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HomeMy WebLinkAbout4040 Otis StreetPERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Plumbing PERMIT - 202101150 202101150 4040 Otis Repair 10' St ISSUED: 06/01/2021 EXPIRES: 06/01/2022 of sewer line interior under slab and install clean -outs. *** CONTACTS *** OWNER (310)748-3351 WALLACE MCHENRY I I I SUB (303)994-8650 KENNETH REEF 210 019 ROTO -ROOTER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61500.00 FEES Total Valuation 0.00 Use Tax 136.50 Permit Fee 156.75 ** TOTAL ** 293.25 *** 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. 06/01/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From To: CommDev Permits Subject: Permit # 2021011504040 Ocs St Date: Tu day, June 1, 20211'.0527 PM Attachments: i oeae002.cut 2021011504040 Cds St Permitodf 20210 1150 4040 Cds St Job Card.odf Can this permit be amended? The work we are proposing to do In not In the yard but rather Interior under slab. Same footage approx. 10 lineal feet of building sewer. If it cannot be amended please cancel this permit and I will re -apply for the proper Interior permit. Please let me know. R07D- RQ0jl VX%A MIRIAN E Kenneth W. Reef Roto -Rooter Services Company Colorado Market Production Manager 303-9948650 (cell) 12601 E. 38h Ave Deriver, CO 80239 W e Handle W ater Mischief Plumbing, Drains, and Water Clean-up NOTICE. This e-mail message, together with any attachments, contains informars n of Chemed Corporation and its subsidiaries that maybe confldenAai, propneacy, copyrighted and/or legally privileged,, and is intended solelyror the use of the individual or entity named on this messageIf you are not the intended recipient, and have received this message in error, please immediately return this bye -mail and then delete it From: no-reolv(alci.wheatridae.m. us To: CommDev Pets Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Date: Tuesday, June 1, 20217:59:25 AM Sewer or Water Line Repair Permit Application This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Right of Way permits must be applied for with the Public Works Department. Is this application for Yes sewer line or water line repair - in yard only? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 4040 Otis St Corrie Wallace 310-748-3351 none CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or Roto -Rooter Services Company PAtell] 01 6 digit number for the City of Wheat Ridge) Contractor Phone 303-994-8650 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email ken.reef@rrsc.com Address Retype Contractor ken.reef@rrsc.com Email Address DESCRIPTION OF WORK Is this a sewer line or sewer Line water line repair? Length of repair 10 feet Location of repair front yard (backyard, frontyard, etc) Provide additional installing Clean-outs details including installation of clean- o uts. Project Value (contract 6500.00 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 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 Ken Reef Permit Email not displaying correctly? View it in your browser. 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: zV 3 FE )wo 1 111(, Job Address: YOZ/0 0f1-5 5 r Permit Number: 0'0/00? -153 ❑ No one available for inspection"Dime AM/PM Re -Inspection required: Yes No ''Whencorrect"ons ave been made, c for re -inspection at 303-234-5933 Date: % Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE 1Building Inspection Division (303) 234-5933 Inspection line �(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 2411\61P E r'j Prl Job Address: L17q n r):i) S �s!,r'' Permit Number: I'a 15ct� � .:3 !� ,, ❑ No one available for inspection: Time '� AM/ Re -Inspection required: Yes Ko ) When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector:/v+!� 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: 3628 A E Job Address: '!O 110 C f S t' PermitNumber: ❑ No one available for inspection: Time 7 3 0 AM/PM Re -Inspection required: Yes No When corrections have been made, call forre-inspectionat 303-234-5933 Date: �i � j��` Inspector: )P—T11 DO NOT REMOVE THIS NOTICE /C A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-285 O fice • (303 7-8� 9 Fax Ana ©ti! INSPECT O N6Ti6 11)Q- a ild,n7 V i nct l Inspection Type: 3 2 / - D L:gg X rj:::7r_a 1n I "t Job Address: q o` p 0 S S 7- Permit Number: -00/s a 3 9 U No one available for inspection: Time ©= ®g A PM Re -Inspection required: YesNo When corrections have been made, call for re -inspection at 303-234-5933 Date: -'3//13 Inspector: _T_1� DO NOT REMOVE THIS NOTICE `7 i CITY OF WHEAT RIDGE i�97Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0 G - ) d Job Address: No Ll0 0 - -;S, S Permit Number: 0) g 0 2 3 MIN ❑ No one available for inspection: Time q= S-1_ AIWMM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date:/004,9 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: 9vl Un L -/,G lwo Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes ; No ' When corre tions have been made, call for re -inspection at 303-2345933 Date: � � /U Inspector: M7# DO NOT REMOVE THIS NOTICE City of Wheat Ridge �J Residential Electric PERMIT - 201802534 PERMIT NO: 201802534 ISSUED: 09/17/2018 JOB ADDRESS: 4040 Otis St EXPIRES: 09/17/2019 JOB DESCRIPTION: New electrical service 200 amp with underground to house. Separate permit from New Garage permit. *** CONTACTS *** OWNER (310)748-3351 WALLACE CORINA M SUB (720)327-7301 Joe Katalinich 110034 Ace Electric Corp. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,000.00 FEES Total Valuation 0.00 Use Tax 105.00 Permit Fee 125.05 ** TOTAL ** 230.05 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2017 NEC. Subject to field inspection. I byy myyk%nature,do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, pliabuildi codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the le,l own of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I furt r attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and tha 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 I, This permit was issued based on the information provided in the permit application and accompanying )Tans 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 ermit 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 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 ='anting a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applany Hance 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. I { r City of Wheatpde COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(d)ci.wheatridge.co.us FOR OFFICE USE ONLY I Date: 111-7H Plan/Permit # 10 `2 Plan Review Fee: D) l ' Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: .", OT Provertv Owner (please print): Q... C Phone: Property Owner Email: ct) i' 2 �1 �L'r fl Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: `4V -% 6.. City, State, Zip: Architect/Engineer E-mail: Contractor Name: A City of Wheat Ridge License #: Contractor E-mail Address: I t= C 11 005q Phone: f—, Phone: -% Z-0 _ T 2 7- -7 3 d) e4 r i C `fin w -e- r- Com 33 'l For Plan Review Questions & Comments (please print �� CONTACT NAME (please print): � rS✓ I.� � Phone: ? eel - CONTACT EMAIL(please print): Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL [RESIDENTIAL Description of work: For ALL projects, 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. Sq. FULF �J 'G+vS-e �- BTUs Amps p20lff � Squares Gallons Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Project Value: (Contract value or the cost of all materials and labor included in the entire project) E r- I/xSD 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) (CONT TO or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and lat name): A DATE: l,i 7- c� r Printed Name: Af IL ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: A i CITY OF WHEAT RIDGE Building Pnspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: AooF- JkoccA ; r4 6 Job Address: ioLlo 2)r , 5ir Permit Number: , e 0 Vi OZ 5q (c r ' 1 ❑ No one available for inspection: Time AM/PNI, Re -Inspection required: Yes``_No, When corrections have been made, call for re -inspection at 303-234-5933 I 3 Date: jnspector: (!-, 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: Job Address: Is e -- Permit Number:(� f`�-';7 z9(0 ❑ No one available for inspection: Time r AM/PM Re -Inspection required: Yes/ No When corrections have been made, call for re -inspection at 303-234-5933 Date: 04.7'1Inspector: DO NOT REMOVE THIS NOTICE V) �c ��o J C O w Cr. W W!- � Cr a� 0 Co a O � w �-- a U a L Q Z WZZ WCr CD f`TVS E o i (1) � ow U � L O n U LL c W z0 o 1.1.. J CCC) 4-J - L.L CSU Wi :0N -� � c1 0 W > CCoo • fA Q MOM W C U) T G U cCz > Lu PI - P C6 U) O � F— i\ Lo W �c J C O w Cr. W W!- � Cr O� o' W a !- � w �-- LL 0 0 O a Q Z WZZ WCr to o° ani W _ ow O u' O W � L O n U LL Mui z U' W z0 0U 1.1.. J - CL2mwz CSU Wi �b -� � c1 0 W � ~a-U U fi�-2 O 13 "l U > U r A-� � U kly\ � vcj jj c 110 170 City of r/,7r W heat Y (,AMMUNITY DtVi.tOPN The naoonce of a perm,( —pp -1.1 of plans sprrip[onons I dcawWutar- fall nw De o permit Joe• w on opprowl ol, any Vwbnon to wry of the pro s of the bu"NV code w pl any Gry ordiwnces. PC—M preset—W to rw aMwri y to v olere w cwwe rhe prowions W rhe edrd�v cp . w other efdlwonces W Me Cory ~ not he wid 9nK (� pJ ---7-pAd 7w O E G3n13C,e ar Y c >, o W � T C L c a m op a 16� w � L o (� E i m LO U Q) � lop -2 Lsi o N ` a-• > CM 4-Jv - o M 0 (� C N v Z La N Q 00 CL ) _a U <Coo O Q) W � T C L a 16� w � L o (� E i m LO U Q) � lop o o CM 4-Jv - N LL (� C N N Q 00 C ) T o U C ; m N� to N_-0 cz 0 cc 0 aU L o E o i > (LO r 7-1 U V Q j Q o o co {",11 N N �j ^^0 v O N N Q W C � T O U C ; N� _ 0_s as 0)p T L ,v IJ^ a U O 1 �V o � > � LO / ^ U C s - - U (1) co v c o CO 4 .. (1)C\' LL 0a) v D N C: O > co O O N Q 00 C T T U > r - w r- 0 30 U) (ZcY) cyi O w FL l a LO T _ IJ^ 1 �V s - - v � C T � � V) 0 30 1 l a CDcw U rr N CD T N` ba N"".r t1, V N A r� V cry �✓ N U r? ` F.,�., ` u+ Q UCL U ++ rL cu o O v 7r 45 i ..r•... � C i al m N H Nz C 5 7 U 7 d ccr r+ E -o O 7'00 N 0)m Qm ro-�§ m E 3 cis C'' dd t m p ani n N�3 Op W OC a Uo y mD .� O cmc O Cr � y co al w o N r • h O1 0 O7n{ � i _ �•: i+ G 6 d T C G% m .fix— a3 fA C t V W iV a) Gtt a vU L CQ �a y U•O O N '00 O y d o a 7 mv 3 •- Y '� a` _ m CL n v C) o O Na . y o j -0 cis So 2 Or C Ste' ..•.•• IK v .O co O V ct j 4 m c z �i •y.• �• • o) .� 0 C E TO m '13 cY m ois E o �m 3U p Oa vas ooc'vU) o_ `O h� O pi ;� :• NiVN n7 V- L O- U) i c � t v ins City of Wheat Ridge City of Wheat Ridge Residential Detached Garage PERMIT -201802396 PERMIT NO: 201802396 ISSUED: 08/30/2018 JOB ADDRESS: 4040 Otis St EXPIRES: 08/30/2019 JOB DESCRIPTION: Residential detached garage -square footage is 576. No electric, plumbing and mechanical. *** CONTACTS *** OWNER WALLACE, CORIE TREY SUB (303)757-1800 Marnette Ritter 017729 Budget Garages & Construction, *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** Total Valuation Plan Review Fee Use Tax Permit Fee Engin. Review Fee ** TOTAL ** *** COMMENTS *** ESTIMATED PROJECT VALUATION: FEES 0.00 184.31 453.60 394.50 150.00 1,182.41 21,600.00 *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. For one- or two-family dwellings, the first twenty-five feet (25&#39;) of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit may be required; contact Public Works Department at 303-235-2861. NOT APPROVED AS AN INDEPENDENT DWELLING UNIT. Landscaping removed or damaged during construction must be replaced prior to final inspection. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Detached Garage PERMIT - 201802396 201802396 4040 Otis St ISSUED: 08/30/2018 EXPIRES: 08/30/2019 Residential detached garage -square footage is 576. No electric, plumbing and mechanical. 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. l further att at I a�Ie all authorized to include all entities named within this document as parties to the work to be performed and t r be d is dis ed in this document and/or its' accompanying approved plans and specifications. Signatur f OWNER or CONTRACTOR (Circle one) Date 1, T ' permit was issued based on the information provided in the permit application and accompanying pplans and specifications and is S ject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. is 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 Divi 6. Th ss nc or gran of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ap le de or a dinance 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. City of _ 'wheat �ge Building $ Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 P_ ��-- Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsaci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # c�'o/POA3� 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: `1 LL! l 2 O r 1 S Property Owner (please print): Cb , e j ►Z H til/ An ACc Phone: Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zi Arch itect/Engineer: Architect/Engineer E-mail: Contractor: r� v d g PT Phone: City of Wheat Ridge License #: Q1_):Z 1 { Phon Contractor E-mail Address: 9 U e s C7 h E + For Plan Review Questions & Comments (please print): J CONTACT NAME (please print): _'\/-)V\ , i � ct ►rn, G k Phone: - O 3 %e 9" �/88Z CONTACT EMAIL(please print): ifZ1;iJE2rV# b c, e f � e -V 0 Lks f . Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # COMMERCIAL Fc RESIDENTIAL Description of work: For ALL projects, 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. 2`� 76- iv c IcC O f /'PA ICS,", w Commercial Projects Only: Occupancy Type Sq. FULF ? C71 .S� BTUs Amps Squares Construction Type: Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) l5,"'fo OWNEPICONTRACTOR 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) (CONTRAC -16R or,U HORI tD REPRESENTATIVE) of (OWNER) (CONTRACTOR) v Signature (first and lastii� / DATE: I Printed Name: DEPARTMENT USE ONLY t j ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: V tr ! ReviewerI CONSTRUCTION TYPE: V . �(/t !TI`S �-'I ' )"" 3�.SV CO5�?� sly BUILDING ]DEPAIkITIMENT COM' NTS: Reviewer: PUBLIC WORKS COMMENTS: ✓�+/Er✓L/z/�T�/mss��pD.�t A5 Reviewer: M\ /M 7 V/5P�-7— / Building V aluation:po;*A20��, City of Wheat Ridgc BI_iC WORKS City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 PUBLIC WORDS DEVELOPMENT REVIEW FEES .R� 1 ✓ Location of Construction: 4,o4o CM ST Purpose of Construction: A!E k4V 12E7'dr�1�� ��1� r= Single Family _� Commercial Multi -Family Development Review Processing Fee: ................................................ $100.00 (Required of all projects for document processing) Single Family Residence/Duplex Review Fee: ..................................... $50.00 Commercial//Multi-Family Review Fees: m Review of existing or minimal technical documents: ........................ $200.00 6 Initial review' of technical civil engineering documents (Fee includes reviews of the 1" and 2nd submittals) :.......................... $600.00 • Traffic Impact Study Review Fee: (Fee includes reviews of the I' and 2nd submittals): .......................... $500.00 ® Trip Generation Study Review Fee: ...................... ........................... $200.00 O & M Manual Review & SMA Recording Fee ................................ $100.00 Vii✓ i i I �✓ ' Each Application will be reviewed by staff once and returned for changes. If after review of the second submittal changes have not been made to the civil documents or the Traffic Study as requested by staff, further reviews of the Application will be subject to the following Resubmittal Fees: ® Resubmittal Fees: 3rd submittal (% initial review fee): .................................................... $300.00 $ 4'h submittal (full initial review fee) :................................................. $600.00 $ All subsequent submittals: ................................................................ . $600.00 $ (Full initial review fee) TOTAL REVIEW FEES (due at time of Building Permit issuance): PLEASE NOTE THAT IN ADDITION TO THE ABOVE FEES, THERE WILL BE ADDITIONAL LICENSING AND PERMITTING FEES REQUIRED FOR CONSTRUCTION OF IMPROVEMENTS WITHIN PUBLIC RIGHT-OF-WAY. Rev 12/12 City of SINGLE F4MILY/DUPLEX of R]099 BUILDING PERMIT APPLIC PUBLIC WORKS TICINREVIEW Date:. -5O A 20/� Location: 4040 OTi-,: 3 ST ATTENTION: BUILDING DIVISION I have reviewed the submitted application documents to construct a QA5_ /� !�AA246e located at the above referenced address. Please note the comments checked below. 1. __L/_ Drainage: a. Drainage Letter & Plan required: Yes No b. Site drainage/grading plan have been reviewed and are: SOK NOT referto 2. __�/ Public Improvements required & to be completed with project: stipulations. a. street paving/patching: Yes NoCompleted b. curb & gutter: Yes No Completed c. d. sidewalk: Yes Other (specify): Yes ,� No No Completed Completed For items not constructed, the amount of funds taken in lieu of construction: 3. _v� Does all existing roadway/alley R.O.W. meet the standards of the City: -Z Yes If not, what is required? If R.O.W. is required, has the deed been received: Yes ____ No (see Note below) NOTE: All deeds must be reviewed and approved prior to issuance of the Certificate of Occupancy. 4. APPROVED: The Public Works Department has reviewed the submitted material and hereby approves this Permit Application, subject to the stated requirements and/or attached stipulations. � L� —�fa At 2D/8 Signaturepj_.-O.Date 5. NOT APPROVED: The Public Works Department has reviewed the submitted material and does not / approve this Permit Application for the stated reason(s): Signature David F. Brossman, P.L.S. Date 6. _/ Stipulations: j9241AJ L�21ALAI!!E�e6 heVS I I i - _S♦ ♦ &• . .♦_. 7. VA A Drainage Certification Letter accompanied by As -Built plans from the Engineer -of -Record shall be required prior to the issuance of the Certificate of Occupancy. S. V NOTE: ANY DAMAGE TO EXISTING PUBLIC IMPROVEMENTS ASA RESULT OF PROJECT CONSTRUCTION SHALL BE REPAIRED PER ROW CONSTRUCTION PERMIT PRIOR TO THE ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. Rev 06/2013 City oi' W heat Rdge- PUBLIC WORKS City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2861 F: 303.235.2857 NOTIFICATION FOR PUBLIC IMPROVEMENTS RESTORATION Dear Contractor: In conjunction with the approval of the building permit application for the above referenced address, this letter is to inform you that all existing public improvements located along the frontage of said address shall be restored, (if damaged from related construction) to an acceptable condition, as determined by City of Wheat Ridge Public Works Department, and prior to the issuance of a Certificate of Occupancy. Prior to any construction commencing, the City's representative will conduct an onsite inspection to determine the existing condition(s) of the public improvements at this address. If you have any questions, please contact me at 303.235.2864. Sincerely, David F. Brossman, P.L.S. Development Review Engineer CC: File .1� - J ww w. c i. w h e a tri d g e. co. u s Rev 2/08 Rev. 09/2017 RESIDENTIAL Building Permit — Plan Review Worksheet Address: q6 L� 0 0 ., Lot Size: (L Property in the flood plain? Zoning: kL' sq. ft. Lot Width: ft. If yes, notify PW Floodplain Administrator and add surveying condition FLD Subdivision: Any conflict? (Y/N) Related Cases: Type of project (applicable survey conditions in parenthesis): CO:At permit, we need: Survey at foundation: Survey prior to Accessory ISP, ILC or site plan none if in floodplain (FLD) ❑ Addition ILC and site plan if w/in 2' of setback or in floodplain (FND) if in floodplain (FLD) ❑ New ILC and site plan yes (FND) if Win 2' of setback (NRS) — if in floodplain (FLD) Maximum Lot Coverage: p % 1 QTD sq. ft. Existing Improvements (footprints): Proposed Improvements (footprints): House:sq. ft.j��" House/addition: sq. ft. Shed: sq. ft. Shed: sq. ft Detached garage: sq ft. Detached Garage: (�� sq. ft. Other: sq. ft. Other: sq. ft. Total Existingsq. ft Lot Coverage % Proposed+Existing ZSR sq. ft Lot Coverage 7 % Required Setbacks: FR ---G S -5 S R i Provided Setbacks: FR ZJ S S_ R For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition FND. Maximum Height: ft. Maximum Size: CCU sq. ft. Proposed Height: ft. Proposed Size: <-7 (,7 sq. ft. Does the bulk plane apply? (Y/N) If yes, does it meet on all sides (Y/N): FR S S R (See 26-642 and 26-120.C.1 — applies to all single-family structures (new, addition, accessory) in R -1C and R-3) Parkland Conditions Does the permit result in a new dwelling unit (new structure or conversion from non -res use)? If yes, have parkland dedication fees already been paid (eg with a previous land use approval)? If fees are owed, add condition PFEE, notify owner, notify building division, enter fee amount in ADG. Rev. 09/2017 Streetscape Conditions Does the permit result in any of the following conditions? ❑ Construction of new roads ❑ Platting of new lots ❑ New development ❑ Additions that increase gross floor area (not just the footprint) by 60% or more (proposed floor area — existing floor area ) / existing floor area = % increase If any box above is checked... For SF/DUPLEX—Is there existing ❑ Curb ❑ Gutter L15 -ft+ sidewalk adjacent to the property? If curb, gutter or sidewalk is missing, streetscape construction or fees -in -lieu will be required. MULTIFAMILY—Does the frontage meet current city standards? If not, streetscape construction or fees -in -lieu will be required. Fees -in -lieu of dedication or construction are due at the time the permit is issued. Access Conditions (apply to all new driveways, garages, additions, or new homes/units) ❑ For one and two-family dwellings, the first 25' of driveway area from the existing edge of pavement into the site shall be surfaced with concrete, asphalt, brick pavers or similar materials. ❑ For all uses other than one and two family dwellings, no vehicle entrances or exits may be closer than 25' to any property line, except when used as joint access for two or more lots. ❑ In residential zone districts, curb cuts shall be at least 10 feet and not more than 24 feet in width. ❑ One and two-family dwellings may have horseshoe driveways, provided that the street accesses are at least 30 feet apart, measured from the interior edges. ❑ For all uses, one access point per property is permitted. Landscaping Conditions (apply to additions and new dwelling units) ❑ For one -and two-family dwellings, one tree for every 70 feet of street frontage is required. Frontage of lot - width of driveway / 70 = (round up for required trees) Street trees required: Street trees provided: ❑ 100% of the front yard and 25% of the entire lot must be landscaped prior to issuance of C.O. ❑ In the event that landscaping cannot be installed due to inclement weather prior to the issuance of a C.O., an escrow agreement with financial guarantees may be allowed to ensure future installation. 125% of the cost of the proposed improvements will be required with the agreement. These funds will be reimbursed back to the property owner or contractor once the improvements are in place. Dwelling Unit ❑ Not approved as an independent dwelling unit. City of Wheat Ridge �t Residential Roofing PERMIT - 201708592 PERMIT NO: 201708592 ISSUED: 10/25/2017 JOB ADDRESS: 4040 Otis ST EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 26 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)885-4538 MARY JANE JOHNSON TRUST SUB (303)840-9239 Adam Gondek 018174 Adam's Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,682.00 FEES Total Valuation 0.00 Use Tax 140.32 Permit Fee 156.75 ** TOTAL ** 297.07 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report. AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City nf_ WVIerl' Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or 1RC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheat'rling 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- shir;d 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 ventiia,_ior. is required to comply with applicable codes and/or manufacturer installation instructions,. whichever is more stringent. In order to pass a final inspection of elastomer.ic or si:ri'.<�r type roof coverings, a letter of inspection and approval from the manufacturer tec;h:ura: representative stating that "the application of the roof at (project address) has beer, applied in accordance with the installation instruction for (roof material brand namei roof covering" is required to be on site at the time of final inspection. I* City of Wheat Ridge Residential Roofing PERMIT - 201708592 PERMIT NO: 201708592 ISSUED: 10/25/2017 JOB ADDRESS: 4040 Otis ST EXPIRES: 10/25/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 26 sq Pitch = 4 12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompany in<= approved plans and specifications. applicable building codes, and all applicable municipal codes, policies and procedures, and that l are 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 ermit. I further attest that I am leg�ally authorized to inctude all entities named within this document as parties to the x+ork to he performed and that all work�be perto ed is disclosed in this document and/or its' accompanying approved plans and specifications. "G Ca t t Signature of OWNER or NACTOR (Circle one)—_ Date 1. This permit was issued based 0,TRe-in€ormation pravid-ed 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 writin., 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 shal I be subject to the standard requirements, fees andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of 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 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 permjtshall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinancefor 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. Dane Lovett Zol 70 - 1(2 From: no-reply@ci.wheatri dge.co.us� Sent: Tuesday, October 24, 2017 4:08 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application r�J Follow Up Flag: Follow up Flag Status: Completed 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 4040 Otis St Property Owner Name Trust of Mary Jane Johnson, Gary Ptter Trustee Property Owner Phone 303-885-4538 Number (enter WITH dashes, eg 303-123-4567) 25 t 7 707 Property Owner Email jmorse.adamsroofing@gmail.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed 4040 Otis Scope.pdf Contract CONTRACTOR INFORMATION Contractor Business Adams Roofing Name Contractor's License 018174 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-907-6003 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 46374Sunset View Way (Primary address of your business) Contractor Email Address jmorse.adamsroofing@gmail.com Retype Contractor Email jmorse.adamsroofing@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of 26 the entire scope of work: Project Value (contract 6.500 value or cost of ALL .� materials and labor) f Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 26 both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 20 part of the PITCHED roof? Describe the roofing OC Duration Brown Wood materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional House detail here on the description of work. (Is this for a house or garage? Etc) 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 27 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. Name of Applicant Joe Morse Email not displaying correctly? View it in your browser. 28 46374 Sunset View Way Parker, CO 80138 ARAKS 1100171116. 6LC (303) 840-9239 COMMercial & Residential Fax (303) 840-4295 DATE: INSURANCE SCOPE AGREEMENT WS Crgreerrtent u subject to insurance company approval QST D r Ar4)211 Homeow arks) ereaner iimotw o3 '1he bJyer represPn, rr,e property(s al Ihr+jr3r%!95) cr n©rw.rla'4o as (herearer k-K)w as he p+operty-) Street ` City V $tote —_ _Zp code 3 3 3 8 1!/r.t-rri-'c„ � ee 30 3 Sa 7 -d &L Hornei'h�nc Cea pho-,e 'hbrk Pune All INSURANCE INFORMATION: cornparty: Data: � 16, pd yr t. clam �. Agent:-- Phona: �por Scope or work ,s as outlined by horneownef's insunartce odjustment summary (hereafter knew ars "the work') - Adam 's Roefing,LLC (hereoiie( knowas'the contractor") Mtf perform the work as checkedt�eiow_ Doting ❑ Siding ❑ Gutters ❑ Windows D Painting :1 Other Terms and Conditions: 7. This agrec�mml a0sm not ob igpte the Buyer of the contToov vrieg payr-wants for repots anular repiacement has been approved by hom"vr mi s muronce comparry and occWed by Adam's Roofing. by Signing tt)is agreemen- the homeowner aunmr¢es Acbm's Roofing to jour �e an agreeable reptocEw-ent vaUe'cr d0rnCQes as specified above with no oadmonal cost to fine titter exccpl 1hp cja n fibs any any Agreed upprcoes. payobte to Adam -a Rbc1M. Upon reaching an agreeable reptoceerent value with ir^Sursx:e ccrnp rny. the Dwyer asihvrlms the contractor to SChaCkJe anc obtain labor and nxneriats lin aoeardohoe vvRh csgreed rvplOcement value MyO (Iniharr) 2 The twer understands rhgre w1i be no esrYnate ghvem aVy the reprocerrtieni vok,e ot"ered by the a^p rap o ccmppr q wil be the conlractiorree.' /r'rf (1'Hllo) Paymartl is dans at in accordance with the terms of this agreement. Additional terms are on the track of chis agreement. Any changes or amendments to this agreement must be in writing. 10We have car fudy road this agreement in its entirety and agnea to be bound by its t M'w cod ecmdBions, X >l YR" RI!2W TO CAN Euyer s YOu, tote buyer, may cancel this transaction at any time prior to midnight of the ttwd bursirew day after the dale of this frortsotlion- Seo the aritoched police a conceliarhon kxm on the averse of ibis ogteen wnt for an explandlion \ of fhls right. A X Buyer's Signature IN X Scanned by CamScanner CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ 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: ? <% % .� inspector: �� NZ DO NOT REMOVE THIS NOTICE A i CITY & WkEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 0 L 1",d Job Address: �- D c/o 04,'-,— S -i Permit Number: -do (7 o g S'9 ;;k C Cz r► cl-e i i e c ❑ 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: r Inspector: "f J DO NOT REMOVE THIS NOTICE i CITY OF RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -30&- A, d Job Address: LI 0 (-t C 0 .'s S4 - Permit Number: 2 01-7 o ¢ s-- 9 �3 P c D `� 4VO (3? -0 lam' d } f"C�.t' C?'4— � a ri /J f�OC` dl� SS _ (/I+�Gt•t/ Ch C-, ❑ No one available for inspection: Time 1 � ` Gl' - AMh� Re -Inspection required: ) No When corrections have been made, call for re -inspection at 303-234-5933 Date: i oze'V47 Inspector: DO NOT REMOVE THIS NOTICE City of Cate. ]R�Wh6atp,j,dge Building &aInsp tion Service t Division � t 7500 W. 2g Ave., Wheat Ridge„ CO 80033 Pian Review Office: 3013-235-2555 * `ex. 303-237-8929 Inspection Line: 303-234-5933 Building er it Application Please complete all highlighted areas on botbaldes of this form. incomplete applications may not processed. Property Address: / e �12 �/7/ <' Mailing Address: (if different than property address Address. , . e City, State, i ArchiteettEngineer E-mail.- Phone: Contractor: � > � �:.� ter. ,. C427 Contractors City .cense Phone: V, O L' a".� -t Contractor E-mail dress:�-Lodi r°111116-1 t� .M aY Suis Contractors: Electrical: Plumbing; Mechanical: W.R. City License # W.R. City License # W.k City License# Other City Licensed Sub: Other City Licensed Slab. City License # City License # Complete all information on BOTH sides of this for 0 J RESIDENTIAL0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW !t �t ! • LRESIDENTIAL RESDENTIAL ADDITION INDOW REPLACEMENT COMMERCIAL iRY STRUCTURE w shed, . 4 t t AM AM AP +.. r. w rdeck, 11 MECHANICAL ! A M QrA REPAIR • FY $. REPLACEMENT t AIM K ELECTRICALPLUMBING SYSTEMIAPPLIANCE REPAIR or REPLACMENT SYSTEM/APPLIANCE IR • A= REPLACEMENT A Sq. FULFBtu's Gari Amps Squares Other COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 77485 BUILDING INSPECTION LINE -(503-2345933) Date : 7/30/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: MARY JEAN JOHNSON Property Address : 4040 OTIS ST. Phone : 303-424-0778 Contractor License No. : 18191 Company : Southwest Electric Phone : 733 3819 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,000.00 I hereby certify that the setback distances proposed by this permit application are accurate, and permit Fee : $54.37 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 Use Tax : $12.00 made are accurate; thal I have read and agre e by all condiGons printed on this application, and that I assume full re sp n i~for mpliance wit the W heal Ridge Building Total : $66.37 Code (U.B.C.) and all other applic e Whe ~d e or inertea work under this per . (OWNER)(CONTRACTOR)S N DATE U p tl~se ~ Description : UPGRADE ELECTRICAL SERVIVE TO 200 AMP BUILDING DEPARTMENT USE ONLY Zoiiyei~ X~omrtlents:', SIC : Sq. Ft. : Approval : Zoning : 5~ glilidlt~g°C~m~ Approval : bubfic Yltork`s'~CoAaKenis." Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval : Expiration Date : Approval: (t) This pertnit was issued in accordance wilh the provisions sef forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Builtling Code of Wheat Rid9e, Colorado or any other applicable ordinances of the Ciry. (2) This permil shall expire if (A) ihe work authorized is not commenced within sixty (80) 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 are made 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 tha naNral Flow of water causing a drainage problem. (5) Conlrector shall notify the Building Inspector lwenty-FOUr (24) hours in advance for ail inspections and shall receive writlen approval on inspedion card before procee0iing wilh successive phases of the job. (6) The issuance of the a o r' s and specifcalions shall not be construed fo be a permit for, nor an approval of, any vioiation of the provisions e g c ~ y other or ' ~ e, law, rule or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. wHE., r DEPARTMENT OF PLANNING AND nEVELOPMENT Buildin¢ Permit Number BtitLDINGLYSPEC"I1GNL1iVE-SU3-234-a933 Date: CITY OF WHEAT RIDGE ~U 7500 WEST 29TH AVENUE ~o o WHEAT RIDGE, CO 80215 -(303-235-2855) CORP~ y ~yp~ yy5~~lC~~L Esl1 .r/j~/'j~7~~ _ !1 ~Y'1 Y Proper[y Owner: Property Address: ~0 Q~ S~ Phone Contractor License No.: Company Phone:'305^753 7419 OIVNER/CO.VI7LICTOR SIGNA'['[1RE OF Uh'DERSTAIVDING.,4ND.iGREEh[E`!T I hereby certify that the setback distances proposed by this pertni[ application are accucntz, and do not violata applirnbiz ordinances, mles or regulntions oF[hz CIty of W heat Ridga oc covenanis, aasemxnts or restrictiore of recorAt thnt all muuuremen[s shown, md nllegations made are accurate; that I hava reaA and agee to nbide by all conditions pcintzd on this application and that I 3ssume hill rzsponsibility for compliance with the Wheat Ridge Buil(lin CoAe (li.B.C) and all othzr applicable Whent Ridga Ordinances, £orwork undarthitpertrA. _ /f 17 ~ D9T~~ !OWVER)(COhTRAC:OR): SIGDfzh Description: / lf 7 V Construction Value: /,(NO eo Permit Fee: Plan Review Fee: Use Tax: TOtc11. BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: ZONING COMMENTS: . Approval: Zoning: BUILOING 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: Espiration Date: Espiration Date: Approval: Approval: Approval: (1) This pennit was issued in acmrdance wiN !he prwisionx set Corth in your application nnd is subject ro the la.vs o[ the State of Cobrndo and to th<Zoning Reyvla[ioess and Building Codes aCWheat Ridge, Colorado or any o~ha applicable ordinance.c oCthe CiN. (1) ThIs permit shall axpve if (4) [he work audanzad is not commenced wiNiv slxry (60) days tiom Issue da[e or (B) the building amhocizad Is suspended or abaMOnad tor a period o[ I20 days. (3) If this pertnit expias, a new persnit may be acyuiced [or a[ee of one-half thz nmount nonnally rcquiaA, prwided no chenges have been or will be made in the original pla`vs and spadicatioes, and any suspension oc abandoement hu not e.meeded onc (1) ye.v. ti changes have been or if suspeasion or abandonmrn[ axceuls one (I) ymq fall Cees shalt be paid fora new pevnlt. (a) No work ot any manner shnll be done that will:hange the nacurat tlow ofwatu causin5 a aainage pmblem. (i) Conkactor shall notity Ne Bvilding Irtspecrot [wenty-Cow (24) hours in advance lor all irtspectiorts and shall receive wnaen apprwal on in peceion card beforc pm eeding with zuaessive phazes of che job. (6) 'Ihe ssuance of e peomit or Ne approval of drawings and spadfexcioo, shulf mt ba cons[med ro ba a pertnit for, nocan epproval of, anyvfoiationo(lhe pmvisions ot [he buildiny coAes or any oehu mAiwna, Inw, rule or ¢y lanon. Chief Building Inspectoc COM"AUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 77480 BUILDING INSPECTION LINE -(303-234-5935) Date : 7/30/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: Mary Jane Johnson Property Address : 4040 Otis Contractor License No. : 18745 Company : Westech Mechanical, Inc. OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit appliration 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 accurete; 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 (U.B.C.) and all other applicable W heat Ridge ordinances, for work under Ihis permit. (OWNER)(CONTRACTOR) SIGNED DATE Description : New ac unit and 90% furnace BUILDING DEPARTMENT USE ONLY Zoning Comments,;; SIC : Sq. Ft. : Approval Zonmg =7-- Approval: . ~ ._,n___ . Publfc.l~l~[ks Q±ar~ments: Approval : Occupancy : Walls : Roof : Stories : Residential Units : Phone: 303-424-0778 LZp~ Z(°~. Phone : 986-0366 Construction Value : $5,000.00 Permit Fee : $162.90 Plan Review Fee : $0.00 Use Tax : $60.00 Total: $222.90 Use: Electrical License No : Company: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval: Expiration Date : Approval: Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set foM1h in yopur application and is subject to the laws of the State ot Colorado and to the Zoning Regulations and Building Code of W heat Ridge, Coloredo or any other applicable orUinances of the Ciry. (2) This permit shall eapire if (A) the work authorized is not commenced within sixty (60) days from issue dale or (B) the building authorized is suspendad or abandoned for a period of 120 days. (3) It this pertnit expires, a new permit may be arquired for a fee of one-half the amount normally requiretl, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (t) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paitl for a new permit. (4) No work of any manner shall be done that will change the natural flow of water wusing a drainage problem. (5) Contrector shall notify the Building Inspector lwenty-four (24) hours in advance for all inspeclions and shall receive writlen approval on inspeclion card before proceediing with successive phases of the job. (6) The issuance o( .Pe it or the approval of dra 'specifcations shall nol be consiruetl to be a permit for, nor an approval of, any violation of the provisio ~ iAgCbdes or an yanca, I~u;-mle or regulation. Chief B ' Inspector Please sign Terms and Conditions on reverse side of page. 4 W~F T COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number. o q BUILDING INSPECTION LINE - 303-234-5933 Date: ` ~ CITY OF WHEAT RIDGE u 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) °a"°° APPLICATION Property Owner- 'n A fz-y Property Address: y uL} o O? i S Phone: Contractor License No.: Company: M<L~, A,-ICf4 I Phone: 3v3-q~-b--c.3bk~ OWNER/CONTRAGTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ~p po ~ Construction Value:$ I hereby certify ihat the setback distances proposed by this permit applicalion are P Y F $ accurate, and do not violate applicable ordinances, rules or regulations of the Ciry of eITIII BC: WhealRidgeorcovenants,easementsorrestnctionsofrecord;thatallmeasurements p~~ReviewFee:$ 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 i JS 'i'aX:R compliance with the Wheat Ritlge Building Code (U.B.C) and all other applicable Wbeal Ridge Ordinances, for work/ ❑nder this permit TOY3l:$ TWNFRUf.IINTRPfTnRI' SIf.NFn ~nQTF (OWNER)(CONTRACTOR):PRWTED Ld 2vt~ jAI Ifl Description: t w 5- :'N a<< Sq.Ft.added COMMENTS: Approval: Zoning: BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: i COMMENTS: Approval: W ORKS COMMENTS: Approval: 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: (1) This permit was issued in accordance with the provisions set forth in your application antl is subjecl to the laws of the State of Colorado and to the Zoning Reguladons and Buildinq Cotles of Wheat Ridge, Colorado or any other applicable ordinances ot the Ciry. (2) This permit shall expire if (A) the work authonzed is not commenced within siuty (60) days from issue dale or (B) the builGing authorized is suspended or abandoned for a period of 120 tlays. (3) If Nis permit eupires, a new permit may be acquired for a tee of one-half the amount normally required, provided no changes have been orwill be made in the original plans and specifications and any suspension orabandonment has not exceeded orre (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shall be done that will change the nalu2l flow of water causing a d2inage problem. (5) Coniractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspec[ion cartl before procee pg with successive phases of the job. (6) The issuance of a permit or the appr of drawings and specifications shall not be consWed to be a pertnit for, nor an approval of, any violafion of the sions of the building codes or any other ordinance, law, rule or regulalion. Building ° Property Owner : POTTER RALPH BOYCE TRUSTEE Property Address : 4040 OTIS ST Phone : 424-0778 ContractorLicense No. : 18121 Company : The Electri-Serve Corp. phpne : 592 0027 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT conswmor, velue: s200.00 Permk Fee : $25.00 Pian Review Fee-: $0.00 Use Tax : $3.00 Tolai : $28.00 BUILDING DEPARTMENT USEANLY Approvai : Zoning : Approval : Approval : OccupanCy : Walls : Roof : Stories : Residential Units : EI liwC License No : PlumbMg License No : Mechanical License No i eornparry : company : company : Expiradon Qate : Expiratlon Date : Expiratlon Date ; Approvai : Approval; Approval i (2) P-W * ahap expM 1-- the vralc~a~iC~wi(tstl Ie nolmmmeiicdu wltl~ri+CilY:(EO) Esy~ irom hiw Cile or (0) tns WidnY autlwrkpd b+u"snNd or. apanCp11e0ra. axW of, 1 odays (3) N ihb pom8 mtphas, s Mw Permlt msY bs "WroQ Ma fis d ontrheM ItN eirouri nOrmaBY A9Ldw,~ M1oG~ MW 6ern orwH W msft In tlfs . oqWnWDbm nAeP~eondanYwqpet aronorWrmmmsnttbaW mmNCStlons(7)Yar'. HelwqeeammMMorNfwpwWOnorWmdoiimwm . . aercwdli Gis (1) Yew, fidl leas MaX ba P~M Por a naw ~M (4 NoWaeKOfanYmYnnarslwtlbsdoMlhetwlNdwqs Mtwaleowotwater cwAkg aaaMipsproqem: . Conteororwn nopN die euAdrq ~nsWdw lwaMr-~wr (24) roun m advance ror aA Mpecdom Nd aMU rsa~ve rxlmm pprovN an MNpatllon ewd baas WIM au~ceeetve phaeee dtli!~np . . . c.. a a pam~~tlie spprovN.d~ ~~and~ s ahan na w caumma m be a psmM ror, nor en apprmal ot, enYvbamon ams wwslp~e . ea. . . THIS PERMIT VA4tD ONLY WHEN $IGNED BY THE CHIEF HtItL:DING INSPBEC"TnR CALL: 234-5833 24 HOURS I'RIOR TO INSPEGTION .(OWNER)(CONTRACTOR)SI6NED/9A. -~DA7~D ` Descdption : REPAIR STORM DAMAGED SERVICE DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : 'RryJPv~ PU#A-K Property Address : qp qD 04' 1s S-{- Phone : ya q -o'`l'~g Contractor License No. : yZ.g • I sz/a J Company : 6 t ¢c,~Y\-So-r~r2 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity 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 ar wvenants, easements or resMctions of record; that all measurements shown. and allegations made are accurete; that I have read and agree to abide by all conditions printed on this appliwtion, and that I assume full responsibility for c pliance with the Wheat Ridge Building Code (U.B.C.) and all ather applicable WY~at Ridge_o~inancefforwgJc.under this pe4mR, (OWNER)(CONTR4CTOR) SIGNE DATE Description :~evc.,\( aw~aaa Su-~v ~c-2- USE ONLY Approval : Occupancy : Walls : Roof : Stories Phone : 8q 1-002-°/ Construction Value : a pp~. Permit Fee : Use Tax : Total : Residential Units : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Approval: ~P(a1' ~ .J i. Expiration Date : Approval: Expiration Date : Approval : F- P...__ 7~Ytli! (1) This pertnit was issuetl in accordance with the provisions set forth in yopur appllcation and is subject to the laws of the State of Colo2do antl to the Zoning Regulalions and Building Code of Wheat Ritlge, Coloratlo or any other applicable ortlinances ot the Ciry. (2) This permit shall expire if (A) the work authonzed is not commenceA within sixry (60) days from issue Uate or (B) the building authorizetl is suspenAetl or abandoned for a Deriod of 120 days. (3) If this permit exptres, a new permit may be acquired for a fee of one-half the amount normally requtre4 provitletl no changes have been or will be matle in the original plans and specifcations antl any suspensian or abandonmenl has not eaceeded one (1) year. If changes are made or if suspension or abantlonment exceeds one (1) year, full fees shall be paid tor a new permit. (4) No work of any manner shall be tlone ihat will change the naNrel fiow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenry-(our (24) hours in atlvance Por all inspections antl shall receive wntlen appmvat on inspection cartl before pmceediing with successive phases of the job. (6) The issuance of a permit or the approval of drawings antl specifications shall not De construetl to De a permit for, nor an approval of, any violation of the provisions of the builtling codes or any other ordinance, law, rule 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