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HomeMy WebLinkAbout3867 Balsam Street41 CITY OF WHEAT RIDGE Building Inspection Division �- i (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: �1 Permit Number: ❑ No one available for inspection: Time ._. Re -Inspection required: Yes When corrections have been made, sch http✓/mow ci, edule for re -inspection Online a at: Date: 10 Z&10 Inspector: O- NOT REM VE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: ❑ No one available for inspection: Trm-_e AM/ Re -Inspection required: Yeslo When corrections have been madescoedule for re -inspection online at. �aC A CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Y, S Permit Number: LJ No one available for inspection: Tirne._)c'(�,_AM/PM Re -inspection required: Yes`) No When corrections have been made, schedule for re -inspection online at: httpYAvww. ci. wheatridge.co. uslinspection Date: Inspector: L, DO NOT REMOVE THIS NOTICE PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge E -Res. Evaporative Cooler Repl PERMIT - 202000889 202000889 3867 Balsam St Replacing evaporative cooler on roof. ISSUED: 05/14/2020 EXPIRES: 05/14/2021 *** CONTACTS *** OWNER (303)296-6378 ESCAMILLA ROBERT J SUB (303)431-8015 EDWARD TERRANOVA 019402 AAARK HEATING & AIR CONDITIONI *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,800.00 FEES Evaporative Cooler 40.00 Total Valuation 0.00 Use Tax 100.80 ** TOTAL ** 140.80 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES "V - — PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Evaporative Cooler Repl PERMIT - 202000889 202000889 ISSUED: 05/14/2020 3867 Balsam St EXPIRES: 05/14/2021 Replacing evaporative cooler on roof. 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 ermrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be performed and that all work to be pert"ormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting,of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicaj 4l ode or any cf4inance 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 Replacing evaporativ CDAO22712 AMOUNT PFSP 3.8367 St 148.8O APPL/PERMIT NO! 202000889 PAYMENT RECEIVED PP / 5200 AUTH C0DE: 75121364 TOTAL ___________ AMOUNT 140.80 14O.80 Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Wednesday, May 13, 2020 6:58 PM To: CommDev Permits Subject: Online Form Submittal: Replacement Air Conditioner/Evaporative Cooler Permit Application Categories: Dina Replacement Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT AIR CONDITIONER OR EVAPORATIVE COOLER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential replacement AC or Evaporative Cooler like for like? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** 3867 Balsam Street Bob Escamilia 303-296-6378 mgagnon@aaarkhomerepair.com D00004.pdf CONTRACTOR INFORMATION Contractor Business Aaark Heating & Air Inc Name Contractor's License 019402 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 3034318015 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address mgagnon@aaark.com Retype Contractor Email mgagnon@aaark.com Address DESCRIPTION OF WORK What type of replacement Replacement Evaporative Cooler unit are you installing? How many tons is the 0 unit? For AC - what is the 4800 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located Roof (for example, rooftop, backyard on ground etc)? Is electrical needed for re- Yes hook? If electrical work is being 019402 performed, you must provide electrical contractor's Wheat Ridge license no. and scope of work. Project Value (contract 4553 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT 2 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 Michelle Gagnon Permit Email not displaying correctly? View it in your browser. INSPECTION 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 ins ection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT: �� ADDRESS: 0 S�./rYl Jit CODE.&iipw 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. 206 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:l�0 1 ADDRESS: % 1 ��d �(J/YV1 �il� JOB CODE:GA&bo Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 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 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 a 0 / $ TD 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.** 14,117 Zoning Final inspection* W rK 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. 59, 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: 0 -1 /,_/18 - r� , , Job Address: _3'Sra 7 `Sa sam s Permit Number: 3) o) 8® o s 8 �-/ ❑ No one available for inspection: Time /PM Re -Inspection required: Yes 9 When corrections ave been made, call for re -inspection at 303-234-5933 Date: 3 a a / �s Inspector: ^--b DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: INSPECTION NOTICE F1 Job Address: 5Rb -4 `^ 1"' 'S-) Permit Number: I ,: i �L ,;C, s �<y- \Pf w ❑ No one available for inspecrNo me AM/�M Re -inspection required: Yes When corrections have been made, call for re ction at 30 -234-5 33 Date: r`Inspector:' DO NOT REMOVE THIS NOTICE I i CITY OF WHEAT RIDGE Building'lnspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION f�l�NOTI ,E t/,/ / V R, I 'C�ii Inspection Type: y c 9 - p, ,)� i Job Address: 3 8 b-7 Permit Number: -D E l g o a y G.IIrI�S ❑ No one available for inspection: Time 9 = o s k PM Re -Inspection required: (Y�' No When corrections have been made, call for re -inspection at 303-234-5933 Date: & 8 Inspector: —)-b DO NOT REMOVE THIS NOTICE (LJ i CITY, F WHEA RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NO ICE � '�1/7 Pco-f/ Inspection Type: 1 c X r r'e,.n . , ie-, Job Address: —3 S 7 6,ot'n, S Permit Number: a 1 r LI �-- I J(/1E G ❑ No one available for inspection: Time = Sg 0M PM Re -Inspection required: Yes Njo When corrections have been made, call for re -inspection at 303-234-5933 Date: / Inspector: 'i 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: Cl 1 Job Address: 1 W67 Sam S (- Permit Number: Z]?/ ZC 6-C2 , ;'' ❑ No one available for inspection: Time'l- ¢X,/ IA�MYPIVI Re -inspection required: Yes (No____.," When corrections have been made, call for re -inspection at 303-234-5933 Daterff � Inspector: !r - 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: o- G s 5 5 r'�=,-5 Job Address: 3 $ is -7+3 sG Permit Number: 0 IF 0 _c s S �) ve ❑ No one available for inspection: Time c"I" = J wpm Re -Inspection required: Yes Ng When corrections have been made, call for re -inspection at 303-234-5933 Date: ---2-) / a 4 qs Inspector: TPS DO NOT REMOVE THIS NOTICE City of Wheat Ridge F6, Res. Accessory Struc PERMIT - 201800584 M�. PERMIT NO: 201800584 ISSUED: 03/08/2018 JOB ADDRESS: 3867 Balsam ST EXPIRES: 03/08/2019 JOB DESCRIPTION: Build free standing gazebo; 120 sq ft total *** CONTACTS *** OWNER (303)296-6378 ESCAMILLA ROBERT J SUB (303)421-6548 Joe Thede 021647 S.R.I. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,000.00 FEES Total Valuation 0.00 Plan Review Fee 70.98 Use Tax 84.00 Permit Fee 109.20 ** TOTAL ** 264.18 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I 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 thisermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed an that all w alk t be rformed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTORS (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 original ermtt fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit all 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 ulation 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 W heat i�c COMMUNITY DEVELOPMENT 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 Email: permits c _ci.wheatridge.co.us FOR OFFICE USE NLY Date: Plan/Permit ## Plan Review Fe Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: T 11%,e Property Owner (please print): �p �jet� �jCCCr;A1 ��'-U� V Phone: � Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Phone: Contractor: Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub City License # I Ming: MAR 0 W.R. City License # LU I Per Phone: 3o3`�/Zl `�vS�fq Mechanical: W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL R 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/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.) D a;l�> Pree S teri n� Sq. Ft./LF _ / 1� Btu's Amps 4 A:Z-I✓b 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ONTRACTO) or (AUTHORIZED REPRESEN�TIVE r f (OWNER) (CONTRACTOR) Electronic Signature (first and last nam ATE: ZONING COMMMENTS: Z-_CVe� ?_-I, Reviewer: w e � BUILDING DEPARTMENT COMMENT Reviewer: " v ?)-Shy L41VOn 1 DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: — V0,rc,, c WA -l1- 6 ulLajl iuduact w-+6,,ck 91363 FT Building Division Valuation: $,160 _ Reviewed for Zoning Compliance by the City of Wheat Ridge Planning Division APPROVED By: SCc' f et c-1ZTt7 DATE: — Z) /I COMMENTS: ao(u�o( Slcl2 — Lek far v P4 = • "� Wit, "'`*' ' x e � u ? 4 s ` - .- Y: *V.k 4S,Yj �-: < k• :fes �'.,f � .. _ � � .. ,- .:5". ,. �... 4 a e of ]W�1eat�,�� Cowwumn aevEwnr►c�rr�` APPROVED Amdoti ed for Code CampHsnce a PI Ezami er me �� 77ee hiwnrr Mo permit or opprovol of «�rw�grKWioru ShYU nOf dl Y prme4f0/, Or an OpO�OW/pf, 10 owraMrDro�+om MNer DnAd rp code or Mont [o ordw P"WftWOW "Ahwo W VWfare etc~Me FMVM'O cMNr&W&V ro4s x aNetroMhonres M Nee City shah rot 6e eeoYd. " 1 C Reviewed for Zoning Compliance by the City of Wheat Ridge Ptannirg Division APPROVED BY: 5rr , COIN (-ut, DATE: -SA/lg COMMENTS: 0 eavo 6a1va4;zr..� Pest- _ �c�b Vi w o UJ o Q C)_ (p N O J N m ,;T h Cl) _ 0 CN J O O �o c m No �< 0 m Y O i O E QD 0---) U NJ C o >- -- cm Y �IIC OO' O QO N O D�2o'n C a 0 U U) rn N I Q) CL I— = N J US U N 'd ...� O O C P CD — Q 0 U U) Q) US U N CD — L N j L c@ - y V 11 Q U) (nom-+ bq L CL LL� O 2 o o L N E i�. C4 O D ov d v m C cco -o • "" x o - o Q O U C� f ^ ` NS? 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CD O cn N O N L O C7 L- C) E o co oMco a) �_ U) o ` O O (d O m U a) @ O a) �U Z co M c� 1 a) ` m- m M-0 m L C 0 v a� U a) L Q) U I 1 ~ II II II �i L 4) @ it N m �O m U) m -- Q m E Q a a.V) O' U J ��� X mN COQ Q w Ev a) ,,,_ LSO - 70 - L Q> C) > a) CLQ C 2 - EL p� U)CLJW'U f� N o0 O m C= C Qj L0 ) UH O - O NN LOON 11 0NLO"IU c� rU U _O)U OL M` 0)U) E U C co o �) O 0� Z 00 00 oo E v `t � 'IT t- �! a C M U) V) �n O 0 0 -0 Q1 E a) m C 'L O E Z x O O N Z LL LL (� `._ p V 0 M M c- V ULn m i II �. `� m -O 0-0 C O 10 W 7 C) U) a Q � a. = 30 Q N 2 2 LONT- x I I Cl) Q� Co O CL C U -p co a) a) a) a) O) C� in x x I I I I I I mco(Doof- O (D O OU U 0) M x x x ��� 2N�I�M -0B X �0 X000 _ W >'6OW a) m N mL O OL '0 a) ._ U N U) )� QQ N — �O ��0QU)�(U(ntn-@0E _ U)(D o OO Z O QU) px `Q m c� 2fn �. m �) Z U) W 2 S W 2 2 o Q) � m 0 �= 'L co a N 0 w -J J m00U) U U(n L+� uj N C.—L (6 QO C — Q) co >C `—° 0U0000 D00Lij> W 00 O LLJ 0— Z V r rn CL J I- F III m J H c0 > LL F c0 -N ri co oo c6 C U) in W U) Q U 0 Q 0 J City of �h�at Fi td9@ INSPECTION RECORD �I SPECTION ONLINE FORM: htt ://www.ci.wheatrid e.co.us/ins ection p 9 p INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occu anc ! e 1 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 o" t 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 Comments Initials 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 Lath /Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors ------- Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather PERMIT NO: JOB ADDRESS: JOB DESCRIPTION ` ofit Madge Residential Roofing PERMIT - 20170 0L 1 201706021 ISSUED: 08/14/2017 3867 Balsam ST EXPIRES: 08/14/2018 Residential Re -roof to install GAF Timberline HD asphalt shingles with 31 sq. *** CONTACTS *** OWNER (303)296-6378 ESCAMILLA ROBERT J SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,059.13 FEES Total Valuation 0.00 Use Tax 232.24 Permit Fee 236.00 ** TOTAL ** 468.24 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201706021 PERMIT NO: 201706021 ISSUED: 08/14/2017 JOB ADDRESS: 3867 Balsam ST EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 31 sq. *** CONTACTS *** OWNER (303)296-6378 ESCAMILLA ROBERT J SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,059.13 FEES Total Valuation 0.00 Use Tax 232.24 Permit Fee 236.00 ** TOTAL ** 468.24 *** COMMENTS *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201706021 PERMIT NO: 201706021 ISSUED: 08/14/2017 JOB ADDRESS: 3867 Balsam ST EXPIRES: 08/14/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 31 sq. I, by m signature, do hereby attest that the work to be performed shall comply with all accompanyin > approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am tie 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 penmt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed Zinthat, �Iork to be perormed ' disclosed in this document and/ ts' acc mpanying approved plans and specifications. Signature of OWN,?R 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and � procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all 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 a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdict Approval is s 1e 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. Online Form Submittal: Residential Roofing Permit Application https:Hwrmail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id=... Online Form Submittal: Residential Roofing Permit Application no-reply@ci.wheatridge.co. us Sent: Thursday, August 10, 2017 10:39 AM To: CommDev Permits Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units are Single Family Home on the property? PROPERTY INFORMATION Property Address 3867 Balsam St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address 1 of 4 Robert Escamilla 303-296-6378 Field not completed. 8/22/17, 11:36 AM Online Form Submittal: Residential Roofing Permit Application Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. https: //wrrnail. ci. wheatridge. co.us/owa/? ae=Item&t=IPM. Note&id=... Attach Copy of Executed Escamilla Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Homeguard Roofing and Restoration Contractor's License 130138 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number 720-708-4126 (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary 6850 W 52ND AVE SUITE 106 address of your business) Contractor Email Address fernI@homeguardroof.com Retype Contractor Email fernI@homeguardroof.com Address DESCRIPTION OF WORK TOTAL SQUARES of the 33 entire scope of work: Project Value (contract value 8250 or cost of ALL materials and labor) Are you re -decking the roof? Yes Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the Yes project include a pitched roof (2:12 or greater pitch)? 2 of 4 8/22/17,11:36 AM Online Form Submittal: Residential Roofing Permit Application https://wnnail.ci.wheatridge.co.us/owa/?ae=Item&t=IPM.Note&id= How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof: Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) 32 GAF Timberline HD Asphalt Replacing the roof and re deck on the house. Also replacing roof on the shed. SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes 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 may Yes 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 stated Yes in this application is true and correct and that falsifying 3 of 4 8/22/17,11:36 AM Online Form Submittal: Residential Roofing Permit Application information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Fern Lytwyn https://wnnail.ci.wheatridge.co.us/owa/?ae=ltem&t=IPM.Note&id= Email not displaying correctly? View it in your browser. 4 of 4 8/22/17, 11:36 AM 144 HOMEGUARD ROOFING & RESTORATION Name: City: Project Address: (if diffe ent from /above) _ Home#:✓©-��� ' Melt#: Insurance Company: Sales Representative: Name: Project Manager: Name: STRUCTURES SURETY AND LIABILITY INSURER INFORMATION Type: &IMIK Colony Insuice- Policy Number OTE21366 DeductibleW,39 Contact: GIA Risk Management, 1303) 423-0162, ext. 136 Phone: 7i L� ` �(,)du 6850 W. 52nd venue Suite 106 Arvada, CO 80002 50 -year Office: 720.70 .4126 Fax: 720.921.8658 ,' Per Code ADenetrations 1 info@HomeG ardRoof.com HomeGuardRoof. com BBB WWA MER INFORMATION Email Type: &IMIK j c�Q Claim No: (0 t s,59 DeductibleW,39 ,&Ridge Material: Phone: 7i L� ` �(,)du ~ � Phone: NEW ROOFING SYSTEM SCOPE OF RESTORATION SERVICES TO BE PROVIDED fain ❑Detached Garage &Dther 99Ovlanufacturrer: Type: &IMIK El Type �r Cal ,&Ridge Material: r/ )Underlayment: 50 -year Leak Barrier AT , Avattey ,' Per Code ADenetrations 1 Drip Edge ,,Eaves .Rakes Wolor Flashing SidewaltXChimney so -year Ventilation ❑ Turtle ❑ Ridge ❑ Edge Z Otherll Ptumbing Boots manufacturer warranty ,Faint All Roof Accessories Remove trash from roof gutters & yard 5 -year service pocky `Roll lawn & drive with magnetic sweeper Non Prorated ❑ Furnish permit ❑ Miscellaneous: Na„-ProratedAM LOW SLOPE AREAS Material Tyl e Manufacturer Cn or ADDITIONAL AREAS OF CONS' All additional areas of construction will be repaired or rep ❑ Gutters ^ �❑ Paint/Stain F-1Siding [IWindows Notes: t t/\� II1\,k "AIAr'Q G 1 - to- A `Scope of Restoration Services Provided shalt include any additional su TERMS OF This Agreement does NOT obtigate the Customer nor Company in any restoration services to be provided by Customer's insurance company Agreement, inctuding all terms on the reverse side hereof. Customer Customer Payment is due upon completion of each trade. Company manufacturer's n)1sfftalta�tion instructions & the local building codes. Agreed Price:/ Va `J60 shall be the total an authorized insorancd supplements or as set forth on the reverse side h SERVICE AGREEMENTS GAF ROOFING SYSTEMS • a Material - Manufacture Standard Workmanship 5 yrs Out-of-pocket upgrade costs Material - Manufacture Standard Workmanship 2 yrs Customer I ROOFSYSTEM JCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED ad with high grade materials of like kind and quality SERVICE AGREEMENT ]Interior El Skylight ❑Other STANDARD _i ��t/tt n, �� FMatenat-ManufactureStandard A- / _ U( Workmanship r 1 yr Full Replacement 2 yrs dements and services approved by Customer's insurance company and accepted by Company. OTORATION SERVICES TO BE PROVIDE[[ ,ay unless the insurance claim is approved for repairs or replacement to the above mentioned/written scope of -id excepted by Company. Customer's signature below signifies acceptance of all terms and conditions of this total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items. id its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the intdue to Company under this Agreement, which is subject to any additions and/or deductions pursuant to eof. Total estimated cost of any non -insurance upgrades shalt be: $ Approximate Dates of Service. Substantial commencement of work sh ll mean either the physical det ry ,f m@ s onto the remises or the performance of arty tabor an alt be subject to any permissible delays as per provision (4) on the reverse sid . Approximate Start Date: h1Yl� l Approximate Completion Date: Ll }jam Bysi ning his Agreement you agree that you have at n provided i m e nt revie &app Ll accept the abo r of this cont, Approved and pled (Customer) Approved and Accepted [Customer) I HIS I RANSACTION AT ANY TIME PRIOR TO MIDN ATTACHED NOTICE OF CANCELLATION FORM FOR WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIR SERVICES TO BE PROVIDED UNDER THIS AGREEM THIS RIGHT. Company shall hold in trust any payment from Customer until Con tice of this right to cancel oratly in addition to the writing cot d herein. This contract is subject to Company aand ,,authorize Company to proceed. Date Approved Ad Acc ted [Company) ae Date I have received the "Things to Remember' document 4nilia REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL iT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE J EXPLANATION OF THIS RIGHT. 5T. & 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME ) THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND IT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF has delivered the materials to your property or has performed a majority of the work on the property. 50 -year 50 -year STANDARD manufacturer warranty manufacturer warranty so -year To -year 25 -year service policy 10 -year service policy manufacturer warranty manutactmwavamnty 5 -year service pocky 2 -year Non Prorated Non -Prorated Na„-ProratedAM workmanship warranty Pf0 afM Transferrable Transferrabte t�R Transferrable • a Material - Manufacture Standard Workmanship 5 yrs Out-of-pocket upgrade costs Material - Manufacture Standard Workmanship 2 yrs Customer I ROOFSYSTEM JCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED ad with high grade materials of like kind and quality SERVICE AGREEMENT ]Interior El Skylight ❑Other STANDARD _i ��t/tt n, �� FMatenat-ManufactureStandard A- / _ U( Workmanship r 1 yr Full Replacement 2 yrs dements and services approved by Customer's insurance company and accepted by Company. OTORATION SERVICES TO BE PROVIDE[[ ,ay unless the insurance claim is approved for repairs or replacement to the above mentioned/written scope of -id excepted by Company. Customer's signature below signifies acceptance of all terms and conditions of this total out of pocket expenses are not to exceed insurance deductible plus upgrades for non -insurance items. id its authorized representatives are NOT acting as public insurance adjusters. All work is installed per the intdue to Company under this Agreement, which is subject to any additions and/or deductions pursuant to eof. Total estimated cost of any non -insurance upgrades shalt be: $ Approximate Dates of Service. Substantial commencement of work sh ll mean either the physical det ry ,f m@ s onto the remises or the performance of arty tabor an alt be subject to any permissible delays as per provision (4) on the reverse sid . Approximate Start Date: h1Yl� l Approximate Completion Date: Ll }jam Bysi ning his Agreement you agree that you have at n provided i m e nt revie &app Ll accept the abo r of this cont, Approved and pled (Customer) Approved and Accepted [Customer) I HIS I RANSACTION AT ANY TIME PRIOR TO MIDN ATTACHED NOTICE OF CANCELLATION FORM FOR WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIR SERVICES TO BE PROVIDED UNDER THIS AGREEM THIS RIGHT. Company shall hold in trust any payment from Customer until Con tice of this right to cancel oratly in addition to the writing cot d herein. This contract is subject to Company aand ,,authorize Company to proceed. Date Approved Ad Acc ted [Company) ae Date I have received the "Things to Remember' document 4nilia REGULATION AND COL. REV. STAT. § 5-3-403: YOU, THE BUYER, MAY CANCEL iT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE J EXPLANATION OF THIS RIGHT. 5T. & 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME ) THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND IT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF has delivered the materials to your property or has performed a majority of the work on the property. 30IION SIH13/IOW3H ION 00 n :aoloadsu�LIa v aha EE6S-bEZ-EOE 3e uo►;oadsupaa aoj pea `apew uaaq aney suoi;oaaaoo uayM, ,,'--ON) sa), :paainbaa uoiloodsul-aa quail :uoiloadsui aol apepena quo ON M C29 �2Z :aagwnN liwaad S L :ssaippd qof / y 0Y / ,; :adAl uoi�oadsui 30110N N01103dSNI XeJ 6068-2EO (EOE) • aq!_lo 55sa-5Ez (EOE) au►l uo►.loodsul EE69-tfe (COE) s uoisinia uoiloadsul Buiplina 3Jaw ld3HM 30 A113 Al 3011 ON SIH13/ MUH ION 00 C.__._aoloadsul > i ;�� :area }e uoi;oadsu►-aa aoj peo `apew uaaq aneq suoijoaaaoo uayM� b saA :paainbaa uoiloadsul-@H awil :uoi}oadsui Aol algeliene auo ON n :aagwnN Iivaaad s ,T :ssaippd qor :edA1 uoiloodsul 30110N N01103dSNI xeJ 6768 -LEO (EOE) - egljjo s5g7-sE7 (EOE) au►l uolloadsul ££69110 (£0£) uoisinia mpedsul 6uip� g s,+ 3Jala lV3HM =10 A113 4N ,t Occuarc =rT e INSPECTIONCTT kZ Q234-5933 Inspections will not be perfornied unless this card is posted on tbe project site. Cal"I the inspection request line before 11:59 p.m. to receive an inspection the following business day. Foundation Inspections Date Inspector Comments Initials Monolithic Slab Reinforcement Caissons Concrete Encased Ground (CEG) FootingtStemwall P.E. Letter Do Not Pour Concrete Prior To A r Iry Inspector tf tiheA ht 4&/ 1 lstO Underground/Slab Inspections Cate ,"041b 6 ED Initials Electrical (Underground) Sewer Service (Underground) Water Service (Underground) .. 5, t « , n EY, 40: 1E, 0 � ,� r - xiot ,. 6,bi Plumbing (Below l In -stab) Heating (Below 1 In -slab) PAYMENT R1ECEIVED Co Not Cover Under round or Below/In-Slab "1�!`ork Prior �e; ��Il�i � � � Dough Inspections rata Inspector, , Initials w Wall Sheathing Roof Sheathing Lath / Wall Tie Roucth Electric � i • Insulation [Drywall Screw ----- Nail pector Final Inspections comments Initial Final Electrical Final Plumbin Final Mechanical Final Building Landscaping & Parking I Planning Dept. Inspections from these entities should be requestec one week in advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303-235-2846, For ROW and drainage inspections call 303-235-2861 . For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project. "Note: All items must be completed approved ♦ r Public Works,and Building before Occupancyof Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. PermittedUntil A CertificateofOccupancyIssued Protect This Card From 04-27-'16 17;59 FROM -fireplace outlet sup 303-935-5001 -139 P0003/0003 F-490 City of Division 7500 W. 2901 AVa., Wheat Rldge, CO $0033 303-237-8929 Inspection Line: $03-234-5933 Building Permit Application n.. ., r, +k r° a :,, a. w• '..; •'�� r•� t x,; s� { `M+• +'. y. s k'�, w^:1!`s .:. t .,- �4:; i H^: r • w BALSAM A a . 08� 3 * � n Yb� Address: C FLOREZ HEATING & GAS i •, oo .rAIM Complete .ll iftfo-rmationon • RESIDENTIAL54-27-'16 17:58 FRM-fireplace outlet sup 303-935-5001 T-139 P0002/0003 F-490 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW STRUCTURE COMMERCIALROOFING COMMERCIAL !N RESIDENTIAL ROOFING RESDENTIAL ADDITIONtp COMMERCIAL STRUCTURE (Garoge, shed, s:. PLUMBINGRESIDENTIAL ACCESSORY STRUCTURE (Gam9e, shed, de*f MECHANICAL SYSTEWAPPLIANCE REPAIR r REPLACEMSNT # SYSTEWAPPLIANCE REPAIR or REPLACMENT ELECTRICAL $YSTEWAPPUANCE REPAIR o REPLACEMENT '" w w' # w' w 1 w w s �.wo wAa m. # 600.00 OW-NERCONMCTORSIGNATURE OF UNDERSTANDING AND ACREEWNT I h=by catify that the setback diswIces proposed by this pmw application am a0mm And do not violast Applicable ordinances, mks or h- M -al ! # LO -j ZOOO/T000d TVT-1 T@09-986-806 dns jallno aoejdaJTj-WOHJ LG:qT 9T,-ZO-90 LO -1 ZOOO/ZOOOd M-1 TOGS- 986 -COS I ME= Property Owner Entail. Jilin dross: (if different than property address) Address; Compl a all information on BOTH sages of this form Man Q Z E , 0 yr CD n Fj ti C. vz 6i Z n L. < o r ,DD 0 0 n r- < 3 (D o 4 0 U) 6 0 < o �n w n zy M 0 n, (D CL , o M cr n W n (D on In ET < c ET 0 (D CL n V) > (D G b < m > z m z m Lti X 0 c z < m U) i m m 0- Cl 'D (D (D 5' C: c n 0 m 70 rC > m m C) () 0 "D ru 0 2 3 v v ,D QQ 0 CD 0 0 R 0 0 T n o Z; (D �= < f D > 0 Ln 0 0 CD — 0 > < CL W (D co 0 (D 0- 0 (D — 0 CL N 0 m (D 0 0 (D V, (D o - :E 3 (D 0 (D ;:: (D G) E7 < w m < ai 0 E LD, 0 a' r ,DD 0 0 n r- < 3 (D o 4 0 U) 6 0 < o �n w n zy M 0 n, (D CL , o M cr n W n (D on In ET < c ET 0 (D CL n V) > (D G b < m > z m z m Lti X 0 c z < m U) i m m 0- Cl 'D (D (D 5' C: c n 0 m 70 rC > m m C) () 0 — ul -4 v v v v v 0 K 0 K (D < 0 CD — 0 > < 0 77 (A — -0 co —A (D 0- (D (D — n (D N 0 m 0 tQ - 0 (D (D V, (D o - :E 3 0 (D ;:: (D G) E7 < E LD, n 0 -0 (D . 0 D (D = < 0 < (D O HT 3 (D 3 () 0) 0 0 I m 0 m 0 m 'n r 5 :r 3 0 15 • < w 0 0 • C co X OM > < C 0- z m Ln N) w ul • • b • • 0 00 co > 0 z < m c C: m < w -P. -P. z a) u l 0 N) > z 0 L" --i — 0 0 c > < W C C 0) z m N p 1i w w N M - 0 00 0 0 Ln -0 44 0 C) ' Z < c c m w m Quafity, Design & Dependability WALL-TO-WALL FIAME Gas fir-cphice insct is arc uscd to •onvc1l N ('Xisling wood but'l4in,"4 fircithicc into k morc of ciem amd user-l'tiendiv wav to heat voul honle. Choose Front our ning(l of' cyc-cawhing gas ills to bring radlimcc and warnoil 1422 V0111"llonto at the press of as blawn, SPECIFICXrIONS w,wtl aml ;m(l amc6Q „m oawLmk� z21 2,13b ,wg(l otart a „"a•2.3 ',`-m93 NH (I firciflitc( mv mamd"acmi in Nonh Anwrica with thr hight'st sull)(lard ol' workimtuship. NVC an committcd M SsIpporling our cconolny atid slw Norill Amcl rna trkct dic quality proclus-ts it cxpccus. G 22 M24N 22,625" 1 B 14,12S" 14" P 825" Iriput Rating us" (575mort) Natural Got I t6,000-24,000 BUM 23,008 34,000 MUM 11,000 40,000 BTU/NR (32mm) 4,6 -6.S KWINg 63 91 MRIt 19- t 13 KWINR PmR,w, 3 1,000 13, 000 9MHR 26,000� It 00A B"i V 0 NO 40,000 9TOM"R 49 61 KVHR 1 7 9A Kso, 9 t t i I KWAIR i 317 ul 2t m^ -40-EY934 ON Efficreaces Is 's t 4 125" 14" 22 315 „ keady --------- - 84% ------ ----- - ------------- MUE 7 P, 84 48,77% 1 53,39% 55,62% Mumum pffCoiact ti a g " x .0 x Opemng, W 23", 7' x W ?T',16 ,7V' x W 29 625",14" Ad d 2 5" A 211 W D � 5,75" i�,i i) v I t7 x9.7 LVD whsP uwg Forged Iron ftvm Vent We , 3" (Itimm) Vents two 3" (76noo) vent's two 3" (76mm) Verts V;empg arras W 23.5 H I "'s , w 26" N €43 x W N' Clearance to (Ombustibles mantilk deara;;(,; kom 34" (864 37" 040mml 43.5" € I 105maq buem (b UrM to WHOM M, mtolik swct 6�aranu 40m I" t2srnmi (iSmnq 3" 176nt m� We Pdlme Surround Sizes 3 m S x H 25Y V 41.5 x W 44" x N 29,75" SUB wtsaa scads ,ed SKBAB and W 38 V x N 3 LQS" w 4.S' x as nvs W 44" x R 35,875" WEAB 3 tided SXLB W 41,2S" e N 1 83 W 42-3 # N 3075 W 4715" , H 3 d, "25° Forged trop Fronts Side Height / WhIth d Side, Height /Width I Side Height / Width I and Surround Doors Center Height cent" Height Center Height ----------- Arched Fol; aeon — 1 X87 T-/ J--22;;-7-5-1 From 29.8722 31,875 Bowlsc,,�we FuF� 25.975 P ,24 1 27,875 e' 42 425 :9815: 4 4 rmf� st p "On Ont, Kv �. s 111 8 1 i9,875 US if L w,wtl aml ;m(l amc6Q „m oawLmk� z21 2,13b ,wg(l otart a „"a•2.3 ',`-m93 NH (I firciflitc( mv mamd"acmi in Nonh Anwrica with thr hight'st sull)(lard ol' workimtuship. NVC an committcd M SsIpporling our cconolny atid slw Norill Amcl rna trkct dic quality proclus-ts it cxpccus. G 22 M24N 22,625" 1 B 14,12S" 14" P 825" 3 n us" (575mort) 1 dketj (32mm) 34-IM34N 2 6" 1 14, S I 14" i 9 81 V i 3,75" 1-25" Z! rom) 406mmi 3 §•a 11 O i 317 ul 2t m^ -40-EY934 ON 28" Is 's t 4 125" 14" 22 315 „ 3,75" US" 7i anti) (4706noaq I (359mrn) (356mvn) (S%nml (95mm) , (32niml Dmwa,iim, I —.mmom I 7. 11, k s-: T cry., Pfn:S,,, 1 X r EN V E <1 )IT 8, "I'l, 2, 303-477-5 303-935-1617 00 1 F',A:lt= Af A 41*11-111,11,- none: Property Owner (please Pnnt ): "� � Mailing Address: (if different than property address) slime imlp�l'� l i1 m 4 r. Sq. Ft. /L.Ft added: plumbing City License : Company MEW Mechanical City License : Company: BUILDING DEPARTMENT (303) 235 -2855 CITY OF WHEAT RIDGE Correction Notice Job Located at I have this day inspected this structure and these premises and have found the following violations of City and/or State laws gov- erni You are hereby notified to correct the foregoing violations. When corrections have been made, call for inspection. Date u FORM WR6.22 DO NOT • I qw lNt;1 DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Building Permit Number: 13023 Property Owner: Property Address : 3867 BALSAM ST Contractor License No.: 20148 Phone: 913 -3308 Company: Stanford Roofing Company Phone: 973 -7160 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 the Wheat Ridge Building / Code (U. B.C.) and all other applicable Teat Ri ordinances, for work under this per 1 Construction Value Date: 10/26101 $5,611.00 $125.25 $0.00 $84.17 $209.42 (OWNER)(CONTRACTOR) SIGN D — DATE Use: V Description : REMOVING ROOF TO SHEETING. APPLY #30 FELT & LAMINATE SHINGLES. 30 YR. BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft. : Approval: Zoning Approval: Approval: Occupancy: Electrical License No Company: Expiration Date Approval: Walls: Roof Plumbing License No Company: Expiration Date Approval : Mechanical License No: Company: Expiration Date Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural now of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceed" with successive phases of the job. (6) The ace of per "t or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the pro io o d g codes or any other ordinance, law, rule or regulation. Chief Building nspector Stories : Residential Units : oP WHEgT � m C OLORAD O Property Owner: Property Address: Contractor License No.: a6 47 '60 Building Permit Number; Date: Phone:30,3" � 33v Y PliAr P• O7NER/CONTRACIOR 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 go accurate; that I have read and agreo to abide by all conditions printed - on this application and that I assume full responsibility -for compliance with the Wheat Ridge Building Code (UB.C) and all other applicable Wheat Ridge Ordinances, for work under this permit /. / (OWNER)(CONTEACTOR):SIGNED DATE ,L -/ Description: J. - 7TH Construction Value' a Permit Fee: Plan Review Fee: Use Tax: Total: • ,GA`J� ,Ll,¢ 76 i.s� �.ia�� 5 ..�Q <5� .S , BUILDING DEPARTMENT USE ONLY ZONING COMMENTS: Approval: Zoning: BUILDING COMMENTS: Approval: PUBLIC WORKS COMMENTS: Approval: SIC: Sq.Ft.: Occupancy: walls: Roof: Stories: Residential Units: Electrical License No: Plumbing License No: Mechanical License No: Company: Company; Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or say other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or 'abandoned for a period of 120 days. (3) if Us permit expires, anew permitmay be acquired for &fee of one -half the amount normally required, provided no changes have been or will be made im the original plans mdspecEoations and any suspeasionor abmdonmmthmaotexceededono (I) year. If changes have been orifsuspewion orabmclo=mt exceeds one (1) You, full fees shall be paid for a new permit. (4) NO work of any manner shall be done that will change the natural flow ofwatw causing a drainage problem. ( Contractor sh aUnotif yt heBuildiaglaspcetorhveatyfour (24) hours io advance for all inspections and shall receive Written proceeding with successive phases of the job. ' val on inspection cud be fore ( 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 m regulation Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF wHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303 - 235 -2855) APPUCATION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Building Permit Number: 12193 Property Owner: Property Address: 3867 BALSAM ST Contractor License No.: 21009 Phone: 720 -913 -3308 Company: Hatfield Appliance Phone : 520 -7440 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 re d agree to abide by all condl11'�t�ions printed on this application, and that I assume ful respon for compli,wie Wheat Ridge Building Code (U.B.C.) and all other appli ble Wheat RI a ordi s o otk under this permit. (OWNER)(CONTRACTOR) Construction Value Permit Fee Plan Review Fee Use Tax Total Date : 5123/2001 $1,500.00 $54.00 $0.00 $22.50 $76.50 / C �— Use: Description : EV OGLER INSTALLATI N Electrical License No : 18247 Plumbing License No: Mechanical License No : 21009 Company :Alpha Electric, Inc. Company: Company: Hatfield Appliance Expiration Date: 4/17/2002 Expiration Date: 5/23/2002 Approval: OK /KS Expiration Date : Approval: OK/KS Approval (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. - (6) The issuance of a permit 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 theing codes any other ordinance, law, rule or regulation. - DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Property Owner: ( / y (I - Z I,/ Property Address : 3g S D Contractor License No.: Company: Building Permit Number: Date : 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 for compliance with the heat Ridge Building , Ib Code (U.B.C.) and all other applica a Wheat Rd e o I'i92� i5r_ID k under this permit. (OWNER)(CONTRACTOR) SIGNED" - DATE Description : (/�C,r� Cow /4 ✓ I �(/ � i ®� Construction Value Permit Fee Use Tax Total: use: BUILDING DEPARTMENT USE ONLY SIC: Sq. Ft.: LJ Phone 3 Phone: Roof : Stories: Residential Units : tiectrical License No: 15Z Plumbing License No: Company: I d7t, Company Expiration Date : Expiration Date Approval : Approval : Mec hanical en Np r oC7 Company Company : r7 / 79�PC / ¢ / / J �y✓lC'� Expiration Date Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. - (6) The issuance of a permit 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. Uhlet Building Inspector U'EPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Property Owner: Property Address : 3867 BALSAM ST Contractor License No.: 19500 Date: 6/4/2001 Phone: 7209133308 Company : K J A Electric Phone : 255 -7665 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 the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinancess,, ffoor work under this peerrmmiit. (OWNER)(CONTRACTOR) SIGNED /: _/ J yfj DATE 7Ca� Description : 125 AMP SERVICE CHANGE Building Permit Number: 12258 Construction Value : $1,400.00 Permit Fee: $50.95 Plan Review Fee: $0.00 Use Tax: $21.00 Total: $71.95 Use: BUILDING DEPARTMENT USE ONLY SIC OKAY Occupancy: Walls Roof Sq. Ft. : Stories : Residential Units: Electrical License No: 19500 Company : K J A Electric Expiration Date : 2/28/2003 Approval: DM Plumbing License No Company: Expiration Date: Approval: Mechanical License No: Company: Expiration Date Approval: (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any sus ension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural Flow of water causing a drainage problem. (6) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance o p rmit or the proval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the bull d ordinance, law, rule or regulation. Chief Building DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : f BUILDING INSPECTION LINE - 303- 234 - 5933 - - CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) .APPLIr-ATifn A Property Owner Property Address Contractor License No. Company OWNER /CONTRACTOR SIGNATUF /Z�al - 3 , F - 6 -7 Phone : - /L�7 { l <, L Phone :3c3 E OF UNDERSTANDING AND AGRFFMFNT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. _—. (OWNER)(CONTRACTOR) SIGNED Cu ✓tom DATE 4� t / //O/ Description : 1,.V5-- G� Construction Value : Permit Fee : 1 1 7i� Use Tax: A l. d 0 Total : - 7/ Qe- Use: BUILDING DEPARTMENT USE ONLY Occupancy: '.halls Electrical License No Company: Expiration Date Approval : Roof Plumbing License No Company: Expiration Date Approval: Mechanical License No Company: Expiration Date Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning 2 Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. () This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the Onginal plans and specifications and any suspension or abandonment has not exceeded one (1) year. if changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance of a pe of the bull 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 ding cod o ny o er ordinance, law, rule or regulation. 7i! SIC Sq. Ft. : Stories: Residential Units :