HomeMy WebLinkAbout4565 Holland Streeti CITY OF WHEAT RIDGE
�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE NOTICE
Inspection Type: �/
Job Address: `i S L s
Permit Number: ,t7,, Lf _Zz
Ll No one available for inspection: Time
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: �� 5 �� Inspector: (-C V�ti
DO NOT REMOVE THIS NOTICE
` INSPECTION RECORD Occupancy/Type
INSPECTION O�LINE FORM: http://www.ci.wheatrid e.co.us/ins ection
9 p
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this car ' poste&on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive arl..i spection the following business day.**
Inspector Must Sign ALL Spac s pertinent project
Foundation Inspections Date Inspector o 1
Initials
Pier
Concrete Encased Ground (CEG) i
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
14 -
/Lath
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
= j l
14 -
/Lath
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
City of Wheat Ridge
Residential Roofing PERMIT - 201704325
PERMIT NO: 201704325 ISSUED: 07/18/2017
JOB ADDRESS: 4565 Holland ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 40
sq
*** CONTACTS ***
OWNER (303)423-1791 BLAINE & MAGGIE GREENE TRUST
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** 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: 15,145.00
FEES
Total Valuation 0.00
Use Tax 318.05
Permit Fee 299.40
** TOTAL ** 617.45
*** 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 - 201704325
PERMIT NO: 201704325 ISSUED: 07/18/2017
JOB ADDRESS: 4565 Holland ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 40
sq
*** CONTACTS ***
OWNER (303)423-1791 BLAINE & MAGGIE GREENE TRUST
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** 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: 15,145.00
FEES
Total Valuation 0.00
Use Tax 318.05
Permit Fee 299.40 .;4
A, I D
* * TOTAL * * 617.45
*** 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.
I* � A -1City of Wheat Ridge
®r" Residential Roofing PERMIT - 201704325
PERMIT NO: 201704325 ISSUED: 07/18/2017
JOB ADDRESS: 4565 Holland ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 40
sq
I, by mi
signature, do heattest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the al onerothepropertyand amauthorized toobtainhis permit and perform the work described and approved in conjunction with
this perit. I further attest that I am legally authorized to include al
I entities named within this document as parties to the work to be
perform1nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNFPKor 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 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 border 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 611U ordinance 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.
Dane Lovett
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, July 10, 2017 10:20 AM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a
residential roof?
How many dwelling units
are on the property?
Yes
Single Family Home, Duplex
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
4565-4567 Holland St
Blaine Greene
303-423-1791
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 J&K Roofing
Contractor's License 019983
Number (for the City of
Wheat Ridge)
Contractor Phone 303-425-7531
Number
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
kathyv@jkroofing.com
No ,x�
Owens Corning Duration Storm
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 40
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?
TOTAL SQUARES of all 40
roofing material for this
project
Provide additional detail House - Pitch 5/12
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 15145
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 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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
CONTRACT `"7 ILA.' rcel- irnt� = C
0 J&K Rooting i✓ j
BBB 13000 W. 43rd Drive ® Golden, CO 80403
Phone: 303-425-7531 Fax: 303-425-1562
www.jkroofing.com
Representative iia nY%. f rn 0!&_Y7 Contact_ZLf 4 Date
Name %s rt ° G I� *_ Phone email
Address '" SZ r; Citytr—
Pinnacol Assurance Cincinnati Specialty Underwriters
303-361-4000 303-653-0023
Workers Compensation Insurance General Liability Insurance
Policy #4079290 Policy #CS00061742
LABOR AND MATERIAL SPECIFICATIONS TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY:
Ua Recover roof with — —
Color of shinglesl=,
[TManufacturer's Warranty
[. Tear off 1i
Install Underlayment
Double all Eaves
( Re -Flash Chimney and/or Skylights
[ New Valleys it le 44t1 -V- Ijn, .041
Replace Ridge
Ventilation
ISI, Galvanized Fasteners � /�►tt � .� ¢'�� � �" ��`4 `''�4" ��
[° Replace /2 Piwnbing Jacks
Paint roof stacks to match
FP Install il'1111,11—_ Metal Edging? c y
R Patio or Flat roof ___12—_
Year Warranty on labor
UI J & K Roofing to furnish all material and labor
[' Permit: . included NOT Included
i[T Clean-up debris and haul off all trash from roof
Roll yard with magnetic roller
Gutters cleaned of roofing debris
El Decking Repairs $__ per
'per layer
Hidden Layers (tear offs $
{Carr4er? (Policy Number
- (Adjustor)
(rvlortg2ge r o_} (Mortgage Loan Number)
[� Extra work
APs [k-
�5�
The property owner is 4�' is not_ using proceeds from
property and casualty insurance policy.
'-k2l$
Deductible if applicable
Per Colorado State Law CRS § 6-22-105 which states; 10(
the responsibility of the homeowner to pay this amount. Ji
Roofing will not reimburse or promise to reimburse in whole
in part any amount of the deductible.
Estimated Start Date
TOTAL ESTIMATE $ -
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
Date
J & K Representative �„ ..
Homeowne_.
' Rate �� � `_�
Homeowner
Expiration Date
Date
ring the
If you
lan to u�
You have the right to recind this contract and obtain i full refund of any
roofing work, you hours after may ay res nd thisecontract withinn772 hours pafter rec,
proceeds from a property and casualty insurance policy to pay 9
written notice from your insurance carrier that your claim has been denied in whole or in part. However, Jraisin payme
an Roofing is entitled
w
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR
i CITY OF WHEAT RIDGE
�� Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
J
t
INSkCTION NOTICE
Inspection Type: _
Job Address:
Permit Number:
Ll No one available for inspection: Time 1 ,' AM/PM
Re -Inspection required: Yes ," Nom
When corrections have been made, call for re -inspection at 303-234-5933
j I v-,
bj
Date: / Inspector: I/�✓; c. .
DO NOT REMOVE THIS NOTICE
,a
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
*** CONTACTS ***
City of Wheat Ridge
Residential Plumbing PERMIT - 201708793
201708793
4565 Holland ST
Residential plumbing sewerline repair
burst. approximately 25ft.
ISSUED: 11/02/2017
EXPIRES: 11/02/2018
in yard and driveway as part of pipe
OWNER (303)423-1791 BLAINE & MAGGIE GREENE TRUST
SUB (303)766-7500 Jeff Belk 021818 Plumbline Services
*** 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: 4,000.00
FEES
Total Valuation 0.00
Use Tax 84.00
Permit Fee 109.20
** TOTAL ** 193.20
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 aro 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 parties to the work to be
performed and that all wort to b, performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or NTRACTOR (Circle one) Date
1. This permit was issued 'based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable -code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fiyeId inspection.
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
- City of
W heatidge
COMMUNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits ci.wheatridge.co.us
FOR OFFIC USJE ONLY
/}
Date: )I /)7
Plan/Permit #
Plan Review Fee: l T
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: SGS_ "o lla+\c) S4.
Property Owner (please print): 2 \ q , ;,` e G re x.10 Phone: I W a3 V 7q
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Z
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: Flv'n kzkAe se-V,c;,e�_S
Contractors City License #: 62- l'RI� Phone: 3`l(6 6- '75,0
Contractor E-mail Address: pe�;�n ,�sContractor E-mail Address: @ r��,t +L.hi �P�T tj �e P_ S Co+MP_ S Corte
Sub Contractors:
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 information on BOTH sides of this form
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1�/RtV� r /t, I
Job Address: f
Permit Number: )0/ 0
❑ 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: //' :;� , %7 Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201704325
PERMIT NO: 201704325 ISSUED: 07/18/2017
JOB ADDRESS: 4565 Holland ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 40
sq
*** CONTACTS ***
OWNER (303)423-1791 BLAINE & MAGGIE GREENE TRUST
SUB (303)425-7531 John Borfitz 019983 J & K Roofing Inc.
*** 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: 15,145.00
FEES
Total Valuation 0.00
Use Tax 318.05
Permit Fee 299.40 .;4
A, I D
* * TOTAL * * 617.45
*** 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.
I* � A -1City of Wheat Ridge
®r" Residential Roofing PERMIT - 201704325
PERMIT NO: 201704325 ISSUED: 07/18/2017
JOB ADDRESS: 4565 Holland ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 40
sq
I, by mi
signature, do heattest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the al onerothepropertyand amauthorized toobtainhis permit and perform the work described and approved in conjunction with
this perit. I further attest that I am legally authorized to include al
I entities named within this document as parties to the work to be
perform1nd that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNFPKor 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 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 border 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 611U ordinance 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.
Dane Lovett
From:
no-reply@ci.wheatridge.co.us
Sent:
Monday, July 10, 2017 10:20 AM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a
residential roof?
How many dwelling units
are on the property?
Yes
Single Family Home, Duplex
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
4565-4567 Holland St
Blaine Greene
303-423-1791
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 J&K Roofing
Contractor's License 019983
Number (for the City of
Wheat Ridge)
Contractor Phone 303-425-7531
Number
Contractor Email Address kathyv@jkroofing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
kathyv@jkroofing.com
No ,x�
Owens Corning Duration Storm
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 40
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?
TOTAL SQUARES of all 40
roofing material for this
project
Provide additional detail House - Pitch 5/12
here on the description of
i
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 15145
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 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 Kathy Vendegna
Email not displaying correctly? View it in your browser.
3
CONTRACT `"7 ILA.' rcel- irnt� = C
0 J&K Rooting i✓ j
BBB 13000 W. 43rd Drive ® Golden, CO 80403
Phone: 303-425-7531 Fax: 303-425-1562
www.jkroofing.com
Representative iia nY%. f rn 0!&_Y7 Contact_ZLf 4 Date
Name %s rt ° G I� *_ Phone email
Address '" SZ r; Citytr—
Pinnacol Assurance Cincinnati Specialty Underwriters
303-361-4000 303-653-0023
Workers Compensation Insurance General Liability Insurance
Policy #4079290 Policy #CS00061742
LABOR AND MATERIAL SPECIFICATIONS TERMS,
AND CONDITIONS. PLEASE READ CAREFULLY:
Ua Recover roof with — —
Color of shinglesl=,
[TManufacturer's Warranty
[. Tear off 1i
Install Underlayment
Double all Eaves
( Re -Flash Chimney and/or Skylights
[ New Valleys it le 44t1 -V- Ijn, .041
Replace Ridge
Ventilation
ISI, Galvanized Fasteners � /�►tt � .� ¢'�� � �" ��`4 `''�4" ��
[° Replace /2 Piwnbing Jacks
Paint roof stacks to match
FP Install il'1111,11—_ Metal Edging? c y
R Patio or Flat roof ___12—_
Year Warranty on labor
UI J & K Roofing to furnish all material and labor
[' Permit: . included NOT Included
i[T Clean-up debris and haul off all trash from roof
Roll yard with magnetic roller
Gutters cleaned of roofing debris
El Decking Repairs $__ per
'per layer
Hidden Layers (tear offs $
{Carr4er? (Policy Number
- (Adjustor)
(rvlortg2ge r o_} (Mortgage Loan Number)
[� Extra work
APs [k-
�5�
The property owner is 4�' is not_ using proceeds from
property and casualty insurance policy.
'-k2l$
Deductible if applicable
Per Colorado State Law CRS § 6-22-105 which states; 10(
the responsibility of the homeowner to pay this amount. Ji
Roofing will not reimburse or promise to reimburse in whole
in part any amount of the deductible.
Estimated Start Date
TOTAL ESTIMATE $ -
ALL PROPOSALS ARE SUBJECT TO MANAGEMENT APPROVAL
Date
J & K Representative �„ ..
Homeowne_.
' Rate �� � `_�
Homeowner
Expiration Date
Date
ring the
If you
lan to u�
You have the right to recind this contract and obtain i full refund of any
roofing work, you hours after may ay res nd thisecontract withinn772 hours pafter rec,
proceeds from a property and casualty insurance policy to pay 9
written notice from your insurance carrier that your claim has been denied in whole or in part. However, Jraisin payme
an Roofing is entitled
w
deposits to compensate for roofing work actually performed in a workmanlike manner consistent with standard roofing practices.
PLEASE SEE REVERSE SIDE FOR
i CITY OF WHEAT RIDGE
�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE NOTICE
Inspection Type: �/
Job Address: `i S L s
Permit Number: ,t7,, Lf _Zz
Ll No one available for inspection: Time
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: �� 5 �� Inspector: (-C V�ti
DO NOT REMOVE THIS NOTICE
M=
Date:
Plan #
Pormlw),
(Complete iff highlighted areas)
(please print): kt
�.s different than property address)
Address:
City, State, Zip.
a
I
M=
2=
City License # City License # City License #
rNVYMVVVf I
PUBLIC WORKS COMMENTS, OCCUPANCY�
Reviewer
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 no review required I Bldg Valuation:
♦ 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: _ WA.E
Job Address: YSSnd�� S%
Permit Number: /e�e el,2
❑ No one available for inspection: Time Ij ; 3S (2kPM
Re- Inspection required: Yes �-
"When corrections have been made, call for re-inspection at 303- 234 -5933
Date: S D Inspecto
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
_r-
Residential Mechanic PERMIT - 100812
PERMIT NO: 100812 ISSUED: 04/01/2010
JOB ADDRESS:: 4565 HOLLAND ST :EXPIRES: 09/28/2010
DESCRIPTION: INstall zero clearance rfireplace and remove wood burn
CONTACTS
owner 303./403-4339 Raeon Contrall
sub 303/935-1617 Ronald Florez 02-2421 Florez Heating & Gas Works
PARCEL INFO
ZONE CODE: UA : USE : UA
SUBDIVISION:. 0251 <BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,800.00
pFFR
'ermit Fee 1
'otal Valuation
rse Tax
* :TOTAL ::1
Jett t
that the.. setback, distances proposed by, this permit applic
~a or regulations of the City of Wheat Ridge or covenants,
awn, and allegations made are accurate; that I have read ar
that I assume full responsibility for compliance with. the
.::Ridge Ordinances, for work under this permit. Plans subje
inspections.
tractor/owner -date
e 180 days from the issui
be granted at the discrt
fa new permit may be acgt
11 be made in the origine
If changes have been 'or.
t.
pplication and is subject to tl
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: V V ~l ?
~oF w"ATP BUILDING INSPECTION LINE- 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 (303-235-2855)
°oLORAeo APPLICATION
Property Owner:
Property Address: hone:~`3'
Contractor License No.: a6~ ~a ^ / y
Company: Phone:3 i~3 -0;3 /b l'
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Building Dept. Valuation Figure: $
I hereby certify that the setback distances proposed by this permit'application are
accurate, and do notviolate applicable ordinances, rules or regulations of the City of Vallle:$ .
Wheat Ridge or covenants, easements or restrictions of record; thatall measurements
shown, and allegations made are accurate; that I have read and agree to abide by all Permit Fee:$
conditions printed on this application and that I assume full responsibility for
compliance with the Wheat Ridge Building Code(I.B.C) and all other applicable Wheat Plan Review Fee:$
Ridge Ordinances, for work under this ermIt. Plans, subject to field Inspection. U-se-Ta
(OWNER)(CONTRAGTOR):SIGNE' ✓P DA'~~` Total:$
(OWNER)(CONTRAC'r0l RINT DATE ~
`i "
Use of Space (description): s ~i~ /rSirr Gf~arJ~/
Description of work: Gi22 ~et~ Z ~/D C p~1~~4
Sq. Ft. added
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permitwas issued in accordancew)th the provisions set forth in your application and issubjecttothe 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 (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(3) If this permit expires, a new permit maybe acquired for a fee of one-half the amount normally required, provided no changes
have been orwili 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 anew permit.
(4) No work of any manner shall be done thatwill 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 thejob.
(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, anyvlolatlon of the provisions of the building codes or any other ordinance, law, rule or regulation, All plan review
Is subject to field inspections.
"" ~~_ 0000, ," ",~,"~",\""'7""'''*'''''"' """~"~"""'"C'''''''''',>,c",,,,, ""')~""''''~''''''''''''''''''''"'''' "J,,,,,,,,..,,.,,,,,,,.,,,,,,,,,,,.,,,,,,,!,',,,!,!I,,,.,,,,,,,..,,,.,,II!J,.,."V,,,.
""""1",~"",,,,,.,,,,,,,,,""'J!il!'!1!
.
City of Wheat Ridge
Residential Mechanic PERMIT - 070962
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
070962
4565 HOLLAND ST
Replace furnace.
ISSUED:
EXPIRES:
09/10/2007
03/08/2008
80% effic.
*** CONTACTS ***
owner 303/403,,4339
gc 303/421,,2161
Ralan Cantrall
01-7835 Blue Sky Plumbing
** PARCEL INFO
ZONE CODE:
SUBDIVISION:
**
UA
0251
USE:
BLOCK/LOT#:
r-3
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED
FEES
126.50
.00
57.60
184.10
PROJECT VALUATION:
3,200.00
** FEE SUMMARY **
Comments:
I ERGY COD..i ,
Replacement bOtlelSlfum8C8S ' Mlnlm\,lfT1 (If 80% AFue
I "1 ~....... iR ~r..~aMinn . Ulnunum of 9O%AFUE
Setback TherIIIOSl8I required (Excepl for Hydro~1C He8I)
Gas \/Valet Heaters" Minimum of 60 Energy f adOr
EJectlic II\Bter HealeII . Minimum of 93 Energy F IIl;tOr
IMUlalion rAnUit&mllnta: . R.21 V\I8IIS . R 38 CeiIiIlglI
. R-19 CIlIWl SplIceS . R.19 Basement walla
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
date
Signature of contractor/owner
1. This permit was iSBued 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 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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 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 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 0 a iolation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan subject to field inspections.
signature 0
date
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 DEPARTMENT
BOILDING INSPECTION UNE .303-234-6933
CITY OF WHEAT RIDGE
7500 WEST 29TH AveNUE
WHEAT RIDGE, CO 80033 - (303-235-2856)
MINOR APPLICATION
PropertyOWner: ~ ('~a f) ~ _
Property Address: 'l5't$S Hol(~- ~+ :-
Contractor Licwsc No.: I1-B 30 5
company:13II.U. ~~ P I ~i ~ . Heo-*i'19
BuDding Permit Number.
Dale:
I PLAN #
PhOIlC~~ 403-1.(:33c
PhDtU<: {'30a)'-fU -U Cof
OWNERlCONTRAc:TOR SIGNATURE OF UNDERllTANDINQ AND - I Buildlna Oem. Valuatl'm Figure: $
I hareby certilY the! the se1Ilaok dl....nceo proposecl by this permit appIoation are
IICCU_, llI1cI do not vIola1e applicable ordlnlnceo, ruIeo Dr regulallona of the, city of
Whoa! RIcIge 01' covenants, _emanls or raatrlctions ot recorcl; II1al all measu._
shown, and alkogalions rnacI. are ""_; thetl have IllIId an~ _to abide by all
_clition. prinle<l on 11\18 8JlIl1lcetlon llI1cI thell assume lull responslllillty tor CQmpIlance
with 11\0 Wheat RlcIga Bulcllng CocIe (I.B.C) ancl aU olhet' applicBblo Whaat Ridge
Ordlnanc,,", far_k uncler1l\1s permit. Plan. .ubjectto~. q(,,,f":j
(OWN!!A)(CONlRAcrcRl'Sl""'lED ~,.c:I+~
(OWNER,)(CONTRA<=R)'OR''''''''' DA TO
Use of Space (description): R.~
Description of work: ~
~1 20<1,
Value:$
Permit Fee:$
Plan Review Fee:$
rIg@: Tax-S;
Tota1:$
sq. Ft. addecl
1t) ?-
~ONING COMMENTs:
Approval:
Zoning:
BunJ)ING DEPARTMENT USE ONLY
SIC:
Sq.Ft:
BUll.C1NG COMMENTS:
Appro'llll:
PUBliC WORKS COMMENTS:
ApJlrcMiI:
IRE DEPARTI!ENT COMMENTS:
Approve!:
w..",..
CA....
I I In;+''.
Electrical Ucense No:
Company:
Expiration Date:
Approval:
Plumbing Ucenss No:
Company:
Expifation Date:
Approval:
Mechanical License No:
Company:
Expiration Date:
Apl)roval:
(1)
Thla permit.... Issulld In lll:ellldonoe with the ~roviaj""" sol forth in your ""plication ancIlo subject to the Jaws of the stale of
CoIo~o and to the Zoning Ragulalians ond BuIldIng CocI.. 0/ Wheal RkIge, CeJoracIo o. any other appllcoblo ordill8ll<:eO ot1he
.city. " , ,..., "" ..., ", "', , "" .", n.,
, This permit ohoIl...pIre leC days from tholaauadate. Req-le,foriln~'sl!m rnu!l!be recel1(!l!lprior!o ""Pirol!i!>o~. An
*"!'!!isl9,n,l!J!llI be ~,,;Illl)e dlsctaIioIJoftl!e ~UJId,inS 9~'
11th.. permit expires, a new permJt lnay be ecquir8cl tor 0 fee otone-holflhe arnountnormaDy nlqUl...., provided no changes have
been orwlll be macIe I. the oc1glna1 pJanslll1cl spocifioetlon& ancIo"y suspensjon OI'abandonlTlonl has not e>a:eecled one (1) year. ~
changeo hovebeon or Wouspenalon orabBncIonmenI_s OlIO (1) year, full <ee& shall be po,jd tor. rtIfW permit.
1110 work ot ony monner shall be dona II1al will chanse the natural flow 0/ water causing 0 draIno.!lo problom,
Conlroc\ol'shaII notify "'" Byllding Inspeclor~ur (24) h..... In odvance tor 011 inspections one! shall roceIva_ apptl>Iai
00 Inspection CIlrQ before procaodlng ~ succetiIllvo pilasa& of tho job.
The 1_00 of 0 perm. orlho approval of dtowilgs and &pecllIcalJono shall i\Ot ~o consblled to be. perro. for, nor an __ 0/,
any vlolaUon of the provl&lon" otthe buiIcIing cod... or any olhor ordinance, ~, RJIe or raguloticll. All plllll review '" subject to
field inspection..
:(2)
(3)
(4)
(5)
(6)
Chief Building Official
'1~'''''' "~\~,4,~,1"./:l,~~",!!~' ,~"~,,,., "'N",,~,"'''',~ _,1,.."1:1.",,,,_ ",J; UU~UJI!!Il!!!.,.""""I\I,1 ~!J:,~,,,,, _ ~l \.1 H~~I.!1 U.j1.~")Jll !lIlI.lJlfIJ!!IlI;lIlI~._~~,~,\1Jr~
'"
t ~ .-
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DtVISION - 235-2855
CITY OF WHi;A TRIOOE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number: 95- 2308
Date: 11/29/95
Property OWner: CARLSON WILLARD J
Property Address: 4565 HOLLAND ST
Contractor License No.: 18269
Company: B B Electric
Phone:
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee :
Plan Review Fee :
Use Tax :
I hafeby certIfY that the 8alb1Ck cIislencea propoIIcI II)' this perm~ a!!{llicBlion ars accurate,
ancl cIo not viOlate ~Ie ordinances, rulea or regu,-lions of the City of Wheat RicIge or
covenanl$, easemeiria or _a of record; that an meaauremenl$ ahown, and allegations
mecle are accurate; that I have ,.ao and 510 ablcle by eU concIllions prinlecl on this
appl1callon, ancIthat I assume fun respons for compliance with the Wheat RicIge Bullcllng
Coda (U.B.C.) ancl all other appIlcabf8 Wheat icIge ordinances, for work uncler this perm~.
(OWNER)(CONTRACTOR)SIGNED 4Vd f/:.".._...., DATEI/-:27-7S-
"
Description: SERVICE CHANGE, WIRE HOT TUB AND MISC REPAIRS
BUILDING DEPARTMENT USE ONLY
Total:
$1,500.00
$45.00
$0.00
$22.50
$67.50
Approval:
Occupancy :
Walls:
Root:
Stories :
Residential Units:
EIeclricaI License NO :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
.
Expiration Date:
Approval:
.
Expiration Date :
Approval:
.
(1) 1l1Ia JlOIlIIIl-'~ In ocx:ordInce _!he provIoIono Iolforth In yopuo appIIcotioo, ond Is _10 1he _ of1he _ of ~ ond 10 1he ZcnIng
~__IIuIIllInaCoc!eof__. ~orOlly ___onIInonoea of the Clly.
(2) 1l1Ia ~_""'*" WCAI1he_ _Is not """",..._ _In oIxty (8D) d8ys Imm IIIue _ or (8) thS building _Is suapended or
a_"""poitod~Of12Cl
(3) WlhiI pom'IIIexpiIu..'" may be ooquiIod "" I 1M of_1he amount nonnoly teq\IkId. _ no __ '- _ or wi! be _In thS
origInOIpIInoond ondOlly_or_IdoI""""lhunot_one(l)~. lIchangeo......-orW_or_odo...18l1l
_one{ll_.IUII__bepoJd""e"._ '
{4sl No work of OIly .....,., _ be dOnI tIlaI wiD cl1Inga lhe _lIow of_ CI=~ problem.
( CClnlrIc*lr-noIIlY the 1lUIIdln{I_~-1Ilur (24) houri In _ "" III ond _ __ oppIO'III on InspecIlon cord beI'onl
DR:/ICIHJdiina,wtIh tuE ~ Illt.1I1Jh111181 of the Job.
(I) Tl1e _ of. permit or Ihe oppIO'III of ~ ond epecItICI1Ions ShIll not be construed to be I permit "". nor on oppIO'III of. OIly _ of thS provIsIona
1he IIdIng or OIly ,low. rule or roguIItion.
iet Building Inspector
ntlS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
rri~~
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner,~, 0~
Property Address: 1/ 5 {' S- Jk.-t'~.
Contractor License No.: / (3 d-b J
CompanY:J)L5~~
Phone:
Phone: ijl-l--S-f"eJ
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value )-
Permit Fee:
Use Tax:
, ~ .!Yc"c.",
l~rP, _.
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 aU other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED />.../9 fi.'A. '"<2.<'/1'" DATEII-'l-'f - 'lJ
/
Total:
DeSCription , ~ c./.,
wu /J>f~
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning:
Approval :
. j . !:I'J~'~~~~IH,It) -, .
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units,
Electrical License No :
Company
Plumbing License No
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
~ Prans, R.t\Clu!red~:. '
Expiration Date,
Approval,
.1J PI_liS ,RlIqulred
J
Expiration Date,
Approval:
..I ' PAms;BJAg'-
(11
(21
(31
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 BUlldmg Code of \lVheat Ridge. ColoradO or any other applicable ordmances of the City
ThiS permit shall expire If (A) the WOIl( authonzed IS not commenced WIthin SIXty (60) days from Issue date or (B) the bUIlding authonzed is suspended or
abandoned for a penod 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
onglnal plans and speClficatlons and any suspensIon or abandonment has not exceeded one (') year. If changes are made or If suspenSion or abandonment
exceeds one (1) year. full fees shaH be paid for a new permIt.
NO work 01 any manner snail 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 alllnspeclJons and shall receIVe written approval on inspection card before
proceediing with successive phases of the Job,
Tr,e Issuance of a permit or the approval of draWings and speCifications shall not be construea 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
(41
(51
(61
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
"~l"""""""",,,,JIllII.,.,,g~ "1"',"""",,,~~.llt"~,,~!I!IliI~llli!!ll[!l',~'i!!'.~,,,,l\!'IJilIli!! ~~I,~,H\,!.~~,"~~,i,Jl!.ql#,*,~~,i'!!IJtl!:.~\~,I.i!.~J)~,"I~~
~tsEPART.NT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-2071
BUILDING INSPec;:TION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date: 10/18/95
7500 WEST 29TH AVENUE
WHi;AT RIDGE, CO 80215
Property OWner: CARLSON WILLARD J
Property Address: 4565 HOLLAND ST
Contractor License No.: 17696
Company: Cory Heating & A1C
Phone: 424-7733
Phone: 237 1011
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee :
Plan Review Fee :
Use Tax :
I hereby certIfY that the _ck distances pIOpOHcI by this permn application ere e<:curate,
encl do not vkilate applicable OIdInan_, rules or regulllliona of the City of Wheat RIdge or
covenants, ea..,nlents or rettrIclIons of record; that all measurements shown, ancl ell8gationa
~ are accurate; that I heve reIIcI alld agree to ebic18 by all colldlllons prIntec1 on thia
application, ancIlhaIl aasum& fuU respons~~n with the Wheat RicIge BiJllcling
CocIe (U.B.C.) end ell other oppIiceble OIdIr ~r1< under this permn.
(OWNER)(CONTRACTOR) SIGNED DATE
Description: REPLACE FURNACE
Total:
$1,340,00
$33.00
$0,00
$20.10
$53.10
BUILDING DEPARTMENT USE ONLY
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date :
Approval:
.
Expiration Data :
Approval:
.
Expiration Data :
Approval:
.
(1) This psrmIl.... _In SCCOI'CIIlIGe _ the pn>vIOIons eel fcrth In yopur SI'PiIcotIon and Is _ to the _ of the State of ~ one! to the ZonIng
ReguIa1IllIlO""" BulId1nQ Cc<le of\M1eSl Ridali. C_ or any _ __ _ of the CIty. .
(2) ==:::::: ~= lllIIhorIZed is not commoncod wItliIn Ibcty (ISO) days 110m Issue dalo or (B) the bullclng suthor1zed Is suspended or
(3) W this psrmIlOlCllIleo. a _ moy be acquired lor a r.e or ",""""W the amount normally ""lulred. pmvidsd no ~ _ boon or will be __In the
orIgln81 pions""" spedtIOollolll Ind any _slon or abandonment has not _ one (1) year. W cINlnges.... msde or W ~ or abendonmont
_one (1)yN'. IVII__ be peldlora__,
(4S) No _ Of any.....nor _ be..... thll wIN change the _ _ or _ caUllna I dr8Inags probIsm.
() ~~'''::=~job_.rour (24) houra In sdva... lor s111i1spsctions and ahall_wrIIIon -"' on InspeclIon card beIor8
(6) -.00 Ofl psnnIt or the approvsI of dnIWInga and speclficallOI1I _ not be construecl to be I pennIl lor. nor In spprovsl of. any _ of the provisions
or the rMMJ;J:TC' ru~or~__.
et Building Inspector
THIS PERMIT VALID ONl- Y WHEN SIGNED BY THE CHIEF BUll-DING INSPECTOR
CAl-l-: 2340.6933:U HOURS PRIOR TO INSPECTION
]f~l~]
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: ~~ r.1 Jo.r? , ..I J /
Property Address: "i ') (, '> ~ / Ie; ~ ( Phone: ";.2 Lf - ;J 7 jix
Contractor License No. : / ~ ,~S' (~ /7b P b;
Company :CDi< 'r /IT''};.;J (; Phone :2:5 ;7- /0 I (
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: I j""y 0 9"'-::=
Permit Fee,
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 aU 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 responsib" r CO~I!:,~~ the Wheat Ridge Building
Code (U.B.C.) and all other applicable W at Ri e V~ work under this permit.
(OWNER)(CONTRACTOR) SIGNED " ~ DATE//..) / ?,"I<:;,
Description: Kyp/Qc.-r /Oqi:'>[T)!3 ru hkY1<?<'..,v
Use Tax:
Total,
BUILDING DEPARTMENT USE ONLY
Approval:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electncalllcense No :
Company:
Plumbing License No '
Company:
Mechanical License No j {, f')- /
companyCtyh/~ d 4(
Expiration Date,
Approval:
~ prllns:Rftu~rif;t,J'i0,:l
Expiration Date:
Approval:
.JI P~!IlJ,~ilqulred
.I
(4)
i5)
(6)
This permit was issued in accordance With the provISions set forth in yopur application and IS Subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Bullding Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This perm.t shall expire if (A) Ihe work authorized is not commenced Within sixty (60) days from Issue date or (8) the building authonzed is suspended or
abandoned tor 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
ongmal plans and Specifications and any suspenSion or abandonment has not exceeded one 1,1) 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 ofwaler causing a drainage prOblem
Contractor shall notify the Building Inspector twenty-four (24) hours In advance for all inspecuons and shall receive written approval on inspection card before
proceedilng with successive phases of the Job
The issuance of a permit or the approval of draWings and specifications shall not be conslruea 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
(1)
(2)
(3)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION