Loading...
HomeMy WebLinkAbout4065 Balsam StreetCity of Wheat Ridge �AVr Residential Roofing PERMIT - 201704713 PERMIT NO: 201704713 ISSUED: 07/25/2017 JOB ADDRESS: 4065 Balsam ST EXPIRES: 07/25/2018 JO;.' DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 18 sq. *** CONTACTS *** OWNER (303)763-9114 JPL REVOCABLE LIVING TRUST SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** 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: 5,750.00 FEES Total Valuation 0.00 Use Tax 120.75 Permit Fee 140.90 ** TOTAL ** 261.65 *** 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. V l G�f 4G5' 6PIS" &�.INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/T e g 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 ah 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 App al Of R.4 Ab9iie Ins ectio s Underground/Slab Inspections Date InsInteals ,�__,p4b/mi nt Electrical Comments Sewer Service Plumbing ZZ Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Aboh*TrXpections 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 ' jb'� 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. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge V Residential Roofing PERMIT - 201704713 PERMIT NO: 201704713 ISSUED: 07/25/2017 JOB ADDRESS: 4065 Balsam ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles with 18 sq. *** CONTACTS *** OWNER (303)763-9114 JPL REVOCABLE LIVING TRUST SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate *** 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: 5,750.00 FEES Total Valuation 0.00 Use Tax 120.75 MrIftA io D Permit Fee 140.90 ** TOTAL ** 261.65 - *** 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 4� City of Wheat Ridge Residential Roofing PERMIT - 201704713 PERMIT NO: 201704713 ISSUED: 07/25/2017 JOB ADDRESS: 4065 Balsam ST EXPIRES: 07/25/2018 JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration asphalt shingles with 18 sq. 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 ' 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, po icies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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. Dan Schultz 201747(3 From: no-reply@ci.wheatridge.co.us Sent: Monday, July 17, 2017 1:36 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 4065 Balsam St John Laguardia 3037639114 jwiles@interstateroof.com 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 Interstate Roofing 019938 3037639114 Contractor Email Address jwiles@interstateroof.com Retype Contractor Email jwiles@interstateroof.com Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing O/C Duration Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 13 material selected above? / Does any portion of the Yes ✓ property include a flat roof? If yes, how many squares 5 on the flat roof? TOTAL SQUARES of all 18 V/ roofing material for this project Provide additional detail house, 4:12 pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract5750 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant John Quante Email not displaying correctly? View it in your browser. referrausto com J;NTERij�STATE �7— c; 2- RUOF�NG BOB Submitted To L Date Email ,a, (* int/�,t 41 ve Phon je /-_' ( %/(J Aft. Phone Street �/Q lolicy# State t6 Zip dp�insurance Company �� Claim#12.�r� t Scope of Work and Mat"i/ls to be Provided. The scope of work and materials identified below are the scope of work recommended by Interstate Roofing inc.; however, Interstate Roofing is not obligated to perform any part of the scope of work that is not approved by the insurance company unless you authorize the work and agree to pay for this additional work. % Shingle Manufacturer 4 C_ ,- _ i`� , r..- — Lr..,, n 41, Tear off ` layers of composition shingles ❑ Tear off one layer of wood shingles ❑ Install Decking (7/16" OSB) �} Install new felt ,L7 Install pre -painted eave metal to code - Color Brow Charcoal Tan Gray White int. .C7 �d Valley(s) will be closed ❑ Valleys will be open (e� Ridge(s) to be color -coordinated ❑ Ridge(s) will be "high Profile Ridge" color -coordinated shingles )-d Install new pipejacks Replace Vents as needed ❑ Re -flash Chimneys and all wall abutment as needed and if possible (stucco or siding may be a deterrent) ❑ install In. ft. of series ridge vent 0 Install In. ft. of ice & water shield to code / ❑ Install _Cn:, nails per shingle % Clean out gutters Pr 5 year workmanship warranty Interstate Roofing, Inc. will provide general liability insurance coverage of $2,000,000. general aggregate 1` Make a magnetic sweep of driveway and yard for removal of any nails Remove all debris resulting from above work ❑ Special instructions The approximate costs of the services based on damages known at the time this contract is entered is $ Interstate Roofing, Inc., however, wi',l perform the scope of work approved by the insurance company for the amount of the insur ' approved proceeds, with no additional costs toyou except for your deductible. The final scope and price agreed on between the insurance company and Interstate Roofing.Inc shall become the�inaa contract price for the insurance approved scope. You will be responsible to pay for any upgrades or additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. Supplemental claims billed by Interstate Roofing, Inc. that are appro_ve/d by the insurance company for additional work or increases in costs become a part of this contract. f I S 4- Cl 6 Gk - Approximate Dates of Service: 6 64a -g `L" These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather 6eiays, oriby any other causes beyond the reasonable control of Contractor Notice: If the property owner plans to use the proceeds of a property and causualty insurance policy issued pursuant to part 1 of article 4 of title 10. C.R.S., to pay for the roofing work, pursuant to section 6-22-105, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any insurance deductible applicable to the insurance claim for payment for work on the covered residential property. Terms: I (We) hereby authorize & instruct the insurance company & all lien holders to include the name of Interstate Roofing, Inc. as co -payee on any subsequent loss drafts or checks after today's date as indicated above. I (We) also authorize any legal representative and/or agent of Interstate Roofing, Inc. to obtain information necessary to complete any funding process relative to the claim number referenced above. 1 (we) further authorize Interstate Roofing, Inc. to pick up in person any loss drafts or checks on my/our behalf and behalf of Interstate Roofing. Deposit Amount: Date: Rep. Initials: Interstate Roofing shall hold in trust any payment from the property owner until Interstate Roofing has delivered roofing materials at the residential property site or has preformed a majority of the roofing work on the property, I (We) agree, by signing below, to all the contract conditions, both front & back of this agreement Bate of Acceptance Client Slgnature(s / Representative Corporate Headquarters Colorado Springs Office Fort Collins Office —Cheyenne Office Black Ma. Agency 1000 W. 4741 Ave. 2161 N. Academy Blvd. P. 970.482.7722 F. 970.682.1018 1010 S Greeley Highway 9600 S Arapahoe Rd #205 Denver, CO 80211 Colorado Springs, CO 80909 Toil Free 877.898.8144 Cheyenne, WY 80211 Englewood, Co 80112-3726 P. 303.763.9114 F. 303.789.3790 P. 719.471.9752 F. 719.597.4444 www.interstateroot.com P. 307.634.2553 (303) 397-7820 www.interstateroof.Com info@interstateroof.corn i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 inspection line (303) 235-2855 Office • (303) 237-8929 Fax 1 1 INSPECTION NOTICE Inspection Type: �F Job Address: 6( -- Permit Number: ❑ No one available for inspection: Time , Re -Inspection required: Yes NoNo When corrections have been made, call for re -inspection at 303-234-5933 Date: 6' % Inspector: `� Gl DO NOT REMOVE THIS NOTICE bt 4 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: /.S Permit Number:. o 7 D 7/ 3. ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: -- 2 % Inspecto i DO NOT REMOVE THIS NOTICE w CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Z 0 F Job Address: - Permit Number: 1 2 e p" Oct CA ,may ❑ No one available for inspection: Time &M Re -Inspection required: Yeso ` *When corrections have been made, call for re -inspection at 303-234-5933 Date: 2 -3-/7 Inspector:` " DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE 4 ]��Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: C Permit Number: / ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No * When corrections have been made, call for re ' spection at 303-23 4-5933 Date: Inspect DO NOT REMOVE HIS NOTICE 30Il0N S/H13AOn-gd ION 00 :aoloadsul 1 ale(] ES68-b8Z-SOE M uggoedsui-ej aoj ileo `epew ueeq eneq sugijoeajoo ueyM ON s9A :paainbaa uoi}oadsul-aa Ad/AV c awil :uoiloadsui aol ajgejiene auo ON ❑ - I .r :aagwnN PwJad S ; ,,- Q :ssaippd qof :adA1 uolloadsul 331ION N01103dSNI XOJ 6Z68-L£Z (£0£) - e0VJ0 sssz-s£z (£o£) eug1 uggo9dsuj�tc65-pca uolslnla mpedsul 6uipiln8 3Jaw l`d3HM =10 A113 A y 4 01 City of Wheat Ridge Y Residential Roofing PERMIT - 201700128 PERMIT NO: 201700128 ISSUED: 01/27/2017 JOB ADDRESS: 4065 Balsam ST EXPIRES: 01/27/2018 JOB DESCRIPTION: Remove and replace roofing; install ice & water shield; synthetic base and Owens Corning Shingles *** CONTACTS *** OWNER (303)421-2710 JPL REVOCABLE LIVING TRUST GC (303)232-0324 Bill Lynn 019976 Mills Roofing Co./Decker Lane *** 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: 7,120.00 FEES Total Valuation 0.00 Use Tax Permit Fee 128.16 172.60��� , ** TOTAL ** 300.76 *** 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 Alh-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&#39;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. P City of Wheat Ridge Residential Roofing PERMIT - 201700128 PERMIT NO: 201700128 ISSUED: 01/27/2017 JOB ADDRESS: 4065 Balsam ST EXPIRES: 01/27/2018 JOB DESCRIPTION: Remove and replace roofing; install ice & water shield; synthetic base and Owens Corning Shingles I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, apphca le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by �c1tIfurthera e egal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thism. ttestthat I am legallyauthorized to include al[ entities named within thisdocumentaspartiestothe work to be perrmed 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 androcedures for approval of any nkv_ermit. 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.-sha esults in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building -and pection Services Division in accordance with established policy of all required inspections and shall not proceed or coifceal rk without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting; f rmit s not be strued to be a permit for, or an approval of, an violation of any provision of any applicable code or ny o a e la ' urisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date l 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 W heat P,,e COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits Oki.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ff o 6 %3�/, .! %% _r"_ Property Owner (please print):1 �j `f ,J ,� 4 Gy ,q ,"Z /9(/jPhone: VA / • ,q 7 i o Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: U /Jig �16 CJ Contractors City License #: Phone: Phone: .3 ,) 3 A.7 2- 0 3 x 1/ Contractor E-mail Address: /k? 1A 1 RGu G C- Sub Contractors: 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 form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ OMMERCIAL ROOFING El 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.) Sq. Ft./LF « l Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 0 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for t mg pe t application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHO DREPRESENTA OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: v2 % / DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ r< ! f �/ .� .�� f �C �� r 9 J G. /Qi t< G u < •^3 J Cu /l Sq. Ft./LF « l Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 0 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for t mg pe t application, warrant the truthfulness of the information provided on the application. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHO DREPRESENTA OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: v2 % / DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ i CITY OF WHEAT RIDGE Vr Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type i O Job Address'' Permit Number No one available for inspection: Time /PM Re- Inspection required: Yes i'�No * When corrections have been made, call for re- inspection at 303 - 234 -5933 Date: )v %� j .� Inspector: ( _/ i DO NOT REMOVE THIS NOTICE .- . 1 ! Date: Plan Permit 4 p • ••• - . Electrical: Plumbing: Mechanical: City License # City License # City License C IRCLE ONE: (OWNER) (t} l[ 7t? g-, (AUTHt?R,C ZEDREMS Tri7'IV) taj'' (O ER) (CONTRACTOR) N ' _ _ w i .ATV Co if �a ,� City of Wheat Ridge CO [OR A , Residential Fence PERMIT - 070463 PERMIT NO: 070463 ISSUED: 05/18/2007 JOB ADDRESS: 4065 BALSAM ST EXPIRES: 11/14/2007 DESCRIPTION: G' privacy rear fence. 5' southern prop. line. fence * ** CONTACTS * ** OWNER .303/431 -5515 JOHN LAGUARDIA ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0328 - BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,200.00 FEES Permit Fee 144.70 Plan Review Fee 94.06 Total Valuation U✓� "1 "I .00 ®l v4erl . Use Tax 75.60 tines °p n d'j ** TOTAL ** 314.36 appro d ° r l sre �s e N ot , Ttle P*: v /a..� a Spo rl�iAi e'_ Comments: Su6m s er OgWr, r °se °rrOC acctnateanycpns Oriaratioll �fo otiO4 on. 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 yd. are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume f sponsibility for compliance with the Wheat Ridge Building Code (I..B.C) and all other applicable Wheat Rid Ordina or work under this permit. Plans subject to field inspection. Signature of ontr ctor /owner / dat8 1. This p mit was and to the Zoning Regulations ssued in accordance with the provisions se forth in your application and issubject to the laws of the State f Colors . and Building Codes of Wheat Ridge, Colorado or any other applicable ordina ces of e City. 2. This pe 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 ll 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. TAt of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor aof, olation of the provisions of the building codes or any other ordinance, law, rule or regulation. iew j(s/ b' ct to field inspections. Signature of Chief Building Offical date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: of w "Eqr BUILDING INSPECTION LINE - 303- 234 -5933 Date: CITY OF WHEAT RIDGE ° 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303 - 235 -2855) �COftP00 INEl,RI APPLICATION Property Owner: 7 6 77 7 . 77 57 Property Address: G/D�S (.�.€L- S"xJi�t S Phone: Contractor License No.: Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I Building Dept. Valuation Figure: $ - I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under ibis permit. PI;Gbject to field inspection., Use of Space (descrip Description of work: Sq. Ft. added COMMENTS: Approval: Zoning: COMMENTS: Approval: IORKS COMMENTS: Approval: DEPARTMENT COMMENTS: Approval: Value:$ Permit Fee:$ Plan Review Fee:$ Use Tax: Total:$ S BUILDING DEPARTMENT USE ONLY SIC: Walls: Roof: Stories: - Residential Units: Sq.Ft.: Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: - - - (1) This permitwas 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 if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building _ authorized is suspended or abandoned for a period of 180 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 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 thelob. - - (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an - approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. - Chief Building Official l,w411 tro ° o y a re — ° � 7 FFF h Z • N R '1 • y � ° H no �d x i fix! 1 ' T , 14 x � x c— 4 3, cs is I Leo &S m 9 7� �x b y 3 —n 0 I. 8 ° OF WHEAT- City of Wheat Ridge rn C OR 90 " Residential Mechanic PERMIT - 070415 PERMIT NO: 070415 .ISSUED: 05/07/2007 JOB ADDRESS: 4065 BALSAM ST EXPIRES: 11/03/2007 DESCRIPTION: Install 90% furnace & A /C. * ** CONTACTS * ** owner 303/233 -7007 John LaGuardia go 303/233 -7007 Torrey Cosgrove 01 -7885 Lakewood Plumbing LLC ** PARCEL INFO ** ZONE CODE: UA USE: R -3 SUBDIVISION: 0328 BLOCK /LOT${: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: .7,558.00. Y(> S FEES Permit Fee C. � �'` f �.�( $)199.30 Total Valuation .00 Use Tax? E`" 136.04 ** TOTAL ** 335.34 Comments: Replacement boilersitumaces - Minimum of 0 AFUE Boilerslfumaces in new construction - Minimum of 90%AFUE Setback Thermostat required (Except for Hydronic Heat) Gas Water Heaters - Minimum of .60 Energy Factor Electric Water Heaters - Minimum of .93 Energy Factor Insulation requirements s R -21 Walls is R -38 Ceilings m R -19 Crawl Spaces is R-19 Basement walls 'I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. Signature of contractor /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 '.sue of a permit or the approval of drawings and specifications shall not be construed to be permit for, nor an ap 1 of., any vi tat ion of the provisions of the building codes or any other ordinance, law, rule or regulation. All eview i s 'ect to field inspections. Signature of Chief ur ding tTcal date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. F WHEAT o � � o C OLORAD O COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: BUILDING INSPECTION LINE - 303- 234 -5933 Date: . - CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE PLA WHEAT RIDGE, CO 80033 (303- 235 -2855) M INOR , APPLICATION Property Owner: _ J 0 . . K (r-Gt, C' Lt A VO(I (ti Property Address: GOS Ct.�$G.fm- 5-} , Phone:3 V3'Z 3 ?_7 0 0 Contractor License No -: Company: Lciz Gfewood PltlYVtk ✓t �,. Phone: 3D3 —�E3( 55 t rj OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Building Dept. Valuation Figure: - $ 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 V : $ 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 Permit Feel conditions printed on this application and that I assume full responsibility for - Plan Review Fee:$ compliancewith the Wheat Ridge Building Code( I .B.C)andall other applicable Wheat Ridge Ordinances, for work under this p Plans subject to field insp Use Tax: 3 - (OWNER)(CONTRACTOR): SIGNED �' 1 q / DATE ✓ ,ry 7 v - Total:$ _. (OWNER)(CONTRACTOR):PRINTED 8 f� � ((� � t DATE � t Use of Space (description); �— L - CL^ Description of work: Sq. Ft. added Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) - This permitwas issued in accordance with the provisions set forth in yourapplication 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 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 180 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 anysuspension or abandonment has notexceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid fora 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 violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review is subject to field inspections. Chief Building Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: WHEA2- �;' m City of Wheat Ridge CO LORP Residential Plumbing PERMIT - 070406 PERMIT NO: 070406 ISSUED: 05/03/2007 JOB ADDRESS:. 4065 BALSAM ST EXPIRES: 10/30/2007 DESCRIPTION: replace water heater. * ** CONTACTS * ** owner 303/421 -2710 John Laguardia gc 303/534 -0881 Gary Kenfield 01 -7152 Precise Plumbing ** PARCEL INFO ** ZONE CODE: UA USE: - R -3 SUBDIVISION: 0328 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT. VALUATION: 600.00 FEES Permit Fee 34.52 Total Valuation .00 ** TOTAL * * L ) 1 34.52 Comments: !/✓ Mi ^(mum of Replacement boiler slfurnaces - of 9 AF Soilersltumaces in new cpnstruction - M(nimumafo �c Bea Setback Thermostat requ ,re d (Except for Factor .93 Gas Mater Heaters Rllm�mum of . &0 Energy Factor El ectric Water Heaters -Minimum of a R - E Ceilings Insu lation reauirem 9 Mails R 99 Crawl S ®R 1913asement walls I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to .field inspection. Signature of contractor /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. I. 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 issue e of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an app 1 of, any vi lation of the provisions of the building codes. or any other ordinance, law, rule or regulation. All 1 eview is s t to field inspections. Signature of Chief Building ical date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION LINE - 303 - 234 -5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303- 235 -2855) "PUCATION Property Owner-Jo h n LQ Ljard i o -- Property Address :44b)Q,S Phone: 3 - SFr) Contractor License No.: / 7 / 8 2 , Company: Poe c /S f p/"M l%d k Za e Phone: � - 3 I/- O WNgRICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hearby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinanoes, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that ell measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this applications and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and Ml other applicable Wheat Ridge Ordinances, for work under this permit. Construction Value: & Permit Fee: 7' 41 , 6' Plan Review Fee: TTcaTaY- S aes 5'002 Total: 3 �. SS -)- (OWNEF2xCON7RACI'OR): SIONI?D Description: / Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (I) This permit was issued in accordance with the provisions set forth in yew application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado a any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is act commenced within sixty (60) drys from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) U this permit expires, a new permit may be acquired for a fee of one -half the mount normally required, provided no changes have been or will be made in the original plane and specifications and nary suspension a abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds- one(1) year, fall fees shall be paid fa 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) hoots in advance for all inspeetiens and shall receive written approval on inspection cud 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 pamdt for, nor an approval of, any violation of the provisions of the building codes or arty other ordinaries, law, rule orregulation. . Chief Building Inspector ,or ,, , o..E,./vvneaL tsuuytC riiftq Adimlial.st-tator. COMMERCIAL OCCUPANCIES'; OF COMMUNITY DEVELOPMENT DEPT. Inspection Services Division m (303) 234 -5933 Inspection line (303) 235 -2855 Office COCORP�O CORRE " OTICE .2Ilec. El Plumb. L�Mech. ❑ Structural ❑ Other ❑ 1st ❑ 2nd ❑ 3rd Job Address: jo���5st�,� • Re- inspection fee of $ must be paid prior to re- inspection. • Blocked Access • No one available for inspection: Time AM /PM *When correcti have been made, call for re-inspection at 303 - 2345933 Date: -/Y"67 Inspector: DO NOT REMOVE THIS TICE i r. UPARTMENT OF PLANNING AND DEVELOPMENT ` Building Permit Number: 5606 BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date: 8/5/97 s. 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 4065 BALSAM ST Phone: 421 -2710 Contractor License No.: 18438 Company: Floyd Sorensen Roofing Phone : 360 7592 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction 'Value: $5,000.00 1 hereby certify that the setback distances proposed :. by this permit application are accurate, Permit Fee: $100.50 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 -1 have read and agree to abide by all conditions printed on this and that I full for $60.00 application, assume responsibility compliance With the Wheat Ridge Building Use Tax: Code (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork underthis permit. . Total : $160.50 (OWNER)(CONTRACTOR) SIGNED DATE Description : REMOVE SHAKIL ROOF, INSTALL MEDIUM SHAKES AND NEW GUTTERS. ROOF EXCLUDES PATIO) BUILDING DEPARTMENT USE ONLY WANNNIEW SIC : Sq. Ft. Approval: 7nninn Expir (i (( (E (4 :al License No`. P Iny C ion Date: E: anse No 1 i Ite : I ado and to the Zoning red is suspended or ;en or will be made in the pension or abandonment m inspection card before ief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - Property Owner: Property Address : Contractor License No. : Company ��'N Call -G Gt /�'izDt� �0 6 s /3hc -s gyvt Building Permit Number: Date : OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that 1 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) SIGNE DATE Description : dH '� y w v� Sc /sz r d G 1{ KL SevS7 E < Q • 9 Approval: Zoning BMid nt g°CO ments� Approval: P11bilp WbTK Approval: Occupancy: Walls Electrical License No Company: BUILDING DEPARTMENT USE ONLY Roof: Stories: Plumbing License No: Company: Phone: 92-1 0-7 0 Phone: 3 �� -7 5 `i'Z ConstructionValue(O Permit Fee: Plan Review Fee: Use Tax: Total: SIC: Sq. Ft. : Residential Units : Mechanical License No: Company: Expiration Date : Expiration Date : Expiration Date Approval : Approval : Approval &P,Ian3,Rel�ifiired in [Pl ® r ?MGR (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 or wheal 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 of (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 of if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work or 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 yard before qc ediing with successive phases of the'ob. (6) The issuance of a permit or the approval oildrawings and specifications shall not be construed to be a pernit for, nor an approval of, any violation or the provisions of the building codes of 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 '< l DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95 -2073 -, BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date :10/18/95 7500 WEST 29TH AVENUE " -: WHEAT RIDGE, CO 80215 Property Owner: AMES LISA A TRUSTEE Property Address: 4065 BALSAM ST Phone: 431 -5515 Contractor License No.: Company: Phone OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: $250.00 I 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 responsibility. for compliance with the Wheat Ridge Building Use Tax: $6.25 Code (U.B.C.) and all other applicable Wheat Ridge ordina s, for work under this permit. (OW NER)(CONTRACTOR) SIGNED �=. �cy2 ! .�" DATE GC �f Total : $31.25 Description : INSTALL 20Q A P MASTER METER i BUILDING DEPARTMENT USE ONLY - Approval ; Zoning ; Approval: Approval: Occupancy: Walls : Roof : Stories : Residential Units v tE , Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company:, r, 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 subleot 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 r (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 fora 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 proceeoiing 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 m; of bu Irying codes ny ome mine law, rule or regulation. ^ /` Q, hief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION C. 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: li06-f/v AI. Property Address : L106 Phone: Contractor License No. Company: 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 compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinanc9p for work under this permit. (0WNER)(CeNT1bke - &R) SIGNED Jb Az ,�`�. DATE Construction Value Permit Fee Use Tax: Total Description: 14 9 r4e-C*i� -v of Al--Iv �oo��/` >•�' %fir �e�.r 2����: iuc��� BUILDING DEPARTMENT USE ONLY i Approval: Zoning: f i-_ - 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 2 l�ns=Requilred .:.:'1 PI��s,Required .I �`�tjYUiF_ (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 dale 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. 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