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HomeMy WebLinkAbout4090 Otis StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Solar PV Installation Date: Wednesday, January 19, 2022 9:58:07 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Solar PV Installation This application is exclusively for Solar PV Installations YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. 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. Is this application for Yes Solar PV Installation? PROPERTY INFORMATION Property Address 4090 Otis st Wheat Ridge Colorado 800033 Property Owner Name Emilio Sabala Property Owner Phone (303)829-2546 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email emiliosabala44@gmail.com Address Attach City of Wheat TEXT HERE ndf Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Porticade Construction Name Wheat Ridge 210325 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone (435)210-0125 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Leah@porticadeconstruction.com Address Retype Contractor Leah@porticadeconstruction.com Email Address DESCRIPTION OF WORK Scope of Work Solar installtion of 6.8kw roof mount solar system KW 6.8 # of Panels 16 Location of Panels roof Structural required Yes Upload engineer letter Emilio Saballa Letter 121021 ndf or pages on 8 1/2" x 11" only Solar Installation Plan Emilio Saballa Desian .odf Set on 11 "x17" only. Project Value (contract 21280 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. Person Applying for Leah jesop Pe rm it 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. Email not displaying correctly? View it in your browser. 41 CITY OF WHEAT RIDGE Building Inspddion Division (303) 235-2855 Office INSPECTION NOTICE' Inspection Type: 4/ Job Address: Permit Number: :;L,-1 j V IJ No one available for inspection: Time,',,,-)' AM/PM Re -inspection required: Yesi, No When corrections have been made, schedule for re -inspection online at: httpYAvww, ci. wheatridge. co. ueInspection i Date: ., —, Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection 'Type:I� Job Address: Permit Number: ,,1 U1 C� U (�,"I k.p ❑ No one available for inspection: Time r.."'` ; �> AM/PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: ¢ Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Window Replacement PERMIT - 201901808 PERMIT NO: 201901808 ISSUED: 08/28/2019 JOB ADDRESS: 4090 Otis St EXPIRES: 08/27/2020 JOB DESCRIPTION: Replacing 8 windows on front and side of home. U -factor .27 *** CONTACTS *** OWNER (303)432-3380 SABALA EMILIO SUB (888)736-6335 ADAM KALINER 160260 POWER HOME REMODELING GROUP *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,944.94 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 208.84 ** TOTAL ** 258.84 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attest that I am legally authorized to include oc entities named within this document as parties to the work to be performed and that all work to be perf"ormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 1, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apphp� le code or ant 9rdmance 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. Dina Kew ( / 0 / eo From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 28, 2019 8:04 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. 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. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 4090 Otis Street Property Owner Name Emilio Sabala Property Owner Phone 303-432-3380 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address **REQUIRED** Attach Sabala.pdf Credit Card Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** CONTRACTOR INFORMATION Contractor Business PowerHRG Name I Contractor's License 160260 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 888-736-6335 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address shane.laird@powerhrg.com Retype Contractor Email shane.laird@powerhrg.com Address DESCRIPTION OF WORK Number of window 8 and/or doors being replaced Location of front and side window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the a -value of the 0.27 window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of Sabala.pdf window/door cut sheets showing sizes and a -value Project Value (contract 9944.94 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 z 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 been Yes 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 Shane Laird Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge E -Res. Window Replacement PERMIT - 201900763 PERMIT NO: 201900763 ISSUED: 04/23/2019 JOB ADDRESS: 4090 Otis St EXPIRES: 04/22/2020 JOB DESCRIPTION: Residential window replacement of 6 windows in side and rear of home. U -factor is .27. *** CONTACTS *** OWNER (303)432-3380 SABALA EMILIO SUB (888)736-6335 ADAM KALINER 160260 POWER HOME REMODELING GROUP *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,986.39 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 104.71 ** TOTAL ** 154.71 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by �ermi e legal owner of the property and am authorize? to obtain this permit and perform the work described and approved in conjunction with thist. I further attes{ that I ain legally authorized toinclude aperrmed 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 I , This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit tee. 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 issuance or granf'n of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any apple code or an . rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. If Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. National Headquarters Emilio Sabala 2501 Seaport Drive, Chester, PA 19013 33-83669 888-736-6335 April 18, 2019 WWW.POWERHRG.COM Project Specifications Windows: Bath 1 32.0'x40.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White : Grid Pattern : None I Removal Wood I Additional Details Special Options (ie. Full Screen, Obscure Glass, etc) Full Screen No I Obscure Glass Double Hung : Both Sashes Specialty Color No I Different Color Capping No I Trim Options No I Frame Options No I Remove and Reinstall No Windows: Bedrm #2 1 35.5x56.25" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White: Grid Pattern : None I Removal Wood I Additional Details None Windows: Bedrm 2 1 36.0'x56.25' WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White: Grid Pattern : None I Removal Wood I Additional Details None Windows: Master 1 36.0'x56.25' WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White: Grid Pattern : None I Removal Wood I Additional Details None Windows: Master 1 32.0'x56.25' WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White / White: Grid Pattern : None I Removal Wood I Additional Details None Windows: Masterq 1 32.0'x56.25' WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/ White: Grid Pattern : None I Removal Wood I Additional Details None April 18, 2019 18:42 Page 2 of 2 National Headquarters 2501 Seaport Drive, Chester, PA 19013 888-736-6335 WWW.POWERHRG.COM PRODUCT SPECIFICATIONS Emilio Sabala 33-83669 April 18, 2019 Buyer(s)' Information and Description of the Property: Project Number: 33-83669 April 18, 2019 Emilio SabalaDate (303) 432-3380 (Home) otAgreement 4090 Otis Street (303) 829-2546 (Emilio's Cell) Wheat Ridge, CO, 80033 County: Jefferson Township: Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively, this "Agreement"). Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for Thu 5/9 between 10:40a and 11:40a. Windows - SL 2700 Inclusions: Includes metal reinforced meeting rails and nighttime safety locks on double hung windows only, welded corners, foam injected frames, Sashlite technology, Heatshield, Duraglass, exterior custom capping, installation, clean up and haul away of all job related debris. It is agreed and understood by and between the parties that the Product Specifications, along with the Custom Remodeling and Improvement Agreement, constitutes the entire understanding between the parties, and replace any and all prior negotiations, representations, or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way unless such changes are in writing and signed by both Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read the Product Specifications. I have read and received each page of this 2 page agreement. Power Home Remodeling Group 11��U&71.40�/04/18/19 Signature of Rem deling Consultant Brianne Bumpus Buyer(s) e,V,,tk. &LO, /04/18/19 Signature Emilio Sabala YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. April 18, 2019 18:42 Page 1 of 2 Dina Ke From: no-reply@ci.wheatridge.co.us Sent: Monday, April 22, 2019 9:53 AM To: CommDev Permits Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application Categories: Dina Residential Window/Door Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and DOORS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND WINDOW/DOOR CUTSHEET (SPEC SHEET) IN ORDER FOR THE PERMIT TO BE PROCESSED. 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. Is this application for Yes replacement window(s) and/or door(s) like for like? PROPERTY INFORMATION Property Address 4090 Otis St Property Owner Name Sabala Property Owner Phone 303-432-3380 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Field not completed. Address Attach Credit Card Sabala CC.pdf Authorization Form - **DO NOT ATTACH RANDOM DOCUMENTS** CONTRACTOR INFORMATION 1 � Ix � — /—/ -:::; � / Contractor Business PowerHRG Name Contractor's License 160260 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 888-736-6335 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address shane.laird@powerhrg.com Retype Contractor Email Address DESCRIPTION OF WORK Number of window and/or doors being replaced Location of window(s)/door(s) being replaced (for example, master bedroom, kitchen, bathroom, etc): What is the u -value of the window(s)/door(s)? City of Wheat Ridge requires the u -value to be .32 or better on windows.. Attach copy of window/door cut sheets showing sizes and a -value shane.laird@powerhrg.com t*9 side and rear 0.27 Sabala.pdf Project Value (contract 4986.39 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 2 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 been Yes 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 Shane Laird Permit Email not displaying correctly? View it in your browser. I i CITY OF WHEAT RIDGE Building Inspection 'Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE r, Inspection Type: "-10 -7 - v ��°r�,•�f Job Address: '�l D `a 0 s 5i - Permit Number: 2 e i g o -d S -- Ord Q Pl -,' rn ((r► a CJ? -D, r_0 I/ GT ❑ No one available for inspection: Time q- S5- AftPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: /o 4-/ l S Inspector: - DO NOT REMOVE THIS NOTICE ' <5 City of Wheat Ridge Homeowner Plumbing PERMIT - 201802561 PERMIT NO: 201802561 ISSUED: 09/18/2018 JOB ADDRESS: 4090 Otis St EXPIRES: 09/18/2019 JOB DESCRIPTION: Remove and install new gas water heater with 34K BTUs/40 gallons in crawlspace. *** CONTACTS *** OWNER (303)432-3380 SABALA EMILIO *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 850.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 17.85 ** TOTAL ** 57.85 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. Consultations and inspections will only be performed with the homeowner of record present. City of Wheat Ridge Homeowner Plumbing PERMIT - 201802561 PERMIT NO: 201802561 ISSUED: 09/18/2018 JOB ADDRESS: 4090 Otis St EXPIRES: 09/18/2019 JOB DESCRIPTION: Remove and install new gas water heater with 34K BTUs/40 gallons in crawlspace. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performe and that all work to a pert rmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature OWNER ' pr CONTRACTOR (Circle one) Date 1, This permi ssued based on the information provided in thepermit 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 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 change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issugAQG or granting permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica e de r any or ance 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. .` f 1* City of ]�qrWh6atp,,,d ge COMMUNmy 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: permits(aD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: /-/ (, 1� r C" 1—t S Property Owner (please print): rAJ i ' l r o 6, 5_,9 Phone: ?613 - 9JI17.371?0 Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor Name: M /L d W1 N' /< L City of Wheat Ridge License #: Contractor E-mail Address: Phone: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease 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 # ❑COMMERCIALRESIDENTIAL 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 Amps BTUs ;� `7� Gallons 1710 L Squares 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) '5-0 �' OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNERS (CO TRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) / � � '0 � ' DATE: f Signature (first and last name): Gi �1'l�l.• Printed Name: C ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION CONSTRUCTION TYPE: Building Division Valuation: City of Wheat e COMMUNITY DEVELOPMENT Official Certification of Property Owner Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently reside at the project property, or intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, list them on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. Property Owners): Project Property: O q C9 Project Type:_ "Z //�-�� /a1LZ1eA h/A-%!�"x? �!r Notarized signatureof Applicant State of Colorado } County of � e SSQf_ � } ss TLe fore goinog inisstr� eynt was acknowledged by me this _j* 7 day of by t c, bay TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires _�_/a�,20 2d Notary Public I "'* k- 4 City of Wheat Ridge ` Residential Roofing PERMIT - 201705843 PERMIT NO: 201705843 ISSUED: 08/10/2017 JOB ADDRESS: 4090 Otis ST EXPIRES: 08/10/2018 JOB DESCRIPTION: Residential Re -roof to install Laminate asphalt shingles with 42 sq. *** CONTACTS *** OWNER (303)432-3380 SABALA EMILIO SUB (303)386-4649 Steve Burns 130239 Exceptional Exteriors LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,340.00 FEES Total Valuation 0.00 Use Tax 238.14 Permit Fee 236.00 ** TOTAL ** 474.14 *** 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. 0-17S 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 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 Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior 10 Approval Ur i ne ADove inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Under round or Below/In-Slab Work Prior To Approval Of The Above Inspections 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 �1 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 eiectncai low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705843 PERMIT NO: 201705843 ISSUED: 08/10/2017 JOB ADDRESS: 4090 Otis ST EXPIRES: 08/10/2018 JOB DESCRIPTION: Residential Re -roof to install Laminate asphalt shingles with 42 sq. *** CONTACTS *** OWNER (303)432-3380 SABALA EMILIO SUB (303)386-4649 Steve Burns 130239 Exceptional Exteriors LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,340.00 FEES Total Valuation 0.00 Use Tax 238.14 Permit Fee 236.00 sJ111A 1i ** TOTAL ** 474.14 --- -- *** 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. A le City of Wheat Ridge Residential Roofing PERMIT - 201705843 PERMIT NO: 201705843 ISSUED: 08/10/2017 JOB ADDRESS: 4090 Otis ST EXPIRES: 08/10/2018 JOB DESCRIPTION: Residential Re -roof to install Laminate asphalt shingles with 42 sq. I, by my signature, do hereby atthat the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parnes to the work to be performed and that all wor �d is disclosed in this document and/or its' accompanying approved plans and specifications. S' nature oaf o ONTRACTOR Circle one Date 1. This pepTrit was i sued based on the information provided in the permit application and accompanying Flans 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 maybe subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. v Signature of Chief B mg Official t Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett �mnsoq3 From: no-reply@ci.wheatridge.co.us Sent: Thursday, August 3, 2017 8:44 AM To: CommDev Permits 7C 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? W� How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 4090 Otis St. Property Owner Name Emilio Sabala Property Owner Phone 303-432-3380 Number Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Sabala Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Exceptional Exteriors Name Contractor's License 130239 Number (for the City of Wheat Ridge) Contractor Phone 303-386-4649 Number Contractor Email Address permits@exexco.com Retype Contractor Email permits@exexco.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Laminate/Asphalt Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 42 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? VZ TOTAL SQUARES 42 (pitched + flat) of all 2 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) Roof, garage and gutters - pitch 5/12 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 Rob Juenger Email not displaying correctly? View it in your browser. 3 IQ Exceptional Exteriors, LLC 0 CONTRACT BBB Property Owner(s) Emilio Sabala (hereinafter, the "Client") Address 4090 Otis St (hereinafter, the `Premises") City Wheat Ridge State CO Zip 80033 Cell Other Email SCOPE OF WORK AS APPROVED BY INSURANCE CARRIER • Tear off all layers • Obtain building permit as required • Install 15 Ib. felt, 30 Ib. felt or Synthetic Underlayment • Adhere to all local building codes in effect as of install date • Install new pipe jacks, painted to blend • Remove and dispose of all debris created during project • Install pre -painted eve flashing • Perform magnetic sweep of property to remove loose nails • Install new shingles of your choice 0 Provide a min. general liability ins. coverage of $1,000,000 • Re -flash all wall abutments and chimneys as needed • Maintain current Worker's Comp. Insurance on crews • Install ice & water shield in all valleys a Provide a 5 year Limited Workmanship Warranty Shingle Mfr. gr Style Oakridge Shingle Color Estate Gray Drip Color White Gutter Color (If Applicable) White Gutter LF 493 Downspout Qty. LF Other Work: Siding Windows Paint Carpentry Other Approximate dates of services Summer 17, Approximate cost of services (Estimated RCV) $22,427.49 The above items (approximate cost and dates of services) are general estimates based on damages known at the time of contract being entered. Scope of Work will ultimately be performed for the RCV total plus any agreed supplements provided by your insurance carrier. Dates are approximate as well and can be affected by inclement weather, availability of materials, amount of time a lender may take to endorse insurance checks or the amount of time your insurance carrier may take to approve the scope andlor payment of services. Shingle Upgrade Ridge Vent V Platinrrni Warranty S Deductible Amount Upgrades Synthetic Felt Soffit Vents_ Power Vents Ice and Water Upgrade Total 1,400.00 Estimated Client Payment Responsibility OMWITAT /1 Additional Work ("Out of Pocket") Venting on main house $ 1 499 99 Less Referral Credits Total Estimated Client "Out Of Pocket" Expense $ 2,400.00 Deposit Amount $ 11,913.75 Due upon delivery of materials. Customer agrees to have a payment available the day of delivery NOTES LINE ITEMS EXCLUDED FROM CONTRACT (WORK NOT PERFORMED) ??, ?,�, ??an Additional work authorized by the homeowner but not included in the above description will be described in a separate addendum (Work Order Confirmation Form). Exceptional Exteriors, LLC and the Client agree to the teens and conditions set forth on both front and back of this contract. Exceptional Exteriors, LLC (hereinafter "Exceptional Exteriors" and "EEL") will perform roof replacement and exterior repairs to the Premises for the Client as approved and specified by Client's insurance company (collectively, the "Scope of Work") for the replacement cost value (RCV) of the insurance claim. The only out of oo ket cost to the lin is their d du _ ibl _ and any non- recoverable depreciation where applicable as well as any agreed costs for any upgrades or additional work authorized by the Client in writing. Supplemental claims and/or overhead and profit billed by EEL on behalf of the Client and approved by the Client's insurance company for additional work or increases in costs, in addition to this contract shall also be deemed a part of this contract as if contained herein. This contract will become binding upon execution and EEL shall receive all insurance proceeds, including the deductible. Client agrees to provide EEL with all insurance communications, both written and verbal, and to authorize EEL to negotiate with the insurance company on Client's behalf to secure the funds necessary to complete the contracted Scope of Work. EEL shall hold in trust any payment received from the Client until EEL has delivered roofing materials at the Premises or has performed a majority of the roofing work on the Premises. 1. All proposals are subject to approval of EEL management. 2. EEL will perform the Scope of Work in accordance with generally accepted roofing and construction guidelines, adhering to local codes in effect at the time of construction. 3. EEL's standard payment terms are as follows: 50% when material is delivered and 50% when work is completed. Endorse and/or make all checks payable to Exceptional Exteriors, LLC. Any joint checks issued by Client's insurance company shall be immediately endorsed and tendered by Client to EEL 4. You have the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering the contract. If you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work, you may also rescind this contract within 72 hours after you receive written notice form the property and casualty insurer that your claim has been denied in whole or in part. However, EEL is entitled to retain payments or deposits to compensate EEL for roofing work actually performed in a workmanlike manner consistent with standard roofing industry practices. EEL cannot pay, waive, rebate, or promise to pay, waive, rebate all or part of any insurance deductible applicable to the insurance claim for payment for roofing work on your property. 5. To rescind, send by certified mail or personally deliver a signed and dated copy of the cancelled contract within 72 hours of contract signing, or 72 hours of written notice of denial of claim from the insurance carrier to the EEL address on this contract. Client may also email a signed and dated copy of the cancelled contract to contactus@exexco.com. 6. All excess materials will remain the property of Exceptional Exteriors, LLC 7. Client is responsible for timely securing all required Homeowner's Association approvals of the roofing products and color(s). 8. EEL shall not be liable for failure of performance due to labor controversies, strike, fire, hail, weather, acts of God, inability to obtain material from usual sources, or any other circumstances beyond EEL's control. 9. EEL shall not be responsible for any leaks or water damage below the roof line, or any damage caused by excessive wind, ice or hail during the period of the warranty. 10. Replacement of code required materials/upgrades not covered in Client's insurance policy will be additionally charged to Client on a labor and material basis. 11. EEL will not be held responsible for slight scratching or denting of gutters, oil droplets in the driveway, hairline fractures in concrete, or damage to plants or shrubbery. Furthermore, EEL will not be held responsible for exterior damages such as broken or fallen crown molding or fascia, or interior damages such as cracked plaster/sheet rock or nail pops. 12. EEL's liability coverage insurer Alliance Insurance Agency, LLC contact Shannon McEwen 720-836-3411 13. This contract and all attachments hereto represent the entire contract between parties, and supersede all prior written or oral contracts between the Client and EEL. 14. This contract cannot be changed, modified or terminated by any other contract unless the same is in writing and signed by the party against whom enforcement of the change, modification or termination is sought. 15. This contract shall be binding upon the parties and their respective successors, heirs, legal representatives and permitted assigns. 16. If any one or more of the provisions contained in this contract shall for any reason be held invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any of the other provisions hereof, and this contract shall be construed as if such invalid, illegal or unenforceable provision had never been contained herein. 17. An account is past due when more than thirty (30) days have passed after the roofing work was completed. If an account is past due by 60 days a late charge of $120 will occur. If an account goes to into collections, Client shall pay EEL interest at twenty- one (21 %) percent per annum for all past due accounts. If Client does not pay all sums when due under this contract to EEL, then Client agrees to pay all costs and fees incurred by EEL for its collection, including reasonable attorney fees and costs. EEL reserves the right to place a mechanic's lien on Client's property for any default in the timely payment of amounts due under this contract. . Client shall pay EEL interest at twenty-one (21 %) percent per annum for all accounts 90 days past due. 18. The parties waive the right to a jury trial in any action or proceeding based upon or related to any aspect of the transaction in connection with this contract, or any document executed or delivered in connection with such transaction. 19. Venue for any legal action brought pursuant to or involving this contract shall be in the City and County of Denver, State of Colorado, or any other location mutually agreeable to the parties. 20. All attachments to this contract shall be part of this contract and are incorporated herein by this reference. 21. It is the Client's sole responsibility to provide a safe -keeping area for all pets. EEL shall not be responsible for gates left open during or after its work. 22. After Client has paid all sums due under this contract, the inspection will be called in to the city/county/municipality and Client will receive a five (5) year Workmanship Warranty for the roof and one (1) year for all other work. EEL must be notified of all Warranty claims within five days of the discovery. Exceptional Exteriors, LLC 3679 S. Huron Street, Suite 402 — Englewood, CO 80110 Client Signature July S, 2017 Date hr� ` July 5, 2017 Exc ptional Exteriors, LLC Representative Date Phone: 303-386-4649 E-mail: contactus0exexco.com Emilio Sabala Printed Name Kyle Talbot Printed Name a i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: t►- r n :h Job Address: w o g c ® �-. "s 64 - Permit Number: o 0 1 a -5-,g 1-1 z ❑ No one available for inspection: Time ' a AM PM Re -Inspection required: (Y �q4 No When corrections have been made, call for re -inspection at 303-234-5933 Date: /-31 Inspector: r� - DO NOT REMOVE THIS NOTICE r� 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: t rl A 1 Job Address: X10 90 © �,'c :54 - Permit Number: _o ,o )-7 ® 979 y :g ❑ No one available for inspection: Time. 4F, a & Di /PM Re -Inspection required: Yes (9 When corrections have been made, call for re -inspection at 303 -234 - Date:— -T // Inspector: -7— r> DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: a ❑ No one available for inspection: Time JC l`�<_ AM/PM Re -Inspection required: Yes No. When corrections have been made, caW for re -ins pection at 303-234-5933 Date: i �% t P7 Inspector: (' /' � DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17494 BUILDING INSPECTION LINE -(303-234-5933) Date : 8/2/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: LEWANA BICHLER Property Address : 4090 OTIS STREET Phone : 420-2869 Contractor License No. : 18464 Company : B& F Heating & A/C Phone : 431 8914 OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit applicalion are accurate, and do not violate applicable ordinances, rules or re9ulations of the City of Wheat Ridge or covenants, 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 this application, and lhat I assume full responsibilily for compliance with the W heat Ridge Building Code (U.B.C J and all other applicable Wheat Ridge ordinances, for work under this permit. (OW NER)(CONTRACTOR) Construction Value : $8,155.00 Permit Fee : $217.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $217•50 Use: Description : INSTALL 105,000 BTU'S BOILER. 200 amp service change and boiler hookup BUILDING DEPARTMENT USE ONLY 2`bnln9f06miReRfsi, SIC : Sq. Ft. : Approval : Zoning : Bufitlig[g G;}fLiAB+►~ Approval : Pukilfc.Woj'ks<t'amnta~ts: Approval : Occupancy : Walls : Electrical License No : 17875 Company :Coffman Electric, Inc Expiration Date : 2/28I2005 Approval: ok Roof Plumbing License No : Company: Expiration Date : Approval: Mechanical License No : Company : Expiration Date : Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subjecl to the laws of the S1ate of Coloredo and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other aOPlicable ordinances of the City. (2) This permit shall ezpire if (A) the work authorized is nol wmmanced within sixty (60) days from issue date or (B) the buil0ing authorized is suspended or abandoned for a penod of 120 days. (3) If this permit expires, 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 onginal 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 the natural Flow of water causing a d2inage problem. (5) Contractor shall notiry the Building Inspedor twenty-four (24) hours in advance for all inspeclions and shall receive written approval on insDection card before proceediing with successive phases-of he job. (6) The issuanc permi e approval o awings and specifications shall not be consimed to be a permit for, nor an approval of, any violalion of lhe provisi bc es er ordinance, law, rule or regulation. hief Building Inspector Please sign Terms and Conditions on reverse side of page. Stories : Residential Units : COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 17494 8/2/2004 Property Owner: LEWANA BICHLER Property Address : 4090 OTIS STREET Contractor License No. : 18464 Company : B& F Heating & A/C Phone : 420-2869 Phone : 431 8914 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 regulatlons of the Ciry of W heat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegalions made are accurate; that I have read and agree to abide by all conditions printed on lhis application, and Nat I assume full responsibilily for compliance with lhe Wheat Ridge Building Code (U.B.C.) and all other applicable idge ordinances, for work under this{~ rm'4t. (OWNER)(CONTRACTOR) SIGNEDATE Description : INSTALL 105,000 BTU'S BOILER Construction Value : $8,155.00 Permit Fee : $217.50 Plan Review Fee : $0.00 Use Tax: ~ Total: ~ Use: BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : ZoninWEamment`st Approval: Zoning : BulFdino Own8r~ts: Approval: Pu61ic~Jtor1~5 G~imm~nts:;: Approval: Occupancy : Walls : Roof : Stories : Residentiai Units : Electrical License No : Company: Plumbing License No : Company : Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approval : (1) This permit was issued in accordanca with the provisions sat forth in yopur application and is subjecl to the laws of the State of Coloredo and to the Zoning Regulations and Building Code of Wheat Ridge. Coloredo or any other applicable ordinances of ihe City. (2) This permit shall expire if (A) the work authorized is not commenced wilhin sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 720 days. (3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in the onginal plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceetls one (1) year, full fees shall be paid for a new permit. (4) No work o4anyma done aF+vilt'thangathe naturel flow of water causing a drainage problem. (5) uildi pector lwenry-fourj24) hours in advance for all inspections antl shall receive wntlen approval on inspection card before jo (6) ' the app~ gs and specifcations shall not be construed to be a permit for, nor an approval of, any violation ot tha provisions of the builtling codes or any other ordinance, law, rule or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. k:: ig-02-D4 09:01 vn. ~v ~.]r:~v~~ ~y17 7 7500 v WWEA P.03 I I V11 WavIJIVi,\'LJJ.GUDC7 WHEqT RIDGE Dat T 24TFi AVENUE , iuGE, co 80215 APPLICAT►o N ~ ~.w. Prn 3eriy Khanipr : 'k~6dc4 rq. Jt"l•- Prop!liyAddr+e4: rf~''C~Gr'3 /l5fi' Co dractor licedse No, OVJNEFihC AC TRACT()R ! nereby tdtify hat ihe vftec anQ CO n#d v141i;+6 epPiicF Wb c cavenank:, e#8 meMb Dt Tmsti maae aro aetuIOa; that I haw apbl;catan, arx thPl I aa: ume Cede IV E3.C..; : itl all oth it pp ;eWNeR;(can rRAcro ~r s,c Desaiptio i : f ~ ~ - / ...RS. IS j pprova 2oning : amiamm; A )provat : ~mmumm f oproval : OccuE,rir :y : Efectricdl Lic anse Nu : Cofnpany ExprratiDn I? de : Approvtll (1) Ttiapbtiilw"~ Reqt:Mti no lnC ;2; rvs per ,d e1144 a+>aolo? d ra s ;7l timisWw mrteXp aipmafi aman eFCe9df )M ~t~ (a7 N~wqrk.!arryn (91 CanVao shNh WcsCMd '~Q wMh j9) TJll'656rtqo0l. a m« ix +Yno ac Phone fi ~a f" !'TCct~ir~'q ~-~~~)41j~) Phone ss E OF UNDERSTANDING AND AGREEM£NT COnSti uCtiOn Value ~ propwed by thb permR application are aaurate, uka or rogufations ct Ma City of Wfiaet RiOpe a pefftllt F@fl~ ' - V> - ~ F coM; llud an mauunmenh shown, an0 oNegalbna grea ro aCide hy aq wneRione pnnted an tnn Y~IUty !or mm ance wiN Ihe VJheat RBtl e 6uibin Use Tax : ~ ~ g y e idge ad naMes,lor wo/rtc under this pamm. Total : -;;i- DATE_,~/ Use: z ~71 _r . , BUIIDING DEPARTMENT USE ONLY . R00{ ; StOtIBS ~ Plumbing E.icense No ~ Campany : ; Expiration Dare : Approval; a S!C Sq. t.: Rosidential Units Mach 3nical License o : GomF any : Expir.+tian Data : Apprc val ! One NIbiOM sM 6Mh M poPur W ~iGUdf aM b n~Ct b tl1e IaN9 af U 0 Sl#k d Cdontl4 : ? t6 tlx 2omng :a«.ac w +m onw aook.nle oromman a ma cny ii rO tomm+neM wflhn eixb (410) tlWt hom iriw tlble Ot (B) U+e lviltlFq aWhon:ed * eiW'+Oaf ar M Px m Ni of ona-Ntl IM pnounl rpmWH rspWrsd, provMed np ( hoda*n I+arr Gaena di De n aCa in tt:e dM IX lbYqMYlMltt hN Itq!%G!E!d OfN (1)yw. M dlstlpl6 v t tMCo bY ysUb{Mnf , dabiiM1CWImtM MWp~m~ inp~ Uw rylual Ibw M wVeer GuLnO a anmome acM+m. ~N•ICw (24) hPRf n aCvanem bf tl MmtPkToma antl aMW iaooiYe w iMen +PMpval an au cban C ON Detare +P sntl iWUk+bM 11141 not be aonWUSd W M a PMM W. nor maPpa'N d. my x aan o' Me MMsima ne a ipWtlon. ti G'hla(1 DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUiLDING INSPECTION DIVISION PERMIT N0. M93#18835 234-5933 P.O. BoXS38 CITY OF WHEAT RIDGE, COLO. Y WEN SIGNED BY TFiE CHIEF BUILDING INSPECTOR AND RECEIP?ED BELOW. THIS PERMIT VALID ONL H ~J~ AP lI TION FOR MISCELLANEOUS 9,F.BM~r~ GER P v I-Y OWNER I~lJOB ADDRESS v ~LTLD 5~~~ SL~ D 9D O I S S~ ~~~j ~HE/}7RLr~ CONTRACTOR ~q,/ ~ ZIp CODE ADDRESS ~C7~ L~~ C°~--Q- PHONE ADDRESS ~ OOD ~ " ZIP CODE 0O'~ ~ ~ CONTRAC? PR~~F $--z-T CITY yL 0 PHONE _03,73 LICENSENO. DATE I. TYPE Ground❑ Woll❑ Proitctinp❑ 01Mf SaDFOU . 2. MATERIAL Tofal Squon FNt IGNS 3. ILLUMINATION Ya❑ No❑ TYCe Eleet. G*rmit No. 4 SET BACK FROM PROPER7Y IINE N_ S_ E_ W Zons_ ADMmb, ZO^e I"sacta Disopprwad (Spstify whith ia front) ❑ ❑ 1. TYPE Solidn More TAan 80% ODenEl Leas Than BO% Open 2. MATERIAL HeiQht FENCES 3 SET BACK FROM PROPER7Y LINE N__S__E_ W Zons_ ApprwW,Zom ImDseta 1 . (SDecify whicA ie front) ❑ ❑ ❑ ❑ Disapproved 7-u-NI-PA 7To ~ C OTHER 2 3. ORAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GlVllrv AIS' (SETBACKS OR PROJECTqNS INCLUDED) ___^M^ v H~ L7 INSPECTION TICKET ~ JOB ADDRESS ~ v wtS~ DATE: BLDG. PERMITM Z 8 S' 3 S PERMITq BIDG. CONTR. ~ 69 q I -0 S 7~1 CJ SUBCONTRACTOR STREET NAME DATE INSP. REQ. $HOW OISTANCES PROM THE MAIN BUILDING T6ADJOINING HOUSES, STREETS, AND PRO ~ DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE D13TANl:E. 7YPE OF INSP. APPLICATION FOR PLUMBING; ELECTRICAL; M THIS APPLICATION WILL BECOME A PERMIT TO PERFORM~ THE INDICATED WORK ONLY UI INSPECTION MADE ~ PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSl1ANCE IF WOR[ REMAFKS ~ ELECTRICAL PERMIT PLUMBING PERMIT STATE LICENSE N0. I STATE LICENSE NO _ WNI CR 'wx METER WASH BOWL W.R. FORM 6-19 qMPS BATH TUB ~ nrc_eMPS I 5HOWER I MEATING ~ GARBAGE DISP ~ DISH WASHER 8 CONTROlS ~ FI,DOR DRAIN 7MER5 9 RECTFIERS $EWERS TO OLD WORK OTHER )VER I HP TOTAI F 1 Aareby ucknowledpe thot thia epDlico- fion it correct and anderstand that I pQnnpf stort this Droject until fhis opDli- tofion is approved. I sholl comply wilh fhs laws of Ihe Stote of Colorado and fo the ZoninQ Requlotions and Bwldinq Lode ofthe City oi Wheai Ridpe, Any violulion of the above terme will cause immeq/oje revocotion of t" frmit spolicanb sionami. CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS oclllc;ilf LOC 1( )Il Ccf` l . , u ~ ; ; ( . W • I•_ E cn:;Lso,! _r~Gir~eet;irac itvc. 72} ❑F:,,,,,rc Sreat Denver, CGlor;~r!a $0209 Fhone: 222-97~11 222.9742 S 1 ' r' . ---,1 ~ ; ~ ~ ~ ! , I . ~ , ~ ' ~ SCALE: Lzyal De::cription: Lot's 37 and 35 EXCEPP South 15 Feet oi said Lot, SAt1E5 SU3DIVISTO:f, Coimty of Jei£er.son, State of Colorado. I hereby certify that this improvement location cer[ificate was prepared for Bichler and CUnninmham-5lester.n Pede['al S& tna irnprn;.;m~:~c loc2:ion bainp besed on boundary evidence and tha[ it is not to be relied upon for the e;fablishrnoi:t o( fence, hLIildin'j, or odher fucu. mprovernert lines. I further ccrtify that tha improvements on the ad,ovo di;sail;nd parcol on thic _ 'S" day utiliry connaetion;, are entirely wiihin [he boundmic; oF the purcel, exccpt as shc,an, ti~ot tr .-..ri,, , i ~i~~:•.:nr rG upnn t'lo! d12;cnLod pr^rnk^s by improv«man[s on any adjnining pietnisac, excrpt a5 indicutuJ, and tho[ I ~ i: ~ia iJen,r o~ of .iny isen;r.nt uus;iny ur burcleninp any par[ of s;iid parce:l, excep[ as nvted. OWNER: Bi.ciiler Ciannin;,;harn-':ies~e;-ti 1'enara Sa.vin~:, Z: Loan ADDRESS: 4090 Oi:is Street. TITLE CO: U.S. Li[c 7'it,la CASF NO: 17-5190' A•-rr ,Y.~.oo cLFZnricarE ree: , CFRTIk=1CA-fE fi0: ----j~~~c3--------._.___- , ~ ~ `i N ~ • : y' ♦ r-x •t. 0 ~ u ~w tit . . ' ' Y-- . . . ' ~ I ♦y Y 55 j < y ~ . . 1 i M . . . ^ . > . . _ ~ - . ~ , .l . . . . . . . . ~ . . . - . ' .P .x ~ ^ . ~ . - ~ . . . . . . . ~ . , . , _ _ V \ v ~ ~ ♦ 'N~;.f ' ~ . µ ~y _ - ~M ! = ~ OEPARTMENT OF COMMUNITY DEVELAPMENT 7500wES729thAVENUE BUILDING INSPECTION DIVISION PERMIT NO.M911f17U67 237-6944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, C0L0. THIS PERMIT VALID ONIY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW. . APPLICATION FOR MISCELLANEOUS PERMIT JOB ADDRESS ~ OWNER ~~y'G CONTRACTOR ADORESS 9~ G~,7-' s ADDRESS PHONE ZIP COD W14 CITY A ~ G ZIP CODE !:ONTRACT PRICE $'3 PHONE ` CENSE NO. 1. TYPE Ground❑ Woll❑ Vroittlinp❑ Other SaDFace 2. MATERIAL Tofal Squors Faef SIGNS 3. ILLUMINATION Yas❑ No❑ TyDS Eleet. Permif No. 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zom_ Apprwad, 2one Inapeeta 1. TYPE SolidU More Thon 80% ODanU Lott Thon 80% Open FENCES MATERIAL Neipht 3. SET BACK FROM PROPERTY LINE N_ 5_ E_ W Zone_ ADWwad,Zorn InsOSetw (Soeoifv whieh ia front) ❑ ❑ ❑ ❑ Oiaaoorowd 1. OTHER 2 113. INSPECTION TICKET DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE JOB (SETBAGKS OR PROJECTIONS INCIUDED) ADDRESS 7~ G CkilA/J DATE: 7-C29 BLDG. PERMITM l•1067 PERM ITk BLDG. CONTR. ~ SUBCONTRACTOR DATE INSP. REQ. J STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TPApJOINING HOUSES, STREE TYPE OF II DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCI INSPECTIO APPLICATION FOR PLUMBING; ELECT! THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDILATED V REMARKS PERMIT WILL E%PIRE 60 DAYS FROM DATE OF ISSUANCE ~ ION, ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING I V I STATE LICENSE N0. ALU MIIJUM WIRE UNDERSRE 8 ILLEGAL FLOOR BSM I: j~cSdor W R FORM 618 N0. WATER CIDSET . . ~ TEMPORARY METER WASH BOWL ~ NEW SERVICE AMPS BATH TUB CHANGE SERVICE-AMPS SHOWER LIGHTING HEATING SINK GARBAGE DISF REFRIGERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER Refri eranf Group UTILITY(RANGE,DISPOSER,ETC) AUTO. WASHER Pounds Chm a FIXTURES DISH WASHER AUTOMATIC SPRINKIER SYSTEM WIRING MOTORS 8 CONTROLS F100R DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS d RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES . REMARKS - I hereby ocknowledqe that this applico- fion ia eorrecf and undentond that I oonnot atart this projetf until thia appli- cotion is approved. I shall comply with the lows of the Sfote of Colorado ond to fhe 2oninp Repufationa and Buildinp Code of tAe City of Wheot Ridqe. Any violation of the above terme will couse immediate revocotion of thie permit PERMIT FEE (Q3 Q~ NOT VALID UNLESS RECEIPTEI USE TAX 3(~ , l4 , , q TOTAL FEE $ G G . y~, n APPROVED Q ' l~ ~~~vl~ ~ED CHIEF BUILDING SPECTOR,City of Wheat Ridqe CALL 237-6944 EXT. 255 24 HOURS IN ADVANCE Date Issued 7~G S" p I FOR INSPECTIONS AeM,ca0, manaro.