HomeMy WebLinkAbout3470 Nelson Streetaana4aS-_
,3,47U ✓ '�A'W �'� INSPECTION RECORD
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
Occupancy/Type
or
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
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnpr_tinn_Q
Rough Inspections
Date
Inspector
Initials
Comments
Wall 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
A i CITY OF WHEAT RIDGE
��Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: (1 7u ) ` ` 5 -
Ll
❑ No one available for inspection: Time / r A /PM
Re -Inspection required: Yes(
No��
When corrections have been made, calt1or re -inspection at 303-234-5933
Date: I Inspector:
DO NOT REMOVE THIS NOTICE
,* ► i � City of Wheat Ridge
.. Residential Roofing PERMIT - 201705425
PERMIT NO: 201705425 ISSUED: 08/03/2017
JOB ADDRESS: 3470 Nelson ST EXPIRES: 08/03/2018
JOB DESCRIPTION: Residential Re -roof to install GAF GRAND CANYON asphalt shingles with ROOF
DECKING 40 sq
REROOF, 40 SQ, 4/12 PITCH, GAF GRAND CANYON IN STONE WOOD
*** CONTACTS *** -
OWNER (803)239-8612 ANTON KAREN A
SUB (303)816-1888 Derek Lindsay 022377 Infinity Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 29,531.00
FEES
Total Valuation 0.00,
Use Tax 620.15 A I
Permit Fee 499.55 - ---�-
** TOTAL ** 1,119.70 -
*** 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 - 201705425
PERMIT NO: 201705425 ISSUED: 08/03/2017
JOB ADDRESS: 3470 Nelson ST EXPIRES: 08/03/2018
JOB DESCRIPTION: Residential Re -roof to install GAF GRAND CANYON asphalt shingles with ROOF
DECKING 40 sq
REROOF, 40 SQ, 4/12 PITCH, GAF GRAND CANYON IN STONE WOOD
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
ap�ermlt-Irthera
cable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
byelgal owner of the property and am authorized to obtain thisthittest that Iam le ally authorizedtoinclude alpermed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of aVVWE-R7-er 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off-cial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof 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 issu 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
applica eco e or anwy ordi or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz ;
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, July 26, 2017 7:37 AM
To: CommDev Permits
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
3470 NELSON ST.
DONALD & KAREN AN
803-239-8612
Property Owner Email KAANTON2001 @YAHOO.COM
Address
t`
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attach Copy of Contact Field not completed
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
INFINITY RESTORA
022377
3038161888
Contractor Email Address KELLY@INFINITYROOFER.COM
Retype Contractor Email KELLY@INFINITYROOFER.COM
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing GAF GRAND CANYON
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 40
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 40
(pitched + flat) of all
N
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
RE -ROOF, 40 SQ, 4/12 PITCH, GAF GRAND CANYON IN
STONE WOOD
29,531.00
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 KELLY CANNON
Email not displaying correctly? View it in your browser.
3
INFINITYRESTORA
vv)TION ------------ ----------
J 0 2690 W. Main ST Suite C Littleton, CO 80120 40-
0 Office (303) 816-1888 Fax (303) 816-1889 IEMMEIL
Contract For Repairs As Authorized By Insurance
Property Owner/Authorized
Property Address: :,7 City'. A) dt-X-1 S Zip:
Property Owner's TelephoneJumber. Mobile:
Approx Date of Loss: J.
*Fmail*:
Damages Result of Win and/or Hail or Other (specify if or er): . . ...... . ......... . ........ .
" 113Z
t6, icy 2--Clairn No:
Insurance Company:1_ No 'IV6*12-1
Agent's Name and Number: Adj Info: ,60J!N' A) JP_V16Jy--
I/We hereby retain Infinity Restoration, as our Roofing Contractor, for the purpose of documenting the damage to our property in the
capacity of Contractor and Not Adjuster, If our insurance company approves the claim and authorizes repairs then. I/Wc hereby assign to
Infinity Restoration, any and all proceeds of my/our insurance benefits to secure payment of its services provided under this contract and I
direct my insurance company to include Infinity Restoration on any and all drafts, checks, or other instruments issued in payment of my
,,,,iaim for the work they have performed. Furthermore, I/We authorize my insurance carrierladjuster to forward any estimates or scopes of
work directly to my contractor.
]/We authorize Infinity Restoration to proceed with all repairs .in accordance with all scopes and parameters authorized by the insurance
company, as per insurance adjustment, as soon as the insurance company approves the claim. I/We agree that Infinity Restoration complete
such repairs or use additional or better materials than authorized by our insurance company and we agree to pay this additional amount as
reflected in our written approval of upgrades to the material or labor, if any.
The cost of the repairs shall be equal to the amount of the replacement cost value authorized and paid by the insurance company, plus the
insurance deductible paid by the Homeowner directly to Infinitv, and increased or decreased by any Supplements authorized by the
insurance company and/or upgrades or downgrades authorized by the Homeowner (this includes all overhead and profit paid). First
payment is due upon delivery of materials and - DIUMencement of work.
I/We agree that any information that is received from the insurance company will be delivered immediately to Infinity Restoration and that
any payments received from the insurance company shall be endorsed and delivered to Infinity Restoration.
If this contract is cancelled more than three days from the date of this Agreement and a full roof replacement is secured and ready to roof,
then [/we agree to pay Infinity Restoration a contract cancellation and administrative fee amount equal to 15% of this contract.
Infinity Restoration and its Authorized Representatives are NOT Public Insurance Adjusters.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD
BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION.
THIS CONTRACT IS VOID IF THE INSURANCE COMPANY DENIES FULL ROOF COVERAGE
Print Name -T --Date: Print Name: Date:
Date:
Signature: Signature: /�7
— %.r .
-
Representative.
976-22 5 � ( ) -�� 3 - I ? ,
Phone: y -
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: M1 0
Job Address: 341"10�--
Permit Number: ? "r 7 C) T `f Z S—
❑ No one available for inspection: Time � ' : MAIPM
Re -Inspection required: Yes 'No)
When corrections have been made, call for re -inspection at 303-234-5933
/ %t
Date:/Z T//0—? Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD OeCUpBDGV,Tvpe
WANSPECTION 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.
1c) IID9
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB'
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
- Footings /Caissons
_
Stemwall I (CEG) Concrete
:Encased Ground
Reinforcing or Monolithic
Weatherproof I French Drain '
Sewer Service Lines
'Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD -
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
ROUGHS
Sheathing
Lath 1 Wall tie
Mid -Roof
Electrical Service
Rough Electric - -
Rough Plumbing:
Gas Piping
Rough .Mechanical.
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
,Building Final
Fire Department
R.O.W & Drainage '.
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD -
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking '$ Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY: NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT T" Rh,,FROM THE WEATHER
e ` e CITY OF WHEAT RIDGE
Building Inspection Division
J (303) 2345933 Inspection tine
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: (.94aF
Job Address:
Permit Number:
❑ No one available for inspection: Time AMfg)
Re- Inspection required: Yes M - O - )_
When corrections have been made, call for re- Inspection at 303- 234 -5933
Date: t5 //0 Inspector:
DO NOT REMOVE THIS NOTICE
i
oCOMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
(4,D,t BUILDING INSPECTION LINE - 303-234-5933 bate:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Property Owner: t`1-SOn1.t
Property Address: 3 41 Q (yam-cam. p~ Phone: Z
Contractor License No.: 07-.2+031
Company: %-)L, ndGRoo~itv~cpA1~1L3L~tS-NC Phone;3C73-4S4-379t~
OINNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
i hereby certify that the setback distances proposed by this permit application are Construction Va)UC:$ CajgBb
accurate, and do not violate applicable ordinances, rules or regulations of the City of Permit Fee:$
Wheat Ridge or covenants, easements or restrictions of record; that all measurements
shown, and allegaflons made are accurate; that I have read and agree to abide by all Plan Review Fee:$
conditions printed on this application and that I assume full responsibility for Use TaxA
compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable
Wheat Ridge Ordinances, for work under this permit. Total:$
(OWNER)(COM ACTORR):PMNTED~TM~~1♦~. ~l`y -T-1- DATE -pV-1V
Description: l,o 3L ~1 CAtt~Q ~1t-~L-"er- -r0 bet/k 1,/2 'f5k C uu~~j
p t-eb~ de.wt,71Y•d 17L, Li Fe 7`w~e Sh ~ ►.151.~ .f~.wl.s7~-l ( .1..~-e.~i c.~Rp~, -
Sq. Ft. added
BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
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:
Approvah
(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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 120 days.
(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.
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, rote or regulation.
Chief Building Official
CITY OF WHEAT RIDGE
Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Ollice ' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type; X)29r
Job Address/Permit Number:
❑ No one available for inspection: Time
AM/PM
Re-Inspection required: Yes No ~
`When corrections have been made, caq for re-inspection at 303-234-5933 ~
Date:
Inspector: {
DO NOT RE OVE TH/S NOTICE '
i
4' CITY OF WHEAT RIDGE
~r Building Inspection Division
~ (303) 234-5933 Inspection line
j (303) 235-2855 Office '(303) 235-2857 Fax
! INSPECTION NOTICE
Inspection Type:
' Job Address/Permit Number: 3Y~G
.L~~C ~9i . , i..fCDC /JFC~Hi~S/!G~✓ ~'77
r~ifi /~r,c%i ~ /~f'e'~ol~irJ ~!✓'r~ ~c' /'i:;<r~
❑ No one available for inspection: Time f,'le2 AM/PM
' Re-Inspection required: es No
`When corrections have 6een made, call for re-inspection at 303-234-5933 { ..I' '
Date: -5-MAoS Inspector:
~
; DO NOT REMOVE TH/S NOTICE
41 City of Wheat Ridge
.
~ Res. Miscellaneous PERMIT - 080411
ERMIT NO: 080411
ISSUED:
04/29/2008
OB ADDRESS: 3470 NELSON ST
EXPIRES:
10/26/2008
ESCRIPTION: Rmve exist. shake roof
-rplce with
Certainteed Pres.TL
CONTACTS
, wner 720/212-8136 Don & Karen
Anton
''.Rtc 303/761-6400 J. Bretz
01-8118
Excel Roofing, Inc.
* PARCEL INFO
ONE CODE: UA
USE:
UA
UBDIVISION: 0647
BLOCK/LOT#:
0/
FEE SUMMARY
ESTIMATED
PROJECT VALUATION: 18,000.00
~
FEES
Permit Fee
381.30
Total Valuation
.00
Use Tax
324.00
TOTAL
~
705.30
I hereby certiEy that the setback ddstances proposed by [his permiC applicatior: are accura[e, and do vot violate applicable
ocdinaoees, ruies or regulationa of the City of Wheat Ridge or wvenante, eaaementa or restrictiona of recorrl; thatl all
nieasuremen[s shown, and 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.H.C) and all oCher
3pplicable wheat Ridge Ordinances, for work ander this peimit. Plans sub]ect to f3e1d inspec[ioo.
ignature of contrac[or/owner date
This permit was issued in accordsmce with Lhe provisions set forth in your application and is subjecC to Che '_aws of [he
State of Colorado and to the Zoni.ng Regulations and Building Codes of Whea[ Ridge, Colorado or any other appiicable
ordinances of the City
-
Thie permit ehail expire 180 days from the iaeue date. Requeete for an exteneion must be receiverl prior to expiration
date. An extension may be granted at the discretion of the Building Official-
If this permit expires, a new pex'mit may be acquired for a fee of one-half the amoimt normally reaui.red, provided no
changes have beea or will be made in the ori9inal plans and specifications and any suspension or abandonmenc has not
exceeded one (1; year. If chan9es have been or if suspension or abanclonmenc exceeds one (li year, full fees shall
be paid Eor a n..w permiC.
No work of anv manner sha11 be done that will change [he natural flow of water causing a drair.age problem.
Contractor s'na11 notify the Builcling inspector twenty-four (24) hours in advance for all inspecGions and sha11 receive
written apgroval on inapection cazd before proceeding with eucceeeive phaaes of the job.
The issu:nce of a permit or the npproval 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 ordinan<e, law, zule or regulaticn.
All plan review is subj~ic[ to field inspections.
daCe
UEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
b3H1V3M 3Hl W02lJ (IbtlD SIHl 13310ad
nanGSi si A)Nddn~')n .10 31dO1A112137 IIlNf1 a3111W213d lON JlONbdflooQ
-'AONb'dnoo0 210~f NOISSIW213d a0N AONHdnOoQ =t0 31VoId11213o H d0 -
NOIlVZI210H1(7H31l7111SN0O lON S30Q NOISIAI(I `JNI071(78 3Hl AB N01133dSNJ 7b'Nlj '43/1SS1 SI ADNVdl1000 JO 31V0I=fili13J
V 3210zi38 S)12I0/N D178lId ONV `JN107!!18 `E)NINOZ ONI! `JNINNb'7d AB O3A021ddV QNV 03131dW0o381SI1W SW31177t1 :310Nyt
6uide3spuej g 6uPPed
'SNOI103dSNl lF/NI-AOl NOlild N33M 3N0 DNIl(102f lltl 121V1S
96euieJp +g M'O'LI
juawyedad aiij
leui=1 6uippg
Jooa
leoiueyoayg
6uiqwnld
Louaoal3
SltlNl j
rnaWS IIe~O
uoi;e~nsu1
'JNI033008d Ol ilOITJd (33N'JIS 39 015N01103dSNl 3
AO8y
6uiwei~
~
leaiueyoayN y6nob
6uidid seE)
-
6uiqwnld y6noa
oijlo913 46noa
aoinrag leoulae13
_
Joo2i-P!W
-
a!7 IIeM / 4le1
6ui43e84S
SwfIOa
43N•JIS N338 SWH 3AOHy lI1Nn i1001 j NflOd lO
N OQ
(punoi6iapun) 6upeaH
(puna6japun) 6uiqwnld
- -
(puna6laPuf1) 1eou10913
8001j 8Vl$ 3132JDN0'J
03WJIS N338 StlH 3A09y lI1Nn 313NJN0D ON MIIOd
-
S2U1l BOINB$ JBjBAA
-
50U1l 201NB,~ J8M8$
-
weja youajA / }oadiayjeaM
'
oiyjpouoyj i0 6uiao;uiaa
-
punaE:) paseoua
alaJouoO (030) / IlennwalS
-
suossieC)/s6ui;oo=j
:sirv3wwo~
si°itiNl
if01~3dSNJ
atvp
SNOLLD3dSNj NOI1VONflOj
80(` SIH,L Ol JNINItfl2i3d S3OVd$ I'1`y NJI$1SflW 2101O3dSNI
~ •Aep ssauisnq 6uinnolio; ay; uoi;oadsui aniaaaa o; Wd OO:E A4 IIco
a;p Buippq ay; uo pa;sod si paeo siy; ssalun apew aq;ou llinn suoi;oadsul
££65"~£Z (£0£) :3N1~ N01133dSNJ~
=-ow ~ IJL03dgNl,
~
: City of Wheat Ridge
-~r
% Res. Miscellaneous PERMIT - 080411
PERMIT 1V0: 080411 ISSUED: 04/29/2008
JOB ADDRESS: 3470 NELSON ST EXPIRES: 10/26/2008
DESCRIPTION: Rmve exist. shake roof-rplce with Certainteed Pres.TL
CONTACTS
owner 720/212-8136 Don & Karen Anton
gc 303/761-6400 J. Bretz 01-8118 Excel Roofing, Inc.
PARCEL INFO
ZONE COL7E: UA USE: UA
SUBDIVZSION: 0647 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROSECT VALUATION: 18,000.00
FEES
Permit Fee 381.30
Total Valuation .00 I
Use Tax 324.00
TOTAL 705.30
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
appliwtinn and that I assume Eull responsibility for compliance with the Wheat Ridge ➢uilding Code (I.H.C) and all oCher
applic PJe. wheat Ridge Ordinances, for work under this pe mit. P1 ns subject to field inspec[ion.
~L7/ C~'" ~/2`3 t"'
Sigr.ati e of contractcr/owner dat
1. This pe.rmit was issued in accordance with the provisions set forth in your application and is subject to the laws of [he
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ort3irmrLcee of the City.
2. This pe~rnit shall expire 180 days Erom the issue date. Requests Eor an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Huilding Official.
3. If this permit expires, a new permi*_ may be acquired for a fee of one-half tne amount normally required, provided no
changes have been or will be made in [he original plans and speciEications and any suspension or abandonment has not
exceeded one (1) year. If changes have been oi iE auspension or abandonment exeeerla one (1) year, full fees shall
be paid for anew permit.
4. No worH: of any manner shall be done that will change the natural flow of wa[er causing a drainage problem.
5. Contraccor shall notify the Building Inspector twenty-four 1.:24) hours in advance for all inspecCions and shall receive
wricten approval on inspection card before proceeding wich successive phases oE the job.
6. The issuance of a pecmit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an appzoval of, any viol tion of the provisions of the building codes or any other ordinance, law, rule or regu!ation.
P.11 plnn review s b' LO Eield inspections.
Signature of Chief uiliwng Official date
INSPECTION 1ZtQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSZNESS DAY.
4b21e
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
~ NT Inspection Line: 303-234-5933
c Rno
Building Permit Application
Property Address: ,j+~Q OC,1-5o(V ST
Property Owner (please print):
Contractor:
Contrector License (f) I ~
Sub Contractors:
Electrical City License
Company:
Phone:
Plumbing City License
Company
Date:
Plan
Permit
Phone: 7 I212^213(O
Mechanical Ciry License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
~
Use of space (description): we P~f4l ConstructionValue: E / Y~l700'O°
n
DesCl'Iption of WOrk: (as calculated per the Bulldinp Valuatlon Data sheeU
I Plan Revlew (due at time olsubmittal): $
v¢-"C~a,..ttoK Tl.
Sq. Fl./L.FI 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 accurete, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or wvenants, easements or restrictions of record; lhat all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on ihis application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridqe 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:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer:
FIRE DEPARTMENT:: 0 appfoVed w/ CAmments ❑ disappfoVed ❑ no feview feqUifed Bldg Valuation: $
1
Mailing Address: (if different than property address)