HomeMy WebLinkAbout3550 Miller StreetCity of Wheat Ridge
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Residential Roofing PERMIT - 201900002
PERMIT NO: 201900002 ISSUED: 01/02/2019
JOB ADDRESS: 3550 Miller Ct EXPIRES: 01/02/2020
JOB DESCRIPTION: Reroof remove and install Modified Bitumen and GAF timberline HD Asphalt
Shingles with 35 Total Squares,
8 squares flat and 27 squares pitched. Pitch 1.5/12, 4/12.
*** CONTACTS ***
OWNER (303)463-7934 MORIN ROGER J
SUB (303)945-4426 Jason Brondolillo 170192 Veteran Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,162.53
FEES
Total Valuation 0.00
Use Tax 339.41
Permit Fee 315.25
** TOTAL ** 654.66
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75% 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% 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.
City of Wheat Ridge
4
Residential Roofing PERMIT - 201900002
PERMIT NO: 201900002 ISSUED: 01/02/2019
JOB ADDRESS: 3550 Miller Ct EXPIRES: 01/02/2020
JOB DESCRIPTION: Reroof remove and install Modified Bitumen and GAF timberline HD Asphalt
Shingles with 35 Total Squares,
8 squares flat and 27 squares pitched. Pitch 1.5/12, 4/12.
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 pennrt. I further attest that I am leggally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chieftuilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer '__>( U
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, January 2, 2019 12:16 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Applications
This application is exclusively for new RESIDENTIAL roofing permits and for
licensed contractors only. Permits are processed and issued in the order they are,
received. You will be notified if your contractor's license or insurance has
expired. The license and insurance must be current before the permit will be -
processed.
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. The Building Division
permit counter is open from 7:30 am to 3:30 pm, 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
RESIDENTIAL reroof
permit?
How many dwelling units
are on the property?
Yes
Single Family Home
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
3550 Miller Court
Elaine & Roger Morin
303-463-7934
Property Owner Email VETERANROOFINGUSA@GMAIL.COM �1
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
CONTRACTOR INFORMATION
Contractor Business Veteran Roofing
Name
Contractor's License 170192
Number
Contractor Phone 303-945-4426
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address VETERANROOFINGUSA@GMAIL.COM
Retype Contractor Email VETERANROOFINGUSA@GMAIL.COM
Address
Credit Card Authorization 0084 190102121217 001.pdf
Form
DESCRIPTION OF WORK
TOTAL SQUARES of 35
the entire scope of work:
Project Value (contract 16162.53
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 27
part of the PITCHED
roof?
PJ
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
GAF Timberline HD
Asphalt
8 sq flat roof, 1.5/12 pitch. Material used will be modified
bitumen
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything
stated in this application
is true and correct and
that falsifying
information in this
Yes
Yes
Yes
Yes
Yes
3
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Kenny Benton
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD -f -MO 3PJO�5 I«S"t-(�
Inspection online form: http://www.ci.wheatridge.co.us/inspection P
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
Reques IIan ins ection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
�J ADDRESS:t, ) �/ i JOB CODE.
HERMIT. ,
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 P!umbirn Underground Ext,
206 Water Underground
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
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
PERMIT1/l 66q ADDRESS: II1 � 1'' 1�� JOB CODE: (�
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**'F
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.
i
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: I V q' F� old ! `o
Job Address: 35so Alltr3f,
Permit Number: 2vl (� 00,?y
❑ No one available for inspection: Time lc)�- ►")/PM
Re -Inspection required: Yes N o }
When corrections have been made, call. for re -inspection at 303-234-5933
Date: 3�1gZ10 Inspector: kle, Ld✓l7r
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
pBuilding Inspection: -Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: 3
Permit Number: � Z) 8 e `3 `-I
C(5z V ,,er W16
G� oG✓S �vr �� S APC � oh
❑ No one available for inspection: Time ` = o oACPM
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: ";) a3 i�5- Inspector: _7_1�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Pfi Residential Roofing PERMIT - 201800346
PERMIT NO: 201800346 ISSUED: 02/02/2018
JOB ADDRESS: 3550 Miller ST EXPIRES: 02/02/2019
JOB DESCRIPTION: Reroof 3/12 pitch with rolled roofing, 3 squares; reroof 4/12 pitch with
GAF asphalt shingles, 27 squares total
*** CONTACTS ***
OWNER (720)397-0983 HANSEL GRANT
SUB (720)432-6770 David Earl & Stuart Allen 170223 El Rancho Construction LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,000.00
FEES
Total Valuation 0.00
Use Tax 420.00
Permit Fee 362.80 \�(�
** TOTAL ** 782.80
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. 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.
City of Wheat Ridge
f 4 Residential Roofing PERMIT - 201800346
PERMIT NO: 201800346 ISSUED:
JOB ADDRESS: 3550 Miller ST EXPIRES:
JOB DESCRIPTION: Reroof 3/12 pitch with rolled roofing, 3 squares;
GAF asphalt shingles, 27 squares total
02/02/2018
02/02/2019
reroof 4/12 pitch with
I, by my signature, doh eby attest at t e work to be `rformed shall comply with all accompanyingg approved plans and specifications,
applicable building co 's, and all a plic le mun' ip codes, policies and procedures, and that I am t1�e legal owner or have been authorized
by the legal own r f ' e property nd autho e o obtain this permit and perform the work described and approved in conjunction with
thispermit. fu r est that I a le al ant riz to include alI entities named thin thi document as parties to the work to be
performed and a wgrk to b r orej i is sed in this document and/or itsccompnying approved plans and specifications.
Signature of OWNV or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit applic ion and accompanyingplans 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.
If this permit expires, anew permit maybe required to be obtained. Issuance of anew permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off-cial and is not guaranteed.
4. No work of 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 k4gulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief g#iilding Official F Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
'a Kimberly Cook U
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, February 1, 2018 2:00 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Categories: Kim
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:
I
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 es j
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3550 Miller St Wheat Ridge, CO 80034
Property Owner Name Grant Hansel
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
720-397-0983
hansel.grantg@gmail.com
Yes
Hansel contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
EI Rancho Construction
170223
720-432-6770
520 E 56th Ave Denver, CO 80216
Contractor Email Address earlconstruction@icloud.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
earlconstruction@icloud.com
27 squares
$20,000
2
Are you re -decking the No
roof?
Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
roof, pitched roof, or greater)
both? (check all that
apply)
What is the pitch of the 3:12
FLAT roof?
How many squares are 3
part of the FLAT roof?
Describe the roofing double felt
material for the FLAT
roof:
Type of material for the Rolled
FLAT roof:
What is the specific pitch 4:12
of the PITCHED roof?
How many squares are 24 square
part of the PITCHED
roof?
Describe the roofing GAF shingles
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional reroof house with attached garage plus shed in back
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
3
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.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant David Earl
Email not displaying correctly? View it in your browser.
4
"Storm Damoge Specialist;"
Honesty * Integrity * Reliability
520 E 56" Ave. Denver, CO 80216
Phone. 720-432-6770
Property Owner/)
Oalf —
I
Street k CS4
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Cit%. State. 'Ap
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t
ec' to
lnsaarance t ompaw,
Main Phoney/
77 6 _07tV3
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1. . t" - t I AN I'll o;-.
fraroff "—'I W,-- ofcompo8itiffn_ lalers of Install Rider ent N 4 Renvos e & Reinstall
cedar Satellite CA _4t:_
)d Inspect decking -.- install Deckjap
Install Rubber Pipe,lack-
Install Drip Edge. Inqall furtle N tints ln,tall 1-urnance
olur___44641 (aps
install Ice ,& NN ster Shield '041int Pipe Jacks 4 Turtle tents to Match
Install #30 Felt Vinstall-�ntbetic underla nsertt'ylstep Flash SiAicualls
)rStep I- lash ( hiinne-*
Shin ,01V A, ?I Clea n I p & Remo% e 'I rash C lean Out Gutters
Sweets % acre! with Magnet >Mermit Furnished
Color. lr Ul Rancho Construction One tear U arrant%
XManufacturer's El Rancho' ( onstruction Ijabitit% insurance
tt arrantN
)OPromotional
'lased Vall"s Open
Standard Ridge tligh Profile Ridge
)K Soevial lnstrucfionsj;''�INsw �,At tw _xlt!+�
W Rvi
NA orh to 1w completed according to the abo% e specificalionN in the amount of:
rim A PIV --rl [A A I )lC\
Mllars
In addition to the alone amount. an% and all supplements billed of' behalf of the insured be El Rancho Construction anti
appro-,ed by the insurance compaw. will become part of this contract and v. ill he paid ji-, I -t Ranch!; t aanitruction in addition to
contract amount stated abo% e.
Down 11aymem:
e) a2rCe. M 0201112 hC10%. to all the contract conditions on th front and back. of this agreement.
T
ti
1
IL1
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: �� M - ems,
Job Address: 3 h m ) ) < (
Permit Number: cD (D) 'K 0 3-A 6
N
❑ No one available for inspection: Time
Re -Inspection required: Yes .,_ o
When corrections have been made, call for re -inspection at 303-234-5933
Dater 1 f ee Inspect t r:
DO NOT REMOVE THIS NOTICE
t t
City C?
Wh
eat �. + Date • 2 151
:rrtfiDEWELOPMEN ids
, Plarf��
Building & Inspection Services 017
7500 .290' Ave, s Wheat Ridge, 80033 � � , ; � � e
Office: 303-235-2855 * Fax, 9 -9929
Inspection Request Lida. 393- -593
t fghffgftd i
Property re
MailingProperty Owner (please print)- "w4r." Phone. /,PO
Address: f"l different nt than ddr ) 3s5` � �
Address:
City, Sts io:
or, *6
Co +stars It so
sub a
City Licen fly f it License
t idly describe to be per d. ch additional sh it necessary)
t 4. con oatYt at all
^ + c of time of submittal):
Squares� " � allons damps q Ft,
I ftcreby, ce.r°rifv (flat the sct%hat distances posed by this larrrati`st afalriicratirsta � � rrd ds� tt rtc fatrficarble ordinances,
ranee or regulations of the of Vkab e° t dge or covenants, nts, ca vementra or rtcrtt, aParswn and
aallejuitiaarrs made are acct' c; that i fav d and agree to avid, by all con that l assume t61l
rcsl`sonsibiliq tirr., corn ` cc witf applic le City of Wheat codes •rtrrrac:cs f rrrk, and any i s°rtn t issued based carr
this application; than a the lega rer r have f: °aa aacrtiaca' v the cry c>f't c prorle to jvi fonu the dvwribcei ;dear
and am aako aauthari cf by, the legal cr 'farm entity inch is app 'ease i t than fity arra this atpriicatiow
CIRCLE 07NIE, IVNEiji Ac Jt)er (At`T`HORIa"ED REPR ATIV) (Offs' ER) (CONTRACTOR
10
Sales Person:
-------------------
Customer
Acknowledgement
C
EQuote mate
11921/2014
Date9r+d sJ'
Quote I'' rd red
Customer Name:
311970 GEORGE & SONS�
_ ^x.r>
Customer Number:
a�
Bill To:
,>
Ship T/56Fax:
Phone: (303Order
Notes:
Deliver NNctes: Quote dameName,
3550 Millerer
Quo
RUSH TUBAV Pt's#
TBD
lone
Line Item # Qty l
eight Description Price Extended
1-1 1 701
79 1/2" 151 $498.97 $498.97
AC72- Custom moors XO 70 112 x 112 'rising Detail ( per unit):
Frame W! = 70.5, Frame Height 7 $193.93 1R" Base Price
Operation t ruing = XO
NFS 13/8" 09 1A. Glazing
Frame Colo White 3 95 1A - Screen Option
ouble GI , Clear Glass, 7e
tiers
Stan and Screen Y s
Line Item Notes:
t0.,a FR+
Oat Ridge Stijl 91 e tient
uwwrwwrcxww.:
r
Comment 9 Room.
,"
t
L6
None Assigned
J
�f 1A � —DATE -
Line #tem # Qty Width x
Heigh t i wly� r�rt.t of , at of l F�rtce Extended
-1 1 18 1!'°
24'" 4 or, or an approval of, aoy viola .93 111 x93
ilia r auras rat the b
.ode or of any City ordinanc
esuralta a + �r ty, , late
or cancet the rsr vrsao
A ' 9 Detail (per unit) :
Frim ' th = 1,5„ ra E Rji 2 f the Ci , ;N;tt i not hp
,,€,ff $93.07 1A -Base Price
Operatio ming =Right
FS 1 318°' $11,89 1A - Glazing
Frame Color = $5.97 1A 4 Screen Option
Double Glaze, Clea s, TSS 9 DS
Standard Screen
Notes:
P P OVED
Sud toki Inspections
RECEIVED
Wheat l Building o 1...
R
Comment ! m:
Date,
None Assl
it°da,px ..»..xr.m».�...xCw&r4
t.,.�rv., r
Page I .. ,_ Of '3
1 62 1/8" X
Mail ( per unit)
1A - Base Price
1A - Glazing
I A - Screen Option
V,Y
9 of 2 Redfin Agents in this area
HornewwnerT
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S,moke alarms shall berequired in
e*wh sleeping roon'i and outside each
sleepier area per 1012 IRC, Section
313� 'ED %Vtwb 4 pi
Carbon rnorioxide detector(s)
comply with S ion R315 o,
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HEALTH FACILITIES AND E MERGENCY G 0F. COQ
4
MEDICAL SERVICES DivISION ye
4300 Cherry Creek Drive South +.
Denver, CO 80246 LIFE SAFETY CODE
Voice: 303- 692 -2800 Fax: 303- 753 -6214
w .cdphe.state.co.us/hf/hfd.asp Colorado Department
of public Health
and Environment
BUILDING DEPARTMENT
Sign off for Local Authorities
Written evidence of compliance with local building codes must be obtained prior to an on -site Life Safety Code inspection.
Contact the city or county department in your area and have the director or designee sign below. The original signed
form must be returned to Health Facilities and Emergency Medical Services Division (HFEMSD) at the address below -
ATTN. Carol Sutherland
SEU TWIN n: 'Iv
eLrra.a�.EUV ■
Name of Facility: A4 l it 1( Piv PIA L e 4 i e+ -s 4ol L I L/ c e 7 :
Facility Type: (Hospital, Long -Term Care,
Sheet
City
Does this project involve a new secured unit or change to a secured unit? [ ] YES [ ✓] NO
County
Does this project involve a change to the current number of Licensed Beds for the facility? [ ] YES [
If yes, what will be the new number of licensed beds requested? 1-114
Name of Contact Person: k o 12P7 Z. 6' ,- Phone: (4o3)CJ2z ZQ5 1 7 ax: a3 4_- e - Z / ,os
IWA9:Ia
Building Department having Jurisdiction: � o I= i D6 J
The above -named facility meets the requirements for building approval: [X] YES [ ] NO
(If "no" please explain on a separate attachment.)
Date: <lBlio
1.
Name of Person to Contact: 6 Q
e L rTc
Phone:
(30 3) 2 3S— .?BSf ( Y - S- S 9V 9
Address: ;; >@ I , of
Ae
G ,
4x' —gDD/
RETURN FORM TO: Colorado Department of Public Health and Environment
Health Facilities and Emergency Medical Services Division
ATTN: Carol Sutherland
4300 Cherry Creek Drive South
Denver CO 80246
HEALTH FACILITIES AND EMERGENCY F cp4 MEDICAL SERVICES DIVISION 4300 Cherry Creek Drive South
Denver,CO80246 LIFE SAFETY CODE as .•
Voice: 303- 692 -2800 Fax: 303- 753 -6214
www.cdphestate.co.us/hflhfd.rip
Colorado Department
of Public Health
and Environment
ZONING DEPARTMENT
Sign off for Local Authorities
Written evidence of compliance with local zoning codes must be obtainedprior to an on -site Life Safety Code inspection.
Contact the city or county department in your area and have the director or designee sign below. The original signed
fprm must be returned to Health Facilities and Emergency Medical Services Division (HFEMSD) at the address below -
ATTNr Carol Sutherland
SECTION A: TO BE COMPLETED BY THE APPLICANT
SCOPE OF PROJECT: -e- l /
NEU IRAN B: - I U ISE
Name of Facility:
n rk,FU vry r
Facility Type: (Hospital, Long -Term Care, etc.) Zang /Lint n t,-
Street
city
Does this project involve a new secured unit or change to a secured unit? [ ] YES [`)'NO
Does this project involve a change to the current number of Licensed Beds for the facility? [ ] YES {i] NO
If yes, what will be the new number of licensed beds requested? A
Name of Contact Person: %/gnn % /9 w Phone: (3x3) 422 - at Tax: (3;) <, 2 <r - 21 $ $-
SECTION
itsrtt I
Zoning Department having Jurisdiction:
The above -named facility meets the requirements for zoning approval: [x] YES [ ] NO
(If "no" pleas explain on a separate attachment.)
Signature: i' _ Date:
Name of Person to Contact:
M - e r+• Cl t
1 fC Pc- ke-u t
Phone: L3 30 3 23 S - Z? S1
Address: _ _7 50 d (,t/
2 9 tr
Aw i tG R2 r
G✓ h f R ? i GO 9 0 I 3
RETURN FORM TO: Colorado Department of Public Health and Environment
Health Facilities and Emergency Medical Services Division
ATTN: Carol Sutherland
4300 Cherry Creek Drive South
Denver CO 80246
e i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: Jf /
f �
❑ No one available for inspection: Time / /,ZI' ;— 0M
Re- Inspection required: Yes o
When corrections have been made, call for re inspection at 303 - 234 - 5933
Dater Inspector:
DO NOT REMOVE THIS NOTICE
o ! 1 1 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: r`> v ✓, . ` ` /fr
Permit Number: �� /�?L;
f �,,,� �
r ❑ No one available for inspection: Time /a 7 AM)
Re- Inspection required: ' Yes No
When corrections have been made, cad for re inspection at 3o3 - 234 - 5933
Date: Inspector
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r 4000r, 1
Residential Electric PERMIT -101262
PERMIT NO: 101262.. ISSUED( 05/17/2010
JOB ADDRESS:: 3550 MILLER ST- .;:EXPIRES: 11/13/2010
DESCRIPTION: Service change. 150 amp O.H. iService
* ** CONTACTS * **
owner Kennith Agoi
gc 303/781 -1241 01 -8098 Creative Electric
**
PARCEL INFO **
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: :1,750.00
FEES
Permit Fee 82.16
Total Valuation .00
Use Tax -31.50
** TOTAL ** 113.66
3onditions•
Kust! comply w/ 2003 IRC & 2005 NEC.
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 = (I.B.C) and all other'.
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to Yield inspection
f co nc 2LL SI �
Signature of contractor /owner to
This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and'Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City. `.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted..: at the discretion of the Buildino Official.
-2855'
LOWING.'; BL
City of
Wheat j�idg Date:
COMMUN ITY DEVELOPMENT -
Plan #
Building & Inspection Services Division Permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 -235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property Atldress� S SS' p mil -o- S�. W h�-Vkck5r '�- OD 3 3
Property Owner (please print): K enn t Aq p I Phone:
Mailing Address: (if different than property address)
Address:
Contractor:
Contractors
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Descrintivlrrof work: A
15"0 rtMOS Contract Xalue :
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps 1490 Sq Ft. $
OWNERICONTRACTOR 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 lega of any entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (C TRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: - er '( Y`r`.( rte, SIGNATU u, �1T.Y].Xk.Ot� �I I I
FIRE DEPARTf�EN7, T7 approved w/ comli7epts ❑ d7sappyEd �� uo f4w�ew ieg3 r d Bldg VaIU 'ation
City, State, Zip:
nr •p,c:'T r ~,~;F
.p.,~ ;.'~h
h:i}..
i=t1 4'I./IC 1 3fl 64 l~~j.~ G
'p`i i«Za
F.,. 4H h'f-f
i
BU1Id111g Pe1lTllt Number
,
CTTY OF WHEAT RIDGE 10/24/2005
7500 wesc 29rx nvm~
wh~iage, co 80033 Inspecffon Line
303-235-2855 303•234-5933
Miscellaneous
PROPERTY 3550 miller st Unit:
owxEx: Brenda Dixson (303) 299-9486
nescriPhoo .
Add three new ada ramps,Must meet ada guidelines of 1" per 12" and shall have handrails as attached
Units: Occupancy: Walls: Roo@
Storfes: Sq Feet:
I ewbr."h tk+t tk arback distmer+vroP^sed bY thle pareait .pplkkbo A. a<aur.h. ~od do oot vbbte aPPieebk oNivmvcµ mla or re`ehtlom of We CI[y ot
WheM Rltlee or coveueY, aeemeeb ar reelrlctlow ofeeprd: Not a11 measmemmb ehowv, end alkyatbm moGe art attunte; thot I hrve md Aud "ee ro~blde br
atl wadNlom pAnhd oe thie appNea[bq md ot I uume fWl reepowlb0iry for compWntt wiN M. Wbut Ridgc BuW We CaEe (U.B.C.) utl aY alhr applkWk
Whex[HW ~ ~ wa~f~MO~k Pcmit /S
r Thl, peemi[ wu Weed le ~acordanee wiN Me proWboe a[ forlh In your applieatlan mE le eubjen to Me bwa of Me State ofCObntlo md m We ToYbg "ulatlom aE BuOdins Code ot W hat RIaiO ColoMo or my oMer+pptlnbk orElveoc of Ne City.
3 17Jf pefmlt ehW ex,sirt 1((A) the wo.k Authorized 6 eol commeneed w111Jn Jzry (0) aer Gom iwe date or (B) the bulldint aul6orhd 4 nrymded or
WandeoMforepaiotlof]SOAqs ,
3 IftM1b pernk axplm, a oew pumk mmy be aeqalM for . he af ouo-hWfthe unom[ oormWlY R9a4al, ProvWCd vo chmoLu hrv<Gcev or wi96e mWe Iv Ihe
oA,helphoe And opMBatlon. aod eny euepduioe ar Wondonment hon eot ezaetlM one (t) ynr. V eWnLe++n ^mde or Itsuapeo6m ar aEWOsewmt
exreeds ove (I)Yw, fu0 fea YiW be poid for a new pe'mlt.
0 N. work olAoy . .hW be dme Nat wlll eLanCe the o.loral Mw ofwater eauMC A, dniuLe Probkm.
5. ContraemrsWllvotlfyWeBdlAlvplmpcetortwmty-four(24)houninidvametoraYhupectlommdshO rcrelvewAdmVpmvJaoivryectlausWbefon
proaWlnL wXA sveawlve PWw of ehelob.
6 lLelwoecea(. pemitortAeaPProWOfEnwiupaoAspallkatloe ml lobe} permllf Provdo4~Y~~~M1e
. pmviWewftAe EulWlnp rodea or ~ny other ardlmntt, hw, mk o if"'
T
CEIHBU1tlbCidP~^r SICNmDATE
Monday, October 24,2005 Page 1 of 1
~ Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
GtyW4meaiRNye Permi[ Number
19403
10/24/2005
InspecUon Line
303-234-5933
Miscellaneous
PROPERTY 3550 miller st Unit:
owNEx: Brenda Dixson (303) 299-9486
Description
Add tluee new ada ramps,Must meet ada guidelines of 1" pec 12" and shall have handrails as attached
Authorized By Building Approval
Authorized On
Zoning
10/24/2005 Approved By c.root
Monday, Ocmber 24, 2005 Page 1 of I
' COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number.
;of PINEqTP gU1LDING INSPECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235•2855)
roLORPO~ . AFPLL4:4llON
PropertyAddress: ~SSO "t.r7~e i ost, co Phone:7ao-~9g
Contractor License No.:
Company: t e,Sor.•~Co,-.~ST, Phone:3o3-~S/-O//2
OWNER/CON7RACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN7 I Buildinn Dent. Va/uation Figurre: $
I hereby certliy.that the setback distances proposed by this permit applicatlon are
aceurate, and do not violate applicable ordinances, rules or regulations. of the Clty of
' V3Ill0:$
Wheat Ridge or covenants, easements or restrictions of record; that all measurements
shown, and allegaUons made are accurete; that I have read and agree to abide by all
Permit Fee:$
conditions printed on. this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all otherapplicable Wheat
P1anReviewFee:$
Ridge Ordinances, for work under thi permit. Plans subject to field inspechon.
e T
x
:
(OWNER)(CdNTRACTOR):SIGNE DATEIO " DS
-
'
Q~
TO`tal:y
(OWNER)(CONTRACTOR):PRINTED~JG/G DATE_AO '2O5
Use of Space (description):
Description of work:
Sq.Ft.added
Expiration Date: Expiration Date: Expiration Date:
P,pprovai: Approval: Approvai:
(1) This permitwas issued in accordance wfth the provisions set forth In your applfcaGon and is subjectto the laws of the Stata of
Colorado and to the Zoning Regula8ons and Butlding Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This pertnit shall_ expire if (A) the work authorized is not commenced within stxty (90) days from issue date or (B) the buildine
authorized is suspended or abandoned for a period of 180 days.
(3) If this permit expires, a new permit may be acqulred for a fee of one-half the amount nortnally required, provided no changes
have been orwill be made in the original plans and specificatlons and anysuspension orabandonment has not exceeded one
(1) year. If changes have been or if suspansfon or abandonment exceeds one (1) year, fuil 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 causinga drainag8 problem. -
(5) Contracfir shall notlfy the Building Inspector twenty-four (24) hours In advance for all inspections and shall receive written
approval on inspecilon card before proceeding with successiva phases of theJob. (6) The issuance of a pertnit.or the approval of d2win0s and specificatlons shall not be consWed to be a p.ermit for, nor an
approval of, anyviolation of the provisions ofthe bu(Iding codes or any other ordinance, law, rule or regulation. All plan revlew
Issu6Jecttofleldinspectlons. Chief Buildino Official
Eiectricai License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
~ ~ s>.;A i .e.~ . r . . .
' DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 10532
~ BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 5/16/00
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3550 MILLER STREET Phone : 422-6615
Contractor License No. : 19543
Company : Reitz Roofing, Inc. Phone : 466-0161
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry 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 ayree 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.CJ and all other applicable Wheat Ridge ordmances, forwork underthis pertnit.
(OWNER)(CONTRACTOR) SIGNEr) DATE S~L -d0
Description : Reroof 26 of 3-tab, excluding back addition
Construction Value :
$1,742.00
Permit Fee :
$63.15
Plan Review Fee :
$0.00
Use Tax :
$26.13
Total:
$$9.2$
Use:
BUILDING DEPARTMENT USE ONLY
l SIC : Sq. Ft. :
Approval :
Zoning : Please Note:
pwner / conhaetor is responsible for locating property
lines and wnswcNnE improvements according ro the
Approval : approved plan and required development standards.
The Ciry is not responsible for inaccurate information
submitted within the plan set and any construction
Approval : errors resultine from inaccurate information.
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approvai:
Piumbing License No :
Company:
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issuetl in accordance with the provisions set forth in yopur applicaUon and is sub1'ec[ ro the laws of the State of Coloretlo antl to the Zoning .
Regulations and Building Code o! Wheat Ridge, Colorado or any other applicable ortlinances W the Ciry.
(2) This permit shall expire if (A) the work authorizetl Is not commenced within sixry (60) days from Issue tlate or (B) the builtling authorizetl is suspended or
abantlonetl for a periotl of 120 days.
(3) It this permit expires, a. new pertnit may be acquired for a fee of one-half the amount normalty required, provided no changes have been w will be made in the
onginal plans antl specifications and any suspension or abandonment has not exceetletl one (1) year. If changes are made or if suspension or abandonment
ezceetls one (1) year, /ull feas shall be paitl for a new pertnit.
(4) No work of any manner shall be done that will chanBe the naWral flow ot water causing a dreinage problem. (5) Contractor shall notiry the Builtling Inspecror Avenly-four (24) hours in advance !or ell inspecUOns antl shall receive written approval on inspection card before
proceedlin with suaessrve phases of the job.
(8) The issueFlitips ot aMy permit or the approval of tlrewings and specificalions shall nol be construed to be a pertnit for, nor an approval ot, any violation of ihe provisions
27iltl other ordinance, law, rule or regulation.
Chief Building pector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATIo N
PropertyOwner:U-'s D~xon
PropertyAddress: as'so Phone: '4aa
Contractor License No. 9 513
Company: j_9 Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify thal the setback distances proposed by this pemit 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 t have read and a4ree lo abide by all conditions printed on this
applicetion, 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 Z~ti-J DATE 5-/G - ~
Description: Rero, ~7 7~Co OF 3-Tab
Construction Value : 17Ya""
Permit Fee :
Use Tax :
Total :
Use
BUILDING DEPARTMENT USE Q~
Z1 ~ff1'Re ;
i ``~51~ ~ )Resi/dential Sq. Ft. !Approval:
Zoning ~ kP~-^:t' ~ u ?,,,Approval Gi17FIfiT~n Approval!' . Occupancy : Walls Roof : i Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiretion Date :
Approval:
(1) This pemit was issuetl in accordance with the provisions set foM in yopur appliration anE is suDjecl to Ue laws of Ihe State o1 ColoreAO and to Ne Zoning
Regulations and Buildiny Code of Wheat Ridye, Coloredo or any oMer appliwEle oMinances of the City.
(2) This pertnit small expire if (A) the work authonzed is not commenced within siuty (60) Aays from issue tlate or (B) the building auNOrized is suspended or
abantlone0 for a period of 120 Cays.
(3) If this pemit expires, a new pemit may be acquiretl far a fee ol one-haH Ne amount nortnally required, provitled no cnanges have been ar will be made in the
onginal Dlans antl specifcations and any suspension or abantlonment has not exceeCed one (1) year. If changes are ma0e or il suspension or abandonment
exceeds one (1) year, NII tees shall be paid for a new permit.
(4) No work of any manner shall be tlone lhat will change the nalural flow olwater wusing a dreinage proElem.
(5) ConVaclor shall notlfy the Building Inspeclor Iwenry-four (24) hours in atlvance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the'ob.
(6) The issuance ot a pemit or the appraval o~drswings and specifiwtions shall not 6e consWed to be a permit for, nor an aDGroval ot, any viola6on of the provisions
o( Ihe building coCes or any other orAinance, law, rule or regula6on.
Building Inspector
Colorado Department of Public Health and EnvironmentCP_
Personal Care Boarding Home Sign off for Local Authorities
Written evidence of compliance with local fire, building, and zoning codes and ordinances must be obtained.
Contact the city or county departments in your area and have the director or designee sign below or othenvise
indicate approval. Please retum this form, signed by the proper authoriues, with your license applicauon. An
initial inspection cannot be conducted until these apprwals are obtained.
Name of Facility,I&L#e w/a ~VD/Z
Addre~& 35t~-bErrlJr~a
of Licensed Beds 6p
Name of Person to Contact Phone 3D? -~5'S = 4Ga~
Fire Department having Jurisdiction I,v "-F 1l: 4/, ~,P~ ~Dfavfr.a Nza ~vz~
The above-named facility meets the requirements for fire safety ~ YES NO
If "no" pleae eaplain on a separate attachment.
Name of Person to Contact ',Z),qv , Z> iZodc 2fs Phone 3v3-yo3 -SSo z
Code(s) Applied and Edition U_ 43 / /u,A=G SS~k-
Building Department having Jurisdiction U 6 R e
42
The above-named facility meets the requirements for building approval rA 'ES NO
If "no" please
Name of Person to
Code(s) Applied and
on a separate attachment.
Zoning Department having
The above-named facility meets the requirements for zoning approval [ K] YES NO
If "no" please explain on a separate attachWnt.
~_//-!/CJ
Name of Person to Contact MeneD17-E'f R&C-K~'t-e~ Phone 3 0 3- 7-3,~'_ -2-P KS"
Renun to: Colorado Department of Public Aealth and Environment
Healtli Facilities Division
4300 Cherry Creek Drive South
Denver Colorado 80246-1530
G:\PCBHSIGN.OFF
PCBH/Revised--9/96
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)
Building Permit Number
Date
8725
4/2/99
Property Owner :
Property Address : 3550 MILLER ST Phone : 422-6615
Contractor License No. : 17152
Company : Precise Plumbing Phone : 534 0881
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 DATE
Description : Replace water heater, ready for inspection
Construction Value :
$468.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total:
$2150
Use:
BUILDING DEPARTMENT USE ONLY
Z-0SIC : Sq. FL :
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration Date :
Approval:
(7) This permit was issued in accordance with the provisions set forth in yopur appiication and is subjea ro the iaws of the State of Coiorado and to the zoning
Regulations and Building Code of Wheat Ridge, Cobrado or any other applicable ordinances of ihe Ciry.
(2) This permi[ shall expire i! (A) the work authorized is not commenced within sixty (60) tlays irom issue tlate or (B) [he builtling authorized is suspentletl or
abandonetl for a period of 120 days.
(3) If this permit expires, a new permR may be acquired for a fee of one-half the amount normalry requiretl, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has no[ exceetletl one (i) year. If changes are matle or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be tlone ihat will change the natural Flow of water causing a drainage problem.
(5) Contrector shall notify the Builtling Inspector hvenry-four (24) hours in atlvance For all inspections and shall receive writlen approval on inspection card hefore
proceetliingwithsuccessive phasesotthejob.
(6) 7he issuance ot a permit or ihe approval of drewings and specifications shall not be wnstruetl to be a permit for, nor an approval of, any violation o! Ihe provisions
of the building c es or any other ordinance, law, mle or regulation.
~ ~
~
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pertnrt Number :
BUILDING ►NSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 28TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : ~_'i ~ 9 ,if
3 ~ -3
Property Address :~j Phone :
Convactor License No. 7/ ~2
ComPan Phone
Y P
~ ~G%SC
~ OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT
I hersby certKy Mat the salbatlc tliatances proppiatl py this pemM ap0lw4l4on are acwrab.
an0 ao not vrobte appucabb oroufanees. ruks or requynpra ef Ne Ciry ol WAta[ RiOps w
cownartts. easemsnn u iesvanns W r~ead: that au msuuranwnts snown. ana alNpahons
rmaU aro aeanu: that I haw rsaa antl apras w aptle py ap oorpqons prmW an
Nb appWadon. ana that 1 auume fuq rqppMbily~CqllppMp ~ft~~~kft
Cods (U.B.C.) an0 aU oMer aPPwblt WMa R oromanon. krwak unOw Mfs Pwmit.
(OWNER)(CONTRACTOR) SIGNED ~ pA~ U
D
construction Value: -
Pertnit Fee : ~ 1 SD
USeT3X:Fc+-oail'S
Total : 23 S n
escnpUon . re~o%ct &w-,A 1...- ol,.o. -e,,,
Ingdomme
Approval :
Zoning :
~ 1d11f~?~ti~r~
Approval
PQ61 g
Approva! :
Occupancy : Walls
6UILDING DEPARTMENT USE ONLY
Roof : Stories : Residentlal Units :
Electncal License No :
Company :
Plumbfng License No : Mechanical license No :
Company:' Company:
Expiretion Date : Expiration Date : Expiration Date :
Approval: Approval:
Approval :
P.fTtis:KBgufreil= ~ ~ .Ppfhs Re't~utrod:"' :1 ~ F.~ukitl~i
( t) Thi: permrt was owaa n acmdanca n.m me pmrsqns s„ bpi m yoour aopuneon ana u suqKt b tM iam of pa Staq W Cyoraun uq m or Zoniiq
Rayuwuona ano Buiwug Cooa of Wneat Aaqe. Caoraoo w airy. qnar aDpinEl~ pcmanps ol tna Ciry.
R) u
This Dem+n snLl wro A fAl I~a wonc auvanzea u ro, oommerow
aWrWOnao tor a Dar o! 120 Oays. woun suty (60) EaYS han usw Gs4 or (8) IM bwWUq auUimzea o sw0«iOsC or
qo
~3) u ws oam+rt s■aroi. a naw osrmrt m+v w Kawm ror a rN a onNUn me amounc mmuN' leouuw. woNaw no aw"s nm nwi a wO W moa n me
o^O" aans ana sosoAeaooru ana any swosrown a awieonmem nas na exaww one 61 nar. q Uynpu aro mwe a rf ausDonuon a aorbalmwn
ecoeeas ans 17) Yeaf. MI haf fnsq Cs pm fq a f1eN pMryL
Itl No wwK of mry manner snatl Oe 0one ma1 xMl cnanqe ma naNral Ibw d watN pusmq a Oninaqe proWm.
(5) Conaactor snau noary me euiamq maoaaa nvanrv.ia,r (14) roua u+ awanu ra an mapewona ara tnap racarve wnaan aoorvvu an mspemon ore eMOr~
P~dlUnnq wiN SuCCSSSrve pM!!3 of Me p0.
(6) TTe uawnte of a pefmrt Of Ne aODrOVA1 of Ofawmqs an0 solU/eaUOnt Snall nOt De W ns W!0 b Da a pe1m fpr. nor an aOPM'aI Of. pl~pny
Of QI! DI1tl01lIQ NCGS 0r any OIOQf OIGIOaRCe, 12W, N:t 0! ¢9yyU0l1. irry nda0011 OI Off
Ghief Budding Inspecror For Mayor
7HIS PERMIT VALID ONLY WHEN SIGNED 8Y THE CHIEF BUILDAVG INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRiOR TO INSPECTION