi "f: Lidge 2-1-1 -- Id's ��Wh6a-t Plan/Permit Building Inspection Services Divisiarr <' 5 z 7500 W. 29ah Ave., Wheat Ridge, CO 80033 Piaci Review Pee; Office: 303-235-2355 * Fax: 303-237-5929 Inspection Lime: 303-234-5933 Building er Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ** a Property Owner Email: • • • • s •s� .•♦ Address: City, State, [ " i4rchltectlra trip er: • Electrical: Plumbing: Mechanical - WR City License # WR City License # WK City License Other City Licensed Sub: Other City Licensed Scab: City License # City License Complete all information on BOTH skies of this form NEW COMMERCIAL . ELECTRICAL . UPGRADE NEW RESIDENTIAL .:.. N COMMERCIAL ROOFING COMMERCIALCOMMERCIAL ADDITION 0 RESIDENTIAL ROOFING RESDENTIAL ADDITION 0 WINDOW REPLACEMENT ACCESSORY (Garage, shed,- RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or R•a PLUMBING SYSTEM/APPLIANCE #M a•* REPLACMENT ELECTRICAL A A !•A- REPAIR F P.M ♦IR REPLACEMENT •A OTHER M• A . FULF Stu's Gallons ,gimps Squares Other I I I C14 E 00 C14 C> (D fk cli C14 Cl> rl- to to co • a•_ 0 0as 0 to -E LL -E w c) z o, w C> 0 t15E to ` E Z E E 5 'wL> 0 0 z E cm • rz tv 0. 0 00 > C,4 tt 0 005 w rn 2 0 Q I I 0 z 0 to I m N I C14 00 C14 C> C�LO cli C14 Cl> rl- to to co • a•_ 0 0as Cl) C> z o, 0 t15E to ` E Z 00 0 to z a. as 0 75 Q 0 =` C,4 tt 0 005 0 z 0 to I m N I C14 00 C14 C> C�LO cli C14 Cl> rl- to to co 0 0as Cl) C> C) CN C> t15E co ` 0 0 to z a. as 0 , =` C,4 0 0 -j < m ;E 0 ( 0 z 0 z 0 to I m N I C14 00 C14 C> C�LO cli C14 rl- to to co C; Ci Cl) C) CN C> co m C9 C,> 0 C) C7 C) 0 to 0 z 0- E to 0 2� 0 :3 :- U: E E E iCSLu p to Z E — 0 0 0 x 0 a. U- IJj (D 0 0 0 0 z 0 to I m N I is r N a. E 00 64, 00 To # 00 td_T # . P IrD go • » �IM �Nli #, �" II Pjyllll T • IAP tI �fI cr # #. 0'T M. # VP .. • LL # # f T T s. M # # # • # 2.0 N Cm OLU 2=V2 0 #+ rt # 05 # TM C # T # T � � Jt 'T Mil # Mr # M. T T # ♦ o •. M • 1iz } s s M c s # TJ � 0) i w E 01 cm # # #. • w A. w # s # 0« i#: * a T 0E 10 O CN co Q� "ri .P ii o C cliCO. .� # ... C .. ,: LU . # .' 40 .# ,' y is r N N w INSPECTION RECORD ' OccupancvRype 'O - 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. 01 ZLI INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB m s ' F, POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED kPipi S ing: all tie of al Servicelectric lumbing ing echanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING F1 .ng Insulation Drywall Screw e; i- .FINALS Electrical Footings /Caissons Plumbing _ Stemwall / (CEG) Concrete : Encased Ground Mechanical Reinforcing or Monolithic_ Roof Weatherproof / French Drain Building Final. Sewer Service Lines Fire Department Water Service Lines R.O.W &Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS 5HOULD 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. FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete : Encased Ground .. Reinforcing or Monolithic_ - - Weatherproof / French Drain Sewer Service Lines Water Service Lines OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PRnTF= (`TTHIS rADn.:CDnnn.-ruc 1AMArU=M i CITY OF WHEAT RIDGE ~V~ Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: uv~z Job Address: ,3920 04i< SY Permit Number: 01,1611 ❑ No one available for inspection:. Time AM~- Re-Inspection required: Yes No When corrections have been made, oaff for re-inspection at 303-234-5933 Date: 2-5-10 Inspector: /6`J DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE =!� Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: I Job Address: Permit Number: ❑ No one available for inspection: Time AM /PM Re- Inspection required: Yes No "When corrections have been made, calf for re- inspection at 303- 234 -5933 Date Inspector: i DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE ~-j Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE e~ Inspection Type: Ki;'14 Job Address: Permit Number: f t t'i'R GP ~i it~pt r.(F~ 7:i f/t C'VPh Le f7/61 on f/ ,,I ri f, rt~Jit "2ro11,1(tt C0f-(!484 &~n , f'thuer ,tuz J it u Ntr ' Yr Iv ti -(-its i ❑ No one available for inspection: Time AM/ M Re-Inspection required: Yes No *When corrections have been made, can for re-in ection at 303-234-5933 Date: t - i < Inspector: DO NOT REMOVE THIS NOTICE ♦ 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-c - Job Address: % 0 ) k~ S° r Permit Number: e-)!j $ !~n { f i F' L1 No one available for inspection: Time AM/PM Re-Inspection required Yes,; No When corrections have been made, call for re-inspection at 303-234-5933 Date: I ✓0 Inspector. DO NOT REMOVE THIS NOTICE ♦ 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: /IA~AZ Rezsr=' Job Address: 3 20 aAd 5T- Permit Number: 07/4// Gi'TV2 7-o sAu2~/~iaf 4 Sr~c>e~ %rs~F_2 ~d~ yr~/Slfc~Ti~i.xi Ltsl~sf.° E/ieod~>r~"~S Q ~iYC7sc> t S o f~" <~'t~ni" A611y' • r~,!S >eirr ~rPe~l f~E"~''.~-" src-?5"f~Ec^TsOe,J ❑ No one available for inspection: Time / 5~' AM4M, Re-Inspection required: y No *When corrections have been made, call for re-inspection at 303-2342933 Date: ~/S'/✓o Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 091611 z ; -PERMIT NO: 091611 , ISSUED: 08/25/2009 JOB ADDRESS: .3920 OAK S T - EXPIRES: 02/21/2010 DESCRIPTION:. Reroof. 16 sqs CONTACTS. owner 303/423-7005 Clara Groten sub 303/422-2725 Gary Theriaque 02-1170 Bear Brothers Roofing PARCEL INFO`** ZONE CODE: UA USE: UA - SUBDIVISION: 0206 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,300.00 FEES Permit Fee 199.30 Total Valuation . 00 Use Tax 131 .40 i~ 102 TOTAT. Zan 7.n Conditions ~k `6 nail installation mid-roof inspection required. Board sheathing spaced more m; 0, than a 1/2"of-an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge. to 2' inside exterior walls. Subject to field inspections. >z: 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 licable Wheat. Ride r ances, for work under this p g permit. Plans subject to field inspection. Signature of contractor/owner d to 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the „y '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 f 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. y 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, a y violation of the. provisions of the building codes or any other ordinance, law, rule or regulation. All plan rev' w subject to field inspections. Signature o Chi Building Official date '.INSPECT ON REQUEST. LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 a` REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. LaC)22-~ ~ k A 41 ~ T City of V, Y r 1 ~eGl 1~9C Date: CMMUNITXDEVELOPMENT Permif#:t~ Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office' 3~3-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: A 20 cC L a Property Owner (please print): `N tnG aPQ n Phone: .9-203- (AZ- Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: G I( X1^6 4 ~1 Q 1/S 'V) G6 M f A Contractor License Aa e: Sub Contractors: Company Name: License* Expiration Date: Tra Use of space description): alb 1Q a' Description oi~ work. GAF 1 Construction Value* _L Q SrisictI ( l na5~ « ~v ~f Plan Review (due of time of submittal); $ ,640L IF JIt8 LI42r F Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR 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 1 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. CIRLCEONE:: (OWNER) (CONTRACTOR) : or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: ZONING COMMENTS: Zoning: Reviewer PUBLIC WORKS COMMENTS: Reviewer. SIGNATURE: DEPARTMENT USE ONLY 9UILDING DEPARTMENT COMMENTS: Reviewer. FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required Date: OCCUPANCY: Bldg Valuation: $ Credit Card Payment: Use credit card listed on file. Date: Print name: Signature: Property Owner : GROTEN SHELDON Property Address : 3920 OAK ST Phone : 423-7005 Contractor License No. : 17546 Company : Paul Davis Systems of Jeff. Co., Inc. phone : 422 3232 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I heretiy ce that the ~setbadcdistancos proposed by thia permR applicetion aro accurate, and ao na `v apphc" orcinances, ruks or regulalbns of the Cdy of Wheat Ridge a cmrenamri, eaNmeids or resWctions oi record; that aN measuremeMs ahown, and allegations made rro axuro6e; that lhave read aMag ree~ to ablde byatl conditions prlnted on this appNcaflon, and thaf Iassumefull reepontlbilltv Por comVIlar~ce wRh the YVheffi Ridpe Buikling Gode (U.B.C.) a~ all other appliceble Wheat Ritlge ordinances, for woAc under this permH. (ONMER)(CONTRACTOR) SIGNED DATE Description : REROOF BUILDING DEPARTMENT USE ONLY Approval: Zoning : ApProv81: Approvaf : Plumbing License No : Company : dccupancy : Walls : Roof : Stories : Residenfial Units : Electrical License No : Company : Expiration Date : Approval : a r~ (Z) (3) fs3 (B) Expiretion Date : Approval: 0 Construction Value : Permit Fee : Plan Review Fee : Use Tax: Total $15.00 $0.00 $6.00 $21.00 1.~ ' MeCh8nic81 LicenSe No : Company : Expiratlon Date : Approval : a rviaione eet tortli rn yopur apptWJwn ard is eublea M the Wws ame SmM d Cobraao ann b the zontrip ;doraUO ar erry otlra aooIkable wdlnancea M tha CM/. le not commancatl wlth7n WAy (80) deys from baue dab or (B) the bulldinp aWwrizetl N auapanEatl ar ad ta a tee M ono-half tlro emounl rwnnaly requirod, PmvWed rro cMnges hevs 6een or wiN be mede in the apenebn ot abendonmBnt ikn ap eambe~Int.CwimeM hee nd excaedeC one (1) Yeer. H chenpes are mads M If w i~ ihe naWral flow of weter auslnp a Oralnpa prodxn. iryAOUr (24) hours in advance for all mspectlorn antl ahall recelve wrXbn approval on inepeetlm catd befae iqs aM apedflcatbne eliall rwt be cons6ved b Ee e parmk for, m en eppiwal W, airy vidalWn of the prpvlebns TFftS PERNIIT VALID ONLY VYHEN SIGNED BY THE CHIEF BUILdING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION `I Co" DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 O ~ l3<i', Building Permit Number : Date: Property Owner : t h E f%C°.t~ - Ci x~z;.. ~ <-c~ - r Property Address l Phone : Contractor License No. /7SZ16 CompanY : fi~j OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setbaek distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or wvenants, easements or restrietions of reeortl: that all measurements shown, and allegations made are accurate; that I hava read and agree to abide Ey all contlitions pnntetl on this appliwtion, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicabla Wheat Ridge ordinances, for work untler this pertnit. (OWNER)(CONTRACTOR) SIGNED DATE Descnption : BUILDING DEPARTMENT USE ONLY ~ Approval : Zoning : Approval : ~ Approval : Occupancy : Walls : Roof Stories Residential Units : Electrical License No : Plumbing License No Mechanical License No : Company Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : _j Pfsns Riqufrei ~ P@ ns Required p~~g,~µ WMM (1) This Dermit was i55uetl in atcortlance with ihe provi5ions set forth in yopur apDliution and is subjeCt to the laws of the State of Coloretlo and to t11a Zoning Regulabons and Builtling Code of VJheat Ridge, Coloratlo or any other applicable ordinances of Iha Ciry. (2) 7his permrt shall expire rf(A) the work authonzetl is not commencetl within sixry (60) Gays hom issue tlate or (B) ihe Outlding authonzetl is suspentletl or abantlonetl iw a penod of 120 Cays. (3) If this pertntl ezplres, a new permit may be acquired for a fee of one-half the amount normauy reqmreQ provltletl no changes nave been or will De matle in the original plans and speufira[ions and any suspension or abantlonment has not eaceetletl one (1) year. If changes are matle or if suspension or abantlonment exceeES one (1) year, full fees shall be paitl for a new permit. (a) No work of any manner shall be tlone that will change Ihe naNral fiow of water causing a tlramage problem. (5) Contractor shall notiry the BuilEmg Inspeclor Rvenry-four (24) hours in aEVance for all inspxmns and shall recerve wntten approval on inspection cartl before aroceeaiing wim successive phases of the job. (6) The issuance of a permit or Ihe approval of tlrawings antl specifcations shall not oe constmeo to be a permit for. nor an approval of. any violation of the provisions o( the bwlding cotles or any other orOmance, law. mle or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION Phone :V Z 2- 3 Z 3 Z Construction Value : 00 Permit Fee : Use Tax: Total : DEPARTMENT OF COMMUNITY DEVELOPMENT pERMIT NO.M93#18698 7500 2345 33SPOtBOX638E BCITY~IOF WHEAT RIDGE,ICOLIO.N VA~ID ONLY WNEN SiGNED BY THE CHIEF BUiLDING INSPECTOR /+ND RECEIPTED BEIOW. 7wls oFRM1T ~[fIIT WNER . ~....~L~T~J✓ JOB ADDRESS 1 , O ADDRESS CONTRACTOR ZIp CODE ADDRESS r PHONE CONTRACT PRICE $ CITY ~✓f iL ZIP CODE A,) ' ~,a`. - LICENSE N0. l (aG z .S DATE Y i PHONE ' ll❑ W Proietlinp❑ O1Mr S a D Foce o L TYPE Ground ❑ 7atal Squore Fpt 2. MATERIAL ❑ N0U TYPO 1' Elk}, permit No. SIGNS 3. ILLUMINATION E W Zoro__ Apprwed,ZOne InspOctor TY LINE N_- 5~ 4 SE7 BACK FROM PROPER ❑ ~ ❑ pisoODroved s ($petify whic~ i front) - lid~ Mora Thon BO% ODenCJ S Lost Thon 80% OWn o I. 7YPE Heipht FENCES ?,MATERIAL E N 5 E `M Zms_ ADDrwed,2ons InsDeetw BACK FROM PROPERTY LIN 3. SET ❑ ❑ ❑ ❑ Disa00roved (SPecify w~ie~ is iront) I. i. 1-i ~ rn ~ Z OTHER ~i, r -r' b. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIV116v DISTANCES FROM PROPERTV LINES. (SETBALNS OR PROJ"T°'•'c wri imFn) JOB r SHOWTANCENTOSPROPE TNY IINESBNOTDIMAXIMUMJOR OINIA ERAGEEDISTANCE S, AND PRO DIS APPLICATION FOR PLUMBING; ELECTRICAL; MI DATE: ~gLDG. PERMiTN I 6 qg THIS APPLICATIO PE IMIT WIOL^EXPIRE 80TDAYSEFROM nTHE DATE OF ISSl1ANCE IF WORK . PERMITB ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE LICENSE N0. c~ppp BSM I5T 2N[ BLDG. CONTR. T B CONTROLS TO OLD WORK )VER I HP WATER CIASET WASH BOWL BATH TUB SHOWER SINK GARBAGE DISP WATER HEATER AUTO. WASHER DISH WASHER FLpOR DRAIN URINAL SUBCONTRACTOR DATE INSP. TYPE OF Ih INSPECTIO' REMARKS W.R. FORM 6-19 ~ PERMIT FEE i tteroby atknowledQe thot this 0COIiC0 I JL"i 1i0n ii COrfEtf ond unde/stand ihat USE TAX tannot start this projett until thie oDCli' holl comDlY wifh I TOTAL FEE $ n CJ ' . ~ s cption is oDCra°ed. 1M lowa of the S~a1e o1 Colorado ond 10 P PR A ~/~709 W1~ the Zoninp ReQulations ond 8uildin0 ~ ~~~T ~ QR~p Code otthe City of WheoT Ridpe. AnY e CHIEF BUILDI WSPECTOR,Cityof eat Ridqe violation of tne obove terma win cous CALL234-5933 immediatQ revmooYion of tnis permii 24 HOURS IN AOVANCE FOR INSPECTIONS Date Issued ~oouw~u ~a a o,.