HomeMy WebLinkAbout4315 Otis StreetA i CITY OF WHEAT RIDGE
i�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
�g
INSPECTION NOTICE
Inspection Type: R 0 F
Job Address: 9 -3 l %;,� !�r
Permit Number: a o/ 7 0 -;L- D
h) i rrl7 o vY o . 7
❑ No one available for inspection: Time 6 L AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 3 - Inspector:
DO NOT REMOVE THIS NOTICE
A ® City of Wheat Ridge
`f Residential Roofing PERMIT - 201702120
I
PERMIT NO: 201702120 ISSUED: 06/19/2017
JOB ADDRESS: 4315 Otis ST EXPIRES: 06/19/2018
JOB DESCRIPTION: Adding redecking
RESIDENTIAL REROOF - TAMKO HERITAGE ASPHALT SHINGLE- 26 SQ.
*** CONTACTS ***
OWNER (303)424-5944 HASHEM CYNTHIA
GC (303)404-0502 Michael A. Robl 080033 Quality Roofing Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,931.25
FEES IL
Total Valuation 0.00
Use Tax 271.56
Permit Fee 251.85
** TOTAL ** 523.41
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding Al/2-inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702120
PERMIT NO: 201702120 ISSUED: 06/19/2017
JOB ADDRESS: 4315 Otis ST EXPIRES: 06/19/2018
JOB DESCRIPTION: Adding redecking
RESIDENTIAL REROOF - TAMKO HERITAGE ASPHALT SHINGLE- 26 SQ.
I, by my signature, do hereby, hest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, a>tall applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of Ft`.� �`rerty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further tt t' , I am le ally authorized to include all entities named within this document as parties to the work to be
performed and thatI` b be performed is disclosed in this document andlor its' accompanying approved plans and specifications.
}`
Signature of OWjZER or CONTRACTOR! (Circle one) Date
1. This permit was issued bas on the inforgp ation provided in the permit application and accompanying plans and specifications and is
subject to the compliance wit 4Qse_deC6ments, 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 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, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is s to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
COMMUNITy DEVELOPMENT
Buildings & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits _ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
.odd to Permit #
Building Permit Revision//amendment Application
Please complete all highlighted areas on both sides -of this form. Incomplete applications may not be processed.'*'
Property Address: j
Owner
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contact Person: a&A Phone:
Contractor: Co"'�'v
Phone: S —
Contractors City License #: _ GF Phone: L( i
Contractor E-mail Address: iv -1
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
r
Sq. Ft./LF `' Btu's
Amps
Qum
Gallons
Squares :� 1,14 Other
PC k.Aoi
IAdditional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
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 atgntity on this application.
CIRCLE ONE: (OWNER) ( N ACTOR\ or (AUTHORIZED RE SENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: `1 �trv�`� l ��c '� SIGNATURE: DATE: G"✓ ���
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS.
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
y CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: m 1
Job Address:
;'Permit Number: d a, / Z
v
1
0
rQU p
❑ No one available for inspection: Time U Z
AM/PM
Re -Inspection required: Yes No
'When corrections have been made, call for re -inspection at 303-2 34-533
Date:L' /
Inspector:
DO NOT REMOVE THIS NOTICE
..
® ' 4 City of Wheat Ridge
Residential Roofing PERMIT - 201702120
_:��
PERMIT NO: 201702120 ISSUED: 06/19/2017
JOB ADDRESS: 4315 Otis ST EXPIRES: 06/19/2018
JOB DESCRIPTION: RESIDENTIAL REROOF - TAMKO HERITAGE ASPHALT SHINGLE- 26 SQ.
*** CONTACTS ***
OWNER (303)424-5944 HASHEM CYNTHIA
GC (303)404-0502 Michael A. Robl 080033 Quality Roofing Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,900.00
FEES
Total Valuation 0.00
Use Tax 228.90
Permit Fee 220.15
** TOTAL ** 449.05
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms 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's 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.
Wkt
y attest that the work to be performed shall comply with all accompanying approved plans and specifications,
nd all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
operty and am authorized to obtain this permit and perform the work described and approved in conjunction with
hat I am le ally authorized to include all entities named within this document as parties to the work to be
to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
(c - f j
Signature of O"ER '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 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�ork is subject to field inspection.
Signature of Chief Building Official Date `
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of Wheat Ridge
Residential Roofing PERMIT -
201702120
PERMIT NO:
201702120
ISSUED:
06/19/2017
JOB ADDRESS:
4315 Otis ST
EXPIRES:
06/19/2018
JOB DESCRIPTION:
RESIDENTIAL REROOF - TAMKO HERITAGE ASPHALT SHINGLE-
26 SQ.
Wkt
y attest that the work to be performed shall comply with all accompanying approved plans and specifications,
nd all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
operty and am authorized to obtain this permit and perform the work described and approved in conjunction with
hat I am le ally authorized to include all entities named within this document as parties to the work to be
to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
(c - f j
Signature of O"ER '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 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�ork is subject to field inspection.
Signature of Chief Building Official Date `
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
J6 F7 02-/C) O
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 9, 2017 1:59 PM
To: Permits CommDev
Subj ct: Online Form Submittal: Residential Roofing Permit Application
(�)
r
C
Residential Roofing Permit Application-
This application is exclusively for new permits for residential roofs and for licensed
_J_
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
4315 Otis St Wheatridge Co 80033
Cynthia Hashem
303-424-5944
Field not completed.
Yes
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Quality Roofing Co
080033
303-404-0502
Contractor Email Address Mike-RoblQualityRoofing@comcast.net
(pen -nit pick-up
instructions will be sent
to this email)
Retype Contractor Email Mike-RoblQualityRoofing@comcast. net
Address
191=61VIaIEeP►to] &TJ ell
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing Tamko Heritage
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 26
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 1.5
on the flat roof?
TOTAL SQUARES of all 27.5
roofing material for this
project
0)
Provide additional detail Home 4/12 and 2/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 10,900.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Mike Robl
Email not displaying correctly? View it in your browser.
3
oofing Company
Locust St.
Denver, CO 80207
Date: U-% - f - �, C"I
D
Customer
<.
t
Address
City/State/Zip
Phone
Cell
QUALITY
ROOFING
COMPANYgA g®
Locally Owned
Insurance Co. Ph #
Claim # Fax #
County I Adjuster Cell #
C PERMIT JURISDICTION
23 MANUFACTURER :a"\ -,,lc-
0 STYLE_121 e.<�''r- 4c -.Q
COLOR
p TEAR OFF t
,Z) IL YEARS MANUFACTURER'S LIMITED WARRANTY
DOUBLE ALL EAVES (2'-,--) P.J,"<-`'- Z
a0 RIDGE TYPE 2 :
`O VALLEY TYPE Q\::'
U PIPE JACKS
,01 PAINT ROOF STACKS
U METAL EDGING
ICE AND WATER SHIELD {- M LJ 4�r'
M
By signing this agreement the homeowner authorizes
Quality Roofing Company, to represent the hom-
eowner's best interest in pursuit of storm damage.
This contract does not obligate the homeowner or
Quality Roofing Company until the claim is approved
by the Insurance Company and accepted by Quality
Roofing Company. Upon approval of claim Quality
Roofing Company will complete specified work at
a price agreeable to the insurance company and to
Quality Roofing Company with no additional cost to
the homeowner except for the deductible. Agreed upon
price will become the final contract price and Quality
Roofing Company will receive all insurance proceeds
for the work completed by Quality Roofing Company.
We propose to complete in accordance with the above
specification and subject to conditions found above on
this proposal. Payment to be made as follows Insurance proceeds
only:
D FELT UNDERLAYMENT re`:'Y c 0 Homeowner acknowledges Quality Roofing Company
El CLEAN UP AND HAUL OFF ROOFING TRASH int. as a General Contractor and as such will be entitled to
.0 RUN MAGNETIC NAIL RAKE THROUGH YARD 10% overhead and 10% profit, as allowed by insurance
Q CLEAN GUTTERS OF ROOF DEBRIS industry standards.
JPROTECT LANDSCAPE
REPLACE ATTIC VENTS
0. TAXES INCLUDED
O INSTALL NEW VERTICAL STEP FLASHING- -f'
INSTALL 6 NAILS PER SHINGLE
U. INSTALL NEW GUTTERS �� ������ ��Q':
Quality Roofing Company furnishes workers compensation and genLs'ra lability
insurance. During the removal and installation of the roofing system there may be
areas where exposed ceiling may allow dust or debris to filter into the attic space.
Owner understands and agrees to prepare for this by covering items under exposed
ceilings. Owner understands and agrees to prepare for this by covering items under
exposed ceilings. Owner also recognizes that debris which may enter into the attic
space or through roof planking into garage interiors is unavoidable and contractor
is not responsible for this clean-up. 5 year warranty on Labor.
SPECIAL NOTES
5�V6 ,uKZI�-'
d
Total $
AdJ
Quality Roofing Agent j ( t Signature
Cell Phone :T - �q I - i,
Signature
Quality Roofing Agent
Signature
Quality Roofing Company 303.404.0502 www.qualityroofingdenver.com Fax 720.381.0340
v--,'
City of Wheat Ridge •
1 Residential Electric PERMIT - 071185
PERMIT NO:..'0?1185 ISSUED: 10/31/2007
JOBI.ADDRESS:43-15 OTIS ST EXPIRES: 04/28/2008
DESCRIp'TION: Vpgrade service to 150 Amp. Install GFI outlets k&b; smoke
~xr COYBTAC'TS.••• . .
owneY 303/424-5944 Cynthia Hashim
gc-303/439-0120 02-0941 E.R.E. ELECTRICAL CONTRACTORS,
x*'PA&CEL TNFO _
ZOLiE. C4pEs UA USE: r-3
SUBDIVISION: 0405 BLOCK/LOT#: 0/
**.;.FJE SUM14AgY~x«
ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Pexmit Eee...~
90.10 ~
Tdtal Valuation
.00
Use TaX
36.00 mm
*+TQ2'AL
126.10 .
Must. Ccamply w/ 2005 NEC & 2003 IRC. I hcreby cettify that the eetback dietances propoeed by thie permit application are accurate, and do noC violate applicable
orQlneaced, r4i1~ la[ione of the City of wheat Ridge or covenante, easemente or res[riCtione of record; that all
meaatae~lsn , sn allegations made are accurate; that I have read and agree to abide by all conditione printed on thie.
app;LC on aad thatxae me full reeponaibility foz compliance with the wheat Ridge Building Code (I.S.C) and all other
app 1lNheak 'nancea, fox work under thie permit. Plans eubject to field inepection.
51 e ai Cor/ er date /
1. Th1Y petmitWaeeue in accordance with the proviaione aet forth in your applicatlon and is eubject to the lawe of the
:armw ef C8loradod o the Zoning Re9ulatione and Building Codee of Wheat Ridge, Colorado or any other applicable
9laaateeoP theCil'¢.
i4 ptrniitehalL expire 180 daye from the iseue date. Requeete for an extenaion muat be received prior to expiration
Ce. An.Oxteniion may be granted at the diecretion of the Building Official.
thi8 peimit.expires, a new pemit may be acquired for a fee of one-half the amount noxmally required, proviaed no
9zigea 1MV0been or w111 be made in the original plans and epecifications and any euepeneion or abfullnfeee hall t
ceededl.oa+e.(I)year. IP chan9es have been or if suepenaion or abandonment exceede one (1) year, ,
yaid 'for a IIew permit.
wpik q=~any rtanner ehall be done that will change the natural flow of water causing a drainage problem.
$tTactbi ebdll notlfy the Building Inepector twenty-four (24) houra in advance for all inepectione and ahall raceive
itteA apprev9l.on Snepection card befote ptoceeding with eucceeeive phasea of the job.
wiaevmnce ofa permit or the approval of drawings and apecifications ehall not be wnetrued to be a pemit for, nor
appzoval o 2~//" violation of the provieione of the building codea or any other ordinance, law, rvle or regula[ion.
1 Dlalt/'~/[9 eubject to field inepectiona.
' lww...
. ,,:.,~r:~....
T LINB: (303)234-5933 BUILDING OFFICE: (303)235-2855 .
MADE BY 3PM ANY BUSINESS DAY FOR iNSPECTION THE FOLLOWING BUSINESS DAY.
pfWHEqr,p/ City of Wheat Ridge Building Division Dare:
7500 W. 29`" Ave., Wheat Ridge, CO 80033
OffiCe: 303-235-2855 * Fax: 303-235-2857 Plan
~ Io Inspection Line: 303-234-5933 Permit#:
Building Permit Application
Property Address: / 6f 7-1s s7,L/
Property Owner (please print): Q1VJA(]Z,_ /fS Phoner'c ~~f ZY • ssyy
Mailing Address: (if different than ~ropeRy address)
Address:
City, State, Zip:
Contractor
Contractor License Phone: zZ. D' Z'
Sub Contractors:
Electrical City License Plumbing City Lice
nse Mechanical City License
Company: Company
Company:
Exp. Date: Exp. Date:
Exp. Date:
Approval: Approval:
Approval:
Use of spaCe (description): 5 F0)
Description of work: J E-FrSKt&K e6ttzV*
'~Oa
Construction Value: $
(as calculatedper the Building Valuation Data sheet)
tAk - $ErJ i.t6 +u.P 9rAp►E To ~-^'j0 *04-f
~Lo
P~an Review (due af time oI submittal): $
p
~usr~n ¢FI datWs rM K..fek" 1~ 13~ - .voa
s,u.Kc, .F/Au-5
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances pmposed by this permit application are accurate, and do not violate applicable ordinances,
mles or regulations of the City of Wheat Ridge or covenants, easements or restridions of record; Ihat all measurements shown, and
allegations made are accurate; thal I have read and agree to abide by all conditions printed on this application and Ihat I assume full
responsibility for compliance with the Wheal Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permiL Plans subject to field inspection.
CIftLCEONE:: (OWNER) (CONTRACTOR) or PERSONALREPRESENTATIVEOf(OWNER) (CONTRATOR)
PRINT NAME: SIGNATURE: Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS'.
Reviewer.
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer.
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: b
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4315 OTIS ST
Contractor License No. : 18916
Company : Accent Window Inc.
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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED 5~-~'Lra.(t✓~~ DATE 7-Z-vf
Use:
Description : SEE ATTACHED PAPER WORK. NEW VINYL WINDOWS. b) U~
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
PLORW*
6128/01 EGRESS REQUIRED ON BEDROOMS
Approval: BG
MOW-,IM
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Building Permit Number : 12393
Date : 6/29/2001
Phone: 431-1540
Phone: 2951170
Construction Value :
$7,654.00
Permit Fee :
$153.25
Plan Review Fee :
$0.00
Use Tax :
$114.81
Total:
$268.06
Electrical License No :
Cornpany:
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 forth in yopur appliwtion and is subjecl to ihe laws of the State of Coloratlo and to the Zoning
Regula[ions antl Building Cotle of Wheat Ritlge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorizetl is nol commencetl within sinty (60) days from issue dale or (B) the builtling aulhorizetl is suspentletl 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 normaly required provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonmeni has not ezceeded one (i) year. If changes are matle or if suspension or abantlonment
exceetls one (1) year, full fees shall be paid for a new permit
(4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem.
(5) Contractor shali notiy the Building Inspector twenty-four (24) hours in atlvance for all inspections antl shall receive written approval on inspection cartl bePore
proceediin9 with successive phases of lhe job.
' uance of a ermit or the approval of drawings antl specifications shall not be constmed to be a permit for, nor an approval of, any violation of the provisions
s or any other ortlinance, law, rule or regulation.
(6) &N42!n2=
Chief Build' Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11899
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE u . Z g_o I
WHEAT RIDGE, CO 80215 - (303-235-2855)
A'PPLIc T1a
Property Owner : 9/.4 5 A ew
Property Address
Contractor License No.
Company
S'3/5 Of~3 St
Phone: 3o3-y31- /5va
Phone: 303-90/-0 80 s 63. 6)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurete,
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions ot record; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by all conditions pnnted on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED YL',~ 4✓7:E~ DATE !0-2 * '0I
Description: SE E T~"w`"- ~Nri~`e 4'°^IL
nnw VDr..l uy~~Yau)
Construction Value : 7(, 5 v°=
Permit Fee :
Use Tax :
Total :
Use:
BUILDING DEPARTMENT USE ONLY
SIC
Occupancy : Walls
CSMr~s re~~;~e./o, ,del,~a^~f
~
Roaf
Stories :
~
Sq. Ft. :
r~
KS ~
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiretion Date :
Approval : Approval : Approval :
(1) This pertnit was issued in accortlance with the provisions set forth in yopur applica6on antl is su0ject to the laws of the State of Colorado and ro the Zoning
Re9ulations antl Building CoOe of Wheal Ritlge, Colo2EO or any other applicable ortlinances ot the Ciry.
(2) This permit shall exptre if (A) the work auNOnzeO is not commencetl wiNin sixry (60) days from issue tlate or (B) the builtling auNOnzed is suspenEeO or
a6antlonetl !or a penotl of 120 days.
(3) If this permit expires, a new pertnit may be acquired for a fee of one-half the amount normally requireE, provitletl no changes have been or will De made in the
onginal plans antl specifiCa6ons antl any suspension or abantlonment has not exceetletl one (1) year. It changes are made or if suspension or abantlonmen[
exceetls one (1) year, full fees shall be paiA for a new permit.
(4) No work o/ any manner shall be tlone thal will change the natural Flow o( water causing a draina9e problem.
(5) Contrac[or shall no6y the BuilCing InsOector twenry-four (24) haurs in advance for all inspections anE shall receive wntten approval on inspeclion wrtl Eefore
proceeEiing with successive pnases of the job.
(6) The issuance of a pertnit or the approval of drawings antl speufications shall not De construed [o Ee a permit for, nor an approval o( any violation of the provisions
of tne builtling cotle; or anypNer ortlinance, law, rule or regulation. .
Chief B
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ADDRE55
WINDOW ATiONS
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WINppW dfEaFICATIONS WINQOWlOF'T10N5 6LAZIN6'0PT;"
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. (ISLO) ~ ~ .
. .
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