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HomeMy WebLinkAbout2855 Otis CourtINSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: 1260F(ADDRESS:2 �; �, JOB CODE: �y1 Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 1206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ADDRESS: 5 JOB CODE/`C Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential v 317 Rough Mechanical Commercial 318 Boiler / Furnace I 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 401 Gasline v 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00 FEES Total Valuation 0.00 Use Tax 115.50 Permit Fee 140.90 ** TOTAL ** 256.40 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I test that I am le ally authorized to include all entities named within this document as parties to the work to be pe rmed d that all ork to bele rmed is disclosed in this document and/or its' accompanying approved plans and specifications. IgnVure of PR_ axr CO RACTOR (Circle one) / ` Date 1 /Tecesived it was issued based on the information provided in the permit application and accompanying plans and specifications and is to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2.rmit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 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 grand g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ap , is le ode 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. City of Wheat Ridge Residential Mechanic PERMIT - 201800850 PERMIT NO: 201800850 ISSUED: 03/27/2018 JOB ADDRESS: 2855 Otis CT EXPIRES: 03/27/2019 JOB DESCRIPTION: Residential gas line replacement 40&#39; gas line from meter (outside) to inside house connecting to all appliances. *** CONTACTS *** OWNER (303)232-2359 LACHMAN DONNA R SUB Nicole Sandoval 021754 Golden West Plumbing, Heating *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00 FEES Total Valuation 0.00 Use Tax 115.50 Permit Fee 140.90 ** TOTAL ** 256.40 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I test that I am le ally authorized to include all entities named within this document as parties to the work to be pe rmed d that all ork to bele rmed is disclosed in this document and/or its' accompanying approved plans and specifications. IgnVure of PR_ axr CO RACTOR (Circle one) / ` Date 1 /Tecesived it was issued based on the information provided in the permit application and accompanying plans and specifications and is to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2.rmit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 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 grand g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ap , is le ode 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. City ofy W �{ h L d COMMtlititt`ti Dt Vt Lt�l'Mt N"i Building & Inspection Services Division 7500 W. 29t' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsOci.wheatridge.co.us FOR OFFICE USE ONLY Date: la 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: 4.C3156— �-S Com' Owner /"a---) Phone:L_'�Z).3J 292- Property 32- Property Owner Email:19z'j'q'1 A tm. W/" Mailing Address: (if different than property address) Address: State, Zi Architect/Engineer: Architect/Engineer E-mail: Contractor: Contractors City License #: Contractor E-mail Address: Phone: For Plan Review Questions & Comments (please print): Phone: .(3031 i�33 (oD% CONTACT NAME (please print): \, / di. lk— 6%et n,1eya_a Phone:('.N�W J130-&077 CONTACT EMAIL(please print): Sub Contractors: Electrical: 3 Plumbing: Mechanical: W.R. City Lice e # 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 ❑ COMMERCIAL RESIDENTIAL 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�,PPLIANCE REPAIR or REPLACEMENZ THER (Describe) Stq�eiyza O �Gts L< ]FJ.Q,(�l�u�sy,$ (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. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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: (OWNS CONTRA (Ai�HORIZED REPRESE�NTT�A-7VLj—� (OWNER) (CONTRACTOR) Signature (first and last name): OyG�-r — DATE: 02 /8 DEPARTMENT USE ONLY ZONING COMMMENTS:OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ 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: Job Address: �'S C) Permit Number:C�i 5U ❑ No one available for inspection: Time `,° / 0 AM% m Re -Inspection required: Yes( No When corrections have been made, call for re -inspection at 303 -234 - Date:. ' Inspector: DO NOT REMOVE THIS NOTICE ��;t5s Occu anc /T e INSPECTION RECORD /n-Y-yp INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection W W INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier c Concrete Encased Ground (CEG) Foundation / P.E. Letter " Do Not Pour Concrete Prior To Approval Of The Abor i- ", e n Underground/Slab Inspections Date Inspector Initials `'-Comments Electrical - - - --- - --- - - - ---- -------- Comments Sewer Service Plumbing 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. Do Not cover Underground or Below/In-Slab Work Prior To Annroval Of The Ahnvp In_npr-finnc Rough Inspections Date Inspector Initials - - - --- - --- - - - ---- -------- Comments Wall Sheathing 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. Mid -Roof Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection / Fire Protection Dist. Rough Electric " Final Electrical Rough Plumbing/Gas Line Final Plumbing Rough Mechanical Final Mechanical Rough Framing Roof Rough Grading Final Window/Doors Insulation Final Building Drywall Screw / Nail 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. 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 iow voltage permits — Rease oe 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 0 lS 675. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 0ccuDaacY/_TvDe Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof I l 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 Certifi,:ot= Issued Protect This Card City of Wheat Ridge iO�� Residential Roofing PERMIT - 201703001 PERMIT NO: 201703001 ISSUED: 07/01/2017 JOB ADDRESS: 2855 Otis CT EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install ice and water and new drip edge with asphalt shingles with 25 sq. *** CONTACTS *** OWNER (303)232-2359 LACHMAN DONNA R SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** COMMENTS *** *** CONDITIONS *** E`fective 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. Ic:e and water shield is required. Eave and rake metal is required. A.ladder extending 3 feet abo�ae 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 manufac-�urer 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. �o A 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Q Job Address: Permit Number: AI t) h i; ❑ No one available for inspection: Time -W on� AM/PM Re -Inspection required: Yes No % When corrections have been made, call for re-insVection Y303-234-5933 Date: �'%y Inspector: ' DO NOT REMOVE THIS NOTICE >_ 4 i CITYO HEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M I Job Address: 7_85 5 07S C7 Permit Number: G©(�?() 3001 ❑ No one available for inspection: Time] _ Ak%!) Re -Inspection required: Yes QN When corrections have been made, cal r re -inspection at 303 -234 - Date: -I/( Inspecto DO NOT REMOVE THIS NOTICE 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: 1 Ix am) AVG(. / Job Address:U� Permit Number: w7o_GSq ❑ No one available for inspection: Time M Re -Inspection required: Yes(No� When corrections have been made, call for re -inspection at 303-234-5933 Date: -LO ' 3' /7 Inspector:)FAG// DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE ❑ 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 - Date: F:..%, ., Inspector: DO NOT REMOVE THIS NOTICE A City of Wheat Ridge T � Residential Roofing PERMIT - 201703001 PERMIT NO: 201703001 ISSUED:, 07/01/2017 JOB ADDRESS: 2855 Otis CT EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re -roof to install ice and water and new drip edge with asphalt shingles with 25 sq. *** CONTACTS *** OWNER (303)232-2359 LACHMAN DONNA R SUB (303)600-8696 Lawrence Kerr 110274 Formula Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00 FEES Total Valuation 0.00 `. Use Tax 189.00 Permit Fee 188.45 ** TOTAL ** 377.45 *** 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. City of Wheat Ridge Residential Roofing PERMIT - 201703001 PERMIT NO: 201703001 ISSUED: 07/01/2017 JOB ADDRESS: 2855 Otis CT EXPIRES: 07/01/2018 JOB DESCRIPTION: Residential Re—roof to install ice and water and new drip edge with asphalt shingles with 25 sq. 11 bymy signature, do hereby attest that the work to be perfonned shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am leggally authorized to include all entities named within this document as parties to the work to be per for!xred and that all work to be pertonned is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or 'C6NTRACTOR (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 originalermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of C i}i e�'Building Official U Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. Dane Lovett D() � 0 2- 3 OD 1 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 20, 2017 8:30 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. 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. Permits are currently being processed within 3-5 business days, subject to change based on volume. 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 Property Owner Email Address 2855 Otis )C cr. Don Lachman (303) 232-2359 Field not completed. 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 Formula Roofing Contractor's License 110274 Number (for the City of Wheat Ridge) Contractor Phone 3036008696 Number Contractor Email Address form ularoofing1 @gmail.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material formularoofing1 @gmail.com No Install ice and water w new drip edge. Pitch 6/12 Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 25 material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Field not completed. 2 TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 25 Install new Ice and Water with new drip edge 6/12 Pitch Project Value (contract (19LOOOD 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 Dominick Orrino Email not displaying correctly? View it in your browser. 3 Customer Name: Donna Lachman Address: 2855 Otis Ct. Wheat Ridge, Co 80214 Customer Phone :303-232-2359 Ph#2 Email: dlachman(a comcast.net Insurance: St. Farm Claim: 060119N42 Adjuster Name: Chris Cavender Rep: Beau Liss M`a'ste`r Elite' WEATHER STOPPER ROOFING CONTRACTOR Email: Beau@formularoofing.com Pitch: 5/12 Trailer Access: Yes Stories: 1 Adjuster Phone: 866-787-8676 Adjuster Email: Customer Initials Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Shingle Manufacturer: GAE AGREEMENT 00� Color of Shingles. 4560 Columbine 5t. AroDenver, Install Felt: 3o ib CO 80216 FORMULA V 303.600.8696 ROOFING s REMODELING Ice and Water Shield'./ eS FAX 303.600.8654 Building Solu?ons for Colorado Customer Name: Donna Lachman Address: 2855 Otis Ct. Wheat Ridge, Co 80214 Customer Phone :303-232-2359 Ph#2 Email: dlachman(a comcast.net Insurance: St. Farm Claim: 060119N42 Adjuster Name: Chris Cavender Rep: Beau Liss M`a'ste`r Elite' WEATHER STOPPER ROOFING CONTRACTOR Email: Beau@formularoofing.com Pitch: 5/12 Trailer Access: Yes Stories: 1 Adjuster Phone: 866-787-8676 Adjuster Email: Customer Initials Formula Roofing & Remodeling will perform all repairs as outlined and approved by the Homeowner's insurance company, including supplements. Shingle Manufacturer: GAE V_ Style of Shingles: Timberline HD Color of Shingles. Number of Squares: Tear off # of layers: 1 Install Felt: 3o ib Replace Plumbing Jack: All V Replace Roof Vents: All V Ice and Water Shield'./ eS Nailing Pattern: f; ppr Drip Edge: Full perimeter Appropriate County/City Code Requirements Clean-up and haul off all trash from roof Roll yard and driveway with magnetic roller Clean gutters of roofing debris Formula R & R will furnish all material & labor Permit pulled by Formula R & R All new roofs guaranteed for 5 years All repairs guaranteed for 90 days. Additional Warranty: Homeowner U Total Cost: S 9,110.44 Excluding permit and code requirements Customer Initials 0 Customer Initials 01 Gutters All per Windows 1 on rear elevation Screens/Glazing Bead NZA Paint Fence/Deck Siding NZA Additional Comments: Doing all work per insurance estimate (-100.16) By signing this contract 1, the property owner, agree to the above listed work being completed as outlined. Insurance Claim: By signing this contract I do hereby give Limited Power of Attorney to Formula Roofing & Remodeling, authorizing my insurance company to speak with my contractor Formula Roofing & Remodeling on my behalf with any and all dealings regarding the current claim listed in this contract. Limited Power of Attorney is to be withdrawn when Formula Roofing & Remodeling is paid in full. Formula Roofing & Remodeling will bill my insurance company for all work, including code required work necessary, which, in most cases, is payable by my insurance company. 1, the insured, will not be responsible for any monies not paid by the insurance company except for the deductible and optional upgrades listed on contract, unless notification is made prior to work being completed, or in cases of "No Code Coverage" or "Non -Recoverable Depreciation" on my insurance policy. Code items are required to comply with city/county code and are not optional. Formula Roofing & Remodeling will request the final inspection with the appropriate City/County Authority. Formula Roofing & Remodeling will perform any and all supplemental work approved by the property owner's insurance company. Any additional funds allocated for additional work as part of this claim will be payable to Formula Roofing & Remodeling once the work has been completed and funds have been released. THE "TERMS AND CONDITIONS OF THE AGREEMENT" PRINTED ON THE BACK OF THIS PAGE ARE INCORPORATED INTO, AND FORM A PART OF, THIS AGREEMENT. Contractor shall hold in trust any payment received from Owner until Contractor has delivered roofing materials to the site or has performed a majority of the roofing work on the property, whichever occurs first. Deposit Received: $ None Approximate date of service commencement: TB D Insurance claims proceeds: Owner to remit ACV insurance payment no later than date of service commencement. Final payment due upon completion of scope of work as agreed upon, receipt of insurance proceeds (if applicable) and/or approval of building department final inspection. Upon signing of the contract the owner reserves the right to a three day rescission period. If the contract is canceled after that three IIIperiod, customer will pay 25%, of contract price. Customer Signature: $661 "► Date: 06/05/2017 Customer Signature: / Date: Formula Representative: ge ," L/55 Date: 06/04/2017 Doc ID: ec08bfec2elef4daee9c7lfe7be8babe97061076 i CITY OF WHEAT RIDGE - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTI (E�` Inspection Type: V Job Address: Z % S ` 1 Permit Number: ?(,j? G3GU / . ❑ No one available for inspection: Time I ` A, /PM Re -Inspection required: Yes ko) When corrections have been made, call for re -inspection at 303-234-5933 Date: _7A5117' `7' Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Resid. Windows/Doors PERMIT - 201705659 PERMIT NO: 201705659 ISSUED: 08/08/2017 JOB ADDRESS: 2855 Otis CT EXPIRES: 08/08/2018 JOB DESCRIPTION: Replace 7 windows like for like with retrofit fibrex windows, with a U -value .28 or better, according to manufacturer&#39;s specifications *** CONTACTS *** OWNER (303)232-2359 LACHMAN DONNA R SUB (770)433-8211 Gary Cummings 170102 Home Depot U.S.A., Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,022.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 126.46 ** TOTAL ** 176.46 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure.Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include alt 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 inspecti d shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Divisio . 6. The iss aniingit X11 of be construed to be a permit for, or an approval of, an violation of any provision of any in applica o ul ion of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Bufrding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City OC Wheat _ge OMMUNiTy DEVELOPMENT Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/P�/ 7 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: 2855 Otis Ct Property Owner (please print). Donna Lachman Phone: 303-232-2359 Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: Home Depot USA Contractors City License #: 170102 Contractor E-mail Address: 9amie(cDreedysetgo.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: 801 710-2507 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL VFRESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑rRESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION Y 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.) Replace 7 windows like for like with retrofit fibrex windows, with a U -value .28 or better, according to manufacturer's specifications. Sq. Ft/LF Amps Btu's Gallons Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $i-6022-100---, 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, wan -ant the tnithfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED EPRESENTATIVE) of (OWNER) (CONWCTOR) Electronic Signature (first and last name): DATE: 1 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ 2 3 W 2 CD a CL W 0 8 3 m a m mm n m N m m 4 m S a 8 � } S p a 'a 0 a x m ti m ao 0 ❑$ a ohm o V p m l m F O o m " M M 02 5 �a If m a S n I f r 10 s�s yr 0 n a o N _ a CL W 0 8 3 m a m mm n m N m m 4 m S my xT mm MC) 1 u ,=L %... z . )(� 55VI'l 3ZA�Z: -.S-LX-Z-c; gz,* 45, o LIN V- „. C ity cat Wheatl�Ldgc Date: Ptah Building t ion Serv D ivision � 7599 .29 Ave., heat Ridge 39933 # L 2-0 - D - 71 Office 393 -235 -2 Fax: 303-237-8929 Inspection Line 303-234-5933 Building Permit Application P ro pe rty Address. ddr : (it ctr” tt IW" ttta" P r Upart a ul Address: City, State, Zip, <. tR re V IFT N S2.NATURF: I eQ) r �:-7 ?. �, C", 6) " 6� /� Bldg Valuation: 4 1 CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237.8929 Fax INSPECTION NOTICE Inspection Type r7` ��. Job Addres Permit Number ❑ No one avail Re- Inspection i for inspection: Time AMM aired: Yes No we been made, call for re- inspection at 303- 234 -5933 Inspector: City of Wheat Ridge / Homeowner Roof PERMIT - 110599 PERMIT NO: 110599 ISSUED: 05/24/2011 JOB ADDRESS: 2855 OTIS CT EXPIRES: 05/23/2012 DESCRIPTION: 3.5 sqs EPDM reroof * ** CONTACTS * ** owner 303/241 -7027 Chris Lechman ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0522 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Permit Fee 60.50 . Total Valuation 00 Use Tax 27.00 ** TOTAL ** 87.50 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. 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, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. Signature of COWNEV or CONTRACTOR (Circle one) 1. 2. 3. 4. 5. Date This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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. No work of any manner shall be performed that shall results in a change of the natural - flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any 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 o ,.Building Offical Date IT LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY. s s `� , of J �/ y i 1G�at 1C e Date: COM MUNITY DEVELOPMENT Plan # Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Permit # 6 0 5 z ! Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 Building Permit Application Property Address; 2.. 8�� 6 �7. S C.f. Property Owner (please print): ( Ar I S L ct c // pi a/i Phone: 303 - Z W' 7 Mailing Address: (if different than property address) Address: City, State, Zip: W ea /lj ye-, CV, 602 / Contractq�: Contractors Citv License #: Phone: aun�onxracxors Electrical: Plumbing: City License # City License # Mechanical: City License # bescrtpflon of work EPOM Re -ron-P LY l, owner Contract Value: / 60 t7j� $ t t- Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sg Ft. 3 $ _ 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. CIRCLEONE. (W� L (OWNER) ( CON/TRACTOR/ /J ) or UTHORIZED REPRESENTATI of OWNER (CONTRACTOR) PRINT NAME: C n f ( s a c /I m a n SIGNATURE: � (!�" �p / DATE: 's 2, y - ?-o �( ✓ _: a OJ. of FIRE dEPArrmeENT D approved v/ comrpents ❑disapproved ❑ no review r quued Bldg Valuation $ ♦ ►�41 r CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 Office;` (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Af," Job Address 2V55 o7-1-45r c7 Permit Number 4 ' CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type a1 - / / $*/," FuRw Job Address 2 g'Ss' ®77 5 c7 PermitNumber /I /Y Inn,0 Ib14 In? ld43L,., k1,91, ❑ 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: _ Y//F/"/ Inspector: DO NOT REMOVE THIS NOTICE Inspection Type Job Address Permit Number 0 g" � /^ J Iw v k. . W�5 7 ❑ No,- available.forinspection: Time s Re- Inspection required: Yes No ` When corrections have been made, call for re-ft Date: Inspector: DO NOT REMOVE THIS f V 4' r CITY OF WHEAT RIDGE 1 /f Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office - (303),237 -8929 Fax INSPECTION NOTICE Inspection Tvpe MAX 9 Job Address 2SS5 o?-1.57 a7� Permit Number 1101,?6 �y E ❑ 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: 3s�S/!� Inspector: DO NOT REMOVE THIS NOTICE " V, City of Wheat Ridge - r� Residential Mechanic PERMIT - 110126 PERMIT NO: 110126 ISSUED: 02/09/2011 JOB ADDRESS: 2855 OTIS CT EXPIRES: 02/09/2012 DESCRIPTION: Replace furnace with 115,000 btu 80% eff. * ** CONTACTS * ** owner 303/232 -2359 Donna Lachman sub 303/433 -6077 Rick Aguilar 02 -1754 GOLDENWEST PLUMBING & DRAIN ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0801 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,868.00 FEES Permit Fee 4000 . Total Valuation .00 tD, Use Tax 69.62 ** TOTAL ** 109.62 Conditions: Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved] plans and specifications. 2. 3. 4. 5. 6. rnaturd of - OWNER or CONTRACTOR (Cirtrlp dne) Date G'Zu�Nov�z�df otryzh r ab- ct °� This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any 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 Date T LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. _ City of Wheat1idg Date: COMMUNITY DEVELOPMENT Plan # Building & Inspection Services Division i Permit# 7500 W. 29t Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 -237 - 8929 Inspection Line: 303 - 234 -5933 Building Permit Application ro " °ertyAdar ss �s 0 - ; 5 Property Owner (please . 2 0 0 04 Ll ( h 4,116 Phone- IQ Mailing Address: (if different than property address) X03' - � Address: �J r 5 C 1 V V h l` , Gf <, C� C c) City, State, Zip: Contractors City License #: 1 y Phone: 3 f) 3 Y33 — L , )7 7 Electrical Plumbing; echanical: City License # City License # City License # ; f 7O F v 1/6 e /,o,, t. <. yv7 e, S r rar�,�f G- Review Fee (due . at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ O"ER/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) er (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) /gyp ,f �y I -4 (1 �/' G2 n e° j,, PRINT NAME ,L��j� ,a tr (i J I .1� fiC- P^ ( SIGNATURE: :t/i(/6� -- �'V "" " T Bldg Valuation: $ A 4' CITY OF WHEAT RIDGE Building'Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office (303) 237-8929 Fax INSPECTION NOTICE Inspection Type q-rA Job Address ;?9'Str,,-7 sr Permit Number 1a .;2-15i INSPECTION RECORD OccupancvlTvpe INSPECTION LINE (303) 234 -5933 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. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB TION INSPECTIONS DATE INSPECTOR COMMENTS: Mechanical INITIALS Caissons Roof / (CEG) Concrete Building Final Ground l Fire Department ng or Monolithic R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * 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 CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. roof / French Drain rvice Lines rvice Lines ruuR rvu VONCRETE UNTIL ABOVE HAS 6EEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Heating ROUGHS Sheathing Lath /Wall it Mid -Roof Electrical Service. Rough Electric Rough Plumbing Gas Rolm Rough Mechanical Framing Insulation Drywall Screw INSPECTIONS TO FINALS Electrical Plumbing E ® /Z� Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * 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 CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. eil_� OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦��4' r4000 City of Wheat Ridge Residential Plumbing PERMIT - 102351 PERMIT NO: 102351 ISSUED: 10/11/2010 JOB ADDRESS: 2855 OTIS CT EXPIRES: 10/11/2011 DESCRIPTION: Installation of external tankless hot water heater vent * ** CONTACTS * ** owner 303/232 -2359 Donna Lachman sub 303/433 -6077 Rick Aguilar 02 -1754 GOLDENWEST PLUMBING & DRAIN ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0522 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,083.58 FEES Permit Fee 140.90 � Total Valuation .00 C]' Use Tax 91.50 ** TOTAL ** - 232.40 Conditions: Subject to field inspections. 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. Signature of date 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 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. S. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. .iaing Otticial N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of 3" . CC)MMUNITY E�nrt orn�rr,iT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 - 2855 " Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property Address: Property Owner (plee Mailing Address: (if different than property address) Address: Date: Plan # Permit# City, State, Zip: / Contractor' /J I�Q� Al — ef l U /M bivt c /'TQtL7 ip� Gt 62 C Contractors Citv License #: — Phone: Mechanical: City License # City License # City License # Description of work: c> `e rl Q � 40 v P e l " + S $ o f:ctIV'al�te:3 5 d V r (�� ap f 9 l Q� !p, C 2! N 3 W 2 � Review Fee (d at time of submittal): GL V-O Z Pr f ¢ k Squares BTU's Gallons _ Amps - s � Sq e�� 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: (} (DOWNER) (CONTRACTOR) et n �[_ or (AUTHO REPRESENTATIVE) of (OWNER) (CONTRACTOR) / PRINT NAME: / "r� Q S I q �, I a " �Il"dNATIJRE: �tGfP2- PVt�`' <%� Bldg Valuation: INSPECTION RECORD oCeUpaDe ®'INSPECTION'IINE: (303) 234 -5933 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. % f I �5 i INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTORNITIALS . I COMMENTS: .Footings /Caissons Stemwall / (CEG) Concrete Encased Ground _ Reinforcing or Monolithic ; Weatherproof / French. Drain- - Sewer Service Lines Water Service Lines - - ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service ; Rough Electric Rough;. Plumbing Gas Piping, I - ..INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Rough Mechanical S ' * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICA TE OF OCCUPANCY IS ISSUED, FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION -'. - OF 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 AT LEAST 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 CERTIFICA TE OF OCCUPANCY IS ISSUED, FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION -'. - OF CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE f Building Inspection Division r (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 6i zllfZ Aayr Job Address: oTiS G7` Permit Number: `0097/ 62 L No one available for inspection: Time (f pM Re- inspection required: Yes No - * When corrections have been made, calf for re at 303 Date: V 3 1U 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: ra2t�� Job Address: FY5' &n _< e? Permit Number: iS�f k ❑ No one available for inspection: Time 129; 96 O /PM Re- Inspection required: Yes No When corrections have been made, calf for / re- Inspection at 303 -234 -5933 Date: _' L Inspecto f DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE Building I ction Division (303) 1 nspe 34-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: lcoi Job Address: Permit Number: le)O L-1 No one available for in tion: Time / "SPe 'c _LO �//AM/�M Re-inspection requiredCYes No When corrections have been made, caff for re-inspection at 303-234-5933 Date: lo 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: Permit Number: 6 0 e 7/ f � ❑ No one available for insp tion: Time /D . ) AM! M Re- Inspection required s No When corrections have been made, calf for re- inspection at 303-234-5,933 Date: -1-1,-16 Inspector: DO NOT REMOVE THIS NOTICE C ti " ' City of Wheat Ridge Residential Roofing PERMIT - 100871 g~ PERMIT NO: 100871 ISSUED: 04/07/2010 JOB ADDRESS: 2855.OTIS CT > ..;EXPIRES: 110/04/2010 DESCRIPTION Reroof. 23 sgswith lifetime -...shingles **.CONTACTS owner 303/238-6235 Rose Uyemura sub 281/3.91-8555 :Greg Arnim 09-0264 Remedy Roofing, Inc. PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: .:0522 'BLOCK/LOT#: ,0/ >r **.FEE SUMMARY ESTIMATED. PROJECT 'VALUATION: 10,3577.6 FEES Permit Fee 253.90 Total Valuation .00 ( L... Use Tax 186.44 o, TOTAL ...440.34 Conditions:. 6 nail installation mid-roof inspection required. Board sheathing spaced more.`_ than ..a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield required from eave edge to 2' inside exterior walls:' ***Contractor or Property owner 'shall provide ladder(s)'secured 'in place for inpsections. It w' is the responsibility of the person/firm requesting the inspection to insure roofs are clear for inspection. Scheduled inspections that cannot be performed due to inclement weather must be cancelled :prior to 8:30-a.m. on the day of inspection or a re-inspection fee of $61.00 will be assessed. I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable 3t, ordinances, rules or regulations of .the . City of. Wheat Ridge or covenants, easements or restrictions of record;.. that all rs- measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application n that I assume full responsibility for compl ance with the Wheat: Ridge Building Code...(I.B.C) and all other applicable idge Ordinances, for work under t i perm t. Plans subject to. field inspection. Va~ure of co or/owner ate 1. This permit was issued in accordance with the provisions set forth in your application: and is subject to the laws of the c" 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 r; 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. It changes.: have been or if suspension or abandonment ;exceeds one (1) year, full fees shall be paid for a...new permit. c 4. No :work of any manner shall be done that will change the natural flow of water causmga drainage problem. 5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive . written approval on inspection card before proceeding with successive phases of the job.. 6 The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor' an approval of, any .:violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections ~v ~c Signature of rCh lding of ficial date 2NSPECT20 ST LINE: (303)234-5933 BUILDING OFFICE: (303 )235 2855REQUESTS MADE BY 3PM ANY BUSINESS `DAY FOR 'INSPECTION THE .'FOLLOWING BUSINESS DAY a a s~ City of Wheat~idge 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 Building, Permit Property Alidress Ca X -5 n+, f Property Owner (please print): goLe Qn Mailing Address: (if different than property address) Address: City, State, Zip: ` _ 1 r _ / ConEogq: 1- ,ey' - Contractors City License Sufi'°Cantrators? Date: Plan # o Permit # ~~)0 n L) f+ I) y CQ Phone: 'ZbZI4 3- 3V Phone: 20 `f 87-`LlYcr Electrical Plumbing: Mechanical: City License # City License # City License # bescrlptton'of work~i(~ ~J ~e1/Yt D t7 O d( S~G R P ~t~ D` f $ ontract d Ue3 5 ~O Rq n e lAk .-C (Q."} ~.0 tT~' N}' .I r Review Fee (due at time of submittal): Squaresa3 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. C/RCLE ONE; (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: `t ll^i Y r 1 SIGNATURE: DATE: 7 O d~ h1RE PPARTMENP ❑ approved w/,comments ❑ tlisap~royed ❑ no Tewew required Bldg Valuation $