HomeMy WebLinkAbout3550 Lewis StreetDane Lovett
2o1�_ 03Gs-
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 20, 2017 10:49 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and fQrJicens&
contractors only. This type of permit is ONLY bikQg processed. line- n come
to City Hall to submit an application in person. Permits are proc sed a ued in
the order they are received. YOU WILL CONTACTED WHE1R`�PERMIT
IS READY FOR PICK-UP AND WILL BE 01VEWA 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 r permit. Perniii "currently being
processed within 3-5 business days, su jeyt to' e�angep,., "sed on volume.
For all other requests:
Homeowners wishing
at City Hall. Revisions
completed in persolk,a
Verson a
Monday
THIS AP
REROOI
City R
Idi
ro
Is this application for a
a r { fing pe, 'st apply for the permit in person
9 '' mits f' r example, to add redecking) must be
A on -roofing permits must be completed in
ivision will be open from 7:30-10:30 a.m.,
hese types of requests.
NOT CONSTITUTE A PERMIT. DO NOT BEGIN
IIT HAS BEEN ISSUED.
Yes
How n
jdffy dwelling units Duplex
e property?
PROPERTY INFORMATION
Property Address 3550-3540 Lewis St. Wheat Ridge, Co. 80033
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Williams Janeiro
Field not completed.
1
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Eber Dominguez Construction
100344
7202763614
Contractor Email Address dominguez_eber@yahoo.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email dominguez_eber@yahoo.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Oakridge
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 37
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No V
Field not completed.
z
Dane Lovett
203G3�-
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 20, 2017 10:44 AM
To: Permits CommDev
Subject: Online Form Submittal: esi ntial Ro fin Permit Application
Resident I g P n
This application is exclusively for new permits for residential roofs and for !idensed
contractors only. This type of permit is ONLY being processed online --do of come
to City Hall to submit an application in person. Permits are processed a d issued in
the order they are received. YOU WILL BE CONTACTED WHEN YO R PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DAT AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be noti ' d if your
contractor's license or insurance has expired, and you may upd e those
documents at the time you are issued your permit. Permits are urrently being
processed within 3-5 business days, subject to change based on volume.
For all other rbque
Homeowners wishing t btain a roofing permit must a ly for the permit in person
at City Hall. Revisions to ex g permits (for exam PI , to add redecking) must be
completed in person at City Hal. I other nor permits must be completed in
person at City Hall. The Building Divi will be o n from 7:30-10:30 a.m.,
Monday through Friday to process these s of equests.
THIS APPLICATION DOES NOT CONSTIT/rJTE A PERMT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN/ISSUED.
Is this application for a
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMA'
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Yes
Du,61ex
W10, �)� V��
3535-3545 Lewis St. Wheat Ridge Co. 80033
Williams Janeiro
Field not completed.
ib a3
Is
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Eber Dominguez Construction
100344
720-276-3614
Contractor Email Address dominguez_eber@yahoo.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
dominguez_eber@yahoo.com
No
Oakridge
Asphalt
Field not completed.
How many squares of the 40
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No V/
Field not completed.
0)
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
40 L
IZ
4:12
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Anna Dominguez
Email not displaying correctly? View it in your browser.
3
TOTAL SQUARES of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
37 V
4:12
Project Value (contract ,89w— �6CC0
value or cost of ALL ll
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 Anna Dominguez
Email not displaying correctly? View it in your browser.
3
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 3550 LEWIS ST
Contractor License No. : 18083
Company : SAUNDERS & JOHNSON INC
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit appliwtion 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 y all conditions printed on this
application, and that I assume full respon ibility for c liance with the Wheat Ridge Building
Code (U.B.CJ and all other applicable inancqg;>forwork under this permit.
(OWNER)(CONTRACTOR) SIGNED ~ --DATE
Description : REPLACE. NACE,ADD CENTRAL AIR
BUILDING DEPARTMENT USE ONLY
ROWN"IMM.,
Approval:
Zoning :
Approval:
Approval:
Occupancy : Walls : Roof ; Stories : Residential Units :
Building Permit Number : 95-1499
Date :7/25/95
Phone : 425-4173
Phone: 422 6606
Construction Value :
$3,750.00
Permit Fee :
$63.00
Plan Review Fee :
$0.00
Use Tax :
$56.25
Total:
$119.25
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval:
Ed
Expiration Date :
Approval:
M
Expiration Date :
Approval:
IF
(1) This permit was issued in accortlance with the provisions set forth in yopur application and is subject to the laws of the State of Coloratlo and to the Zoning
Re9ulations and Buildiny Code oF Wheat Ridge, Colorado or any other applicable ordinances of the Ciry.
(2) This permit shall expire R(A) the work authorized is not commencetl within sixty (60) days (rom issue tla[e or (B) the builtling au[horizetl is suspendetl or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provitled no changes have been or will be made in lhe
original plans antl specifcations and any suspension or abantlonment has not exceetled one (1) year. If changes are made or if suspension or abantlonment
exceeds one (7) year, full tees 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) Conireclor shall notiry the Building Inspeclor hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card bePore
proceediing with successive phases of the job.
(e) The issuance of a permit or the approval of drawings antl speciflcations shall not be construetl to be a permit For, nor an approval of, any violation of the provisions
of t b ilding code~ or any ther or~inance, law, rule or regulation.
\ ~
. ~Y~
hief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVEIAPMENT
7500 WEST 29tn AvENUE BUILOING INSPECTION DIVISION PERMIT N0.
237-8941 EXT. 255 P.O. BOX e3e CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED 8Y THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
_ _ _ / _ APPLICATION FOR MISCELLANEOUS PERMITr, .
JOB ADDRESS
CONTRACTOR
CITYJ,
PHONE
ZIP CODE _
LICENSE NO.
OWNER
PHONE
CONTqACT PRICE $
ZIP CODE 9"26 3~
1. TYPE Ground❑ Wall❑ Preiselina❑ OMer SaOFaee
2. MATERIAL Total SQUOn FM
SIGNS A ILLUMINATION Wf❑ No❑ Type E4e1. Permit No.
4. SET BACK FROM PkOPERTY UNE N_ 5_ E_ W Zaw_ Appraed, Zone Inapeeta
(Somilv whiah is front) ❑ ❑ ❑ ❑ Diwobrowd
1. TYPE SolidU Mon Thon BO% Op*nU Lose TAan 80% Open
FENCES ? MATERIAL Neight
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W iorH_ App/aW,Zons Irupeeta
(Soscifr whien is fronU ❑ ❑ ❑ ❑ DifoDpowd
OTHER
3.
DRAW SKETCH OR SHOW BEIOW, THE FENCE, SIGN, OR OTHER STRUCTURE, GIVIPW DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCI.IAED)
~
SPECIFY NORTN
STREET NAME
SIqW DISTANCES FROM THE MAIN BUILDING TOADJOINING M10USE5, STREETS, ANO PROPERTY LINES;ON IRREfiULAR LOTS, SNOW LFAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUIN&NG; EIECTRICAL; MECHIWICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INdCATED WORK ONLY UPON WILIDATION BY TFIE BUILDING INSPECTION DIVISION.
PERAMT WILL EXWRE 60 DAYS FROM MTE OF ISSUANCE IF WORK IS NOT STARTED WITHN THAT TWE
ELECTRICAL PERMIT
STATE IICENSE N0.
ALUMINUINAREIMDERSREBILLECAI
►p,
PI.UMBING PERMIT
STATE LICENSE N0.
FLOOR BSM IST 2ND 3RD 4TH
WATER CLDSET
MECHANICAL PERMIT
NQ Fl£4CirclsOn$ I E Sda
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CMANGE SERVICE-AMPS
SMOWER
AIR CONDITIONING-OTU 30,0-&V
LIGMTING
SINK
OTHER
MEATING
GARBA6E DISP
REFRIGERATpN SYSTEM
POWER SUB-CIRCUITS
UTILITY(RANGE,DISPOSER,ETC.)
WATER NEATER
AUTO. WASHER
Relri eroM Grou
Po+nds Chorge
FI%TURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS fi CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hereby aeknowladqa thot this opDlica'
fion is Correct ond undarsfand tAof 1
eannof ttart thie projocf untit thie oppii-
Cation is apOrovad. I tholl tomply rith
tM lows of tAe Sfah o1 Colorodo ond to
ths Zoninp Rsqulations ond Buildinp
Code o1fAe City oi Wnsar Ridpe. Any
violotion ot the obow ta.ms wi11 cause
imma2lima rwoeotion oJ tnis vermit
PERMIT FEE
USE TAX
TOTAL FEE $
APPROVED
DISAPPROVED
CHIEF BUILDING INSPECTOR,City of Wheat Ridqe
CALL 237-8914 EXT. 255
24 HOUHS IN ADVANCE
FOR INSPECTIONS
Date Issued
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-1580
Date :8/3/95
Property Owner :
Property Address : 3550 LEWIS ST
Contractor License No. : 18121
Company : The Electri-Serve Corp.
Phone : 425-4173
Phone : 892 0027
OWNER/CONTRACTOR 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 restridions of record; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibilit for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheadge ordinances, for work under this permit.
_ a-
(OWNER)(CONTR4CTOR)SIGN ~ ATE
Construction Value :
$266.00
Permit Fee :
$25.00
Plan Review Fee :
$0.00
Use Tax :
$3.99
Total:
$28.99
Description : CONNEeT AIR CONDITIONER, R CONNECT FURNACE
Electrical License No :
Company:
Expiration Date :
Approval :
14
Plumbing License No :
Company :
Expiration Date :
Approval:
~ ioRr . m
Mechanical License No :
Company:
Expiration Date :
Approval:
m "S
(1) This permit was issued in accordance with the provisions set forth in yopur applicalion and is subject to the laws of the State of Coloratlo antl to the Zoning
Regulations antl Building Code ot Wheat Ridge, Coloredo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorizetl is not wmmenced within sixry (60) days hom issue date or (B) the building authonzetl is suspended or
abandoned for a period of 120 tlays.
(3) I( this permit expi25, a new permit may be acquired for a fee of one-halF the amount normally required, provided no chan9es have been or will be made in the
original plans and specifcations antl any suspension or abantlonment has not exceetled one (1) year. IF changes are made or if suspension or abandonment
exceeds one (1) year, tull fees shall be paitl for a new permit.
(4) No work ot any manner shall be done that will change the naNral flow of water causing a draina9e problem.
(5) Coniractor shall notiry the Building Inspeclor Rventy-four (24) hours in atlvance tor all inspedions and shall receive written approval on inspeclion wrd before
proCeediing with successive pha5e5 of the job.
(6) Thejssuance ot a permit or the approval ot drawings and specifcations shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions
of the builtlina cotles or anv other o[dinance. law. mle or re9ulation.
~ i
Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
u i~
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE -
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
f-
Property Owner : .L.GI V1 I v-o
Property Address :L-E lo,~%~ S S r
Contractor License No. ~ ~Dld /
r )
Company : ~-t C~:~ ~ - S ~rve ~-erp
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the satback 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 a9ree to abide by all wnditions printed on this
application, and that 1 assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applieable h t Ridge ar c,-'for work under this er t. /
~J
Construction Value oe)
Permit Fee :
Use Tax :
Phone : +z5 4~1
Phone : qQZ bp Z7
Total :
(OWNER)(CONTRACTOR) SIGNED DATE
Description G1 cnQ c- I Ytl 6-: 6~ ea; In v,E> ~ f Vtp~-2
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Expiration Date :
Approval:
Company:
Expiration Date :
Approval :
Ltg 'JNOW"11$$0e0 ;l
Company:
Expiration Date :
Approval:
11 x
(1) This permit was issuetl in accordance with the provisions set torth in yopur appliwtion and is sublect to the laws of the State of ColoraAO antl to the Zoning
Regulalions aatl 8uiltling Cotle of Wheat Ridge, Colorado or any other appliwble ordinances of the Ciry.
(2) Tliis pertnit shall expire if (A) the work authorizetl is not commencetl within sixty (60) Uays fmm issue date or (B) the builtling aulhonzed is suspendetl or
abantloned Icr a penod of 720 days.
(3) If this permR expires, a new permit may be acquiretl for a fee of one-half the amount normally require4 provlded no changes have been or will Ee matle in the
original plans antl specifications and any suspension or abantlonment has not exceede0 one (1) year. If changes are made or if suspension or abandonment
exceetls one (1) year, tull tees shall be paid (or a new permit.
(4) No work of any manner shall be tlone that will change the naNral Bow of water causing a tlraina9e problem.
(5) Contracror slwll notiy the Builtling Inspector RvenN-four (24) hours in advance for all inspections antl sha0 receive written appmval on inspecvon cartl bePore
proceediing wM+successive phases of the job.
(6) The issuance of a Oermit or the approval of drawings and specifications shall not be consVUed to be a permit for, nor an approval o[ any violaGOn of the provisions
of the builtling cotles or any other ortllnance, law, rule or regulation.
Chief Building Inspector
For Mayor
THIS PE92MIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION