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HomeMy WebLinkAbout3885 Balsam Street-366 l INSPECTION RECORD Occupancy/Type 3 INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 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 Mid -Roof Concrete Encased Ground (CEG) Lath / Wall Tie Foundation / P.E. Letter Rough Electric " Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical 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 A Cite of Wheat Ridge Residential Roofing PERMIT - 201703661 PERMIT NO: 201703661 ISSUED: 07/10/2017 JOB ADDRESS: 3885 Balsam ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install OWENS CORNING STORM CLASS IV asphalt shingle with 32sq house reroof / 6/12 pitch *** CONTACTS *** OWNER (720)350-6815 ZIESCHANG PAUL SUB (720)501-5700 Stephen Miller 170297 Copper Creek Inc *** 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: 8,224.00 FEES Total Valuation 0.00 Use Tax 172.70 Permit Fee 188.45 ** TOTAL ** 361.15 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A•ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. t 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: ME 0 Job Addres�� Permit Number`- 2 � ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No �r _f When corrections have been made, call for Date: ",�_ ./ f/_ / /� Inspector:_ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE C Inspection Type: p Job Address: q j S m S -f" Permit Number: G r-) G *z (.4 I ❑ No one available for inspection: Time /0 =tj UAM/PM Re -Inspection required: Yes. No - *When corrections have been made, call.for re -inspection at 303-234-5933 Date: Inspector: 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 Inspection Type: L f� Job Address: !S '� C S i Re-inspection required: Yes No ' When corrections have been made, call for Date: `�_ /(/ ` , I r� Inspector:— M1 sem' i.i., 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: -q� �A 1, D Job Address: � P, S fl >n sfi" Permit Number: J ! "? 4 J (0 1 ❑ No one available for inspection: Time /() = b/UAM/PM Re -Inspection required: Yes, No *When corrections have been made, call.for re -inspection at 303-234-5933 Date: Inspector: p ector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 11 SI S Permit Number: o-_�Df 6 ❑ No one available for inspection: Time -0() AM/( Re -Inspection required: Yes No When correction have been made, call for re -inspection at 303-234-5933 1 I I Date: l l r Inspector: r y 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: F., n 1 1 Job Address: 3 6 fry— 73,�, A n, S -)- Permit Number: a 0 I-7 0 3 4 I. I ❑ No one available for inspection: Time =1S- OPM Re -Inspection required: Yes l "%' When corrections have been made, call for re -inspection at 303 -234 - Date:— 'S .1 a 5- Inspector: DO NOT REMOVE THIS NOTICE K City of Wheat Ridge r • ` Residential Roofing PERMIT - 201703661 PERMIT NO: 201703661 ISSUED:' 07/10/2017 JOB ADDRESS: 3885 Balsam ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install OWENS CORNING STORM CLASS IV asphalt shingle with 32sq house reroof / 6/12 pitch *** CONTACTS *** OWNER (720)350-6815 ZIESCHANG PAUL SUB (720)501-5700 Stephen Miller 170297 Copper Creek Inc *** 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: 8,2241P44 FEES Total Valuation 0.00 Use Tax 172.70 Permit Fee 188.45 ** TOTAL ** 361.15 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703661 PERMIT NO: 201703661 ISSUED: 07/10/2017 JOB ADDRESS: 3885 Balsam ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re—Roof to install OWENS CORNING STORM CLASS IV asphalt shingle with 32sq house reroof / 6/12 pitch 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 owned` f the properfy and am authorized to obtain this pen -nit and perform the work described and approved in conjunction with this permit. I furt r attest that. m legally auah ized to include all entities named within this document as parties to the work to be performed and t t w rk-t s e pert e is s osed in this document and/or its' accompany plans and specifications. I n aZ-- Signature of OWNFIK 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. q. 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 grantingof a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or arK or ance or regulation of this jurisdiction. Approval of work is subject to field inspection. . Jy .. k Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection ti m sts will cepted b ,email only., P e I requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:OOameimorn ng'ot the n s ► ut the address of the inspection in the subject line. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 7:44 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 3885 Balsam Street Paul Zieschang 7 7/l 47 l�ahc�Gil taco �e,�� %��a/7 Property Owner Phone 720-350-6815 Number S ( t Property Owner Email steve@coppercreekexteriors.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Copper Creek, Inc 170297 720-842-2119 Contractor Email Address steve@coppercreekexteriors.com Retype Contractor Email steve@coppercreekexteriors.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Storm Class IV Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2 on the flat roof? z 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) Project Value (contract value or cost of ALL materials and labor) 32 House re -roof / 6/12 pitch �ILq%-co 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 steve miller Email not displaying correctly? View it in your browser. 3 10200 rE rjim"O"' C-350 oenw,, Co 80231 Office 720 5015700 Ta.x303 364 8560 Insurad eZ Licensed 1tuj,,(-oWer(.'rec!jf1aC?ior$-camcam Exterior Restoration Contract CA e C C3i1n 110 3Q 1 Cell Phoott��e Pr w r me(�" Ii t C,v STYP BillingqAdd r Propg�(y fY(3Lj' t 1 T a- t t llr 2 1.r1J7 7 -- fa! h.�it R,i A � Co d City, State, Zip (/ City, Stale, Zip Email r C reek Inc. The undersigned Property ownerior s nee sessary o perform herebythorized agent workmanlike manner !the tepl ccement and/or repairs as specified below Amish tans material, labor and buildin perm S l�grecd insurance Allowance (AIA*). Payment for contracted services to be made as ollows' $ / Actual Cash Value (ACV—) or lessor amount as down payment (CCC DOES NOT COLLECT ANY P � ce THE Cost Value ((RCV'9N TRUST PRIOR to delivery of materials prior to work starting onsite), and the balance of: S eP due upon completion of work. Estimated stag date:.`)? L. Estimated completion date 17_T— subject o change if weather conditions, at the sole discretion of CCC, appears to compromise the safety of Inc crews. Claim S ecifications DEMOLITION: water features, etc. with tarps and plywood as necessary to protect Protect and cover siding, landscaping, driveway, windows doors from damages caused by debris. Remove associated debris from property. Remove all roofing materials to include vents, fl undedayment. inspect all visible substrate (decking) for rot, damage and deficiency. Per 8x4 sheet is replaced at a; of S P� sheet and includes labor. / INSTALLATION R FIND: V install new/repla c ing substrate (decking) as needed to provide suitable surface for installation of new materials for a cost per square foot !AIA.'s specifications as applicable Install new Ice and Water Shield per municipal code and manufaclute. 1 Install new underlayment on remaining roof deck surfaces per manufacture's specifications. �1 • 1`v J M 4"" aA Install new drip edge metal on all eaves and gab! per municipal codes install new _ 24" "W" metal Valley or _ properly flashed closed, California cut Valley'. Install new roofing material of like kind and quality as pre-existing per municipal code (to include nailing pattern) and marm acture 's j a specifications unless marked: _Material Manufacturer 9:2st1+S" C -'Of l r,-p{Y�,�`r'tP4+�/ fust✓ Color HO initials: date:—Other r✓ Install new hip and ridge caps. _Shingle over, Raised profile, Shingle over ridge vent, �* Install new flashing at all roof protrusions per municipal code and manufacturer's specifications. Y' Install new vents per municipal code and manufacturer's specifications. _ Remove and haul away remaininrj roofing materials and debris. Roll yard and driveway with magnetic roller. INSTALLATION SIDING: C p t IJ !� t til LT o G P{ © '� rttl _ Install new/replace existing vinyl siding and identified trim per loss ement a! needed to provide suitable surface for installation of new materials for a cost $ per square foot !_ AIA. _ Install new/replace existing garage door identified per loss statement as needed to provide suitable surface for installation of new materials for a cost S per square foot / AIA. INSTALLATION WINDOWS:f ' rs � 3 1-1 Install new/replace, existing window! oor a1J rn t l wrahp casing trim identifi p oss statement as needed to provide suitable surface for installation of new materials for a cost S per square foot 1 A. �NSTALLATION CUTTERS: nstall new/replace existing gutters perjoss statement as needed o provide suitable surface for installation of new materials for a cost $ per square foot /__ A. ThAsV4 pplies to AIA Contracts r IJyP o isi s I-6 MUST be initiate y the Prope Owner or Agent. �� yQ FF�a �'_f 3 obi `� sa* r` r t )Is J INSURANCE COMPANY CLAIM # ADJUSTER'S NAME ADJUSTERS CONTACT# 71. AGE COMPANY ^ LOAN #^T MORTGAGE CO'S ADDRESS MORT CO'S PHONE # Contractor shall complete the Scope of Work based on AIA, with NO ADDITIONAL OUT OF POCKET EXPENSE TO AR -T ARTTi rNURANCE DEDUCTIBLE which cannot be = ,unless Property Owner requests upgrades or additional work in writing ("Change Order') that is not approved by the insurer. This Contract is considered AIA only if the Property Owner has full replacement cost insurance coverage. Otherwise, this is a Contract for rooser fingiconstruction vices outside of AIA and certain consumer protection laws may not apply. v/ 2. The undersigned hereby gives consent and authorization for the insurance company named above to discuss the Claim, settlement terms, and supplemental charges/fees and release all pertinent claim information related to the applicable Claim to Contractor. 3. The undersigned hereby agrees to collect and provide all documents and information related to Contractor in a timely manner. 4. The undersigned herebv assigns all amounts due from the Property Owner's insurers and/or mortgagees for work completed by the Contractor to Copper Creek Inc. This includes, but is not limited to: all direct costs, overhead and profit and any supplements submitted to and approved by the insurer for additional work, ordinance/code upgrades, cost increases, and unforeseen repairs. The Contractor reserves the right to request and receive additional payments from Property Owner's insurer due to material or tabor increases, storm environment, unforeseen work including but not limited to substrate replacement, or if measurements and/or other information provided by the Property Owner or the Property Owner's Insurer are incorrect. The undersigned agrees that Contractor may cancel this Contract solely upon Contractor's discretion if the Property Owner's insurer is unwilling to pay fair market value for work covered under the Property Owner's insurance policy. Contractor shall make a good faith effort to reach an Agreed insurance allowance. _bZ 6. The Scope of Work /AIA shall be attached hereto and made part of this Contract as "Addendum 1". Once an AIA is reached with Property Owner's insurer, a lob Start Checklist shall be attached hereto as "Addendum 2". Notice of Cancellation per SENATE BILL 12-03816-22-101 ACT You, the buyer, may cancel this transaction at any time prior to midnight on the THIRD BUSINESS DAY after the date of this transaction. SEE THE ATTACHED NOTICE OF CANCELLATION FORM for an explanation of this right. I/We the undersigned agree to the terms and conditions of this Contract, including all terms and conditions on the reverse side. This Contract supersedes all previous Contracts including but not limited to rebates, discounts, or concessions whether written or omi. Surety & Liability Policy is held by producer: DC INSURERS -MOUNTAIN 3705 KIPLING ST. #106 WHEAT RIDGE, CO 80033 PH -303-420-4774 FAX,�Q3-420- Z2 61% ( 1 288 , 2 Z, -7 b—' PROPERTY OWNNR.rAGENTSIGN.ATURE DATE PROPER wNERJftGEN�GIIA;W DATE //77 -UA ({// CERTIFICATE HOLDER COPY o City of Wheat Ridge 7500 W 29th Ave Wheat Ridge, CO 80033 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT (CONT) K City of Wheat Ridge r • ` Residential Roofing PERMIT - 201703661 PERMIT NO: 201703661 ISSUED:' 07/10/2017 JOB ADDRESS: 3885 Balsam ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to install OWENS CORNING STORM CLASS IV asphalt shingle with 32sq house reroof / 6/12 pitch *** CONTACTS *** OWNER (720)350-6815 ZIESCHANG PAUL SUB (720)501-5700 Stephen Miller 170297 Copper Creek Inc *** 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: 8,2241P44 FEES Total Valuation 0.00 Use Tax 172.70 Permit Fee 188.45 ** TOTAL ** 361.15 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201703661 PERMIT NO: 201703661 ISSUED: 07/10/2017 JOB ADDRESS: 3885 Balsam ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re—Roof to install OWENS CORNING STORM CLASS IV asphalt shingle with 32sq house reroof / 6/12 pitch 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 owned` f the properfy and am authorized to obtain this pen -nit and perform the work described and approved in conjunction with this permit. I furt r attest that. m legally auah ized to include all entities named within this document as parties to the work to be performed and t t w rk-t s e pert e is s osed in this document and/or its' accompany plans and specifications. I n aZ-- Signature of OWNFIK 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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. q. 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 grantingof a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or arK or ance or regulation of this jurisdiction. Approval of work is subject to field inspection. . Jy .. k Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection ti m sts will cepted b ,email only., P e I requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:OOameimorn ng'ot the n s ► ut the address of the inspection in the subject line. Dane Lovett From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 7:44 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 3885 Balsam Street Paul Zieschang 7 7/l 47 l�ahc�Gil taco �e,�� %��a/7 Property Owner Phone 720-350-6815 Number S ( t Property Owner Email steve@coppercreekexteriors.com Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Copper Creek, Inc 170297 720-842-2119 Contractor Email Address steve@coppercreekexteriors.com Retype Contractor Email steve@coppercreekexteriors.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Owens Corning Storm Class IV Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 2 on the flat roof? z 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) Project Value (contract value or cost of ALL materials and labor) 32 House re -roof / 6/12 pitch �ILq%-co 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 steve miller Email not displaying correctly? View it in your browser. 3 10200 rE rjim"O"' C-350 oenw,, Co 80231 Office 720 5015700 Ta.x303 364 8560 Insurad eZ Licensed 1tuj,,(-oWer(.'rec!jf1aC?ior$-camcam Exterior Restoration Contract CA e C C3i1n 110 3Q 1 Cell Phoott��e Pr w r me(�" Ii t C,v STYP BillingqAdd r Propg�(y fY(3Lj' t 1 T a- t t llr 2 1.r1J7 7 -- fa! h.�it R,i A � Co d City, State, Zip (/ City, Stale, Zip Email r C reek Inc. The undersigned Property ownerior s nee sessary o perform herebythorized agent workmanlike manner !the tepl ccement and/or repairs as specified below Amish tans material, labor and buildin perm S l�grecd insurance Allowance (AIA*). Payment for contracted services to be made as ollows' $ / Actual Cash Value (ACV—) or lessor amount as down payment (CCC DOES NOT COLLECT ANY P � ce THE Cost Value ((RCV'9N TRUST PRIOR to delivery of materials prior to work starting onsite), and the balance of: S eP due upon completion of work. Estimated stag date:.`)? L. Estimated completion date 17_T— subject o change if weather conditions, at the sole discretion of CCC, appears to compromise the safety of Inc crews. Claim S ecifications DEMOLITION: water features, etc. with tarps and plywood as necessary to protect Protect and cover siding, landscaping, driveway, windows doors from damages caused by debris. Remove associated debris from property. Remove all roofing materials to include vents, fl undedayment. inspect all visible substrate (decking) for rot, damage and deficiency. Per 8x4 sheet is replaced at a; of S P� sheet and includes labor. / INSTALLATION R FIND: V install new/repla c ing substrate (decking) as needed to provide suitable surface for installation of new materials for a cost per square foot !AIA.'s specifications as applicable Install new Ice and Water Shield per municipal code and manufaclute. 1 Install new underlayment on remaining roof deck surfaces per manufacture's specifications. �1 • 1`v J M 4"" aA Install new drip edge metal on all eaves and gab! per municipal codes install new _ 24" "W" metal Valley or _ properly flashed closed, California cut Valley'. Install new roofing material of like kind and quality as pre-existing per municipal code (to include nailing pattern) and marm acture 's j a specifications unless marked: _Material Manufacturer 9:2st1+S" C -'Of l r,-p{Y�,�`r'tP4+�/ fust✓ Color HO initials: date:—Other r✓ Install new hip and ridge caps. _Shingle over, Raised profile, Shingle over ridge vent, �* Install new flashing at all roof protrusions per municipal code and manufacturer's specifications. Y' Install new vents per municipal code and manufacturer's specifications. _ Remove and haul away remaininrj roofing materials and debris. Roll yard and driveway with magnetic roller. INSTALLATION SIDING: C p t IJ !� t til LT o G P{ © '� rttl _ Install new/replace existing vinyl siding and identified trim per loss ement a! needed to provide suitable surface for installation of new materials for a cost $ per square foot !_ AIA. _ Install new/replace existing garage door identified per loss statement as needed to provide suitable surface for installation of new materials for a cost S per square foot / AIA. INSTALLATION WINDOWS:f ' rs � 3 1-1 Install new/replace, existing window! oor a1J rn t l wrahp casing trim identifi p oss statement as needed to provide suitable surface for installation of new materials for a cost S per square foot 1 A. �NSTALLATION CUTTERS: nstall new/replace existing gutters perjoss statement as needed o provide suitable surface for installation of new materials for a cost $ per square foot /__ A. ThAsV4 pplies to AIA Contracts r IJyP o isi s I-6 MUST be initiate y the Prope Owner or Agent. �� yQ FF�a �'_f 3 obi `� sa* r` r t )Is J INSURANCE COMPANY CLAIM # ADJUSTER'S NAME ADJUSTERS CONTACT# 71. AGE COMPANY ^ LOAN #^T MORTGAGE CO'S ADDRESS MORT CO'S PHONE # Contractor shall complete the Scope of Work based on AIA, with NO ADDITIONAL OUT OF POCKET EXPENSE TO AR -T ARTTi rNURANCE DEDUCTIBLE which cannot be = ,unless Property Owner requests upgrades or additional work in writing ("Change Order') that is not approved by the insurer. This Contract is considered AIA only if the Property Owner has full replacement cost insurance coverage. Otherwise, this is a Contract for rooser fingiconstruction vices outside of AIA and certain consumer protection laws may not apply. v/ 2. The undersigned hereby gives consent and authorization for the insurance company named above to discuss the Claim, settlement terms, and supplemental charges/fees and release all pertinent claim information related to the applicable Claim to Contractor. 3. The undersigned hereby agrees to collect and provide all documents and information related to Contractor in a timely manner. 4. The undersigned herebv assigns all amounts due from the Property Owner's insurers and/or mortgagees for work completed by the Contractor to Copper Creek Inc. This includes, but is not limited to: all direct costs, overhead and profit and any supplements submitted to and approved by the insurer for additional work, ordinance/code upgrades, cost increases, and unforeseen repairs. The Contractor reserves the right to request and receive additional payments from Property Owner's insurer due to material or tabor increases, storm environment, unforeseen work including but not limited to substrate replacement, or if measurements and/or other information provided by the Property Owner or the Property Owner's Insurer are incorrect. The undersigned agrees that Contractor may cancel this Contract solely upon Contractor's discretion if the Property Owner's insurer is unwilling to pay fair market value for work covered under the Property Owner's insurance policy. Contractor shall make a good faith effort to reach an Agreed insurance allowance. _bZ 6. The Scope of Work /AIA shall be attached hereto and made part of this Contract as "Addendum 1". Once an AIA is reached with Property Owner's insurer, a lob Start Checklist shall be attached hereto as "Addendum 2". Notice of Cancellation per SENATE BILL 12-03816-22-101 ACT You, the buyer, may cancel this transaction at any time prior to midnight on the THIRD BUSINESS DAY after the date of this transaction. SEE THE ATTACHED NOTICE OF CANCELLATION FORM for an explanation of this right. I/We the undersigned agree to the terms and conditions of this Contract, including all terms and conditions on the reverse side. This Contract supersedes all previous Contracts including but not limited to rebates, discounts, or concessions whether written or omi. Surety & Liability Policy is held by producer: DC INSURERS -MOUNTAIN 3705 KIPLING ST. #106 WHEAT RIDGE, CO 80033 PH -303-420-4774 FAX,�Q3-420- Z2 61% ( 1 288 , 2 Z, -7 b—' PROPERTY OWNNR.rAGENTSIGN.ATURE DATE PROPER wNERJftGEN�GIIA;W DATE //77 -UA ({// CERTIFICATE HOLDER COPY o City of Wheat Ridge 7500 W 29th Ave Wheat Ridge, CO 80033 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. DESCRIPTION OF OPERATIONSfLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT (CONT) INSPECTION RECORD OccugancvlTVpe 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. `�,- t 1�rI h1 ��) L_v) t > - r�- I INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR I N ITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) ROUGHS PII XT- RLMV41a<92111W9-PPl= Lath /Wall tie Mid -Roof Electrical Service Rough Electric Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SI GNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE 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 CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION 13Y THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦► • CITY OF WHEAT RIDGE Building Inspection Division J (303) 234 -5933 Inspection line (303) 235 -2855 Office * (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type A - Vo , ,'Al ,' r�r� Job Addres sT " Permit Number 14 on required: Yes 60)." ♦��4' _ City of Wheat Ridge Residential Plumbing PERMIT - 102425 PERMIT NO: 102425 JOB ADDRESS: 3885 BALSAM ST DESCRIPTION: Replace 40 gal gas water heater ISSUED: 10/21/2010 EXPIRES: 10/21/2011 * ** CONTACTS * ** owner 303/422 -2266 Susan Ziechang go 303/534 -0881 Gary Kenfield 01 -7152 Precise Plumbing ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0328 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 800.00 FEES Permit Fee 40.00 Total Valuation .00 J �� 7 ** TOTAL ** 40.00 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 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 applicSX)2 Wheat Ridge Ordinances, for.work under this permit. Plans subject to field inspection. Signatuf contraEEor /owner 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. 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 viol tion of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review j to field inspections. Signature of Chic ui 'ng Official date - INSPECTION EQUESTLINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 77 City CA COMMUNITY DLiVLLOPMENT 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 Da te: Plan # Permit Building Permit Application Property Address Property Owner (please print): S� s „ t 2 ; e Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Contractors City License #: / 7 j 2 Phone: 03 S/_ O � Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work' lge,o/ c e yo 9A /, /,�,a s W,q -er Al e4 contraot Value: Fs - , r — M 6ro Review Fee (due at time of submittal): Squares BTU's Gallons _ Amps Sq Ft. S yp 00 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 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: (DOWNER) (CONTRACTOR) or (AOTHORIZEAREPRESf;NTATIVE) of (OWNER) 1 PRINT NAME: GATE i 1 e !K SIGNATURE: DATE:.. 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 Date 14835 11/22/02 Property Owner: SUSAN ZIESCHANG Property Address: 3885 BALSAM ST Contractor License No.: 17152 Phone : 422 -2266 Company: Precise Plumbing Phone : 534 0881 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 ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value : $495.00 Permit Fee : $23.50 Plan Review Fee: $0.00 Use Tax: $0.00 Total: $23.50 Use: Description : REPLACE WATER HEATER, READY FOR INSPECTION BUILDING DEPARTMENT USE ONLY �onih " _ "menu }} SIC: Sq. Ft. Approval: Zoning �wlding a , - menYs Approval: l.�e Wo k� =fi f . �.. Otte "tss Approval: Occupancy: Walls: Roof : Stories : Residential Units Electrical License No : Company: Expiration Date Approval: Plumbing License No :17152 Company: Precise Plumbing Expiration Date : 10/18/03 Approval: OK/KS 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 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 issuan a 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 provisio of)he built in odes or any other ordinance, law, rule or regulation. Chie Building 1 ector DEPARTMENT OP PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: l„-^ `l Property Address : j' �^ �J� �s 5 Phone Contractor License No.: / 7/ 1 (" 303 Company : P� e cis c //""1 !a9 Phone OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT a assume responsibility for compuanae with the Wheat Ridge Budding Code (U.B.C.) and all other applicable Whom orautanes o. for work under this pertmt. - (OWNER)(CONTRACTOR) SIGNED ���� DATE Description : /'c / c e eA,l.� �vc �•. rle A.� Construction Value : /,/ / 5- — I hereby certify that the setback distances proposed by this Permit application are accurate. Permit Fee : 2 SO and do not violate appbC]ble Mulattoes. rules or regulations of the City of Wheat Ridge or covenants. easements or restrictions of reoord: Nat ag measurement shown. and allegations -� "frill" are accurate: that I have read and agree to able try all conditions printed on this Use Tax appbption and that I h;ll BUILDING DEPARTMENT USE ONLY ZIZBjtft3�L'Bbfufefi� Approval 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 Plash "s:R�qutred=- Prlrhs Re�uirad."' '1 (1) Tha parirut was issued in aos"'ance with iMe Wovm*ns $Of forth m YCpur applKaboll and a su bfect n the laws of the Stab of Cnblioo a R rid t0 the ZOIYIg . eguauons and Building Code of wheat Ridge. Co:oraoo or any timer appumbie ordlgances of the City. (2) Thrs pertnd and expwe d (Al the wont authorized IS not mmrnanred wldun arty (60) days from issue date or (e) the building auNanxeo a susperid W or abandoned for a pent of 120 days. (3) If this perga exowes. a new oemvt may be acdudsd for a 4e of on"d the atrium normally required. provided no c hangss gave bean or WN be Made n tie organ) plans and 3000deabons and any suspengm or aoandonnam gas not exceeded one (1) year. It Changes are rnsoa or it suspension or awldomam exceeds One (1 year. full fees anal be tan for a new oemn. (4) No work of any manner shag be done that end change me natural flow of watts caUSlriq a draaage prdblem. (5) Cont snail notlN the Bunting Inspector twenty.nou, (24) flours In advance for all lnspecdonS and shall receive written approval on inspection card tfafats prerieonng w-m success" ceases of ne too. (6). The issuance of 'a pemmt or the approval of drawings and specifications snit not be construed to be a pemn for. nor an approval of. any vnlapon d the Provisions the tiunomg . codes or any other ordinance. air. nl:e or reguauon: Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR " CALL: 2345933 24 HOURS PRIOR TO INSPECTION Total: 215 D /f DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 14042 BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE Date: 6/17/02 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Property Owner: PAUL ZIESCHANG Property Address : 3885 BALSAM ST Phone : 422 -2266 Contractor License No. Company: Phone: OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee: 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 Plan Review Fee: $0.00 made are accurate; that I have read and agree to abide by all conditions printed . on this Use Tax application, and that I assume full responsibility for compliance with the Wheat14dge Building Code (U.B.C.) and all other applicable Wheat R' ge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNS . �,.. 2� �. ..:...,� DATE /o ^/7 ^0.9_ Total : $0.00 y Description : STORAGE SHED 12'X 10' (NO FEE PERMIT) Use: Please fi'cste: Owner/ contractor is responsible ror !ocating propert 114, ruu +:vu5uuvullg t:nnrovcments accorging t BUILDING DEPARTMENT USE O gds pan and reouira de clapmc, r,ta da �f1t sno responsibic r n curl rrPorrrt sa � any e0ns Approval: MP OK: 6/17107 crs resulting from in cc az in or `it;n, Zoning: R -2 MUNSFINNOWN 6117/02. PROPERLY ANCHOR SHED ON CORNERS Approval: BIG Approval 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 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 i oe 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 `p io f g codes or any other ordinance, law, rule or regulation Chief Build in nspector I Storage Shed Placement Permit (for storage shed that DO NOT exceed 120 sq ft in floor area) Department of Planning and Development Property Owner: P j Z; 2S C)X G r� U Property Address: 3 gSS 6�f 5 a vYa Phone: 303 - 4Z - Contractor: Phone: OWNER/CONTRACTOR OF • AND AGREEMENT I hereby certify that the setback distances proposed for 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) Description: S e 5Ae4 Date: X > -5' 0 -?- Use: Zoning: Building Setbacks - Side: )A' Rear: 4, r zbnlh Approval: NP OK � � Front: n1A Approval: Gl7AA Sq. Ft.: r Cr C No work of any manner shall be done that will change the natural flow of storm water causing a d Owner /contractor shall notify the building department twenty-four ( 24 ) hours in advance for all inspectio I^��e written approval an inspection. The issuance of a permit or approval of drawings shall not be construed to be a permit for , nor an approval of, any violation of the provisions of the building codes or any ordinance, law, rule or regulation. {� Sheds must be properly and securely anchored at all corners. PLEASE NOTE: Owner/ contractor is responsible for locating property lines and constructing improvements accordingtothe approved plan and required developmentstandards. The City is not responsible forinaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. Code dministrator I I DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 12131 BUILDING INSPECTION LINE - 303 - 234 -5933 CITY OF WHEAT RIDGE Date 5/1412001 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) Property Owner: Property Address : 3885 Balsam St Contractor License No.: 20995 Phone: 303 - 422 -2266 Company: TLC Roofing Phone : 303 - 412 -1550 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 responsibilit 7corrilliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable he i 77o/ al ¢�a, forwo k under this p ,,Mlit. //,, (OWNER)(CONTRACTOR) SI - / DAT& Description : Remove 3 layers. Install 30 yr elk barkwood Construction Value: $4,765.00 Permit Fee: $111.25 Plan Review Fee: $0.00 Use Tax: $71.48 Total: $182.72 Use: Electrical License No Company: Expiration Date : 5/14/2002 Approval: Plumbing License No: Company: Expiration Date : 5/14/2002 Approval: Mechanical License No : Company : Expiration Date: 5/14/2002 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 cod" any other gdinance, law, rule or regulation. DEPARTnJI"ENT 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) .APT�LI / 10, Property Owner: (5(�i5' Property Address :J 'f6a Company : 71 C OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDIN 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 or 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 orinted cn this application, and that I assume full rasponslbility for plia with the Wheat Ridge Building Code (U.B.C.) and all other applicable heat ge rdl / n�� r es work under this per / mit. (OWNER)(CONTRACTOR) SIG ED (. /J Z .. / / /_, Date I/D) Phone Phone Construction Value Permit Fee Use Tax Total: ` Use: Description 3 L( ���� ? ? � , ���a / � / Qa� EQ 1 C -1 ✓- (NOa21 �Vi/ylPdL df� BUILDING DEPARTMENT USE ONLY Appro Zoning ° ° .:lT.: A ppro val ?e A Occupa Electrical License No: Company: SIC 76 'a7 Sq. Ft.: Roof : Stories: Residential Units : Plumbing License No : Mechanical License No Company: Company: Expiration Date : Expiration Date Expiration Date Approval Approval: Approval: (1) This permit was issued in accordance with the provisions set forth in ybpur 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 aWholizetl is suspended or abandoned for a period of 120 days If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, Provided no changes have been or will be made in the 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. Buiiaing Permit Number: Building Inspector )EPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95 -1519 BUILDING INSPECTION DIVISION - 235 -2855 . CITY OF WHEAT RIDGE Date :7/27/95 7500 WEST Z _2 29TH AVENUE WHEAT RIDGE, CO 80215 DCv q Property Owner: DE SELM MARVIN L Property Address: 3885 BALSAM ST Phone: 422-1252 Contractor License No.: 18409 Company: ADVANCED LAWN SPRINKLER SERVICE Phone: 425 -0355 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $240.00 ' I hereby certify that the setback distances proposed by this permit application are accurate, .Permit Fee: $15.00 z ;. and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or :covenants, easements or restrictions of record; that all me ureme own, and allegations Plan Review Fee: '$0.00 made are accurate; that I have read and agr d II co on this application, and that I assume full respo ility for m flan Wheat Ridge Buildin Code (U.B.C.) and all other applicable heat Rl r man ork under this permit. Use Tax: $3.60 (OWNER)(CONTRACTOR) SIGNED DATE ?�iS Total : $18.60 Description : SPRINKLER SY EM FEBCO 765 -1 PVB ki Electrical License No : Plumbing License No: Mechanical License No Company: Company: Company: Expiration Date : Expiration Date: ration Date Expiration p P� p� Approval: Approval: Approval: (1) This permit was issued g accordance with the provisions set forth mpapplication and is subject the laws of the Stale of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado or any other er applicable ordinances of City. g (2) This permit shall expire (A) the work authorized is not commenced within sixty (60) days from i e tlate or (B) the building auUOnzed is suspended or abandoned fora pedod 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 burl mg codes or any other ordinance law, rule or regulation. Pg ; age Chief Buildin spector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR r CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner :. tE a tv Property Phone :t-rt7� -�aJa Contractor License No.: \4,� Company : �(� \1El el�J V N���l6lk�z l hone <3a`D 4�LA V\ �t OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value °— I hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee 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 Use Tax: application, and that I assume full responsibility for compJiaa a with the Wheat Ridge Building Code (U. B.C.) and all other applicable Whea g man es, f r work under this permit. Total: (OWNER)(CONTRACTOR) SIGNED DATE 71�2 I/ Description T z5SA Z - 7 Lp�) ­ i�'\) Electrical License No : Plumbing License No: Mechanical License No Company: Company: Company: Expiration Data : Expiration Date: Expiration Date: Approval: Approval: Approval: µPus '! a t.WOetjuted n' t 8aiiei (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 wall 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 Tana 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 ornar(1) year, full fees shall be paid for a new permit. (4) No work of my 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 wall successive phases of the job. (6) The issuance afa 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. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION If