HomeMy WebLinkAbout3608 Ames Street-?-'7 u
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
a
❑ No one available for inspection: Time : � �AMVP M
Re -Inspection required: Yes
When corrections have been made, schedule for re -inspection online at:
http://www. ci. wheatridge.co. uslinspection
Date: S//� ��� Inspector:
DO NOT REMOVE THIS NOTICE
1* � 4 i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: // wy
Job Address: 3450 0 g /> Ai e S�
Permit Number: _ 7409?4�p (5)/ /,S'/
❑ No one available for inspection: Time 0.34 M
Re -Inspection required: Yes
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. usrnspection
Date: 714?F GL*?V Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: W VP
Job Address: 3 05 09 47-/e_ -,'5-7
Permit Number: Z G_70 6� / /-5-/
❑ No one available for inspection: Time 11,0Z C
/PM
Re -Inspection required:es No
When corrections have been made, schedule for re -inspection online at:
http //www.ci.wheatridge.co.usrnspection
Date: 71Z 4 /,�, . Inspector: 5/0
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Siding PERMIT - 202001151
PERMIT NO: 202001151 ISSUED: 06/22/2020
JOB ADDRESS: 3608 Ames St EXPIRES: 06/22/2021
JOB DESCRIPTION: Replacing 14 squares of siding with James Hardie Fiber cement.
*** CONTACTS ***
OWNER (952)215-2877 MALONE TAYLOR
SUB (720)707-6963 MICHAEL LINDQUIST 160047 5280 EXTERIORS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,439.00
FEES
Total Valuation 0.00
Use Tax 492.22
Permit Fee 426.20
** TOTAL ** 918.42
*** COMMENTS ***
*** CONDITIONS ***
**A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION.
A final inspection is required at completion.
Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is
subject to field inspections. A mid -inspection is required for house wrap prior to siding
installation. A final inspection is required at completion.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest thatl am legally authorized to include all entities named within this document as parties to the work toe
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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-ligjuance or grantrig of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
ap is le ode ora rdinance 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.
City of Wheat Ridoe
CD8023126
AMOUNT
8PSP 3608 Ames St
918,42
APPL/PERMlT NN 202001151
PAyMENT RECElVED
AMOUNT
PP / 3269
918.42
AUTH CEP 76933567
TOTAL
---------------------
918.42
Dina Kemp
From:
no-reply@ci.wheatridge.co.us
Sent:
Friday, June 19, 2020 3:47 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Siding Repair/Replacement Permit Application
Follow Up Flag:
Follow up
Flag Status:
Completed
Categories: Dina
Siding Repair/Replacement Permit Application
This application is exclusively for RESIDENTIAL SIDING REPAIR OR
REPLACEMENT.
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 Yes
residential siding repair or
replacement?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
3608 Ames Street Wheat Ridge CO 80212
Taylor Malone
952-215-2877
taylormalone1 @gmail.com
Malone CC.Pdf
CONTRACTOR INFORMATION
1
Contractor Business Bryce Stecker
Name
Contractor's License 160074
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-707-6963
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address office@5280exteriors.com
Retype Contractor Email office@5280exteriors.com
Address
DESCRIPTION OF WORK
What type of material is
being removed?
What type of material is
being installed?
Replacing 14sq of siding
James Hardie Fiber Cement
How many squares of 14
siding is being installed?
Project Value (contract 23439
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Bryce Steckler
Permit
Email not displaying correctly? View it in your browser.
City of Wheat Ridge
Homeowner Siding PERMIT - 201801958
PERMIT NO: 201801958 ISSUED: 07/10/2018
JOB ADDRESS: 3608 Ames ST EXPIRES: 07/10/2019
JOB DESCRIPTION: Remove and replace exterior siding and trim with 13 squares for entire
house with concrete board. Install Water Barrier and Replace Metal Columns
with wood that supports the back patio cover.
*** CONTACTS ***
OWNER (720)933-5184 BROWN CHANCELLOR
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,150.00
FEES
Total Valuation 0.00
Use Tax 66.15
Permit Fee 109.20
** TOTAL ** 175.35
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
**A MID -INSPECTION IS REQUIRED FOR HOUSE WRAP PRIOR TO SIDING INSTALLATION.
A final inspection is required at completion.
Work shall comply with 2012 IRC and ordinances adopted by the City of Wheat Ridge. Work is
subject to field inspections. A mid -inspection is required for house wrap prior to siding
installation. A final inspection is required at completion.
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.
City of Wheat Ridge
Homeowner Siding PERMIT - 201801958
PERMIT NO: 201801958 ISSUED:
JOB ADDRESS: 3608 Ames ST EXPIRES:
JOB DESCRIPTION: Remove and replace exterior siding and trim with 13
house with concrete board. Install Water Barrier and
with wood that supports the back patio cover.
07/10/2018
07/10/2019
squares for entire
Replace Metal Columns
I, by mI signature,do herebyattest that the work to be performed shappliceuildingcodes,and all applicablemunicipalcodes,policby thealownerofthe propertyand am authorizedtoobtain thisthispeit. I further attest that 1 am legally authorized to include all entities named within this document as partes to the work to be
performed and that ll
wok to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
'—Dw-- / I /1J
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 ' suance or grapiivg of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
ap is ble pode or 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.
ON of
`]`I heat Idge_
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date: q ((V) I
�%
Plan/Permit # ZDRCA9��
Plan Review
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address:
Z 6 0 g � �e
Property Owner (please print): L�^(A V\ (.2 � � 0 ! � � �� -� Phone: 72-o `153 S I �q
Property Owner Email: (�_�(A-,C-C —�f�C i - C_01" .
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itectlEngineer E-mail:
Contractor Name: 0 t'J A e'y-
City of Wheat Ridge License M
Phone:
Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No.):
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 #
❑ COMMERCIAL
❑ RESIDENTIAL
Description of work: For ALL projects, provide a detailed description of work to be performed,
including current use of areas, proposed uses, square footage, existing condition and proposed new
condition, appliance size and efficiency, type and amount of materials to —be used, etc.
/
2 "-�— Jf
JI o✓ir^hS I — , �. �..f
Sq. FULF BTUs Gallons
Amps Squares 13
Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load:
Project Value: (Contract value or the cost of all materials and labor included in the entire project) I
� �l v
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 info 'on provided on the application.
CIRCLE ONE: (OWN ) (CONTRACTOR) or�•('A'�UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last Dame): 4 r�—y�.--_. DATE: t Imo, L
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
City of
�90"Wh6ati e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):
Project Property:
Project Type: _
TUU
4 0/e
Notarized signature of Applicant
State of Colorado }
County of sPS } ss
e113f
vw- e. s
n
I nf1 c61
h
The foregoing instrument was acknowledged by me this �4 day of ST 20 by
Ce .r 0U� I
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
My Commission Expires qZZ/20 Zb
Notary Public
i
Cf
✓_ CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: y o q- F::-( n o. f
Job Address: 3 I o e JCi me
Permit Number: -0 0 1 4 0 0, -3 !o
❑ No one available for inspection: Time 9 =1 I VN/PM
Re -Inspection required: YesV�o
When corrections have been made, call for re -inspection at 303-234-5933
Date: S 31 48 Inspector: `f'b
DO NOT REMOVE THIS NOTICE
o CITY OF WHEAT RIDGE
Building Inspection -Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: �� 9 - Fi'n A
Job Address: 3�ve s S
Permit Number: 'd 0 T
T,1AOL1 PA,- ta(
Ali e, -C o 1
❑ No one available for inspection: Time = L - Js- CMIPM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: S- Inspector:
DO NOT REMOVE THIS NOTICE
IM
i CITY OF WHEAT RIDGE
a
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 0 M r d
Job Address: ® S n -e5 S
Permit Number: 0/ g C V s 3 (�
r 11 - P o o-4 A Pg�), V&
❑ No one available for inspection: TimeAM#9
Re -Inspection required: Yes (0
When corrections have been made, call for re -inspection at 303-234-5933
Date: S - g //I? Inspector:
DO NOT REMOVE THIS NOTICE
14
i 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: -3010- 1 1
Job Address: 3 (o a S ,�f % S'
Permit Number: o c s =3 to
❑ 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: s 2 /8 Inspector: ) b
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Af, Homeowner Roof PERMIT - 201800536
PERMIT NO: 201800536 ISSUED: 02/27/2018
JOB ADDRESS: 3608 Ames ST EXPIRES: 02/27/2019
JOB DESCRIPTION: Remove and replace roof due to hail damage. Squares: 15; Pitch: 7/12
*** CONTACTS ***
OWNER (720)933-5184 BROWN CHANCELLOR
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,855.00
FEES
Total Valuation 0.00
Use Tax 80.96
Permit Fee 109.20
** TOTAL ** 190.16
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by, the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fudher attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed a t t all wor t b e ormed is disclosed in this doc ' enr`and/or its' accompanying approved plans and specifications.
STghAture 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, po plans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180,days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, 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 d is not guaranteed.
4, No work of any manner sh be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The pen -nit holder shall not the Building and Inspection Services Division in accordance with established policy of all required
inspections a shat of pr eed or conceal work without written approval of such work from the Building and Inspection Services
Division
6. The is§u Ape
a fig o all not be construed to be a permit for or an approval of, any violation of any provision of any
applick,or any ordm nce 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.
City; of Wheat Rid
RMIT -
201800536
ti
PERMIT NO:
201800536
ISSUED:
02/27/2018
JOB ADDRESS:
3608 Ames ST
EXPIRES:
02/27/2019
JOB DESCRIPTION:
Remove and replace roof due to hail
damage. Squares:
15; Pitch: 7/12
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by, the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fudher attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed a t t all wor t b e ormed is disclosed in this doc ' enr`and/or its' accompanying approved plans and specifications.
STghAture 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, po plans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180,days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, 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 d is not guaranteed.
4, No work of any manner sh be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The pen -nit holder shall not the Building and Inspection Services Division in accordance with established policy of all required
inspections a shat of pr eed or conceal work without written approval of such work from the Building and Inspection Services
Division
6. The is§u Ape
a fig o all not be construed to be a permit for or an approval of, any violation of any provision of any
applick,or any ordm nce 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.
City of
'(0Wheaticige
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(a-)_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
4x--qq-11 S
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): Lk "%ce'll 0 r � /-0 W.'-_ Phone: -72--o � B S l g q
Property Owner Email: C-l"mKt-e__.__ In ro W ✓\, — ✓'o c.l4' VV'C" I - C,o VV-\
Mailing Address: (if different than property address)
Address
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Phone:
Phone:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL X RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ OMMERCIAL ROOFING
El 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. FOLF
Amps
Btu's
Squares
aSpkvd-f- 61.:"11e-5
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
32,o0043
-
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: OOWNER(CON CTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: '
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
Building Division Valuation: $
City 01
Wheat id e
COMMUNITY DEVELOPMENT
g
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s): �"`��^ �� LO i T/^01'j�
Project Property: 3C9 0 2 A w. -_s 54-4
Notarized signature of Applicant
State of Colorado }
County of ss
�tti.
The foregoing instrument was acknowledged by me this V day of e�O� , 20 AT by
C kov%e e l i o f a(0LJr-\
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2010
My Commission Expires /20
Notary Public
♦ i CITY OF WHEAT RIDGE
f (3 Building Inspection Division
(303) 234 -5933 Inspection line
03) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: .5 1�r3s.�l
Job Address:
Permit Number: /EJISG 3
❑ No one available for inspection: Time la.'.2S (�RPM
Re- Inspection required: Yes 6__0
*When corrections have been made, call fo re�- inspection at 303 - 234 -5933
Date: 6 0 /o Inspector: _ Z m
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
F
Inspection Type: - � 1-10
Job Address: , S/> C: R v4me'� z5� 7' l
Permit Number:
t?
I ❑ No one available for inspection: Time /1.'n f AM /PM
Re- Inspection required: Yes No
When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: to 121 Inspector: �2 Gi ✓ X
DO NOT REMOVE THIS NOTICE
,t
is:
Cit Of
7_ Y
Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division permit #
7500 W. 29" Ave., Wheat Ridge, CO 80033 l �� J�C �J•
Office: 303 -235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Pro�aeii�Address
Property Owner (please print) ChAMc_._ Phone: 77 0 - 5 33 — S G g�
Mailing Address: (if different than property address)
Address: 3 (10
City, State, Zip:
Z c- n S r co
Coii�ractoC: N -tXr /� �.ti.c� �e� [ r rt_rs .
Contractors City License #: Phone: - 30-3 Li 2-pf
b —tontrac_'tors
Electrical: Plumbing: Mechanical:
City License # City License # City License #
D' "es�ru�tioia -of work
Contract Value:
1CL11�� -Al l Vv ks $ y ROD
1 J J Review Fee (due at time of submittal):
Squares BTU's Gallons _ Amps Sq Ft. $
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.
CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTAT /V) o ER) (CONTRACTOR)
PRINT NAME: i C &�, Lr_ } S � I p GNNATU y R � E y : : �y DATE: L ZI ll�
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FIRt'D,�PARTMEN7. ❑a loved S+7/ `�
- pp coroments Li Q�sapproved C3 no review regolrad�� Bldg Valuation $