HomeMy WebLinkAbout12540 W 31st Avenue1* ► � i City of Wheat Ridge
-.A Residential Mechanical PERMIT - 202100364
PERMIT NO: 202100364 ISSUED: 02/24/2021
JOB ADDRESS: 12540 W 31st Ave EXPIRES: 02/24/2022
JOB DESCRIPTION: Install new minisplit heating and cooling system; l outdoor unit and 4
indoor heads
*** CONTACTS ***
OWNER (303) 807-5968 FRYE MARVIN H & LIZ
SUB (303)443-9762 DAVE LAWLER 020519 SAVE HOME HEAT, INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 91908.00
FEES
Total Valuation 0.00
Use Tax 208.07
Permit Fee 204.30
** TOTAL ** 412.37
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
I by m si nature do hereby attest that the work to be performed shall comply with all accompanyin approved plans and specifications
applica le uilding codes, and all applicable municipal codes, policies and procedures, and that I am t e legal owner or have been authorized
by the legal owner of theproperty and am authorize to obtain this ermit 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
per ormed and that all work to be per ormed is disclosed 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.
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 requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
02/24/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: General Permit Application
Date: Wednesday, February 24, 2021 1:23:14 PM
General Permit Application
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property Residential
Residential or
Commercial?
Property Address 12540 W 31st Ave
Property Owner Name Liz Frye
Property Owner Phone 303-807-5968
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed.
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Submitting General save Home Heat Co
Contractor or Architect
Contractor's License 20519
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone 303-443-9762
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address permits@savehomeheat.net
Retype Contact Email permits@savehomeheat.net
Address
01:K161CiI91 ffl0N]&TO(6]N:/
Detailed Scope of Install new minisplit heating and cooling system. 1 outdoor unit
Work - Provide a and 4 indoor heads.
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of 3020
scope of work
Location of work Backyard and inside house.
(backyard, on roof, etc)
Project Value (contract 9908
value or cost of ALL
materials and labor)
Upload Engineer letter, Field not completed.
other documents on 8
1/2" x 11 "
Upload Asbestos Field not completed.
Report if triggler level is
met per CDPHE
regulation.
Upload Drawings 11,, X Field not completed.
17" or larger
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 Yes
been 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 Corie Paul
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202000542
PERMIT NO: 202000542 ISSUED: 03/10/2020
JOB ADDRESS: 12540 W 31st Ave EXPIRES: 03/10/2021
JOB DESCRIPTION: Replacing 6 windows. U -value .30
*** CONTACTS ***
OWNER (303)807-5968 FRYE ELIZABETH G
SUB (303)945-1519 MATTHEW SEILER 180220 SEILER CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,666.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 244.99
** TOTAL ** 294.99
*** 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. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
City ufWheat Ridge
03/10/2020 1O;07 C0BB
CDB022679 AMOUNT
8PSP 12540 W 31»t Ave 294.99
APPL/PERHIT H0! 202000542
PAYMENT RECEIVED AMOUNT
PP / 3381 294.99
AUTH CODE; 72491169
TOTAL 294.99
----- ---------------------
A City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202000542
PERMIT NO: 202000542 ISSUED: 03/10/2020
JOB ADDRESS: 12540 W 31st Ave EXPIRES: 03/10/2021
JOB DESCRIPTION: Replacing 6 windows. U -value .30
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable buildingcodesanall 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
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 gnting of a permit shall not be construed to be aper -mit for, or an approval of, any violation of any provision of any
015 cable code or7y 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.
Dina Kemp
1l2
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, March 10, 2020 6:52 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
Property Address 12540 W 31 st Ave
Property Owner Name Liz Frye
Property Owner Phone 303-807-5968
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
**REQUIRED** Attach cc auth frve.pdf
Credit Card Authorization
Form - **DO NOT
ATTACH RANDOM
DOCUMENTS**
CONTRACTOR INFORMATION
Contractor Business seiler construction
Name
I
Contractor's License 180220
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-945-1519
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address mbeaudoin@renewalcolorado.com
Retype Contractor Email mbeaudoin@renewalcolorado.com
Address
DESCRIPTION OF WORK
Number of window 6 windows
and/or doors being
replaced
Location of 2 master, 2 bed, 1 master, 1 office
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the u -value of the .30 or better
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .32 or
better on windows..
Attach copy of free specs.pdf
window/door cut sheets
showing sizes and u -value
Project Value (contract 11666
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
PJ
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 Mackenzie Beaudoin
Permit
Email not displaying correctly? View it in your browser.
✓_ CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: N
Job Address: a L'k (") w a
Permit Number: c, l -� U
❑ No one available for inspection: Time Wb AM/PM
Re -Inspection required: Yes /No/
When corrections have been made, call for re -inspection at 303-234-
Date:- 1-� i C�
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
INSPECTION NOTICE
Inspection Type:
Job Address: C)
Permit Number:
)6 111 1 0
❑ No one available for inspection: Time AM/PM
Re -Inspection required: hes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: , ,' I � Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 201901259
PERMIT NO: 201901259 ISSUED: 06/18/2019
JOB ADDRESS: 12540 W 31st Ave EXPIRES: 06/17/2020
JOB DESCRIPTION: Replace 50 gallon, 50K BTUs gas water heater in basement
*** CONTACTS ***
OWNER (303)475-5349 FRYE ELIZABETH G & MARVIN
SUB (303)659-3400 GEORGE DONALDSON 180142 FIX -IT 24/7 HOME SERVICES, INC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,618.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 75.98
** TOTAL ** 115.98
*** 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 codesanall applicable municipal codes, policies and procedures, and that I am the legal owner or have been authonzed
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 perrnrt. 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 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 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 field inspection.
Signature of Chief Building
IF Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook
ao (q0j �G
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, June 18, 2019 8:44 AM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Water Heater Replacement Permit Application
Categories: Kim
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - 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 water heater
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 (Leave blank if
not known)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
12540 W. 31stAve
Marvin Frye
303-475-5349
Field not completed.
AUTHORIZATION.
CONTRACTOR INFORMATION
Contractor Business Fix -It 24/7
Name
Contractor's License 180142
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3036593400
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address gfruendt@fixmyhome.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
Is the water heater GAS
or ELECTRIC?
If GAS, enter # of BTUs
If electric, enter n/a
Where is the water heater
located (for example,
basement, crawlspace,
etc)?
gfruendt@fixmyhome.com
50
gas
50000
basement
Project Value (contract 3618
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 Gayle Fruendt
Permit
Email not displaying correctly? View it in your browser.
INSPECTION ONLINE FORM: �ttp://www.ci.wheatridge.co.us/inspection
�� INSPECTION REQUEST LINE: (303) 234-5933
anc lations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Pq
Inspections will not be performed unless this card is posted on the project site. 7
**Request an inspection before 11:59 v.m. (midnight) to receive nn impert,nn the fnlln.vin.. 1---, a,.., **
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date Inspector Comments
Initials
Pier
Wall Sheath
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
n_--
Mid -Roof
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
r%_ wI..a - 111---'-----------' - .. — . --- - — - — -
Rough Inspections
Date
---- - ----- --
Inspector
Initials
---- . .— . _ ..F- .---- — ...�
Comments
Wall Sheath
Mid -Roof
I, e
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: A/I 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.
*Fnr Inw vniiann normifa_ Plo�oo h., �•.., L.,.a ..,...,. .:._-.-_-u_-_
• ---- -- -• -- •� y• •,•ter .• a a VlIINiaicv nvui LIIV nie vI,LnGi anu elecincal 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 -201706485
PERMIT NO: 201706485 ISSUED: 08/23/2017
JOB ADDRESS: 12540 W 31st AVE EXPIRES: 08/23/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 26.3 sq
*** CONTACTS ***
OWNER (303)808-8660 BOHKS JASON
SUB (720)838-8341 Clinton D. Camp 140192 Talon Restoration
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,813.79
FEES
Total Valuation 0.00
Use Tax 185.09
Permit Fee 188.45
** TOTAL ** 373.54
*** 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) 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.
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 - 201706485
PERMIT NO: 201706485 ISSUED: 08/23/2017
JOB ADDRESS: 12540 W 31st AVE EXPIRES: 08/23/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with ROOF DECKING - 26.3 sq
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le 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 farther 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 perfortned.is disclosed 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 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 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 Offial 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 or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date tu_-
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
CLIENT/ CUSTOMER INFORMATION
ALON
Owner: KaTtbLJs
Address: Z ri 14d L4 at
12354 E. Caley Ave. Unit 105
Centennial, Co8o1u City, State, Zip:
Tel: 303.808 -8660E -Pax: Phone/ Email: :R6Z L1?S-a3 ZCJ
www.TalonRE.com
It is understood that Talon Restoration and property owner(s) are entering into an agreement that authorizes Talon Restoration to
represent owner(s) and pursue insurance carrier to recover property damages storm related or otherwise. Talon Restoration represents
and warrants all work will be completed to approved insurance company specifications and to local city, county and state codes. owner(s)
is financially responsible for labor and materials for code items not covered by ordinance and law endorsements on policy unless
otherwise stated in additional provisions below on this contract. Any upgrades in materials or accessories will be addressed in the
additional provisions section of the contract and will require owner(s) intials for approved increase in price if applicable. Agreed upon price
will become the final contract price and Talon Restoration will receive all insurance proceeds for work completed by Talon Restoration.
Owner(s) further understand and agree to pay any supplements approved by insurance company arrising during construction or not
initially known or covered by insurance company at intitial inspection. Owner(s) agree to pay policy deductible per Part 1 Article 4 of title
pursuant to section 6-22-105 and warrants Talon Restoration has not offered to pay, waive, or -rebate any portion of the deductible
applicable to claim. Any insurance p eart razed for work not completed by Talon Restoration wi a retained by owner(s). If
insurance company denies co yeq f r/ so , this contract will terminate and neither Talon Restoration nor owner(s) will be obligated
to one another. Initia i
Additional Provisions: /
�a OX 4-4 f�--s 6
Remove ( layer roof material
Product
7/16" OSB (if required by code)
Color _ dw w
Underlayment 151b Felt over 7/12 301b
Valleys closed FHA Open
Leak Barrier (if required by co e
Clean out gutters Replace gutters
Gable/Eave Drip edge metal '�1
Maghetic sweep of nails/metal debris
New plumbing jacks as required
Remove all debris from site
New roof vents as required
Pull and clear permit with city
Re -flash wall/ chimney transitions
2 year workmanship warranty
Owner and/or agent represents and warrants that any defect or weakness in the premises, structure, sub -structure, super -structure or
points of attachment that might affect performance by contractor has been specifically and fully disclosed to contractor, Talon
Restoration only guarantees work provided by it. Any pre-existing defects or other condition discovered by Talon Restoration in the
course of performing its work, which may affect the performance of Talon Restoration, will be promptly disclosed to Owner and/or agent
with repair recommendations and estimate of additional costs. As with any construction work, it is impossible to estimate everything that
may be damaged, especially in areas we cannot see before beginning work. If anywhere along our progress unforeseen work needs to be
done, we will communicate up front and wait for your approval before continuing work.
Payment Schedule:"The initial payment will be due upon material delivery and the final payment will be due upon completion of
construction. Talon Restoration will require payment of the ACV amount prior to start of construction. Any payments received
from the customer before materials have been delivered will be in held in trust.
INITIAL PAYMENT $'R!'J `dr/+��C i11`� V9 fJLfl�°�pprox Start Date: .NPI 26) If 7
FINAL PAYMENT $�J ��`� -�x'"� �nn Completion Date: 201 i
TOTAL PROJECT PRICErA
Insurance Company Lf 6�t �J M Claim# �i3S'yg�loy� a/
Mortgage Company
Loan
he a r' n toration to speak with mortgage company pertaining to claim processing only.
If this line is not signed, authorization is not accepted.
ACCEPTANCE CF
OSAI PVspecifications and conditions are satisfactory and hereby accepted.
Owner Signat
Talon Restorati
Date: 1
Date: 2
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 21, 2017 2:01 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
12540 West 31 st Avenue, Denver, CO, United States
Jason Bohks
3038088660
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
info@talonre.com
Yes
Bohks Siqned Contract.pdf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
Talon Restoration
140192
3038088660
12540 West 31 st Avenue, Denver, CO, United States
Contractor Email Address andrea@talonre.com
Retype Contractor Email andrea@talonre.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 26.3
the entire scope of work:
Project Value (contract 5256
value or cost of ALL
materials and labor)
Are you re -decking the Yes
roof?
2
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the Yes
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are 26.3
part of the pitched roof?
Describe the roofing Architectural Shingle
materials for the pitched
roof:
Type of material for the Asphalt
pitched roof:
Provide any additional 4:12 pitch
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
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.
3
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Andrea Landaverry
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Residential Electric PERMIT - 201708432
PERMIT NO: 201708432 ISSUED: 10/18/2017
JOB ADDRESS: 12540 W 31st AVE EXPIRES: 10/18/2018
JOB DESCRIPTION: Permit to remove and replace meter from 150 amp to 200 amp. Meter was
damaged by branch. Adding grounding and panel.
*** CONTACTS ***
OWNER (303)808-8660 BOHKS JASON
SUB (303)234-0460 Daniel McCord
020345 Colorado Concept Lighting
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
appltca le 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 he property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this e t I furt er at t that I a le all authorized to include all entities ne within this document as art�es to the work to be
perforrd a 1 t at wo to beds disclosed_„ in this document arrpdr s' accompanxing approved plans and specifications.
Signaturk of TOW'�;&R"jor" CONWR #CTOR (Circle f Date ( l
1. This permit was i§sudd based ok1the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with t ose 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 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 o ulation of tris'risdic ion. pproval 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
WheatPj,
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(-Zi-)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
PlanlPee�nnit #
Liv` -Ac,) '�q-�
Plan Review Fee:
Building Permit Application
/ ",3
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: / 2�;rVZ)
J�
Property Owner (please print): �!. ��; Phone: k-)57
Property Owner Email:
ft
Mailing Address: (if different than property address)
FA
Address: J
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
Phone:
Contractors City License #: Lye&5�7J �f Phone: Vg
Cnntractnr F -mail Aeldrpcc-
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL
YRESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ,ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL 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
❑ ELECTRICAL 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. FULF
Amps
Btu's
Squares
Gallons
Other
IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I
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 (CONTRACTOR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
ITRECTION NOTIC
Inspection Type: �FLE_CT• 2 K.
Job Address: w 3 -ar.
Permit Number: -2,01-70 8:�J�
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, `all fo re -inspection at 303-45933
J
Date: U/ (�' Inspector:
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTA/CE
0
❑ No one available for inspection: Time
Re -Inspection required: Yes IN
When
/corrections have been made, call for re-inspectio at 303-234-5933
or:
Date! A� / Inspec � lit 1
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
_�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '
Job Address: / ` `.�'�' (� ! ( `' 'A
Permit Number:
❑ No one available for inspection: Time �� `� AM/PMI
Re -Inspection required: Yes (4Q,-""
When corrections have been made, call for re -inspection at 303-234-5933
Date:
Inspector:
DO NOT REMOVE THIS NOTICE
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
Sheathing
-
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Electrical Service
Stemwall / (CEG) Concrete
Encased Ground
Rough Electric
Reinforcing or Monolithic
Rough .Plumbing
Weatherproof I French Dram -:
Gas Piping.
Sewer Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD.
BE CALLED .ATLEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Rough Mechanical
Water Service Lines
-
"'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC. WORKS BEFORE A `
CERTIFICATE OF OCCUPANCY IS ISSUED. >FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION !.
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED.
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
- -
eating (Underground)
ROUGHS - ,.....
Sheathing
-
Lath I Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough .Plumbing
Gas Piping.
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD.
BE CALLED .ATLEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Rough Mechanical
"'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC. WORKS BEFORE A `
CERTIFICATE OF OCCUPANCY IS ISSUED. >FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION !.
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
FINALS
Electrical
-
Plumbing
Mechanical -
Roof..'
Building Final
Fire. Department
R.O.W. & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD.
BE CALLED .ATLEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC. WORKS BEFORE A `
CERTIFICATE OF OCCUPANCY IS ISSUED. >FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION !.
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OFt OCCUPANCY .IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
o ! s CITY OF WHEAT RIDGE
® Building Inspection Division
(303) 234-5933 Inspection line
(303) 235 -2855 office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: FiuyL 427f
Job Address:
Permit Number: /6a73G
❑ No one available for inspection: Time / ; 3a AM
i QM
Re- Inspection required: Yes No
When corrections have been made, call for re inspection at 303
Date: w Inspector: �d r°
DO NOT REMOVE THIS NOTICE
L ♦ 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:
Job Address: 1,253 w 345T Aries
Permit Number: — IC�Z�73G
___ ��ianv• Tzf� s�t/f a���ila? �z 1�l�t`�.evC�Fc "� �ra+✓
❑ No one available for inspection: Time _ - ✓.' /S AMC
t
Re- Inspection required: ie No
When corrections have been made, call for re at 303 - 234 - 5933
r Date: t! 49 Inspector: /� r
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
f (303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NQTICE
Inspection Type:
Job Address: a2 al-
Permit Number:
- El
No one available for inspection:
-Time / . "--2 _
IPM
Re-Inspection required: Yes.,e
When corrections have been made, call for re-inspection at 303-234-5933
Date: $ 0 Inspector: `VI
DO NOT REMOVE THIS NyTICE
i
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
f (303) 234 -5933 Inspection line
( 303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE ,
Inspection Type: r r
Job Address: f�H -5 ` O t/) f s 7
Permit Number: /,9C)
° Y df�FB si ,P - x
J
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
"When corrections have been made, calf for re- inspection at 303- 234 - 5933
/ / f
Date: 0I le Inspector
' L�O NOT REMOVE THIS NOTICE
e i CITY OF WHEAT RIDGE
/V,
Building Inspection Division
l (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: cJ C ~J f 17-
Permit Number:
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: ! f~' Inspector:
DO NOT REMOVE THIS NOTICE
ERMIT NO: ' 100736 ISSUED: {
OB .ADDRESS:. 12540 W 31ST AVE `EXPIRES: `C
ESCRIPTION: Reroof 29 sqs.with 30..yr GAF shingles
303./475-2320 Jason Bohks
303/756-4400 Arik Connell
RCEL INFO
bumruKY * ESTIMATED "PROJECT
-
FEES
t Fee 326.70
Valuation 00
ax 259..20
PAL 585.90
ions:
Y I O V
/23/2010
/19/2010
52 Connell's Custom Exterior Inc
UA
)T#: 0/
~LUATION: 14,400.00
heathing spaced more
ire roof. Ice-:and..
walls. ***Contractor
for inpsections. It
pection to insure
e clear for inspection. Scheduled inspections that cannot be performed
nclement weather must be cancelled prior to 8:30 a.m. on the day of
on or a re-inspection fee of $61.00 will be assessed.
`rtifyr. that the setback distances proposed by this permit application. are accurate, and do not violate applicable
rules or regulations of the city of Wheat Ridge or covenants, easements or restrictions of record; ..that all
.s shown and allegations made are accurate; that I have read and agree to abide: by all conditions printed on this
:2 tD, I nssum l responsibility for compliance with the Wheat Ridge Building Code (I.H C) and`all other:
a~
N
astute f hie / Building Official date
3PECToN REQUEST LINE: (303)234-5933 BUILDING OFFICE;: (303)235-2855
~++Y •+++?i~ +•+~+o oc vuwci nipJ CVI H1VSaDVJ11VGJJ.`LH Y P VAC :.d 1V J... 1`1 VLV.... r....... i'UJ11V6bb LAY.:`
03/23/2010 10:35 6514382901 CONNELLS CUSTOM EXTE PAGE 01/01
Fw ~r City of Wheat Ridge Building Division Date:
e .`~°m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan M
a Inspection Line: 303-234-5933
o[oecPO O Permit#:
Building Permit Application
Property Address: j 5wo W- r) H- d ixorly-u
Property owner (please print): Phone: ,313-4'7s-- Z32-0
Mailing Address: (tf different than property address)
Address;
City, State, Zi
Contractor:
Contractor License 1-723G Phone: 30- 7Sb -ygoo
sub Contrao.WFS;
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space {description): (JLI-/~.(9-A Construction Value: $ 14 Descripti In of work: (as calculated per the Building Valuation Data shoot)
9
$
-f1> °n• , y_y /fir 7 ~ 7 s- Plan Review (duo at time of submittal):
r "1141-V
Sq, Flt.//LF~tdde : S cares 29 BTU's f'-Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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 or 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 (t,B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit, Plans subject to field inspection.
CIRLCEONE:: PERSONAL REPRESENTATIVE01-(OWNNEyR)~(C~O~NT~RATOR)
PRINT NAME; AZORACTOR) ar SIGNATURE J//A&n Kill M?
llM? Ti N.( CX~ Date: ' Ib lD
ZONWG COMMENTS
~ ttg:
' Rie,Yl~wer:
BUBLIB. WoRKS'COMMENT5:
Re,4ewer,
RAI
9UIL"QINP40EP..i~!Tfv},.EN,T.,'eCO.,.MN1Ettl'('S.`.•'"'~:r~.';:`:'S ~'.i.::,. .
J Bldg Valuation; $