HomeMy WebLinkAbout3700 Marshall StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair
Date: Thursday, March 24, 2022 11:14:37 AM
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PERMIT APPLICATION Sewer or Water Line Repair
This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3700 Marshall St.
Property Owner Name Chelsea Faine
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
319-329-7703
chelsea.faine@gmail.com
City of Wheat Ridae Payment Form - CG.Odf
CONTRACTOR INFORMATION
Contractor Business Apex Plumbing Inc
Name
Contractor's License 060162
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-215-1348
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email permitting@apexplumbing.com
Address
Retype Contractor permitting@apexplumbing.com
Email Address
0]:K163ziIa1[*]0N]avOLel S21
Is this a sewer line or
sewer Line
water line repair?
Length of repair
23' of interior, 56' of exterior/in yard. No ROW.
Location of repair
In the crawlspace and the front yard
(backyard, frontyard,
etc)
Provide additional
Repair will start in the crawlspace, and go to the exterior,
details including
rerouting around the patio, up to the property line in front of the
Installation of clean-
house, where we will reconnect to the existing pipe. We will
outs.
install cleanouts at the new building drain location. We will cap
off the old line at the foundation and property line.
Project Value (contract
5000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Charlotte Graham
Pe rm it
Email not displaying correctly? View it in your browser.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: 701T ADDRESS:, 7L JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
do 6-
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
do 6-
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: ADDRESS:
ADDRESS:�J JOB CODE: J�
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection"
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
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: 14 05 - �.`. )
Job Address: -3 "7 0 o /Yl a s i, /l -�-
Permit Number: 0 1-7 C _�;7- -7 9 R
_Rfl ®�
❑ No one available for inspection: Time 9,- S -LI EM/PM
Re -Inspection required: Yes I�I'o
When corrections have been made, call for re -inspection at 303-234-5933
Date: I /I )Inspector: `
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax '
INSPECTION NOTICE
Inspection Type:
Job Address: isZQ
Permit Number:1%�
❑ No one available for inspection: Time
Re -Inspection required: Ye,5-` No
When corrections have been made; -call for re -inspection at 303-234-5933
Date: '/ / Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705798
PERMIT NO: 201705798 ISSUED: 08/09/2017
JOB ADDRESS: 3700 Marshall ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 24
sq.
*** CONTACTS ***
OWNER (319)310-8050 FAINE JEFF
SUB (720)536-8870 Chris Falasco 160159 Endeavor Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,902.39
FEES
Total Valuation 0.00
Use Tax 165.95 .:•b
Permit Fee 172.60
** TOTAL ** 338.55 - -- ---
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
�. City of Wheat Ridge
Residential Roofing PERMIT - 201705798
PERMIT NO: 201705798 ISSUED: 08/09/2017
JOB ADDRESS: 3700 Marshall ST EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re—roof to install GAF Timberline HD asphalt shingles with 24
sq.
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
thispermit. I further aftestAhat.1 am legally authorized to include all entities named within this document as parties to the work to be
performed a d that 11 wo t be performed is disclosed in this document and/or its' accom anying approved plans and specifications.
e5�ul F �f-
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, po Flans
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 any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official 'Iha Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Friday, August 4, 2017 8:07 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3700 Marshall Street
Property Owner Name Jeff Faine
Property Owner Phone 319-310-8050
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 Faine Client Agreement.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business Endeavor Exteriors
Name
Contractor's License 160159
Number (for the City of
Wheat Ridge)
Contractor Phone 720-536-8870
Number
Contractor Email Address production@endeavorexteriors.com
Retype Contractor Email production@endeavorexteriors.com
Address
DESCRIPTION OF WORK
Are you re -decking the No ✓
roof?
Description of Roofing Asphalt Shingle - GAF Timberline HD
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 24
material selected above? /
Does any portion of the No v
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 24 V
(pitched + flat) of all
2
roofing material for this
proj ect
Provide additional detail House only. 1 -story. 5/12 pitch.
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) C7902.39
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 Alex Knoll
Email not displaying correctly? View it in your browser.
3
CLIENT AGREEMENT
'�„t N%000-
-XTERIORS
7808 Cherry Creek South Dr. Suite De
401, Denver, CO 80231 BBB
Office: (720) 536-8870 ( www,TheEndeavorTc ,m.com (Licensed &Insured
Clientaffim
Faine, Jeff Email
jefffaine@gmalLCOm Date
Street Address 7/20/17
3700 Marshall Street LRobert
ndeavor Rep
City, State, Zip
Fisher
Wheat Ridge, CO 80033 1Insurance Company InSUrdnr;r; Agent
1 e
American Family _ Rick Laikola
Home Phone Work Phon319-310-8050 f Claim a
00315102233
Mortgage Company (only if mortgage company is present on payment)
I Lender loan #
❑ Borrow Authorization Form Signw,-
❑ Photo of Mortgage Check Ta rn
Limited Lifetime Labor Warranty
ROOF SCOPE: Full Partial Rep i
Brand:
GAF Timberline HD
Color.
Charcoal
Metal Color. -M'`
Dar ze V
Fell:
Synthetic
11 Q GUTTERS: u Partial Repa it
Color:
Gen. Liability/Workers' Comp 0 BBB Accredited i No Deposit Required
rWINDOWS: Full Partll Repair PAINT: FOS Paul Repair
Brand: I Egan.,
M11o' "Color. C
Ino ice!
SIDING: u I Partial Repair OTHER:
I Brand:
Style:
GuttersI Color:
Dow
Payment Terms
Client understands and agrees their insurance company will not pay the deductible
amount or any upgrade client is opting to pay for. Client's expense for these items are:
First payment will be collected when work begins or material delivered - whichever
occurs first. This is partial compensation for labor and materials. This amount is:
Work to be completed according to the specifications in the total amount of:
$ 1,000
$ 2,223.33
$ 9,046.14 +s-rPlemerts
Q Balance due upon substantial completion ❑ CASH SALE ❑Contigency Agreement (Contigent upon his approval)
❑■ INSURANCE AGREEMENT The client authorizes Endeavor Exteriors to represent thov bits, interest to pursuit or ha'i rep.,<.• • ea crs;a 'r• :ry -•� +
to be Covered under homeowner's insurance and snows Endeavor Exteriors to deal directly with the insurance company regard -rig lhrc d:r •^ "+ :+`^+• +� + �'`�'- ^�+ �''"^
the c ant to Endeavor Exteriors until the claim is approved by the insurance company, and accepted by Endeavor Exteriors Upon approxa: et ca E^dra or Ere,.,•R
will complete an specified work at a price agreeable to the insurance company (RCV) and Endeavor Extenors with no airhtional test to the dbelt excert trr the dedu;t:le
ordinance and Law (supplemental) items may increase the orginal (RCV) amount. Final agreed upon pnce xv,ll become the heal contraci price and W.Uest that ail raymen;s
be made payable to Endeavor Exteriors Inc. Endeavor Exteriors will not collect payment until the work has begun or materials have been deltevered.
"Credit card payments are not accepted on insurance claims*
I (we) agree, by signin be , td all the contract conditions on both front and back, of th s agr ement
Client Signature:
Date of Acceptance: __--��
Client Signature:—LL--Endeavor Signalure: r
Scanned by CamScanner
S'CLIENT AGREEMENT
S011111110, =XTER1 R
D S 1*#4#7808 Cherry Creek South Dr. Suite 401, Denver, CO 80231
Office: (720) 536-8870 1 www.TheEndeavorTeam.com I Licensed & Insured 11 ; M— -
Client Email Data
Faine, Jeff jefffaine@gmail.com 7/20/17
Street Address Endeavor Rep
3700 Marshall Street I Robert Fisher
City, State, Zip
Wheat Ridge, CO 80033
riuraince Company I Insuranrr; Agr;nt
Honie Phone I Work PhoneI Claim #
319-310-8050 L Il
Mortgage Company (only if mortgage company is present on payment)
Lender I Loan # C] Borrow Authorization Form Signed
❑ Photo of Mortgage Check Taken
Limited Lifetime Labor Warranty 0 Gen. Liability/Workers' Comp 0 BBB Accredited 0 No Deposit Required
El
ROOF SCOPE: Full Paul Repair WINDOWS: Full Pir- al Repair PAINT: Full Partial Repair
Brand
Color:
Metal Color:
I Felt:
GUTTERS: F1571 Penial Repair
Brand:
Model/Color.
SIDING: Full Pa -Mal Repair
(Brand:
James Hardie
Style: 6e lap smooth
Color: F-1 Gutters I Color:
❑ Downspouts primed
Payment jxrms
Client understands and agrees their insurance company will not pay the deductible
amount or any upgrade client is opting to pay for. Client's expense for these items are:
First payment will be collected when work begins or material delivered - whichever
occurs first. This is partial compensation for labor and materials. This amount is:
Work to be completed according to the specifications in the total amount of:
Brand.
i Color(s).
OTHER:
$ 0
$ 5,702.67
$11,405.34 `Supplements
X Balance due upon substantial completion QQ CASH SALE ❑Contigency Agreement (Conligent upon Ins. approval)
INSURANCE AGREEMENT. The client authorizes Endeavor Exteriors to represent their hest interest .n pursixt of fun replace-ent c sts for da -111-11 ret eve,
to be covered under homeowner's insurance and allows Endeavor Exteriors to deal directly with the insurance company regard -ng this dB„n t hs co!1:rart aors not c^ o.nr
the client to Endeavor Exteriors until the claim is approved by live insurance company, and accepted by Endeavor Exterars. Upon approval of co — L ek',Or Lxter011
will complete all specified work at a price agreeable to the insurance company (RCV) and Endeavor Extenws with no additional cost to the client exceol for the deduct -Ne
Ordinance and Law (supplemental) items may increase the orginal (RCV) amount. Final agreed upon price will become the final comract Price, and relluest that all pat;ments
be made payable to Endeavor Exteriors Inc. Endeavor Exteriors will not collect payment until the work has begun or materials have been de®evered.
'Credit card payments are not accepted on insurance claims'
I (we) agree, by signing Io ;
City of Wheat Ridge
Residential Electric PERMIT - 120425
PERMIT NO: 120425
ISSUED:
04/16/2012
JOB ADDRESS: 3700 MARSHALL ST
EXPIRES:
04/16/2013
DESCRIPTION: Replace existing service
with 200 amp
service
* ** CONTACTS * **
gc 303/400 -4321 Edward Jueschke
02 -1943
SJO Electric LLC
Owner 303/304 -9932 Jsff Feyhe
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0477
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED PROJECT VALUATION: 2,250.00
FEES
Permit Fee
93.35
r�
Total Valuation
.00
Use Tax
40.50
** TOTAL **
133.85
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named 'thin this document as parties to the work to be performed and that all work to be performed is disclosed in
this document . * /or its' accompanying approved plans and specifications.
Signature of 0 &R or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all 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 appli able code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspecti
Signature of Chief ld".g Offical Date
INSPECTION RE(UEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
d� City of
Wheat j dge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Request Line: 303 - 234 -5933
Building Permit Application
(Complete all highlighted areas)
Property Address:
Property Owner (please print): `� �.1 7 e
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Date:
Plan #
Permit # 1 z p 7 Z�
Phone:3k� -'� ( fD 0
Contractor: C
Contractors City License #: Phone:
Sub Contractors:
Electrical: Plumbing: Mechanical:
City License #
City License #
City License #
Description of work (Fully describe work to be performed - Attach additional sheet if necessary)
Contract Value of all work:
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE. (OWNER) (CONTRACTOR) gr LUTHORZZED REPRESENTATI o (OWN
PRINT NAI11E: A ,12 SIGNATURE: DATE:
ZONING COMMENTS
Zoning:
Reviewer
BUILDING DEPARTMENT COMMENTS
Reviewer
PUBLIC WORKS COMMENTS
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY
FIRE DEPARTMENT:. ❑ approved w/ comments 11 disapproved ❑ no review required I Bldg Valuation: $
oF WHE4T
m City of Wheat Ridge
°~~oRa~° Residential Plumbing PERMIT - 060517
PERMIT NO: 060517 ISSUED: 06/20/2006
JOB ADDRESS: 3700 MARSHALL ST EXPIRES: 12/20/2007
DESCRIPTION: repipe gas line for furnace and water heater
CONTACTS
gc 303/466-4206 Greg Fanger 01-7986 The Gas Connection
owner 303/424-4349 Don Ruterbories
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUhID7ARY ESTIMATED PROJECT VALUATION: 7 00
FEES
Permit Fee 42.46 ip
Total Valuation .00
Use Tax 13.32
TOTAL 55.78
Comments:
re-pipe gas line for furnace and water heater
subject to field inspection
I hereby cer[ify that the setback diatances proposed by thia permit application are accurate, and do not viola[e applicable
ordinances, rulee or regulations of the City of Wheat Aidge or cwenants, easemente or restrictions oE record; that all
measurements shown, and allegatione made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full reaponsibility for compliance with the Wheat Ridge Huilding Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspecCion.
,'1 . . 2L.. 5e__ / ' 1 G -U 6
of contractor/owner date
1. This permit was issued in accordance with the provisions set forth in your application and is aubjec[ to the laws oE the
State of Colorado and to the Zoning Regulations and Building Codes of wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. This permi[ shall expire if (A) the work authorized is not commenced within aixty (60) daye from ieeue date or (B) the
building authorized ia suspended or abandoned for a period of 180 days.
3. If this permit expires, a new permit may be acquired Eor a fee of one-half the amoun[ normally required, pmvided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
.
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, fu11 fees shall
be paid for a new permit.
4. No work of any manner shall be done tha[ will change the natural flow of water caueing a drainage problem.
5. Contractor shall notify [he Huilding Inapector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phasea of the job.
6. The issuance of a permit or the a proval of drawings and specifications shall not be construed to be a permit for, nor
an approval,~!" viol '6n of the visiona of the building codee or any other ordinance, law, rule or regulation.
All plan 6v e ect yo,f' ctione.
Signature of Chief Building Offical date
INSPBCTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
wr_qr COMAfUNITY DEVELOP111ENT DEPARTMENT IIuildine Pemiit Number:
~ v BUILDING INSPECTIOA' LInE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
` m 7500 WEST 29TH AN'E]VUE
~ ~~i Npoa WHEAT RIDGE, CO 8021$ _(303-235-2855)
. A1'PLICA7'IbN
PropettyONner: ~on RotPr bcries
PropertyAddress: 37oC HArsl~~,ll St
Phone: 3e3-Nay-"13"
Contractor License No.: ~ 7 q$N
Company: T-ke &as ~an~e~tiav~ Phone: 3cr3-NG& -C1J06q
OM'1'ER/CONTRACTOR SIGNATl'RE OF LTDERSTAIUIIG ANU AGRlF.ME5T
I hcrcby ccnify Ihat the setback dismn<es proposcd by Ihis pcmiit appiicaiion areaccuraic,
anJ do not violate applicable ordinancts, rules or rcgulaiions of iht City of N'hcat RiAge or
oorenan Is, ta5ements or rcsiriclions ofrecord; Ihal all measuremenls shown, and aliegations
maJe ar< accunte, ihal I havc read and agree io abide by all condiiions printed on Ihis
appGCation and Ihat I assunx full responsibiiity for compliance with the N'hcal Ridge
Ouilding Code (UD.C) and all olher applicabie N'heat Ridge Ordinances, for work under
this pertnil.
(0WNERHCONTRACfOR).SIGNEU .Ais r,'t,ct~y. DAT[
(ON'!:GN)(CO\TRACfOR):PRINTED_ TiII `nrZU DATE
Conslruction Value:$
Pemiit Fee:S
Plan Review Fee:S
Use TaxS
Total:$
DESCRIPTION: ReP,P~ ~cjs I~v.e -Fer ~v;nc,cP cV.r~ wntPr ~^F~fP^,
BUILDInG DEPARTMENT USE OnLY
20NIN6 COMMlNTE: SIC: Sq.Pt.:
Approval:
Zoning:
BUILDIN6 COMMENTS:
Approval:
PUlLIC WORKf COMMfNTE:
Approval:
Occupancy: Walls: RooC: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Erpiration Date: Expiration Date: Expiration Date:
Appro%al: APProval: APProvah
(I) This pemoii wu issued in acrordance wilh the provi5ions set forth in wur aOplioalion and is subjea to the lexs of ~he Suit of Colondo and lo the 7nning
0.epulations and Building Codes of N'hqt Ridge, Colondo or aq other lipplicable ordivnces of ih<Ciry.
(2) This permil shall expirt if(A) ih<work aulhorized is nol canmrnaed within sixry(60) days Gom issue dwv or (0) the building lulhonzed is wspended or
abandoned for a penod of 120 dqs.
(3) If flis pertnit expires. s neu' pertnil may bt acqvirtd for I ftt olone.hallthe amoum nomuily rcQUirtd. procidad im ahanges hrvc bmn or will Fa made
in the ongiml plms and spttifi<uions mnd wy surysnsion or abmdonm<m has not uceeded one (1) y<ae If changes Inve pavn or if suspension or
abrndonmmt auttds one (l) yev, full fttf shall be paid frn a new p~MiL
(4) No xork olmy manner ahall be done Ihri will chmge the nromnl Oow of wuer uming a dninag<pmblem.
(S) Contratlor vhdi naify the Building Inspecbr n.enry-four (20) hours in adrmce for all inspeouons and slull rm<ive ..riuen appmral on inspeclion rard
befort proceeding with sucmssive phases of thejob.
(G) Tha issuance of i pertnil pr the appmval o(dnwings and Speaification5 Shall nol be oonshued to be a pemiit for, nor an appm.yl of. any violalion of the
prodsions of the buiWing oodes or any olher wdimnce, law, rul<or rtgulation.
Chief Building Inspector
PORM (M) 411-024123 XCEL ENERGY ~4rpr g
RDDRE35
CITVTOWfJOFCWNTV
FLOOP
APTNO.
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CUSTOMEH NRME (PRINT)
ACTION TAKEN
❑ NOSHUTOFF
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❑ APPLIANCE OFF
OWNER
TENANT ~
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OTHER 0
❑ 09jf{ qppL. S METER OFF
ETER SHUT OFF
- HAZARD -
CONDITION TO BE CORRECTED AS SXOWN BELOW CREATES AN IMMEDIATE NAZARD.THIS EWIVMENT MUST NOT BE PUT BqCK IN
SERNCE UNTL REPAIRS AND A THOROUGH INSPECTON XAVE BEEN MADE BY A OURLIFlED CONTRRCTOR, CONfACTYOUR LOCAL
BUILDING DEPARTMENT FOR CODE ANU PERMIT REWIREMENTS PRIORTO PERFORMINC REV/JR WORIG
Nr1MERNOTYPEOFAPPLIqNCE
CONDRI/pNT BECARRECTEO
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FOR FURTHEF INFORMATION PHONE:
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