HomeMy WebLinkAbout4540, 4542, 4544, 4546 Everett CourtCity of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: Auqust 30. 2019
Reason: For Permit No. 201803218, this was a duplicate for 4544 Everett Court
and the fees need to be refunded .
Please refund: Contractors License$ (acct 01-510-00-513)
100% permit fee: $ 40.00 (acct 01-510-00-516)
100% plan review $ (acct 01-550-05-551)
100% use tax: $ 54.60 (acct 01-500-02-505)
Total Refund Due: $94.60
TO:
Lakewood Plumbing
9800 W 44th Avenue
Wheat Ridge, CO 80033-2976
Thank You!
" eOO4
Permit Technician
City of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 201900099
PERMIT NO: 201900099 ISSUED: 01/17/2019
JOB ADDRESS: 4540 Everett Ct EXPIRES: 01/17/2020
JOB DESCRIPTION: Gas Furnace replacement, 60BTUs/80 percent efficient located in crawlspace.
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 101 /
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 52.50
** TOTAL ** 92.50
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I ame legal owner or have been authorized
by the legal owner of the property and am authorized to obtain thispermit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alt entities named within this document as pames to the work to be
performed and that all work tobeperorneisdisclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
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.
I, 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.
5. 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 codeny ordinance regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
1EQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer �Ul 9 m c � /
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, January 17, 2019 1:41 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories: Gina
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
4540 Everett Ct.
Margie Yavara
720-537-4673
Field not completed.
Wheat Ridge CC Auth. Form 1-17-19.0peg
CONTRACTOR INFORMATION
Contractor Business Rocky Mountain Electrical, Plumbing & HVAC V/
Name
1
Contractor's License 170395 +�
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-951-4204
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address rmescs@gmail.com
Retype Contractor Email rmescs@gmail.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 60000
What is the efficiency 80
(%) of the unit?
Is the unit GAS or GAS
ELECTRIC?
Where is the furnace or crawlspace
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2500
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 been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Jamin Pollack
Permit
Email not displaying correctly? View it in your browser.
.4( CITY OF WHEAT RIDGE
V,
�
Building Inspection Division
(303) 234-5933 Inspection line �(303) 235-2855 Office * (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: t,
,-, (,,q qo(20
Permit Number: Z. I
A"/
Ll No one available for inspection: Time AM PM
Re -inspection required: Yes A
When corrections have been made, call for re -inspection, at 303-234-5933
q
Date: t —inspector: bdo&
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 NOT C
jam- -�,�I?i
Inspection Type: Gc�
Job Address:'`�-�--
Permit Number: 2�i9®gz >!�
`�
d
v
❑ No one available for inspection: Time2M
Re -Inspection required: Yes( No
When corrections have been made, call for re -inspection at 303-234-5933
Date:1� Inspector: /'b.,_
DO NOT REMOVE THIS NOTICE
-7
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: q n 9 - 61--" C )
Job Address: _ H S y o �u e re 74 r -�-
Permit Number: -,r-) to ) g h i 0 = e-1
❑ No one available for inspection: Time PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: S & I 11q Inspector:
DO NOT REMOVE THIS NOTICE
f
❑ No one available for inspection: Time PM
Re -Inspection required: es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: S & I 11q Inspector:
DO NOT REMOVE THIS NOTICE
67,
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: L-1 D 9 - IF I_„ CL
Job Address: `-1 S -V 0 Gov e re
Permit Number: 2 a 1 S 0 1 0 S7 y
t -o v e d
O ALr .-el" Se 0s i ti1SAwC . ve?
❑ No one available for inspection: Time g= S! CARPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: S I Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
IN PECTIONNOTICI
c
Inspection Type:
Job Address: +/
Permit Number:
11
❑ No one available for inspection: T�im-et 0 � AM/ M
Re -Inspection required: Yes `7o
(__.
When corrections have been made, call for re -inspection at 303-234-5933
Date: �� 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
I _PEC N No I- E
r/
Inspection Type:
Job Address:
Permit Number: Q5.V7 25'® 3 C-> ,?�
❑ No one available for inspection: Tim
Re -Inspection required: Yes No
M
When correctbns have been made, call for re -inspection at 303-234-5933
Date: 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
IN�SPEC7,y�TIC
Inspection Type: f �1
Job Address: ,�--�--
Permit Number:
❑ No one available for inspection: Tirn04T' 6 AM/PM
Re -Inspection required: Yes No
When corrections have been madealild— re -inspection at 303-234-5933
Date: / Inspector:
DO NOT REMOVE THIS NOTICE
o d i
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
C l v e rl n 1
INSPECTION NOTICE
Inspection Type:
Job Address:
L) % ij
Permit Number:
r, c-) or,-
(A
r,-
(A
C) f
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: i � � �_ ) , i. Inspector:
®O NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office . (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r�;;` r �n �1E C -f
Job Address: i ` q `
Permit Number:
❑ No one available for inspection, Time/ / -I t 1 AM/PM
Re -Inspection required: Yes ENo{
When corrections have been made, call for re -inspection at 303-234-5933
r
Date: I , ! / ; ` Inspector:
DO NOT REMOVE THIS NOTICE
It � 4 i CITY OF WHEAT RIDGE
1w Ir- 1Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Lj03- �i'nc;
Job Address: �115V
Permit Number: C%IgG3 100
❑ No one available for inspection: Time ff `;? AM/PM
Re -Inspection required: Yes r_��
When corrections have been made, call for re -inspection at 303-234-5933
Date: 17 j7o /l) Inspector: /) >
DO NOT REMOVE THIS NOTICE
City of
Wh6at�dge
COMMUNI►Y DEVELOPMENT
SUB -CONTRACTOR AUTHORIZATION FORM
This form must be signed by each sub -contractor.
Subcontractor's City of Wheat Ridge License number must be provided in the applicable space.
This form will not be accepV with missing information.
Project Address: 5 em- PC it #: 2-0Igo 30q
General Contractor:
Electrical Sub -Contractor
Company Name:
State License #:
Wheat Ridge License #:
Signature of Authorized Agent
Plumbing Sub -Contractor
Company Name:
State License #:
Phone #•
Master #•
(required field)
Date
Phone #•
Master #:
Wheat Ridge License #: (required field)
Signature of Authorized Agent
Date
I Mechanical Contractor I
Company NameakQ i Q 7Zp P/Upn
7717
ge L' n e #: I g (required fiel )
-) 2.,)J
Sin re of Authorized Agent Date
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
'�
Inspection Type: 4�
Job Address: 47��-
Permit Number:
M�Aw
❑ No one available for inspection;, Time r' AM/IPM
Re -Inspection required: Yes "`f No
When corrections have been made, call for re -inspection at 303-234-5933
Date: % lll, Inspector: ,-----�
DO NOT REMOVE THIS NOTICE
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303),237-8929 Fax
INSPECTION //NOTICE
Inspection Type: j"5r
Job Address: 9P►��-e7f`�
Permit Number: tel'
❑ No one available for inspection: Time
Re -Inspection required: Yes�✓`No
When corrections have been made, call for re -inspection at 303-234-5933
r:
Date: liz,///M> Inspector: /77,1—
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
L�
Inspection Type: � a-,r1
Job Address: L1SL1(-1E 12.'Ve_ 4C1
Permit Number: aU (� U '�� 6
❑ No one available for inspection: Time—��) AM/PM
Re -Inspection required:/'�feq..---No
When corrections have been made, call for -reinspection at 303-234-5933
z' Q / N.
Date l � Inspector'
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
Job Address: �� aL1 �r _Ili° ✓
Permit Number:
❑ No one available for inspection: TrPM
Re -Inspection required: (9 :110
When corrections have been made, call fo e -inspection at 303-234-5933
Dat:Inspecto `.
o 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: c,
Job Address:�-
Permit Number: i ,-Z G Z S
❑ No one available for inspection: Time�' AM/PM
Re -Inspection require d.Ys No
When corrections have been made, call for re -inspection at 303-234-5933
Date: t t t,,l �' Inspector:
t
®O NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 201803218
PERMIT NO: 201803218 ISSUED: 12/13/2018
JOB ADDRESS: 4544 Everett Ct EXPIRES: 12/13/2019
JOB DESCRIPTION: Replace gas furnace in basement; 80% EFF, 40K BTUs
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS, LLC
SUB (303)233-7007 Torrey Cosgrove 017885 Lakewood Plumbing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,600.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 54.60
** TOTAL ** 94.60
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
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 thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po plans
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, anew 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or 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 ordinance regulation of this jurisdiction. Approval of work is subject to ield inspection.
/C��04 AvAaol
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, December 13, 2018 9:07 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories: Kim
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS
4544 Everett ct
Margie yevara
720-962-6881
Field not completed.
F27A1850-A2D7-4CE8-AF03-1 ECE01 CADE2E.iPeg
CONTRACTOR INFORMATION
Contractor Business Lakewood plumbing LLC
Name
Contractor's License 201812
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-233-7007
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address Kim@lakewoodplumbing.com
Retype Contractor Email Kim@Iakewoodplumbing.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 40000
What is the efficiency 80
(%) of the unit?
Is the unit GAS or Gas
ELECTRIC?
Where is the furnace or Basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2600
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
2
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Kim bashara
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE'---
Inspection Type: "
Job Address: y 'S_y a ere 4 C'j
Permit Number: mo o► 0 3 D 9 17
❑ No one available for inspection: Time=-AM/PM
11 1
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303.234-5933
Date: 't Inspector
DO NOT REMO E 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
q� r ��
Inspection Type: . ec-
Job Address: `-1 5-1-1 4 �_:'v e e# C 4 -
Permit Number: -D e) S p 3 Q c)-
❑ No one available for inspection: Timeo "Q/PM
Re -Inspection required: Yes No
When corrections have been made, call for Linsptic�at 303-23 - 9 3
Date: ° j 1!5nspector.
City of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 201803177
PERMIT NO: 201803177 ISSUED: 12/07/2018
JOB ADDRESS: 4540 Everett Ct EXPIRES: 12/07/2019
JOB DESCRIPTION: Replace gas furnace, 60K BTUs, 80% eff
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS LLC
SUB (303)961-6719 Jamin Pollack
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 101 /
170395 Rocky Mountain Electrical Svcs
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 52.50
** TOTAL ** 92.50
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
byte legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am le ally authorized to include all entities named within this document as 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 thepermit application and accompanying ptans 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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit 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
applicahle code or any ardinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer
From: no- reply@c i.wheatridge.co.us
Sent: Friday, December 7, 2018 11:14 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Categories: Gina, Kim
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
4540 Everett Ct.
Margie Yevara
7202016550
myverara@comcast.net
4540 Everett Ct. Permit CC Auth. Form 12-7-18.0peg
CONTRACTOR INFORMATION
Contractor Business Rocky Mountain Electrical, Plumbing & HVAC
Name
1
Contractor's License 170395
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3039514204
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address rmescs@gmail.com
Retype Contractor Email rmescs@gmail.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 60000
What is the efficiency 80
(%) of the unit?
Is the unit GAS or GAS
ELECTRIC?
Where is the furnace or crawlspace
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2500
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
2
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Jamin Pollack
Permit
Email not displaying correctly? View it in your browser.
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: 3/0 09
Job Address:yr�%rYn�
Permit Number: D/r 03o�
❑ No one available for inspOe
ction: Time AM/PM
Re -Inspection required: No
When correcti ns have been call for re -inspection at 303-234-5933
Date: {��/ % Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Remodel PERMIT - 201803100
PERMIT NO: 201803100 ISSUED: 11/29/2018
JOB ADDRESS: 4546 Everett Ct EXPIRES: 11/29/2019
JOB DESCRIPTION: SWO - Replace 3 windows; glass block installed for window,attic fan, update
outlets in kitchen & bath, new electrical panel - 150 amps; replaced
sliding glass door, retiled showers, new paint and trim throughout; 820 sq
ft total
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS LLC
GC (720)569-6764 Daniel Berkowitz 150075 Alimar Construction LLC
SUB (720)537-4673 Aaron Quintana 160199 Knight Mechanical LLC
SUB (720)381-1767 Louis Stephens 140291 Absolute Electrical Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: /
*** FEE SUMMARY ***
ESTIMATED
FEES
Total Valuation
0.00
Use Tax
220.23
Permit Fee
220.15
Investigative Fees
220.15
** TOTAL **
660.53
*** COMMENTS ***
PROJECT VALUATION: 10,487.00
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
► a City of Wheat Ridge
Residential Remodel PERMIT - 2018031 09
PERMIT NO: 201803100 ISSUED: 11/29/2018
JOB ADDRESS: 4546 Everett Ct EXPIRES: 11/29/2019
JOB DESCRIPTION: SWO - Replace 3 windows; glass block installed for window,attic fan, update
outlets in kitchen & bath, new electrical panel - 150 amps; replaced
sliding glass door, retiled showers, new paint and trim throughout; 820 sq
ft total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable b ilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have baen authorized
by the legal caner othe property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. furthJe�I+attest that I am 1 ally authorized to include alI entities named within this document as parties to the vyork to be
performed d tha all work -t¢3 be peirmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OVvMR or CONTRACTOR (Circle one) Date I
I . This permit was issued based on the information provided in the permit application and accompanying .lans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, poficies 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 Chicf Building
Official and may be subject to a fee equal to one-half of the original permit fbe.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division,
6. The issuance or granting of a permit s all not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or a dinance or r lation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W he -at Ijid91e_
COMMUNiTy DEVELOPMENT
Building & Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridpe.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
X, � K� �9 UU
Plan Review Fee: J,0 KSt�3
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: , �/-j '-'/CG /� I fe / -C ff Cf,
Owner (please print): )iy� rat A Y- , ), j- C Phone:
Property Owner Email: l� /(� t//,l t ( (� yY� / S rt -Qt
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: PO &L 2 )- 3 �6'
City, State, Zip: & GL)yo d , 601
Architect/Engineer: e2/ 4
Arch itecVEng 1 neer E-mail:
Phone:
Contractor Name: A / � (? " S V L,, t
City of Wheat Ridge License #: �1 �� U % 5 Phonic: 720 SL el (P'7G
Contractor E-mail Address: rpt Al a v r /n. _ e o /-L„
For Plan Review Questions & Comments (please print):
r '
CONTACT NAME (please print): a•. I_ t/ �Ca wr c Phone:? Z� G K. 7619(
r�
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
NTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
i-1��.�.y 5 ,ti s fz rI �C� , I iq. S 5 T✓l o t [� t,t � �K r (1.�' ��;..D�l
W U4 Iwo �Q fic1 h
k- �, ilielS ,J- tv. -i - ,.J
0106 V I �-
�Q 1,eJ S lvvt t- -r
Sq. Ft./LF r BTUs Gallons
pct PY14 ACV //44
r► w /-r'
r -e p 4 Lia
w t f -Qri 4e — t e --r– d o or
I✓1.2- w
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project) `
A
1 0
OWNER/CONTRACVOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRAVR)(AUT ZEZyR RESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: / / Z /� S
Printed Name: �'1 �! - �- ( ° �C' ✓ V 26
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMME TS:
Reviewer: " /&'�
i�I2�lt�
PUBLIC WORKS COMMENTS:
Reviewer:
d
Building Division Valuation: /0),
d,0190 00 llllqlle
aea e.epz P0a1 m%-7--
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City of Wheat Ridge
Residential Remodel PERMIT - 201803098
PERMIT NO: 201803098 ISSUED: 11/29/2018
JOB ADDRESS: 4544 Everett Ct EXPIRES: 11/29/2019
JOB DESCRIPTION: SWO - Replace 4 windows; glass block installed for window, new furnace,
attic fan, update outlets in kitchen & bath, new electrical panel - 150
amps; replaced sliding glass door, retiled showers, new paint and trim
throughout; 820 sq ft total
*** CONTACTS ***
OWNER (720)201-6550
EVERETT APTS, LLC
SUB (720)569-6764
Daniel Berkowitz
150075 Alimar Construction LLC
SUB (720)537-4673
Aaron Quintana
160199 Knight Mechanical LLC
SUB (720)381-1767
Louis Stephens
140291 Absolute Electrical Services
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
101 /
BLOCK/LOT#: /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 14,537.00
FEES
Total Valuation
0.00
Use Tax
305.28
Permit Fee
283.55
Investigative Fees
283.55
** TOTAL **
872.38
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
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 o the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further ttest t at I am le ally auth rized to include ali entities named within this document as partes to the work to be
performed and that 1 wor to be �r o me is isclosed in this document and/or its' acco anyin approved plans and specifications.
Z -
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying r1ans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
;. 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, feesand procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of at shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code 9,r kny ordinance r1regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Residential Remodel PERMIT -
201803098
PERMIT N0:
201803098
ISSUED:
11/29/2018
JOB ADDRESS:
4544 Everett Ct
EXPIRES:
11/29/2019
JOB DESCRIPTION:
SWO - Replace 4 windows; glass block installed for
window, new furnace,
attic fan, update outlets in kitchen & bath, new electrical
panel - 150
amps; replaced sliding glass door,
retiled showers,
new paint and trim
throughout; 820 sq ft total
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 o the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further ttest t at I am le ally auth rized to include ali entities named within this document as partes to the work to be
performed and that 1 wor to be �r o me is isclosed in this document and/or its' acco anyin approved plans and specifications.
Z -
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying r1ans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermit fee.
;. 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, feesand procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Offial and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of at shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code 9,r kny ordinance r1regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Ert City of
Wheat l�
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(aD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 1 I/ Qs'/
(/
Plan/Permit # `
CX
Plan Review Fee: 3/
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 1�5
Proaertv Owner
Property Owner Email: 1i t�2 VIA -M_ @ ro YX'fev %' )'l
Tenant Name (Commercial Projects Only) I1 A
Property Owner Mailing Address: (if different than property address)
Address: PO IRV) x -
City, State, Zip: ta� e wood _ C__6
Architect/Engineer: A)
Architect/Engineer E-mail:
Contractor Name:
Phone:
o c^
Phone:
City of Wheat Ridge License #: f CDU 7 S Phone: 72-c ;(, `l h 7 L, 44
Contractor E-mail Address:
53
For Plan Review Questions & Comments (please
CONTACT NAME (please print):K � �( I Lo) c L phone: l %Z°� �� L
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
COMMERCIAL
SIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
N1,0(e
A ifO14J,
�y
evJy 0��
re 14ced
C k' cJVr t/ rates ) f e
Sq. FULF !yw U BTUs
or, _e /) I , , , 0a Me lS
rw�
1 i `6Q
f q ,,.'
1.'1 ('<' f(, `2
Cwt ('Wt 'I : I �_o
� " f
A 01r g
nl r, 6w
A,LL/
le.
Gallons
k "i -Ji 0
fel/ {w►
Amps N& Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type: _
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
fov+n-k
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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) ONT CT )' or AIUTH�O ZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): / DATE:
Printed Name: Ci vt Z& & '�' lCct�/ t l L
ZONING COMMMENTS:
Reviewer:
BUILDING DEP ENT COMMENTS:
Reviewer: " Z —
I I hl�
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION: 3
CONSTRUCTION TYPE: �/
Building Division Valuation: A53�
S133HS 00 L Z8 L-Zb pueJo jeuogeN.-a cb e.
S133HSM zsR-zv pueJH ieumdeN-v-- r
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O
City of Wheat Ridge
s Residential Remodel PERMIT - 201803097
PERMIT NO: 201803097 ISSUED: 11/29/2018
JOB ADDRESS: 4542 Everett Ct EXPIRES: 11/29/2019
JOB DESCRIPTION: SWO - Replace 4 windows; glass block installed for window, new furnace,
attic fan, update outlets in kitchen & bath, new electrical panel - 150
amps; replaced sliding glass door, retiled showers, new paint and trim
throughout; 820 sq ft total
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS, LLC
SUB (720)569-6764 Daniel Berkowitz
SUB (720)537-4673 Aaron Quintana
SUB (720)381-1767 Louis Stephens
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 101 /
150075 Alimar Construction LLC
160199 Knight Mechanical LLC
140291 Absolute Electrical Services
USE: UA / Unassigned
BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,737.00
FEES
Total Valuation 0.00
Use Tax 288.48
Permit Fee 267.70
Investigative Fees 267.70
** TOTAL ** 823.88
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
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
thisermit. I furtr attest that I am legally thorized to include all entities named within this document as parties to the work to be
performed and th t all ork to rfor is disclosed in this document and/or it ccom nying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit 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, an violation of any provision of any
applicable code any ordinance trlregulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Residential Remodel PERMIT -
201803097
PERMIT NO:
201803097
ISSUED:
11/29/2018
JOB ADDRESS:
4542 Everett Ct
EXPIRES:
11/29/2019
JOB DESCRIPTION:
SWO - Replace 4 windows; glass block
installed for
window, new furnace,
attic fan, update outlets in kitchen
& bath, new electrical
panel - 150
amps; replaced sliding glass door,
retiled showers,
new paint and trim
throughout; 820 sq ft total
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
thisermit. I furtr attest that I am legally thorized to include all entities named within this document as parties to the work to be
performed and th t all ork to rfor is disclosed in this document and/or it ccom nying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit 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, an violation of any provision of any
applicable code any ordinance trlregulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Image
Cc)MM(INITY DEVELOPMENT
Building & Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(&d.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 11 / ri
�//�
Plan/Permit # � ( MM
Plan Review Fee: o L/'
`1 1
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 45_4,Z �e V � 6t
Property Owner (please print): '/� Gf(s a'fis; i Phone:
Property Owner Email:_M V A ✓,�+ C(b CC) rY? CGtSt, t1t;t-
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: P& IL
City, State, Zip: / f l)C)(% C( YO ,
Architect/Enaineer:T�
a
Architect/Engineer E-mail: Phone:
Contractor Name: /'01L
City of Wheat Ridge License M J G G 2 Phone: L-7 7- 7 G
Contractor E-mail Address: Aa f% d** C' �\ 7 For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):_ -Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
RESIDENTIAL
Provide description of work: For ALL projects; provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
! r
k1-1
'�& t, -e-- CA _P" -
ff c� eo( d�
Sq. Ft./LF
1 L.
Amps /9(,- Squares
4
(•� ��ULGLLQ G
A ,0 K �t(J
✓" _L)
BTUs
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For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage: `�` L
Project Value: (Contract value or
the cost of all materials and labor included in the entire project)
$ 7 , J L y
OWNER/CONTRACTOk SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLEONE: (OWNER) (CONTRACT R) ' (AUTHORIZ D REPRESENTATIVE) of (OWNER) (CONTRACTO
r
Signature (first and last name): d l�A DATE: A?_
,1L2Y�,� ['�-�—I�f
Printed Name:
b tv'2'
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: �_
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEMIT6
Reviewer:
,
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
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City of Wheat Ridge
Residential Remodel PERMIT - 201803099
r
PERMIT NO:
201803099
ISSUED:
11/29/2018
JOB ADDRESS:
4540 Everett Ct
EXPIRES:
11/29/2019
JOB DESCRIPTION:
SWO - Replace 3 windows; glass
block installed
for window,attic fan, update
outlets in kitchen
& bath, new
electrical panel
- 150 amps; replaced
sliding glass door,
retiled
showers, new paint
and trim throughout; 820 sq
ft total
*** CONTACTS ***
OWNER (720)201-6550
EVERETT APTS LLC
GC (720)569-6764
Daniel Berkowitz
150075 Alimar
Construction LLC
SUB (720)537-4673
Aaron Quintana
160199 Knight
Mechanical LLC
SUB (720)381-1767
Louis Stephens
140291 Absolute
Electrical Services
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
101 /
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
10,587.00
FEES
Total Valuation
0.00
Use Tax
222.33
Permit Fee
220.15
Investigative Fees
220.15
** TOTAL **
662.63
*** COMMENTS ***
*** CONDITIONS ***
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
` Residential Remodel PERMIT - 201803099
PERMIT NO: 201803099 ISSUED: 11/29/2018
JOB ADDRESS: 4540 Everett Ct EXPIRES: 11/29/2019
JOB DESCRIPTION: SWO - Replace 3 windows; glass block installed for window,attic fan, update
outlets in kitchen & bath, new electrical panel - 150 amps; replaced
sliding glass door, retiled showers, new paint and trim throughout; 820 sq
ft total
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 ermit. l fu; her a est that am le ally uthorized to include all entities named within this document as parties to the work to be
performed and 1 at al work to pie!jprme is 'sclosed in this document and/ori ' acc " panying approved plans and specifications.
Signature of OWNER or CONTRACT R (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 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 [nting of a pe �halot be construed to be a permit for or an approval of, an violation of any provision of any
applicable codr ny o dinanc ron of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
X W h6at I jdge
COMMUNi7Y DEVELOPMENT
Building & Inspection Services
7500 W. 29' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(a?ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: # S -0 l' ifs 114
Property Owner (please print): 1'- i leaod A afs ", t -c Phone: '7 -)L)l - 5 S
Property Owner Email: YYl V C V(irlt f1 P f
Tenant Name (Commercial Projects Only)'
Property Owner Mailing Address: (if different than property address)
Address: ro %jpA 1,60 ,39
City, State,
Architect/Engineer: /) /,I
Architect/Engineer E-mail:
Contractor Name:
Phone:
✓�.✓ V E � aC V1
City of Wheat Ridge License #: 1560,7s Phone: Z0 54 t 7 6
Contractor E-mail Address: _141(_ t 0 157 7 6�j 1iQ_ �60 , /111,A
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(please print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
SIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
��� to -S hO led /o) 611 L16 t ^ 5 ff �1fG1
3 ie �W
Alp I t
�CcC,�I o c� ' I1 --t _,0 � �. �� (� p � � �`�► j 5 e � vn � i'c e
,� �clY /,e`� 16L -td S •al I � Int 5 S �ti� S ivt4 t�1C�-e✓ �'�� �'7(oe4"
� r `
Sq. Ft./LF -?-Z-BTUs Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
v . `i � 7 00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CON TRAC OR or (AUTHORIZE PRESENTATIVE) of (OWNER) (CONTRA TOR)
Signature (first and last name): C DATE: Z g /W
Printed Name:Z-
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: ✓✓
CONSTRUCTION TYPE.
Reviewer:
BUILDING DEP MENT COMME TS:
Reviewer:
►'(z�(��
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation: ` O J
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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: 4 o 9 - `—r'„ c�L
Job Address: L) SLI o Live C 4
Permit Number: 'a o 1 s- o I 0 S` y
❑ No one available for inspection: Time ) P =31D AMAEM)
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: S/ Inspector: _T
DO NOT REMOVE THIS NOTICE
s
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: y a 9 _IF
r
Job Address: Z-) S9_y 0 Gw e, -e C -i
Permit Number:
r-
201Solo s'y
-� A F--30 1-0 V & d
A) O AG+ -er Se 0t- iy1SfrW .,Vr-1
❑ No one available for inspection: Time ':?= S-1 AM PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: S- I Inspector: �T?�
DO NOT REMOVE THIS NOTICE
1 {r.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: LIC`j
Job Address: L-1 14 C CL, e- -4 C 4
Permit Number: a c i11�5 C r e s y
M
❑ No one available for inspection: Time (3 = 3S' (9PM
Re -Inspection required:
,-T"\
No
When corrections have been made, call for re -inspection at 303-234-5933
Date: L L 7 i Inspector: i
DO NOT REMOVE THIS NOTICE
13
i CITY OF WHEAT RIDGE
Building InspectionDivision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -3 o � ` I)'/, c/
Job Address: c-lSyo r ve r,e4�
Permit Number: -Dv f s o I c S z -f 1
9') fj_ t� oo_P A— ![Jr -o
❑ No one available for inspection: Time ' 3 ( IPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: y a 1 S Inspector: —T-12)
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201801054
PERMIT NO: 201801054 ISSUED: 04/16/2018
JOB ADDRESS: 4540 Everett CT EXPIRES: 04/16/2019
JOB DESCRIPTION: Reroof Tamko 30yr Dimensional Asphalt Shingles with 29.66 squares. Pitch
5/12.
4540-4546 Everett Court**Multi-flex **Everett Apts LLC
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS LLC
SUB (303)227-9100 Pat Deniro
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 101 /
019559 The Roof & Gutter Guys
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,622.62
FEES
Total Valuation 0.00
Use Tax 160.08
Permit Fee 172.60
** TOTAL ** 332.68
*** 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
Residential Roofing PERMIT - 201801054
PERMIT NO: 201801054 ISSUED: 04/16/2018
JOB ADDRESS: 4540 Everett CT EXPIRES: 04/16/2019
JOB DESCRIPTION: Reroof Tamko 30yr Dimensional Asphalt Shingles with 29.66 squares. Pitch
5/12.
4540-4546 Everett Court**Multi-Plex **Everett Apts LLC
I, by my signature, her attest that the work to be performed shall comply with all accompany ing a
applicable buildi ode , nd all applicable municipal codes, policies and procedures, and tha I am thelegal owroved nlernor haves and beenauthorized
by the legal o er f t roperty and am authorized to obtain this permit d perfo the work described and approved in conjunction with
this permit. urt r t that I am legally authorized to include all entiti s name 'thin this document as parties to the work to be
performed nd t a 11 ork to be performed is disclosed in this d cume and/or ' s' 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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
5, The issuance or grant' of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appy code or aninance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY,
Laqenia Reimer (JO / y U
From: no-reply@ci.wheatridge.co.us
Sent: Friday, April 13, 2018 4:13 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
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 3- or 4- Units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
4540-4546 Everett Court
Margie Yevara
720-201-6550
Property Owner Email 4540 Everett Ct Wheat Ridge 80033
Address V33?,L9
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
Yes
Scanned from a Xerox Multifunction Printer.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)
The Roof and Gutter Guys
019559
3032279100
Contractor Address 605 e 70th ave #103
(Primary address of your
business)
Contractor Email Address VAN@THEROOFGUYS.NET
Retype Contractor Email VAN@THEROOFGUYS.NET
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
both? (check all that
apply)
29.66
488 1W Z &Z—
IM
2
lid
Pitched roof (2:12 pitch or greater)
2
What is the specific pita 5/12 _>
of the PITCHED roof?
How many squares are�29.66__'
part of the PITCHED — x
roof? _ _._
Describe the roofin� Tamko 30yr Dimensional Shingle
materials for the _ --
PITCHED roof.
Type of material for th Asphalt
PITCHED roof—
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
main building only
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
Yes
Yes
Yes
Yes
3
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 van marquez
Email not displaying correctly? View it in your browser.
Customer:
Margie Yevera
Margie Yevera
Project:
4540-4546 Everett
4540-4546 Everett Court
Wheat Ridge, CO 80033
�F
* �a4 4"
'v
07/14/2017 - 4540-4546 Everett - Proposal
Other
Damaged by Hail,One Two story building, 5/12 roof pitch,
dimensional shingles, 51nch gutter, 2x3 downspouts, good
access to all building
Corrective Action
Remove existing roof on home, install ice and water shield
around entire perimeter, new synthetic underlayment and new
30yr dimensional shingles, install, new roof flashings this
includes, drip, rake, step and counter flashings, replace all pipe
and vent flashings, remove all debris related to scope of work (
Any additional layers and/or damaged decking will be removed
and replaced and Documented to show proof of work ( PRICE
DOES NOT INCLUDE BUILDING PERMIT)
3000 SF
$12,735.00
5 inch Gutter Replacement
Gutters and gutter screen damaged by Hail
Corrective Action
Remove existing gutter and Install new 5 inch seamless Gutter
Apx. 225.50 LF gutter screen Apx. 112LF
0 LF
$1,709.00
The Roof & Gutter Guys - P:303-227-9100 - F:303-227-9106 -
theroofandgutterguys. com
PO Box 21469 Denver, CO 80221
Van Marquez - P:(720) 490-5386
1
Customer:
Margie Yevera
Margie Yevera
Project:
4540-4546 Everett
4540-4546 Everett Court
Wheat Ridge, CO 80033
Terms and Conditions
I hereby authorize the work indicated above
Payment terms; 30 days from completion of work
07/14/2017 - 4540-4546 Everett - Proposal(cont.)
1 hereby authorize the following items
Payment terms; 30 days from the completion date of work on the invoice. We advise to wait on any interior
repairs until, there is satisfactory weather conditions to test the success of the repair. All repairs carry no
warranty unless noted above or by contract. Any Invoices that are unpaid at 90 days may incur additional
collection costs,
Other: $12,735.00
5 inch Gutter Replacement: $1,709.00
i
Amount ( ♦. , Signature Date
The Roof & Gutter Guys - P:303-227-9100 - F:303-227-9106 -
theroofandgutterguys. com
PO Box 21469 Denver, CO 80221
Van Marquez - P:(720) 490-5386
2
.2ECTION RECORD
INSPECTION ONLINE F 4MM: http://www.ci.wheatridge.co.us/inspection
Q
C ,!\� INSPECTION REQUEST LINE: (303) 234-5933
ce al
ftst be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
r1n tin# Dniir r_nnrrafn Prinr Tn Annrnval (It 1 hP_ Annve Insnactlnns
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Landscaping & Parking / Planning Dept.
Sewer Service
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Plumbing
Do Not Cover Underground or Below/1n-51an vvorK mor 10 Approval Ur I ne Above Inspections
Rough Inspections Date Inspector Comments
Initials
Wall Sheathing
i -Roof
[h / Wall Tie
)ugh Electric'
ough Plumbing/Gas Line
tough Mechanical
-Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building V/ 4 e
T _)
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 - Nlease oe sure tnat rougn inspections are compieteu horn the Mita visuict d11U UlUUMU01 ww VVIId9U
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Miseella PERMIT - 201707060
PERMIT NO: 201707060 ISSUED: 09/08/2017
JOB ADDRESS: 4540 Everett CT EXPIRES: 09/08/2018
JOB DESCRIPTION: Permit for siding: Tear off aluminum siding and replace with 5 squares
7inch clapboard vinyl siding on the front, right and left side of home.
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS LLC
SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc.
*** PARCEL INFO *** •
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,949.00
FEES
Dotal Valuation 0.00
Jse Tax 124.93
Permit Fee 140.90
** TOTAL ** 265.83
x** COMMENTS ***
** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
byy myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
ipplicable building codes, and all applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized
>y the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
his ermit. I further attest that I am legally authorized to include all entities named ithin this document as parties to the work to be
>erformed 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
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.
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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
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.
I. 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.
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.
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 ani
applicable code or any ordinance or regulation of risdiction.A'�p�p'r�o'v�al of work is subject to fyeld inspection.
ignature of Chief Building Official Date
2QUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
L/
i CITY OF WHEAT RIDGE
_��9�Building Inspection'tivision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �l i 4s - (� ►CJ „� t-- ., 1
Job Address: �� 5 �i o �'�. ,-E }4 C
Permit Number: 0 C-7 V 6 V
t N 1") cta
t l G ('f) c, e) C
❑ No one available for inspection: Time ?a _ 7D ? AM@
Re -Inspection required: Yes oNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: --3 11-1 /I -5;- Inspector: t -
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Miscella PERMIT - 201707060
PERMIT NO: 201707060 ISSUED: 09/08/2017
JOB ADDRESS: 4540 Everett CT EXPIRES: 09/08/2018
JOB DESCRIPTION: Permit for siding: Tear off aluminum siding and replace with 5 squares
7inch clapboard vinyl siding on the front, right and left side of home.
*** CONTACTS ***
OWNER (720)201-6550 EVERETT APTS LLC
SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 101 /
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,949.00
FEES
Total Valuation 0.00
Use Tax 124.93
Permit Fee 140.90
** TOTAL ** 265.83
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by m 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 ermit. I further attest that I am legally authorized to include all entities named within this document as partes to the work to be
performed ;nd that all work perormed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of d OWV_ � or CONTRACTOR (Circle one) Date v
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
is
applicable code or any ordinance or regulation of this jur n. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Rdge
COMMUNITY DEVELOPMENT
Building $ Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitsQci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
I�
PlanlPermit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I
Property Address: 4540 Everette Ct Wheat Ridge CO 80033
Property Owner (please print): Margie Yevara Phone: 720 201-6550
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City State, Zip:
Architect/Engineer:
Architect/Engineer E-mail: Phone:
Contractor: Home Depot USA
Contractors City License #:
170102
Contractor E-mail Address: 0amie(-)reedysetgo.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone: 801 710-2507
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑
RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ LECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. FtJLF
Amps
Tear off aluminum siding and replace with 5 squares of 7" Clapboard vinyl siding on the front, right,
and left side of home.
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
--
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 legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application. ss
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTKORIZEDI�EPRESENTATIVE) of (OWNER) (CONFACTOR)
Electronic Signature (first and last name): DATE: 9/7/17
DEPARTMENT USE ONLY
ZONING COMMMENTS. OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 060072
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
060072
4540 EVERETT CT
reroof, Apply tamko 50yr
ISSUED:
EXPIRES:
heritage. 188gS.
03/02/2006
09/02/2007
2nd layer,
*** CONTACTS ***
owner 303/421-5330
GC 303/431-8972
Robert Lawson
Ken Penny
01-9489 Penny Enterprises
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE:
BLOCK/LOT#:
R-3
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
108.30
,00
37.80
146.10
2,100.00
** FEE SUMMARY **
Comments:
Documents from the manufacture,: shall ~e
onsite for final roof inspection whICh specifY
roofing materiall have been Installed to meet
no MPH th,.._oond wind gust--mc
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 nd that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable heat ge Ordinances, for work under this permit. Plans subject to field inspection.
date
6,
This permit was issu n accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado a to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the C~ty.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the
building authorized is suspended or abandoned for a period of 180 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required. provided 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, full fees shall
be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall rece~ve
written approval on inspection card before proceeding with successive phases of the job.
The i~ of a~~-Q the approval of drawings and specifications shall not be construed to be a permit for, _nor
an,ap 1 ~ny viola n f the provisions of the bu~ld~ng codes or any other ordinance, law, rule or regulatlon.
1 e~ "8 . eld inspections.
1.
2,
3,
4,
5,
date
Signature of Chief Building Offical
INSPECTION 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,
, -
COMMUNITY DEVELOPMENT DEPARTME/IIT-
BUILDING INSPECTION LINE- 303-234-5933
CITY OF WHEAT RIDGE
, 7500 WEST 29TH AVENUE
WHEAT RIDGE, C6-80033 '. (303.235.2855)
APPLICATION
Building Permit Number:
Date:
, Property Owner:
Property Address:
Contractor License No.:
Company:
OWNER/CONTRACTOR SIGNATURE OF UNDERS:ANm~G AND AGREEMENT BuJ/dlnQ Dept. Valuation Figure: $
I hereby certify that tha satback dis~nces pre posed by this pennlt'appllcation are
accurate, and do npt violate applicable ordinances, rules orregulations of the City of
Wheat Rlc:lge or covenants, easements or restrictions of record; that all measurements
shown SAO allegations made are accurate; thai I have read and agree to abide by ell
ndltions prinled on this application and that I assume full responsibility for
c~mpllance with the Wheal Ridge Building Code (I.B.C) and all other applicable Wheal
~Idge Ordinances, for work under .th,^"e711. Plans subJeclto field Ins~ecllO_: '
(OWNER)(CONTRACTOR):SIGNe,; 1~/~ DATE J ~
(OWNeR)(CONTRACTOR):PRlNTED DATE
1_;,"1- ;(,'''/JC'-'
,...~ 7/;rp .d
'Y ---6 . '
~ ':!?f(:; ,t;:~'-e""#("~one: y 2./ - .; J 3-0
ft?~'1 .kAr/?>lr<
, Phono: jtf;l-5;z3~Y?..1
Value:$' ,:! (()t~~-
Permit Fee:$
Plan Review Fee:$
Use Tax:S
Total:$
Use of Space (descrlptlon):
Description of work: r~roe{ t-,....,"V"l/J ffrpl, liIh">~.. 5',/'l- JJv,,~c '/po
),4"".~-I ~.......-,,,.,,-d il-tf .J7t'l:e-. .;,~ '/"'7 &e
Sq. Ft. add~d
Sq.Ft.:
;BUILDING DEPARTMENT USE ONLY
SIC:
ZONING' COMMENTS:
, Approval:
Zoning:
BUILDING COMMeNTS:
Approval:
"
PUBLIC WOPJ<l$ COMMeNTS:
Appl'Qyal:
RB DepARTM~~OMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Residential Units:
Stories:
Electrical License No:
Company:
Expiratlon Date:
Approval:
-
Plumbing License No:
~ompany:
Exp'lratlon Date:
Approval: '
Mechanical License No:
, Company: '
Expiratlon Date;
Approval: '
(1)
This ~el111llwas Issued In,accordance with the provisions set forth In your application and Is subJ-'ctto the laws of the State of
Colorado and to the Zanlng Regulations and Bulldlng Codes of Wheat Ridge, Coloraco orany other appllcable ordlnan.ces of
the City. ' ' ,
This pennll shan expire If (A) the work authorized Is not commenced within sixty (90j days from Issue dale or (8) the building
authorized Is suspended orabandoned for a period of 180 days. .
Ifthls permtt expires. a neW permit may be acquIred. for a fee of one-half the amount nonnally required, provided no changes
. have been orw\1\ be made In the original plans-e.nd speclflcatlons and any suspension or abandonment has not exceeded one
(1 ryear. \f changes have been ortf suspension or abandonment exceeds one (1) year, full fees shall be pald for a new permit
No work of any manner shall be done thatwlll change the natural flow of water causIng a draInage problem.
contractor shall notify the Bulldlng Inspector twenty-four (:<4) hours In advance for al1lnspecllons and shall receive written
approval on Inspection card before. pro~edlng 'N\th successive phases of the-job.
The \ssuance of a pennlt or the- approval of drawings and spaclflcattons shall not be construed to be a permit for, nor an
approval of, any vIolation of the provrslons oftha bulldlng codes or any other ordinance, law, rule or regulation. All plOj.n reYlew
ls subJect to fleld Inspec:tlol1.s. .
(2)
(3)
(4)
(5)
(6)
- -,., .- ,. -,' --......-... -,-_.,_.._~ --- ---- -,-- -1
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BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
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Correction Notice
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Job Located at 1-1 <; 'Ii;;' <I t:., f, p., c j f- (' l
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
f7,jf'c/' "'(? ) /(j 1/l1r~
.
,n~5-S,",C~
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You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
) /7
q cJ <;1/>.-
/
4 ..
1/; r;;
1-
Inspector lor Building DepL
DO NOT REMOVE THIS TAG
FORM WR6-22
,
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,.____ _' ~1
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:
14422
8/30/02
Property Owner: ROBERT E. LAWSON
Property Address: 4540-46 EVERETT CT
Contractor License No, :
Company:
Phone: 421-5330
Phone:
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
$0,00
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 respons' ity for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wet i e o~ina 5, for work under this permit.
(OWNER)(CONTRACTOR) SIGN , 6., DATE,\:.;O'OL
Total:
$0,00
Use:
Description:
DUMPSTER ENCLOSURE I CHAIN LINK WI SLATS
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
COMPLIES WI REGS.
Own I Please Note:
r er dcontractor Is responsible for localing property
mes an constructing improvements according to the
OK. 8/30/02 T~t~ve~ plan and require~ dC,velopment standards.
CI~Y IS no.t r:spoflSlbk ;;Jf maccurate information
submHted wnhm the pIau set and an\: canst t'
'rro I" ~ .. rue Ion
:. rs resu lmg from inaccurah.: information.
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws Of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided 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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The " u n~a it or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
sio s , lIng codes or any other ordinance, law, rule or regulation.
,
(1)
(2)
(3)
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)
APPLlCA.ffON
Building Pennit Number:
Date:
V?oh"" T f l)eJuJSoiJ
4540 IZOfi/fRH et
Phone:
303- L{21-~330
Property Owner:
Property Address:
Contractor License No,:
Company:
Phone:
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGR.EEMENT
I hearby certify thai the setback. distanDes proposed by this pemrit application are
accurate" and do not violate applicablo ordinances. rules 01' regula1iom of the City
of W1wat Ridge or oovenants.: easemmrl3 01' restrictions of record; that all
moasurcm.o:nts shown,. and alloglrtions made arc a.ocurato; that I have read and
agree 10 abido by all conditions printed on this 'PPlicaiions and that I assume full
rospomibility for complianoe with Ridge aJlding Code (U,B.C) and
all other 'PPlicable Whoa! Ridge Or for this pomil.
Construction Value:
Permit Fee:
Plan Review Fee:
TT~p "'~y;
,
Total:
(OWNEa)(CONIRACI'OR), Sl
DA~-A:> 02...
Description: MUIl-"fl_e/(c4su/l.--<--' ((!i.cu,<-/~L',,-L '^-I' ~ds.)
()ccu:pancy:
Walls:
Roof:
Stories:
R~O~
4(;G_~?V~j'l
v<'a V
/(S (?<'
11
BUILDING DEPARTMENT USE ONLY
.~.ffi!.:
ApproVal:
Zoning:R- .3
._'fa~3l.~:
Approval:
_\~.~:
Approval:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This pennit was issued.in accordance with the provisions set forth in your application and iJ subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Codo of Wheat Ridge, Colorado or my other applicable ordinancos of the City.
(2) TIti, permit shall expire if (A) tho warlc: authorized is not commenced within sixty (60) days fram. issue date or (B) tho building authorized is suspended or
abandoned for a period of 120 days.
(3) If this pemrit expires, a new pcncit IJJEj be acquired for a fee of onc-half tho amount notmally required, provided no changos have bean or will bomade.in
the original plan& and spocifi.cati= and any suspension or abandonm.cnt has not oxcoedM one (1) yoar. If changes h&vo been or if suspension or abandODJ:nellt
exceeds one (l)year, fullfecs shall be paid for ancwpOIIILil
(4) No warlc: ofanymanncr shall bc done that will~ thcnaturalflow ofwaw cau.Wlga drainage probl.c:rc..
(5) Contractor shallnotifY the Building Inspector twenty.four (24) hours in advance for all inspection.s and shall receive written approval on inspection card before
proceeding with successive phases ofthojob.
(6) The issuance of a poaoit or tho approval of dra~ and speei:fi.calions shall not be =trucd to be a pemrit for, nor an approval of; any violation of the
provision.s oftb.c . codes or any otherordi.nanco, law, rule arregulation.
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