HomeMy WebLinkAbout3915 Balsam Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
F,
Inspection Type: i/
Job Address: C `� 4.
Permit Number:
e
I
❑ No one available for inspection: Time Ay,%PM
Re -Inspection required: Yes, No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. usd ns pection
Date:,.: c"' 201' Inspector: _i/
r y�
DO NOT REMOVE THIS NOTICE
CITY,OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
F(
f ^�..-
Job Address:
Permit Number:
C.
Ll No one available for inspection: Time f ZC0 AM/PM
Re -Inspection required: Yes �N )
When corrections are complete, schedule re -inspection online.
,�' ti
Date-�Inspeck rt�,�
DO NOT REMOVE THIS NOTICE
1* � � i City of Wheat Ridge
-.A Residential Mechanical PERMIT - 201902081
PERMIT NO: 201902081 ISSUED: 10/02/2019
JOB ADDRESS: 3915 Balsam St EXPIRES: 02/01/2021
JOB DESCRIPTION: Replace 100K BTUs, 95% efficiency gas furnace in crawlspace; Replace 3 ton,
16 SEER AC in side yard; furnace/AC hookup with GFCI
*** CONTACTS ***
OWNER (443)226-4473 JOHN & JANNA THORNTON LIVING T
SUB (303)798-8783 J. PATRICK QUINLAN 018464 COFFMAN/B & F HEATING & A/C
SUB (720)579-3017 JOHN F. GORDON 018057 MODELCO ELECTRIC CORP
*** 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: 91138.00
FEES
A/C Replacement 60.00
Furnace Replacement 40.00
Total Valuation 0.00
** TOTAL ** 100.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level o f the structure.
I, by my signature, do hereby attest that the work to, be performed shall comply with all accompanying approved plans and specifications,
applicae building codes, and all applicable municpal 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�permrt. I further attest that I am leg ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
- Ci�rar�t;�rT~rf�tvewPht�n��r
City of Wheat Ridge Municipal Building 7500 W. 291h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may 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.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
�cnait,�ci,wheaeride.co.us or fax to 303-237-8929.
Party requesting permit extension:
Phone # ��! Z Email Address: //�lXl/97/(ji / ���f7 rr l�n� r ofl7
Reason for extension request:
Numbe
n
'/V hie a. --
r
Printed
of days requested: /�/�/ JD" -5
r (/
Name. "I Signatur : Date: 3D
For office use only
This request has been:
Approved
Approved
4 I�Maa¢.z
❑ Denied Extended until: 2/01/2021
www.d.wheatridge.co.us
12/01/2020
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: 4-02)
Job Address:h •�'
Permit Number: T
❑ No one available for inspection: Time U _ AM M
Re -Inspection required Yes
When corrections have been made, sch ule rias ect" at:
http✓/www. ci. wheatridge. co. uslinspecti�n ,
Dat :. spf�tor,
:
17 a
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: !" I
Job Address: 1 S c J ��, S_/
Permit Number: , ', ( Z-- Ei !
a
r
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at;
http://www.ci. wheatridge.co, uslinspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanical PERMIT - 201902081
PERMIT NO: 201902081 ISSUED: 10/02/2019
JOB ADDRESS: 3915 Balsam St EXPIRES: 10/01/2020
JOB DESCRIPTION: Replace 100K BTUs, 95% efficiency gas furnace in crawlspace; Replace 3 ton,
16 SEER AC in side yard; furnace/AC hookup with GFCI
*** CONTACTS ***
OWNER (443)226-4473 JOHN & JANNA THORNTON LIVING T
SUB (303)798-8783 J. PATRICK QUINLAN 018464 COFFMAN/B & F HEATING & A/C
SUB (720)579-3017 JOHN F. GORDON 018057 MODELCO ELECTRIC CORP
*** 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: 9,138.00
FEES
A/C Replacement 60.00
Furnace Replacement 40.00
Total Valuation 0.00
** TOTAL ** 100.00
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4_ No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a pen -nit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or ordinance or r, lation 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
3+2/2019 G;S
Replace lmKyG,9
CU9ba
++ 3915 Gam» 9
AFS RmR NO:
P#«# RECEIVED
PP /4205
+q m+:64914+
TOTAL
-----------
qb
AmA!
100.00
201902081
AMOUNT �.
Im,m
!00.00
Kimberly rl Cook R0qQ0
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, October 2, 2019 10:50 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler 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 Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
3915 Balsam St
Janna Thornton
443-226-4473
Field not completed.
3915 Balsam St - CC Authorization Form.pdf
CONTRACTOR INFORMATION
Contractor Business Coffman/B&F Heating & AC Inc
Name
Contractor's License 18464
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-366-1112
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address pschmidt@coffmanco.com
Retype Contractor Email pschmidt@coffmanco.com
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 100,000
What is the efficiency 95%
(%) of the unit?
Is the unit GAS or Gas
ELECTRIC?
Where is the furnace or crawlspace
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2128
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
z
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 Patricia J Schmidt
Permit
Email not displaying correctly? View it in your browser.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, October 2, 2019 10:55 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Replacement Air Conditioner/Evaporative Cooler
Permit Application
Categories: Kim
Residential 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 Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
3915 Balsam St
Janna Thornton
443-226-4473
Field not completed.
3915 Balsam St - CC Authorization Form.pdf
CONTRACTOR INFORMATION
I
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Coffman/B&F Heating & AC Inc
18464
303-366-1112
Contractor Email Address pschmidt@coffmanco.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
What type of replacement
unit are you installing?
How many tons is the
unit?
For AC - what is the
SEER?
For Evaporative Coolers,
what is the CFMs?
Where is the unit located
(for example, rooftop,
backyard on ground etc)?
pschmidt@coffmanco.com
Replacement Air Conditioner
9
16 seer
side yard
Is electrical needed for re- Yes
hook?
If electrical work is being
performed, you must
provide electrical
contractor's Wheat Ridge
license no. and scope of
work.
Furnace & AC hookup, GFCI
Modelco Electric - License #18057
Project Value (contract 7010
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
z
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 Patricia J Schmidt
Permit
Email not displaying correctly? View it in Vour browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201701713
PERMIT NO: 201701713 ISSUED: 06/07/2017
JOB ADDRESS: 3915 Balsam ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Reroof with OC Duration Storm - 34.50 squares
*** CONTACTS ***
OWNER (443)667-6606 THORNTON JANNA R
SUB (303)808-1619 Dan Ruch 170261 Golden Rule Roofing
*** 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: 20,203.00
FEES
Total Valuation 0.00
Use Tax 424.26
Permit Fee 378.65
** TOTAL ** 802.91
*** 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 k/2 -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 manufacturera€ms 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's 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.
311116 Dlit�SG,�wLS`(
)_V) ] 0) 1 3
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date Inspector 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 I
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.
**For Inspection Time Window — Please email insptimerequeSt@CI.wheatridge.CO.US by 8:00 A.M. the mornin_q of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A . City of Wheat Ridge
Residential Roofing PERMIT - 201701713
g
PERMIT NO: 201701713 ISSUED: 06/07/2017
JOB ADDRESS: 3915 Balsam ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Reroof with OC Duration Storm - 34.50 squares
*** CONTACTS ***
OWNER (443)667-6606 THORNTON JANNA R
SUB (303)808-1619 Dan Ruch 170261 Golden Rule Roofing
*** 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: 20,203.00
FEES
Total Valuation 0.00
Use Tax 424.26
Permit Fee 378.65
** TOTAL ** 802.91
*** 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 k/2 -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 manufactureraeMs 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's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
City of Wheat Ridge
` Residential Roofing PERMIT - 201701713
PERMIT NO: 201701713 ISSUED: 06/07/2017
JOB ADDRESS: 3915 Balsam ST EXPIRES: 06/07/2018
JOB DESCRIPTION: Reroof with OC Duration Storm - 34.50 squares
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 orhave been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permit. I further attest that I am legally authorized to include al
I entities named within this document as partes to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit fee.
3, If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and rocedures 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 not15AW-Irshall
eed or conceawork )shout written approval of such work from the Building and Inspection Services
Division.
6. The issuance or grantiri�not c n ;fed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
bat Ldge
_ MlJN1TY DEVELOPMENT
Building 8 Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Perm itsaci,Wheatridge.co.us
11 FOR OFFICE ONLY
J
Plan/Pennit # A0 ) � 0) -� 1
Plan Review Fee:
Building Permit Applicati®n
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *`*
Property Address: -� -� Is 6 c 1 so'n �1 i' h-ao-4 iq-.6z e�
Property Owner (please print): Ta k-,\ w 1 QAj 4: —fA c� ,t� c sv Phone: 4/--/!1
Property Owner Email: :Z(�A4--f 4 okn eo A of ' c""
Mailing Address: (if different than property address)
Address: ---
City, State, Zip:
Architect/Enginser: PA
Architect/Engineer E-mail:
Phone:
Contractor. G kdtU e,6I,h4
Contractors City License #: i Phone:_
Contractor E-mail Address: i' an ,ca G 1 dam► r� a 4a i3o f?� e"'M
Sub Contractors: SVA
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this foram
❑ COMMERCIAL X RESIDENTIAL
Descri®tion 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.) n el, V 6�k✓
c/
Amps
C3 % �C. V (� vY u U �G YJ1gJ �O ✓✓�.✓LV �USK
Btu's
Gallons
Squares �3 %"3-D 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.
CIRCLE ONE: (OWNER) (CONTRACTOR), (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: I c" AL, SIGNATURE: V C4. DATE:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATI)I:
Reviewer.
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
TYPE OF CONSTRUCTION:
SPRM(LERER
OCCUPANTLOAD:
Building Division Valuation: $ 'I
/I
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Inspection Type:
Job Address:
Permit Number:
INSPECTION NOTICE
M0
LJNo one available for inspection: Time % r`'AM/PM
Re -Inspection required: Yes o
When corrections have been made, ca or re -inspection at 303-234-5933
Date: 7e X - 0 Inspector: \ C Ai W'f—
DO NOT REMOVE THIS NOTICE
30IION SIH13AOW3H ION 00
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City of
Wh6atRj
,d
COMMUNrTy DEVELOPMENWg'e
Building& Inspection Services Divisio
7500 W 29 th AveWheat Ridge, CO 800
)I
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line,- 303-234-5933
FOR OFFICE USE ONLY
Date:
PlanlPermit #
Plan Review Fee.
Building Permit Application
HOT
Prop 39 05 &L5Av,
P006
(if different than property address)
Address: r
City, State,
040* 1 --------- ------ 01,
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W,R1 City License #
Complete all information on BOTH sides of this form
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 13742
BUILDING INSPECTION LINE - 303 - 234 -5933 Date : 4/22/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303- 235 -2855)
Property Owner:
Property Address
Contractor License No.
Company
SCHERICH
3915 BALSAM ST
18464
B & F Heating & A/C
Phone:
Phone: 431 8914
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
Approval:
Occupancy: Walls
Electrical License No : 17875
Company: Coffman & Co.
Expiration Date : 2/28/03
Approval: OK/KS
Construction Value :
$5,000.00
Permit Fee :
$111.25
Plan Review Fee :
$000
Use Tax :
$000
Total.
$111.25
Use:
Stories: Residential Units
Mechanical License No :
Plumbing License No':
Company:
Expiration Date
Approval :
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
pr ling with s cessive phases of the job.
(6) a is u ermit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of any v,olauon or the
v' ion e i ding codes or any other ordinance, law, rule or regulation.
r /
Chief Building Inspector
utrHrc t MENT OF PLANNING AND DEVELOPMENT Building Permit Number:
aUILPjIING INSPECTION DIVISION - 235 -2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE
CO O 10 A PpLICKP o w
Property Owner: I uu
Property Address : 39 I (�S (� Phone
Contractor License No.: 1 lc `k \
Company: �,r— 0 ,0 - x" Ac ' 1 It�Dr{ 11 U J Phone
OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDI G 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
Construction
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
�5
I M
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 `� tt 6
Use:
Description: l i vA -,Vo �k I ZU,ccx-� j U 11 4 4u, cL�J) Cpr�rl fl t�l�e�
BUILDING DEPARTMENT USE ONLY - 1
om g. om
-
Approval:
Zoning :
uf..P_.: om -
Approval:
Approval:
Occupancy: Walls
Electrical License No : I � �
Company: I -Ot bvb L tiP C[YiC
SIC: 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 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 me
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 spedlimlions 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
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95 -2128
BUILDING INSPECTION DIVISION: -235 -2855
CITY OF WHEAT RIDGE Date `.10/26/95
7500 WEST 29TH AVENUE
`WHEAT RIDGE, CO 80215
Property Owner: SCHERICH ERWIN T
Property Address : 3915 BALSAM ST Phone: 421 -6570
Contractor License No.: 18603
Company : Sechler Electric
Phone: 477 5116
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $295.00
1 hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee: $25.00
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 Plan Review Fee: $0.00
made are accurate; that I. have read and agree to abide by all conditions printed on this
:application, and that I assume full . responaibill forsompliarf .with the Wheat Ridge Building Use Tax: $4.43
Code (U.B.C.) and all other applicable Whe Idg ordina es JJ , fjjor work under this permit.
(OWNER)(CONTRACTOR) SIGNED Total : $29.42
Description : repair meter housing damaged in storm
BUILDING DEPARTMENT USE ONLY
Approval
Zoning t
Approval:
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
FM IN I ! m .
(1) This permit was issued in accordance with the provisions set forth in yopur application and is sublJ'ect 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 Ale 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
odgmnal 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 dramage 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
proce dung with successive phases of the job.
? (6) The uance of a permit or the apps al of drawings and specifications shall not be construed to be a permit for nor an approval of, any violation of the provisions
of th bui ng codes r y other nance, law, rule or regulation
Gffi Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24` HOURS iPRIOR TO INSPECTION
5 - ".
-�
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: IF. 7 Sc 11..&�
Property Address : 3 q /, QaZ a� 'e�;/ . Phone:
Contractor License No.: / o o / /7 a z
Company: 56,f#Co�e F s ic /C Phone: 977 -s1 /G
OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : a2 Rr
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 compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable a
Whet Rid a ordi ances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE 4 y" Total
Description
Electrical License No Plumbing License No: Mechanical License No:
Company : Suc re Xed%�x.c.4 Company: Company:
Expiration Date : Expiration Date: Expiration Date:
Approval : Approval : Approval :
IN M1 IN MERNMEWOMIN
(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 pennit 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
proosediing with successive phases of the job.
(6) The issuance of a permit or Me 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
m2,�