HomeMy WebLinkAbout3930 Balsam Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: ( V�,�Pc�
Job Address: V, q Zarb d t<4
Permit Number:? � (' Q4
O
❑ No one available for inspection: TimeAmyPM
Re -Inspection required: Ye N
When corrections have been made, schedule for re -inspection online at:
httpYAvww. ci. wheatridge. co. uslinspection
r
Date:
'try Inspector: 0
F `
DO NOT REMOVE THIS NOTICE
X170 4-,;)-7;2-
3130 Ck�s,�i-ru ,SL INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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
Wall Sheathing
Concrete Encased Ground (CEG)
Sewer Service
Foundation / P.E. Letter
Mid -Roof
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
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 I 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.
Floodplair; Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Ei;;ctrical
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
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: �,7) V
Job Address: Lel so rr> >�
Permit Number: el 2 -," 2
❑ No one available for inspection: Time D -�7 ` ` PM
Re -Inspection required: Yes No
When correcti ns have been made, caH for re -inspection at 303-234-5933
Date: �� Inspecto'�r: 1_)�) /�
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: /tI -I
Job Address: 3`3b 15c,156M f
Permit Number: 2(' 1� a< ,) ;z
❑ No one available for inspection: Time l =>! 'MPM
Re -Inspection required: Ye� No
When corrections have been made, call for re -inspection at 303-234-5933
1
Date:f Inspector:'-'''�
o i
DO NOT REMOVE THIS NOTICE
r
.� City of Wheat Ridge
Residential Roofing PERMIT - 201704272
PERMIT NO: 201704272 ISSUED: 07/18/2017
JOB ADDRESS: 3930 Balsam ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles & Modified Bitumen with
ROOF DECKING - 42 Sq. (39 sq. pitched, 3 sq. flat)
*** CONTACTS ***
OWNER (303)379-0339 RAUDABAUGH KENNETH R
SUB (720)708-4126 Terry Marks 130138 Home Guard Services LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,075.25
FEES
Total Valuation 0.00
Use Tax 295.58
Permit Fee 283.55
** TOTAL ** 579.13
*** 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.
�. ► A City of Wheat Ridge
Residential Roofing PERMIT - 201704272
PERMIT NO: 201704272 ISSUED: 07/18/2017
JOB ADDRESS: 3930 Balsam ST EXPIRES: 07/18/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles & Modified Bitumen with
ROOF DECKING - 42 Sq. (39 sq. pitched, 3 sq. flat)
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 further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perform nd that all tybe pertophed is disclosed in this document and/or its' accompanying approved plans and specifications.
ignature 67 OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and_procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Bun wDate
REQUESTS MUST BE MAD -L -TY 11:59PM ANY BUSINESS fMY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett � 704 -P70 -
From:
70 -
From: no -reply@ ci.wheatridge.co.us
Sent: Monday, July 10, 2017 2:04 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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 3930 Balsam St Wheat Ridge, CO 80033
Property Owner Name Carol Raudabaugh
Property Owner Phone 3033790339
Number
Property Owner Email carolraudabaugh@comcast.net
Address
4 4__S7q. /!?
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 HomeGuard
Contractor's License 130138
Number (for the City of
Wheat Ridge)
Contractor Phone 720-708-4126
Number
Contractor Email Address ROXANNET@HOMEGUARDRESTORATION .COM
Retype Contractor Email ROXANNET@HOMEGUARDRESTORATION.COM
Address
DESCRIPTION OF WORK
Are you re -decking the Yes
roof?
Description of Roofing
Material
Select Type of Material:
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
TOTAL SQUARES of all
roofing material for this
project
Asphalt and Modbit
Asphalt, Other (specify below)
Asphalt and modified bitumen
39SQ Asphalt
(; d
3
42
Provide additional detail Replacing the roof on the main house, and the shed in the
here on the description of backyard. 3sq of flat on attached porch
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc) ,}
Pro • ect Value (contract
J
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
I understand
thCityll
permit.
e
be contacted by
to pay for and pick the
permit for this property.
I understand that his
may not begin o
property until a permit
has been issued an
posted on the p Perty.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant
Yes
Yes
ROXANNE TERMENTOZZI
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iMc,
�i�rt�e � � � _
�ntaGf GIA R,Ilk Ni3nagement' 3031
HOMEGUARDt85W 52,1d Ajento 1rilt A-.!� "�q*
,it,,ce " - I — 1§4
,2f' -102 Wt �:3� 7,10'! "Rt-_
=Ni Elite
ROOFING & RESTORATION _ 1 '4 - � " ' - I
CUSTOMER INFORMATION
500.33
Homev
insurance Crlmpary-_
Sales Representative:
Project Manager-
vell
h /I
000
C (a:- N.) Derl'j'flnre
3 Z 3 3Y
e,
EW ROOFING SYSTEM
STRUCTURES INCLUDEDl/mllrl ODetact-edG318gi-.
Type
p Cotor
jrRidtle Materiat Z d
LeaK!33r ve5 Cold.-
Drip [dye
Ftashing'iew
irt
Ventitation ':" to
P mb'riq Boots 1Z
Paint, At', Roof Accessories
il"nove trash from roi:i! gutters & yard
ott tawn & drive vWl magnetic sweeper
Furnish permit nVhscettaneou-s:_
[I Edge 0
LOW SLOPE AREAS %Iii4l,al /H_—k,8 r J"
SCOPE OF RESTORATION SERVICES TO BE PROVIDED
Rfokri, —,<k4
SERVICE AGREEMENTS
GAF ROOFING SYSTEMS
LJ
P, 50 -year I 50 -year t STANDARD 1.
manufacturer warranty j manufacturer warranty 50 -year to yru
25 -year service poticy ij 10 -year service policy .4,tiillfy t, nm,taccunrwarranq
2 -year
Vr
ADDITIONAL AREAS OF CONSTOUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
All dditional areas of construction will be repaired or replaced with high grade materials of tike kind and quality SERVICE AGREEMENT
STANDARD
/Paint"Stairl El S'lix'cl 1:1 '04,111, W� El 1rtYnor EJ btly)(nt 0 0,h
TERMS OF FESTORATION SERVICES TO BE PROVIDED
'hi, Aaeernent coes NOT O'L, t,
l,qa!I, C lsi�-'rne- w y .-, 3,
spnv,ces to be provided ty „i; C,r er s -3-:'
Agreement, mciljdanq *', terms or the re.erse Side here7r Customers total out of pocket expenses are not to exceed insurance deductible ptus upgrades for nor, insurance items,
Cuslclmslr Paylnef,0 G due uprl :Ompleticr Of each t'al'? Company and its authorized representatives are NOT acting as public insurance adjusters.
tne iocal r `O'n3 €c'des
Agreed Price: shlaCe the Ic cj'p3o4 urls, wh'ch is sk,tj�v I,- an.; adl
asset orli'� 430
he
l,se sjjeret e,�. Tota, upfi�aoes shall be $
i
Approximate Dates of Service. -4,31; pn'
subislo z,, any perrnii�_,ible dei) is 1!_ Pl_r Approxi m a te Start Date:
Approximate Completion Date:
Company
'«-n rr�"' ld
ma gement review & provaL I accept he above terms of this contract and authorize Company to proceed. -17
_"Jan
A
C,
T7 c7
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. 4 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property.
ROOF SYSTEM
ADDITIONAL AREAS OF CONSTOUCTION: SCOPE OF RESTORATION SERVICES TO BE PROVIDED
All dditional areas of construction will be repaired or replaced with high grade materials of tike kind and quality SERVICE AGREEMENT
STANDARD
/Paint"Stairl El S'lix'cl 1:1 '04,111, W� El 1rtYnor EJ btly)(nt 0 0,h
TERMS OF FESTORATION SERVICES TO BE PROVIDED
'hi, Aaeernent coes NOT O'L, t,
l,qa!I, C lsi�-'rne- w y .-, 3,
spnv,ces to be provided ty „i; C,r er s -3-:'
Agreement, mciljdanq *', terms or the re.erse Side here7r Customers total out of pocket expenses are not to exceed insurance deductible ptus upgrades for nor, insurance items,
Cuslclmslr Paylnef,0 G due uprl :Ompleticr Of each t'al'? Company and its authorized representatives are NOT acting as public insurance adjusters.
tne iocal r `O'n3 €c'des
Agreed Price: shlaCe the Ic cj'p3o4 urls, wh'ch is sk,tj�v I,- an.; adl
asset orli'� 430
he
l,se sjjeret e,�. Tota, upfi�aoes shall be $
i
Approximate Dates of Service. -4,31; pn'
subislo z,, any perrnii�_,ible dei) is 1!_ Pl_r Approxi m a te Start Date:
Approximate Completion Date:
Company
'«-n rr�"' ld
ma gement review & provaL I accept he above terms of this contract and authorize Company to proceed. -17
_"Jan
A
C,
T7 c7
RIGHT OF CANCELLATION PURSUANT TO FEDERAL REGULATION AND COL. REV. STAT. 4 5-3-403: YOU, THE BUYER, MAY CANCEL
THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
RIGHT OF CANCELLATION PURSUANT TO COL. REV. ST. § 6-22-104: YOU, THE BUYER, MAY CANCEL THIS AGREEMENT AT ANY TIME
WITHIN 72 HOURS AFTER YOU HAVE BEEN NOTIFIED THAT YOUR INSURER HAS DENIED YOUR CLAIM TO PAY FOR THE GOODS AND
SERVICES TO BE PROVIDED UNDER THIS AGREEMENT. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
THIS RIGHT.
Company shall hold in trust any payment from Customer until Company has delivered the materials to your property or has performed a majority of the work on the property.
FOR OFFICE USE ONLY
3
City ofCater
Wh6atl,� dgic,
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2e Ave., Wheat Ridge, CO 80033 Plan Review Fee.
Office: 303-235-2855 * ax: 303.237-8929
Inspection tine: 303-234-5933
Building er it Application
Please mplete all hll!hllghted cress on, botch sides of this form. Incomplete applications may not be processed. »**
Prope Address,
- e') 3 ;k
Property Owner in
Mailing Address: (if different than property address)
Address:
Ci!y, State, Zip:
oh it Engin E -mail. -Phone:
Contractor:
tor,
Contractors City License ; Placane.
ContractorE-mail Address.-
Sub
ddraaa*Sub Contractors:
Electrical: Plumbing: Mechanical:
WV k City License # W.R. City license # W. . City license
Other City licensed stab: Other City Licensed Sub.
City license # City License l#
Complete all information on BOTH skies of this form
ount ct materials to be used, etc.)
IIA
Sq. FULF Btu's Gallons
Amps Squares Other
s s CITY OF WHEAT RIDGE"
Building Inspection Division
j � (303) 234 -5933 Inspection fine
(303) 235 -2855 Office • (303) 237 - 8929 Fax
INSPECTION NOTICE
Inspection Type: 2r)
Job Address:
Permit Number: 16111,9
7 /� -< /`li 53_? 1
r
❑ No one available for inspection: Time �/AMm/''M
Re- Inspection required: Yes No
* When corrections have been made, call for re inspection at 303 - 2345933
Date: Inspector i
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: In l4 9
/ Z
❑ No one available for inspection: Time / ; act AMA
i
Re- Inspection required: Yes No
When corrections have been made, caff for re inspection at 303 - 234 - 5933
Date: Inspector: s�
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: 1100147
Job Address: 57
Permit Number: /v lV;?V
❑ No one available for inspection: Time Is ' (A --
I PM
Re- Inspection required: Yes Q No
When corrections have been made, call for re inspection at 303 - 234 - 5933
Date: / //Yfia Inspector: �e
DO NOT REMOVE THIS NOTICE
-4V Xzn.. -4.
06/04/2010
12/01/2010
Acclaimed Roofing Services!
„,.,, °e
270.67
i
INSPECTION RECORD Occupancy /Type
®'INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
- Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
ROUGHS
.Sheathing
.Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation --
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS
Parking & Landscaping
BE CALLED AT
"/NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING ANC
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDIN
OF A CERTIFICATE OF OCCUPANCY NOR PERMIS,
CITY OF MEAT RIDGE
66/87/18 1:49 PM edbb
Aaron J. Anders - --
AECEIPT NO:CDB884633 AMOUNT
BPSP Reroof 22 sqs
181429 162.98.
Permit Fee 1
Use In 87.77
OCCUPANCY NOT PERMITTED UNTIL CERTIFIC. PAYMENT RECEIVED, AMOUNT-
V5 5583 278.67
PROTECT THIS CARD FROM THI Auth'Code:
645513
TOTAL 278.67
City of
hcat
COibtMUNI7Y DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Phone:
y �n s o Jo
Property faddres's: +, j 3 O � G � >�1 s T- U ��j r� - � � z' (.
Property Owner (please print) Cq /Lp` �� uu(t /2A v g Z Phone: _3
Mailing Address: (if different than property address)
Address: 3 g 3 b SA -1-,SA/7- S7
City, State, Zip:
W ear �r` � � ('D ?00.3'-3
Contractor:
License #: i O -
Date:
Plan #
Permit #
--7/a- 4`-?P -
Plumbing: Mechanical:
City License # City License # City License #
Descnlitiiiii �ofi usrork
Contract Vau • c
$ 5 7_
Review Fee (due at time of submittal):
Squares Z Z BTU's Gallons Amps Sq Ft $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
.responsibility for compliance with applicable City of Wheat Ridge . codes and ordinances for work under any permit issued based on
this application; that i am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity . on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR). or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINTNAME: �/ /�o�/ 1�� °ms' SIGNATURE: DATE: �O
D�PARTMF�15E ONE Y > �� ✓
- Z6 NIN6 COry)IV'1��T$ � ' r % -� / ' � /' ✓ i✓ r `,' �✓✓ `,' ,.�✓ .
7 pw �ZOnln`g {'' c i ✓ i 1 ✓ �✓ r l ✓ r ✓ S�� i l �✓ 1✓" / 1 ✓I '
La :..1. h ��i ,., ✓. 5 , c,. Err., ✓ �� ? i >, .! �.,.
Bldg Valuation:
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
9123
6/30/99
Property Owner:
Property Address:
3930 BALSAM ST
Contractor License No.:
18091
Company:
Sin Jac Electric
Phone: 423 -5936
Phone: 424 3898
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)
Description : New service panel and A/C unit 3 ton
Construction Value:
$1,495.00
Permit Fee :
$54.00
Plan Review Fee:
$0.00
Use Tax:
$22.43
Total:
$76.43
Use:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No :
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 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
the building codes or any other ordinance, law, rule or regulation.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUIL
DING INSPECTION DIVISION - 235 -2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE 4 -36 -9q
WHEAT RIDGE CO 80215 A PPLICAT I b N
Property Owner:
Property Address : 39 3� / „� 9 LsR�, t Phone
Contractor License No.: f ( fD g
Company: J' %N .V/fic E_G C4? Phone:
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 comply' nce with the Wheat Ridge Building
Code (U. B.C.) and all other applicable Wheat Ridge or�yfar)ce4, for wprk under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE 30 g9
Construction Value :
Permit Fee:
Use Tax:
Total :
Use:
Description : /C�e7 / "/ Q c
BUILDING DEPARTMENT USE ONLY
Roof: Stories
Electrical License No: 109 / Plumbing License No:
Company: Y J'J C - ,� - 'IgC F Company :
SIC: Sq. Ft.
Residential Units:
Mechanical License No:
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 far 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 me 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.
Chief Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 9117
BUILDING INSPECTION LINE - 303 - 234 -5933
CITY OF WHEAT RIDGE Date: 6/29/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303- 235 -2855)
Property Owner:
Property Address: 3930BALSAM ST
Contractor License No.: 17612
Company: Hi Tack Heating & Cooling
Phone : 423 -5936
Phone: 467 -2699
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
Description : Install a/c unit
Construction Value :
$2,500.00
Permit Fee:
$83.25
Plan Review Fee:
$0.00
Use Tax:
$37.50
Total:
$120.75
Use:
Electrical License No
Company:
Plumbing License No:
Company:
Mechanical License No :
Company :
Expiration Date
Approval:
Expiration Date:
Approval:
Expiration Date
Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
Chi 6f In nspec or
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 PP�
A iCATI O N
Property Owner Jo w ,', AA 5C / r r L
Property Address: - 39 3o f3A L:%4 -w Tt Phone: 30?-
Contractor License No. L
Company: (Jy T c(� 4=T-, Phone: 3o-3- V67- z6 g
OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: ,zs-oo '-
I hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee: - �' 3.25
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 Ridge or 'nances, for work under this permit.: Total : Z� 7 S
(OWNER)(CONTRACTOR) SIGNED �.e..v.- � DATE 6 Z %- 9 ( -
Use
Description: -. c c
.g.m ,= _
Approval : -
Zoning:
m .:om n
Approval :
Approval:
Occupancy: Walls
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft.:
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 authonzed 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 11'ob.
(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.
Chief Building Inspector
— DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 5770
BUILDING INSPECTION DIVISION =.235 -2855
CITY OF WHEAT RIDGE Date 913/97
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address: 8930 BALSAM ST Phone: 423 -5936
Contractor License No.: 17612
Company: Hi Teck Heating & Cooling Phone: 467 -2699
OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: $2,000.00
:I hereby certify that the setback distances proposed . by this permit application are accurate, Permit Fee: $63.00
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 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 Use Tax: $24.00
Code (U. B.C.) and all other applicable Wittialit Ridge or for work under this permit.
(OWNER)(CONTRACTOR) SIGNED — DATE 4 J R Total : $87.00
Description : REPLAC F JRNACE
p BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft.
i
Approval
Zoning;:
Approval:
s
Approval
{
Occupancy: Walls : Roof : Stories : Residential Units
P.
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company
J'. Expiration Date : Expiration Date : Expiration Date
Approval Approval: Approval:
c"
(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 budding 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 r
(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
gceediing with successive phases of the job.
6;. (6) 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 We budding coder any oy� ordinance, law, rule or regulation.
Ak
ief Building Inspector
y.
- THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
,.
� `CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION
z
QEPARTMENT 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:
Property Address: Phone S;"? 3.6
Contractor License No.: / 76 / L
Company:// Tic !d 6 Phone: y67 -Z6�7
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 mpliance with the Wheat Ridge Building
for
Code (U.B.C.) and all other applicable Wheat Rirdinanrf¢,s, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED ._4LA DATE � - 3 _ 7
I
Description: /2�� a<FO 6 414," - E`
BUILDING DEPARTMENT USE ONLY
Zonm ommeo SIC : Sq. Ft.
Approval
Zoning
Baalraipg comrt�ents
Approval:.
PG 61 ic_�W3rt�C_om "me_ nts'�_
Approval:
Occupancy: Walls : Roof : Stories : Residential Units
Construction Value : ZUGo
Permit Fee :
Plan Review Fee:
Use Tax:
Total :
Electrical License No : Plumbing License No: Mechanical License No
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date
Approval:
Approval:
P1#04 g�
Approval :
J KPIanReq
IN Pfans eq
(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 of any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural now of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceec Ling 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.
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