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HomeMy WebLinkAbout4560 Holland Streetc�G 176 -3 6 �L( INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Sewer Service Mid -Roof Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof 1 Lath /Wall Tie Rough Electric Rough Plumbing/Gas Line Rough 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 NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather k 14 City of Wheat Ridge Residential Roofing PERMIT - 201703653 PERMIT NO: 201703653 ISSUED: 07/10/2017 JOB ADDRESS.: 4560 Holland ST EXPIRES: 07/10/2018 JOB DESCRIPTI,6N: Residential Re -Roof to install IKO asphalt shingle with 31 SQ RE -ROOF HOUSE WITH 4/12 PITCH *** CONTACTS *** OWNER (303)324-6973 NANCY LAMBOTT SUB (303)993-2862 Luis Canales & Richard Garcia 150257 Roof Evolution LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,200.00 FEES Total Valuation 0.00 Use Tax 214.20 Permit Fee 220.15 ** TOTAL ** 434.35 ** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A.ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. - CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: i' () Job Address: L) t:, b 1®// a Pj s) Permit Number: Nf ,v ,7 1 k2 T ❑ No one available for inspection: Tim 7- ' r AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-'nsp /ction at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE . .t CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line __:�9�(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rn 1' () Job Address: L/ a Pi r, Permit Number: o 7 0 T ❑ No one available for inspection: Tim Z ` ,- AM/PM Re -Inspection required: Yes No When corrections have been made, call for re- .nspection at 303-234-5933 Date: -7 ./ =% Inspector: DO 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; Job Address�, Lq A.//:D S I Permit Number- -2- -3 6-3- J No one available for inspection: Time AM/PM Re -Inspection required: Yes! N"o When corrections have been made, call for re-inspectiap-at 303-234-5933 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge V e Residential Roofing PERMIT - 201703653 PERMIT NO: 201703653 ISSUED: 07/10/2017 JOB ADDRESS: 4560 Holland ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install IKO asphalt shingle with 31 SQ RE -ROOF HOUSE WITH 4/12 PITCH *** CONTACTS *** OWNER (303)324-6973 NANCY LAMBOTT SUB (303)993-2862 Luis Canales & Richard Garcia 150257 Roof Evolution LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,200.00 FEES Total Valuation 0.00 Use Tax 214.20 Permit Fee 220.15 ** TOTAL ** 434.35 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703653 PERMIT NO: 201703653 ISSUED: 07/10/2017 JOB ADDRESS: 4560 Holland ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install IKO asphalt shingle with 31 SQ RE -ROOF HOUSE WITH 4/12 PITCH I, by my signature,,do.hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perfonned and that all�work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Id V d,017 Signature of .©vAIER or CONTRACTOR (Circle one) Date I • This permth4'as 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 andprocedures. 2. This.pennit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 appliFAlAa. .ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 0 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 8:54 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 4560 Holland St Nancy Lambott Property Owner Phone 3033246973 NumberZ�- Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Roof Evolution LLC 150257 3039932862 Contractor Email Address tara@roofevolution.com Retype Contractor Email tara@roofevolution.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: No Asphalt - IKO } j Asphalt Field not completed. How many squares of the31 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? 2 TOTAL SQUARES of all31 roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) re roof house with 4/12 pitch 10200 SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Luis Canales Email not displaying correctly? View it in your browser. 3 J' a moo u o ROOF EVOLUTION �-IZ 11-123 Bt 5696 South Cedar St -- Littleton — CO — 80120 - (720) 334-7311 Roof Evolution LLC Liability Insurance Contact — RKA Insurance Services — (303) 374-0753 CONTRACT CONFIRMATION CUSTOMER: A ]apt C L4— /-a kil v STREET:ellA ���0® CIQ�� S- CITY:�!4`��r✓ STATE: C 0 ZIP: ?003-? PHONE#: �'�2"7 G173 EMAIL/7 SPECIFICATIONS: Manufacturer: -T74-0 Style of Shingle:6a.►,r 6 -,.e' -e, -7's Color of Shingle: c--"'-00CJ 6r-�� ' Color of Drip Edge:IA)/t i /e Color of Gutter: IJA-r k e. Repairs: Number of Squares: 32 - Notes: 1,/ajr L 1 �4c, log- aloe -.en c-, cs15 4 Gri.J Q t c'tiSr' LJc911 . AA4J �b e - -fir jet :V"�C-Ctn;v, TOTAL CHARGE FOR ABOVE LISTED WORK IS: $ 12 '-/vi 7 v-1 PAYMENT SCHEDULE IS AS FOLLOWS: V Payment (upon material delivery): $ Remaining Balance (upon completion of work): $ 1016, % SOMETIMES SUPPLEMENTS ARE REQUIRED ON YOUR JOB IN ORDER TO COMPLETE THE WORK: Potential supplements include, but are not limited to re -deck, building permit, additional ventilation, ridge cap, and additional material. You understand that these supplemental items may be required by your Building Ordinence. By signing, you agree to allow Roof Evolution LLC to supplement your insurance carrier for additional funds, including overhead & profit, which are payable to ROOF EVOLUTION LLC. CHANGE ORDERS:During the course of construction there may be changes that incur, this will be considered a change order and the base contract price will adjust accordingly. The person who signs the contract will be responsible to sign all change orders or provide written confirmation. AUTHORIZED BY: Homeo ner Date Homeo er Date We hereby agree to furnish labor and materials — complete in accordance with the above specifications and in conjunction with the original contract at above stated price. Piease make all checks payable to Roof Evolution CLC. Roof Evolution LLC will not be responsible for checks made payable to any other party. APPROXIMATE START DATE (011417 �95 7 APPROXIMATE COMPLETION DATE: Contractor Date • CertainTeed W Rolla duct "p" ITN . l CITY OF WHEAT RIDGE �Building Inspection Division _: �9r'(303) (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: d U Job Address: 4 e;//, a !;� 7, - Permit Number: ? 0 0 4! 9 ❑ No one available for inspection: Time- a AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 t Date: Inspector: DO NOT REMOVE THIS NOTICE �\N "��Z� RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Ty�e Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Wall Sheathing Foundation Inspections Date Inspector Initials Comments CDD 1428 i�T Pier PS r 5 3499 i:�,.i: d�c� Holland ST ,�€�.42 Concrete Encased Ground (CEG) Lath / Wall Tie Foundation / P.E. Letter Rough Electric ■1e11'Laic 1911ItWiVa[tlr=llaJ9191i[91_'10a]Ce]'i.IRE]iI iL�iTS.i . . UnderUnderground/Slab Ins Inspector g Inspections Date Initials Comments Electrical Sewer Service Plumbing�- =R19>►[a]4MO•IQas]I1*1:499199111119t97A=is1[9VJl/191Z.1J7r9Tin .1'T*TT•hF_Iff@;M T7.\T117I-MI K- TT—F.I.— Rough Inspections Date Inspector Initials Comments Wall Sheathing Replace 3 windows - inspections call CDD 1428 i�T Mid -Roof PS r 5 3499 i:�,.i: d�c� Holland ST ,�€�.42 APPUPERNIT NO: 201M219 Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail [Final Inspections Date Inspector Initials Landscaping & Parking / Planning Dept. 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 Inspections fro City of Wheat hidA 2/1 §fi �17t 13® 4 Upp one week in ad inspections call: Replace 3 windows - inspections call CDD 1428 i�T contact the Fire PS r 5 3499 i:�,.i: d�c� Holland ST ,�€�.42 APPUPERNIT NO: 201M219 PAYMENT RECEIVED AMOUNT Gz / 3397 349.48 RUTH CODE: 064166 TOTAL 349.48 NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests - Please email insptimgrgquesta- ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather ')T 1 - 21 L 4 r INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Wall Sheathing Foundation Inspections Date Inspector Comments Initials inspections call Pier Mid -Roof Concrete Encased Ground (CEG) contact the Fire Foundation / P.E. Letter Lath /Wall Tie uo Not Pour Goncrete Prior To Annroval Of The Above Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Aonroval Of The Above Insnections Rough Inspections Date Inspector Initials Comments Wall Sheathing inspections call ReDlace 3 windows - Mid -Roof U_-:.-, contact the Fire P 4,5 f, @ Ho i arH ST s4 9. 48 Lath /Wall Tie 4',,I. n. x�_. f, =4'i.`a Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Inspections fro p `11Y of hea Fid e /1412@ 7 13x94 CE) RD one weekin ad inspections call ReDlace 3 windows - inspections call U_-:.-, contact the Fire P 4,5 f, @ Ho i arH ST s4 9. 48 4',,I. n. x�_. f, =4'i.`a Final Building I I I NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insptimerequest(cci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 34S-48 r„_ f EL,, e r 7, € 349, Final Building I I I NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insptimerequest(cci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather I - A i TZ7._1 a Urt 0 0 *. 04 WMEW&AM ZFM I I fi T Tim ff*T, I 19 z Wil Na %_ I 15NOM 1 9111M � 11IN1,71 I 1 0 FICE USE ONLY Plan1permit # �U, � �-Co ,�, � q `"` Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. " MINIMUM Property Owner (please print): Nancy Lambott Phone: 303-324-6973 Property Owner Email: Address: same as above City, State, Zip: Architect/Engineer E-mail: Contractor: Matthew Seiler Electrical: W.R. City License 101-��ffi Mechanical: W.R. City License # Complete all information on BOTH sides 1f this form NEW COMMERCIAL , UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITIONi ROOFING REPAIREl RESDENTIAL ADDITION WINDOW REPLACEMENT El COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc,) MECHANICAL SYSTEM/APPLIANCE or SYSTEM/APPLIANCEPLUMBING SYSTEM/APPLIANCEELECTRICAL REPAIR • r REPLACEMENT OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, amount of materials to be used, etc.) W - •- We will be replacing like for like 2 bedroom and 1 living room windows. Egress requirements will be met and will have a u factor of .30 or better. There will be no size modifications. l EKE Project Value: (Contract value or the cost of all materials and labor included in the entire project) 16,636 OWNER/CONTRACTOR # OF i # AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or rewlations of the 06 of Wheat Ridie or covenants. asements or restrictions of record; that all measurements shown and all atiinsmadeare or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINTNAME: Matthew Seiler SIGNATURE: ' DATE: 216117 DEPARTMENT USE ONLY ZONING COMMMENTS OCCUPANCY CLASSIFICATION: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer, PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: 0 a .1 I a a FOR OFFICE USE ONLY t. City � �h6at l Building & Inspection Services Division 7500 W. 291" Ave., Wheat fridge, CO, 80033 Plan Review Office: 303.235-2855 * Fax: 303.237-8929 Inspection Line: 303-234-5933 Building er it Application Please complete all hightfohted areas on both sides of this form. Incomplete aWloations may net be processed. Property Address. - Property Ow ddress.Pro ner (please print): � � �. � �� v � "hca Property Owner Email, 1`116v 6- MailingAddress- (if different than property address) Address. City, State, l ArchitectlEnvinear E-mail: _ Phone.. Contractors %r City License #: , Phone: Sontreotor -mall; dress: Sub Con Electrical: Plumbing: Mechanical: W.k City License # W.R. City License # W.R. City License Other City Licensed Sub: Other City Licensed Stam: City License # City License Complete all information on BOTH sides of this form 0 NEW COMMERCIAL rNr . ELECTRICAL. UPGRADE R . ,c NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL ADDITION WINDOW REPLACEMENT COMMERCIAL Y.Mry ACCESSORY flllIw sMe r.::.. shed, deck, RESIDENTIAL AtCESSOO� STRUCTURE (Garage, shed, deck, etc.) MECHANICAL d Mi•3 REPAIR r d'Mr * REPLACEMENT • d • 1 ! P REPAIR IY dR k 1k YM dM d PLUMBING or ELECTRICAL d d INF YM Y REPAIR M Ye yIF ■ i or sw iount of materials to be used, etc.) OPID411C /7, 44 e -Toltec, A,w y /--/, C:" ` °� Iii.° t > ' s Sq. FULF Btu's Galion Amps quare Other OMZR130A LOWE'S HOME CENTERS, LLC PAGE: 1, NLC 1903 PROJECT ESTIMATE PSI BATH QUOTE CONTACT: LAMBOTT, GERRY SALESPERSON: TERWILLEGER, CATHERIN CUST #: 174123077 SALES #: 1,787520 PROJECT NUMBER: 475284178 DATE ESTIMATED: 07/07/16 QTY ----- ITEM # --------- ITEM DESCRIPTION ------------------------------ VEND PART # PRICE 56 399383 12-12 IVETTA WHITE PORCELAIN S ----------- G3SL20 ------- - - ---------- 122.64 1 36749 AR MERINGTN 3 -LT BN FRST GLS V VBS271-3BNK 74.00 1 13387 PORCELAIN TILE THINSET WET 25- 11625136 13.98 1 625396 KE COLOR. S #51 SMOKE 10 -LB 5UJ005105 10.98 24 399378 3-12 IVETTA WHITE BULLNOSE SS GOSL20 83.52 1, 349095 ASD SAVER 30-60 TUB WALL BURRO 2649BW.011 249.00 1 100405 FITS -ALL 12 -IN SS TOILT SUPLYL B4T12U-2 6.49 1 198864 BATH DRAIN SCH40 FOOT LOP STOP K630PVCDSBN 39.98 1 40311 KOHLER ELLISTON I.H BN T/S R72783 -4 -BN 184.00 1 349092 ASD SAVER 30-60 TUB LH 2647.202.011 249.00 0 150453 ASD SAVER TUB DOOR AM00495400.2 0.00 1 748820 KOHLER ELLISTON ROBE HOOK BN R72788 -BN 19.98 2 748819 KOHLER ELLISTN 24 -IN TOWEL BAR 872785 -BN 59.96 1 748821 KOHLER ELLISTON TP HOLDER BN 872787 -BN 25.98 1 1241 30-INX26-IN B MIR BVW MED C CB-CLC3026FS 179.00 1 478851 KOH CRON RDCH 1.28 -GP F (-35541 98976-0 197.00 1 506695 KOHLER ELLISTON 1H BN (749706) 872782 -4D -BN 109.00 0 648777 SS ESPRESSO EURO 31 -IN COMBO CE29E30-SS 0.00 0 391693 AR HS DRIFTWOOD OAK 24.49-5Q F D2669 0.00 0 758446 AR DESERT BLUFF MOSAIC SY323TAUP121 0.00 1 642556 SS LAGOSTA 30.5 -IN COMBO 040830 -SS 299.00 1 197763 MOEN BN TENSION CURVE ROD DN2170BN 39.98 TOTAL FOR ITEMS 1963.49 FREIGHT CHARGES 0.00 DELIVERY CHARGES 79.00 TAX AMOUNT 149.63 TOTAL ESTIMATE 2192.12 -All ore_ctpAaa,.,S Y., teq t4'fej k - 'oe C V;7CI , ) I ' as0 or i Y", 5 ok Y�A ............ .. ...... COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number: 17443 Date: 7/29/2004 Property Owner: HENRY FABRIZIO Property Address: 4560 HOLLAND ST Contractor License No. : 21351 Company: A-Herman Roofing Phone, 422-5882 Phone: 659-9082 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Description: REMOVE TWO LAYERS. -n5,cO ($ ::? '13 ':ff INSTALL #30 FELT & HERITAGE 30 DIMENSIONAL SHINGLES, Total, $3,495.00 $126.50 $0.00 $41.94 $168.44 Construction Value: Permit Fee: Plan Review Fee: Use Tax: I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C,) and all other applicable Wheat Ridge ordz;ces, for work under this permit. (OWNER)(CONTRACTOR) SIGNED 'tI,1t .t-r;:A; 7?1M /lu~ DATE 7 ~}6df Use: :-.- '1'., 0/1{ "'--" I f I BUILDING DEPARTMENT USE ONLY .... lIl'!f~ SIC Sq. Ft. .'"",:',:' ",',',.,,/ Approval Zoning ~ . ' . Approval iU~~ ",', ,,,,,- ," ,''; Approval Occupancy: Walls Roof: Stories Residential Units Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approvai : Expiration Date: Approval: (1) 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 Gode of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) 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. (3) If this permit expires, a new permit may be acquired for a fee of one~halfthe 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. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) 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. (6) The issuance of a permit 0 val of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provi~ioo e bu. codes or any 0 r ordinance, law, rule or regulation. nspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - 303.234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) APPLICATION Property Owner: HeNL'( -Ftf~R:IUO Property Address: <;S-00 Hot..U'<ft]) sf-. Contractor License No,; Company, ,4- HE/2/MJ'tJt> Z~~ ~' wHr~r~ ~ / ~ 0 - ~ u ~ COLORJl..'i)O Building Permit Number; Date, Phone, f'" J .'(,);) - S2?S;;" Phone: j'C]-,{,:;-"!-'>"":Y2 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value:$ 3f1"lS.'^' Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ 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 1 have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. (OWNER)(CONTRACTOR): SIGNED '7//!2 de r~DATE 7 -dIo -d( (OWNER)(CONTRACTOR):PRINTEO FfI,)z -ilDZfU J4.t.-..- Description: "{2Eh1()V6 /wO /II<;,E,t5'.. I/A.S'T/ftL -7f 5~ -F/:I'r,i r/i!:f2 /'T/faE SO 'ZJ /;.., 0< ('o",f <-S...k ~(a~[5-, Sq. Fl. added BUILDING DEPARTMENT USE ONLY SIC: Sq.FL ZONING COMMENTS, Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS' 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: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) 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. (3) 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 pennil (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty.four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief Building Official